Why is Laser Prostatectomy Recommended?
To relieve urinary obstruction caused by Benign Prostatic Hyperplasia (BPH)
When medications fail to improve symptoms
In cases of urinary retention or recurrent urinary tract infections
For patients with low surgical tolerance or high bleeding risk
To prevent complications such as bladder damage or kidney strain
Types of Laser Prostatectomy
🔹 HOLEP (Holmium Laser Enucleation of the Prostate) – Removes entire prostate adenoma with minimal bleeding
🔹 GreenLight Laser Therapy – Vaporizes excess prostate tissue
🔹 Thulium Laser Prostatectomy – Provides precise and bloodless tissue removal
Key Benefits of Laser Prostatectomy
Minimally invasive – no large incisions
Minimal bleeding – suitable for heart patients
Rapid symptom relief and improved urine flow
Short hospital stay – often with same-day discharge
Lower risk of sexual dysfunction compared to traditional surgery
Faster recovery and quicker return to normal activities
How the Procedure Works
- Anesthesia: Spinal or general anesthesia is given.
- Endoscopic Access: A thin laser probe is inserted via the urethra—no external cuts are made.
- Laser Energy Delivery: The laser is used to enucleate or vaporize excess prostate tissue causing the blockage.
- Tissue Removal: In enucleation cases, tissue fragments are morcellated and removed.
- Urinary Catheter: A temporary catheter is placed post-surgery for 24–48 hours.
- Recovery: Most patients return to normal bladder function within a few days.
Trusted Surgical Expertise
This procedure is performed by a senior urology specialist with 12+ years of experience in endourology and laser surgery. With access to state-of-the-art laser equipment, patients receive precise, bloodless, and efficient treatment—especially suited for high-risk or elderly individuals.
Symptoms of an enlarged prostate
The prostate grows with age in most men and can squeeze the urine passage. Common symptoms are:
- Weak or interrupted urine stream
- Waking at night to urinate
- Urgency, or needing to go again soon after
- Straining or a feeling the bladder is not empty
- Sudden inability to pass urine (retention)
Blood in the urine, recurrent infections, bladder stones or rising kidney numbers are signs that treatment should not wait.
Choosing between medicines and surgery
Mild symptoms often improve with lifestyle changes and medicines such as alpha-blockers (which relax the prostate) and 5-alpha-reductase inhibitors (which slowly shrink it). Surgery is advised when medicines do not help enough, cause side effects, or when there is retention, repeated infections, stones or kidney strain. Read more in BPH: medicines vs surgery.
Tests before treatment
Evaluation usually includes a symptom score, urine test, ultrasound of the kidneys, bladder and prostate with post-void residual urine, uroflowmetry (urine flow test) and a PSA blood test to screen for prostate cancer where appropriate.
Recovery after laser prostate surgery
A catheter usually stays for one to two days. Most men go home in one to two days and return to light work within a week. Some burning and frequency for a few weeks is normal while the area heals. Avoid heavy lifting, straining and cycling for about four weeks. See the post-HoLEP recovery guide.
Lifestyle changes that ease prostate symptoms
- Reduce fluids in the two hours before bed
- Cut down caffeine and alcohol, which irritate the bladder
- Avoid cold and cough medicines with decongestants, which can trigger retention
- Double voiding: wait a moment and try again to empty fully
- Treat constipation and stay active
What happens if BPH is left untreated
Many men live comfortably with mild BPH. But a prostate that keeps blocking the bladder can lead to sudden urinary retention, repeated infections, bladder stones, a weak overstretched bladder, and back-pressure on the kidneys. Treating at the right time avoids emergency catheters and protects kidney function. Read about weak urine flow and night-time urination.
Cost of prostate surgery in Jaipur
The cost of HoLEP, TURP or TUIP depends on the procedure, prostate size, anaesthesia, hospital stay and room category, and insurance cover. Most health insurance policies cover prostate surgery. A clear estimate is given after evaluation.
Questions to ask before prostate surgery
- How large is my prostate, and which procedure suits that size?
- How long will I need a catheter, and when can I go home?
- What happens to ejaculation and erections after this procedure?
- Do I need to stop blood thinners, and who will manage that?
- What results can I expect for my flow and night-time urination?
- What is the chance I will need treatment again later?
Dr. Negi discusses each of these before surgery so you can decide with confidence.
Urinary retention: when you suddenly cannot pass urine
Acute urinary retention is painful and needs a catheter in an emergency department or clinic. Afterwards, a trial without the catheter on alpha-blocker medicine is often attempted. Men who go into retention, or who cannot pass urine without a catheter, usually do best with surgery such as HoLEP.
Why Dr. Nitin Negi
Enlarged prostate treatment in Jaipur with the best urologist in Jaipur
- MCh super-specialistMBBS, MS (Surgery), MCh in Genitourinary Surgery; clinical training at AIIMS, New Delhi.
- 25,000+ proceduresEndourological surgeries including RIRS, Mini-PERC, PCNL, HoLEP, TURiS and TURP.
- 150W Holmium laserRajasthan’s first, at ManglamPlus Medicity, for faster, safer stone and prostate surgery.
- Clear explanationsEvery option, risk and cost discussed before treatment; two convenient Jaipur locations.
Frequently asked questions
Can an enlarged prostate be treated without surgery?
Yes, many men do well with medicines and lifestyle changes. Surgery is advised only when these are not enough or complications develop.
Is laser prostate surgery better than TURP?
HoLEP works for prostates of any size, has less bleeding and a shorter catheter time, and lower chance of needing repeat surgery. TURP remains a good option for smaller glands.
Does prostate surgery affect sexual function?
Erections are usually not affected. Many men have retrograde (dry) ejaculation afterwards, which is harmless; your urologist will discuss this before surgery.
Is an enlarged prostate the same as prostate cancer?
No. BPH is a non-cancerous enlargement. Prostate cancer is a separate condition, which is why a PSA test and examination are part of the evaluation.