Which is the best treatment for an enlarged prostate (BPH)?

The best treatment for an enlarged prostate (BPH) depends on the severity of your symptoms, prostate size, age, overall health, and the presence of complications. While some men benefit from lifestyle changes or medications, others may require advanced procedures such as Laser Prostate Surgery (HoLEP/ThuLEP) or Transurethral Resection of the Prostate (TURP) for long-term symptom relief.

There is no single treatment that is best for every patient. The ideal treatment is determined after a detailed evaluation by a urologist.

Mild Symptoms

If your symptoms are mild and do not significantly affect your daily life, your doctor may recommend:

• Lifestyle modifications.
• Regular follow-up.
• Monitoring your symptoms.

Moderate Symptoms

For men with moderate urinary symptoms, medications may help improve urine flow and reduce discomfort.

Your urologist will prescribe medicines based on your prostate size, symptoms, and overall health.

Severe Symptoms or Complications

If medications no longer provide relief or complications develop, surgery may be the most effective treatment.

Common indications include:

• Urinary retention.
• Recurrent urinary tract infections.
• Bladder stones.
• Kidney problems caused by urinary obstruction.
• Poor quality of life due to severe urinary symptoms.

What are the surgical options?

Modern treatment options include:

• Laser Prostate Surgery (HoLEP/ThuLEP) – Minimally invasive procedures that remove obstructing prostate tissue with excellent long-term outcomes.
• Transurethral Resection of the Prostate (TURP) – A well-established surgical procedure that remains an effective treatment for many patients.

Your urologist will recommend the most suitable procedure after evaluating your condition.

How do I know which treatment is right for me?

The choice depends on several factors, including:

• Your urinary symptoms.
• Prostate size.
• Results of diagnostic tests.
• Overall health.
• Personal treatment goals.

A personalized treatment plan generally provides the best long-term results.

SCI International Hospital / Dr. Gautam Banga

At SCI International Hospital, New Delhi, Dr. Gautam Banga, Senior Consultant Urologist and Andrologist, provides individualized treatment for enlarged prostate (BPH). After a comprehensive evaluation, he recommends the most appropriate option—whether lifestyle management, medications, Laser Prostate Surgery (HoLEP/ThuLEP), or TURP—to relieve urinary symptoms, improve bladder function, and enhance long-term quality of life.