Cirugía Prostática Láser

UROINTEC · Advanced Urology

Laser Prostate Surgery

Holmium laser enucleation of the prostate (HoLEP). No incisions, no scars, discharged within 24 hours. The most advanced technique for treating benign prostatic hyperplasia.

+2.000

Laser procedures

+1.000

Projects in 2025

24h

Hospital discharge

<0,5%

Risk of incontinence

Understanding the problem

What is benign prostatic hyperplasia?

BPH is a very common condition in men over the age of 50. The prostate enlarges and compresses the urethra, causing frequent urination (including at night), a weak urine stream, a feeling of incomplete emptying, and even the need for a urinary catheter.

It is initially managed with medication, but between 20% and 30% of patients will require surgery to permanently resolve their symptoms.

The HoLEP procedure allows these symptoms to be treated without incisions, with minimal discomfort and a very quick recovery.

The solution

Holmium laser enucleation of the prostate (HoLEP)

The procedure is performed through the urethra, without any incisions. The holmium laser completely separates the adenoma from the prostate capsule—much like separating the segments of an orange from its peel—and a morcellator removes the fragments.

All tissue is sent for pathological analysis, which helps rule out the possibility of hidden prostate cancer. There is no size limit: prostates weighing between 20 and 500 grams can be operated on.

A 160% increase in prostate laser therapy between 2024 and 2025. HoLEP is establishing itself as the gold standard, replacing conventional methods such as vaporization.

Why choose this technique?

Benefits of HoLEP for the patient

Complete removal of the tissue

Unlike vaporization or TURP, HoLEP removes the entire prostate adenoma. This provides more lasting results and allows the tissue to be analyzed to rule out hidden cancer.

Suitable for any prostate size

From 20 to 500 grams. It is the only technique with no limit on prostate volume, making it the most versatile option for all types of patients.

Compatible with anticoagulants

It can be performed on patients taking anticoagulant medication, with cardiac prostheses, or with other coagulation disorders, provided they follow a supervised preparatory protocol.

Back to normal life in a few days

The catheter is removed in 1–2 days; patients can return to work within a week and resume sports activities in 10–15 days. Since there are no incisions, recovery is significantly faster than with other techniques.

A team with more than 2,000 laser procedures performed

Steady growth year after year. More than 1,000 procedures in 2025 alone.

Comparison

HoLEP vs. Other Techniques

HoLEP (Holmium Laser) Prostate RTU KTP Vaporization
Prostate size 20–500 g Up to 80 g Up to 80–100 g
Hospital discharge 24 hours 2–3 days 1–2 days
Incontinence <0,5 % 1–3% 1–2%
Anticoagulants Compatible Limited Limited
Tissue analysis Yes (rules out cancer) Midterm No
Back to Work 7 days 2–3 weeks 1–2 weeks

We're here to answer your questions

Frequently asked questions

Can any patient undergo surgery using the HoLEP technique?

Yes. It is suitable for patients of any age and has no restrictions on prostate size (ranging from 20 to 500 grams). It is also suitable for patients taking anticoagulants or with cardiac prostheses, provided they undergo the necessary preparation beforehand.

How long does recovery take after the procedure?

Most patients are discharged within 24 hours. The catheter is removed in 1–2 days. Patients can return to work within a week and resume sports activities after 10–15 days.

Is there a risk of incontinence after the surgery?

Prostate enucleation offers the best continence rates: a risk of less than 0.5%, well below that of other techniques such as transurethral resection (TUR) or vaporization.

What are its advantages over RTU or vaporization?

It completely and permanently removes the tissue. This results in better long-term outcomes, less bleeding, and a faster recovery, and allows the tissue to be analyzed to rule out hidden cancer.

Is the procedure painful?

The procedure is performed under anesthesia (usually spinal), and is painless during the procedure. After surgery, it is common to experience some discomfort when urinating, but this subsides quickly within the first few days.

Take the first step toward a symptom-free life

Contact our team. We’re here to assist you with clear information, a friendly approach, and the expertise gained from over 2,000 laser procedures.

Accuracy

Advanced laser technology and a surgical team dedicated to excellence in every procedure.

Vision

Innovation for better results. The technique that replaces conventional methods.

Humanity

Genuine support, clear communication, and personalized care until you've fully recovered.