Specialized Urinary Care: Prostate Enlargement Treatment in Istanbul Turkey
Waking up multiple times every single night, standing over the toilet waiting for a weak urinary stream, and returning to bed only to repeat the cycle two hours later is a exhausting reality for millions of aging men. This daily and nightly struggle with urinary disruption is a primary indicator of Benign Prostatic Hyperplasia (BPH). While prostate growth is a natural biological occurrence after age 50, living with debilitating lower urinary tract symptoms does not have to be your permanent reality.
In this video session, Dr. Emre Salabas, an expert urologist at Biruni Hospital for Prostate Enlargement in Istanbul Turkey, provides an in-depth clinical overview of modern solutions for prostate gland enlargement. From lifestyle adjustments and pharmaceutical limitations to advanced HoLEP (Holmium Laser Enucleation of the Prostate) using latest-generation magneto-pulse technology and Rezum water vapor therapy, men now have highly effective, minimally invasive paths toward long-term urinary recovery and preserved sexual health.
Video Chapters & Quick Navigation
Understanding Prostate Enlargement: A Biological Reality After Age 50
The prostate is a walnut-sized gland surrounding the male urethra responsible for producing seminal fluid. As men reach their 50s and beyond, the prostate naturally undergoes tissue growth influenced by hormonal changes, primarily dihydrotestosterone (DHT) interactions. At [00:00:35], Dr. Emre Salabas notes that this progressive growth is not inherently a disease, but rather a simple aspect of human aging biology.
However, because the prostate completely encircles the urethra, internal growth inward compresses the urinary channel. This anatomical compression causes significant urinary obstruction, leading to persistent symptoms including nocturia (waking up multiple times per night), slow or interrupted stream, incomplete bladder emptying, urgency, and hesitation. When looking for solutions for Prostate Enlargement in Istanbul Turkey, understanding the physical cause of obstruction is the essential first step toward choosing the right therapeutic path.
Dietary Adjustments vs. Pharmaceutical Dependence
When men first experience lower urinary tract symptoms, management typically begins with conservative approaches. High-sugar diets drive systemic inflammation, which can exacerbate prostate swelling and urinary irritation. At [00:00:52], Dr. Salabas emphasizes that cutting refined sugars and maintaining a clean diet helps lower inflammation, but diet alone cannot physically shrink a significantly enlarged gland, such as a 120-gram prostate.
When conservative measures are insufficient, doctors commonly prescribe medications like alpha-blockers or 5-alpha reductase inhibitors. While these drugs offer temporary relief, they do not provide a permanent cure and require lifetime daily administration. Furthermore, prolonged use often leads to undesirable side effects that significantly affect a patient's overall quality of life.
Key Drawbacks of Long-Term BPH Medications:
- Daily Lifetime Requirement: Symptoms return immediately if medication is discontinued.
- Systemic Side Effects: Chronic dizziness, postural hypotension, and persistent fatigue.
- Decreased Sexual Desire: Reduced libido and systemic lowering of sexual stamina.
- Ejaculatory Dysfunction: Noticeable reduction in ejaculate volume or retrograde movement into the bladder.
Traditional TURP vs. Modern HoLEP: The Surgical Paradigm Shift
For over five decades, Transurethral Resection of the Prostate (TURP) was considered the standard operative intervention for BPH. TURP uses an electrical wire loop to scrape away obstructive prostate tissue piece by piece. Although effective at clearing the urinary pathway, TURP carries notable risks, including intraoperative bleeding, prolonged catheterization time, extended hospital stays, and a higher likelihood of incomplete tissue removal in larger prostates.
Today, Holmium Laser Enucleation of the Prostate (HoLEP) has replaced traditional methods as the international gold standard recognized by global urological guidelines. Dr. Salabas uses a clear anatomical analogy at [00:02:15]: if the prostate is viewed like an orange, standard TURP scoops out small pieces of the fruit with a spoon, whereas HoLEP uses a precise laser beam to peel the entire adenoma completely away from the outer capsule in one clean piece.
| Clinical Parameter | Traditional TURP | Advanced HoLEP Surgery |
|---|---|---|
| Prostate Size Capability | Limited (Best for small to medium glands under 80g) | Universal (Suitable for any size, 50g to over 250g) |
| Bleeding & Hemostasis | Higher bleeding risk requiring active monitoring | Minimal bleeding; laser seals blood vessels instantly |
| Catheterization Duration | 3 to 5 days on average | 12 to 24 hours in most cases |
| 10-Year Re-operation Rate | Approximately 10% to 15% regrowth risk | Under 2% total recurrence rate |
Magneto-Pulse Laser Advancement and Surgical Precision
Not all HoLEP procedures are executed with identical technology or instruments. At Biruni Hospital, Enlarged Prostate Treatment in Istanbul Turkey is performed using latest-generation magneto-pulse laser systems. At [00:03:04], Dr. Salabas explains that this technology regulates peak laser energy to instantly seal blood vessels while making micro-precise anatomical cuts.
