BPH Treatment Near Winston-Salem, NC

Dr. John Hettiarachchi is a board certified urologist and men's health specialist at Piedmont Urology in Wilkesboro, NC. Dr. Hettiarachchi is North Carolina's leader in treatment for benign prostatic hyperplasia. Dr. Hettiarachchi uses state of the art technologies like the UroLift System to ensure each procedure is as easy and as pain free as possible. His patients come from all over the Piedmont area including Mooresville, Hickory, Winston-Salem, and more. Learn more about the UroLift System and schedule your appointment at Piedmont Urology today.

Providing Treatment Solutions for Men with BPH 

An enlarged prostate, also known as BPH, is one of the most common medical conditions men experience as they age. The occurrence of BPH increases as you age and 50%-60% of men in their 60's will have symptoms of BPH. After 70 that chance increases to 80%-90%. Chances are if men live a long and healthy life, they will develop symptoms of BPH.

The good news is BPH is a treatable condition and most men are able to manage the symptoms with one of the many treatment options available. Determining which treatment option is best for you requires a diagnosis from a urologist or men's health specialist.

Dr. John Hettiarachchi and his team at Piedmont Urology have helped thousands of men manage their symptoms of BPH. Dr. Hettiarachchi will provide an expert diagnosis and recommend a treatment plan that best fits your lifestyle. 

Learn more about the medications and procedures for the treatment of BPH. Call Piedmont Urology to schedule your appointment to find out which treatment option is best for you. You can also request an appointment online using our form today!

Request Your Appointment
Call us at (336) 838-5655


BPH Treatment Options

If you have been diagnosed with an enlarged prostate due to BPH, there are several treatment options available. Consult your physician to determine which treatment is right for you.


Treatment Options

BPH Treatment


Watchful Waiting

When symptoms are mild, your doctor may just monitor your condition and ask you to track your symptoms before deciding if any treatment is necessary.


Your doctor may prescribe medications to manage your symptoms. These medications include alpha blockers which relax the muscles around the neck of your bladder, making it easier to urinate, and alpha reductase inhibitors which act to shrink the prostate. While medications can be helpful in relieving symptoms for some men, patients must continue taking them long-term to maintain the effects.

Some patients may suffer side-effects including dizziness, headaches, or sexual dysfunction. Some may not get adequate relief of their symptoms. Over 16% of men on medication for BPH discontinue treatment early for reasons such as being dissatisfied with side-effects or not getting adequate symptom relief.1

UroLift® System Treatment

The UroLift® System treatment is a minimally invasive approach to treating BPH that lifts or holds the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue. Clinical data has shown that the UroLift System treatment is safe and effective in relieving lower urinary tract symptoms due to BPH without any impact to sexual function. 

Learn more about how the UroLift System treatment works or visit our FAQ page for more information on the benefits, risks, and recovery.


Thermotherapies are minimally invasive treatments where heat energy such as microwave or radiofrequency is applied to destroy prostate tissue. Less invasive than TURP, these treatments are generally safe, can be performed under local anesthesia and provide moderate symptom relief for some patients.

Applying high heat to the prostate can cause tissue swelling and uncomfortable urinary symptoms during the healing period. Symptom relief does not occur immediately, and patients often need to have a catheter that is attached to a urine bag inserted into their bladder during the recovery period.


Laser Resection of the Prostate

TURP may be performed with a laser in procedures called photoselective vaporization of the prostate (PVP) or holmium laser enucleation (HOLEP). Laser therapy lessens the bleeding risks of traditional TURP. However, since prostate tissue is still removed, there can be tissue swelling and an uncomfortable healing time. Typically, a catheter has to be inserted into the bladder after the procedure.


Transurethral Resection of the Prostate (TURP)

TURP is the most common surgery to treat BPH. During this procedure, patients undergo general anesthesia, and prostate tissue is removed. TURP is often considered the "gold standard" for long-term results.

After prostate tissue has been removed, the body needs time to heal. The remaining prostate tissue may actually swell and become inflamed before the desired shrinking effect occurs. Patients may suffer an uncomfortable recovery period that includes short-term problems
such as bleeding, infection, erectile dysfunction, and urinary incontinence. Patients have to
have a catheter that is attached to a urine bag inserted into their bladder for several days after the procedure.

Symptom relief may not occur immediately, but lasts for a long time in many patients once it does occur.

There can be long-term side effects after TURP such as dry orgasm (retrograde ejaculation), erectile dysfunction or incontinence (leaking of urine).

  1. NeoTract US market model estimates for 2016 based on IMS Health and Drug Procedure Data

© 2018 NeoTract, Inc. All Rights Reserved. MAC00892-01 Rev A

Powered by Encounter CSS ™ | Terms of Use

Call us at (336) 838-5655