Medication
Alpha blockers relax the prostate in days; 5 alpha reductase inhibitors shrink it over months.
Urology · Enlarged Prostate (BPH)
When nights mean repeated trips to the toilet, Enlarged Prostate Treatment in Turkey restores a steady flow
HoLEP, bipolar TURP, Rezum and UroLift, matched to your prostate size by Assoc. Prof. Tuncay Taş in Istanbul, with an all inclusive quote.
Medically reviewed by Assoc. Prof. Dr. Tuncay Taş
1 night
Hospital stay, HoLEP
4 to 5
Days in Istanbul
60+
Countries served
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A clear starting point
What is an enlarged prostate?
Benign prostatic hyperplasia, or BPH, is a non cancerous growth of the prostate, the gland wrapped around the urethra below the bladder. As it grows with age, it squeezes the urine channel, so the stream weakens and the bladder works harder.
Most men manage it with lifestyle changes or tablets; a procedure is needed when these stop working or complications appear.
The evidence behind this page
What the published data actually shows
Each figure is from a named source.
Around 90 per cent of men over 80 have an enlarged prostate on tissue study.
An alpha blocker plus finasteride cut the risk of worsening by 66 per cent.
Only 4.4 per cent of men needed further surgery five years after Rezum.
Up to three in four men have dry orgasm after TURP or laser enucleation.
Symptoms and warning signs
How an enlarged prostate shows itself
Symptoms matter more than size.
Common symptoms
- A weak stream that stops and starts
- Waiting or straining before urine begins
- Waking twice or more at night to go
- Sudden urgency and a bladder that never feels empty
When treatment cannot wait
- Unable to pass urine. Acute retention needs a catheter the same day.
- Repeated urinary infections or bladder stones
- Kidney swelling or rising creatinine
- Blood in the urine, which also needs a bladder cancer check
How BPH is diagnosed
Your assessment in one visit
Three tests guide every plan.
-
01
Symptom score and PSA
IPSS grades symptoms; PSA screens for prostate cancer.
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02
Prostate ultrasound
Measures prostate size and any middle lobe to pick the procedure.
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03
Flow test and residual urine
Uroflowmetry measures the stream; a scan shows urine left behind.
A full range of treatments
Enlarged prostate treatment options
From tablets to laser surgery.
HoLEP laser enucleation
A holmium laser lifts the obstructing tissue off its capsule, with no incision.
Bipolar TURP
An electric loop removes the inner prostate in small pieces through the urethra.
Rezum water vapour
Steam destroys excess tissue, which the body absorbs over three months.
UroLift implants
Implants pin the lobes apart like curtain ties; nothing is cut.
Prostate artery embolisation
Tiny particles block the prostate's blood supply through a needle in the wrist or groin.
Which procedure fits your prostate
A treatment guide by prostate size
AUA and EAU guidance; your ultrasound decides.
| Prostate volume | Usual first choiceGuideline based | If keeping ejaculation matters |
|---|---|---|
| Under 30 mlClose to normal size | TURP or incision of the prostate | UroLift |
| 30 to 80 mlThe most common range | HoLEP or bipolar TURP | Rezum or UroLift |
| Over 80 mlLarge prostate | HoLEP | HoLEP, ejaculation sparing technique |
A large middle lobe rules out UroLift. Check your score with the symptom checker below.
Try it yourself
Check your prostate symptom score
Answer for the past month: nine questions, then your likely treatment, stay and price.
Question 1 of 9
How often does your bladder feel not quite empty afterwards?
How often have you needed to go again within two hours?
How often has your stream stopped and started?
How often has it been hard to hold on once you need to go?
How often has your stream been weak?
How often have you had to push or strain to start?
How many times do you usually get up at night to pass urine?
How large is your prostate on ultrasound?
1 ml is about 1 gram
What matters most to you?
Your IPSS score
Your likely treatment
0
out of 35
- Hospital stay
- Time in Istanbul
- Back to desk work
A guide based on the IPSS and AUA and EAU guidance, not a diagnosis. If you cannot pass urine, seek care today.
A closer look
Recovery, ejaculation and retreatment compared
Durability against sexual side effects.
| Treatment | Hospital stay | Catheter | Ejaculation | RetreatmentBy 5 years, approx. |
|---|---|---|---|---|
| HoLEPLaser enucleation | 1 night | 1 day | Dry orgasm in about 3 in 4 | About 1 to 2% |
| Bipolar TURPResection | 1 to 2 nights | 1 to 3 days | Dry orgasm in half or more | About 5 to 6% |
| RezumWater vapour | Day case | 3 to 7 days | Usually preserved | 4.4% |
| UroLiftProstatic urethral lift | Day case | Often none | Preserved | 13.6% |
| EmbolisationPAE | Day case | Usually none | Usually preserved | Around 20% |
If erections change, erectile dysfunction treatment helps.
