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Last Updated on November 25, 2025 by Ugurkan Demir
It’s important for men to know about BPH treatment options. Some can manage symptoms with lifestyle changes. But others might need more serious treatments.
We will look at different BPH treatments. This includes surgical options and other approaches.
Considering BPH surgery options? Explore 7 key procedures for enlarged prostate treatment and find the right surgical choice for you.
Benign Prostatic Hyperplasia, or BPH, is when the prostate gland gets bigger. It’s common in older men and can cause urinary problems. These problems can really affect how well you live.
We don’t know all about why BPH happens, but hormones play a big part. As men get older, the chance of getting BPH goes up.
Signs of BPH include trouble starting to pee, a weak pee stream, needing to pee a lot, and feeling like you can’t empty your bladder. These signs can be mild or very serious, depending on the person.
Knowing about BPH means understanding its causes, signs, and how to treat it. Even though it’s not cancer, it can really change a man’s life if not treated right.
There are many ways to treat BPH, like watching it closely, making lifestyle changes, taking medicine, or surgery. What treatment you get depends on how bad your symptoms are and how they affect your daily life.
Managing Benign Prostatic Hyperplasia (BPH) often starts with non-surgical treatments. But sometimes, surgery is needed. It’s important to know when to move to more serious treatments.
For BPH, doctors first try medications and lifestyle changes. Alpha-blockers and 5-alpha-reductase inhibitors help with symptoms. Eating right and staying active also help manage symptoms.
It’s key for patients to talk with their doctor about the best treatment. Regular check-ups help see if these treatments work well.
Some signs show surgery might be needed. These include:
If these signs are there, surgery might be the best choice to help you feel better.
Before surgery, a detailed check-up is done. This helps pick the right surgery for you. The check-up includes:
| Evaluation Component | Description |
| Medical History | A deep look at your medical history to see how it might affect surgery or recovery. |
| Physical Examination | A detailed physical check to see how you’re doing overall and spot any problems. |
| Diagnostic Tests | Tests like uroflowmetry and post-void residual measurement to check how your prostate and urine flow are doing. |
We use what we learn in the check-up to make sure the surgery fits your needs. This way, we aim for the best results for you.
There are many surgical options for treating Benign Prostatic Hyperplasia (BPH). Each option has its own benefits and risks. The right surgery depends on how bad your symptoms are and your overall health.
TURP is a common and effective surgery for BPH. It removes the prostate tissue that blocks urine flow. But, it might not be right for everyone because of possible complications.
Laser surgery is a less invasive option compared to TURP. Techniques like Holmium Laser Enucleation of the Prostate (HoLEP) are precise and have fewer risks. This method is good for patients with certain health issues.
For severe cases, open prostatectomy might be needed. This surgery removes the enlarged part of the prostate. It’s more invasive but can help those with serious BPH symptoms.
Choosing the right surgery depends on your specific needs and health. A healthcare professional can help find the best treatment for you.
TURP is a key surgery for BPH, helping men feel better. It removes prostate tissue that blocks urine flow. This is done with a special tool that goes through the urethra, without making big cuts.
TURP is the top choice for treating BPH in men with bad symptoms. It works best for smaller to moderate-sized prostates. The surgery is done under anesthesia to keep the patient comfortable.
A urologist uses a resectoscope to reach the prostate through the urethra. This tool has a wire loop that cuts away extra tissue. The cut tissue is then flushed out.
Men with bad BPH symptoms who haven’t gotten better with other treatments are good candidates. The choice to have TURP depends on prostate size, symptom severity, and health.
TURP can greatly improve urine flow and reduce symptoms. But, like any surgery, it can have side effects.
Talking to a urologist about these risks and benefits is important.
Recovery from TURP is usually short, with some staying in the hospital or going home the same day. In the first weeks, you might feel some pain and need to pee a lot.
| Recovery Stage | Timeline | Expected Symptoms |
| Immediate Post-Surgery | 1-3 days | Urinary catheter in place, discomfort |
| Early Recovery | 1-2 weeks | Frequent urination, urgency |
| Late Recovery | 2-6 weeks | Gradual improvement in urinary flow, reduced frequency |
Most men can get back to normal in a few weeks. Full recovery usually takes 6-8 weeks.
TUIP is a procedure that treats an enlarged prostate with less harm. It makes small cuts in the prostate to help urine flow better. This method is less invasive than others.
TUIP is different from TURP because it doesn’t remove prostate tissue. Instead, it makes cuts to widen the urethra. This approach has its own benefits and results for patients.
Key differences include:
TUIP is best for men with smaller prostates and those at risk for big surgery complications. It’s for those with big BPH symptoms but not too big a prostate.
| Candidate Characteristics | Benefits of TUIP |
| Smaller prostate size | Effective relief from BPH symptoms |
| Higher surgical risk | Minimally invasive with fewer complications |
| Desire to preserve sexual function | Lower risk of sexual dysfunction post-surgery |
TUIP helps keep sexual function intact. It removes less tissue and avoids big cuts. This lowers the chance of problems like erectile dysfunction.
