Benign Prostatic Hyperplasia Surgical Treatment Market Is Set To Reach A Valuation Of US$ 16.5 Billion By 2033 Astute Analytica
Market Forecast (2033) | US$ 16.5 Million |
CAGR | 5.1% |
Largest Region (2024) | North America (45%) |
By Type | Transurethral Resection of the Prostate (TURP) (37%) |
By End Users | Hospitals (68%) |
Top Drivers |
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Top Trends |
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Top Challenges |
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Minimally Invasive Therapies Revolutionize Patient Experiences and Drive Market Expansion
Minimally invasive surgical treatments (MIST) are reshaping the benign prostatic hyperplasia surgical treatment market. Patients and providers increasingly prefer these options due to their strong safety profiles and convenience. The RezūmTM water vapor therapy is a notable office-based procedure. Its typical duration is between 10 to 30 minutes. Following a UroLift® procedure, a real-world analysis showed 93 out of 100 men were free from catheter use at the 30-day mark. The OptilumeTM BPH Catheter System represents a unique drug-coated balloon therapy. It received crucial FDA approval in 2024, adding another advanced tool for urologists.
Adoption trends reflect a clear preference for these less invasive approaches. Data presented in 2025 shows that among men aged 50 to 54, water vapor thermal therapy accounted for 15 out of every 100 MIST procedures. In the same demographic of the benign prostatic hyperplasia surgical treatment market, the Prostatic Urethral Lift (PUL) procedure accounted for 36 out of every 100 MISTs. An instructional course at the American Urological Association (AUA) 2025 meeting is set to cover at least 6 different MIST technologies. However, long-term efficacy remains a key consideration. The average time to require a retreatment procedure after an initial MIS therapy was 307 days, per a 2024 analysis.
Robotic-Assisted Surgeries Offer Precision and Redefine Large Gland BPH Treatment
Robotics are introducing a new level of precision to the benign prostatic hyperplasia surgical treatment market. These systems are particularly valuable for treating men with larger prostates. As of August 2024, more than 400 Aquablation robotic systems from PROCEPT BioRobotics are installed across the United States. Over 50,000 procedures have been performed using the first-generation AquaBeam® Robotic System as of mid-2024, demonstrating significant market penetration. The FDA provided 510(k) clearance for the next-generation, AI-powered HYDROSTM robotic system in 2024, signaling continuous innovation in the space.
The application of robotic technology extends to complex procedures like simple prostatectomy of the benign prostatic hyperplasia surgical treatment market. A 2024 study on single-port robotic simple prostatectomy reported on the outcomes of 120 successful cases. A separate 2024 comparative study involved 13 patients who underwent a robotic-assisted simple prostatectomy (RASP). The median prostate volume for patients in the RASP study cohort was a substantial 135 cubic centimeters. The da Vinci Single-Port robot, noted in 2024, enables surgeons to perform a prostatectomy through a single incision. During such a procedure, insufflation pressure is maintained under 12 mmHg to mitigate embolism risk, highlighting advanced safety protocols.
Established Laser Technologies Continue to Dominate the BPH Surgical Treatment Market
Laser therapies remain a cornerstone of BPH surgical intervention. Their effectiveness across a wide range of prostate sizes ensures their continued relevance. Holmium Laser Enucleation of the Prostate (HoLEP) is endorsed by the American Urological Association as a size-independent gold-standard treatment as of 2025. Advanced laser techniques are showing distinct advantages. 2024 presentations noted their contribution to higher rates of same-day discharge for patients. The deep-rooted trust in laser systems solidifies their position in the benign prostatic hyperplasia surgical treatment market.
The economic and technological landscape for lasers is well-defined. A 2025 report on laser BPH devices highlighted Holmium laser devices as a critical market technology. The same 2025 report also identified Thulium laser devices as another key technology segment, indicating diversity within the laser category. Reimbursement figures for 2025 provide further insight. The Medicare physician in-facility payment for laser coagulation of the prostate (CPT 52647) is set at $635. The corresponding payment for laser vaporization (CPT 52648) is $675, while laser enucleation (CPT 52649) is reimbursed at $802.
Fierce Competition and Innovation Shape the Minimally Invasive BPH Device Landscape
The benign prostatic hyperplasia surgical treatment market is a highly competitive arena where innovation drives leadership. In 2024, Teleflex was the leading competitor in the overall BPH treatment device market. Teleflex's leading 2024 market position is attributed solely to its highly successful UroLift® System. Boston Scientific ranked as the second-leading competitor in the BPH device market in 2024. In 2024, Boston Scientific also held a monopoly in the convective water vapor therapy segment with its RezūmTM System. Olympus followed as the third-leading competitor in the 2024 BPH device market.
The broader market is dynamic and includes numerous specialized players. The benign prostatic hyperplasia surgical treatment market includes at least 29 major companies as of 2025. Each company vies for market share through clinical evidence and technological superiority. As of 2025, PROCEPT BioRobotics has supported its Aquablation technology with an impressive portfolio of over 150 peer-reviewed publications. Such extensive clinical validation is critical for gaining physician trust and driving adoption. The intense competition fosters rapid innovation, ultimately benefiting patients with more and better treatment choices.
