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Home >  Enlarged Prostate > BPH Grade 2

BPH Grade 2 Treatment

Benign Prostate Hyperplasia or BPH is a common condition that usually occurs in men who are above the age of 60 and can cause serious urinary symptoms. Pristyn Care provides advanced and minimally invasive surgical treatments for all grades of BPH. Contact us today and book a Discounted consultation with the best urologists near you and get rid of your urinary symptoms.

Benign Prostate Hyperplasia or BPH is a common condition that usually occurs in ...men who are above the age of 60 and can cause serious urinary symptoms. Pristyn Care provides advanced and minimally invasive surgical treatments for all grades of BPH. Contact us today and book a Discounted consultation with the best urologists near you and get rid of your urinary symptoms.Read More

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    Dr. Kiran Dua - Prostate Enlargement Treatment Specialist in Pristyn Care Elantis Hospital, Lajpat Nagar, Delhi, over 48 Years Experience

    Dr. Kiran Dua

    MBBS, MD-Obs & Gynae
    48 Yrs.Exp.

    4.5/5

    48 Years Experience

    location iconPristyn Care Elantis Hospital, Lajpat Nagar, Delhi
    Call Us
    080-6542-3711
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    Dr. Pradeep Dutta - Prostate Enlargement Treatment Specialist in Pristyn Care Elantis Hospital, Lajpat Nagar, Delhi, over 47 Years Experience

    Dr. Pradeep Dutta

    MBBS, Diploma in Radio Diagnosis & MD-TB & Respiratory Diseases
    47 Yrs.Exp.

    4.5/5

    47 Years Experience

    location iconPristyn Care Elantis Hospital, Lajpat Nagar, Delhi
    Call Us
    080-6542-3711
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    Dr. Bhagat Singh Rajput - Prostate Enlargement Treatment Specialist in Pristyn Care Elantis, Ring Road, Lajpat Nagar, over 45 Years Experience

    Dr. Bhagat Singh Rajput

    MBBS, D.Ortho
    45 Yrs.Exp.

    4.5/5

    45 Years Experience

    location iconPristyn Care Elantis, Ring Road, Lajpat Nagar
    Call Us
    080-6542-3711
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    Dr. Khushwant Singh - Prostate Enlargement Treatment Specialist in Pristyn Care ZOI Hospital, Ameerpet, Hyderabad, over 44 Years Experience

    Dr. Khushwant Singh

    MBBS - Family Physician
    44 Yrs.Exp.

    5.0/5

    44 Years Experience

    location iconPristyn Care ZOI Hospital, Ameerpet, Hyderabad
    Call Us
    080-6542-3712

What is BPH Grade 2?

Grade 2 benign prostate hyperplasia or BPH Grade 2 is a classification given to prostate enlargement causing moderate symptoms that may start affecting a patient’s daily life. BPH Grade 2 can be treated through medications but in some cases, they may not be enough and you may require surgical intervention. 

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What happens in a BPH Grade 2 surgery?

Diagnosis

Before surgery, your urologist will perform a series of simple and commonly performed diagnostic tests to assess your overall health and uncover any medical conditions you may have that could require additional precautions and care either during surgery or in the recovery period. Your urologist will ask you about your surgical history, medical history and symptoms you are facing. It is important to answer these questions to the best of your ability. Some diagnostic tests that your urologist may perform include: 

  • Digital rectal examination: A digital rectal examination is a simple test that your urologist may perform to examine and determine the size of your prostate gland. In a digital rectal examination, the urologist will insert a gloved, lubricated finger into your rectum and physically feel the prostate gland to determine its shape and size. 
  • PSA test: A prostate specific antigen test is a simple blood test that your urologist may perform to evaluate the PSA levels present in your blood. If the PSA levels in your blood exceed 2.5 ng/mL, it is likely that you have some degree of prostate enlargement. 
  • Urine analysis: A urine analysis is a simple test that is usually performed to assess different aspects of your overall health. If you have any pre-existing medical conditions such as diabetes, UTI or kidney disease, this test will let your urologist know about them. 
  • Transrectal ultrasound: A transrectal ultrasound is an imaging test that will allow your urologist to visualise and accurately assess the shape and size of your prostate gland and also check for any other abnormalities that may be causing blockage of urine. 
  • Urodynamics tests: Urodynamics tests are a series of simple tests that allow your urologist to understand how well your urinary bladder and urethra hold and release urine. 

