{"meta":{"humanUrl":"https://pl.bookimed.com/clinics/country=bulgaria/city=sofia/procedure=holmium-laser-enucleation-of-the-prostate/","canonicalUrl":"https://pl.bookimed.com/clinics/country=bulgaria/city=sofia/procedure=holmium-laser-enucleation-of-the-prostate/","jsonUrl":"https://pl.bookimed.com/clinics/country=bulgaria/city=sofia/procedure=holmium-laser-enucleation-of-the-prostate/data.json","title":"Holmowa laserowa enukleacja gruczołu krokowego (HoLEP) w Sofii 2026 – kliniki i ceny","description":"Holmowa laserowa enukleacja gruczołu krokowego (HoLEP) w Sofii: ceny od $5,000. Zapraszamy do porównania klinik – zweryfikowane opinie i bezpłatna wycena.","heading":"Holmowa laserowa enukleacja gruczołu krokowego (HoLEP) w Sofii: ceny w 1 klinice","locale":"pl","schemaVersion":"ClinicListingPageDataV1","snapshotId":"ea841be6-8b649f99","contentVersion":"ea841be6","generatedAt":"2026-11-13T23:48:08.739Z"},"filters":{"country":"bulgaria","city":"sofia","procedure":"holmium-laser-enucleation-of-the-prostate","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Bułgaria","url":"/clinics/country=bulgaria/"},{"name":"Sofia","url":"/clinics/country=bulgaria/city=sofia/"},{"name":"Holmowa laserowa enukleacja gruczołu krokowego (HoLEP)","url":"/clinics/country=bulgaria/procedure=holmium-laser-enucleation-of-the-prostate/"}],"entities":[{"name":"Bułgaria","alias":"bulgaria","type":"country","id":125},{"name":"Sofia","alias":"sofia","type":"city","id":126},{"name":"Holmowa laserowa enukleacja gruczołu krokowego (HoLEP)","alias":"holmium-laser-enucleation-of-the-prostate","type":"procedure","id":728}],"clinics":{"clinics":[{"text":"<p>Hill Clinic to prywatny, wielospecjalistyczny ośrodek w Sofii w Bułgarii. Został otwarty w 2009 roku. Specjalizuje się w urologii laserowej, dermatologii, laryngologii i endokrynologii. Dysponuje jedyną w Bułgarii platformą lasera zielonego. Zespół przyjmuje około 9000 pacjentów rocznie. Chirurdzy przeprowadzili operacje u ponad 9000 mężczyzn z powodu powiększonej prostaty. Skuteczność laserowego leczenia kamicy układu moczowego wynosi 95%. Zespół kliniki liczy 32 lekarzy, a ośrodek posiada certyfikat ISO 9001.</p><p>Placówka korzysta z laserów holmowych, tulowych i GreenLight. Jest także międzynarodowym centrum szkoleniowym w ramach HoLEP Academy. Chirurdzy z Brazylii, Chile i Grecji uczestniczą tu w transmitowanych na żywo zabiegach chirurgicznych. Własne laboratorium wykonuje badania genetyczne i oznaczenia markerów nowotworowych. Angielskojęzyczny zespół organizuje odbiór z lotniska i rezerwację hotelu.</p>","text_type":"short_description","procedure_prices":[{"prices":{"price_from":4972.726469480255,"price_to":8840.402612409342,"currency":"USD","id":62646},"operation":{"id":728,"name":"Holmowa laserowa enukleacja gruczołu krokowego (HoLEP)","alias":"holmium-laser-enucleation-of-the-prostate"}},{"prices":{"price_from":55.25251632755839,"price_to":55.25251632755839,"currency":"USD","id":62649},"diagnostic":{"id":420,"name":"Podstawowe badanie kontrolne ","alias":"basic-check-up"}},{"prices":{"price_from":132.60603918614012,"price_to":132.60603918614012,"currency":"USD","id":62650},"diagnostic":{"id":417,"name":"Badanie kontrolne dla mężczyzn","alias":"check-up-for-men"}}],"reviews":[],"clinic":{"id":8869,"alias":"hill-clinic","name":"Hill Clinic","short_description":"<p>Hill Clinic to prywatny, wielospecjalistyczny ośrodek w Sofii w Bułgarii. Został otwarty w 2009 roku. Specjalizuje się w urologii laserowej, dermatologii, laryngologii i endokrynologii. Dysponuje jedyną w Bułgarii platformą lasera zielonego. Zespół przyjmuje około 9000 pacjentów rocznie. Chirurdzy przeprowadzili operacje u ponad 9000 mężczyzn z powodu powiększonej prostaty. Skuteczność laserowego leczenia kamicy układu moczowego wynosi 95%. Zespół kliniki liczy 32 lekarzy, a ośrodek posiada certyfikat ISO 9001.</p><p>Placówka korzysta z laserów holmowych, tulowych i GreenLight. Jest także międzynarodowym centrum szkoleniowym w ramach HoLEP Academy. Chirurdzy z Brazylii, Chile i Grecji uczestniczą tu w transmitowanych na żywo zabiegach chirurgicznych. Własne laboratorium wykonuje badania genetyczne i oznaczenia markerów nowotworowych. Angielskojęzyczny zespół organizuje odbiór z lotniska i rezerwację hotelu.