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Cost of Holmium Laser Enucleation of the Prostate (HoLEP) Worldwide

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By eliminating extra prostate tissue that obstructs urine flow, Holmium Laser Enucleation of the Prostate (HoLEP) improves bladder emptying and relieves urinary symptoms associated with benign prostatic hyperplasia (BPH).

If you have persistent urinary symptoms, such as difficulty urinating, weak urine flow, frequent urination, urinary retention, recurrent UTIs, or bladder stones caused by an enlarged prostate that do not improve with medication, you should see a doctor for Holmium Laser Enucleation of the Prostate (HoLEP).

Your doctor will review your medical history and current prescriptions in the weeks leading up to HoLEP and may recommend discontinuing certain medications, including blood thinners, to reduce the risk of bleeding. The size and form of the prostate are evaluated through a physical examination, which includes a rectal exam. To assess the bladder and prostate, preoperative testing, including blood and urine tests and imaging investigations like CT, MRI, or ultrasound, may be requested. Additionally, your doctor will provide precise pre-surgery instructions and review anaesthesia options, such as spinal or general anaesthesia.

HoLEP is performed under general or spinal anaesthesia, and antibiotics may be administered to reduce the risk of infection. The patient is placed on their back with their legs raised once anaesthesia has taken hold. To see the prostate, the surgeon places a resectoscope into the urethra. The enlarged prostate tissue that is obstructing urine flow and closing blood vessels is then carefully sliced and removed using a holmium laser. A morcellator is used to break up and suck out the excised tissue, and samples are sent for analysis in a lab. According to the procedure, a urinary catheter is inserted to facilitate healing, and the instruments are removed.

Holmium Laser Enucleation of the Prostate (HoLEP) typically takes 1 to 3 hours, depending on prostate size and the complexity of the condition. The exact duration may vary from patient to patient based on individual clinical factors.

  • Injury to the prostate, urethra, bladder, or ureters
  • Urinary incontinence lasting longer than three months
  • Infection of the bladder, testicles, or kidneys
  • Anaesthesia-related risks, including blood clots, heart attack, or aspiration
  • Excess bleeding requiring a blood transfusion
  • Prolonged catheterisation lasting more than 24 hours
  • Incidental detection of prostate cancer in about 5%-15% of patients
  • Future urinary obstruction requiring repeat surgery occurs in less than 2% of cases

  • Compared with other BPH procedures, this safe and efficient method results in a more rapid recovery.
  • Makes it possible to remove a lot of prostate tissue without making any external incisions.
  • Excellent for large prostates and appropriate for all prostate sizes
  • A minimal or no hospital stay is necessary.
  • Reduced the requirement for blood transfusions and the danger of bleeding
  • Reduced the chance of needing further treatments in the future

Following HoLEP, most patients either return home the same day or have a brief hospital stay with a temporary catheter, which is typically removed the same day. Initial symptoms include mild pain, burning when urinating, frequent urination, urgency, and blood in the urine. These symptoms eventually improve with medication and fluids. It may take many weeks to months to fully recover and experience a reduction in urinary symptoms; pelvic floor exercises and follow-up appointments can aid in this process.

Holmium Laser Enucleation of the Prostate (HoLEP), a minimally invasive prostate surgery, is a "gold standard" for Benign Prostatic Hyperplasia (BPH), even for large prostates, with very high success rates, frequently exceeding 90-95% in improving urinary flow and symptoms, excellent long-term durability, and low retreatment rates. For most patients, HoLEP provides significant symptom relief and catheter independence.

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Explore Hospitals ( 128 )
Holmium Laser Enucleation of the Prostate (HoLEP) in Shanti Mukand Hospital: Costs, Top Doctors, and Reviews

Delhi, India

5.0 ( 1 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Shanti Mukand Hospital located in New Delhi, India is accredited by ISO, NABH. Also listed below are some of the most prominent infrastructural details:

