Procedures · Category 2 of 7

BPH / Enlarged Prostate Treatments

A full spectrum of modern therapies for benign prostatic hyperplasia, matched to gland size and patient goals.

6 treatments

01

Optilume

Drug-coated balloon dilation of the prostatic urethra for BPH.

Optilume is a minimally invasive treatment for BPH that combines mechanical dilation with a drug-coated balloon to open the narrowed prostatic urethra and help keep it open over time.

Unlike surgical approaches, no prostate tissue is removed; instead, the balloon dilates the channel and delivers a coating that helps maintain the opening.

The procedure is performed quickly under appropriate anesthesia, and most patients experience a rapid recovery and prompt improvement in urinary flow.

Because no tissue is cut, removed, or heated, Optilume is designed to preserve sexual function while relieving BPH-related obstruction.

02

Rezūm

In-office water-vapor (steam) therapy that shrinks obstructing prostate tissue causing BPH symptoms.

Rezūm is a water-vapor (steam) therapy that uses targeted thermal energy to shrink excess prostate tissue causing BPH symptoms.

It treats benign prostatic hyperplasia in men with bothersome urinary symptoms such as weak stream, urgency, frequency, and nighttime urination due to an obstructing prostate.

During a short in-office treatment, brief bursts of steam are delivered directly into the prostate. Over the following weeks the treated tissue is reabsorbed by the body, relieving the obstruction and improving urinary flow.

Rezūm typically preserves sexual function, avoids major surgery, and most patients notice meaningful symptom improvement within weeks — making it an attractive option for men seeking durable relief without daily medication.

03

UroLift

Minimally invasive implants that lift enlarged prostate tissue away from the urethra without cutting or heating.

UroLift is a minimally invasive system that uses tiny permanent implants to lift and hold enlarged prostate tissue away from the urethra, relieving obstruction without cutting, heating, or removing tissue.

It is used to treat bothersome urinary symptoms caused by an enlarged prostate (BPH).

The procedure is often performed in-office under local or light anesthesia. The implants are placed through a small scope and create a wider channel for urine to flow, with most patients returning home the same day.

Because no tissue is destroyed, UroLift generally preserves sexual function, including erections and ejaculation, and offers rapid recovery with minimal downtime — a good fit for men who want relief while avoiding more invasive surgery.

04

Aquablation

Robotically guided, heat-free waterjet removal of obstructing prostate tissue.

Aquablation is a robotically guided, heat-free waterjet therapy that removes obstructing prostate tissue with precision. Real-time ultrasound imaging maps the prostate so treatment is tailored to the individual's anatomy.

The robotic control then delivers consistent, precise tissue removal that is reproducible from patient to patient.

Aquablation is effective across a wide range of prostate sizes, including larger glands that may not be ideal for some other minimally invasive options.

By avoiding thermal energy in the critical zones, the approach aims to relieve symptoms while reducing the risk of sexual side effects.

05

Laser vaporization of prostate

Endoscopic laser vaporization of excess prostate tissue.

Laser vaporization of the prostate is a minimally invasive procedure that uses laser energy to vaporize excess prostate tissue obstructing urine flow.

It is performed endoscopically through the urethra, with no external incisions, and is well tolerated by most patients.

The laser seals small blood vessels as it works, which significantly reduces the risk of bleeding compared with older surgical techniques.

Many patients experience rapid symptom relief and short recovery, and laser vaporization is well-suited to a range of patients, including some who must remain on blood thinners.

06

Robotic simple prostatectomy

Robotic removal of the inner enlarged prostate tissue for very large glands.

Robotic simple prostatectomy is a minimally invasive robotic operation that removes the obstructing inner portion of a significantly enlarged prostate while leaving the outer capsule of the gland intact.

It is typically reserved for very large prostates where other minimally invasive therapies are less effective at providing durable relief.

The robotic approach reduces blood loss and shortens recovery compared with traditional open simple prostatectomy.

It is distinct from cancer prostatectomy because the entire gland is not removed; the goal here is to relieve severe BPH obstruction, not to treat cancer.

Ready to discuss your care?

Call our Century City office to schedule an in-person consultation or a secure remote virtual visit with one of our urologists.

(310) 277-2929