Enlarged Prostate (BPH) Symptoms & Treatment in Arlington & DFW
Facing BPH Symptoms? You Are Not Alone. Living with the constant frustration of an enlarged prostate—the interrupted sleep, the weak flow, and persistent urgency—can severely disrupt your daily life and confidence. Dr. Richard Bevan-Thomas and our team understand these challenges deeply.
As a leading BPH specialist serving the Dallas-Fort Worth area, Dr. Bevan-Thomas provides the complete spectrum of modern solutions—from simple in-office procedures to advanced robotic surgery. We guarantee you receive the most effective and least invasive path back to clear urinary health.
Illustration comparing a healthy prostate and one affected by benign prostatic hyperplasia (BPH)
Understanding Benign Prostatic Hyperplasia (BPH)
Benign Prostatic Hyperplasia (BPH) is a common, non-cancerous enlargement of the prostate gland occurring as men age. While not life-threatening, BPH significantly interferes with your comfort and daily routine by disrupting normal urinary flow and bladder function.
How an Enlarging Prostate Causes Symptoms
The prostate sits below the bladder and surrounds the urethra—the tube that drains urine. The difficulty you experience with urination is caused by two main factors:
Mechanical Compression: As the prostate grows (the static component), it compresses the urethra, physically making urine flow more difficult.
Increased Tone/Stiffness: The smooth muscle within the prostate tissue often becomes stiffer or hypertonic (the dynamic component). This increased muscular stiffness further tightens the urethra, significantly adding to the difficulty in emptying the bladder.
- Weak or interrupted stream
- Frequent nighttime urination (Nocturia)
- Urgency or incomplete emptying
- Straining to start or finish
Prostate Growth Over Time:
- Normal: walnut (~20 cc)
- Mild BPH: apricot (~40 cc)
- Severe BPH: lemon to grapefruit (>80 cc)
This steady, relentless growth of the gland is what leads to the progressive urinary difficulties commonly experienced by men after age 50.
A Full Spectrum of Advanced BPH Treatments
No two prostates are alike. Dr. Bevan-Thomas utilizes a customized, judgment-based approach to ensure each treatment plan fits the patient’s anatomy, goals, and prostate size. I offer every major modern therapy available—all within the UPNT network in Arlington
Minimally Invasive Therapy for Small to Intermediate Prostates
UroLift™ System
MINIMALLY INVASIVE THERAPY FOR SMALL TO INTERMEDIATE SIZED PROSTATES
The UroLift System is a groundbreaking, in-office procedure that lifts and holds enlarged prostate tissue out of the way—without cutting, heating, or removing tissue. This treatment is ideal for smaller prostates and men seeking the fastest recovery possible.
- No hospital stay
- Rapid recovery (minimal downtime allows return to activity almost immediately)
- Proven preservation of sexual function
Advanced Therapies for Intermediate to Large Prostates
Aquablation® Therapy
This next-generation robotic therapy uses a heat-free, high-pressure waterjet. I personally guide this therapy, utilizing real-time ultrasound and mapping to remove obstructive prostate tissue with custom precision.
- Ideal for Large Glands: Highly effective for prostates up to 150 cc, where minimally invasive options are often limited.
- Predictable Results: Provides consistent results across various prostate anatomies, including complex median lobes.
- Superior Function Preservation: Designed to offer the best chance of preserving erectile and ejaculatory function among procedures that remove tissue.
Advanced Therapies for Intermediate to Large Prostates
Prostate Artery Embolization (PAE)
I carefully recommend PAE as a non-surgical option. It is performed by our expert interventional radiologist who uses a catheter to block targeted arteries feeding the prostate, causing the gland to shrink over time.
- Outpatient & Non-Surgical: An excellent, non-surgical, outpatient option for patients who prioritize minimal invasiveness.
- Versatile for Most Sizes: Considered for a wide range of prostate sizes—including those over 40 g—offering a unique approach that shrinks the gland without tissue removal.
