Prostate Enlargement (BPH) Treatment

Both TURP and HoLEP are highly effective surgical treatments for BPH, but they differ in scope and ideal candidates. TURP (Transurethral Resection of the Prostate) is the traditional gold standard, best suited for prostate glands of moderate size (30–80 mL). HoLEP (Holmium Laser Enucleation) is preferred for very large prostates (over 80 mL) that might otherwise require open surgery — it removes the entire obstructive tissue using a laser and has lower blood loss, shorter catheter time, and a durable long-term result. HoLEP requires specialized equipment and a highly skilled surgeon, which is why international centers with high caseloads can offer a quality advantage. Your urologist will assess your prostate volume, urinary flow rate, and overall health to recommend the most appropriate option.