Modern Choices for Benign Prostatic Hyperplasia: Exploring Minimally Invasive Surgical Therapies

For many men over the age of 50, urinary problems gradually become a part of daily life. Waking up several times at night to urinate, feeling an urgent need during the day, or struggling with a weak stream are often brushed off as “just getting older.” In reality, these symptoms are often signs of benign prostatic hyperplasia (BPH)—a non-cancerous enlargement of the prostate gland that can interfere with normal urination and reduce quality of life.

Traditionally, men with bothersome symptoms were offered medication first, and if that failed, surgery such as TURP (Transurethral Resection of the Prostate) was considered. But today, there is a middle ground—minimally invasive surgical therapies (MISTs)—that are changing the treatment landscape.

Why Minimally Invasive Matters

The philosophy behind MISTs is simple: treat the prostate effectively while preserving a man’s lifestyle, sexual function, and recovery time. These treatments are performed in outpatient settings, often under local anesthesia, and require only a short downtime compared to traditional surgery.

For many men, this means avoiding the fear of permanent side effects while still regaining bladder control and restful sleep.

Spotlight on Two Leading Options

UroLift System

How it works: Small implants are placed to gently hold the prostate lobes apart, opening the urethra without removing tissue.

Benefits: Quick recovery, symptom relief within days, minimal risk to sexual function.

Considerations: Best suited for men with moderate-sized prostates; may not work well for very large glands.

Rezum Therapy

How it works: Steam energy is delivered into prostate tissue, causing it to shrink gradually over several weeks.

Benefits: Durable results, effective for a wide range of prostate sizes, including those with median lobe enlargement.

Considerations: Requires a temporary catheter, and relief takes time to develop.

Other Options Gaining Attention

Prostatic Artery Embolization (PAE): A non-surgical procedure that blocks blood flow to the prostate, shrinking it over time.

iTind Device: A temporary stent that reshapes the urethra to improve urine flow.

Laser therapies: Such as GreenLight laser, offering effective tissue removal with reduced bleeding.

These alternatives are valuable for men who don’t fit the criteria for UroLift or Rezum but still want a minimally invasive approach.

A Natural Perspective: Herbal Support for Men’s Health

While minimally invasive procedures are effective, some men prefer to start with gentler options before moving to surgery. In traditional Chinese medicine, herbal formulations have long been used to support urinary health.

One example is the Diuretic and Anti-inflammatory Pill, a natural remedy designed to improve pelvic circulation, reduce inflammation, and ease urinary symptoms. For men with chronic prostatitis or those experiencing discomfort alongside BPH, this herbal approach may serve as a non-invasive complement to modern therapies.

Of course, herbal medicine should be considered a supportive measure rather than a replacement for medical or surgical intervention, especially in advanced cases of BPH.

Making the Right Choice

The best treatment for BPH depends on more than just prostate size—it also reflects a man’s health priorities. Some men want the fastest return to daily activities, others prioritize long-term durability, and some wish to avoid surgery altogether.

What matters most is an informed decision made with a trusted urologist. Today’s men are fortunate to have multiple options, from innovative minimally invasive therapies to traditional herbal remedies, each offering a pathway to improved quality of life.

Final Thoughts

BPH is a common condition, but it doesn’t have to dictate your life. Whether you choose UroLift, Rezum, another minimally invasive therapy, or supportive herbal solutions like the Diuretic and Anti-inflammatory Pill, the important thing is to take action rather than silently endure symptoms. With the right treatment, men can regain control, confidence, and comfort.