Enlarged prostate (BPH)
What is ThuLEP laser enucleation of the prostate?
By Advanced Urology · November 10, 2026
What is ThuLEP?
Bottom line
ThuLEP stands for thulium laser enucleation of the prostate. Through the urethra, with no cuts, a laser separates the blocking prostate tissue from its capsule, like peeling an orange.
Background
The tissue is then removed. It works for small to very large prostates. General anesthesia is used, and a catheter usually stays in for about a week. Many men have dry ejaculation afterward, and some have leakage for a while.
Signs it's time for a visit
If you have BPH and a large prostate, ask whether ThuLEP fits you.
For our Douglas County patients
Douglas County readers can book with Daniel Roberson, PA-C, at 2713 Charles Hardy Parkway in Dallas. When surgery is recommended for Douglas residents, our urologists perform it in Marietta.
Find the full article from Advanced Urology
Enlarged prostate (BPH), explained by Advanced Urology
First steps in Dallas
Douglas County men with prostate symptoms can start at our Dallas Clinic with Daniel Roberson, PA-C. He'll review your symptoms, medicines and urine tests, check how well you empty, and order prostate imaging when it's useful.
How ThuLEP compares
With ThuLEP, a thulium laser passed through the urethra shells out the blocking inner tissue without skin incisions, and larger glands can be treated. Our urologists perform it in Marietta and compare it with UroLift, Aquablation, TURP, prostate artery embolization and robotic simple prostatectomy. Retrograde ejaculation is a possible effect and is discussed up front.
Call promptly if
- You can't pass urine
- Fever or chills develop
- Bleeding is heavy or contains clots
Common questions
Common questions
Will I need a catheter?
Usually for a short time after the procedure. Burning and urgency can last a while as the area heals.
Is tissue checked afterward?
Yes. Removed tissue is sent to the lab, which can occasionally find unexpected cancer.
Consultations for men in Douglas County are booked at (678) 344-8900.
Recovery usually involves a few days of taking it easy, and we'll explain when you can drive, lift and return to work. Some burning or urgency for a few weeks afterward is common as healing continues.
Follow-up visits can happen in Dallas.
Plan for a driver home.
We'll go over recovery tips before you leave.
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