Thulium Laser Enucleation (ThuLEP) of the Prostate Adenoma | Asklepios Hospital Barmbek Hamburg

At the Asklepios Hospital Barmbek in Hamburg, we provide a definitive, minimally invasive solution for benign prostatic hyperplasia (BPH) through Thulium laser enucleation of the prostate (ThuLEP). As a world-renowned reference center for this technology, where the procedure was originally co-developed and first described, our department of urology offers a level of expertise that is virtually unmatched globally. We utilize the continuous-wave Thulium laser to treat prostate enlargement of any size, from small glands to extremely large adenomas (over 200 ml) that would traditionally require open surgery. The ThuLEP technique is an "anatomical" surgery, meaning we do not simply vaporize tissue or cut it into small pieces randomly. Instead, our surgeons use the laser’s high-precision beam to follow the natural plane between the enlarged adenoma and the healthy prostate capsule. This allows for the complete removal of the obstructing tissue, much like peeling an orange from its skin. The 2-micron Thulium laser operates in continuous wave, providing superior "seal-as-you-cut" coagulation. This results in an almost bloodless surgical field, making it an exceptionally safe option even for patients who must remain on blood-thinning medications or anticoagulants. The procedure is performed endoscopically through the urethra, meaning there are no external incisions or scars. Once the laser has separated the enlarged lobes and moved them into the bladder, a specialized device called a morcellator is used to safely suction the tissue out. The entire operation typically takes between 60 and 90 minutes. Because the Thulium laser has a very shallow penetration depth (only 0. 2 mm), there is minimal heat damage to the surrounding nerves responsible for erectile function and the urinary sphincter, significantly reducing the risk of long-term side effects such as incontinence or impotence. Post-operative recovery at Asklepios Barmbek is remarkably swift compared to traditional methods such as TURP. Most patients experience immediate relief from urinary symptoms, such as weak flow or frequent nighttime waking. Because bleeding is so effectively controlled during the surgery, the urinary catheter can usually be removed within 24 to 48 hours. We prioritize early discharge, with most patients returning home after just two or three nights in the hospital. You will be able to return to light daily activities within a week, though we recommend avoiding heavy lifting for the first month to allow the internal prostate capsule to heal completely. For the ThuLEP procedure at Asklepios Barmbek, we utilize the most advanced laser platforms available:Laser Source. 2-micron Continuous Wave Thulium: YAG or Thulium Fiber Laser (TFL). Endoscopic Equipment. High-definition (HD) resectoscopes for crystal-clear visualization of anatomical planes. Tissue Removal. High-speed mechanical morcellators for efficient extraction of enucleated tissue. Choosing ThuLEP at Barmbek means choosing a permanent solution. Because we remove the entire adenoma down to the capsule, the recurrence rate is less than 1%, effectively eliminating the need for repeat surgery. Our five-day specialized monitoring protocol for international patients ensures that you are fully mobile and comfortable before traveling home. At Asklepios Hospital Barmbek, we combine pioneering surgical history with the most refined laser technology to restore your quality of life with maximum safety and minimal downtime.