  • Most medical and surgical disciplines are covered in the hospital in terms of treatment.
  • The diagnostics of the hospital are up to date with the latest technologies in a specialised dedicated wing called as SMH Imaging Center.
  • Some important specialties available in the hospital are Orthopedics, Oncology (SMH Cancer Center), Neurology, Cardiac Care, Pediatrics etc.
  • Physiotherapy services are available for patients.
  • There is a specific Dialysis unit known as SMH Dialysis Center.
  • There is a bed capacity of 200.
  • Modular Operation theatres as well as provisions for minimally invasive procedures.
  • Critical care and emergency care departments are also present.
Holmium Laser Enucleation of the Prostate (HoLEP) in Kaplan Medical Centre: Costs, Top Doctors, and Reviews

Rehovot, Israel

  • Joint Commission International, or JCI

Kaplan Medical Centre located in Rehovot, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Located in an area of 240 dunams of lawns, trees and lovely corners that provides the medical center pastoralism and tranquility, and soak up a relaxed atmosphere among our patients
  • Hearing and Speech Institute
  • Childrens Auditorium
  • Hybrid Catheterization Room
  • purchase of a new CT (256 slices)
  • In the coming years, it is planned to develop: a rehabilitative geriatric medical center, a maternity club, an eye clinic and a heart center - the largest in the Middle East
  • Blood Bank
  • Pharmacy services
  • Accommodation in Hospital Campus
  • Maternity club
Holmium Laser Enucleation of the Prostate (HoLEP) in VPS Lakeshore Hospital: Costs, Top Doctors, and Reviews

Kochi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • ISO 9001

VPS Lakeshore Hospital located in Kochi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Advanced hi-tech healthcare facility
  • Innovative diagnostic & therapeutic medical technologies
  • Diagnostic endoscopy of nose, esophagoscopy, Laryngoscopy, Bronchoscopy
  • Cardiac department- Coronary Artery Bypass Grafting, Total Arterial Coronary Revascularization, Heart Valve Repairs and
  • Replacements, Surgery for Heart Failure, Intracardiac Repair of Congenital Anomalies of the Heart, Surgery for Atrial Fibrillation
  • Neurosurgery department: Keyhole Surgery for disc & other spine disorders, such as Spine Tumors, Navigation-guided, and Endoscopic Brain Tumor Surgery, Minimally invasive Brain Surgery, Advanced Head Injury Management with the ICP Monitoring
  • State-of-the-art-hemodialysis Units
  • Kidney Transplantation is done with Laparoscopic Donor Nephrectomy
  • 24 hour rapid TAT team equipped with four specialists have increased survival and decreased patient morbidity
  • Joint preservation techniques include autologous chondrocyte implantation
  • Cutting edge operation theaters & world-class transplant ICUs
  • Urology department: 3D Laparoscopy, Minimally Invasive Surgery, Ureteroscopy, RIRS, Endourology: PCNL
  • Objective swallowing evaluation services such as functional endoscopic evaluation of Swallowing & Video Fluoroscopic Swallow
Holmium Laser Enucleation of the Prostate (HoLEP) in Clinique Internationale Marrakech: Costs, Top Doctors, and Reviews

Marrakesh, Morocco

Apart from in-detail treatment procedures available, Clinique Internationale Marrakech located in Marrakesh, Morocco has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • A resuscitator for cardiac conditions
  • Team for emergencies consisting of cardiologist and physician specialising in emergencies
  • 250 healthcare personnel with over 50 doctors
  • Many therapeutic sections covered in treatment
  • Clinique Internationale Marrakech, Marrakesh, Morocco provides latest diagnostic and treatment related facilities present
  • 5 Operating Theaters
  • 3 resuscitation units
  • 2 blocks of cardiovascular catheterization
  • 100 bed capacity
  • Special suites with a comfort section
  • A neonatal pediatric resuscitation section
Holmium Laser Enucleation of the Prostate (HoLEP) in Parkside Private Hospital: Costs, Top Doctors, and Reviews

London, United Kingdom

Apart from in-detail treatment procedures available, Parkside Private Hospital located in London, United Kingdom has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Patient bedrooms with ensuite facilities like TV, internet access, direct dial phone, etc.
  • 4 Operating Rooms
  • 69 registered beds
  • 21 Outpatient Consulting rooms
  • 4 minor procedure rooms
  • 11-bed day unit
  • Endoscopy suite
  • Pathology Laboratory
  • Pharmacy
  • Cafeteria/Restaurant
  • Car Parking
Holmium Laser Enucleation of the Prostate (HoLEP) in NMC As Salama Hospital: Costs, Top Doctors, and Reviews

