BPH Expertise

Specialist Expertise in Benign Prostatic Hyperplasia (BPH)

Benign prostatic hyperplasia — enlargement of the prostate — is one of the most common conditions affecting men as they age. Mr Ben Dreyer is one of the UK's leading specialists in BPH, leading the only comprehensive BPH service in Scotland at NHS Fife.

New for 2026Mr Dreyer has introduced the only private HoLEP services in Scotland — now available for private patients across Dunfermline, Stirling and beyond.Book a consultation

International Credentials

Recognised expertise in BPH, internationally.

Coloplast & Boston Scientific Certified Proctor

Formal international recognition of clinical excellence in minimally invasive prostate surgery from two of the field's leading device manufacturers.

International Speaker

Invited faculty at international urology meetings and symposia.

Course Director

Hosts training courses teaching advanced BPH techniques to consultant surgeons.

Treatment Options

A full suite of BPH therapies, in one service.

HoLEP (Holmium Laser Enucleation of the Prostate)

Only private HoLEP service in Scotland

The gold-standard laser treatment for enlarged prostates of any size. Highly effective with durable, long-term results and low re-treatment rates. Suitable for men with large prostates or urinary retention. Mr Dreyer has introduced the only private HoLEP services in Scotland — now offered at his private clinics in Dunfermline and Stirling.

Download BAUS Patient Information Leaflet (PDF)

This leaflet is provided by the British Association of Urological Surgeons (BAUS) and is independent of Mr Dreyer's practice.

Ejaculatory-Sparing HoLEP

A modified HoLEP technique designed to preserve antegrade ejaculation while delivering the durable symptom relief of standard HoLEP. Particularly suited to younger men and those for whom preserving sexual function is a priority.

Rezūm (Water Vapour Therapy)

A minimally invasive, day-case treatment using steam to shrink the prostate. Preserves sexual function and is effective for prostates with median lobe involvement.

Download BAUS Patient Information Leaflet (PDF)

This leaflet is provided by the British Association of Urological Surgeons (BAUS) and is independent of Mr Dreyer's practice.

Laser Bladder Neck Incision

A precise day-case laser procedure to relieve obstruction caused by a tight bladder neck. Suitable for men with smaller prostates or primary bladder neck obstruction; preserves sexual function in most cases.

TURP (Transurethral Resection of the Prostate)

The established surgical gold standard for BPH. Effective for moderate-to-large prostates where laser surgery is not indicated.

Download BAUS Patient Information Leaflet (PDF)

This leaflet is provided by the British Association of Urological Surgeons (BAUS) and is independent of Mr Dreyer's practice.

Greenlight Laser Prostatectomy

A laser vaporisation procedure suitable for men on blood-thinning medication. Lower bleeding risk than TURP.

iTind (Temporary Implanted Nitinol Device)

A minimally invasive, implant-free treatment. A small nitinol device is placed in the prostatic urethra for around 5–7 days to reshape the bladder outlet, then removed. Preserves sexual function with no permanent implant.

UroLift (Prostatic Urethral Lift)

A day-case procedure using small permanent implants to hold enlarged prostate tissue away from the urethra. No cutting, heating or removal of tissue, and preserves sexual and ejaculatory function.

Prostatic Artery Embolisation (PAE)

A non-surgical, image-guided procedure performed by an interventional radiologist that shrinks the prostate by reducing its blood supply. Available as part of NHS Fife's comprehensive BPH service.

Considering treatment for an enlarged prostate?

Discuss your options with one of Scotland's leading BPH specialists.

Book a Consultation