In Collaboration with Pueblo Medical Group
Hospital-based physician • Board-certified • Personalized care
Compare Enlarged Prostate Treatment Options
Choosing a treatment for enlarged prostate symptoms can feel overwhelming.
Many men are told about one option at a time — medication, UroLift®, Rezūm™, prostate artery embolization, TURP, HoLEP, Aquablation®, or surgery without seeing how these treatments compare side by side.
This guide is designed to help you understand the major treatment pathways in one place.
There is no single “best” treatment for every patient. The right option depends on your prostate size, urinary symptoms, anatomy, medical history, recovery goals, and how much you want to avoid surgery, anesthesia, or sexual side effects.
What matters most to you?
Use the sections below to explore treatment options based on your priorities.
Still unsure where to start? That is normal. The goal of this page is to help you understand the options clearly before making a decision.
PRESERVE EJACULATION
Preserving sexual function and avoiding retrograde ejaculation are important considerations for many patients comparing enlarged prostate treatment options.
→ Explore PAE
→ Explore UroLift®
→ Explore Rezūm™
→ Explore Aquablation®
AVOID SURGERY
Many patients exploring enlarged prostate treatment options hope to improve urinary symptoms while avoiding traditional surgery and longer surgical recovery.
Minimally invasive and image-guided therapies may provide effective symptom relief for selected patients depending on prostate size, anatomy, and treatment goals.
→ Explore Medications
→ Explore PAE
→ Explore UroLift®
→ Explore Rezūm™
AVOID GENERAL ANESTHESIA
Some patients prioritize treatment options with lower anesthesia requirements due to recovery preferences, medical conditions, or a desire to avoid traditional surgical procedures.
Minimally invasive and outpatient therapies may provide effective symptom relief while reducing anesthesia exposure for appropriately selected patients.
→ Explore PAE
→ Explore UroLift®
→ Explore Rezūm™
→ Explore Conservative Management
VERY LARGE PROSTATE
Patients with larger prostates often require therapies capable of addressing more significant enlargement and urinary obstruction.
Treatment selection may depend on prostate size, anatomy, symptom severity, urinary retention, and overall treatment goals. Both minimally invasive and surgical approaches may be considered depending on the individual patient.
→ Explore PAE
→ Explore HoLEP®
→ Explore Aquablation®
→ Explore Simple Prostatectomy
LONG-TERM DURABILITY
Some patients prioritize the strongest possible long-term symptom improvement when comparing enlarged prostate treatment options.
Surgical therapies may offer durable relief for selected patients, especially when significant tissue removal is needed. The best choice depends on prostate size, anatomy, symptom severity, recovery goals, and tolerance for anesthesia or sexual side effects.
→ Explore HoLEP®
→ Explore TURP
→ Explore Aquablation®
→ Explore Simple Prostatectomy
OFFICE-BASED TREATMENT
Some patients prefer treatment options that can be performed in an outpatient or office-based setting with shorter recovery and lower anesthesia requirements.
These therapies may provide symptom relief while minimizing downtime and avoiding hospitalization for appropriately selected patients.
→ Explore UroLift®
→ Explore Rezūm™
→ Explore Conservative Management
MEDICATIONS & CONSERVATIVE MANAGEMENT
For many patients, medications and lifestyle modifications are the first step in managing enlarged prostate symptoms.
Conservative management may help improve urinary symptoms while avoiding procedures or recovery time, particularly in patients with mild to moderate symptoms.
Treatment approaches may include:
• Reducing evening fluid intake
• Limiting caffeine or alcohol
• Bladder training
• Alpha blockers
• 5-alpha reductase inhibitors
→ Explore Conservative Management
→ Explore Medication Options
CONSERVATIVE MANAGEMENT
Not every patient with enlarged prostate symptoms requires a procedure or surgery.
For many men, conservative management may provide meaningful symptom improvement while avoiding procedural recovery and anesthesia exposure. Treatment plans are often individualized based on symptom severity, prostate size, urinary retention, quality of life, and personal goals.
Conservative management may include:
• Lifestyle modifications
• Fluid management
• Reducing caffeine or alcohol intake
• Bladder training
• Prescription medications
• Ongoing symptom monitoring
Best For
Patients with mild to moderate urinary symptoms or those wishing to begin with non-procedural treatment options.
Potential Advantages
• Non-invasive
• No procedural recovery
• No anesthesia required
• Widely available treatment pathway
Considerations
Symptoms may gradually progress over time, and some patients may eventually require minimally invasive or surgical treatment depending on symptom severity and prostate growth.
→ Explore Medication Options
→ Compare Additional Treatment Pathways
MEDICATIONS
Medications are commonly used as a first-line treatment for enlarged prostate symptoms (BPH), particularly in patients with mild to moderate urinary symptoms.
These therapies may help improve urinary flow, reduce urinary frequency, decrease nighttime urination, and improve bladder emptying depending on symptom severity and prostate size.
