السيد طارق أمين — استشاري طب وجراحة المسالك البولية

جراح بالروبوت متخصص في سرطان البروستاتا وسرطان الكلى. يستقبل المرضى الدوليين في عدة مراكز طبية خاصة في لندن وهيرتفوردشاير. جميع الاستشارات يجريها السيد أمين شخصيًا.

العيادات الخاصة: مستشفى ولينغتون (NW8) · 9 هارلي ستريت (W1) · مستشفى سباير بوشي · مستشفى تشيس لودج

📞 للحجز: 0204 558 6750

✉️ البريد الإلكتروني: [email protected]

💬 واتساب: +44 7768 648628

احجز استشارة

Men's Health · BPH

Benign Prostate
Enlargement Treatment

Q: Will BPH treatment affect my sexual function?

This depends on the treatment chosen. TURP and laser procedures are associated with retrograde ejaculation in 50–80% of patients. Aquablation reduces this to 10–15%. Rezum and UroLift have very low rates of ejaculatory dysfunction. Erectile function is not directly affected by any of these procedures.

Q: How quickly will my BPH symptoms improve after treatment?

UroLift provides the fastest symptom improvement, within days. TURP and Aquablation show significant improvement within 4–6 weeks. Rezum has the slowest response as it works by gradual tissue destruction over 3 months, but outcomes at 12 months are equivalent to other treatments.

Q: Do I need to stop my BPH medications before treatment?

Alpha-blockers (tamsulosin, alfuzosin) and 5-alpha reductase inhibitors (finasteride, dutasteride) should be continued up to the day of surgery. Blood thinners (warfarin, apixaban, aspirin) will need specific management — Mr Ameen's team will give you instructions based on your individual situation.

The full range of modern BPH treatments — Aquablation, Rezum steam therapy, prostate artery embolisation and TURP — matched to your prostate, your symptoms and your life.

Book a Consultation Call 0204 558 6750

Treatment Options

Modern BPH Treatments Compared

There is no single best treatment for BPH — the right choice depends on your prostate size, symptom severity, sexual function priorities and general health. Mr Ameen will guide you through all options.

Aquablation

Robot-Guided Water Therapy

A robotic waterjet removes prostate tissue under real-time ultrasound guidance. Preserves the ejaculatory ducts, minimising retrograde ejaculation. Excellent for prostates 30–150g. Day case or overnight stay.

Rezum

Steam (Water Vapour) Therapy

Targeted steam delivered via a small needle destroys excess prostate tissue over 3–6 months. Day-case procedure under sedation. Excellent sexual function preservation. Best for smaller prostates (30–80g).

TURP

Transurethral Resection

The gold-standard surgical treatment for decades. Prostate tissue is removed using an electric loop passed through the urethra. Highly effective, durable results. Overnight stay. General or spinal anaesthetic.

PAE

Prostate Artery Embolisation

A radiological procedure (not surgery) that reduces prostate blood supply, shrinking the gland. No anaesthetic, day case. Suitable for men unfit for surgery or wishing to avoid it. Available via interventional radiology referral.

UroLift

Prostate Lift

Small implants hold open the prostate lobes without removing tissue. Day case under local anaesthetic. Preserves ejaculation. Best for smaller lateral lobe enlargement. Rapid return to activity.

Medical

Medication Management

Alpha-blockers (tamsulosin) and 5-alpha reductase inhibitors (finasteride, dutasteride) reduce symptoms and prostate size. A reasonable first step for mild-moderate symptoms — discussed at your first appointment.

Common Questions

BPH Treatment FAQs

What is the difference between Aquablation and TURP?

Both Aquablation and TURP are highly effective at relieving BPH symptoms. The key differences are: (1) Aquablation uses a robot-guided waterjet under ultrasound guidance, which allows precise removal of prostate tissue while preserving the ejaculatory ducts — significantly reducing the risk of retrograde ejaculation (dry orgasm). TURP uses an electric loop and has a higher retrograde ejaculation rate. (2) Aquablation is particularly effective for very large prostates and irregular anatomy. (3) TURP has a longer evidence base. Mr Ameen will recommend the most appropriate option based on your prostate size, anatomy and sexual function priorities.

Will BPH treatment affect my sexual function?

This depends heavily on the treatment chosen. TURP and laser procedures are associated with retrograde ejaculation (orgasm without ejaculate) in 50–80% of patients. Aquablation substantially reduces this to 10–15%. Rezum and UroLift have very low rates of ejaculatory dysfunction. Erectile function is not directly affected by any of these procedures. Mr Ameen will discuss the sexual side-effect profile of each treatment at consultation.

How quickly will my symptoms improve?

This varies by treatment. UroLift provides the fastest symptom improvement (within days). TURP and Aquablation show significant improvement within 4–6 weeks. Rezum has the slowest response as it works by gradual tissue destruction over 3 months, but outcomes at 12 months are equivalent.

Do I need to stop my BPH medications before treatment?

You should continue alpha-blockers (tamsulosin, alfuzosin) up to the day of surgery. 5-alpha reductase inhibitors (finasteride, dutasteride) reduce intraoperative bleeding and should also be continued. Blood thinners (warfarin, apixaban, aspirin) will need to be managed carefully in the lead-up to surgery — Mr Ameen's team will give you specific instructions based on why you take them.

Benign ProstateEnlargement Treatment