Enlarged Prostate Treatment in Thailand: How to Find Relief?

Enlarged prostate, or benign prostatic hyperplasia (BPH), is a common condition affecting the prostate gland in men as they age, potentially leading to urinary difficulties. Thailand has become a notable destination for those seeking treatment for this condition, offering a range of options combining modern medical technology with experienced urological specialists. From pharmaceutical management to minimally invasive surgical interventions, the country’s healthcare facilities are well-equipped to address the varying degrees of BPH. Read on the learn more about options for Enlarged Prostate Treatment in Thailand.

The Subject Nobody Talks About

Nobody wants to talk about their prostate. It is akin to discussing feminine hygiene products back in the 70’s. It is just not mentioned in polite society. Then you started to see TV ads for feminine products and gradually it became commonplace. Today I believe the discussion on prostate symptoms and problems is at a similar level. Hopefully, with this article, we can shed some light on the problem and solutions that are already available.

I am 4 months shy of my 63rd birthday and I know that I have BPH. I started having to get up to urinate several times a night several years ago. I did not worry about it, but I have educated myself since then. BPH is no laughing matter. I started to take saw palmetto and Beta Sitosterol, as a preventative, along with adding turmeric and green tea to my diet almost every day. Note these are my decisions, I am not a doctor. If you have symptoms – see your doctor.

I have had a full physical recently including a PSA test and transabdominal ultrasound. The PSA test came back negative, and the ultrasound indicated a normal-sized prostate. So why do I find myself getting up in the night to urinate? It is a puzzle and warrants further investigation.

I wanted to know more about this subject that nobody talks about. I have many friends here who are all close to or in their 60s already. None of them, no I for that matter have ever discussed this subject, It just does not come up for discussion. I

In order to shed some light on the subject I have created this article with links to some of the best hospitals using advanced diagnostics and treatment of prostate issues here in Thailand.

Notably, institutions like Bumrungrad Hospital and Bangkok Hospital have pioneered sophisticated treatments such as Water Vapor Therapy and offer advanced procedures for kidney and prostate issues.

These treatments are performed by skilled urologists who apply the latest medical advancements, ensuring high-quality care for international and local patients. This focus on cutting-edge technology and patient-centered care makes Thailand’s urology centers stand out in the treatment of enlarged prostate.

Key Takeaways

  • Nobody talks about Prostate problems
  • Thailand is recognized for its advanced treatments for enlarged prostate.
  • Thai hospitals provide innovative therapies and minimally invasive surgeries.
  • Urology specialists in Thailand prioritize modern technology and patient care.

Understanding Enlarged Prostate

In Thailand, recognizing and effectively managing an enlarged prostate, medically known as Benign Prostatic Hyperplasia (BPH), is crucial for maintaining your urological health as you age.

Overview of Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia, or BPH, is a non-cancerous growth of the prostate gland that can lead to uncomfortable urinary symptoms. It’s a common condition affecting older men and is not associated with prostate cancer. An enlarged prostate can significantly impact your quality of life by interfering with normal urination.

Symptoms of an Enlarged Prostate

The symptoms of BPH are related to urinary function and may include:

  • Frequent urination, especially at night (nocturia)
  • Urgency to urinate
  • A weak urine stream or a stream that starts and stops
  • Difficulty starting urination
  • Dribbling at the end of urination
  • Inability to completely empty the bladder or hold urine

If you experience any of these symptoms, it’s advisable to seek medical attention for a proper diagnosis.

Causes and Risk Factors

Your risk of developing BPH increases with age. It’s rare in men under 40, but the chances rise significantly for those aged 45 and older. Other risk factors for BPH include:

  • Family history of prostate problems
  • Diets high in red meat and high-fat foods
  • Obesity
  • Lack of physical activity
  • Conditions like heart disease and diabetes

Understanding your risk factors can help you seek timely medical advice and treatment.

Diagnosing Enlarged Prostate

When you’re seeking a diagnosis for an enlarged prostate in Thailand, healthcare providers rely on a combination of testing and examination to confirm the condition. Here’s what you can expect during the diagnostic process.

