There is no single "best" BPH treatment, there's the best treatment for your prostate size, your symptoms, and what you're unwilling to trade away. Here's an honest comparison of the options available to men across South Florida.
Medications
Alpha blockers relax the prostate; 5-alpha reductase inhibitors shrink it slowly. Both help mild symptoms, but relief is partial, must be taken daily, and side effects (dizziness, fatigue, sexual dysfunction) push many men to look further.
UroLift
Small implants hold prostate tissue open. Quick, office-based, minimal downtime, but it doesn't remove tissue, works best in smaller prostates without a median lobe, and retreatment rates are higher over time.
Rezum
Steam injections cause tissue to shrink over weeks to months. Also office-based and relatively gentle, but relief is delayed, and it's generally suited to small and moderate prostates.
TURP and Laser Procedures
The long-standing surgical standards. They deliver strong, durable flow improvement, but they rely on heat and are associated with high rates of retrograde ejaculation, often 60% or more with TURP.
Aquablation
Robotic, image-guided, heat-free tissue removal. It delivers resective-level improvement in flow and symptom scores while preserving ejaculatory function in the large majority of men, and it performs consistently in large prostates where other minimally invasive options fall short.
How to Choose
- Small prostate, mild symptoms, want fastest recovery? Office-based options are reasonable.
- Large prostate or severe symptoms? A resective procedure is usually the durable answer.
- Sexual function is a priority? This is where Aquablation separates itself from TURP and laser.
- Been on medication for years? Ask whether you're already past the point where pills help.
Bring your symptom score to the consultation and ask your urologist to explain why they're recommending one option over the others for your anatomy.