Benign Prostatic Hyperplasia (BPH) & Laser Prostatectomy

Mr Azhar Khan, a Consultant Urological and Robotic Surgeon in London, provides expert diagnosis and management for Benign Prostatic Hyperplasia (BPH). He specialises in advanced, minimally invasive treatments, including laser prostatectomy, offering patients a durable solution for urinary symptoms and an improved quality of life. 

With a focus on patient-centred care, Mr Khan ensures every individual receives a thorough assessment and a treatment plan tailored to their specific condition and needs.

Advanced treatment for benign prostatic hyperplasia (BPH) in London, including modern laser prostate surgery.

What is Benign Prostatic Hyperplasia (BPH)?

Benign Prostatic Hyperplasia, or BPH, is a non-cancerous enlargement of the prostate gland and a very common condition affecting men as they age. The prostate is a small gland located below the bladder, and as it grows, it can place pressure on the urethra—the tube that carries urine out of the body. 

This compression can lead to a range of disruptive and often uncomfortable lower urinary tract symptoms (LUTS). Many men start to experience symptoms of BPH from the age of 50 onwards. While it is a natural part of the ageing process for some, the impact on daily life can be significant. Common symptoms include:

  • A weak or slow urinary stream
  • Difficulty starting urination
  • A feeling that the bladder is not completely empty
  • Increased frequency of urination, particularly at night (nocturia)
  • A sudden and urgent need to urinate
  • Stopping and starting again while urinating


If left unmanaged, severe BPH can lead to complications such as acute urinary retention (a sudden inability to urinate), bladder stones, recurrent urinary tract infections (UTIs), or damage to kidney function. Seeking a timely assessment with a specialist like Mr Azhar Khan is crucial for effective management.

Why Choose Laser Prostatectomy for BPH?

For men with moderate to severe BPH symptoms, laser prostatectomy represents a significant advancement over traditional surgical methods like Transurethral Resection of the Prostate (TURP). Mr Azhar Khan is highly experienced in performing state-of-the-art laser procedures, such as Holmium Laser Enucleation of the Prostate (HoLEP) and GreenLight Laser Photoselective Vaporization of the Prostate (PVP). These techniques are considered the modern gold standard for treating BPH.

The primary advantage of laser prostatectomy is its ability to precisely remove obstructive prostate tissue while minimising damage to surrounding healthy tissue. This precision leads to a safer procedure with several key benefits for the patient:

  • Reduced Bleeding: The laser effectively cauterises blood vessels during the procedure, resulting in significantly less blood loss compared to TURP.
  • Shorter Catheter Time: Patients often require a urinary catheter for a shorter period after surgery.
  • Faster Recovery: The minimally invasive nature of the procedure allows for a quicker return to normal activities.
  • Minimal Hospital Stay: Most patients can expect a shorter hospital stay, with many procedures performed as a day case or requiring just one overnight stay.
  • Durable, Long-Term Results: Laser prostatectomy provides immediate and lasting relief from urinary symptoms.

The Laser Prostatectomy Procedure with Mr Azhar Khan

Mr Azhar Khan performs laser prostatectomy under general or spinal anaesthesia. The entire procedure is carried out through the urethra without any external incisions.

1.Assessment: A thorough pre-operative assessment, which may include urine flow studies, ultrasound, and a cystoscopy (a camera examination of the bladder), is conducted to confirm the diagnosis and determine the most appropriate treatment approach.

2.The Procedure: A fine instrument called a resectoscope, which contains a camera and the laser fibre, is gently passed into the urethra. Mr Khan then uses the laser energy to either enucleate (remove in large pieces, as with HoLEP) or vaporise (as with GreenLight) the excess prostate tissue that is blocking the flow of urine.

3.Tissue Removal: With HoLEP, the enucleated tissue is moved into the bladder and then removed using a specialised instrument. The removed tissue is sent for analysis to rule out any incidental prostate cancer.

4.Completion: Once the obstruction is cleared, the resectoscope is removed, and a temporary urinary catheter is placed to allow the bladder to drain and the area to heal.

Key Benefits

Consultant-Led Care

Direct and continuous care from a highly experienced urological surgeon.

Advanced Laser Technology

Access to the latest HoLEP and GreenLight laser systems for optimal outcomes.

Personalised Treatment

A comprehensive assessment leading to a tailored management plan.

Improved Quality of Life

A definitive solution that restores normal urinary function and reduces symptoms.

Why Choose Mr Azhar Khan?

Mr Azhar Khan is a Consultant Urological and Robotic Surgeon with extensive experience in managing complex urological conditions. Book your appointment now to benefit from his expertise. He holds a substantive post at King’s College Hospital in London and is dedicated to providing the highest standard of clinical care. His expertise in laser prostate surgery ensures that patients receive a safe, effective, and minimally invasive treatment for BPH, helping them achieve a swift recovery and a significant improvement in their quality of life.

Frequently Asked Questions

What is the difference between BPH and prostate cancer?

BPH is a benign (non-cancerous) enlargement of the prostate, whereas prostate cancer is a malignant growth. Although their symptoms can be similar, BPH does not increase the risk of developing prostate cancer. A thorough evaluation can distinguish between the two.

The procedure is performed under anaesthesia, so you will not feel any pain during the surgery. Post-operative discomfort is typically mild and can be managed effectively with standard pain relief medication. Most patients report a significant improvement in comfort once the catheter is removed.

Laser prostatectomy, particularly HoLEP, is known for providing very durable and long-lasting results. The risk of needing a re-treatment in the future is very low, as the majority of the obstructing tissue is removed during the initial procedure.

Yes. A key benefit of laser prostatectomy is the faster recovery time. While you will be advised to avoid strenuous activity for a few weeks, you can expect to return to your normal daily and active lifestyle relatively quickly compared to traditional surgery.

You should consider seeing a specialist if your urinary symptoms are affecting your quality of life, disrupting your sleep, or causing you concern. Early assessment allows for timely diagnosis and management, preventing potential long-term complications.