Enlarged Prostate (BPH)

If you are a man living with an enlarged prostate (benign prostatic hyperplasia, BPH), you may be getting up several times a night, waiting for your flow to start, or never quite feeling empty. Tablets help many men, but not everyone, and many men would rather avoid long-term medication or traditional surgery. At OX Urology, Mr Sarp Keskin offers two modern, minimally invasive options in Oxford: Aquablation and Rezūm. Is this right for me? You may benefit from a consultation

By Prof. Keskin, Consultant Urological Surgeon When treating Benign Prostatic Hyperplasia (BPH)—the non-cancerous enlargement of the prostate gland—urologists face a classic medical dilemma: how to remove enough tissue to deliver powerful, lasting relief to a man's urinary stream without causing permanent damage to his sexual function. Traditional surgical methods like TURP (Transurethral Resection of the Prostate) or laser surgery effectively carve away obstructing tissue, b

By Prof. Keskin, Consultant Urological Surgeon If you are a man over 50 experiencing a weak urine flow, waking up three times a night to use the bathroom, or feeling like your bladder never quite empties, you are likely dealing with Benign Prostatic Hyperplasia (BPH)—an enlarged prostate gland. For years, the standard path for BPH was a choice between taking daily prescription medications for life (which often bring side effects like fatigue or sexual dysfunction) or undergoi

Medical treatment for BPH For many men, the first active step is medication. The aim is to relieve symptoms and improve urine flow. Main groups of medicines: Alpha-blockers Relax the smooth muscle in and around the prostate and bladder neck Help the urine channel open more easily Often start to work within days or weeks Possible side-effects: Tiredness, dizziness or low blood pressure Occasionally, semen going backwards into the bladder during orgasm (retrograde ejaculation).

1. How is prostate enlargement diagnosed? The aim is to confirm that the prostate is the main cause of your symptoms and to exclude other problems such as stones, tumours or bladder nerve disorders. Common assessments include: Symptom assessment Discussion about your urinary symptoms Often a questionnaire such as the International Prostate Symptom Score (IPSS) to rate severity and impact on quality of life Physical examination General examination Abdominal examination to feel

​ What is the prostate? The prostate is a small gland that only men have. It sits just below the bladder and surrounds the first part of the water pipe (urethra) that carries urine out through the penis. Its main job is to produce a fluid that mixes with sperm to form semen. This fluid helps to nourish and protect sperm. All men are born with a prostate. During puberty it grows under the influence of male hormones. Later in life, usually from the age of 40–50 onwards, it ofte