HoLEP cost in India
The HoLEP (Holmium Laser Enucleation of the Prostate) surgery cost in India ranges from $4,000 to $5,500 which is equivalent to 3,61,070 to 4,96,400 Indian Rupees. HoLEP is an advanced laser procedure used to treat benign prostatic hyperplasia (BPH) by removing excess prostate tissue using a high-precision holmium laser. The final cost may vary depending on factors such as prostate size, severity of urinary symptoms, patient’s overall health, surgeon expertise, and the choice of hospital. Larger prostates or complex cases may require longer operating time, which can increase the overall expense.
Even with these variations, HoLEP in India remains significantly more affordable than in Western countries like the US or UK, where the same procedure can cost $15,000 to $30,000 or more. With access to experienced laser urologists, advanced technology, shorter hospital stays, and excellent clinical outcomes, India has become a preferred destination for safe, effective, and cost-efficient HoLEP surgery for both domestic and international patients.
Cost Range of HoLEP cost in India
What is HoLEP Surgery?
HoLEP (Holmium Laser Enucleation of the Prostate) is an advanced, minimally invasive laser procedure used to treat Benign Prostatic Hyperplasia (BPH), a condition in which the prostate gland becomes enlarged and blocks the flow of urine. The surgery uses a holmium laser to precisely separate and remove the enlarged prostate tissue that is causing urinary obstruction, while preserving the healthy surrounding tissue.
During HoLEP surgery, a thin scope is inserted through the urethra, so there are no external cuts or incisions. The laser carefully enucleates (peels away) the excess prostate tissue, which is then removed from the bladder. This allows urine to flow freely again, relieving symptoms such as weak urine stream, difficulty urinating, frequent urination, and nighttime urination.
HoLEP is suitable for small, medium, and very large prostates and offers long-lasting results with minimal bleeding, shorter hospital stay, and a lower risk of recurrence compared to traditional prostate surgeries.
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Who Needs HoLEP Surgery?
Severe lower urinary tract symptoms such as weak urine flow, difficulty starting urination, frequent urination, or waking up multiple times at night to urinate
Very large prostate gland,
Poor response to BPH medications or intolerable side effects from long-term drug therapy
Recurrent urinary retention requiring catheterization
Bladder stones, recurrent urinary tract infections, or blood in urine due to prostate enlargement
Kidney damage or bladder dysfunction caused by long-standing urinary obstruction
High risk of bleeding, where laser surgery is safer than conventional procedures
HoLEP may not be suitable for men with suspected or confirmed prostate cancer unless specifically advised by a urologist. A detailed evaluation is required to confirm eligibility.
Benefits of HoLEP vs TURP
HoLEP (Holmium Laser Enucleation of the Prostate) offers several advantages over the traditional TURP (Transurethral Resection of the Prostate) procedure, especially for patients seeking long-term relief with fewer complications.
Aspect | HoLEP | TURP |
Prostate Size Suitability | Effective for small, large, and very large prostates | Best suited for small to medium-sized prostates |
Bleeding Risk | Very low due to laser precision | Moderate, higher chance of bleeding |
Hospital Stay | Shorter (often 1–2 days) | Longer (2 to 4 days) |
Catheter Duration | Shorter (usually 1–2 days) | Longer (3 to 5 days) |
Long-Term Results | Excellent and durable, low chance of recurrence | Effective, but higher retreatment rates |
Suitability for High-Risk Patients | Safe for patients on blood thinners | Higher risk for patients on blood thinners |
Recovery Time | Faster return to normal activities | Longer recovery period |
Re-treatment Rate | Very low | Higher compared to HoLEP |
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Factors Affecting Holmium Laser Enucleation of the Prostate Cost in India
The overall cost of HoLEP (Holmium Laser Enucleation of the Prostate) surgery in India can vary depending on several medical and logistical factors. The key factors influencing the final cost include:
Severity of Urinary Symptoms Advanced symptoms or complications such as urinary retention, bladder stones, or kidney issues may raise treatment expenses.
Surgeon’s Expertise and Experience HoLEP requires specialized training; experienced laser urologists may charge higher professional fees.
Hospital Type and Location Treatment at NABH/JCI-accredited hospitals and in major metro cities typically costs more than in smaller cities.
Laser Technology and Equipment Used Advanced holmium laser systems and morcellators contribute to higher procedural costs.
Duration of Hospital Stay Longer hospitalization or ICU care, if needed, adds to the total cost.
Preoperative Diagnostic Tests Tests such as ultrasound, PSA, uroflowmetry, and blood investigations affect the final expense.
Postoperative Care and Medications Includes catheter care, pain management, antibiotics, and follow-up visits.
Patient’s Overall Health Condition Patients with co-existing conditions like diabetes or heart disease may require additional monitoring and care.
Diagnostic Tests Before HoLEP Surgery
Diagnostic Test | Purpose |
PSA Blood Test (Prostate-Specific Antigen) | Helps rule out prostate cancer before surgery. |
Ultrasound (TRUS / Prostate Ultrasound) | Measures prostate size and assesses enlargement. |
Uroflowmetry | Evaluates urine flow rate and degree of obstruction. |
Post-Void Residual (PVR) Test | Checks how much urine remains in the bladder after urination. |
Urine Routine & Culture | Detects urinary tract infection before surgery. |
Blood Tests (CBC, Kidney Function, Coagulation Profile) | Ensures overall fitness for anesthesia and surgery. |
ECG | Assesses heart health before anesthesia. |
Chest X-ray | Part of pre-anesthesia clearance, especially in older patients. |
Cystoscopy (if required) | Direct visualization of the prostate and bladder to confirm obstruction or rule out other issues. |
Total Estimated Diagnostic Cost in India: $500 – $600 USD
Why India is Preferred for HoLEP Surgery?
India is a preferred destination for HoLEP (Holmium Laser Enucleation of the Prostate) due to its combination of highly skilled urologists, advanced laser technology, and affordable treatment costs. Many leading hospitals in India are equipped with state-of-the-art holmium laser systems and have surgeons who are extensively trained in HoLEP, a procedure that requires significant expertise and precision. These specialists routinely perform HoLEP for prostates of all sizes, including very large glands, with excellent long-term outcomes and low complication rates.
Another major advantage is cost-effectiveness. HoLEP surgery in India costs a fraction of what patients pay in the US, UK, or other Western countries, while maintaining international standards of care. Patients also benefit from shorter waiting times, modern infrastructure, comprehensive diagnostic facilities, and personalized care. For international patients, India offers additional support such as medical visa assistance, accommodation coordination, and post-surgery follow-up through organizations like HOSPIDIO. Together, these factors make India a trusted and cost-effective choice for safe, advanced, and durable HoLEP surgery.
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