Surgical Efficiency and Positive Patient Outcomes Drive Healthcare System Adoption Rates
Modern benign prostatic hyperplasia surgical treatment market offer significant value through improved efficiency and patient recovery. These benefits are critical for healthcare systems focused on optimizing resource use. A 2024 review noted that patients undergoing robotic prostate surgery could expect a hospital stay of just 2 days. The median operative time for a robotic-assisted simple prostatectomy (RASP) was documented at 126 minutes in a 2024 study. A robotic-assisted radical prostatectomy (RALP) for similarly large glands was longer, at 315 minutes. In contrast, the average time to require retreatment after traditional transurethral procedures was 333 days, per 2024 data.
Wait times for surgery are a key performance indicator for healthcare systems. In a specific Canadian health system in 2024, 1,725 patients were on the waitlist for prostate surgery. For these patients, the average wait time from the specialist visit to the surgery date was 6.0 weeks. The total average wait time from the initial surgical booking to the actual procedure was 20.9 weeks. These metrics in the benign prostatic hyperplasia surgical treatment market highlight existing bottlenecks and opportunities for new technologies to improve patient throughput and system efficiency, making them attractive investments for hospitals and surgical centers.
Robust Clinical Trial Pipeline Signals a Future of Transformative BPH Treatments
A vibrant pipeline of new therapies promises to expand the future benign prostatic hyperplasia surgical treatment market. Regulatory bodies are actively reviewing and approving novel solutions. In 2024, the FDA approved vibegron for overactive bladder symptoms in men already receiving BPH medication. A Phase 3 trial (NCT05186740) for the investigational ProVeeTM Urethral Expander System reported positive results in April 2025. The ProVIDE trial for the ProVee system successfully randomized patients in a 2-to-1 ratio against a sham procedure, a rigorous study design.
Innovation extends across various modalities and technologies. In late 2024, EDAP TMS SA initiated a Phase 1/2 study (NCT06601179) to assess Focal One robotic high-intensity focused ultrasound (HIFU) for BPH. As of early 2025, there are at least 20 emerging BPH drug and device therapies in various clinical development phases. Research on MRI-guided transurethral ultrasound ablation (TULSA) showed promising data in 2024 presentations. A systematic review of single-port robotic prostatectomy techniques, published in March 2025, is consolidating the latest evidence to guide future practice and development.
Favorable Reimbursement Landscape in the United States Spurs Advanced Technology Adoption
Reimbursement policies in the U.S. benign prostatic hyperplasia surgical treatment market play a pivotal role in technology adoption. The 2025 Medicare Physician Fee Schedule conversion factor is set at $32.3465. Specific CPT code payments provide a clear economic picture. The 2025 in-facility Medicare payment for the RezūmTM procedure (CPT 53854) is $374. The office-based payment for the same procedure is a substantially higher $1,551, incentivizing a shift away from hospital settings. For the TULSA procedure (CPT 55881), the work Relative Value Unit (RVU) is finalized at 9.80 for 2025.
Detailed reimbursement data for implantable devices reveals further benign prostatic hyperplasia surgical treatment market. For the UroLift® System, the 2025 national unadjusted payment for a single implant (CPT 52441) in a facility is $202. Each additional implant (CPT +52442) has a 2025 facility payment of $49. The total facility-based RVUs are 6.24 for the initial implant and 1.51 for each additional one. Medicare has established a Medically Unlikely Edit (MUE) of 6 for the additional implant code, limiting the maximum paid implants to 7 per procedure in 2025. For the iTindTM device, the 2025 work RVU is 3.10 and its final supply price input was set at $2,972.50.
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Expanding Global Access and Surgeon Proficiency Bolster Market Penetration and Growth
The global reach of advanced BPH surgical treatments is expanding steadily. In 2024, hospitals accounted for the setting of 65 out of every 100 BPH procedures performed. In the United States, over 1.5 million BPH-related procedures are performed annually as of 2024. Emerging economies are also increasing healthcare investment. India's 2025-26 Union Budget allocated the equivalent of US$ 11.5 billion to healthcare. Such investments support the infrastructure needed for advanced surgical care within the benign prostatic hyperplasia surgical treatment market.
Surgical training is crucial for the successful adoption of new technologies. A 2024 study on single-port robotic surgery provided key insights into the learning curve. Surgeons' perceived workload scores decreased significantly after performing their first 5 to 10 operations. After performing 25 single-port procedures, these scores stabilized, indicating proficiency. Regional data also reveals infrastructure realities. In a Canadian health authority, Fraser Health, 323 patients were on the waitlist for prostate surgery in 2024 with an average wait of 15.6 weeks. A single facility, Abbotsford Regional Hospital, had 120 patients waiting an average of 18.6 weeks.
Global Benign Prostatic Hyperplasia Surgical Treatment Market Major Players:
- Alembic Pharmaceuticals Limited Allium Asahi Kasei Corporation Boston Scientific Corporation Cleveland Clinic Coloplast Group Cook Medical Karl Storz SE & Co. KG Medifocus, Inc. Medtronic Olympus Corporation The Johns Hopkins Hospital Urologix, LLC Viatris Inc. Other Prominent Players
Key Market Segmentation:
By Type
- Aquablation Therapy Prostatic Urethral Lift Laser Therapy Transurethral Microwave Thermotherapy (TUMT) Transurethral Resection of the Prostate (TURP) Water Vapor Therapy Others
By End User
- Hospitals Homecare Settings Ambulatory Surgery Centers and Clinics
By Region
- North America Europe Asia Pacific Middle East & Africa (MEA) South America
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