What makes Goldman's HoLEP special?

HoLEP results can differ even with the same method, depending on the surgeon's experience, the laser equipment, and the resection strategy for the prostate's size. Because prostates vary widely in size and shape, surgery must be planned on precise resection technique and ample clinical experience. Goldman Urology therefore runs a systematic HoLEP program built on its equipment and surgical experience. First, a university-hospital-grade 120H high-power holmium laser and a stable surgical environment allow precise resection of prostate tissue and greater accuracy, giving consistent results in resection efficiency and recovery speed. Drawing on more than 4,000 HoLEP surgeries and clinical data equal to 40.8% of all clinic-level HoLEP surgeries in Korea, we apply strategies suited to a wide range of prostate sizes and shapes. We also handle highly demanding cases, such as large prostates over 150 g or patients told elsewhere that surgery would be difficult, so even very large prostates get a stable surgical plan. Precise equipment, accumulated clinical experience, and the ability to treat the most demanding prostates set Goldman's HoLEP surgery apart.

How do you choose a hospital skilled in HoLEP surgery?

When choosing a hospital for HoLEP surgery, look not only at the equipment but also at the surgeon's experience, laser performance, and whether the surgical system handles a range of prostate sizes. Even with the same HoLEP surgery, resection accuracy, recovery speed, and results differ with experience and equipment. The following criteria help.- Whether care is provided by a board-certified urologist with ample HoLEP experience- Whether a stable surgical environment with high-power laser equipment is in place- Whether they have operated on demanding cases such as large prostates over 100 g- Whether there is a systematic follow-up program to check voiding improvement after surgery HoLEP becomes harder when the prostate is large or protrudes in a complex shape, so confirm the medical team has ample clinical experience and precise resection skills. For example, Goldman Urology performs precise resection tailored to prostate size and shape, using university-hospital-grade high-power laser equipment (120H holmium laser) and a stable surgical system, and treats a wide range of BPH patients with HoLEP experience equal to 40.8% of all clinic-level HoLEP surgeries in Korea and more than 4,000 cases. We also handle large prostates over 150 g and cases other hospitals found difficult, which helps deliver more reliable results.

How much does HoLEP surgery cost?

The cost of HoLEP surgery varies with prostate size, the extent of surgery, the tests required, and whether admission is needed. Care may also differ with the patient's health and treatment plan. Since every prostate is different, a single price is hard to quote, but expect roughly KRW 1.5 to 2.5 million. An accurate estimate follows a detailed prostate examination and consultation.

Why should HoLEP surgery be performed by an experienced doctor?

HoLEP surgery calls for precision, and the surgeon's experience is what brings it to completion. With HoLEP surgery, how precisely the prostate tissue is removed can determine both the safety of the operation and its therapeutic effect. For this reason, the skill of an experienced and highly trained medical team has a significant influence on the surgical outcome. Goldman has compared its own surgical cases against data from an international paper on HoLEP surgery (2024, World Journal of Urology) and confirmed meaningful results in operating time and blood loss, among other measures. German study vs. Goldman — operative time: 42.2 min vs. 40 min (3 min shorter); hemoglobin drop: 0.94%0.1% smaller drop) vs. 0.90%※ These figures were calculated and compared based on HIRA data for Goldman covering the period 2002–2024. ※ Results may vary with the patient's condition and treatment method. ※ Side effects vary by individual, so we recommend consulting the medical team thoroughly. Through broad clinical experience and the close collaboration of an experienced medical team, Goldman Urology aims to tailor every operation to the individual patient's condition. We also put patient safety and satisfaction first, working for the best possible result at every stage.

How long is the hospital stay after HoLEP?

Usually about 2–3 days. Some patients go home the day after surgery.

Can I urinate right away after surgery?

A catheter (urinary tube) stays in the urethra after surgery, usually for 1–2 days. Once you can urinate on your own after removal, you can be discharged.

What complications can occur after surgery?

