Laser prostate surgery in Medellín
HoLEP for an enlarged prostate, without incisions
Laser prostate surgery removes the tissue that blocks the flow of urine, through the urethra and without skin incisions. It is indicated when an enlarged prostate does not improve with medication or causes complications. MDE Care is not a clinic: we coordinate your assessment with the urologist, the preliminary tests, the surgery and your stay.
Up to 70% savings
compared with the United States
Which technique is usually considered for your prostate?
Four factors shape the technique: where you are in your treatment, the volume of your prostate, whether you take anticoagulants and how important it is to you to preserve ejaculation.
1. Where are you in your treatment?
2. Prostate volume on the ultrasound
3. Do you take anticoagulants or antiplatelet drugs, such as warfarin, rivaroxaban or clopidogrel?
4. How important is it to preserve ejaculation?
Your guidance
Some answers are missing
Answer the questions to see your guidance.
* Guidance based on the guidelines of the European Association of Urology (EAU) and the American Urological Association (AUA). The technique is decided by the urologist. If you cannot urinate, go to the emergency room.
How much does laser prostate surgery cost?
Choose the technique and the tests you do not have yet. We will show you the price of each part and the estimated total.
Technique
Tests before deciding
Select what you do not have yet.
Estimated total
HoLEP and tests
About COP 12,000,000
What the surgery includes (fees, anesthesia, operating room and hospital night) is confirmed in the formal quote.
Request an assessment* Estimated market prices in Colombia, confirmed in the formal quote. Green laser photovaporization has no public reference price and is quoted at the assessment.
What is laser prostate surgery?
It is an endoscopic surgery for benign prostatic hyperplasia, the non-cancerous growth of the gland that narrows the urinary passage. The urologist goes in through the urethra with an instrument fitted with a camera and uses laser energy to remove the obstructing tissue. There are no skin incisions.
There are two main technologies. HoLEP, or holmium laser enucleation, separates the obstructing tissue from the prostate capsule and removes it whole; it works for any size. Green laser photovaporization vaporizes the tissue and is used mainly in medium-sized prostates and in patients who take anticoagulants.
If you would first like to understand the symptoms, the PSA or when to see a doctor, see the page on enlarged prostate and prostate specialists.
When is surgery recommended for an enlarged prostate?
Surgery is not the first step. It is considered when medication is not enough or the prostate is already causing complications.
Symptoms that do not improve
Weak stream, getting up several times at night or a feeling of incomplete emptying, despite medication.
Urinary retention
Being unable to urinate or depending on a catheter is one of the clearest reasons for surgery.
Complications
Recurring urinary infections or blood in the urine, bladder stones or kidney damage caused by the obstruction.
HoLEP, green laser or TURP
All three are performed through the urethra, with no skin incisions. They differ in the prostate size they suit, in how bleeding is managed and in price.
HoLEP
Holmium laser enucleation
Reference price
About COP 12,000,000 (US$3,000)
Prostate size
Any
With anticoagulants
Valid optionSeparates and completely removes the obstructing tissue. Its outcome does not depend on the size of the prostate, and bleeding is minimal.
Get a quote for this techniqueGreen laser
Laser photovaporization
Reference price
Quoted at the consultation
Prostate size
Small and medium
With anticoagulants
Preferred optionVaporizes the tissue layer by layer. It is usually preferred when the patient cannot stop taking anticoagulants.
Get a quote for this techniqueTURP
Transurethral resection of the prostate
Reference price
From COP 9,000,000 (US$2,250)
Prostate size
30 to 80 ml
With anticoagulants
Higher risk of bleedingCuts the tissue into fragments with an electric loop. It is the technique with the most accumulated experience for medium-sized prostates.
Get a quote for this techniqueWith all three techniques, retrograde ejaculation is common: semen goes into the bladder instead of coming out. It does not affect erections. If preserving ejaculation is a priority, the guide shows you the alternatives.
Source: European Association of Urology guidelines on male lower urinary tract symptoms. Market prices in Colombia, confirmed in the quote.
What the process is like in Medellín
- 1
Assessment and tests
Consultation with the urologist, ultrasound with prostate volume, PSA and uroflowmetry. The technique is chosen based on that information.
- 2
Preparation
Pre-surgical tests and, if you take anticoagulants, the adjustment indicated by the urologist together with your treating physician.
- 3
Surgery
Through the urethra, under spinal or general anesthesia. It usually takes 60 to 90 minutes, depending on the size of the prostate.
- 4
Discharge and catheter
Most patients go home the same day or the next, with a catheter for a few days.
- 5
Follow-up
Urinary flow check at 7 and at 30 days. Full recovery takes 2 to 3 weeks.
Practical information
| Duration | 60 to 90 minutes, depending on size |
| Anesthesia | Spinal or general |
| Hospital stay | Discharge the same day or the next day |
| Catheter | A few days after surgery |
| Full recovery | 2 to 3 weeks |
| Risks to know | Retrograde ejaculation, burning when urinating in the first weeks and, less often, incontinence, urethral stricture or erectile dysfunction |
This surgery treats benign prostate enlargement. If the diagnosis is prostate cancer, the indicated surgery is a radical prostatectomy.
What MDE Care does for you
We are neither a clinic nor a directory. We support you from your first question to the results consultation.
Initial guidance
We review your medical order or the reason for your visit before booking.
The right specialist
We connect you with the urologist who performs the procedure you need.
Clear prices
You know the price and what it includes before booking.
Appointments and tests
We coordinate the schedule, the preparation and the timing of each step.
Logistics support
Lodging and transportation if you are coming from another city or country.
Follow-up
We coordinate the results consultation and follow-up visits.
About laser prostate surgery
How much does laser prostate surgery cost in Colombia?
What tests are required before prostate surgery?
What is the difference between HoLEP and TURP?
Does laser surgery affect erections or ejaculation?
How long should you stay in Medellín?
Can it be covered by a Colombian EPS or health insurance?
Can laser surgery treat prostate cancer?
Other urology pages
Request your prostate surgery assessment
Send us your ultrasound, your PSA or the reason for your visit. We will tell you the technique usually considered, the tests still needed and the price before you travel.