This superior hemostatic control makes the surgical technique safe for elderly patients or individuals taking chronic anti-coagulants and blood thinners. Additionally, utilizing ultrathin scope cameras reduces mechanical friction within the urethral tract. This reduction in tissue trauma accelerates postoperative healing, minimizes discomfort, and allows most international patients to safely fly home within three days after treatment.
Key Clinical Benefits of HoLEP at Biruni Hospital:
- Universal Application: Effective across all prostate volume sizes without incision.
- Rapid Catheter Removal: Most patients are catheter-free within 24 hours post-surgery.
- Blood-Thinner Safe: Magneto-pulse laser seals vascular structures immediately during enucleation.
- Continence Preservation: Postoperative incontinence risks are reduced below 3%.
Preserving Ejaculatory Function: Modified Middle-Lobe Techniques
A primary concern for men evaluating surgical interventions for BPH is the potential impact on sexual performance and function. Following standard prostate enucleation or resection, approximately 75% to 90% of men experience retrograde ejaculation. This occurs when the bladder neck muscle remains open during climax, causing seminal fluid to flow into the bladder rather than out through the urethra. While completely harmless to health, it results in a dry climax.
For patients who prioritize preserving forward ejaculatory function, Dr. Salabas offers a specialized, modified procedure called Ejaculation-Preserving Middle Lobe Surgery. By precisely avoiding and preserving the mucosal tissue surrounding the ejaculatory ducts at [00:04:40], surgeons can achieve an 80% to 90% preservation rate of anterograde ejaculation while fully relieving urinary blockages.
Rezum Water Vapor Therapy: A Non-Surgical Alternative for Small-to-Medium Prostates
For patients seeking modern BPH Treatment in Istanbul Turkey who have prostate volumes under 80 grams, Rezum Water Vapor Therapy provides a minimally invasive alternative to traditional surgery. Rezum uses natural thermal energy stored in water vapor to targeted prostate tissue.
During this short, outpatient procedure, sterile water vapor is injected into obstructive prostate zones. The thermal energy breaks down targeted cellular structures, which the body then naturally reabsorbs over subsequent weeks, shrinking the overall gland size. Rezum provides exceptionally high preservation rates for sexual function and ejaculatory mechanics, making it an excellent option for younger, sexually active men who wish to avoid daily pharmaceutical medications.
Addressing Co-Existing Erectile Dysfunction and Penile Implants
It is common for men suffering from severe prostate enlargement to also experience underlying erectile dysfunction (ED). Many patients hesitate to seek surgical relief due to fears that removing obstructive tissue will worsen erectile strength. In reality, removing a severe urinary blockage removes physical strain and anxiety, often improving confidence and overall quality of life.
For patients facing persistent structural erectile dysfunction non-responsive to oral medications, comprehensive care is available. At [00:06:07], Dr. Salabas highlights penile prosthesis surgery. Penile implant procedures maintain high overall satisfaction rates exceeding 90% in reconstructive urology, allowing men to address both urinary blockages and erectile dysfunction during a single medical journey.
Why Choose Biruni Hospital in Istanbul, Turkey for Urinary Care
Biruni Hospital in Istanbul, Turkey is a leading university hospital facility renowned for advanced medical technologies and comprehensive urological care. International patients seeking treatment benefit from experienced surgeons, state-of-the-art operative equipment, and structured medical tourism protocols.
From pre-operative evaluation and multiparametric MRI diagnostic imaging to specialized post-operative follow-up and multi-lingual coordination, Biruni Hospital provides high-quality, international-standard surgical care at competitive global pricing.
Ready to Improve Your Urinary and Prostate Health?
PlacidWay Medical Tourism connects you with top urology experts for Enlarged Prostate Treatment in Istanbul Turkey at Biruni Hospital. Experience advanced, long-lasting relief from prostate enlargement today.
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[00:00:00] Every night, same routine. You get up,
[00:00:02] you stand there, you wait a weak stream,
[00:00:06] back to the bed, two hours later again.
[00:00:10] This repeats five or six time a night.