Temporary hematuria, painful urination, urinary incontinence, and retrograde ejaculation (semen flowing back into the bladder) may occur. Most improve over time.

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to the smart Goldman AI.

e.g. I urinate frequently and always feel residual urine
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HoLEP Surgery

Same equipment, different results.At Goldman, extensive surgical experience makes the difference, from surgery through recovery.

An effective solution for benign prostatic hyperplasia (BPH)
What is HoLEP surgery?

HoLEP surgery guide, presented by Goldman TV

VIEW

HoLEP surgery is the latest endoscopic surgical technique for treating benign prostatic hyperplasia (BPH), using a holmium laser to remove the enlarged prostate tissue in its entirety.
With less bleeding and pain, faster recovery, and a low risk of recurrence, it is gaining attention as an effective treatment.

SINCE 2002, the hub of AI smart healthcare

Today, HoLEP is the mainstream choice.

Goldman Urology Clinic draws on the latest holmium laser equipment and extensive surgical experience
to safely perform ‘HoLEP’, the most effective treatment for benign prostatic hyperplasia (BPH).

Transurethral Resection of the Prostate (TURP) vs. HoLEP: Patient Numbers

* Source: Health Insurance Review & Assessment Service (HIRA)

HoLEP Surgery

Transurethral Resection of the Prostate (TURP)

7,000

6,500

6,000

5,500

5,000

4,500

4,000

4,578

6,991

2019

4,644

6,198

2020

4,983

5,701

2021

5,944

5,791

2022

HoLEP: when is it needed?

HoLEP is considered when medical (drug) therapy or non-surgical treatments for benign prostatic hyperplasia (BPH) have proven ineffective.
Surgery is particularly necessary in cases of severe voiding dysfunction, a sensation of incomplete emptying, or recurrent urinary tract infections.
HoLEP is a safe treatment with a low recurrence rate, making it effective for patients with severe disease.

When the prostate has become very large
When bladder stones are also present
When bladder outlet obstruction has impaired kidney function
When there are recurrent urinary tract infections
When bladder function or shape has become abnormal
When enlarged tissue protrudes into the bladder

The standard in BPH surgery:
HoLEP!

“It’s the same HoLEP surgery — so why are the results different?”

The experience of a skilled surgeon and a precise surgical system make the difference in outcomes.

01
120W holmium laser · Moses system
University hospital-grade equipment
- 120 W holmium laser · Moses system
- Stable operating environment backed by a UPS
- University-hospital-grade equipment system
02
40.8% of all clinic-level HoLEP procedures nationwide,
extensive experience with over 4,000 cases
- 40.8% of all clinic-level HoLEP surgeries nationwide
- 4.87% share of all BPH surgeries nationwide
- Over 4,000 HoLEP surgeries performed
03
Average operating time cut by 30 minutes with a
systematic surgical system
- Removal of super-large prostates over 200 g
- Average operating time cut by about 30 minutes
- Revision surgery and UroLift implant removal cases

HoLEP:
how is it performed?

Goldman's HoLEP performs dissection and hemostasis at the same time, making the surgery more stable.
Highly experienced surgeons precisely separate and remove prostate tissue to maximize safety and completeness.
The harmony of state-of-the-art equipment and a skilled medical team is what sets Goldman's treatment apart.

Step-by-Step HoLEP Surgical Method

Illustration of the HoLEP surgical procedure

Holmium laser surgery — like removing all the flesh of an orange

Just as an orange's flesh can be removed whole while leaving only the peel,
the enlarged prostate tissue above the prostatic capsule can be completely removed.

Separating the Enlarged Tissue

STEP 01

The prostatic adenoma (enlarged tissue) is dissected
along the capsule and separated out in one piece.
Hemostasis of Surrounding Vessels

STEP 02

The blood vessels that were connected to the enlarged tissue
are sealed off after dissection.
Extraction of the Enlarged Tissue

>

STEP 03

The separated enlarged tissue is pushed into the bladder,
then suctioned from the bladder and removed from the body.

