The Latest Treatments for Enlarged Prostate (BPH) in 2025

Many men over 50 know the 3 a.m. dash to the bathroom all too well—a weak stream and the nagging sense that the bladder isn’t empty.

This common issue is often benign prostatic hyperplasia (BPH), a non-cancerous prostate enlargement that affects more than half of men in their 60s and nearly 90% by age 80.

In the past, treatment meant choosing between living with worsening symptoms or facing invasive surgery that risked sexual side effects. 

Today, modern minimally invasive options focus on preserving sexual function, reducing discomfort, and helping men return to normal activities faster.

Why Latest Treatment Matters for Enlarged Prostate (BPH)

Modern patients now seek more than simple symptom relief—they want faster recovery, fewer side effects, and convenient procedures performed in a doctor’s office rather than a hospital. 

Preserving sexual function is also a growing priority, especially since many traditional treatments carried risks of erectile dysfunction or ejaculatory issues.

In response, technological innovation is meeting these demands. Advanced imaging, robotic precision, and minimally invasive techniques are expanding options well beyond the old choices of medication or major surgery, allowing men to select treatments that match their individual needs and lifestyle goals.

Emerging Minimally Invasive Treatments for Enlarged Prostate (BPH)

These innovative therapies provide a brief overview of modern options designed to relieve symptoms with less discomfort and downtime than traditional surgery.

Water Vapor Thermal Therapy (Rezum/WVTT)

Rezum therapy harnesses the natural energy of water vapor to shrink enlarged prostate tissue. In this outpatient procedure, sterile steam is gently delivered into the obstructive areas, where the heat destroys excess cells that the body gradually absorbs.

The entire treatment usually takes less than 30 minutes and requires only local anesthesia, so patients can go home the same day. Because it carries minimal risk of sexual side effects, 

Rezum is especially appealing to men who wish to preserve intimacy while addressing prostate enlargement.

Prostatic Urethral Lift (UroLift)

UroLift offers a distinct approach by mechanically widening the urethra instead of destroying tissue. During the procedure, tiny implants lift and secure the enlarged prostate tissue away from the urethra, creating a clear channel for urine flow.

This technique preserves ejaculatory function for nearly all patients while delivering proven results. 

For example, the first UroLift procedure in Vadodara, India, showed significant improvements in urinary flow within weeks. 

Performed as an outpatient treatment, UroLift typically takes about 45 minutes and involves only minimal recovery time.

Prostate Artery Embolization (PAE)

PAE offers a non-surgical option performed by interventional radiologists. During the procedure, small particles are injected into the arteries supplying the prostate, reducing blood flow and gradually shrinking the gland. 

This minimally invasive approach requires only local anesthesia and provides a cost-effective alternative for many patients.

However, questions about long-term outcomes and the need for retreatment remain. Ongoing research continues to explore these issues, but early results are encouraging for men who may not qualify for other procedures.

Optilume BPH Catheter System

This next-generation device combines balloon dilation with targeted drug delivery to help prevent tissue regrowth.

While the balloon mechanically opens the urethral passage, an anti-inflammatory medication is released directly at the treatment site for lasting benefit.

Randomized clinical trials show significant improvements in urinary symptoms while preserving sexual function. Because the procedure is done in an outpatient setting, it remains accessible and convenient for many patients.

Aquablation Therapy (Water-jet Robotic Ablation)

Aquablation merges real-time imaging with robotic precision to remove excess prostate tissue using a high-pressure water jet. This heat-free technique targets only the obstructive tissue, helping preserve surrounding structures and reduce collateral damage.

Clinical studies report outcomes comparable to traditional TURP surgery but with far fewer ejaculatory issues. Although the procedure requires general anesthesia, most patients can still go home the same day.

ProVee Stent System (In Development)

This innovative reversible urethral stent is designed to keep the urinary tract open without permanently altering tissue. Its low-profile design offers symptom relief while preserving options for future treatments.

The company recently secured $80 million in funding to advance clinical development, underscoring strong confidence in the technology’s potential.

Comparison of Enlarged Prostate (BPH)Treatment Options

The table below highlights key differences among leading treatments for enlarged prostate, helping patients compare invasiveness, sexual function outcomes, and treatment settings at a glance.

 

Use this overview as a starting point for informed discussions with your urologist about which treatment best fits your health needs and lifestyle.

Traditional Treatments Remain Relevant  for Enlarged Prostate (BPH)

Medications remain a cornerstone of BPH management, offering a first line of treatment for many men. Alpha-blockers such as tamsulosin relax prostate muscles to ease urine flow, while 5-alpha-reductase inhibitors gradually shrink the gland. 

For some patients, combination therapy provides even greater symptom relief and improved outcomes.

When medications are insufficient, conventional surgeries like TURP and HoLEP continue to serve as gold standards for larger prostates or complex cases. 

These procedures deliver excellent long-term results, though they carry a higher risk of sexual side effects, making careful patient selection essential.

Alongside these established options, prostate massage therapy has drawn interest as a complementary approach. 

In practice, a gloved, lubricated finger is gently inserted into the rectum to lightly press the prostate, helping improve circulation, ease congestion, and promote better urinary flow.

In addition to manual methods, some individuals use a prostate massager, a specially designed medical device that can deliver gentle, targeted stimulation to the prostate. These tools may enhance comfort, consistency, and accessibility of therapy when used appropriately.

How to Choose the Best Treatment for Enlarged Prostate (BPH) 

Choosing the right treatment requires weighing several key factors, including symptom severity, prostate size, sexual function priorities, overall health, and recovery expectations.

Each of these elements can shape which option offers the best balance of effectiveness and safety for your needs.

Equally important is consulting a urologist who is experienced with both traditional and newer therapies. A specialist can assess your individual situation and recommend treatments that match your goals, lifestyle, and long-term health priorities.

Take Control of Your Prostate Health Today

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The Sonic Prostate Massager from Prostate Health Store provides therapeutic massage that may help reduce inflammation and improve circulation. This top-rated device offers a non-invasive approach to prostate wellness.

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Order now and take charge of your prostate health with trusted, professional-grade tools made for men's comfort and recovery.