New Treatment Options Are Changing the Conversation Around Enlarged Prostate Symptoms

As men age, urinary symptoms caused by an enlarged prostate — also known as benign prostatic hyperplasia (BPH) — become increasingly common. According to Dean Elterman, M.D., associate professor at the University of Toronto, attending urologist at the University Health Network and lead investigator for Zenflow, these symptoms affect many men over age 50 and become even more prevalent in their 60s, 70s and beyond.

Common signs of BPH include a weak urinary stream, difficulty starting urination, dribbling after urination, frequent trips to the bathroom and the sensation that the bladder is not fully empty. While these symptoms may develop gradually, they can have a significant impact on quality of life. Interrupted sleep from frequent nighttime urination, anxiety about finding a restroom and limitations on daily activities can all take a toll on physical and emotional well-being.

Historically, treatment options have ranged from medications to more invasive surgical procedures. Medications can help relax or shrink the prostate but often require daily use and may cause unwanted side effects. Surgical procedures can provide relief but may involve anesthesia, recovery time and concerns about sexual function.

In recent years, a new category of treatment has emerged, known as first-line interventional therapies. These minimally invasive procedures are designed to bridge the gap between medications and surgery by providing symptom relief with less disruption to patients' lives.

One of the newest options is the FDA-approved Zenflow Spring System, a small implant designed to help keep the enlarged prostate tissue open, improving urine flow and reducing symptoms. The device is placed through a minimally invasive procedure using a flexible cystoscope, often in an outpatient or office setting. Many patients can return home immediately after the procedure without the need for a urinary catheter.

A key advantage of this approach is its focus on preserving sexual function while providing symptom relief. Recovery is generally quick, and patients can begin experiencing improvements in urinary symptoms in the days and weeks following treatment.

Elterman emphasizes that men should not dismiss bothersome urinary symptoms as an inevitable part of aging. Effective treatment options are available, and addressing symptoms early can help restore sleep, improve daily activities and enhance overall quality of life. For many men, newer minimally invasive treatments may offer a convenient alternative to long-term medications or traditional surgery.