Use of a high-performance holmium laser

Dissection technique that minimizes bleeding

Extraction of the enlarged tissue without bladder injury

The surgeon's skilled operative ability

Combined surgery possible

Possible even with a high bladder neck

Use of a high-performance holmium laser

Dissection technique that minimizes bleeding

Extraction of the enlarged tissue without bladder injury

The surgeon's skilled operative ability

Combined surgery possible

Possible even with a high bladder neck

Use of a high-performance holmium laser

Dissection technique that minimizes bleeding

Extraction of the enlarged tissue without bladder injury

The surgeon's skilled operative ability

Combined surgery possible

Possible even with a high bladder neck

Use of a high-performance holmium laser

Dissection technique that minimizes bleeding

Extraction of the enlarged tissue without bladder injury

The surgeon's skilled operative ability

Combined surgery possible

Possible even with a high bladder neck

Improved PSA levels

Hemostasis of the vessels connected to the enlarged tissue

Removal of the enlarged tissue

Surgery possible even for a very large prostate

Covered by national health insurance

Almost no side effects

Prostate biopsy possible

Possible even with bladder outlet obstruction

Improved PSA levels

Hemostasis of the vessels connected to the enlarged tissue

Removal of the enlarged tissue

Surgery possible even for a very large prostate

Covered by national health insurance

Almost no side effects

Prostate biopsy possible

Possible even with bladder outlet obstruction

Improved PSA levels

Hemostasis of the vessels connected to the enlarged tissue

Removal of the enlarged tissue

Surgery possible even for a very large prostate

Covered by national health insurance

Almost no side effects

Prostate biopsy possible

Possible even with bladder outlet obstruction

Improved PSA levels

Hemostasis of the vessels connected to the enlarged tissue

Removal of the enlarged tissue

Surgery possible even for a very large prostate

Covered by national health insurance

Almost no side effects

Prostate biopsy possible

Possible even with bladder outlet obstruction

Treatment cost burden

HoLEP covered by health insurance!

HoLEP: with health insurance coverage, costs go down and treatment becomes safer.
As a nationally recognized standard treatment, it is a more sensible and reassuring choice.

Lower treatment costs

With health insurance coverage, an average 50–70% cost savings

Broad coverage that extends to surgery, hospitalization, and even anesthesia fees
A treatment with proven effectiveness

Efficacy recognized by the state through health insurance coverage

A low recurrence rate verified in long-term follow-up
Standardized, safe surgery

A state-certified standard laser surgical method, performed by a skilled medical team

State-of-the-art equipment and surgical systems that meet National Health Insurance coverage criteria, reliably maintained and managed

It's Advanced! HoLEP:
the BIG 5 reasons patients choose Goldman

Goldman's HoLEP minimizes the burden of pain, recurrence, and side effects to provide safe, satisfying treatment.
Goldman's answer to your trust is a differentiated treatment experience made complete by ‘Goldman Quality’.

University-hospital-grade equipment, including a 120H holmium laser

· We have a Moses system 120H holmium laser, maximizing treatment results with precise surgery in a short time.

· A UPS keeps surgery safe even during a power outage.

Extensive experience cuts average operating time by about 30 minutes

Our skilled veteran surgeons operate personally, achieving a surgery time about 30 minutes shorter than at other institutions and reducing the burden on our patients.

40.8% of all HoLEP surgeries nationwide — at Goldman!

· We performed about 40.8% of nationwide clinic-level HoLEP surgeries. (2023, HIRA data)

· With a 4.87% share of BPH surgeries, Goldman leads the field of prostate surgery in Korea.

Even a large prostate can be treated without an incision!

Giant to super-large prostates over 150 g: safe treatment, no incision.

Surgical mastery built on 4,000 cases

More experience means more precise enucleation and faster recovery.

Years of operating have made Goldman's surgery safer and more efficient.

Questions about HoLEP? Get answers now.

Goldman's expertise provides clear answers to patients' questions.