Digital Rectal Examination (DRE)

During a Digital Rectal Examination (DRE), (whoa Nelly watch where you are going there) I have not experienced this by a clinician yet…. During the procedure, a specialist will insert a gloved, lubricated finger into your rectum to feel for any enlargement of the prostate gland. This is a critical first-step assessment that helps the physician determine the size and texture of your prostate, which may indicate benign prostatic hyperplasia (BPH).

Ultrasound Imaging

Ultrasound imaging is a non-invasive diagnostic tool used to visualize the tissues within your urinary tract. Healthcare providers may perform a transrectal ultrasound, where a probe is inserted into the rectum to get a clear view of the prostate, or a transabdominal ultrasound to check for urinary retention and bladder abnormalities.

  • Transrectal ultrasound: Offers detailed images of the prostate
  • Transabdominal ultrasound: Assesses the bladder and surrounding areas (This is the one I had).

Urinalysis and Medical History

Your medical history provides essential context for your diagnosis, including any urinary symptoms or past issues with the urinary tract. Urinalysis is another key diagnostic test where a urine sample is analyzed for signs of infection, blood, or other abnormalities that could be contributing to prostate problems.

This was part of my medical checkup as well; it all came back clear. Please see this article for the details of my physical.

Treatment Options for Enlarged Prostate

In Thailand, treatment for an enlarged prostate, or benign prostatic hyperplasia (BPH), ranges from medications and minimally invasive procedures to surgery. Your treatment choice depends on the severity of your symptoms, the size of your prostate, and your overall health.


The first line of defense against the symptoms of BPH typically involves medication. Two common types are:

  • Alpha-blockers: These medications work by relaxing the muscles of the prostate and bladder neck to improve urine flow and reduce bladder outlet obstruction.
  • 5-alpha reductase inhibitors: This class of drug can shrink the prostate by preventing hormonal changes that cause prostate growth.

Minimally Invasive Treatments

For those seeking alternatives to medication with less recovery time than traditional surgery, minimally invasive treatments may be viable options:

  • Transurethral microwave thermotherapy (TUMT): This therapy uses microwaves to heat and destroy excess prostate tissue to relieve urinary blockage.
  • Water vapor therapy: A newer treatment, where steam is used to target and eliminate enlarged prostate tissue.

Surgical Procedures

When medications and minimally invasive methods are inadequate, surgery might be required:

  • Transurethral resection of the prostate (TURP): The most frequently performed surgery for BPH, where prostate tissue obstructing urine flow is removed.
  • Laser surgery: A less invasive option employing lasers to vaporize obstructive prostate tissue.

Advanced Therapies in Thailand

In Thailand, your options for treating an enlarged prostate include groundbreaking surgical methods and the latest medicinal and herbal advancements, reflecting the country’s commitment to providing cutting-edge medical care.

Innovative Surgical Techniques

If you’re exploring surgical interventions, Thailand offers Thulium Laser Vaporesection (ThuVARP), a minimally invasive procedure that efficiently vaporizes prostate tissue. The Bangkok Hospital Chiang Mai is known for its proficiency in prostate cancer treatments, including advanced therapies like photo-selective vaporization of the prostate. Another technique available is the Thulium Laser Vaporesection of the Prostate (ThuVARP), which targets the precise areas that need treatment while sparing surrounding tissues, resulting in reduced bleeding and shorter recovery times.

New Medications and Herbal Remedies

Beyond surgery, Thailand offers innovative pharmacological treatments and herbal remedies for enlarged prostate. One such herbal remedy is saw palmetto; an herb that has been researched for its potential to treat an enlarged prostate with fewer side effects compared to conventional drugs. As for technological advancements, Bumrungrad International Hospital in Bangkok is the first in Thailand to offer hydrogel spacers, which reduce complications in prostate cancer treatment by protecting surrounding healthy tissues.

I have been taking saw palmetto for a few years now as a preventative measure. Please note I am not a doctor and I only mention this as added information to this article. I cannot say that saw palmetto is good or bad for the prostate. I can tell you that my condition seems to have stalled and has not gotten any worse. Indeed when I compare it to a few years ago, I would say I am better off. Take that for what you will.

Enlarged Prostate Treatment in Thailand – Top 4 Hospitals

Bumrungrad International Hospital

When considering prostate surgery, Bumrungrad International Hospital stands out for its advanced treatments that aim at improving quality of life with quick recovery. Note: all the hospitals say similar things, you need to decide which one fits you best if you require treatment. Such things as location and price will come into play. It is up to you.

