For many men, turning 50 is a milestone marked by professional stability, deeper relationships, and a stronger sense of self. Yet for millions, it also brings an unwelcome visitor: benign prostatic hyperplasia (BPH), or enlarged prostate. It’s a condition that creeps in quietly but disrupts life in very real ways from restless nights and frequent urination to weakened urine stream and even loss of confidence in social settings.
In years past, men often tolerated these symptoms far longer than they should have, either out of fear of surgery or lack of awareness about modern treatment options. But that’s changing. Today, more men in their 50s are taking control of their prostate health and they’re choosing a procedure called HOLEP.
Let’s explore why HOLEP (Holmium Laser Enucleation of the Prostate) is becoming the go-to treatment for BPH among men in their midlife years, and why continuing to “live with it” is no longer the only or best option.

The Reality of Living with BPH in Your 50s
By the age of 50, around 50% of men show signs of BPH. This percentage rises with age, but for many, the symptoms begin subtly:
- Waking up several times a night to urinate
- Feeling like your bladder isn’t fully empty
- A slow or intermittent urine stream
- Sudden, urgent need to go even when out in public or at work
These aren’t just mild inconveniences. They affect sleep quality, concentration, work productivity, and even intimacy. Over time, chronic sleep loss and stress from managing symptoms can snowball into anxiety or depression.
Many men delay treatment because they fear invasive surgery, catheter use, or sexual side effects. But modern medicine has made tremendous strides. Among the safest and most effective innovations is HOLEP, which is quickly gaining popularity across the U.S., U.K., and countries like Turkey where medical tourism is booming.
What Is HOLEP?
HOLEP (Holmium Laser Enucleation of the Prostate) is a minimally invasive laser surgery used to treat BPH. The procedure involves using a laser to remove the excess prostate tissue that blocks urine flow. This tissue is then flushed out through the bladder.
Unlike traditional prostate surgeries like TURP (Transurethral Resection of the Prostate), HOLEP removes the entire obstructive part of the prostate, providing a more lasting and complete solution. And because it’s performed using laser technology, the risk of bleeding, long hospital stays, and complications is significantly lower.
Why HOLEP Is the Smart Choice for Men in Their 50s
1. It’s Minimally Invasive, Yet Highly Effective
For men in their 50s who often still lead very active personal and professional lives, minimally invasive solutions are ideal. HOLEP doesn’t require open surgery, and most patients can go home within 24 hours.
Unlike medications that only manage symptoms or procedures like TURP that might need repeating, HOLEP often resolves BPH symptoms for life.
2. Short Recovery Time Means You’re Back on Your Feet Quickly
Nobody in midlife wants to spend weeks recovering from surgery. With HOLEP, most men return to normal activities within 1 to 2 weeks. There’s minimal downtime, which means you don’t have to rearrange your entire life or take extended time off work.
3. Lower Risk of Reoperation
One of the biggest frustrations with older treatments like TURP or medication is the possibility of symptom recurrence. Studies show that HOLEP has one of the lowest reoperation rates among BPH surgeries. That’s a major advantage for men looking for a one-time solution.
4. Suitable for All Prostate Sizes
Another key benefit? HOLEP can be performed regardless of prostate size. Many alternative treatments lose efficacy with larger glands, but HOLEP is equally effective whether the prostate is moderately or significantly enlarged.
5. Minimal Bleeding and No Incisions
The laser used in HOLEP is precise and cauterizes as it cuts, drastically reducing bleeding during and after the procedure. This is particularly important for patients taking blood thinners or with other health concerns that may complicate traditional surgery.
6. Preservation of Sexual Function
Understandably, many men worry about how prostate surgery might affect their sexual health. While any prostate procedure carries some risk, HOLEP has a relatively low rate of long-term sexual side effects. Most men report preserved erectile function and, in many cases, improved urinary control can enhance confidence in intimacy.
HOLEP vs. Other BPH Treatments
Treatment Option | Invasiveness | Hospital Stay | Long-Term Success | Reoperation Risk |
Medications | None | None | Low–Moderate | High |
TURP | Moderate | 2–3 days | Moderate | Moderate |
UroLift | Low | Outpatient | Moderate | Moderate–High |
HOLEP | Low | 1 day or less | High | Low |
Confidence, Control, and Freedom
Midlife is a time when men often reassess their health, energy levels, and lifestyle. Many want to travel, perform better at work, enjoy intimacy, and maintain their sense of independence. Chronic bathroom trips or planning life around restroom locations can rob men of this confidence.
Choosing HOLEP isn’t just a medical decision it’s a quality-of-life decision. The ability to sleep through the night, attend meetings without interruption, and enjoy travel or hobbies without worry can have a profound emotional impact.
For many men in their 50s, it’s not about just solving a problem, it’s about reclaiming life.
HOLEP in Turkey

Thanks to its advanced medical infrastructure, internationally accredited hospitals, and highly experienced urologists, Turkey has become one of the most popular destinations for HOLEP surgery especially for patients from the U.K., Europe, and the U.S.
Hospitals like Erdem Hospital in Istanbul offer:
- Personalized consultations with English-speaking specialists
- Affordable treatment without compromising on quality
- State-of-the-art laser technology
- Short waiting times and coordinated care for international patients
If you’re considering HOLEP abroad, Turkey provides an efficient and comfortable option with many patients flying home just a few days after surgery.
You Don’t Have to Live with BPH Anymore
There was a time when men were told BPH was just part of getting older that they had to endure disrupted sleep, frequent urination, and embarrassment as the norm. But that time is over.
With modern treatments like HOLEP, you can take back control of your health and your daily life. Whether you’re navigating a busy career, enjoying retirement, or just want to stop planning your day around bathroom breaks, the right treatment can be transformative.
Don’t wait until symptoms become unbearable. If you’re in your 50s and dealing with BPH, HOLEP offers a smart, lasting, and life-improving solution.