{"id":10890,"date":"2026-07-16T18:37:53","date_gmt":"2026-07-16T11:37:53","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?page_id=10890"},"modified":"2026-08-15T00:21:55","modified_gmt":"2026-08-14T17:21:55","slug":"bph-enlarged-prostate-bangkok","status":"publish","type":"page","link":"https:\/\/drsoaraweeurology.com\/th\/services\/bph-enlarged-prostate-bangkok\/","title":{"rendered":"Enlarged Prostate (BPH) Treatment in Bangkok"},"content":{"rendered":"<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:42px;font-weight:600\">Enlarged Prostate (BPH) Treatment in Bangkok<\/h2>\n<p class=\"has-text-align-center\" style=\"font-size:18px\">Relief from bothersome urinary symptoms \u2014 from medication to minimally invasive Rezum water-vapor therapy and proven surgical options \u2014 at Bangkok Hospital Headquarters.<\/p>\n<p class=\"has-text-align-center\"><em>Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist \u00b7 Research Scholar &amp; Clinical Observer, Scott Department of Urology, Baylor College of Medicine<\/em><\/p>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"background-color:#c8102e\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">What Is an Enlarged Prostate (BPH)?<\/h2>\n<p>Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that becomes increasingly common with age \u2014 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).<\/p>\n<p>BPH is <strong>not<\/strong> prostate cancer and does not turn into cancer \u2014 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. <a href=\"https:\/\/drsoaraweeurology.com\/2020\/08\/28\/benign-prostate-bph\/\">Read the complete BPH patient guide \u2192<\/a><\/p>\n<p>One caution worth stating early: <strong>not every set of these symptoms is caused by the prostate.<\/strong> A bladder that has become underactive, a neurological cause, diabetes, a stricture, or medication side effects can all produce the same picture, which is why the assessment below measures what is actually happening rather than assuming the prostate is to blame.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Common Symptoms (LUTS)<\/h3>\n<ul class=\"wp-block-list\">\n<li>A weak or slow urinary stream<\/li>\n<li>Difficulty starting urination, or straining to go<\/li>\n<li>Frequent urination, especially waking at night (nocturia)<\/li>\n<li>A sudden, urgent need to urinate<\/li>\n<li>Feeling that the bladder does not empty completely, or dribbling afterward<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">When BPH Becomes an Emergency<\/h3>\n<p><strong>Being completely unable to pass urine, with a painful, full bladder, is acute urinary retention and needs a hospital the same day<\/strong> \u2014 it is relieved by passing a catheter, and delay risks damage to the bladder and kidneys. Also seek prompt care for fever with urinary symptoms, visible blood in the urine with clots, or a sudden marked worsening of your usual pattern. <a href=\"https:\/\/drsoaraweeurology.com\/2020\/10\/21\/male-urinary-retention\/\">Why acute urinary retention happens, and what is done about it \u2192<\/a><\/p>\n<p>One related point men are rarely told: several common over-the-counter medicines, including some cold and allergy remedies, can tip a borderline prostate into retention. If you have BPH, check before taking them \u2014 and never stop a prescribed medicine on your own instead.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#1a2e5a;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Diagnostic Evaluation<\/h2>\n<p class=\"has-text-align-center has-white-color has-text-color\">A precise assessment measures how much the prostate is affecting you and rules out other causes:<\/p>\n<div class=\"wp-block-columns is-layout-flex wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83d\udccb IPSS Symptom Score<\/h3>\n<p class=\"has-white-color has-text-color\">A standardized questionnaire that measures how severe your symptoms are and tracks improvement with treatment over time. <a href=\"https:\/\/drsoaraweeurology.com\/2022\/03\/04\/international-prostate-symptom-score\/\" style=\"color:#c9a84c\"><strong>About the IPSS \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83d\udca7 Uroflowmetry &amp; Residual<\/h3>\n<p class=\"has-white-color has-text-color\">Measures the strength of your urinary stream and how much urine is left behind \u2014 objective evidence of obstruction and bladder function. <a href=\"https:\/\/drsoaraweeurology.com\/2023\/04\/23\/uroflowmetry\/\" style=\"color:#c9a84c\"><strong>About uroflowmetry \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-columns is-layout-flex wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83e\ude78 PSA &amp; Prostate Check<\/h3>\n<p class=\"has-white-color has-text-color\">A PSA blood test and examination help size the prostate and rule out prostate cancer, which can cause similar symptoms. <a href=\"https:\/\/drsoaraweeurology.com\/services\/prostate-cancer-screening-bangkok\/\" style=\"color:#c9a84c\"><strong>About prostate cancer screening \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83e\ude7a Ultrasound &amp; Cystoscopy<\/h3>\n<p class=\"has-white-color has-text-color\">Imaging measures prostate size and checks the bladder and kidneys; cystoscopy can directly assess the degree of obstruction when needed. Urodynamic testing is added where the question is whether the bladder itself is underactive.