Enlarged prostate (BPH): treatments and surgery
Reviewed on July 17, 2026
Benign prostatic hyperplasia (BPH) is the non-cancerous enlargement of the prostate that tends to appear with age. It can make it harder to pass urine and noticeably affect daily life, but there are several ways to approach it — from watchful waiting to surgery. This article explains, in general and educational terms, how this condition is usually assessed and treated, keeping in mind that every case is unique and deserves individual evaluation.
What BPH is and why it happens
Over the years, the prostate can grow and press on the urethra, the channel through which urine leaves the bladder. This enlargement is benign — it is not cancer — but it can cause bothersome symptoms.
Factors such as age, hormonal changes and family history are often involved. Not every man with an enlarged prostate will have significant symptoms.
Symptoms and how the diagnosis is usually made
The most common signs include a weak urinary stream, frequent urge to urinate, waking at night to use the bathroom and a feeling of incomplete bladder emptying.
Assessment generally includes a detailed conversation about symptoms, a physical exam, urine and blood tests (such as the PSA) and, when indicated, an ultrasound. These steps help distinguish BPH from other causes.
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Request a second opinionTreatment options: from habits to surgery
In mild cases, lifestyle changes and observation may be enough. Medications that relax the prostate or shrink it are widely used when symptoms are more bothersome.
When medication offers little relief or complications appear, procedures and surgery — such as prostate resection or laser techniques — may be considered. The choice depends on prostate size, symptoms and the person's preferences.
Why a second opinion helps
Faced with a surgical recommendation or doubts about which medication to follow, hearing from another specialist can bring clarity and peace of mind. A second opinion helps confirm the diagnosis and review whether all alternatives have been considered.
This is especially useful when there are persistent symptoms, an altered PSA or concerns about the side effects of a proposed treatment.
Frequently asked questions
Is an enlarged prostate the same as prostate cancer?
No. BPH is a benign enlargement and differs from cancer, although both can cause similar symptoms. That is why medical assessment matters, to tell the two situations apart.
Is surgery always needed for the prostate?
Not necessarily. Many cases are managed with habits and medication. Surgery is usually reserved for more intense symptoms or complications, always as an individualized decision.
How do I submit my case for a second opinion on Revidra?
You upload your exams and reports to the Revidra platform and receive a structured written opinion from an independent specialist, who reviews your information and responds in an organized way.
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Request a second opinionEducational content, for informational purposes. It does not replace consultation, diagnosis or treatment with a physician, nor does it constitute a teleconsultation or emergency care.