Prostate Enucleation Procedure for Treatment of Enlarged Prostate, Slow urine Stream and Urinary Retention

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  

We offer affordable prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.


Why Laser Enucleation of Prostate for Treatment of Enlarged Prostate?

Prostate enucleation for the treatment of enlarged prostate offers a number of advantages for patients with symptoms of BPH.  Advantages of prostate enucleation become particularly recognizable for men with very large prostate, and especially those who are unable to urinate and suffer from urinary retention.  Men who do not empty their bladder completely and have a high post-void residual volume of urine also derive great benefit from prostate enucleation.

Prostate enucleation allows a surgeon to remove a very large amount of prostate tissue that blocks the urine flow without making large skin incisions.  In fact, studies show that laser enucleation of the prostate can achieve similar results to traditional open prostate surgery for the treatment of enlarged prostate caused by BPH.   

An additional benefit of prostate enucleation is that the tissue is removed for a pathologist to look at it under a microscope.  About 10% of men with enlarged prostate also harbor prostate cancer.  While, usually, these cancers are not very advanced, occasionally dangerous cancer can be diagnosed from tissue obtained through prostate enucleation.  This is a major advantage of prostate enucleation over prostate ablation.  It is particularly of value to younger men and men with long life expectancy who have a large prostate, elevated PSA, and who might have had a negative prostate biopsy in the past.

What is Laser Enucleation of Prostate?

Laser enucleation of the prostate refers to the removal of the obstructing component of the prostate that causes the symptoms of BPH.  This is in contrast to the laser ablation of the prostate, which essentially evaporates prostate tissue.  While the results are similar for smaller prostates as far as urinary function is concerned, there is a significant advantage from prostate enucleation for prostate glands greater than 80 grams.

In addition, a specimen that could be evaluated by a pathologist is produced by laser enucleation of the prostate but not when the prostate gland is evaporated or ablated.  Other procedures such as bipolar TURP also generate prostatic tissue that can be evaluated by a pathologist.

Experienced urologists are able to achieve excellent results with laser enucleation of the prostate, especially for large prostate glands.  For smaller prostates, prostate enucleation, laser ablation of the prostate, or TURP produces adequate results.

What are the Advantages of Laser Enucleation?

Laser enucleation of the prostate has an edge in the treatment of very large prostates, greater than 80-100 g, which can be more completely removed with laser enucleation of the prostate.  Laser enucleation achieves success rates equivalent to open surgery with fewer complications.

Laser enucleation allows complete resection of obstructing prostatic tissue down to prostatic capsule without the limitations of TURP procedure (length of time for resection, a risk of TURP syndrome), and with fewer complications than open suprapubic prostatectomy.

  • Shorter hospital stay than TURP or open prostatectomy
  • Shorter duration of catheterization.
  • Removed prostatic tissue can be used for pathological examination.
  • Less need for repeat procedures compared to HoLAP or TURP.

Who Performs Laser Enucleation of Prostate?

Dr. Alex Shteynshlyuger of New York Urology Specialists is an experienced urologist who performs laser enucleation of the prostate as well as laser ablation of the prostate.

Laser enucleation of the prostate can be performed using a variety of lasers including Holmium laser (HoLEP procedure), Thulium laser, and a number of other lasers.

HOLEP Patient video

Where to Get Laser Enucleation of Prostate Surgery in NYC?

At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men.  Same-day virtual video appointments and in-person appointments are available.

Call/text today: 1-646-663-4044 or make an appointment online.  

We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office.  We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting.  We treat urinary and erection problems. We offer confidential appointments.

Our appointment costs are affordable with or without insurance.  We offer free insurance verification.

How Effective is HOLEP?

The image below demonstrates typical outcomes of HOLEP as performed at New York Urology Specialists with significant improvement of urine flow.