Planning your trip
Your stay in Istanbul, day by day
Four to five days for HoLEP.
-
01
Before you travel
Send your PSA and ultrasound for a plan and a written quote.
-
02
Day 1: arrival
Airport transfer to your hotel, then consultation and tests.
-
03
Day 2: your procedure
HoLEP takes 60 to 90 minutes under spinal or general anaesthesia.
-
04
Day 3: catheter out
The catheter comes out in the morning; you rest at your hotel.
-
05
Day 4: flow check
A repeat flow test and bladder scan confirm a strong stream.
-
06
Day 5: fit to fly
A final review and a discharge letter for your own doctor.
Avoid heavy lifting and cycling for four weeks.
Before any procedure
Lifestyle changes and medication
Where mild to moderate symptoms start.
Changes that ease symptoms
- Evening fluids. Drink less two hours before bed.
- Less caffeine and alcohol
- Double voiding: wait, then try again
- Review decongestants and diuretics
Medicines that work
- Alpha blockers. Tamsulosin or silodosin, working within days.
- Finasteride or dutasteride for glands over 40 ml
- Both together for larger glands
- Daily tadalafil, which also helps erections
Transparent pricing
Enlarged prostate treatment cost in Turkey
Typical self pay prices in US dollars, including the hospital stay.
| Treatment | TurkeyIstanbul, with Dr. Tuncay Taş | United States | United Kingdom | Europe | Gulf countries |
|---|---|---|---|---|---|
| HoLEP laser enucleationAny prostate size, incl. 1 night | $4,000 to $7,000 | $12,000 to $20,000 | $9,800 to $14,000 | $8,000 to $13,000 | $7,000 to $12,000 |
| Bipolar TURPUp to 80 ml, incl. 1 to 2 nights | $2,500 to $4,500 | $7,500 to $19,000 | $8,800 to $12,200 | $7,000 to $11,000 | $5,000 to $9,000 |
| Rezum water vapour30 to 80 ml, day case | $3,000 to $5,000 | $8,000 to $15,000 | $5,100 to $7,000 | $4,500 to $8,000 | $5,000 to $9,000 |
| UroLift implantsUnder 80 ml, implants included | $4,500 to $8,000 | $7,000 to $12,000 | $6,500 to $9,500 | $6,000 to $10,000 | $6,000 to $10,000 |
| Prostate artery embolisationLarge glands, day case | $3,500 to $6,000 | $10,000 to $20,000 | $8,000 to $10,500 | $7,000 to $11,000 | $6,000 to $10,000 |
Approximate ranges, October 2026. Your quote covers tests, surgery, fees, hospital stay and pathology, with accommodation and transfers arranged. Related care: prostate cancer treatment, kidney stone treatment, bladder cancer treatment, or send your results for a written opinion.
Good to know
Frequently asked questions
What is the best treatment for an enlarged prostate?
It depends on your symptom score, prostate size and priorities. HoLEP works at any size; Rezum and UroLift keep ejaculation under 80 ml, per AUA guidance.
Can an enlarged prostate shrink without surgery?
Partly. Finasteride or dutasteride shrinks it by about a quarter over at least six months.
Does an enlarged prostate lead to prostate cancer?
No. BPH does not turn into cancer, but both can coexist, so every assessment includes a PSA test.
How much does enlarged prostate treatment cost in Turkey?
Typically 4,000 to 7,000 US dollars for HoLEP, including the hospital stay, against 12,000 to 20,000 dollars in the United States.
Will treatment affect my erections?
Rarely. Erections are usually unchanged; the main change after TURP or HoLEP is dry orgasm.
References
Sources used on this page
- European Association of Urology. Guidelines on Management of Non neurogenic Male LUTS.
- American Urological Association. Surgical Management of LUTS Attributed to BPH, 2020, amended 2023.
- NIDDK. Enlarged Prostate (BPH).
- Berry S J et al. Journal of Urology, 1984.
- McConnell J D et al. MTOPS trial. New England Journal of Medicine, 2003.
- McVary K T et al. Rezum 5 year outcomes. Journal of Urology, 2021.
- Roehrborn C G et al. L.I.F.T. study. Canadian Journal of Urology, 2017.
- Published private hospital and medical travel price guides, 2025 to 2026.
Reviewed by Assoc. Prof. Dr. Tuncay Taş for general information; it does not replace a consultation.