{"id":23008,"date":"2025-11-14T11:57:52","date_gmt":"2025-11-14T04:57:52","guid":{"rendered":"https:\/\/abdiwaluyo.com\/?p=23008"},"modified":"2025-11-25T09:53:23","modified_gmt":"2025-11-25T02:53:23","slug":"trouble-urinating-due-to-enlarged-prostate-thuflep-could-be-the-solution","status":"publish","type":"post","link":"https:\/\/abdiwaluyo.com\/en\/health-info\/trouble-urinating-due-to-enlarged-prostate-thuflep-could-be-the-solution\/","title":{"rendered":"Trouble Urinating Due to Enlarged Prostate? ThuLEP Could Be the Solution!"},"content":{"rendered":"<p><em>By: Geraldus Sigap<\/em><\/p>\n<hr \/>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-23000 size-full aligncenter\" src=\"https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114210.png\" alt=\"\" width=\"420\" height=\"326\" srcset=\"https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114210.png 420w, https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114210-300x233.png 300w, https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114210-200x155.png 200w\" sizes=\"(max-width: 420px) 100vw, 420px\" \/><\/h2>\n<h3><strong><i>What Is Prostate Enlargement (BPH)?<\/i><\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Many men experience difficulty urinating as they age. This condition is often caused by Benign Prostatic Hyperplasia (BPH), a non-cancerous enlargement of the prostate gland located beneath the bladder, which presses against the urethra and obstructs urine flow.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Common symptoms include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weak or interrupted urine flow<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Straining during urination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling of incomplete emptying<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent urination, especially at night<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden urge to urinate or difficulty holding urine<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If left untreated, BPH can lead to urinary tract infections, bladder stones, or even kidney damage.<\/span><\/p>\n<h3><strong><i>From Surgery to Laser: A Modern Breakthrough<\/i><\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">In the past, patients with severe prostate enlargement often needed open prostate surgery or TURP (Transurethral Resection of the Prostate), which carried a higher risk of bleeding and required a longer recovery period. Today, the Thulium FIber Laser Enucleation of the Prostate (ThuFLEP) procedure offers a minimally invasive laser alternative that is safer, more effective, and has a faster recovery.<\/span><\/p>\n<h3><strong><i>What is ThuFLEP?<\/i><\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Thulium Fiber Laser Enucleation of the Prostate (ThuFLEP) is a surgical procedure that uses a high-precision thulium laser to remove enlarged prostate tissue through the urethra, without any external incision. The laser gently \u201cpeels away\u201d excess prostate tissue with remarkable accuracy, and the tissue is then extracted using a specialized morcellator device.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The result:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Restored urine flow<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Significant symptom relief<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Minimal bleeding and faster healing<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-23002 aligncenter\" src=\"https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114341.png\" alt=\"\" width=\"372\" height=\"266\" srcset=\"https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114341.png 372w, https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114341-300x215.png 300w, https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114341-200x143.png 200w\" sizes=\"(max-width: 372px) 100vw, 372px\" \/><\/p>\n<p><i><span style=\"font-weight: 400;\">Advantages of ThuFLEP Compared to Conventional Surgery<\/span><\/i><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-23009 aligncenter\" src=\"https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-115535.png\" alt=\"\" width=\"602\" height=\"422\" srcset=\"https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-115535.png 602w, https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-115535-300x210.png 300w, https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-115535-200x140.png 200w\" sizes=\"(max-width: 602px) 100vw, 602px\" \/><\/p>\n<h3><strong><i>How is the ThuFLEP Procedure Performed?<\/i><\/strong><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The patient is given anesthesia (general or spinal).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A small endoscopic instrument is inserted through the urethra.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The thulium laser separates the enlarged prostate tissue from its capsule.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The removed tissue is extracted using a morcellator.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A catheter is usually placed for 1\u20132 days to aid recovery.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The entire procedure typically takes 60\u201390 minutes, depending on prostate size.<\/span><\/li>\n<\/ul>\n<h3><strong><i>Who Is a Good Candidate for ThuFLEP?<\/i><\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">ThuFLEP is ideal for patients who:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have moderate to large prostate enlargement<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Experience severe or recurrent urinary symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not respond to medication<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a history of urinary retention (inability to urinate)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prefer a minimally invasive and safe procedure with fast recovery<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The ThuFLEP procedure is ideal for patients with large prostates, even up to approximately 120 ml, without requiring open surgery. The fiber laser technology allows for efficient removal of larger prostate tissue with minimal bleeding and a shorter operative time.