BPH surgery in Penang using HoLEP and laser enucleation. Effective prostate enlargement treatment with faster recovery and durable results.
Written and reviewed by Dr. WIlliam Ong [14.05.2026]
Latest update: 24 July 2026
Are you struggling with frequent urination, weak urine flow, or waking up multiple times at night?
When medications are no longer effective, HoLEP (Holmium Laser Enucleation Prostate) offers a minimally invasive and durable solution to restore urine flow.
Why Choose HoLEP?
Laser Enucleation of the Prostate
(a.k.a. HoLEP/ ThuLEP/ ThuFLEP)
For decades, the standard surgery for enlarged prostate has been Transurethral Resection of the Prostate (TURP), commonly known as “prostate shaving surgery.”
While TURP remains effective, advances in medical technology have led to newer techniques that may offer improved outcomes for selected patients. One of the most advanced options available today is Laser Enucleation of the Prostate.
Importantly, only a limited number of urologists in Malaysia currently offer prostate enucleation surgery /HoLEP due to the specialized expertise, dedicated equipment, and steep learning curve required for the procedure.
What is this surgery?
Prostate enucleation (eg. HoLEP) is a minimally invasive laser surgery used to treat enlarged prostate. It uses a high-powered laser to remove the entire obstructing prostate tissue more completely, similar to removing the flesh of an orange while preserving the peel.
Safety of the surgery
Patients should understand that HoLEP, like TURP, commonly results in retrograde ejaculation (“dry orgasm”), where semen flows backward into the bladder instead of coming out.
This does not affect sexual pleasure but can affect fertility.
Temporary urinary urgency, mild leakage, or burning during urination may also occur during recovery, although most improve over time.
Serious complications are uncommon when performed by experienced surgeons.
The Importance of Surgical Expertise
HoLEP is a highly specialized surgery with a significant learning curve.
Successful outcomes depend greatly on surgeon experience and familiarity with advanced laser techniques.
"As one of the few urologists in Malaysia offering HoLEP, my goal is to provide patients with access to evidence-based, modern surgical care for enlarged prostate while tailoring treatment to each individual patient’s condition and expectations."
Men often dismiss urinary symptoms as a “normal part of ageing.” Frequent urination, poor flow, waking up multiple times at night, recurrent urine infections, bladder stones, or inability to pass urine should not be ignored.
Modern treatment options such as laser enucleation prostate surgery now allow many patients to achieve excellent long-term outcomes with less bleeding, faster recovery, and durable symptom relief.
If urinary symptoms are affecting your quality of life, seek urologist’s evaluation early. Effective treatment is available — and you do not have to suffer in silence.
Frequently Asked Questions
What is HoLEP surgery?
HoLEP (Holmium Laser Enucleation of the Prostate) is a minimally invasive laser procedure that removes enlarged prostate tissue causing urinary blockage. It is an effective and durable treatment for benign prostate enlargement (BPH) without any external incision.
Is HoLEP painful?
No. HoLEP is performed under general or spinal anaesthesia, so you will not feel pain during surgery. Mild burning or discomfort during urination may occur for a few days after the procedure.
How long does HoLEP surgery take?
The operation usually takes 60 to 120 minutes, depending on the size of the prostate.
How many days will I stay in hospital after HoLEP?
Most patients stay two nights in hospital. The urinary catheter is usually removed the day prior to discharge.
Can HoLEP treat a 100 g prostate?
Yes. HoLEP is highly effective for large prostates, including those over 80 grams, and can often avoid the need for open surgery.
Does HoLEP cause erectile dysfunction?
No. HoLEP generally does not affect erectile function. However, most men will experience retrograde ejaculation (dry orgasm) after surgery.
Is HoLEP / BPH Laser surgery available in Penang?
Yes. Dr William Ong Lay Keat provides HoLEP laser prostate BPH treatment in Penang for suitable patients with enlarged prostate (BPH). A consultation is recommended to determine whether HoLEP is the best treatment option for your condition
Book a consultation with Dr William Ong, Consultant Urologist in Penang, to discuss whether HoLEP laser prostate surgery is suitable for you.
Dr William Ong Lay Keat is a Consultant Urologist in Penang with special interest in minimally invasive prostate surgery, including HoLEP, laser prostate surgery, and advanced endoscopic treatment for benign prostate enlargement.