Enlarged Prostate (BPH) Treatment in Bangkok

Enlarged Prostate (BPH) Treatment in Bangkok

Relief from bothersome urinary symptoms — from medication to minimally invasive Rezum water-vapor therapy and proven surgical options — at Bangkok Hospital Headquarters.

Medically reviewed by Dr. Soarawee Weerasopone, MD — Board-Certified Urologist · Research Scholar & Clinical Observer, Scott Department of Urology, Baylor College of Medicine

What Is an Enlarged Prostate (BPH)?

Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that becomes increasingly common with age — affecting most men at some point after 50. As the prostate grows, it can press on the urethra and obstruct the flow of urine, producing a cluster of symptoms known as lower urinary tract symptoms (LUTS).

BPH is 아니 prostate cancer and does not turn into cancer — but its symptoms can significantly affect quality of life and sleep, and if left unmanaged it can occasionally lead to complications such as urinary retention or bladder and kidney problems. Read the complete BPH patient guide →

Common Symptoms (LUTS)

• A weak or slow urinary stream
• Difficulty starting urination, or straining to go
• Frequent urination, especially waking at night (nocturia)
• A sudden, urgent need to urinate
• Feeling that the bladder does not empty completely, or dribbling afterward

치료 옵션

Treatment is tailored to your symptoms, prostate size, and priorities — including preserving sexual function — always starting with the least invasive effective option.

1 — Lifestyle & Watchful Waiting

Mild symptoms may be managed with simple adjustments — fluid timing, reducing caffeine and alcohol, and regular monitoring — when they are not yet bothersome enough to warrant medication.

2 — Medication

Alpha-blockers relax the prostate and bladder neck to improve flow, while 5-alpha-reductase inhibitors can shrink a larger prostate over time. How dual oral therapy for BPH works → Some men also ask about supplements such as saw palmetto, which we can discuss in context.

3 — Rezum (Water-Vapor Therapy)

A minimally invasive, in-office procedure that uses targeted steam to shrink excess prostate tissue — relieving symptoms while preserving erectile and ejaculatory function, with no major surgery. Learn how Rezum water-vapor therapy works →

4 — TURP & Surgical Treatment

Transurethral resection of the prostate (TURP) remains a proven, highly effective option for men whose symptoms are not controlled by medication or a minimally invasive procedure. The right operation is chosen to match your prostate size, symptoms, and goals.

5 — HoLEP: When It Is the Better Option

Holmium laser enucleation of the prostate (HoLEP) uses a laser to remove obstructing tissue through the natural urinary passage, and is a durable, size-independent choice for very large prostates. HoLEP is not currently performed at Bangkok Hospital Headquarters — where it is genuinely the best option for you, Dr. Soarawee will explain why and arrange referral to a center that offers it. Learn about HoLEP laser surgery →

자주 묻는 질문 (FAQ)

Q1: What are the symptoms of an enlarged prostate?

Typical symptoms include a weak stream, difficulty starting urination, frequent urination (especially at night), urgency, and a feeling of incomplete emptying. These are known as lower urinary tract symptoms (LUTS) and often develop gradually with age.

Q2: Does an enlarged prostate mean I have cancer?

No. BPH is a benign (non-cancerous) enlargement and does not turn into cancer. However, because prostate cancer can cause similar symptoms, evaluation usually includes a PSA test and examination to rule it out.

Q3: What is Rezum, and how is it different from surgery?

Rezum is a minimally invasive, in-office treatment that uses targeted water vapor (steam) to shrink excess prostate tissue. Compared with traditional surgery, it typically preserves erectile and ejaculatory function and has a quicker, gentler recovery.

Q4: Will BPH treatment affect my sexual function?

It depends on the treatment. Some medications and surgeries can affect ejaculation, while function-preserving options such as Rezum are designed to minimize this. As a sexual medicine specialist, Dr. Soarawee selects treatment with your sexual function in mind.

Q5: When does an enlarged prostate need surgery?

Surgery or a procedure is considered when symptoms are not controlled by medication, or when BPH causes complications such as urinary retention, recurrent infections, bladder stones, or kidney effects. The choice of procedure depends on prostate size and your goals.

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