Prostatic hyperplasia Treatment in Menscape Clinic

Prostatic hyperplasia treatment at Menscape Clinic in Bangkok, Thailand, involves a full spectrum of care ranging from first-line medical therapy to advanced laser surgeries. A urology consultation at this men-only facility costs around $40 and includes a physical examination and symptom review. The clinic is licensed by the Thai Ministry of Public Health and specializes in discreet, private care for international patients.

Diagnostics and consultation

Diagnosis at the clinic starts with a review of urinary symptoms and a physical checkup. The medical team uses several tests to determine the size of the prostate and the severity of the blockage. Available diagnostic tools include:

• Urology consultation. A specialist review of symptoms and a physical exam.
• Digital rectal exam (DRE). A manual check to assess prostate size and texture.
• PSA blood test. A screening to measure prostate-specific antigen levels.
• Urine test. An analysis to check for infection or other bladder issues.
• Prostate ultrasound. Imaging to visualize the gland and measure its volume.
• Uroflowmetry. A test to measure the speed and volume of urine flow.
• Post-void residual (PVR). A measurement of urine left in the bladder after voiding.
• Cystoscopy. A procedure to look inside the urethra and bladder using a small camera.

Minimally invasive treatments

For men with mild to moderate symptoms, Menscape Clinic offers several methods that do not require major surgery. These options focus on preserving sexual function and shortening recovery times. Dr. Noppon Arunkajohnsak, a board-certified urologist with over 5 years of experience, manages these cases.

• Medication therapy. First-line treatment using alpha-blockers to relax muscles or 5-ARIs to shrink the gland.
• UroLift implants. Small permanent implants hold the prostate open without heating or cutting tissue. The procedure takes about 10–15 minutes, and patients often return to work within 48 hours.
• Rezum water vapor therapy. This outpatient method uses steam to shrink prostate tissue. It is designed to preserve ejaculation.
• iTind temporary implant. A temporary device is placed for 5–7 days to reshape the urine channel. It involves no tissue destruction and helps maintain erectile function.

Surgical and laser procedures

Severe cases or very large prostates may require surgical intervention to remove obstructive tissue. The clinic uses specialized lasers to reduce bleeding and hospital stay durations.

• TURP. The gold standard for severe symptoms, where a surgeon shaves away tissue via the urethra. Most patients stay in the hospital for 1–2 nights.
• HoLEP and ThuLEP. These laser enucleation methods are ideal for large prostates over 80g. HoLEP has a low retreatment rate of less than 5% over 15 years.
• GreenLight laser PVP. This technique vaporizes tissue with almost no blood loss. It is the safest choice for men who must continue taking blood thinners.
• Simple prostatectomy. A procedure for extremely enlarged glands that removes only the obstructive part of the prostate.

Menscape Clinic provides concierge services for international guests, including airport transfers and hotel recommendations. You can request a consultation and follow-up care through Bookimed.