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Most patients go home within 24-48 hours with the catheter removed 1-2 days after surgery. Temporary urgency or mild leakage can occur for 2-6 weeks, with normal daily activity resuming in 2-4 weeks. Retrograde ejaculation occurs in most patients and is expected and harmless — it doesn't affect the sensation of orgasm, and erectile function is generally preserved or improves.
Not every case of BPH needs surgery. Medication is often enough for mild-to-moderate symptoms. Surgery becomes the right step when medication fails to control symptoms, when there's urinary retention, recurrent blood in the urine, kidney impact from long-term obstruction, bladder stones caused by incomplete emptying, or a very large prostate that medication can't meaningfully shrink.
Laser enucleation (HoLEP or ThuLEP) has become the leading surgical option in modern guidelines because it removes the entire obstructing tissue — not just part of it — with significantly less bleeding than traditional TURP. This makes it safe even for patients on blood thinners, suitable for almost any prostate size including very large glands, and associated with markedly lower retreatment rates over the following years.
The procedure is performed entirely through the urethra, with no external incisions. The surgeon uses a laser fiber to separate the enlarged prostate tissue from its outer capsule, then a mechanical morcellator removes the tissue through the same natural passage. The removed tissue is sent for pathological examination — a safety step traditional TURP chips often skip. Most patients go home within 24-48 hours with the catheter removed 1-2 days after surgery.
Temporary urgency, mild burning, or light leakage can occur for 2-6 weeks after surgery — this is expected and resolves on its own. Most patients resume normal daily activity within 2-4 weeks, and driving or light work is often possible sooner. Follow-up includes a PSA test at 6 months, then annually, along with a uroflowmetry check to confirm the improved flow is holding.
Not sure if you need surgery or medication would be enough? Ask Dr. Samer Morsy directly
💬 WhatsApp Dr. MorsyThis is one of the most common concerns before surgery. Retrograde ejaculation (semen entering the bladder instead of exiting normally) occurs in the majority of patients after laser enucleation — it's expected, harmless, and doesn't affect the sensation of orgasm. Erectile function is generally preserved or even improves as urinary symptoms resolve. The risk of true erectile dysfunction from surgery alone is very low.
Pricing depends on prostate size, hospital, and the exact technique used — see the full breakdown in our detailed pricing guide. Ready to find out if laser surgery is right for you?
Ready to find out if laser prostate surgery is right for you?