</p>","images":[{"base_url":"clinic/6ada104734098","title":"Nowoczesny budynek Hill Clinic w Sofii, Bułgaria"},{"base_url":"clinic/6ada1048c51ba","title":"Nowoczesna sala spotkań w Hill Clinic ze szklanymi ścianami i nowoczesnymi meblami"},{"base_url":"clinic/6ada104a43b06","title":"Laser medyczny Quanta System w Hill Clinic, zaawansowana technologia urologiczna"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Bułgaria","id":125,"alias":"bulgaria","iso_code":"BG"},"city":{"name":"Sofia","id":126,"alias":"sofia"},"address":"71 Al. Pushkin Blvd., 1618 Sofia; Derma Center, 29 Moskovska St., 1000 Sofia; New Derma Center, 29 Hristo Matov St., 1616 Sofia, Bulgaria"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":32,"year_foundation":2009},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Systemy zarządzania jakością"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":49},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"<p>Dzień 1: Przyjazd</p><ul><li> Transfer z lotniska do kliniki.</li><li> Konsultacja z urologiem.</li><li> Zakwaterowanie w klinice/hotelu.</li></ul><p> Dzień 2: Przedoperacyjny</p><ul><li> Wykonaj niezbędne badania medyczne.</li><li> Omów procedurę z urologiem.</li><li> Przygotuj się do operacji (post, higiena).</li></ul><p> Dzień 3: Operacja</p><ul><li> Przejdź holmową laserową enukleację prostaty.</li><li> Operacja trwa około 1-2 godzin.</li><li> Stosuje się znieczulenie ogólne lub podpajęczynówkowe.</li></ul><p> Dzień 4: Po operacji</p><ul><li> Pozostań w klinice pod obserwacją.</li><li> Rozpocznij delikatną aktywność fizyczną.</li><li> Rozpocznij płynną dietę.</li></ul><p> Dzień 5-7: Rekonwalescencja w hotelu</p><ul><li> Stopniowo wracaj do zwykłej diety.</li><li> Rozpocznij lekkie ćwiczenia fizyczne.</li><li> Regularne wizyty kontrolne u urologa.</li></ul><p> Tydzień 2-4: Rehabilitacja</p><ul><li> Kontynuuj regularne wizyty kontrolne.</li><li> Stopniowo zwiększaj aktywność fizyczną.</li></ul><p> Tydzień 5: Powrót do pracy</p><ul><li> Wznowienie normalnej aktywności.</li><li> Kontynuuj dalsze wizyty kontrolne w razie potrzeby.</li></ul><p> <i>Uwaga. Proces rekonwalescencji każdego pacjenta może się różnić w zależności od stanu zdrowia i złożoności operacji.</i></p>"}}},"relations":{"countries":[{"name":"Azerbejdżan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Bułgaria","alias":"bulgaria","iso_code":"BG"},{"name":"Chiny","alias":"china","iso_code":"CN"},{"name":"Egipt","alias":"egypt","iso_code":"EG"},{"name":"Hiszpania","alias":"spain","iso_code":"ES"},{"name":"Indie","alias":"india","iso_code":"IN"},{"name":"Izrael","alias":"israel","iso_code":"IL"},{"name":"Meksyk","alias":"mexico","iso_code":"MX"},{"name":"Niemcy","alias":"germany","iso_code":"DE"},{"name":"Republika Korei","alias":"republic-of-korea","iso_code":"KR"},{"name":"Turcja","alias":"turkey","iso_code":"TR"},{"name":"Ukraina","alias":"ukraine","iso_code":"UA"},{"name":"Włochy","alias":"italy","iso_code":"IT"}],"cities":[{"name":"Sofia","alias":"sofia"}],"operations":[{"name":"Obrzezanie napletka","alias":"circumcision"},{"name":"Wazektomia","alias":"vasectomy"},{"name":"Holmowa laserowa enukleacja gruczołu krokowego (HoLEP)","alias":"holmium-laser-enucleation-of-the-prostate"},{"name":"Laserowe obrzezanie napletka","alias":"seamless-circumcision"},{"name":"Waporyzacja prostaty (zielonym laserem)","alias":"vaporization-with-greenlight-laser"},{"name":"Laserowa litotrypsja","alias":"laser-lithotripsy"},{"name":"Przezskórna nefrolitotomia (PCNL)","alias":"percutaneous-nephrolithotomy"},{"name":"Zogniskowana ablacja ultradźwiękowa (HIFU)","alias":"high-intensity-focused-ultrasound-ablation-hifu"},{"name":"Implantacja sztucznego zwieracza pęcherza moczowego","alias":"artificial-urinary-sphincter-implantation"},{"name":"Ureteroskopia elastyczna","alias":"flexible-ureteroscopy"},{"name":"Prostatektomia z użyciem robota Da Vinci","alias":"radical-prostatectomy-via-da-vinci-robotic-surgery"},{"name":"Operacja slingowa (pętla)","alias":"sling-procedure"},{"name":"Wariokielektomia","alias":"varicocelectomy"}],"diagnostics":[{"name":"Podstawowe badanie kontrolne ","alias":"basic-check-up"},{"name":"Badanie kontrolne dla mężczyzn","alias":"check-up-for-men"},{"name":"Konsultacja urologiczna","alias":"urologist-consultation"},{"name":"Badanie urologiczne","alias":"urological-examination"},{"name":"Badanie krwi PSA","alias":"psa-test"},{"name":"USG przezodbytnicze","alias":"transrectal-ultrasound-trus"},{"name":"Biopsja prostaty metodą Fusion","alias":"fusion-biopsy"},{"name":"USG miednicy","alias":"pelvic-ultrasound"},{"name":"Biopsja prostaty","alias":"prostate-biopsy"},{"name":"Biopsja prostaty pod kontrolą TRUS","alias":"transrectal-ultrasound-guided-prostate-biopsy"},{"name":"Badanie urodynamiczne","alias":"urodynamics"},{"name":"Konsultacja z przygotowaniem planu leczenia","alias":"consultation-with-creation-of-treatment-plan"},{"name":"Analiza moczu","alias":"urinalysis"},{"name":"Kompleksowa diagnostyka nerek","alias":"complex-diagnostics-of-kidney"},{"name":"USG moszny z dopplerografią","alias":"color-doppler-us-of-the-scrotum"},{"name":"Testy na choroby przenoszone drogą płciową (Multiplex)","alias":"std-testing-multiplex"}],"illnesses":[{"name":"Wodniak jądra","alias":"varicocele"},{"name":"Dysfunkcja erekcyjna (impotencja)","alias":"erectile-dysfunction-impotence"},{"name":"Gruczolak stercza","alias":"bph"},{"name":"Stulejka","alias":"phimosis"},{"name":"Zwężenie cewki moczowej","alias":"urethral-stricture"},{"name":"Przerost gruczołu krokowego","alias":"prostatic-hyperplasia"},{"name":"Kamica moczowa","alias":"urolithiasis"},{"name":"Zapalenie gruczołu krokowego","alias":"prostatitis"},{"name":"Zapalenie pęcherza moczowego","alias":"cystitis"},{"name":"Nietrzymanie moczu","alias":"urinary-incontinence"}],"illnessKinds":[{"name":"Urologia","alias":"urology"}],"illness_kinds":[{"name":"Urologia","alias":"urology"}]},"popularSearches":[{"name":"Obrzezanie napletka","alias":"circumcision","type":"operation","id":824},{"name":"Wazektomia","alias":"vasectomy","type":"operation","id":891},{"name":"Peniflex","alias":"peniflex","type":"operation","id":1363},{"name":"Usunięcie nerki","alias":"nephrectomy","type":"operation","id":121},{"name":"Bioidentyczna terapia hormonalna zastępcza","alias":"bioidentical-hormone-replacement-therapy-bhrt","type":"operation","id":1008},{"name":"Konsultacja urologiczna","alias":"urologist-consultation","type":"diagnostic","id":48},{"name":"Podstawowe badanie kontrolne ","alias":"basic-check-up","type":"diagnostic","id":420},{"name":"Badanie kontrolne dla mężczyzn","alias":"check-up-for-men","type":"diagnostic","id":417},{"name":"Konsultacja z przygotowaniem planu leczenia","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Program kontrolny Premium","alias":"premium-check-up","type":"diagnostic","id":421},{"name":"Wodniak jądra","alias":"varicocele","type":"illness","id":62},{"name":"Choroba Peyroniego","alias":"peyronie-s-disease","type":"illness","id":1165},{"name":"Zapalenie gruczołu krokowego","alias":"prostatitis","type":"illness","id":16},{"name":"Dysfunkcja erekcyjna (impotencja)","alias":"erectile-dysfunction-impotence","type":"illness","id":3534},{"name":"Gruczolak stercza","alias":"bph","type":"illness","id":108}],"operationPrices":{"operation_prices":{"728":{"operation":{"name":"Holmowa laserowa enukleacja gruczołu krokowego (HoLEP)","alias":"holmium-laser-enucleation-of-the-prostate","use_for_listing":true},"country_price":{"US":{"amount":12000,"max_amount":19000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5800,"max_amount":11000,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":4200,"max_amount":5800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":7200,"max_amount":9900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":11800,"max_amount":19000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BG":{"amount":5000,"max_amount":8900,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":false,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"AZ":true,"BG":true},"description":"<p>W procedurze wykorzystuje się laser do usunięcia powiększonej tkanki gruczołu krokowego, poprawy odpływu moczu i opróżnienia pęcherza moczowego przy minimalnej utracie krwi.