Reputation and Standards of Care

Bumrungrad International Hospital is recognized for its exacting standards in healthcare and is a prominent clinic in Thailand for innovative treatment of benign prostatic hyperplasia (BPH). The hospital has embraced innovative technologies such as water vapor therapy, which is notably less invasive compared to traditional surgical methods. This procedure has been proven to enhance recovery times, helping you to regain your quality of life more rapidly.

Post-Surgery Recovery and Support

Postoperative care is vital for recovery, and Bumrungrad offers comprehensive support services post-surgery. The hospital emphasizes ensuring a quick recovery so that you can resume your daily activities as soon as possible. With insight into managing enlarged prostate symptoms and preventative measures for sustaining long-term health, the services extend beyond surgery. For detailed advice on lifestyle changes and symptom management post-surgery, this article exploring information on taking control of an enlarged prostate can be particularly useful.

Bangkok Hospital

When considering prostate surgery, Bangkok Hospital is recognized for its high-quality care and modern surgical techniques aimed at improving your quality of life. Note: all the hospitals say similar things, you need to decide which one fits you best if you require treatment. Such things as location and price will come into play. It is up to you.

One thing to add here, Bangkok Hospital has outlets all over Thailand from Chiang Mai in the North to Hat Yai in the South, and Phuket and Pattaya, so if you are located away from Bangkok, these are options.

Reputation and Standards of Care

Bangkok Hospital has established a reputation for providing excellent urological care with an emphasis on minimally invasive prostate surgery. Its Urology Center is equipped with state-of-the-art technology, ensuring that you receive the most effective treatment available. The hospital’s commitment to maintaining high standards of care means that your surgery will be handled by experienced urologists who are skilled in a variety of procedures, including laser vaporesection, a method renowned for its precision and reduced risks.

Post-Surgery Recovery and Support

After prostate surgery at Bangkok Hospital, you can expect a quick recovery and comprehensive support. The hospital utilizes advanced techniques like Laser PVP, which is not only effective at treating an enlarged prostate but also offers benefits such as less pain, less blood loss, and a short recovery time. You’ll be able to return to your daily routine within a few days, and the clinic’s staff will provide you with all the necessary post-surgery recovery support to ensure a smooth transition back to your normal life.

Samitivej Hospital

When considering prostate surgery, deciding on a hospital with a distinguished surgical team and comprehensive recovery support is crucial. Samitivej Hospital in Bangkok is renowned for its exemplary care in this specialized area. Note: all the hospitals say similar things, you need to decide which one fits you best if you require treatment. Such things as location and price will come into play. It is up to you.

Reputation and Standards of Care

Samitivej Hospital does have a stellar reputation around Bangkok and Thailand. My friend swears by Samitivej. He has had great success getting various treatments there. Recently he had viral conjunctivitis which was poorly treated at other hospitals. He went to Samitivej and was immediately scheduled with a specialist who advised him that he had a membrane growing across his eye do to the viral infection. They removed the membrane (again in a couple of days) and then he was well on his way to recovery.

Samitivej Hospital stands out for its commitment to quality-of-life improvements and surgical excellence in prostate surgery. The clinic adheres to international standards of care, ensuring that you are in capable hands. Procedures like High-Intensity Focused Ultrasound (HIFU) offer innovative treatment options that emphasize precision and minimize invasiveness. This technique utilizes ultrasound energy to target and eradicate cancer cells, which may contribute to a quicker recovery.

Post-Surgery Recovery and Support

After your surgery, the clinic provides a structured support system designed to aid your quick recovery. The hospital prioritizes your comfort and healing, furnishing services for pain management, postoperative care, and rehabilitation. The thorough approach Samitivej Hospital takes ensures your quality of life post-procedure is given the attention it deserves, facilitating a smoother transition to everyday life.

Vejthani Hospital

When considering prostate surgery in Thailand, Vejthani Hospital is recognized for its excellence in treatment and care, fostering both medical quality and patient comfort to promote a quick recovery. Note: all the hospitals say similar things, you need to decide which one fits you best if you require treatment. Such things as location and price will come into play. It is up to you.

