Patient Guide
Sexual-Preserving BPH Procedures
Modern minimally invasive options now relieve BPH symptoms while preserving sexual function. This guide highlights five leading procedures and who they may be best suited for.
5 Minimally Invasive BPH Treatments That Preserve Sexual Function
The options below focus on urinary relief while maintaining sexual wellbeing.
1. Prostatic Urethral Lift (UroLift)
UroLift uses tiny permanent implants to lift and hold enlarged prostate tissue away from the urethra, opening the urinary channel without cutting, heating, or removing tissue. It is widely considered the gold standard for preserving both erection and ejaculation. Clinical studies tracking patients over five years show no new cases of erectile dysfunction or ejaculatory dysfunction. It is an outpatient procedure with a fast recovery, making it ideal for active men who cannot afford lengthy downtime.
Learn more: uk.urolift.com
2. Water Vapor Thermal Therapy (Rezum)
Rezum harnesses the power of steam to treat BPH. Radiofrequency energy converts water into steam, which is then precisely injected into the prostate tissue. The steam causes rapid cell death, gradually shrinking the prostate over several weeks. The procedure takes less than 10 minutes in a clinic setting and carries a very low risk of sexual side effects. It is particularly well-suited for men with larger prostates or those wishing to avoid general anaesthesia.
Learn more: rezum.com
3. Aquablation (Robotic Waterjet Therapy)
Aquablation is a robot-assisted procedure that uses a high-velocity waterjet, guided in real time by ultrasound imaging, to precisely remove prostate tissue. Because no heat is used and the surrounding nerves involved in erectile function are preserved, the technique results in lower rates of retrograde ejaculation compared to traditional TURP. It combines the precision of robotic technology with the gentleness of water, making it a strong option for larger prostates.
Learn more: aquablation.com
4. Prostatic Artery Embolization (PAE)
PAE is a non-surgical, interventional radiology procedure performed by an interventional radiologist. Tiny microspheres are injected through a small catheter to reduce blood supply to the prostate, causing it to gently shrink over time. Unlike traditional surgery, no incisions into the urinary tract are made, resulting in a lower risk of sexual side effects. PAE has grown in popularity as an effective alternative for men who are poor surgical candidates or prefer to avoid any anaesthesia.
Learn more: Boston Scientific - PAE Patient Leaflet
5. Temporary Implantable Nitinol Device (iTind)
The iTind device uses a shape-memory metal device placed inside the prostate for five to seven days. During this time, its expanding structure gently reshapes and widens the urethra without destroying any tissue. Once removed, the prostate retains its new, more open shape. Because no tissue is excised or heated, sexual function is preserved, making this an appealing option for men concerned about even minor procedural side effects.
Learn more: itind.com
How to Choose the Right Procedure for You
Choosing between these procedures depends on several factors, including the size of your prostate, your overall health, and your personal priorities. Here is a quick comparison.
Conclusion
Living with BPH no longer means choosing between urinary relief and sexual wellbeing. Today's minimally invasive procedures offer men a real opportunity to address both concerns simultaneously. Whether you value a non-surgical approach, a faster recovery, or the best possible preservation of sexual function, there is a solution tailored to your needs.
Always consult a qualified urologist to discuss which option is most appropriate for your individual anatomy, prostate size, and health history. Armed with the right information, you can make a confident, informed decision about your care.
Written for patients and healthcare professionals. Always seek qualified medical advice before undergoing any procedure.