Al Khobar, Saudi Arabia

Apart from in-detail treatment procedures available, NMC As Salama Hospital located in Al Khobar, Saudi Arabia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Technology Advancement- Hospital has an ultrasound unit, a mammogram, a CT scan unit, and an X-ray imaging unit
  • Laboratory
  • 60 Private bedrooms
  • Operating rooms
  • Labor and Delivery Units
  • Isolation rooms
  • 2 Dental clinics
  • Special Care Units
  • 24*7 Emergency Services
  • Intensive Care Unit
  • Pharmacy
  • Cafeteria
Holmium Laser Enucleation of the Prostate (HoLEP) in Hannibal International Clinic: Costs, Top Doctors, and Reviews

Tunis, Tunisia

Apart from in-detail treatment procedures available, Hannibal International Clinic located in Tunis, Tunisia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • It has a capacity of 180 beds spread all over the 11 floors
  • Patients have comfort during their stay. Each room is furnished with LCD Screen, free Wi-fi, Phone, Safe, Refrigerator, Newspaper service, Mobility access
  • Diverse rooms option such as normal rooms, suite rooms, etc., are available for the patients
  • It has state-of-the-art equipment and infrastructure; in order to provide a restful and comfortable environment to the patients
  • As it is near the Tunisia- Carthage Airport, therefore it gets efficient for the hospital to serve International patients
  • Operating rooms are equipped with MEDglas concept consisting of MEDglas door & wall
Holmium Laser Enucleation of the Prostate (HoLEP) in Jimenez Diaz Foundation University Hospital: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001
  • Joint Commission International, or JCI

With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-

  • Day hospital
  • 11 central operating rooms
  • 3 operating rooms for CMA
  • 6 Delivery rooms
  • 686 beds
  • Ambulatory major surgery
  • Emergencies
  • Pediatric emergency
  • ICU
  • Neonatal ICU
  • External Consultations
Holmium Laser Enucleation of the Prostate (HoLEP) in Quironsalud Marbella Hospital: Costs, Top Doctors, and Reviews

Marbella, Spain

  • ISO 9001

Apart from in-detail treatment procedures available, Quironsalud Marbella Hospital located in Marbella, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • The hospital is present in an area of 10.500 square meters.
  • A 24- hour emergency service for all kinds of emergency scenarios, even pediatric.
  • There is a specialised radiology department as well as a hemodialysis unit.
  • The hospital also consists of an Intensive Care Unit with a laboratory.
  • Also present are a functional test area with physiotherapy services in addition to functional recovery.
  • Wide network of Insurance partners both national and international.
  • A professionally managed international patient care center.
  • There are more than 25 medical specialties
  • The number of rooms are: 65 plus private rooms, over 14 consultation rooms.
  • There are also more than 5 operation theatres with 2 endoscopy rooms
  • Ultrasound, MRI, CAT scan are also present as per needs and requirements.
Holmium Laser Enucleation of the Prostate (HoLEP) in Manipal Hospital, Dwarka: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Manipal Hospital Dwarka is a leading multi-super speciality tertiary care hospital offering world-class, affordable, and accessible healthcare. Backed by renowned doctors, advanced technology, and global standards in clinical care, the hospital provides comprehensive preventive, diagnostic, and therapeutic services for all age groups. With 380 beds, 13 modular OTs, 118 critical care beds, and 24/7 emergency services, it combines excellence in patient care with innovations like AI, telemedicine, remote monitoring, and EMR—striving to become a fully digital, paperless hospital setting new standards in modern healthcare.

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Process Involved for Holmium Laser Enucleation of the Prostate (HoLEP)

Diagnosis & Pre-Surgical Evaluation

  • Detailed urology consultation to assess symptoms of benign prostatic hyperplasia (BPH).
  • Blood and urine tests to check for infection, kidney function, and overall health.
  • Imaging studies such as ultrasound or MRI, along with uroflowmetry and prostate size assessment.
  • Evaluation of fitness for anaesthesia and surgical suitability.

