The surgeon may discuss alternative approaches to the TUR-P. Some medicines can improve the flow of urine or shrink the prostate. A short tube (called a stent) can be inserted into the urethra to improve urine flow. Saw palmetto extract is one of several herbal remedies that maybe helpful. Heat therapy using microwaves, lasers or electric current can be used to destroy excess prostate tissue. If symptoms are not troublesome, some men choose not to have any treatment. Symptoms do not always worsen over time and can sometimes improve.