Treatment

While surgery is an effective treatment for reducing symptoms of BPH, it is not always necessary especially in earlier stages of the condition (Grade-1 and Grade-2). Before going forward with a surgery, your urologist may recommend some medications to relieve symptoms of BPH. Non-surgical treatment for BPH generally includes medications such as alpha blockers, 5-alpha reductase inhibitors or tadalafil. However, if these medications fail to respond and urinary symptoms continue to persist even after 5-6 months of taking them, your urologist may recommend surgery. Primarily 3 methods of performing a BPH surgery are: 

  • TURP: TURP or Transurethral Resection of the Prostate is a minimally invasive procedure that is commonly performed to treat symptoms of BPH. In a TURP procedure, the urologist inserts a thin, tube-like instrument, called a resectoscope, into the urethra through the opening at the tip of your penis. This resectoscope is fitted with a surgical tool at its end that your surgeon can use to cut away or remove pieces of the enlarged prostate. The surgeon will slowly pass the resectoscope through the urethra to reach the prostate gland. Once in place, the surgeon can use the surgical tool to cut away pieces of enlarged prostate tissue. Once some of the pressure being exerted on the urethra is relieved, the surgeon will remove the resectoscope and you will be taken to a recovery area. The pieces of prostate tissue will be removed later on through the urethra.
  • HoLEP: HoLEP or Holmium Laser Enucleation of the Prostate is another surgical procedure that is often performed to reduce symptoms of prostate enlargement. A HoLEP surgery follows the same procedure as a TURP surgery. In the case of HoLEP however, it uses a holmium laser to enucleate the enlarged prostate tissue instead of surgical tools to cut away pieces of the prostate. HoLEP is a more advanced method of treatment as compared to TURP as well.
  • TUIP: A Transurethral Incision of the Prostate (TUIP) surgery is a minimally invasive method of treating urinary symptoms caused by an enlarged prostate. A TUIP procedure is generally recommended to younger men who are concerned about fertility. Similar to the other two procedures, TUIP also uses a resectoscope that will be passed through your urethra using the small opening at the tip of your penis. Once the resectoscope is in place, instead of chipping away pieces of enlarged prostate tissue like TURP and HoLEP, the surgeon makes very tiny incisions at the area where the prostate and the urinary bladder connect. This helps in widening the urethra and allows urine to pass more easily.  

 

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Lifestyle changes for BPH Grade 2

Certain changes in lifestyle can prove to be extremely beneficial in reducing moderate symptoms of BPH. Some lifestyle changes that your urologist may recommend include: 

  • Avoid or limit consumption of alcohol, caffeine and nicotine.
  • Perform regular exercises to maintain a healthy lifestyle. Regular exercises will also help you maintain a healthy weight.
  • Avoid high doses of zinc supplements. Zinc can worsen the symptoms of BPH.
  • Avoid drinking fluids a few hours before going to bed. 
  • Try to urinate at least once every 3 hours.
  • Following a fibre rich diet can help reduce chances of constipation significantly as constipation can worsen the symptoms of BPH. 

Benefits of BPH Grade 2 treatment

Treating benign prostate enlargement at an early stage can bring several benefits such as:

  • A BPH surgery helps in significantly reducing some of the urinary symptoms that are caused by an enlarged prostate. 
  • Severe cases of prostate enlargement can cause complications to a person’s overall health such as formation of bladder stones, kidney stones, kidney damage or UTI. Treating BPH at an early stage can prevent these complications.
  • A timely BPH Grade 2 Treatment can make it more likely that you will be able to return to your daily life without any major postoperative side-effects or complications.

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FAQs Around Grade 2 BPH Treatment

What is the difference between Grade-1 and BPH Grade 2?

One of the biggest differences between a grade-1 and BPH Grade 2 is that while the urinary symptoms in grade-1 BPH are mild, they are less likely to cause any major issues in a patient’s daily life and in most cases, do not require any surgical BPH Grade 2 Treatment. In case of BPH Grade 2 however, the symptoms become slightly worse that may even start affecting a person’s daily life. For BPH Grade 2 Treatment, your urologist may recommend medications but if they fail to respond, you may require surgical intervention.

What would happen if BPH Grade 2 is left untreated?

If left untreated, it is highly likely that your prostate gland will continue to grow and cause your urinary symptoms to worsen overtime. Severe cases of BPH can cause complete inability to urinate, formation of bladder stones, urinary tract infection and kidney damage.

What size of prostate gland requires surgery?

Surgery is usually necessary in cases of a prostate gland with volume up to or exceeding 80 ml.

What is the most effective treatment for BPH?

A Transurethral Resection of the Prostate surgery or TURP surgery is usually considered as the best and the most effective way of treating urinary symptoms caused by an enlarged prostate.

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MEDICALLY REVIEWED CONTENT

Dr. Saurabh Mittal
🔍REVIEWED BY
Dr. Saurabh Mittal
MBBS, MS-General Surgery, M.Ch-Urology
18 yrs experience
Pristyn Care Team
✍️WRITTEN BY
Pristyn Care Team
Healthcare Expert
Updated On · August 16, 2026

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