</p>"}}},"cityPrices":{"operation_prices":{"728":{"operation":{"id":728,"name":"Holmowa laserowa enukleacja gruczołu krokowego (HoLEP)","alias":"holmium-laser-enucleation-of-the-prostate"},"city_price":[{"amount":5000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":126,"name":"Sofia","alias":"sofia","profile":{"city_id":126,"city_type":"Capital and largest city of Bulgaria","access":["Sofia Airport (SOF), 10 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Sofia","https://en.wikipedia.org/wiki/Sofia_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"1459d636-7240-40f5-b1db-9724aac71a40","link":"https://player.vimeo.com/video/1096295117?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"To trudna droga — ale nie idziemy nią sami. A to znaczy wszystko. Jeszcze raz dziękujemy Bookimed.","userName":"Niculcea","user_name":"Niculcea","preview":"https://i.vimeocdn.com/video/2030328444-0a107eefecced974a12fde60e60b7af63ca4956df519db9d6750cfe33f659559-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:50:36.255+00:00","clinicName":"Memorial Şişli Hospital","clinic":{"name":"Memorial Şişli Hospital","alias":"memorial-healthcare-group"},"clinicUrl":"/clinic/memorial-healthcare-group/","relations":{"operations":[{"name":"Leczenie Lutetem-177","alias":"lutetium-177-therapy"},{"name":"Chemioterapia raka prostaty","alias":"chemotherapy-for-prostate-cancer"}]}}],"hasVideoReviewsByContext":true,"externalReviews":[{"id":"6ad9ea7636e3219f260eef82","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef83","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef85","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef87","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef88","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef89","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef8b","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef8c","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef8e","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef93","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef94","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef95","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef96","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef97","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef9c","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eef9e","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefa0","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefa1","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefa2","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefa3","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefa4","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefa5","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefa6","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefa7","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefa8","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefaa","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefab","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefac","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefad","source":"google","clinic_id":8869},{"id":"6ad9ea7636e3219f260eefae","source":"google","clinic_id":8869}],"updatedAt":"2026-11-11T13:11:57.000Z","activeCountries":["BG","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":5,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":10917}},"direction":{"id":16,"name":"Urologia","alias":"urology","name_forms":{"base_form":"Urologia","form_1":"urologii","form_2":"urologii","form_3":"urologiczne","form_4":"urolog","form_5":"urologa","form_6":"urolodzy","form_7":"urologiczną","form_11":"urolodzy"}},"illness_kind":{"id":16,"name":{"en":"Urology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general","regional"],"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Desk or light work after uncomplicated HoLEP; heavier physical work usually takes longer."