Benign Prostatic Hyperplasia (BPH), or an enlarged prostate, is a common condition experienced by men as they age. This occurs when the prostate gland enlarges and presses against the urethra, causing symptoms such as frequent urination, weak urine flow, or a sensation of incomplete emptying after urination. These symptoms can significantly affect comfort and reduce quality of life.
Now, patients with BPH no longer need to worry about undergoing open surgery. Mandaya Royal Puri Hospital introduces a cutting-edge laser technology called ThuLEP (Thulium Laser Enucleation of the Prostate) — a minimally invasive method that removes excess prostate tissue without incisions, offering precise and effective results.
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Understanding ThuLEP at Mandaya Royal Puri Hospital
Thulium Laser Enucleation of the Prostate (ThuLEP) is a minimally invasive medical procedure that uses thulium laser energy to precisely remove enlarged prostate tissue. The goal is to restore normal urine flow and reduce the symptoms caused by benign prostatic hyperplasia.
The procedure is performed through the urinary tract using a special instrument called a cystoscope, eliminating the need for any external incision. Compared to conventional surgery, ThuLEP offers a shorter recovery time, lower risk of complications, and a quicker hospital stay. Most patients can return to normal activities within 1–2 weeks.
How Is the ThuLEP Procedure Performed?
Here are the general steps of the ThuLEP procedure at Mandaya Royal Puri Hospital:
- The procedure is performed under general anesthesia without any external incision.
- The doctor inserts a cystoscope (a thin tube with a camera) through the urethra to access the prostate area.
- The thulium laser is then used to vaporize and remove the excess prostate tissue (enucleation) with high precision.
- The laser energy is highly controlled, ensuring surrounding tissues are not damaged.
- The heat generated is minimal, allowing faster healing.
- The procedure takes about 2–3 hours, and patients usually only need a catheter for 1–2 days afterward.
Advantages of the ThuLEP Laser Technology
Compared to conventional prostate surgery, ThuLEP offers numerous advantages:
- Faster improvement of urinary symptoms
- High accuracy with minimal tissue damage
- Very little bleeding during the procedure
- Low risk of heat-related complications
- Short hospital stay (usually just one night)
- Faster recovery and early return to normal activities
- Very low risk of sexual dysfunction
- Long-lasting symptom relief
This method is an ideal choice for men seeking effective treatment for enlarged prostate without undergoing open surgery.
ThuLEP Experts at Mandaya Royal Puri Hospital

The ThuLEP procedure at Mandaya Royal Puri Hospital is performed by highly experienced urology specialists, including Prof. dr. Ponco Birowo, Sp.U (K), Ph.D, a renowned urology consultant and professor in Indonesia.
Prof. Ponco completed his general medical and urology specialist education at Universitas Indonesia, followed by a subspecialty in andro-urology. He later earned his Ph.D from Hannover Medical School, Germany, with the distinction of Magna Cum Laude, and now serves as a Professor at Universitas Indonesia.
He is an expert in treating a wide range of urological conditions, including:
- Kidney stones (using RIRS and PCNL techniques)
- Bladder disorders
- Benign prostatic hyperplasia (BPH)
- Kidney abnormalities
With extensive experience and expertise in minimally invasive urological procedures, Prof. Ponco is recognized as one of the pioneers in implementing laser technology for prostate treatment in Indonesia.
If you wish to consult regarding ThuLEP procedures or benign prostatic hyperplasia in general, feel free to visit Mandaya Royal Puri Hospital.
To make your visit easier, you can use the Chat via WhatsApp, Book Appointment feature, or download the Care Dokter App on Google Play or App Store to schedule visits, check queue numbers, and access complete hospital information conveniently.