[00:00:13] This is a nightmare. Hello everyone. I am Dr. Emre Salabas.
[00:00:16] I am a urologist in Istanbul and I work at Biruni Hospital.
[00:00:22] You should know that your prostate can be treated with medical remedies and laser surgical treatments.
[00:00:32] Here's what nobody tells you about your prostate.
[00:00:35] After 50, it grows. That is not a disease. That is the simple biology of it.
[00:00:41] The real question is what you do about it.
[00:00:43] Most men start with two things: Changing their diet and taking a pill.
[00:00:49] Look, the diet matters. Cut the sugar, eat cleaner.
[00:00:52] High sugar diets drive inflammation, and inflammation is a fuel for prostate growth.
[00:00:57] That part is real. But let's be honest with each other.
[00:01:03] No amount of broccoli is going to shrink a 120 g prostate.
[00:01:09] So, what is next? The doctor gives you a pill, alpha blockers, five alpha inhibitors, maybe both.
[00:01:14] They work for a while. But here is what the prescription doesn't come with an expiration date on your patient.
[00:01:24] These are lifetime drugs. You take them every single day.
[00:01:28] You deal with dizziness, fatigue and sometimes many doctors won't spell out sexual side effects.
[00:01:38] What are the side effects of these drugs? Decrease libido, low desire for sexual functions and also lower amounts of ejaculation.
[00:01:50] So the real question becomes when you do solve it, not if.
[00:01:53] For 50 years the standard operation was TURP prostate, basically a hot wire scraping the inside of your prostate.
[00:02:03] It works but it comes with a bleeding risk, increased days in hospital and maybe a catheter you'll carry home.
[00:02:11] Now picture this: your prostate is an orange. TURP prostate scoops out the inside with a spoon.
[00:02:23] Holmium laser enucleation takes a laser, peels the entire fruit away from the skin clean, complete in one piece.
[00:02:32] This is what every major urological guideline says in the world. The HoLEP is the new gold standard.
[00:02:38] It doesn't matter if your prostate is 50 g or 250 g. Same technique, same result.
[00:02:45] And the chance you'll ever need a second surgery is less than 2% even after 10 years.
[00:02:54] Not all HoLEP is the same. The laser matters, the instrument matters, the surgeon matters.
[00:03:01] We use a latest generation magneto pulse laser. What makes it different?
[00:03:05] It drops the peak power in a way that seals blood vessels as it cuts.
[00:03:10] So the bleeding control is another level compared to the older system.
[00:03:15] That is the critical part. Especially for older patients or men on blood thinners.
[00:03:20] We also use much smaller, thinner cameras. Smaller scope means less trauma to your urethra which means you heal faster and your continence recovers sooner.
[00:03:35] Most of my patients lose their catheter within 24 hours. Many fly home in the next 3 days.
[00:03:42] So what does HoLEP mean? It can be done at any prostate size. It is catheter free in one to two days. It is blood thinner safe and its incontinence risk is less than 3%.
[00:03:58] When we talk about sex after prostate surgery, after any prostate surgery including HoLEP, your erection stays the same. Your sensation stays the same. Your ability to climax stays the same.
[00:04:12] What changes for most men is the ejaculation. After standard HoLEP surgery, about 75 to 90% of men experience retrograde ejaculation, the fluid goes backward into the bladder instead of forward. It is harmless, but it is a dry ejaculation.
[00:04:33] If keeping that function matters to you, tell me before the surgery. I also perform a modified technique called ejaculation-preserving middle lobe surgery where we protect the specific tissue responsible. The preservation is around 80 to 90%.
[00:04:52] For men with smaller prostate sizes, say under 80 g, there is also Rezum water vapor therapy which has the highest sexual function preservation of any BPH treatment available today.
[00:05:07] The point is you have options, but only if you ask. If you want the highest chance of preserving your ejaculation, then we will prefer water vapor treatment. But if you want a definitive answer to your prostate enlargement and do not want to undergo another surgery in 10 to 15 years, then we need HoLEP surgery for you.
[00:05:36] One more thing, many men who come to me for prostate problems are quietly dealing with something else: erectile dysfunction, and they think surgery will make it worse. The truth is the opposite. Removing the urinary obstruction often improves overall quality of life, including sexual confidence.
[00:05:58] But for men who have a real structural erectile problem that doesn't respond to medication, I also perform penile prosthesis surgery. It is a separate conversation, a separate procedure, and it has one of the highest satisfaction rates of any surgery in all of urology, over 90%.
[00:06:20] If that's something on your mind, don't get embarrassed. Just mention it when you message us.
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