Reputation and Standards of Care

At Vejthani Hospital, the urology clinic is acclaimed for its state-of-the-art prostate surgery techniques, which are designed to improve your quality of life. The medical team’s expertise is underpinned by an unwavering commitment to healthcare standards, ensuring that the latest advancements in prostate care are accessible to you.

The hospital’s international accreditation is a testament to its high standards in patient safety and care. With a focus on minimally invasive procedures, they aim to reduce the recovery time, helping you to return to normal activities with minimal disruption.

Post-Surgery Recovery and Support

Following your prostate surgery, Vejthani Hospital provides comprehensive support to ensure your smooth and quick recovery. The dedicated staff delivers continuous post-operative care and detailed instructions for aftercare, optimizing your healing process.

For those exploring alternatives to traditional surgery, Vejthani Hospital offers innovative treatments, one of which includes using water vapor to treat prostate gland enlargement. This non-surgical option highlights the hospital’s commitment to providing a broad spectrum of therapeutic choices tailored to your individual needs and preferences.

Managing Complications and Side Effects

Effectively managing the complications and side effects of an enlarged prostate is critical for maintaining your quality of life. Specific strategies can help you deal with urinary incontinence and prevent bladder and kidney issues, which are common complications associated with this condition.

Dealing with Urinary Incontinence

Urinary incontinence often results from an enlarged prostate due to the pressure on the bladder or urinary tract. To manage this side effect, you may consider:

  • Kegel exercises: These strengthen your pelvic floor muscles, improving bladder control.
  • Scheduled toileting: Use the bathroom at regular intervals to train your bladder.

Further options like hydrogel spacers may also reduce complications and improve outcomes in treatments associated with prostate cancer, which might be applicable to benign prostatic hyperplasia (BPH) treatments.

Preventing Bladder and Kidney Issues

To prevent serious complications such as bladder stones, kidney failure, and infections, it’s important to:

  • Stay hydrated: Drink plenty of fluids to dilute your urine and reduce the risk of stone formation.
  • Timely treatment: If you experience symptoms of an infection or urinary retention, seek medical attention promptly to avoid further complications.

For urinary retention, procedures to remove blockages can prevent backflow that leads to kidney issues. An innovative, minimally invasive option like the UroLift™ System may offer fewer side effects and lower the risk of developing urethral strictures compared to traditional surgical treatments.

Remember that everyone’s situation is unique, and treatments should be discussed with your healthcare provider to address your specific needs.

Lifestyle and Prevention

Managing an enlarged prostate often involves addressing lifestyle choices that can impact your condition. Your focus should be on adopting habits that promote prostate health and prevent further issues.

Diet and Fluid Management

Diet plays a pivotal role in managing the symptoms of an enlarged prostate. Incorporating more vegetables and fruits that are high in antioxidants can be beneficial. Targeted foods include:

  • Tomatoes (rich in lycopene)
  • Berries (loaded with antioxidants)
  • Broccoli
  • Citrus fruits

Fluid management is equally important. Aim to:

  • Reduce caffeine and alcohol intake as both can aggravate urinary symptoms.
  • Limit your fluid intake in the evening to avoid nighttime urination. I try to avoid drinking any fluids after 7 pm.

Focusing on Overall Prostate Health

For prostate health, regular physical activity is encouraged. Exercise can help you manage your weight, which is crucial since obesity can worsen symptoms. Additionally, regular check-ups and prostate screenings are important preventive measures.

You should also consider reducing stress, as it can negatively affect your prostate health. Practices such as mindfulness and yoga can be effective stress relievers. Remember, these lifestyle changes not only support your prostate but also contribute to a healthy lifestyle overall.

Understanding the Urology Center Ecosystem in Thailand

As you explore treatment for an enlarged prostate in Thailand, the urology center ecosystem here is equipped with specialized facilities and experienced professionals focused on urology, symptom relief, and enhanced quality of life, especially for seniors. Thailand is designating itself as a medical hub for the region and is focused on promoting medical tourism. The government provides visas specifically for medical tourists.

Seeking Specialists and Expert Opinions

When searching for treatment options, it’s crucial to connect with specialists who are not only skilled in urology but also understand the intricacies of the prostate gland and its impact on urine flow and quality of life. Many urology centers in Thailand have a team of experienced urologists who offer expert opinions tailored to your specific condition.

