As of October 2023, there are several latest treatments for an enlarged prostate that may help reduce prostate size or reduce symptoms. These treatments include:

• Water vapor thermal therapy: This treatment involves injecting steam into the prostate gland to treat and ultimately shrink tissue. It can be done in the office without putting the patient to sleep.

• Prostatic urethral lift: This procedure involves inserting a device into the urethra that can hook tiny stainless-steel implants onto the prostate. Once these implants are secure, they move the prostate away from the urethra.

• Prostate artery embolization: This treatment aims to restrict blood flow to the prostate, causing it to shrink.

• Optilume BPH Catheter System: This is a new catheter designed to treat urinary tract symptoms of an enlarged prostate. It employs mechanical dilation to relieve obstruction of the prostate and then delivers paclitaxel to aid in prostate healing. The device is used in an outpatient setting and is less invasive than other procedures.

• Aquablation: This treatment uses a robotically controlled high-pressure, heat-free water jet to precisely destroy the excess prostate tissue in BPH. It can be successfully performed on larger prostates than are not conducive to TURP, sparing men with large glands from having to undergo a more complex surgical procedure.

• Pharmacological treatments: Some pharmacological treatments can be quite effective. For example, some 5-alpha-reductase inhibitors can reduce prostate volume by up to 25% .

• Surgery: The goal of surgery for enlarged prostate is to remove prostate tissue. Procedures include transurethral resection of the prostate (TURP) and open prostatectomy.

It is important to note that the best treatment for an enlarged prostate depends on the individual case and should be discussed with a doctor.