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Updated Nov 2, 2026

TURP / HoLEP (Prostate) cost abroad (2026)

TURP and HoLEP are the two standard operations for a blocking, enlarged prostate. Both are done through the urethra: TURP shaves tissue with an electrical loop and HoLEP peels it out with a laser.

  • 2 nights in hospital
  • 28 days to full recovery
  • 95% reported success rate

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What a hospital quote usually includes

  • Surgeon, anaesthesia and operating room
  • About 2 nights in hospital, with nursing care
  • Routine tests and medicines during the stay
  • Free Medcasts coordinator, visa letter help and airport pickup arrangements
  • Not included: flights and hotel after discharge

Every quote we send lists what is and isn't included, line by line.

Your recovery plan

  1. Days 1–3Catheter in, urine pink and bladder spasms; you walk the day after surgery.
  2. Weeks 1–2Burning, urgency and some leaking can occur while tissue heals.
  3. Weeks 3–4Return to desk work; avoid heavy lifting and straining.
  4. Weeks 6–12Stream improves and sexual activity can resume when the surgeon allows.
Full recovery guide

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About TURP / HoLEP (Prostate)

With TURP, the surgeon cuts the prostate away in small chips using a loop and electrical current. With HoLEP, a holmium laser separates whole lobes of tissue from the capsule, and they are broken up and removed. Spinal or general anaesthesia is used for both. TURP suits small to medium glands, whereas HoLEP can treat glands of any size.

Both give a lasting improvement in flow. Outcomes depend on the gland size, bladder function and surgeon experience. HoLEP generally means less bleeding, a shorter catheter time in many centres and a lower rate of retreatment, but it needs a skilled surgeon. Dry ejaculation is common after both, and temporary urgency or leakage can occur.

Plan for a stay of one to three nights and a few days near the hospital after the catheter is out. Avoid heavy lifting and long travel for a couple of weeks. Bring your PSA, flow test results and medicine list, especially blood thinners, and arrange a urologist at home for review once healing is complete.

Usually a good fit if

  • Bothersome BPH symptoms not controlled by medicines.
  • Urinary retention, bladder stones, infections or kidney strain related to the prostate.
  • A man who wants lasting relief; HoLEP is also an option for larger glands.
  • Fit for spinal or general anaesthesia.

May need to wait if

  • Suspected prostate cancer needs investigation first.
  • Active urinary infection must be treated before surgery.
  • Uncontrolled bleeding disorders or blood thinners need a plan from your doctor.
  • Medical conditions that make anaesthesia risky should be optimised.
How to prepare
  1. Bring your PSA, prostate ultrasound or MRI, flow test and urine culture; infection should be cleared first.
  2. Tell your doctor about blood thinners, aspirin and other medicines; changes only on the doctor's instruction.
  3. Expect blood tests and an anaesthetic review.
  4. Discuss dry ejaculation, leakage and repeat surgery chance before choosing a technique.
  5. Follow fasting instructions and plan a few days in hospital.
Questions to ask your surgeon
  1. Which is better for my prostate size, TURP or HoLEP?
  2. How many of each operation do you perform per year?
  3. How long will I need a catheter and stay in hospital?
  4. What are the risks of leakage, dry ejaculation, bleeding and stricture?
  5. Will the removed tissue go for pathology, and when will I see the result?
  6. Who can check my progress back home?
Red flags when comparing hospitals
  • No discussion of both options and why one was chosen.
  • No test for prostate cancer before surgery.
  • Surgeon cannot state their own experience with HoLEP or TURP.
  • No plan for catheter care and follow-up.

Questions about TURP / HoLEP (Prostate) abroad

How long will I stay in hospital for TURP / HoLEP (Prostate)?

Most patients spend about 2 nights in hospital. Full recovery takes about 28 days; your surgeon will tell you when you are fit to fly home.

What is the difference between TURP and HoLEP?

TURP shaves tissue in chips; HoLEP removes the whole obstructing lobes with a laser, which may be better for larger prostates and give longer-lasting results.

Will I have a dry orgasm?

Most men do after either operation because semen flows into the bladder. Erections are usually preserved.

How long will I stay?

Usually two to three nights, though HoLEP is sometimes shorter. Your surgeon will confirm.

Can I have either operation on blood thinners?

HoLEP generally has less bleeding, but it must be planned with your doctor. Do not stop medicines without their instruction.

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