Evaluating Different Urology Centers

As you evaluate various urology centers in Thailand, consider their capacity to provide advanced treatments. Bumrungrad Urology Center in Bangkok is noted for being the first hospital in Thailand to introduce hydrogel spacers for prostate cancer treatment, showing their commitment to innovative technology and treatment modalities.

  • Facilities: Look for modern, well-equipped centers.
  • Treatment Options: Are minimally invasive options available?
  • Reputation: Find out patient outcomes and read testimonials.

Navigating the Healthcare System in Thailand

Navigating the healthcare system in Thailand can be straightforward if you’re familiar with the processes and have the necessary documentation.

  1. Insurance Coverage: Confirm if your insurance plan is accepted. If you are using an out-of-country insurance plan the hospital may require you to pay up front and then claim the costs back from your provider. Be sure to check with your insurance to confirm.
  2. Appointment Booking: Check if online scheduling is available for convenience.
  3. Language Support: Ensure there are English-speaking staff members if required. Most of the larger hospitals (all noted in this article) have English-speaking staff on call.

Your explorations will reveal that Thailand’s urology centers are designed to address your healthcare needs with a focus on improving your day-to-day comfort and well-being.

Frequently Asked Questions

When exploring treatment options for enlarged prostate in Thailand, you likely have questions concerning the latest therapies and specialists in the field. The following is a compiled list of frequently asked questions that may assist in your understanding and decision-making process.

What are the advantages and disadvantages of Rezum Water Vapor Therapy for prostate issues?

Rezum Water Vapor Therapy is a minimally invasive treatment that applies thermal energy to eliminate excess prostate tissue. Advantages include a lower risk of sexual dysfunction and short recovery time, while disadvantages may involve temporary urinary symptoms post-treatment.

Who are the most renowned urologists in Bangkok for prostate treatment?

Bangkok houses several top-tier urologists specializing in prostate treatments, with facilities like Bumrungrad Hospital serving as a hub for skilled physicians in the field. Patients can expect comprehensive care from experienced professionals with access to advanced technologies.

How does UroLift compare to traditional prostate surgery in terms of outcomes and recovery?

UroLift is a newer, less invasive procedure designed to lift and hold the enlarged prostate tissue so it no longer blocks the urethra. Compared to traditional surgery, UroLift generally results in fewer complications and a quicker return to normal activities, although individual outcomes can vary. UroLift came out several years ago and may be right for you.

Can Rezūm therapy be considered the most effective treatment for an enlarged prostate as of 2023?

While Rezūm therapy is an effective treatment for an enlarged prostate, “most effective” can depend on individual patient factors. Other treatments may be more suitable depending on the prostate size, patients’ health condition, and personal preferences.

Here is a link to the Rezum official website that explains the procedure very well. It appears to be the newest treatment available.

What medications are currently recommended for managing symptoms of an enlarged prostate?

Common medication classes prescribed to manage symptoms of an enlarged prostate include alpha-blockers for relaxing muscle fibers and 5-alpha reductase inhibitors to reduce prostate volume. Doctors may recommend a specific medication based on the severity and nature of the symptoms.

What are the newest advancements in treating an enlarged prostate in 2023?

In 2023, advancements in enlarged prostate treatment include sophisticated laser therapies and innovative minimally invasive procedures like laser PVP and water vapor ablation techniques, which aim to improve outcomes and reduce side effects. These advancements provide more options for personalized and effective patient care.

To Sum Up

Nobody talks about prostate problems. From caring for your prostate to helping you to find a solution to BPH when it occurs. The statistics are alarming considering nobody talks about it.

According to Johns Hopkins Medicine, ~25% of men over 55 years old will experience some form of BPH and up to 50% over 70 years old will suffer from some form of it.

Things are getting better as far as discussion is concerned. Most men now know that they need to be wary of and take care of their prostate. Early treatment and diagnosis are key. Educate yourself on the symptoms and the treatments available. If your symptoms worsen, see medical help. Be sure to get checked regularly. A PSA test and a transabdominal ultrasound are painless ways to keep ahead of any problems.

Enlarged Prostate Treatment in Thailand – there are options available here for treatment. Simply check around and ask your doctor. Prostate problems are no longer a dirty secret. Take control of your health, and your life.

If your symptoms worsen then look into the treatments available here. Stay safe, stay healthy.

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