BPH treatment options, a complete guide.
The treatment landscape has shifted. Most patients once ended up at TURP; today, six distinct minimally invasive therapy paths offer alternatives that preserve what matters — ejaculation, anatomy, and future options.
Explore non-implant BPH treatment
Non-implant treatment
Why no permanent implant matters — temporary dilation completes the procedure.
Explore
Balloon dilation
Pure mechanical structural expansion — no drug coating, no foreign body.
Explore
Columnar balloon (Nexusuro)
TUCBDP — triple-balloon catheter for uniform prostatic urethral expansion.
Explore
No drug coating
Pure mechanical dilation vs drug-coated balloons — safer by design.
Explore
Low-cost options
Full-chain cost advantage — lower equipment, shorter stay, no capital investment.
Explore
Resource-limited settings
BPH MIST where infrastructure is basic — standard endoscopy is the only requirement.
ExploreCompare procedures at a glance
| Procedure | Mechanism | Implant | Thermal | Ejaculation | Anesthesia |
|---|---|---|---|---|---|
| TURP | Electrical resection | No | Yes | Low | General/spinal |
| HoLEP/PVP | Laser | No | Yes | Med-low | General/spinal |
| Rezūm | Thermal steam | No | Yes | ~60-70% | Sedation |
| UroLift | Implant retraction | Yes | No | ~90% | Sedation/local |
| Nexusuro | Structural dilation | No | No | High | Local available |
Common questions
Does BPH always require surgery?
No. Mild to moderate symptoms may be managed with medication first. Surgery is considered when medication is ineffective or complications arise.
Is MIST suitable for all patients?
Different MIST options have different indications based on prostate size, morphology, age, and health status.
This page is for medical information reference only. Nexusuro treatment indications must be evaluated by a licensed physician.
Two underserved patient groups
Most BPH treatments target the average patient. Two groups are routinely underserved by commercial MIST brands — and they happen to be where mechanical dilation works best.
Small prostate (≤40 mL)
A preferred MIST option. Lesions concentrated, dilation more controllable. TURP carries BNC risk here; UroLift / Rezūm have limited applicability.
Why small prostate matters →Post-TURP bladder neck contracture
Strong-recommendation indication. No other commercial MIST brand covers BNC — UroLift contraindicated, Rezūm and Aquablation not applicable.
BNC treatment options →