SpecialtiesBenign prostatic hyperplasia
Enlarged prostate: from medication to endoscopic surgery
Resection, vapour therapy and enucleation, chosen by prostate size and symptoms.
Consultant Urologist, Andrology & Male Infertility
The prostate grows with age in many men and can press on the urethra, causing bothersome urinary symptoms. Benign enlargement is not cancer, but it needs an assessment to choose the right treatment.
Several endoscopic techniques are available today without open surgery. The choice depends on prostate size, how severe the symptoms are, the patient’s health and his priorities.
First step
How is it assessed?
- 1Examination and urine testWith a symptom score
- 2Ultrasound and residual urineTo measure prostate size and its effect on the bladder
- 3Flow test and PSAWhen appropriate for age and situation
After the diagnosis
Treatment options
Monitoring and medication
For mild to moderate symptoms
Transurethral resection (TURP)
Removing the enlarged tissue endoscopically to open the channel
Water vapour therapy (Rezūm)
A minimally invasive option for selected sizes and cases
Endoscopic enucleation (AEEP)
Removing the whole enlarged part; suitable for large prostates without open surgery
Each technique has strengths and limits. The doctor will discuss the best fit for your results and priorities.
Videos
The doctor explains it himself
Frequently asked questions
Questions about Enlarged prostate (BPH)
Need an assessment?
Choose a clinic and call its booking line. The website never asks about your condition
Choose a clinicDoes an enlarged prostate mean cancer?
No. Benign enlargement is a different condition, although the assessment may include tests to rule out other causes depending on age.
Do I need open surgery for a large prostate?
Often not. Endoscopic enucleation can remove a large prostate without opening the abdomen.
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This information is educational and does not replace a medical consultation. In an emergency go to the nearest emergency department
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