<\/span><\/p>\n<div id=\"attachment_23006\" style=\"width: 361px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-23006\" class=\"wp-image-23006 size-full\" src=\"https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114550.png\" alt=\"\" width=\"351\" height=\"309\" srcset=\"https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114550.png 351w, https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114550-300x264.png 300w, https:\/\/abdiwaluyo.com\/wp-content\/uploads\/2025\/11\/Cuplikan-layar-2025-11-14-114550-200x176.png 200w\" sizes=\"(max-width: 351px) 100vw, 351px\" \/><p id=\"caption-attachment-23006\" class=\"wp-caption-text\">Figure 1. Prostate enlargement shown in MRI<\/p><\/div>\n<h3><strong><i>Preoperative Assessments Before ThuFLEP<\/i><\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Before undergoing ThuFLEP surgery, the doctor will perform several important evaluations to assess the prostate condition and ensure the procedure\u2019s safety, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prostate size assessment, using MRI or TRUS (transrectal ultrasound)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Uroflowmetry, to measure urine flow strength and rate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PSA (Prostate-Specific Antigen) test, to screen for prostate cancer<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These assessments are essential because ThuFLEP can only be performed if no active prostate cancer is present. Comprehensive preoperative evaluation helps doctors determine whether laser surgery is the safest and most effective option for each patient.<\/span><\/p>\n<h3><strong><i>Is ThuFLEP Safe?<\/i><\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Yes. ThuFLEP is now considered a modern gold standard for treating BPH because it:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Uses high-precision laser energy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Minimizes bleeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Has a lower complication rate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Preserves erectile function and urinary control<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Is suitable for patients with comorbidities such as heart disease, hypertension, or diabetes<\/span><\/li>\n<\/ul>\n<h3><strong><i>Recovery After ThuFLEP<\/i><\/strong><\/h3>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Most patients can go home within 1\u20132 days after the procedure.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urinary symptoms improve significantly within a few weeks, with better urine flow and reduced discomfort.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Post-procedure recommendations:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drink plenty of water<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid heavy lifting for 1\u20132 weeks<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Attend follow-up appointments as advised<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">RS Abdi Waluyo features a dedicated Urology Center equipped with modern facilities and a team of experienced urologists specializing in laser-based procedures such as ThuFLEP. Treatment is handled by experienced urology specialists who manage prostate enlargement and urinary disorders using the latest individualized, evidence-based approaches. If you or your loved ones are experiencing urinary difficulties, frequent nighttime urination, or the sensation of incomplete emptying, don\u2019t delay further evaluation. Consult the Urology Specialist Team at RS Abdi Waluyo, who are ready to assist you with advanced laser treatment and comprehensive care. Call 021-3144989 or make an appointment online via <\/span><a href=\"https:\/\/abdiwaluyo.com\/\"><span style=\"font-weight: 400;\">https:\/\/abdiwaluyo.com\/<\/span><\/a><\/p>\n<hr \/>\n<p><b>Referensi:<\/b><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">National Cancer Institute. Definition of \u201ctransurethral resection of the prostate.\u201d NCI Dictionary of Cancer Terms [Internet]. Bethesda (MD): National Cancer Institute; [cited 2025 Oct 13]. Available from: https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/def\/transurethral-resection-of-the-prostate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Raber, M., Buchholz, N. N. P., Vercesi, A., Hendawi, N. A., Inneo, V., Di Paola, G., Tessa, L., &amp; Hassan, I. M. (2018). Thulium laser enucleation of the prostate (ThuFLEP): Results, complications, and risk factors in 139 consecutive cases. Arab journal of urology, 16(4), 411\u2013416.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Eldib, D.B., Moussa, A.S. &amp; Sebaey, A. Evaluation of different MRI parameters in benign prostatic hyperplasia-induced bladder outlet obstruction. <i>Egypt J Radiol Nucl Med<\/i> 50, 22 (2019)<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>By: Geraldus Sigap What Is Prostate Enlargement (BPH)? Many men experience difficulty urinating as they age. This condition is often caused by Benign Prostatic Hyperplasia (BPH), a non-cancerous enlargement of the prostate gland located beneath the bladder, which presses against the urethra and obstructs urine flow. Common symptoms include: Weak or interrupted urine flow Straining <a href=\"https:\/\/abdiwaluyo.com\/en\/health-info\/trouble-urinating-due-to-enlarged-prostate-thuflep-could-be-the-solution\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  Trouble Urinating Due to Enlarged Prostate? ThuLEP Could Be the Solution!<\/span><\/a><\/p>\n","protected":false},"author":19,"featured_media":23047,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Trouble Urinating Due to Enlarged Prostate? 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