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Treatment Options<\/h2>\n<p class=\"has-text-align-center\">Treatment is tailored to your symptoms, prostate size, and priorities \u2014 including preserving sexual function \u2014 always starting with the least invasive effective option.<\/p>\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">1 \u2014 Lifestyle &amp; Watchful Waiting<\/h3>\n<p>Mild symptoms may be managed with simple adjustments \u2014 fluid timing, reducing caffeine and alcohol, and regular monitoring \u2014 when they are not yet bothersome enough to warrant medication.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">2 \u2014 Medication<\/h3>\n<p>Alpha-blockers relax the prostate and bladder neck to improve flow, while 5-alpha-reductase inhibitors can shrink a larger prostate over time. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/06\/04\/bph-dual-therapies\/\">How dual oral therapy for BPH works \u2192<\/a> Both classes have effects worth knowing about before starting: alpha-blockers can cause dizziness on standing and changes to ejaculation, and 5-alpha-reductase inhibitors can reduce libido and affect erections in some men, as well as halving the PSA reading, which your doctor must account for. Some men also ask about supplements such as <a href=\"https:\/\/drsoaraweeurology.com\/2023\/01\/24\/saw-palmetto-for-bph\/\">saw palmetto<\/a>, which we can discuss in context.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">3 \u2014 Rezum (Water-Vapor Therapy)<\/h3>\n<p>A minimally invasive, in-office procedure that uses targeted steam to shrink excess prostate tissue \u2014 relieving symptoms while preserving erectile and ejaculatory function, with no major surgery. It is worth knowing that the benefit builds over roughly three months as the treated tissue is reabsorbed, and that a catheter is usually needed for a few days afterwards. <a href=\"https:\/\/drsoaraweeurology.com\/2022\/09\/29\/water-vapor-therapy-bph\/\">Learn how Rezum water-vapor therapy works \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">4 \u2014 TURP &amp; Surgical Treatment<\/h3>\n<p>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. <strong>The trade-off to understand before consenting is ejaculation:<\/strong> after TURP, semen commonly passes backwards into the bladder at orgasm rather than outwards, because the operation opens the bladder neck. Erections and the sensation of orgasm are generally preserved, but fertility is affected \u2014 which is exactly why the function-preserving options above are considered first for men to whom this matters. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/08\/13\/holep-holmium-prostate\/\">How TURP compares with laser enucleation \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">5 \u2014 HoLEP: When It Is the Better Option<\/h3>\n<p>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. <strong>HoLEP is not currently performed at Bangkok Hospital Headquarters<\/strong> \u2014 where it is genuinely the best option for you, Dr. Soarawee will explain why and arrange referral to a center that offers it. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/08\/13\/holep-holmium-prostate\/\">Learn about HoLEP laser surgery \u2192<\/a><\/p>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<p class=\"has-text-align-center\"><a href=\"https:\/\/drsoaraweeurology.com\/category\/mens-health\/\"><strong>Browse all men&#8217;s health patient guides \u2192<\/strong><\/a><\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#f5f7fa;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:32px;font-weight:600\">Why Choose Dr. Soarawee for BPH<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<ul class=\"wp-block-list\">\n<li><strong>\ud83d\udca8 Minimally invasive expertise<\/strong> \u2014 offers modern, function-preserving treatment including Rezum water-vapor therapy<\/li>\n<li><strong>\ud83d\udc9a Sexual-function aware<\/strong> \u2014 as a sexual medicine specialist, treatment is chosen with your erectile and ejaculatory function in mind<\/li>\n<li><strong>\ud83c\udfaf Honest, tailored advice<\/strong> \u2014 from medication to surgery, matched to your prostate size and priorities, with straightforward referral when another center is the better fit<\/li>\n<li><strong>\ud83c\udfe5 Bangkok Hospital Headquarters<\/strong> \u2014 internationally accredited (JCI) facility with complete diagnostic and surgical capability<\/li>\n<li><strong>\ud83c\udf10 International experience<\/strong> \u2014 nine years caring for expatriate and medical-tourism patients, with English-speaking staff<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Frequently Asked Questions<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q1: What are the symptoms of an enlarged prostate?