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any perioperative complication within 90 days, mostly minor (Clavien I-II); serious ones under 3%; excludes retrograde ejaculation."},"contraindications":["Severe cardiopulmonary disease precluding anesthesia (relative)","Active untreated urinary tract infection","Suspected or confirmed prostate cancer; exclude first","Urethral stricture blocking instrument passage until treated (relative)","Uncorrected bleeding disorder or unmanageable anticoagulation"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Usually 1 night; catheter removal and voiding trial next day; some centers keep 2 nights."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous exercise, heavy lifting and cycling usually avoided for about 4-6 weeks."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Urinary flow improves quickly; irritative symptoms and urgency may take 1-3 months to settle."},"fly_home_after_days":{"min":4,"max":7,"unit":"days","qualifier":"After catheter removal and successful voiding trial; surgeon clearance depends on hematuria clearing and clot or retention risk."},"follow_up_visits":[{"purpose":"other","requirement":"routine","after":{"min":1,"max":3,"unit":"days","qualifier":"Catheter removal/voiding trial, often before or soon after discharge."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Symptom review, flow rate and post-void residual assessment; pathology review."}}],"indications":["Symptomatic BPH with symptoms refractory to medical therapy","Urinary retention due to BPH","Recurrent UTIs, hematuria or bladder stones from BPH","BPH-related bladder dysfunction or renal impairment from obstruction","Large prostates needing size-independent treatment"],"main_risks":["Retrograde ejaculation (common)","Temporary incontinence or urgency; persistent stress incontinence uncommon","Transient dysuria and hematuria","Urinary tract infection","Urethral or bladder neck stricture","Bladder mucosal injury during morcellation","Postoperative bleeding or clot retention","Need for re-treatment (uncommon)","Rare erectile dysfunction","Risks of general anesthesia"],"pain":"Mild to moderate discomfort, catheter irritation and burning on urination for several days to weeks; usually managed with oral analgesics.","preparation":["Urological assessment: symptom scores, uroflowmetry, residual volume, prostate imaging","Prostate cancer exclusion if indicated (PSA, MRI or biopsy)","Urine test to exclude infection","Preoperative anesthesia assessment and blood tests","Review of anticoagulant and antiplatelet therapy with the care team","Fasting before general anesthesia per hospital instructions","Discussion of retrograde ejaculation and fertility"],"recovery_timeline":[{"phase":"Day 0-2","description":"Catheter with bladder irrigation; urine blood-tinged. Catheter removed once urine clears, often within 24-48 hours.","restrictions":["Rest","Stay hydrated"]},{"phase":"Weeks 1-2","description":"Burning, frequency and urgency are common; light activity and desk work resume.","restrictions":["No heavy lifting","Avoid straining and constipation"]},{"phase":"Weeks 2-6","description":"Symptoms gradually improve; blood-tinged urine may briefly recur as scabs separate.","restrictions":["No strenuous exercise, cycling or heavy lifting until 4-6 weeks","Sexual activity usually resumes after about 4 weeks"]},{"phase":"Months 1-3","description":"Flow and storage symptoms settle to final result.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery to routine daily activities; no formal rehabilitation program required."},"result_longevity":"Generally durable long-term, with low re-treatment rates over many years; outcomes vary by patient and regrowth of residual tissue is uncommon.","revision_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Reoperation for stricture, bladder neck contracture or residual adenoma regrowth within about 5 years."},"scars":"No external incisions or scars; the procedure is performed transurethrally.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session for standard HoLEP."