An enlarged prostate, medically known as benign prostatic hyperplasia (BPH), can cause various urinary problems, including a weak urine stream, difficulty starting urination, and frequent urination at night. One treatment option for moderate to severe BPH symptoms is prostate laser surgery. This minimally invasive procedure uses laser energy to remove or reduce enlarged prostate tissue that blocks the flow of urine.

For those looking for a urologist for prostate laser surgery in West Jakarta and Tangerang, Mandaya Royal Puri Hospital has urologists with expertise in these procedures, including dr. Andika Afriansyah, Sp.U, Subsp. FFN (K), MARS. He is experienced in prostate laser procedures, including Thulium Laser Enucleation of the Prostate (ThuLEP), a minimally invasive technique used to treat enlarged prostate tissue caused by BPH.
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dr. Andika’s profile and expertise at Mandaya Royal Puri Hospital

dr. Andika Afriansyah, Sp.U, Subsp. FFN (K), MARS is a urologist and consultant in functional, female, and neuro-urology. His areas of expertise include diagnosing and treating various urinary tract disorders, women’s urological conditions, and urinary problems associated with neurological disorders.
Dr. Andika completed his medical education at the University of Indonesia in 2008. He subsequently pursued his urology specialist training at the same university and completed the program in 2020.
To further develop his expertise in functional, female, and neuro-urology, Dr. Andika completed his consultant training in Functional, Female, and Neuro-Urology at the Indonesian Urology College in 2022. This expertise supports his practice in managing various urinary tract disorders, women’s urological conditions, and urinary problems associated with neurological conditions.
What conditions does dr. Andika treat?
Dr. Andika treats a range of urological conditions, particularly those involving urinary tract function, women’s urological health, and neuro-urology. These include:
- Urinary tract disorders in women, including recurrent urinary tract infections (UTIs).
- Urination problems, such as difficulty urinating, a weak urine stream, or difficulty fully emptying the bladder.
- Urinary incontinence, or difficulty controlling urination (urine leakage), in adults and older adults.
- Bladder dysfunction associated with neurological conditions, including urinary problems in patients following a stroke or those with diabetes.
- Other urinary tract disorders that require evaluation and treatment by a urologist specializing in functional, female, and neuro-urology.
dr. Andika’s schedule at Mandaya Royal Puri Hospital
You can consult with dr. Andika Afriansyah, Sp.U, Subsp. FFN (K), MARS at Mandaya Royal Puri Hospital according to the following schedule:
- Tuesday: 4:00 PM–8:00 PM
- Thursday: 4:00 PM–8:00 PM
- Saturday: 9:00 AM–4:00 PM
How is prostate laser surgery performed?
Prostate laser surgery is performed by inserting a specialized instrument through the urethra to reach the prostate. The doctor then uses laser energy to remove enlarged prostate tissue that is blocking urine flow. In general, the procedure involves the following steps:
- The patient is given anesthesia and remains asleep during the procedure.
- The doctor inserts an instrument called a resectoscope through the urethra. The instrument has a camera that allows the doctor to clearly view the prostate.
- A laser is then inserted through the instrument to remove the enlarged prostate tissue blocking urine flow. Laser energy can also be used to seal blood vessels, helping reduce bleeding.
- The prostate tissue that has been removed is extracted from the bladder using a specialized instrument. Some of the tissue may be sent to a laboratory for further examination.
- Once the necessary prostate tissue has been removed, the instruments are withdrawn and a urinary catheter is inserted to help drain urine during the initial recovery period.
How long does prostate laser surgery take?
The duration of prostate laser surgery can vary from one patient to another, depending on the size of the prostate and the patient’s individual condition. In general, the procedure can take approximately 1–3 hours.
What are the benefits of prostate laser surgery for BPH?
Prostate laser surgery is considered a relatively safe and effective procedure, with recovery generally being faster than with some conventional surgical techniques. Although several procedures are available to treat BPH, prostate laser surgery offers several potential advantages, including:
- Doctors can remove a large amount of prostate tissue without making an incision in the skin.
- Prostate laser surgery is effective for treating large prostates and can also be performed on prostates of various sizes.
- Patients generally require only a short hospital stay, and some may not need to stay overnight.
- A lower risk of bleeding and blood transfusion.
- A lower likelihood of requiring another procedure in the future.
What happens if an enlarged prostate is left untreated?
If left untreated, benign prostatic hyperplasia (BPH) can cause increasing blockage of the urethra, which may worsen urinary symptoms. Over time, BPH can also lead to several complications, including:
- Urinary tract infections (UTIs).
- Bladder stones.
- Blood in the urine (hematuria).
- Kidney damage caused by urine flowing backward from the bladder toward the kidneys. This backward flow of urine can increase pressure on the kidneys.
To make your visit to Mandaya Royal Puri Hospital more convenient, use Chat via WhatsApp, Book an Appointment, or the Care Dokter app, which can be downloaded from Google Play and the App Store. The app can help you arrange your visit, check your queue number, and access other information about the hospital and its services.
*The information provided on this page is intended for educational purposes and general information only. It does not represent the full range of medical services that may be provided by each doctor. To determine the most appropriate treatment for your condition, consultation with a qualified doctor is recommended.
If you have any questions, suggestions, or require further information, please contact our call center at 0811-1900-2000.
References:
- Mayo Clinic. Prostate Laser Surgery. (https://www.mayoclinic.org/tests-procedures/prostate-laser-surgery/about/pac-20384874). Accessed September 14, 2026.
- Cleveland Clinic. Holmium Laser Enucleation of the Prostate (HoLEP). (https://my.clevelandclinic.org/health/treatments/17917-holmium-laser-enucleation-of-the-prostate-holep). Accessed September 14, 2026.
- Cleveland Clinic. Benign Prostatic Hyperplasia (BPH): Symptoms & Treatment. (https://my.clevelandclinic.org/health/diseases/9100-benign-prostatic-hyperplasia). Accessed September 14, 2026.

