Top BPH procedures in 2024: ranked by number of cases

If you have benign prostatic hyperplasia (BPH), know that you're not alone and that you have many treatment options. The BPH treatment landscape is evolving fast, from gold-standard surgeries to new stents in development. Here’s a quick look at the most widely used BPH procedures as of 2025.

Comparison Table – BPH Procedures in 2024

Procedure	Type	Commercial Stage	CY 2024 Procedures
TURP (Gold standard)	Surgery	All payer coverage	112,240
Aquablation	Surgical procedure	Cat III (T-Code, limited reimbursement)	33,140
UroLift	Office/ASC procedure	Wide payer coverage	32,841
HoLEP	Surgery	All payer coverage	28,278
Rezum	Office/ASC procedure	Wide payer coverage	12,139

Office procedures 

Office procedures are simple treatments or tests that can be done right in your doctor’s office during a regular visit. They usually don’t require special equipment or an operating room, and you can go home right after.

ASC procedures (Ambulatory Surgery Center procedures)

ASC procedures (Ambulatory Surgery Center procedures) are done in a specialized outpatient surgery center. These may require more advanced equipment or a slightly more complex setup than what’s available in a regular office, but you can still return home the same day.

Both options are outpatient, meaning no overnight hospital stay is needed. The main difference is where the procedure takes place and how much equipment or preparation it requires.

Detailed Review of Each BPH Treatment

1. TURP: Still the Gold Standard

TURP (Transurethral Resection of the Prostate) remains the most commonly performed procedure in the U.S., with over 112,000 cases in 2024. It’s effective and covered by all insurance providers, but it’s also the most invasive option.

• Manufacturers: Olympus, Boston Scientific, Karl Storz, Stryker

• Setting: Hospital surgery

• Insurance: Covered by all payers

2. HoLEP: Laser Precision

HoLEP (Holmium Laser Enucleation of the Prostate) offers precise, complete removal of prostate tissue and is increasingly popular, though still far behind TURP in volume (~28,000 cases).

• Manufacturers: Boston Scientific, Olympus, Quanta System

• Setting: Hospital surgery

• Insurance: Covered by all payers

3. UroLift and Rezum: Office-Based, Less Invasive

Minimally invasive options like UroLift (32,000+ cases) and Rezum (12,000+ cases) are performed in outpatient settings, making them attractive for men looking to avoid major surgery.

• UroLift: Small implants that lift the prostate tissue

• Rezum: Steam-based thermal ablation

• Setting: Office or ASC (Ambulatory Surgery Center)

• Manufacturers: Teleflex (UroLift), Boston Scientific (Rezum)

• Insurance: Broad coverage

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4. Aquablation: Gaining Ground

Aquablation uses a robotically controlled water jet to remove prostate tissue and had over 33,000 procedures in 2024—more than HoLEP. It’s covered under a T-Code, so insurance support is more limited.

• Manufacturer: Procept BioRobotics

• Setting: Surgical procedure

• Insurance: Limited (Category III)

5. iTind and the New Wave of Stents

iTind, a temporary stent that reshapes the prostate over 7 days, just became covered by Medicare in 2025. Other next-gen stents are in development, including:

• SPRING (Zenflow) – Under FDA review

• ProVee (Proverum) – FDA clearance expected late 2025

• FloStent, Butterfly – In pivotal trials

These devices aim to treat BPH without permanent implants or surgery—possibly even without general anesthesia.

What This Means for You

Listen to your doctor’s recommendations—but also take time to reflect on what matters most to you. Is your top priority a faster recovery? Minimal pain? Fewer side effects? Or long-term safety? Understanding your own goals can help you choose the BPH treatment that truly fits your life.

Keep track of your urinary health over time, especially if you’re taking medication or preparing for (or recovering from) a procedure. proudP is an app that measures your urinary flow right at home. Simply open the app when you go to the bathroom, and it’s like doing a uroflowmetry test at the clinic—every single day. It’s the easiest way to see if your current treatment is really working.

Download the app today and start your free test now—no clinic visit required. In just one minute, you’ll get accurate results that you can track and share with your doctor whenever you need.

Check your current status with proudP.

Enter code HELLO9 for 2 weeks of free use.

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BPH Treatment Options FAQ (2025)

What is the most common BPH treatment in 2025?

TURP (Transurethral Resection of the Prostate) remains the most common BPH treatment in the U.S., with over 112,000 procedures performed in 2024. It’s effective and covered by all major insurance providers.

Which BPH treatments are minimally invasive?

Minimally invasive options include UroLift, Rezum, and iTind. These can be performed in an office or ambulatory surgery center, often without general anesthesia, and usually have shorter recovery times than surgery.

What is the difference between office procedures and ASC procedures?

Office procedures are done during a regular doctor’s visit with minimal equipment, while ASC (Ambulatory Surgery Center) procedures are performed in specialized outpatient centers with more advanced tools. Both let you go home the same day.

Is Aquablation covered by insurance?

Aquablation currently has limited insurance coverage in the U.S., as it is billed under a Category III T-Code. Check with your provider for details on your plan.

What is iTind and how does it work?

iTind is a temporary stent placed in the prostate for about 7 days. It reshapes the prostate tissue to relieve symptoms without permanent implants or major surgery. It became eligible for Medicare coverage in 2025.

Which BPH procedure offers the fastest recovery?

Recovery time varies, but office-based procedures like UroLift and Rezum generally have faster recovery than surgeries like TURP or HoLEP.

Can I monitor my urinary health at home after BPH treatment?

Yes. Apps like proudP allow you to measure your urinary flow at home, similar to a clinic’s uroflowmetry test, so you can track your recovery and treatment effectiveness over time.