Treatments for Benign Prostate Hyperplasia (BPH)

Struggling to urinate, waking several times during the night or living with discomfort is not normal.

Many men come to a Urology appointment thinking that these symptoms are normal for their age. They are not. An enlarged prostate can and should be treated when it starts to interfere with quality of life.

Today there are various options that can relieve the symptoms effectively, without always having to resort to more aggressive solutions. What matters most is choosing the right treatment for each stage of the disease and for each person.

Discover the treatments for an enlarged prostate (BPH)

The choice of treatment depends on the severity of the symptoms and on their impact on everyday life, and is always tailored to each case.

Prostate Aquablation

Aquablation is an innovative treatment that uses a high-precision water jet, image-guided and robotically assisted, to remove excess prostate tissue.

This approach makes it possible to treat BPH effectively and in a controlled way, with high precision and a lower risk of thermal damage to the surrounding tissue, contributing to a faster and more predictable recovery.

>99%
Urinary continence preserved
100%
Erectile function preserved
89%
Ejaculatory function preserved

Prostate Enucleation

Prostate enucleation is a minimally invasive technique that completely removes the enlarged prostate tissue using laser or bipolar energy. Indicated above all for larger prostates, it makes it possible to treat urinary obstruction effectively and with lasting results.

By removing all of the excess tissue, it reduces the risk of a further procedure and significantly improves urinary flow and the symptoms of an enlarged prostate.

Removal of a large volume of prostate tissue
Effective treatment of urinary obstruction
Long-lasting results
Less need for a further procedure
Large prostates
Also indicated for larger prostates

Laser Treatments for the Prostate

Laser treatments use thermal energy to remove or vaporise the excess prostate tissue responsible for urinary symptoms. This approach makes it possible to clear the urethra precisely, control bleeding effectively during the procedure and treat prostates of different sizes.

It is a well-established option, with good clinical results and faster recovery compared with traditional surgery.

Less bleeding
Reduced risk of bleeding
Fast recovery
Shorter hospital stay
Tailored treatment
Applicable to different prostate sizes

Other techniques for an enlarged prostate

There are other approaches to treating prostate enlargement. These include techniques with less impact on the body, such as the most recent and advanced surgical options — endoscopic or laparoscopic surgery and water vapour therapy — as well as classical operations such as open surgery.

These solutions are indicated for different forms or stages of the disease and allow treatment to be adapted to the size of the prostate, the severity of the symptoms, any coexisting problems and each patient's clinical profile.

Less impact
Options such as water vapour
Less invasive surgery
Endoscopic and laparoscopic approaches
In certain specific cases
Laparoscopic or open surgery, for example for very large prostates

Other techniques for an enlarged prostate

Experience that helps in choosing the most appropriate treatment

Every patient is different. That is why I assess each case rigorously, weigh up the various techniques available and look for the solution that best fits your life.

BPH patients treated

Procedures performed (Aquablation, laser, enucleation and others)

Aquablation treatments performed

My husband has been seeing Dr Dias since we arrived in Lisbon three years ago. He has had issues with an enlarged prostate as well as prostate cancer. Dr Dias has been a wonderful doctor, informative and focused on issues regarding quality of life, which are very important to us. Earlier this year my husband underwent an Aquablation with Dr Dias, and the results have been amazing. My husband has been able to more freely enjoy each day without fear of incontinence or the need to wake us multiple times per night to urinate. Dr Dias and his staff have been wonderful. Highly recommended

Luz Gonzalez

The care and attention have been excellent from our very first appointment. Dr. José Santos Dias did an outstanding job with my husband, and we are delighted with the attentiveness and professionalism. Many thanks to all the staff. Great work.

Lisbeth Fernandes

Dr José Dias is an excellent urologist whom I was fortunate to find, and whom I turn to for examination and advice on how my post-operative prostate recovery is progressing.

Jorge Araújo

Perfect service! The facilities are excellent and very well equipped, with state-of-the-art techniques. Dr. José Dias is an excellent professional with an exceptionally human side. I recommend him wholeheartedly to everyone around me!

Paula Cristina Dias

Extremely attentive! The doctor is five-star, highly professional and considerate! Beyond a genuinely helpful conversation, the appointment did not simply consist of looking at the results of the diagnostic tests and leaving it at that. He ran several tests on me and recommended further complementary examinations, all to rule out possible health problems that we so often overlook! Highly recommended!

Emanuel Jesus Barbosa

Dr. José Dias is a byword for competence and professionalism. An excellent doctor.

Fatima Aresta

Urinary complaints or changes in the prostate

Many men accept this discomfort as part of getting older, but it does not have to be that way. There are effective treatments that can improve your quality of life.

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Information Request

If you have any questions or would like more information about appointments or treatments, you can get in touch using the contact details available or by using the form.

geral@institutodaprostata.com

Address

Rua Castilho, nº 71, 1º Esq.

1250-068 Lisboa

Phone

(+351) 21 386 4114(Call to the national mobile network)

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FAQs

What are the main treatments for an enlarged prostate?

Treatments for an enlarged prostate include medication, Aquablation (using a water jet), laser techniques, water vapour therapy and surgery. The choice depends on the symptoms and on the size of the prostate.

When is it necessary to start BPH treatment?

BPH treatment is recommended when the symptoms interfere with quality of life or when there are complications such as urinary retention, bladder stones, blood in the urine or frequent infections.

How is the best treatment for BPH chosen?

The choice of treatment depends on the size of the prostate, the severity of the symptoms and the patient's clinical profile. A medical assessment makes it possible to determine the most appropriate option.

Does BPH always require surgery?

No. Many cases can be treated with medication or with less invasive techniques such as Aquablation, which is being used more and more. Surgery is less and less necessary and is considered when other alternatives are not possible or when the symptoms do not respond to initial treatment.

Is Aquablation effective in treating an enlarged prostate?

Yes. Aquablation is a highly effective technique that removes prostate tissue with great precision, with good results in improving urinary symptoms.

What can I expect during BPH treatment?

The procedure varies according to the technique, but it is generally carried out endoscopically, with close control and a short duration. In most cases it does not require a prolonged hospital stay; with current techniques the stay is generally one day.

What is recovery like after BPH treatment?

Recovery depends on the type of treatment. Some techniques allow activities to be resumed quickly, while others may require a longer recovery period.

Do BPH treatments affect sexual function?

It depends on the technique used. Some treatments preserve sexual function better, while others may affect ejaculation, erection and even continence. This question should be assessed before treatment.

Is it possible to need treatment for an enlarged prostate again?

In some cases the prostate may grow again over time. Techniques that remove more tissue tend to reduce the likelihood of a further procedure.