Thulium Fiber Laser Enucleation of the Prostate - ThuFLEP


60 - 180 minutes


General anesthesia


1 - 2 days


3 weeks


8 weeks


1 week

Do you have problems urinating due to an enlarged prostate? At the Fabjan clinic in Slovenia, we perform laser enucleation of the prostate with the Thulium Fiber Laser - ThuFLEP

Benign prostatic hyperplasia

Laser enucleation of the prostate is the gold standard for surgical treatment of benign prostatic hyperplasia. Enlarged prostate and prostate laser surgery.

Benign prostatic hyperplasia (BPH)
and subvesical obstruction (obstruction of urine) are very common in adult and elderly men. An enlarged prostate can be the cause of significant problems with urination with a weak stream, difficulty emptying the bladder, retention of urine and frequent getting up and urinating at night.

Laser enucleation of the prostate with the Thulium Fiber Laser - ThuFLEP

Laser enucleation of the prostate with a Thulium Fiber Laser - ThuFLEP (Thulium Fiber Laser Enucleation of the Prostate) is a minimally invasive operation in which a specialist urologist completely removes the adenoma of the prostate and thus enables the permanent elimination of problems with urination.

ThuFLEP laser surgery allows shorter hospitalization time, shorter bladder catheterization time and less blood loss. ThuFLEP provides safe and effective treatment, regardless of prostate size, and is also suitable for patients receiving anticoagulant treatment or who have already undergone surgery for an enlarged prostate. The effect of the operation is immediate and often permanent

Advantages of ThuFLEP surgery include:

- A minimally invasive procedure that takes place through the urethra
- Shorter hospitalization time (most often 1 to 2 nights)
- Shorter bladder catheterization time (most often 1 to 2 days)
- Less blood loss
- Faster recovery
- Permanent treatment effect

"Laser enucleation of the prostate takes 60-180 minutes, depending on the size of the prostate. It is usually performed under general anesthesia."

Relative indications for ThuFLEP surgery

- moderate to severe bladder emptying symptoms (LUTS)
- urinary retention
- ineffective drug treatment (alpha blockers or 5 alpha reductase inhibitors)
- Drug treatment is not desirable or is contraindicated

Absolute indications for ThuFLEP surgery

- complete blockage of urine discharge with an inserted urinary catheter
- impaired renal function
- bleeding
- repeated or more severe bacterial infections of the urinary tract
- stones in the bladder

Does prostate size matter?

Prostate anatomy and size are very important factors when deciding on surgical treatment. Sometimes larger and much more invasive surgical interventions were necessary for the operative treatment of larger prostates (90g and more).

Today, even very large prostates can be operated endoscopically through the urethra with a laser. Laser enucleation of the prostate ThuFLEP is independent of the size of the prostate and allows the surgeon to surgically treat prostates up to 200g or more.

Laser enucleation of the prostate vs. TURP

Comparing ThuFLEP with TURP and classic open prostatectomy, ThuFLEP is associated with less blood loss, shorter bladder catheterization time, and shorter hospital stay. Studies show that with TURP, urethral stricture rates are higher and stress urinary incontinence rates are comparable.

In addition, reoperation is more often required after TURP. The improvement in urine flow after ThuFLEP surgery is significantly better than after TURP surgery, and these improvements are maintained in the long term. The risk of bleeding is also lower with ThuFLEP, which is related to the excellent hemostatic properties of the Thulium Fiber Laser.

How does the ThuFLEP operation work?

ThuFLEP surgery takes 60-180 minutes. It is performed under general anesthesia. The Thulium Fiber Laser enables the urologist to enucleate the prostate adenoma completely with minimal blood loss. The accuracy and low penetration depth of the laser energy enable the protection of the sphincter (sphincter muscle) and nerves for erection.

When the adenoma is extracted into the bladder, the adenoma is completely removed with an instrument called a morcellator. At the site of the operation, a urinary catheter is inserted into the bladder, which is used to empty urine from the bladder and prevent the retention of blood clots in the bladder. The effect of the operation is immediate.

Preparation for ThuFLEP prostate laser surgery

- Specialist urological examination
- PSA in the blood
- Uroflow
- Transrectal ultrasound of the prostate
- Cystoscopy

Before the operation, urologist Dr. Miloš Petrović performed a thorough urological examination in which he will listen to your problems.

A specialist urological examination before prostate surgery includes a urine flow test called Uroflow, a transrectal ultrasound measurement of prostate size and an endoscopic examination of the urethra, prostatic urethra and bladder with a camera called cystoscopy.

Before the operation, you also need a blood sample for PSA (Prostate Specific Antigen) analysis. PSA analysis is used to assess the risk of prostate cancer.

Take control of your health and eliminate urination problems.

Informative price of laser enucleation

The price of prostate enucleation depends on the specifics of each individual and is determined at the end of the consultation.

Basic Plan






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