Thulium Fiber Laser Enucleation of the Prostate (THUFLEP) is a state-of-the-art, minimally invasive surgical procedure used to treat urinary symptoms caused by benign prostatic hyperplasia (BPH), an enlargement of the prostate gland that obstructs urine flow. Dr. Sadashiv Bhole at Ketki Nursing Home & Bhole Urology Hospital offers expert THUFLEP surgery in Nagpur, with over 110 successful THUFLEP surgeries performed, making him a trusted specialist in this advanced laser technique.
What is THUFLEP?
THUFLEP uses a thulium fiber laser to precisely and selectively enucleate (remove) the enlarged prostate tissue causing urinary obstruction. During the procedure, a laser fiber is introduced endoscopically through the urethra to access the prostate. The laser energy vaporizes and cuts the obstructing tissue while achieving excellent haemostasis (bleeding control). The enucleated tissue is pushed into the bladder and then morcellated (cut into small pieces) and removed via the cystoscope. This creates a wider urinary channel, relieving symptoms effectively.
Why is THUFLEP Performed?
- To treat moderate to severe urinary symptoms due to enlarged prostate, such as weak stream, urgency, frequency, and incomplete emptying
- Suitable for prostates of all sizes, including large glands where traditional surgery would be more invasive
- To provide a durable and effective alternative to open prostate surgery or medications
- Especially beneficial for patients on blood thinners due to its excellent bleeding control
THUFLEP Procedure Overview
- Performed under general or spinal anesthesia to ensure patient comfort and painlessness
- The surgeon inserts a cystoscope through the urethra to reach the prostate
- A thulium fiber laser is introduced to precisely enucleate the adenoma (enlarged tissue) from the prostate capsule without damaging surrounding tissues
- The enucleated tissue is morcellated and removed via the bladder
- A catheter is placed postoperatively to aid recovery and bladder drainage
The surgery typically lasts 1 to 2 hours depending on prostate size and complexity.
Benefits of THUFLEP with Dr. Sadashiv Bhole
- Minimally invasive with no external incisions
- Superior haemostasis with minimal bleeding
- Faster recovery and shorter hospital stay compared to traditional surgery
- Effective for prostates of varying sizes, including very large glands
- Long-lasting symptom relief and improved quality of life
Recovery and Aftercare
- Catheter is usually kept for 1 to 3 days post-surgery
- Mild urinary discomfort or urgency may occur initially but improves rapidly
- Patients advised to stay hydrated and avoid strenuous activities for a few weeks
- Follow-up visits monitor healing and symptom improvement
Location & Contact Details
Dr. Sadashiv Bhole
Ketki Nursing Home & Bhole Urology Hospital
Plot No. 12/2, Second Floor, Hyatt Medicare,
Khare Marg, Dhantoli-440012, Nagpur, Maharashtra
Phone: +91 93708 03532
Email: bholeurology@gmail.com
Frequently Asked Questions (FAQs)
1. Who is a candidate for THUFLEP?
Men with urinary symptoms due to benign prostatic hyperplasia, especially those with larger prostates or who seek minimally invasive laser surgery.
2. Is THUFLEP painful?
The procedure is performed under anesthesia, so it is painless during surgery. Mild discomfort postoperatively is usually well managed.
3. How long does the THUFLEP surgery take?
Typically lasts 1 to 2 hours depending on prostate size.
4. What are the advantages of THUFLEP over other procedures?
Excellent bleeding control, minimal invasiveness, suitability for large prostates, and faster recovery compared to open surgery.
5. When can normal activities be resumed?
Most patients return to light activities within a few days and avoid heavy lifting or strenuous exertion for several weeks.
6. Will I need a catheter after surgery?
Yes, a urinary catheter is placed temporarily to facilitate bladder healing.
7. What outcomes can I expect?
Significant improvement in urine flow, relief from symptoms, and durable long-term results.
8. How do I book a consultation with Dr. Sadashiv Bhole for THUFLEP?
Call +91 93708 03532 or email bholeurology@gmail.com to schedule an appointment.
For expert, compassionate, and advanced THUFLEP care in Nagpur, trust Dr. Sadashiv Bhole and the team at Ketki Nursing Home & Bhole Urology Hospital.
