HoLEP is generally more effective than traditional TURP for long-term symptom relief and treating enlarged prostates of any size. While TURP remains a standard for smaller glands, HoLEP offers lower retreatment rates, minimal blood loss, and faster recovery for patients in Turkey.
- Prostate size: effective for all sizes, whereas TURP is limited to glands under 100 grams.
- Retreatment risk: maintains a low 2% recurrence rate compared to 18% for traditional TURP procedures.
- Hospital recovery: requires only 1–2 days of hospitalization with significantly shorter catheterization times for patients.
- Safety profile: utilizes holmium lasers to seal vessels, virtually eliminating the risk of TURP syndrome.
Bookimed Expert Insight: While HoLEP is technologically superior, data shows surgeon volume is the true success driver. Experts like Dr. Baris Nuhoglu at Men's Health Clinics have performed over 900 HoLEP procedures. This high volume often results in more complete tissue removal than a less-experienced surgeon using the same laser equipment.
Patient Consensus: Patients report that while both surgeries improve flow, HoLEP provides faster symptom resolution. Many emphasize that for prostates over 60 grams, the more complete tissue removal is worth the investment.