Pre-Surgery Preparations

  • Fasting before surgery is advised by the healthcare provider.
  • Review and adjustment of medications, including anticoagulants, as indicated.
  • Discussion of the HoLEP procedure, expected benefits, risks, and recovery timeline.

Procedure

  • Minimally invasive removal of enlarged prostate tissue using a holmium laser.
  • Enucleated prostate tissue is pushed into the bladder and then removed.
  • Performed under general or spinal anaesthesia with no external incisions.

Post-Surgical Recovery

  • Short hospital stay or same-day discharge in most cases.
  • Temporary catheter placement with pain management and monitoring for bleeding.
  • Gradual improvement in urinary symptoms and return to normal activities.

Long-Term Follow-Up

  • Follow-up visits to assess urinary flow, bladder emptying, and symptom relief.
  • Monitoring for rare long-term complications and overall prostate health.
  • Benign Prostatic Hyperplasia (BPH)
  • Enlarged Prostate
  • Bladder Outlet Obstruction
  • Urinary Retention
  • Men who have benign prostatic hyperplasia (BPH) may experience bothersome urinary symptoms, including poor urine flow, frequent urination, or trouble emptying their bladder.
  • Patients whose prostatic enlargement is not adequately relieved by drugs or other non-surgical therapy.
  • People whose prostates are huge or extremely large, in which case alternative surgical procedures would not be as successful.
  • Patients who experience difficulties from BPH, such as renal function problems, repeated UTIs, bladder stones, or urine retention.
  • Men who are medically suitable for surgery and anaesthesia, even if they are using blood thinners.
  • Cystoscopy
  • Laser prostate tissue enucleation
  • Morcellation of prostate tissue
  • Temporary urinary catheterisation
  • Effective alleviation of symptoms related to urination
  • Absence of external surgical incisions
  • Minimal blood loss
  • Short hospital stay or same-day release
  • Reduced the chance of repeat operations
  • Quicker recovery than with conventional surgery
  • Improved urine flow
  • Reduced urinary frequency and urgency
  • Better bladder emptying
  • Relief from urinary obstruction symptoms
  • Improved quality of life
  • Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
  • Consult with Our Healthcare Expert:One of our qualified specialists will contact you for a consultation
  • Receive a Detailed Treatment Plan:After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
  • Choose your preferred option: Choose the treatment option that suits you the best.

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Frequently Asked Questions

Most patients in All recover within 1 to 2 weeks, with gradual improvement in urinary symptoms over a few months.

In addition to the procedure cost, patients may incur:
  • Pre-treatment tests
  • Medications during recovery
  • Follow-up consultations
  • Hospital stays in All are typically 1 day, and some patients may be discharged on the same day.

    Long-term care includes follow-up urology visits, maintaining adequate hydration, pelvic floor exercises as indicated, and monitoring urinary function.

    All offers advanced urology care, experienced surgeons, modern laser equipment, shorter waiting times, and cost-effective treatment.

    Pre-treatment tests in All typically include blood and urine tests, PSA levels, ultrasound, uroflowmetry, ECG, and anaesthesia fitness evaluation.

    Yes, HoLEP in All is considered safe for international patients when performed in accredited hospitals and with appropriate postoperative care.

    The success rate of HoLEP in All is generally high, around 90–95%, with long-lasting symptom relief.

    Author

    Dr. Abdullah Rahil

    MPT (Neuro)

    5 Years of Experience

    Dr. Abdullah Rahil, M.P.T. (Neurology), is a dedicated physiotherapy professional specializing in orthopedic, neurological, and musculoskeletal rehabilitation. With strong clinical expertise, he focuses on improving patient mobility, reducing pain, and restoring functional independence through evidence-based rehabilitation techniques. He is skilled in advanced therapeutic approaches that support effective rehabilitation and recovery for a wide range of musculoskeletal and neurological conditions, focusing on improving mobility, reducing pain, and restoring functional independence. Dr. Rahil has extensive experience managing diverse rehabilitation cases. His patient-centered approach emphasizes personalized treatment plans, continuous assessment, and comprehensive rehabilitation to achieve optimal recovery outcomes. . View More