<\/h3>\n<p>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. They are not always caused by the prostate, which is why assessment measures bladder function rather than assuming.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q2: Does an enlarged prostate mean I have cancer?<\/h3>\n<p>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.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q3: What is Rezum, and how is it different from surgery?<\/h3>\n<p>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. The benefit builds over about three months, and a catheter is usually needed for a few days afterwards.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q4: Will BPH treatment affect my sexual function?<\/h3>\n<p>It depends on the treatment. After TURP, retrograde ejaculation \u2014 semen passing backwards into the bladder \u2014 is common, and 5-alpha-reductase inhibitors can reduce libido or affect erections in some men. 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, and it is worth raising fertility explicitly if it matters to you.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q5: When does an enlarged prostate need surgery?<\/h3>\n<p>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.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q6: Is HoLEP available at Bangkok Hospital Headquarters?<\/h3>\n<p>No. HoLEP is not currently performed at Bangkok Hospital Headquarters. It is an excellent option for very large prostates, and where it is genuinely the best choice for you, Dr. Soarawee will explain why and arrange referral to a center that offers it.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q7: When is an enlarged prostate an emergency?<\/h3>\n<p>Being completely unable to pass urine, with a painful and full bladder, is acute urinary retention and needs same-day hospital care so a catheter can be passed; delay risks bladder and kidney damage. Fever with urinary symptoms, or visible blood in the urine with clots, also needs prompt assessment. Some over-the-counter cold and allergy medicines can trigger retention in men with BPH, so check before taking them.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q8: Can I have a telemedicine consultation about my prostate symptoms?<\/h3>\n<p>Yes, through Bangkok Hospital. Telemedicine is available for patients who cannot attend in person, including international patients, and is arranged in advance by email to the Urology department at bhquro@bdms.co.th. Samitivej Sriracha is in-person only. 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Some over-the-counter cold and allergy medicines can trigger retention in men with BPH.\"}},{\"@type\":\"Question\",\"name\":\"Can I have a telemedicine consultation about my prostate symptoms?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes, through Bangkok Hospital. Telemedicine is available for patients who cannot attend in person, including international patients, and is arranged in advance by email to the Urology department at bhquro@bdms.co.th. Samitivej Sriracha is in-person only. The flow test, residual measurement and examination that guide treatment are done in person.\"}}]}]}\n<\/script><\/p>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:34px;font-weight:600\">Book Your Consultation<\/h2>\n<p class=\"has-text-align-center\">Get a clear diagnosis and a treatment plan that fits your symptoms and lifestyle.<\/p>\n<p class=\"has-text-align-center\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only.<\/p>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital \u2014 Online Booking<\/a><\/div>\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:0880221445\">Samitivej Sriracha \u2014 Call 088-022-1445<\/a><\/div>\n<\/div>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<p class=\"has-text-align-center\" style=\"font-size:14px\"><em>This page is provided for patient education only and is not medical advice. It does not create a doctor-patient relationship. Complete inability to pass urine is a medical emergency and needs same-day hospital care. Dr. Soarawee does not provide medical assessment, advice, diagnosis or prescriptions through personal messaging channels, direct messages or social media.<\/em><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Modern treatment for an enlarged prostate (BPH) in Bangkok \u2014 from medication to minimally invasive Rezum water-vapor therapy and proven surgical options \u2014 by Dr. Soarawee Weerasopone, MD.<\/p>","protected":false},"author":185281453,"featured_media":10924,"parent":10357,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"","meta":{"advanced_seo_description":"Enlarged prostate (BPH) treatment in Bangkok \u2014 medication, minimally invasive Rezum water-vapor therapy, and proven surgical options to relieve urinary symptoms while preserving sexual function. 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