Benign Prostatic Hyperplasia (BPH)

Harley Street, London

Benign Prostatic Hyperplasia (BPH) is a common condition in men that can cause bothersome symptoms related to passing urine. It is characterised by the non-cancerous enlargement of the prostate gland. This enlargement can lead to a variety of urinary symptoms, including frequent urination, especially at night (nocturia), a weak urine stream, urgency to urinate, difficulty initiating or stopping urination, and a sense of incomplete bladder emptying. These symptoms can significantly impact a man’s quality of life if left untreated.

Diagnosis of BPH involves a discussion with Mr Raison about your symptoms, a thorough medical history and physical examination, including a digital rectal exam (DRE) to assess the size and condition of the prostate. Additional tests such as a urine flow study, prostate-specific antigen (PSA) blood test, cystoscopy or ultrasound may also be conducted to evaluate urinary function and rule out other conditions.


There are various treatment options available depending on the severity of symptoms. Management of BPH can include lifestyle changes such as limiting caffeine and alcohol intake, fluid management and bladder training exercises. If these options fail or in with severe symptoms medications including alpha-blockers, 5-alpha reductase inhibitors or phosphodiesterase inhibitors (e.g Viagra) may be considered.

For more severe cases of BPH that do not respond well to conservative or medical treatments, surgical interventions may be necessary. Mr Raison offers a range of procedures tailored procedures including Transurethral Resection of the Prostate (TURP), GreenLight laser therapy, or Rezum water vapor therapy may be recommended to relieve symptoms and improve quality of life.

Mr Raison is available for private urology consultations, treatments, and surgical procedures at The London Clinic, Harley Street.

Mr Nicholas Raison

Consultant Urological Surgeon & Associate Professor

Harley Street, London