},"stages":[{"code":"enucleation_morcellation","label":"Laser enucleation of adenoma, then morcellation and catheter placement in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed during the same operative session."}}],"qualifier":"One-stage transurethral procedure."},"success":{"metric":"Postoperative average maximum urinary flow rate (Qmax)","value":20,"unit":"mL/s","horizon":"12 months","population":"Adult men with symptomatic BPH and bladder outlet obstruction","evidence_status":"limited"},"techniques":[{"name":"Standard three-lobe HoLEP with morcellation","suits_whom":"Men with symptomatic BPH of any prostate size, including large glands.","recovery":"Catheter 1-2 days; return to light activity in about 1-2 weeks."},{"name":"En bloc HoLEP (EBEP)","suits_whom":"Men with BPH where the surgeon prefers removing the adenoma as a single piece.","recovery":"Broadly similar to standard HoLEP; some series report faster early continence recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Operative time for a typical prostate; varies with gland size and surgeon experience."},"initial_assessment_documents":["Prostate ultrasound report with volume","Recent PSA test result","Uroflowmetry and post-void residual results","Urinalysis and urine culture report","List of blood thinners and other medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 4-7 days including 1-2 nights in hospital, catheter removal and pre-flight check."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the facilities and standards at the clinic or hospital where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Get a second opinion from a doctor on the treatment and whether it is necessary","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell when offered treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Pressure to make a quick decision about treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No discussion of possible complications before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lab report on removed prostate tissue, checked for cancer","document":"pathology report","source":{"url":"https://www.uhsussex.nhs.uk/resources/holmium-laser-enucleation-of-the-prostate-holep/","host":"uhsussex.nhs.uk","quote":"The removed tissue will be sent to the laboratory for analysis to check for any signs of prostate cancer.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Gives the planned catheter removal timing for home follow-up","document":"catheter removal plan","source":{"url":"https://www.uhsussex.nhs.uk/resources/holmium-laser-enucleation-of-the-prostate-holep/","host":"uhsussex.nhs.uk","quote":"This is typically on day 3 after surgery, based on the best chance of successful removal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T6","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want an outpatient procedure for enlarged-prostate urinary symptoms","name":"Prostatic urethral lift","source":{"url":"https://my.clevelandclinic.org/health/procedures/prostatic-urethral-lift","host":"my.clevelandclinic.org","quote":"A prostatic urethral lift is an outpatient medical procedure that relieves the symptoms of an enlarged prostate, including issues with peeing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"standard-three-lobe-holep","name":"Standard three-lobe HoLEP with morcellation","how_it_works":{"text":"The prostate tissue is removed in three lobes","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/23294874/","host":"pubmed.ncbi.nlm.nih.gov","quote":"The prostate tissue is removed in three lobes.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"en-bloc-holep","name":"En bloc HoLEP (EBEP)","how_it_works":{"text":"En bloc enucleation removes the prostate adenoma as a single piece","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/23294874/","host":"pubmed.ncbi.nlm.nih.gov","quote":"En bloc enucleation removes the prostate adenoma as a single piece.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=bolgariya/city=sofiya/procedure=golmievaa-lazernaa-enukleacia-predstatelnoj-zelezy-holep/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":108,"alias":"bph","name":"Gruczolak stercza"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}