Common Medication Types
• Alpha blockers (Flomax®, Alfuzosin)
• 5-alpha reductase inhibitors (Finasteride®, Dutasteride®)
• Combination therapy
Best For
Patients seeking non-procedural treatment or those with mild to moderate urinary symptoms.
Potential Advantages
• Non-invasive
• No procedural recovery
• Widely available
• Often used as an initial treatment approach
Considerations
Some medications may cause dizziness, fatigue, sexual side effects, or incomplete symptom relief. Symptoms may also progress over time despite medical therapy.
Recovery
No procedural recovery required.
→ Explore Conservative Management
→ Compare Additional Treatment Options
REZŪM
Best For
Patients seeking minimally invasive treatment with preservation-focused goals.
Recovery
Short-term recovery with temporary urinary symptoms common during healing.
Potential Advantages
• Office-based option
• Minimally invasive
• Reduced anesthesia requirements
• Preservation-focused therapy
Considerations
Symptom improvement may take time and temporary urinary irritation is common during recovery.
MINIMALLY INVASIVE
LOCAL OR LIGHT SEDATION
OFFICE-BASED
SHORT RECOVERY
UROLIFT
Best For
Selected patients with mild to moderate enlargement seeking shorter recovery.
Recovery
Typically several days.
Potential Advantages
• Office-based treatment
• Minimal downtime
• Preservation-focused approach
• Rapid return to activities
Considerations
Not ideal for all prostate anatomy or larger prostates. Temporary urinary irritation may occur.
MINIMALLY INVASIVE
LOCAL OR LIGHT SEDATION
OFFICE-BASED
SHORT RECOVERY
Prostate Artery Embolization
Best For
Moderate to large prostates and patients wishing to avoid surgery.
Recovery
Typically several days to short-term recovery.
Potential Advantages
• No surgical incision
• Lower anesthesia burden
• Usually lower risk of retrograde ejaculation
• Outpatient procedure
Considerations
Improvement is gradual and anatomy must be suitable for embolization.
MINIMALLY INVASIVE
MODERATE SEDATION
OUTPATIENT
FAST RECOVERY
HoLEP®
Best For
Patients with larger prostates, significant obstruction, or those prioritizing long-term durability and maximal tissue removal.
Recovery
Moderate recovery with temporary catheterization commonly required.
Potential Advantages
• Significant symptom improvement
• Excellent long-term durability
• Effective for larger prostates
• Strong urinary flow improvement
Considerations
Retrograde ejaculation is common, anesthesia requirements are higher, and recovery is typically longer than minimally invasive therapies.
SURGICAL THERAPY
GENERAL OR SPINAL ANESTHESIA
VERY LARGE PROSTATES
LONG-TERM DURABILITY
Aquablation®
Best For
Selected patients with moderate to large prostates seeking surgical treatment with preservation-focused considerations.
Recovery
Moderate recovery depending on prostate size and treatment extent.
Potential Advantages
• Robotic-assisted treatment approach
• Effective tissue removal
• Preservation-focused design
• Strong symptom improvement
Considerations
Requires anesthesia and hospitalization in many cases, and not all patients are candidates depending on anatomy and prostate size.
SURGICAL THERAPY
GENERAL OR SPINAL ANESTHESIA
PRECISION WATER JET THERAPY
LARGER PROSTATES
TURP
Best For
Moderate to severe urinary obstruction and patients requiring surgical tissue removal.
Recovery
Moderate recovery with temporary catheterization common after treatment.
Potential Advantages
• Long-established surgical therapy
• Strong symptom relief
• Improved urinary flow
• Widely available treatment option
Considerations
Retrograde ejaculation is common, hospitalization may be required, and recovery is generally longer than office-based or minimally invasive therapies.
SURGICAL THERAPY
GENERAL OR SPINAL ANESTHESIA
MODERATE TO SEVERE OBSTRUCTION
ESTABLISHED PROCEDURE
Simple Prostatectomy
Best For
Very large prostates and severe obstruction requiring extensive surgical tissue removal.
Recovery
Longer surgical recovery with hospitalization commonly required.
Potential Advantages
• Significant tissue removal
• Strong symptom improvement
• Effective for very large prostates
• Durable surgical option
Considerations
Most invasive treatment pathway listed, requires hospitalization and longer recovery, with higher surgical burden compared with minimally invasive options.
SURGICAL THERAPY
GENERAL ANESTHESIA
VERY LARGE PROSTATES
MAXIMAL TISSUE REMOVAL
STILL UNSURE ?
Choosing a treatment for enlarged prostate symptoms can feel overwhelming, especially when balancing recovery time, symptom relief, anesthesia, durability, and sexual side effects.
There is no single “best” treatment for every patient. The most appropriate option often depends on prostate size, anatomy, urinary symptoms, overall health, and personal goals.
Ready for a personalized discussion?