If a wide resection is needed or preserving ejaculatory function matters to you, see Aquablation Surgery and compare the results.

Even with the same surgical method, HoLEP results can differ depending on the surgeon's operating experience, the performance of the laser equipment, and the resection strategy chosen for the prostate size. Because prostates vary widely in size and shape, it is important to plan the surgery based on precise resection technique and ample clinical experience.

Goldman Urology therefore runs a systematic HoLEP program built on its equipment and surgical experience.

First, a university-hospital-grade 120 W high-power holmium laser (Lumenis Pulse 120H) and a stable operating environment enable precise enucleation of prostate tissue, improving surgical accuracy.This helps achieve consistent results in enucleation efficiency and recovery.Also, drawing on over 4,000 HoLEP surgeries and clinical data covering 40.8% of the nationwide clinic-level total, the clinic applies strategies suited to many prostate sizes and shapes.

It can also handle high-difficulty cases — super-large prostates over 150 g, or cases deemed inoperable elsewhere — so a stable surgical plan is possible even for large prostates.A precise, well-equipped surgical environment, deep clinical experience, and a scope that includes high-difficulty prostates define Goldman's HoLEP.
When choosing a HoLEP hospital, check not just whether it owns the equipment, but the team's operative experience, the laser's performance, and whether it can handle a range of prostate sizes.Even for the same HoLEP surgery, enucleation accuracy, recovery speed, and results vary with experience and equipment.

Therefore, it helps to also review the following criteria.
- Care by a board-certified urologist with ample HoLEP operative experience - Whether a stable surgical setup with high-power lasers is in place - Whether there is experience with difficult cases such as large prostates over 100 g - Whether there is systematic follow-up of voiding improvement after surgery

HoLEP is harder when the prostate is large or protrudes in a complex pattern, so confirm that the medical team has ample clinical experience and a refined enucleation technique.

Goldman Urology, for example, performs precise enucleation matched to prostate size and shape with a university-hospital-grade high-power 120H holmium laser and a stable surgical system, and, drawing on HoLEP experience of over 4,000 cases, 40.8% of the nationwide clinic-level total, it treats a wide range of benign prostatic hyperplasia patients.

It can also treat super-large prostates over 150 g and cases other hospitals found difficult to operate on, supporting more stable surgical results.
HoLEP costs vary with prostate size, extent of surgery, tests required, and whether hospitalization is needed.The course of care may also vary with the patient's health and treatment plan.

Every prostate is different, so no single fixed price applies, but as a rough guide, approximately KRW 1.5–2.5 million is what you can expect.

An accurate estimate follows detailed prostate testing and a consultation.
HoLEP depends on precision, and the medical team's experience raises the quality of the result.How precisely prostate tissue is removed affects both the safety and the therapeutic effect of the surgery, so the skill of an experienced, specialized team strongly influences outcomes.Goldman compared its own surgical cases against data from an internationally published HoLEP paper (2024, World Journal of Urology) and confirmed meaningful results in areas such as operating time and blood loss.
Category
German paper
Goldman
Operating time 42.2 minutes
3 minutes shorter
40 minutes
Hemoglobin decrease 0.94%
0.1% smaller decrease
0.90%
※ These figures were calculated and compared based on HIRA data for Goldman covering the period 2002–2024.
※ Results may vary with the patient's condition and treatment method.
※ Side effects vary by individual, so we recommend consulting the medical team thoroughly.
    With wide clinical experience and a seasoned team working together, Goldman Urology tailors surgery to each patient's condition.Patient safety and treatment satisfaction come first, and we always strive for the best possible outcome.
Usually about 2–3 days.
Some patients go home the day after surgery.
A catheter (urinary tube) stays in the urethra after surgery, usually for 1–2 days.
Once you can urinate on your own after removal, you can be discharged.
Temporary hematuria, painful urination, urinary incontinence, and retrograde ejaculation (semen flowing back into the bladder) may occur.
Most improve over time.