Concierge urology · United Kingdom
GreenLight laser prostatectomy, day-case treatment for an enlarged prostate.
Photoselective vaporisation of the prostate (PVP) with the 180W GreenLight XPS laser — by a consultant urologist, in a licensed theatre, with warfarin and DOACs usually kept running.
Why patients choose us
- 01
A consultant urologist, in theatre
A named urologist trained on the 180W XPS laser, a licensed day-case theatre, and the anaesthetic that suits you.
- 02
The full BPH menu, not just one option
HoLEP, TURP, Rezum, UroLift, Aquablation and simple prostatectomy are all discussed. GreenLight is recommended only when it genuinely fits.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What a private GreenLight PVP costs in the UK.
Indicative ranges across our partner clinics. Send the details — prostate size and medications — and we quote firm figures across two or three options.
In short
A GreenLight PVP in our network: £6,000–£10,000, home the next day.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| GreenLight PVP (prostate 30–60 mL) | £6,000–£8,000 | 30–60 min | 1 night |
| GreenLight PVP (prostate 60–100 mL) | £7,500–£10,000 | 60–90 min | 1 night |
| GreenLight PVP on anticoagulation | £7,000–£10,000 | 45–90 min | 1 night |
| Flexible cystoscopy (pre-op) | £450–£850 | 15 min LA | Same visit |
| Urodynamics (if indicated) | £600–£1,200 | 45 min | Same visit |
| Urology consultation only | £250–£450 | 30 min | Same visit |
Prices vary by clinic, by prostate volume, by which urologist does the case, and by anaesthetic type. We come back with a firm quote within one working day.
The problem
The right BPH procedure, not just the one the clinic offers.
GreenLight, HoLEP, TURP, Rezum, UroLift, Aquablation, TIND and simple prostatectomy are all valid — for different prostates. We match the operation to your gland size, medications and priorities before you commit.
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On warfarin or a DOAC?
GreenLight is usually the safer laser option — bleeding risk is much lower than TURP.
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Very large prostate?
Over 100 mL usually points to HoLEP, Aquablation or a simple prostatectomy rather than GreenLight.
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Want to preserve ejaculation?
Rezum or UroLift are worth discussing — 60–80% of PVP patients get retrograde ejaculation.
The journey
From enquiry to recovery — what happens, in order.
One clinician from first message to review — including the catheter-out check and the six-week flow-rate follow-up.
Phase 1 · Before your procedure
Concierge, off-stage for you
Phase 2 · On the day
Half a day at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. IPSS score, medication history, flow rate if known, and whether a catheter is in.
- 02
Before
We come back with a recommendation
Within one working day: the right BPH procedure for your prostate size and health, the right anaesthetic, an indicative price.
- 03
Before
We arrange the appointment
Usually within one to two weeks. Warfarin and DOACs can often be continued for GreenLight — reviewed with the team, never stopped without advice.
- 04
On the day
Arrival at the clinic
Arrival, consent and a chat with the urologist and anaesthetist. Spinal, sedation or GA — whichever was chosen.
- 05
On the day
The procedure itself
30 to 90 minutes in a licensed theatre. 180W KTP laser vaporisation of the adenoma to the prostatic capsule under saline irrigation.
- 06
On the day
Overnight, or home the same day
A urinary catheter stays in for 24 hours in most cases. Small resections may go home same day; most stay one night.
- 07
After
Recovery and review
Dysuria and urgency settle over 2–4 weeks. Flow improves quickly. A urology review at 6–12 weeks confirms IPSS and Qmax gains.
Typical end-to-end: 2–3 weeks from enquiry to procedure. Symptom settling: 2–4 weeks.
When it helps
When GreenLight PVP is the right step.
The situations we see most, plus the one red flag that means an emergency rather than an appointment.
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Moderate–severe LUTS
IPSS score in the moderate or severe range with weak stream, hesitancy, nocturia and incomplete emptying.
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Failed medical therapy
Symptoms persist despite an α-blocker, a 5-ARI, or combination treatment tried for a fair trial.
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Acute urinary retention
A first or recurrent episode of retention, especially after a failed trial without catheter.
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Recurrent UTI or bladder stone
Obstruction driving repeated infections, haematuria, or a stone from incomplete bladder emptying.
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Anticoagulated patient
On warfarin or a DOAC where TURP carries higher bleeding risk — GreenLight is the safer laser option.
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Patient preference over TURP
Shorter catheter time, less bleeding, and quicker discharge than a traditional TURP.
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Obstructive uropathy
Rising creatinine or hydronephrosis on scan driven by chronic bladder outlet obstruction.
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Red flag: painful retention with fever
Retention with fever, loin pain or confusion is a urological emergency — same-day A&E, not a clinic booking.
Procedure options
GreenLight is one of eight routes.
What each BPH option actually involves — and which prostate, and which patient, it suits.
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GreenLight PVP (XPS 180W)
The 532nm KTP/LBO laser vaporises the adenoma to the capsule under saline irrigation. Good for glands 30–100 mL.
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HoLEP (holmium enucleation)
Enucleates the whole adenoma. Excellent for very large glands (>80–100 mL) and best long-term durability, steeper learning curve.
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TURP (transurethral resection)
The historical gold standard. Comparable long-term outcomes but more bleeding and longer catheter time than GreenLight.
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Rezum (water vapour therapy)
Steam injections shrink the prostate. Short procedure, preserves ejaculation, best for smaller glands and younger men.
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UroLift (prostatic urethral lift)
Implants hold the lobes apart. No tissue removal, quick recovery, preserves ejaculation — for suitable anatomy only.