Robotic Surgery for Large to Extra-Large Prostates
Robotic Simple Prostatectomy
For extra-large prostates (> 100 cc), Robotic Simple Prostatectomy (RASP) provides the most definitive and durable relief
My experience in robotic surgery dates back to 2002, giving me unmatched expertise in performing RASP to ensure the most complete removal of obstructive tissue.
- Minimally Invasive: Performed entirely with the robotic system, avoiding the large incision required for traditional open surgery.
- Rapid Discharge: Many patients are able to go home the next day, with the majority discharged within 24 - 36 hours, significantly faster than traditional surgery.
- Continence Protection: Due to the clear visualization and precision of the robotic system, the risk of developing new, persistent incontinence is extremely rare.
- Definitive Relief: Provides the most complete and durable solution for the largest, most complex glands.
Which BPH Treatment Is Right for You?
| Procedure | Best for Prostate Size | Key Benefit |
|---|---|---|
| UroLift™ System | Small → Intermediate | Fastest Recovery; Preserves Sexual Function (Our 10-20 min in-office procedure). |
| Aquablation Therapy | Intermediate → Large | Superior Function Preservation and Durable Relief. |
| Prostate Artery Embolization (PAE) | Intermediate → Large | Non-Surgical, Outpatient option with minimal invasiveness. |
| Robotic Simple Prostatectomy | Large → Extra-Large | Most Definitive Solution for largest glands; Maximum durability. |
I determine the ideal options after a comprehensive evaluation, including prostate volume measurement, anatomy assessment, and urinary flow testing. Together, we review all the findings to ensure the final treatment plan is the perfect fit for your specific anatomy and lifestyle goals.
SCHEDULE YOUR CUSTOMIZED BPH CONSULTATION IN ARLINGTON
You don’t have to live with the interruption of BPH symptoms—and you deserve more than a one-size-fits-all solution
Because I offer every major modern therapy available today, I personally ensure each patient receives a customized, judgment-based plan focused on relief, safety, and long-term results.
- 866-367-8768
- 801 West I-20 Suite 1 • Arlington TX 76017
Why Patients Across North Texas Choose Dr. Bevan-Thomas
- 20+ Years of Focused Expertise treating complex BPH and prostate conditions.
- High-Volume Robotic Surgeon: Among the first U.S. surgeons to perform robotic prostate surgery.
- Full Spectrum of Modern BPH Options: UroLift®, AquaBlation®, PAE, and Robotic Prostatectomy.
- Single-Location Convenience: All diagnostic and treatment services are provided in one convenient Arlington location.
- Direct Team Access: Personalized follow-up with portal messages answered within 24 business hours, and direct team availability 24/7 for all urgent and emergency needs.
Frequently Asked Questions
What is the best treatment for an enlarged prostate?
The best treatment is always the one customized for you. The ideal approach depends entirely on your prostate size, anatomy, and lifestyle goals. We offer the full spectrum of modern options—from UroLift (small glands) to AquaBlation (intermediate/large) to RASP (very large)—to ensure your plan is precisely tailored for optimal, lasting relief and safety.
Is Aquablation better than TURP?
Aquablation is a newer robotic therapy that uses a heat-free waterjet to remove prostate tissue, minimizing side effects compared with traditional TURP. It offers precise, consistent results for prostates of varying sizes while preserving sexual function in most patients.
Can BPH be treated without surgery?
Yes. Treatment is possible without traditional major surgery. We offer several effective, highly minimally invasive options such as Prostate Artery Embolization (PAE), which is non-surgical, and UroLift, which is an in-office procedure. I will discuss these solutions—along with lifestyle changes—during your consultation.
How long does recovery take after robotic simple prostatectomy?
Most patients are discharged the next day and can expect recovery within 2–3 weeks. Robotic techniques significantly reduce pain, blood loss, and hospital stay compared with older open surgery, providing the most complete and durable long-term results.