Men after TUIP recover quickly, often faster than other BPH surgeries. They see big improvements in their urine flow and symptoms soon after.
Recovery Highlights:
In conclusion, TUIP is a good choice for BPH treatment. It’s less invasive and has a quicker recovery. Knowing who’s a good fit for TUIP helps both patients and doctors make better choices.
BPH treatment has moved towards laser therapy, with HoLEP and GreenLight PVP leading the way. These methods offer quicker recovery times and fewer complications. Laser therapy has changed BPH treatment by removing tissue effectively with little bleeding and shorter stays in the hospital.
HoLEP is a top laser surgery for BPH. It uses a holmium laser to remove the prostate gland. This is great for men with bigger prostates.
Studies show HoLEP works as well as traditional TURP but with fewer complications.
GreenLight PVP uses a strong laser to vaporize prostate tissue. It gives quick relief from BPH symptoms.
HoLEP and GreenLight PVP are big steps forward in BPH treatment. They offer effective, less invasive options with fewer side effects than old surgical methods.
Minimally invasive treatments for Benign Prostatic Hyperplasia (BPH) have changed how we treat enlarged prostate. These new methods help men recover faster and keep their sexual function. They are great for those looking to ease BPH symptoms.
The UroLift system is a new way to treat BPH. It uses small devices to lift the prostate tissue. This improves urine flow and offers quick relief from symptoms.
Benefits of UroLift: It’s a quick procedure done under local anesthesia. Men can get back to normal activities fast. Most see big improvements in their symptoms.
Rezum Water Vapor Therapy uses water vapor to shrink the prostate. It does this through injections given through a cystoscope.
How Rezum Works: The water vapor breaks down the prostate tissue. This makes the prostate smaller over time. It helps improve urine flow and eases BPH symptoms.
Both UroLift and Rezum are good options for BPH treatment. They are less invasive than old surgical methods. The right choice depends on the prostate size and symptom severity.
| Treatment | Procedure Time | Recovery Time | Impact on Sexual Function |
| UroLift | Under 1 hour | Less than 1 week | Minimal impact |
| Rezum | About 15-20 minutes per injection | 1-2 weeks | Temporary effects, generally resolving |
These new treatments are big steps forward in urology. They improve life quality for men with BPH. Knowing about these options helps patients choose the best care for themselves.
Men with severe Benign Prostatic Hyperplasia (BPH) often look into open and robotic prostatectomy. These surgeries are for complex cases where other treatments fail.
Open prostatectomy is best for very large prostates or those with complicating factors. This traditional surgery removes the enlarged prostate through an incision in the lower abdomen.
Key indications for open prostatectomy include:
It’s important to know the difference between simple and radical prostatectomy. Simple prostatectomy removes the inner prostate that blocks urine flow. Radical prostatectomy, for prostate cancer, removes the whole prostate and surrounding tissues.
The choice between these procedures depends on the underlying condition and the patient’s overall health.
Robotic-assisted prostatectomy is a minimally invasive option. It uses advanced robotic technology for precise surgery. This can lead to less pain, quicker recovery, and fewer complications.
Benefits of robotic-assisted prostatectomy include:
Recovery from open and robotic prostatectomy varies. It depends on the patient’s health and the surgery’s complexity. Most patients see a big improvement in BPH symptoms after surgery.
Postoperative care typically involves:
Understanding open and robotic prostatectomy helps patients with severe BPH make better choices. This can lead to a better quality of life.
Managing Benign Prostatic Hyperplasia (BPH) involves looking at different surgical options. TURP and laser therapies can help ease symptoms. It’s key to talk to a healthcare provider to find the right treatment.
Knowing the treatments available and thinking about your health and prostate size helps. This way, you can make a well-informed choice about your care.
BPH, or Benign Prostatic Hyperplasia, is when the prostate gland gets bigger. This can cause trouble with urination and discomfort. It’s a common issue for men as they get older.
Symptoms of BPH include weak or interrupted urine flow. You might also find yourself needing to urinate more often. Difficulty starting or stopping urination is another symptom.
There are several ways to treat BPH. Medications can help relax the prostate and bladder neck. Surgery, like removing or reducing the prostate, is another option. Lifestyle changes can also help manage symptoms.
TURP, or Transurethral Resection of the Prostate, is a surgery. It removes part of the prostate gland to help with urination. It’s a common treatment for BPH.
TURP removes a bigger part of the prostate gland. TUIP, or Transurethral Incision of the Prostate, makes small incisions. TUIP is better for men with smaller prostates.
Laser therapy, like Holmium Laser Enucleation of the Prostate (HoLEP), is a less invasive option. It can remove prostate tissue effectively. This reduces the risk of complications.
Recovery time varies based on the surgery and individual factors. Generally, it takes a few weeks to recover.
Some BPH treatments, like TURP, can impact sexual function. Talk to your doctor about your concerns. They can help you understand the risks and benefits.
In some cases, lifestyle changes and medications can manage BPH symptoms. But, surgery might be needed if symptoms don’t improve or get worse.
National Center for Biotechnology Information. (2025). BPH Surgery Options 7 Key Procedures for Enlarged. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584630/
