TURP is not your only option.
TURP delivers durable results, but five MIST alternatives offer comparable symptom relief with shorter recovery, less catheter time, and much higher ejaculation preservation.
TURP vs. MIST: key dimensions
| Dimension | Nexusuro | UroLift | Rezūm | iTind | TURP |
|---|---|---|---|---|---|
| IPSS reduction | 66% | ~45-55% | ~50-60% | ~40-50% | ~70% |
| Catheter time | 2.5-3.3 d | None / overnight | 1-3 days | 5-7 days | 1-3 days |
| Ejaculation preserved | 95.6% | ~80-90% | ~75-80% | ~80-90% | 25-35% |
| Anesthesia | Local + sedation | Local + sedation | Sedation/general | Local + sedation | General/spinal |
| 36-mo retreatment | 4.5% | ~8.0–10.5% | ~6.5–8.0% | Data accumulating | ~5–15% |
Nexusuro ejaculation data: retrograde ejaculation 4.45% — Gao et al. (N=265). Competitor and TURP data from published literature.
MIST does not rule out TURP later
One of the most important things to know: choosing a MIST procedure now does not burn the bridge to TURP. Most MIST procedures leave the prostate architecture intact, meaning TURP or laser surgery remains an option if symptoms return years later.
For men under 65 who want to preserve ejaculation and avoid major surgery now, this "MIST first, escalate if needed" approach is increasingly common in urology practice.
Full MIST comparison How to decide Non-implant options Patient guide
Comparative data from published literature and clinical studies. Individual outcomes vary. Treatment choice should be made with a qualified urologist based on individual anatomy and preferences.