BPH Treatment Comparison

Use this side-by-side guide to explore how different treatment options stack up in terms of effectiveness, invasiveness, recovery, and everyday impact — so you’re aware of all the nuances when discussing your treatment options with your urologist.

TREATMENT/
CRITERIA

MEDICATION (ALPHA-BLOCKERS)

TURP

HOLEP

REZUM

ITIND

OPTILUME

METHOD/TECHNOLOGY

Oral medications that relax prostate muscles or shrink prostate tissue

Surgical resection of prostate tissue

Laser procedure that removes obstructing prostate tissue

Steam ablation therapy that reduces prostate tissue over time

Temporary nitinol implant that reshapes the urethra

Drug-coated balloon dilation to widen the prostatic urethra

HOSPITAL STAY

Outpatient

1-2 days

1 day

Outpatient

Outpatient

Outpatient

ANESTHESIA

None required

General or spinal

General or spinal

Local or mild sedation

Local or mild sedation

Local or mild sedation

DURATION

Continuous treatment

1-2 hours

1.5-2.5 hours

5-10 minutes

5-7 minutes

10-15 minutes

COVERED BY OHIP

Yes

Yes

Yes

No

No

No

RECOVERY TIME

2-6 weeks for symptom relief

2-6 weeks

2-3 weeks

2-6 weeks

1-2 weeks

1-3 weeks

NEED FOR CATHETER

No

Yes, 3-7 days

Yes, 1-2 days

Yes, 2-7 days

No

Yes, 2 days

PRESERVES SEXUAL FUNCTION

Often lost1

~70-90%2

~85-95%3

80-90%6

~90-95%7

~90%8

PRESERVES EJACULATION

Often lost1

~20-35%2

~10-20%4

~90%6

Yes7

~90%8

SYMPTOM RELIEF DURATION

Varies with use1

10-15 years2

1-15 years5

85% free of retreatment at 5 years6

5+ years7

3-5 years

¹ “Efficacy and long-term outcomes of alpha-blockers for BPH.” Journal of Urology, 2017.

² “Long-term outcomes of TURP for BPH.” European Urology, 2020.

3 “Long-term functional outcomes of HoLEP for BPH management.” (Journal of Urology, 2020)

4 “Impact of holmium laser enucleation of the prostate on ejaculation: A systematic review.” (BJU International, 2019)

5 “Durability of symptom relief after HoLEP: A 10-year follow-up study.” (European Urology, 2022)

6 “Rezum therapy for BPH: Efficacy and safety at 5 years.” The Journal of Urology, 2021.

7 “Five-year outcomes of ITind for BPH management.” BJU International, 2022.

8 “Optilume drug-coated balloon for BPH: Preliminary outcomes.” Urology Practice, 2023.

9 “UroLift prostatic urethral lift: 5-year follow-up results.” Urology, 2019.