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Aquablation (Procept)
Robotic waterjet resection under ultrasound guidance. Fast for large glands, ejaculatory preservation, newer to the UK.
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TIND (temporary implantable device)
A short-term nitinol device reshapes the bladder neck. Minimally invasive, an option where surgery is unattractive.
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Open or robotic simple prostatectomy
For very large glands (typically >150 mL) where endoscopic options are less practical.
Our vetted UK network
A small panel of urologists, we picked them.
Consultant urologists across London and major UK cities. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every urologist in our network.
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Consultant urologists trained and case-experienced on the 180W GreenLight XPS system
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Full range of BPH treatments offered — no single-procedure clinics
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Anticoagulation-friendly pathway with cardiology liaison where needed
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Licensed day-case theatre with overnight urology cover for the first night
Safety and recovery
What to expect afterwards — honestly.
GreenLight PVP is a well-established, day-case procedure with a good safety profile — including in men on blood thinners. The trade-offs worth planning are the catheter overnight, a few weeks of dysuria and urgency, and retrograde ejaculation.
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Warfarin and DOACs can often continue
GreenLight is the go-to laser option for men on blood thinners — a key advantage over TURP for cardiac patients. Never stop your medication without the team saying so.
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Dysuria and urgency for 2–4 weeks
20–30% of men get burning and 10–20% urgency for a few weeks as the vaporised surface heals. It settles — plenty of fluids and simple analgesia help.
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Retrograde ejaculation is common
60–80% of men will ejaculate backwards into the bladder afterwards. It is harmless, but for younger men considering fertility this needs to be discussed before you commit.
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Erectile function is usually preserved
New erectile dysfunction after PVP is uncommon (<5%) and mostly reflects age. Existing ED will not be improved by the operation.
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Transient stress incontinence
5–10% of men get some short-lived leakage that settles over weeks. Persistent incontinence is rare.
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Catheter for around 24 hours
Most men have the catheter removed the morning after surgery once the urine is clear. Some centres discharge same day with catheter out.
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UTI and minor bleeding
UTI in 5–10%, minor bleeding needing bladder irrigation in 5–10% — much less than TURP. Heavy bleeding is uncommon.
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Late stricture or bladder-neck contracture
Urethral stricture or bladder-neck narrowing in 2–5% of cases, usually treatable endoscopically if it happens.
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Red flags after discharge
Fever, heavy fresh bleeding with clots, inability to pass urine after the catheter comes out, or spreading loin pain are all reasons to call the team or attend A&E the same day.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever settings were used, the note the urologist sends you keeps to the same shape.
A quiet reminder
Surgical language is precise and can read coldly — we translate it for you.
If you would like us to talk you through the note before your review, just ask.
- 01 Header
Indication and prostate size
Why GreenLight was chosen — IPSS, prostate volume in millilitres, catheter status, and any failed medical therapy.
- 02 Technique
Laser settings and energy delivered
The 180W XPS laser fibre used, total energy in kilojoules, saline irrigation, and how the adenoma was vaporised to the capsule.
- 03 Findings
Bladder, prostatic fossa and any issues
Notes on the bladder, any stones, the shape of the prostatic fossa after vaporisation, and any incidental findings.
- 04 Impression
Catheter plan, recovery and review
Read this first: when the catheter comes out, expected recovery of flow and symptoms, and the timing of the IPSS/Qmax review.
Recognised by major UK insurers
GreenLight PVP is generally covered by major UK insurers when medically indicated for symptomatic BPH. We confirm cover with your insurer before booking.
Frequently asked
Everything we get asked about GreenLight PVP.
Quick answers on cost, alternatives, catheter time, sexual side effects, and time off work.
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What is a GreenLight laser prostatectomy?
It is a day-case operation for benign prostate enlargement. A 180W green (532nm) KTP laser is passed down the urethra and vaporises the obstructing prostate tissue back to the capsule under saline irrigation. Also called photoselective vaporisation of the prostate — PVP.
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How does GreenLight compare with TURP?
The GOLIATH trial showed comparable improvements in IPSS symptom scores and Qmax flow rates at 12 months. GreenLight has less bleeding, a shorter catheter time and a shorter hospital stay. Re-treatment rates at five years are similar.
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How does it compare with HoLEP?
HoLEP enucleates the whole adenoma and is the strongest option for very large prostates (over 80–100 mL) and long-term durability. GreenLight is quicker to learn, well suited to smaller-to-moderate glands, and the safer choice for men who cannot stop blood thinners.
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Can I keep taking my warfarin or DOAC?
In most cases yes — that is one of the main reasons cardiologists refer men for GreenLight rather than TURP. The team confirms this individually and liaises with your cardiologist where needed. Never stop anticoagulation on your own.
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How much does GreenLight PVP cost privately in the UK?
Roughly £6,000–£8,000 for a prostate of 30–60 mL and £7,500–£10,000 for 60–100 mL, inclusive of theatre, laser fibre, anaesthetist and one night’s stay. We confirm a firm figure across two or three clinics within one working day.
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How long is the catheter in for?
In most patients the catheter is removed the morning after surgery, so around 24 hours. Small resections may be discharged the same day with the catheter already out.
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What are the side effects on sex?
The main long-term change is retrograde ejaculation — 60–80% of men will ejaculate backwards into the bladder. It is harmless, but should be discussed if fertility matters. New erectile dysfunction is uncommon (<5%).
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How much time off work do I need?
Most men take one to two weeks off. Office work is fine within a week; heavy lifting, cycling and the gym wait two weeks. Driving can usually resume within 24–48 hours once comfortable.
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