Thulium Laser Prostate Surgery (ThuLEP)

Thulium laser is the most up-to-date and most modern laser technology used in the treatment of enlarged prostate (BPH). The superiority of Thulium laser over other laser techniques in prostate surgery is due to its high cutting power, low tissue penetration (0.25mm) and constant temperature (continuous wavelength).

How Is It Applied?

The term for ThuLEP surgery is “Thulium Laser Enucleation of Prostate”, which means the removal of the enlarged prostate inner tissue (adenoma) from the capsule with the help of thulium laser. This is done by entering through the urinary canal through an endoscope without any incision. The prostate tissue separated from its capsule with the help of laser is then separated into small pieces in the bladder and taken out.

What are its advantages?

Since Thulium laser is a laser with a very high cutting power, it enables the prostate tissues to be removed from the capsule quickly without bleeding. The risk of bleeding is lower than all other surgical techniques (TUR, HoLEP, Greenlight, Open Surgery) because of the high cutting power of the Thulium laser and does not penetrate deep tissues.

Since the entire portion of the prostate tissue outside the capsule is removed in ThuLEP surgery, the risk of recurrence of the disease is almost negligible. Due to the fact that the prostate tissue cannot be completely removed in the operations performed with closed methods such as TUR and Greenlight, the results are not as pleasant as ThuLEP and HoLEP, especially in large prostates. Prostate tissue remaining in these surgeries can grow over time and cause similar complaints again after a while.

In Thulium laser, less tissue and cell damage occurs as a result of less tissue penetration depth and constant operation of the wavelength with continuous energy at a certain temperature. After the surgery, the muscles that keep urine, the nerves that provide hardening and the ejaculation are better protected. In this way, post-operative urinary incontinence and erection problems are not experienced.

NOTE: The content of the page is for informational purposes only, please consult your doctor for diagnosis and treatment.