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Conditions · Prostate Enlargement (BPH) Prostate enlargement (BPH)? Common, and one of the most successfully treated.

From a weak stream to frequent night-time trips to the bathroom - a clear diagnosis and the full range of treatment, typically within a week. No GP referral needed.

Mr Maneesh Ghei Treated personally by Mr Maneesh GheiConsultant Urological Surgeon · GMC 5208045 BupaPlatinum Consultant
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In short

Prostate enlargement (BPH) is one of the most common conditions affecting men over 50, and one of the most successfully treated - it affects more than half of men in their 60s and the majority of men in their 70s and 80s.

Medically reviewed by Mr Maneesh Ghei·GMC 5208045·September 2026

Recognise It

Do you recognise these symptoms?

Obstructive symptoms

A weak or slow urine stream, having to wait to get started, straining to pass urine, and a feeling of incomplete emptying.

Irritative symptoms

Needing to urinate frequently, sudden urgency, getting up at night to urinate, and leaking before reaching the toilet.

When it needs urgent attention

Suddenly being unable to urinate at all needs immediate attention - untreated BPH can also lead to infections, bladder stones and kidney damage over time.

Your Options

Treatment options for prostate enlargement

Medication

Alpha-blockers relax the muscles to improve flow, and 5-alpha reductase inhibitors shrink the prostate over time - often combined for greater effect.

UroLift

An implant procedure that relieves symptoms while preserving sexual function.

TURP

The gold-standard surgical option for moderate to severe BPH.

Laser options

GreenLight PVP, HoLEP, Aquablation and Rezum are also available, matched to your anatomy and symptoms.

Simple, Fast, Clear

Your path to the right treatment in 3 steps

1

Book this week

Same-week appointments are available, from £250, with no GP referral needed.

2

Diagnosis

A digital rectal examination, urine flow study with ultrasound, and a PSA blood test confirm the cause of your symptoms.

3

The right treatment

From medication to UroLift or TURP - Mr Ghei recommends the option that fits your symptoms, age and preferences.

Mr Maneesh Ghei, Consultant Urological Surgeon
GMC 5208045 · FRCS (Urol)
Your Consultant

Mr Maneesh Ghei

MBBS, MS, MRCSEd, MD (UCL), FRCS (Urol)

Mr Ghei is a consultant urological surgeon with a specialist focus on prostate diagnosis and treatment. He holds a Research MD from University College London and is a Fellow of the Royal College of Surgeons.

In his NHS role he is Cancer Lead and Academic Lead at Whittington Hospital London - one of a small number of consultant urologists in the UK to hold both positions. Every private patient is cared for by Mr Ghei personally, from first appointment through to any treatment that follows.

Cancer Lead · Whittington Hospital BupaPlatinum recognised consultant English · Hindi · Punjabi · Urdu
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Common Questions

Before you book

Can prostate enlargement lead to prostate cancer?
No. BPH is a benign, non-cancerous condition and does not increase your risk of prostate cancer. The two conditions can coexist, which is why a PSA blood test is recommended when symptoms first develop.
Are lifestyle changes enough to treat BPH?
Lifestyle changes such as reducing evening fluids and cutting caffeine and alcohol can help mild symptoms, but are rarely sufficient once symptoms become moderate to severe.
How does BPH affect sexual health?
BPH itself does not cause erectile dysfunction, but some medications, particularly 5-alpha reductase inhibitors, can affect libido and ejaculation. Mr Ghei discusses this when recommending treatment.
When should I see a doctor about BPH symptoms?
Seek assessment if symptoms are disrupting your sleep or daily life, if you notice blood in the urine, or if you suddenly cannot urinate. A private consultation is from £250, with no GP referral required.
Take the First Step

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