Enlarged prostate (BPH)

Step 1 of 5

Your first visit

Week 1

A short questionnaire, a urine test and a quick bladder scan show how well you're emptying.

Step 2 of 5

Habits and medicine

Weeks

Drinking less in the evening and a daily pill help many men.

Step 3 of 5

Procedures that open the channel

If you want off pills

None of these involve a cut on the skin; all work through the natural channel. A quick steam treatment shrinks the prostate and can be done in the office. A robot-guided water jet removes the blocking tissue precisely, usually with one night in hospital. The traditional operation trims the tissue away from the inside.

Step 4 of 5

Single-port robotic prostatectomy

If you need surgery

Dr. Farah removes the blocking tissue with the single-port robot, through one small incision, working through the bladder (a transvesical approach). It is for men with a large prostate and severe symptoms. It means one night in the hospital, and the catheter comes out in 5 days.

Step 5 of 5

The data

Benign prostatic hyperplasia (BPH) with lower urinary tract symptoms (LUTS), measured by IPSS: alpha-blockers and 5-alpha-reductase inhibitors, then surgical therapy matched to prostate volume and anatomy: water vapor thermal therapy (Rezum), robotic waterjet ablation (Aquablation), transurethral resection of the prostate (TURP) or single-port transvesical robotic simple prostatectomy.

Each study link opens the newest results on PubMed.

• Water vapor thermal therapy (Rezum) for BPH (opens in new tab) Durability and preservation of sexual function
• Aquablation vs TURP (opens in new tab) Symptom relief and ejaculatory preservation (WATER trials)

See the full research section