Types of Prostate Enucleation Procedures that We Perform:

Holmium Laser Prostate Enucleation (HoLEP)

Greenlight Laser Prostate Enucleation (HoLEP)

Thulium laser enucleation of the prostate (ThuLEP)

Insurance Coverage for Laser Prostate Enucleation procedure

At New York Urology Specialists, we work with many insurances to get patient pre-qualified for surgery. All insurances cover prostate enucleation:

  • Medicare coverage for Prostate Enucleation
  • Prostate Enucleation for BPH coverage by Cigna
  • AETNA Coverage for Prostate Enucleation Surgery
  • United Healthcare Laser Prostate Enucleation Coverage
  • Oxford Health Plan HoLEP, THuLEP, and Laser Enucleation Coverage
  • 1199 Insurance Coverage for Prostate Enucleation surgery for Enlarged Prostate
  • Empire Blue Cross Prostate Enucleation Coverage
  • CIGNA Coverage for BPH Treatment with Prostate Enucleation

New York Urology Specialists works with many insurance companies nationwide to obtain insurance coverage for patients who desire the Urolift Procedure for BPH.  

We offer personalized treatment options for BPH for men with symptoms of an enlarged prostate.

Did you know? Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP.  He performs over 100 prostate procedures a year.

Cost of Enlarged Prostate Treatment without Insurance

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Rezum procedure.  The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.

At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Urolift procedure.  The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. 

Cost of Treatment and Insurance

Inexpensive Urologist Visit CostAt New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

We accept many health insurance plans.  We would be happy to verify your eligibility and benefits and to provide you with detailed information on your health plan’s coverage.  Financing options and credit options are available to help you pay for medical care.

Read Real Stories of Men who Underwent Treatment of Enlarged Prostate (BPH) at New York Urology Specialists

We offer treatment for prostate problems, including slow urine stream, frequent urination at night, difficulty emptying the bladder, and other problems to patients within driving distance to our offices as well as from other states and countries.  Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.

Why Choose New York Urology Specialists for Treatment of Enlarged Prostate Problems?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence, and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
  • We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems caused by an enlarged prostate in men.
  • We offer treatment options for enlarged prostate, overactive bladder, UTI, and urinary incontinence in our office, which avoids the risks, costs, and recovery from general anesthesia.  
  • Extensive experience: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

What do Prostate Problems Look Like?

You can find images of uroflow as well as before and after treatment images in our image gallery.

Scheduling Appointments for Enlarged Prostate Treatment at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office. 

We offer affordable appointment prices with or without insurance.  We offer weekday, weekend, and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist and specialist in the treatment of urinary problems in men.  He is one of the few urologists who offers a full range of treatment options for BPH (enlarged prostate).  He specializes in all aspects of care for men with an enlarged prostate and urinary problems, including frequent urination at night, difficulty emptying the bladder, urinary urgency, and incontinence.  He has successfully treated thousands of men with urinary problems, including urinary retention, painful urination, and frequent urination.


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Urinary Problems Are Treatable in Nearly Every Man and Woman

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At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of urinary problems caused by enlarged prostate and BPH in men.  We understand the challenges that urinary problems such as a slow stream, waking up at night, pain in the penis and perineum create for our patients, their relationships, and their self-esteem.  We help you find a treatment for your urinary problems that fit your needs, lifestyle, and your preferences.

Urologists are doctors specializing in the treatment of men with symptoms caused by prostate enlargement, including frequent urination, poor urine flow, frequent UTI, blood in urine, urinary incontinence, urinary problems caused by an enlarged prostate, prior surgery, neuropathy, chemotherapy, and radiation. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man and woman who desire an effective treatment for their urinary problems.  We offer medical and surgical treatment for men’s prostate problems.

We specialize in minimally invasive, highly effective treatment for symptoms of bladder pain, urethral burning, pelvic discomfort, incomplete bladder emptying, urinary frequency, and urgency.

We Treat Some of the Most Complex Men’s Health Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in the evaluation and treatment of urinary problems in men using modern, effective and proven treatment methods, including Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation for enlarged prostate, and Urolift procedure.  

He has successfully treated hundreds of men with BPH with symptoms of frequent urination during the day and excessive urination at night.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office. 

We offer affordable appointment prices with or without insurance. 

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