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What Are the New Treatments for Prostate Enlargement?

In aging men, one common health issue that often arises is an enlarged prostate, also known as benign prostatic hyperplasia (BPH). This enlargement can lead to uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder, which can also affect bladder, urinary tract, and kidney function. Fortunately, medical science continues to evolve, bringing forth new treatments to manage and treat this condition effectively.

Treatment Landscape for Prostate Enlargement

Previously, the primary options available for treating an enlarged prostate were medication or surgery, with each having its own set of potential side effects and risks. Today, advancements in medical technology have led to the development of various new therapies that are less invasive and provide promising results for patients suffering from BPH.

Among the emerging treatments, certain procedures stand out due to their effectiveness and innovative approach. These treatments offer renewed hope for patients seeking alternatives to traditional methods.

1. Revolutionary Minimally Invasive Surgeries

Aside from non-surgical procedures, new treatment for BPH have also been making waves in the treatment of BPH.

Laser Therapies

Laser therapies are a group of techniques that employ laser energy to remove overgrown prostate tissue. These procedures are known for reducing the risk of bleeding and come in different forms, such as Photoselective Vaporization of the Prostate (PVP) and Holmium Laser Enucleation of the Prostate (HoLEP). These approaches are especially beneficial for patients on blood-thinning medications or those with larger prostate glands.

Minimally Invasive Prostate Surgery

In areas like Hamilton, a novel approach has been gaining popularity for its effective management of BPH – minimally invasive prostate surgery. This type of enlarged prostate procedure in Hamilton utilizes techniques that cause less trauma to the body than traditional surgery. It can include methods that use heat, microwaves, or even electric current to shrink the prostate or make small cuts in it to relieve pressure.

The advantages of minimally invasive surgery include shorter hospital stays, less pain and bleeding, and a quicker return to normal activities. As a result, it is often the preferred choice for both physicians and patients alike.

Water Vapor Therapy

One of the newest approaches on the block is water vapor therapy, also known as the Rezum procedure. This treatment uses the natural energy stored in water vapor, or steam, to treat the extra prostate tissue that is causing symptoms such as urinary frequency and urgency, incomplete bladder emptying, and a weak urine stream.

The significant benefit of this procedure is its minimally invasive nature. During the procedure, controlled doses of steam are injected into the prostate tissue. When the steam turns back into the water, it releases all its stored energy into the cell membranes, causing the cells to die. Over time, the treated tissue is reabsorbed by the body, reducing the overall size of the prostate and easing symptoms. Learn more about this procedure by asking your trusted urologist or by checking their website.

2. New BPH Treatment Drugs

Although surgical interventions are making strides, pharmaceuticals are not lagging. A relatively new class of medications has been developed to relieve BPH symptoms effectively.

Selective α1-Blockers

These drugs work by relaxing the muscles of the urinary tract to help urine flow more easily. Current medications in this class have been around for some time, but new drugs continue to emerge with the aim of reducing side effects and improving efficacy.

5α-Reductase Inhibitors

These medications function by shrinking the prostate gland over time, which contributes to the relief of urinary symptoms and the reduction of the need for surgery.

Combination Therapy

In some cases, the combination of the two drugs above classes has been shown to be more effective than taking either one alone.

3. Novel Approaches and Research Directions

Continued research in BPH treatments hints at a bright future with even newer and more innovative solutions on the horizon.

Prostate Artery Embolization (PAE)

This newer procedure involves blocking the blood supply to the prostate, causing it to shrink. Although not yet universally available, initial studies show promising results.

Aquablation Therapy

Aquablation therapy is a robotically executed, minimally invasive waterjet ablation therapy, combining both the cystoscopic visualization of the prostate and the use of ultrasound.

Choosing the Right Treatment

With BPH affecting a significant percentage of aging males, the right treatment choice can greatly improve the quality of life. 

  • Collaborative Decision-Making: The process of choosing the right treatment for benign prostatic hyperplasia (BPH) is a collaborative endeavor between the patient and their healthcare provider. Through open communication and a partnership approach, both parties work together to make informed decisions that align with the individual’s health history, preferences, and the specific characteristics of their BPH.
  • Consideration of Multiple Factors: Several crucial factors come into play when determining the most suitable treatment for BPH. The size of the prostate is a critical consideration, with therapies varying in effectiveness for larger or smaller prostates. The patient’s age, overall health, and the severity of symptoms further contribute to the decision-making process, allowing healthcare providers to recommend treatments tailored to the unique circumstances of each individual.
  • Tailored Approaches: Recognizing the individuality of each patient, the goal is to create care plans that are tailored to their specific needs. Customized approaches acknowledge that what may work for one patient might not be the best option for another. This personalized strategy optimizes the effectiveness of the chosen treatment, enhancing its impact on the patient’s overall well-being.
  • Communication and Education: Effective communication between the patient and healthcare provider is fundamental in the decision-making process. Patients are encouraged to discuss their symptoms, concerns, and preferences openly. Additionally, patient education plays a vital role in providing individuals with a comprehensive understanding of the available treatment options, their potential benefits, and any associated risks.
  • Holistic Impact on Quality of Life: Beyond symptom relief, the decision on the right treatment considers the broader impact on the patient’s quality of life. The chosen treatment should not only address immediate symptoms but also contribute to the patient’s long-term well-being and satisfaction. This holistic approach underscores the importance of tailoring interventions to the unique circumstances and goals of each individual.


The landscape of prostate enlargement treatments is growing, with new technologies and procedures providing better outcomes with less risk and discomfort. Advancements in both surgical and non-surgical treatments indicate a positive direction for patient care. As options expand and improve, men dealing with BPH have a greater chance of finding a treatment that best suits their lifestyle and health needs.