Can an enlarged prostate (BPH) be treated without surgery?

Yes. Many men with an enlarged prostate (BPH) can be treated without surgery, especially when symptoms are mild to moderate. Treatment may include lifestyle changes, medications, and regular monitoring. However, if symptoms become severe or complications develop, your urologist may recommend surgery or a minimally invasive procedure.

Not every man with an enlarged prostate requires surgery. The best treatment depends on several factors, including:

• The severity of urinary symptoms.
• The size of the prostate.
• Your age and overall health.
• Whether complications such as urinary retention, bladder stones, or kidney problems are present.

Lifestyle Changes

For men with mild symptoms, simple lifestyle modifications may help improve urinary function.

These may include:

• Reducing fluid intake before bedtime.
• Limiting caffeine and alcohol.
• Maintaining a healthy weight.
• Staying physically active.
• Emptying the bladder completely whenever possible.

Your doctor will advise which lifestyle changes are most appropriate for you.

Medications

Many patients experience symptom relief with medications prescribed by a urologist.

Depending on your condition, medicines may help:

• Relax the muscles around the prostate and bladder neck to improve urine flow.
• Reduce the size of the prostate over time in selected patients.
• Improve urinary symptoms and quality of life.

Medication should only be taken under medical supervision.

When is surgery needed?

Surgery or minimally invasive treatment may be recommended if:

• Medications do not provide adequate relief.
• You develop urinary retention.
• There are recurrent urinary tract infections.
• Bladder stones develop.
• Kidney function is affected.
• Symptoms significantly interfere with daily life.

Modern procedures such as Laser Prostate Surgery (HoLEP/ThuLEP) and TURP offer effective treatment for many patients.

Which treatment is best?

There is no single treatment that is best for everyone. After evaluating your symptoms, prostate size, and overall health, your urologist will recommend the most suitable option for your condition.

SCI International Hospital / Dr. Gautam Banga

At SCI International Hospital, New Delhi, Dr. Gautam Banga, Senior Consultant Urologist and Andrologist, provides personalized treatment for men with enlarged prostate (BPH). Depending on the severity of symptoms, he offers lifestyle guidance, medical management, and advanced minimally invasive procedures such as Laser Prostate Surgery (HoLEP/ThuLEP) and TURP to help restore normal urinary function and improve quality of life.