
Thulium Fiber Laser Enucleation of the Prostate (THUFLEP) is a highly effective, minimally invasive procedure used to treat Benign Prostatic Hyperplasia (BPH) or an enlarged prostate. In this technique, a specialised laser is used to remove excess prostate tissue causing urinary obstruction, without any external incision. THUFLEP offers long-lasting relief, improved urinary flow, and faster recovery.
Manipal Hospitals offers advanced THUFLEP treatment in Mukundapur, Kolkata, with experienced urologists and cutting-edge laser technology, ensuring safe procedures and over 90% success rates.
This procedure is recommended to:
Treat moderate to severe urinary symptoms caused by an enlarged prostate
Improve weak urine flow and difficulty in urination
Reduce frequent urination, especially at night (nocturia)
Manage incomplete bladder emptying
Treat recurrent urinary tract infections due to BPH
Address complications such as bladder stones or kidney damage
If BPH is left untreated, it may lead to urinary retention, infections, bladder damage, and kidney problems. Timely treatment with THUFLEP helps prevent these complications and improves quality of life.
Our urology team prepares you with:
Detailed evaluation including blood tests, urine tests, and imaging (ultrasound/uroflowmetry)
Assessment of prostate size and severity of symptoms
Review of medical history and current medications
Fitness evaluation for anaesthesia
Pre-procedure instructions regarding fasting and medications
Counselling to help you understand the procedure and recovery
THUFLEP is performed under spinal or general anaesthesia in the following steps:
A resectoscope is inserted through the urethra to access the prostate
A Thulium fiber laser is used to separate enlarged prostate tissue from its capsule
The removed tissue is pushed into the bladder
A morcellator is used to break and remove the tissue
The procedure usually takes 60–120 minutes, depending on prostate size
After the procedure, patients are monitored in the hospital, usually for 1–2 days. A catheter may be placed temporarily and removed once urine flow stabilises. Mild burning during urination or slight blood in urine may occur for a few days. Patients are advised to stay hydrated, avoid strenuous activity, and follow medications as prescribed. Most individuals can resume light activities within a week and return to normal routines within 4–6 weeks.
Minimally invasive with no external incisions
Significantly reduced bleeding due to laser precision
High success rate with long-term symptom relief
Short hospital stays and faster recovery
Suitable for all prostate sizes
Low risk of recurrence and re-treatment
Improved urinary flow and quality of life
THUFLEP is generally safe when performed by experienced specialists. Possible risks include:
Temporary burning or discomfort during urination
Mild blood in urine for a short period
Urgency or frequency of urination initially
Retrograde ejaculation (common in most BPH surgeries)
Rare risk of urinary incontinence or infection
At Manipal Hospitals, expert urologists, advanced laser systems, and comprehensive care ensure safe procedures with excellent outcomes.
THUFLEP is recommended if you have significant urinary symptoms due to an enlarged prostate, especially when medications are ineffective, or complications like infections or bladder issues arise. It provides long-term relief and improved urinary function.
Yes, THUFLEP is a safe and well-established procedure when performed by experienced urologists. With advanced technology and precision techniques, it ensures minimal complications, reduced bleeding, faster recovery, and consistently excellent outcomes for patients undergoing treatment.
Most patients undergoing THUFLEP are typically discharged within 1–2 days after the procedure. The duration may vary slightly based on individual recovery, overall health, and how quickly normal urination resumes following catheter removal.
Yes, a temporary urinary catheter is usually placed after THUFLEP to allow proper urine drainage and support healing. It is generally removed within 24–48 hours, depending on recovery and how well normal urination resumes.
Most patients can resume light daily activities within about a week after THUFLEP. A full return to normal routines, including more strenuous tasks, typically takes around 4–6 weeks, depending on individual recovery and your doctor’s guidance.
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