For patients with insufficient response to medical treatment options or for those suffering from side effects, surgical treatment may be performed.

Presence of bladder stones, recurrent hematuria (blood in urine) and urinary infections, failure to void and need for urethral catheterization are indications for surgical treatment. Patient age, medication history, comorbidities and prostate size are main parameters in the decision of surgery type.

With the use of laser technology in urology, new prostate surgery methods have been developed. Current results show that holmium laser enucleation of prostate (HoLEP) has become more popular and one of the primary choices of treatment.

HoLEP is accepted as the gold standard surgical treatment in the 21st century.