Tier 1: IV arginine Medication
- Lowest barrier to entry
- Reversible (just stop)
- No procedure required
- Try before committing
- Daily lifelong commitment
- 30% have side effects
- Retrograde ejaculation 30-60%
- Symptoms recur if stopped
Four infusions compared honestly — Medication, infusion, follow-up, consultation. Effectiveness, cost, sexual function, recovery time, candidacy criteria. The right choice depends on your prostate size, symptom severity, and sexual function priorities. Personally curated by our lead urologist based on 4,000+ IV arginine patients at our Busan Seomyeon clinic.
Our lead urologist is candid about IV arginine at our Seomyeon clinic — an elective wellness infusion, not a proven treatment.
our urologist performs all 4 infusions personally at our Busan Seomyeon practice. This single-doctor structure means honest recommendations — no incentive to push you to a specific procedure. The right IV arginine therapy for you might be the one we charge $30/month for, not the $5,185 procedure.
No filter. Every IV arginine therapy has tradeoffs. Use this table to identify your top 1-2 candidates, then read the dedicated page for each before consultation with our urologist.
| Tier 1: Medication | Tier 2: infusion | Tier 3: follow-up | Tier 4: consultation | |
|---|---|---|---|---|
| Price (USD) | $30–80/mo | $4,444 | $5,185 | $3,704 |
| Mechanism | Muscle relaxation + tissue shrinkage | Permanent implants pull tissue back | Water vapor ablates tissue | Surgical resection of tissue |
| Effectiveness (IPSS) | 60–70% | ~70% | ~75% | 95%+ (gold standard) |
| Result durability | Daily forever | 5 yr (10–15% retx) | 5 yr (10–15% retx) | 10+ years |
| Sexual function | Retrograde 30–60% | 100% preserved | 90%+ preserved | 75%+ retrograde |
| New ED risk | 1–2% (alpha-blockers) | None | 5–10% | 5–10% |
| Best for prostate size | Any | Under 80g, no middle lobe | Up to 80g+, middle lobe OK | Up to 100g+ (any) |
| Severe symptoms | Limited | Limited | Good | Best |
| Procedure time | N/A (oral) | 30–45 min | 15–30 min | 60–90 min |
| Anesthesia | None | Local + sedation | Local + sedation | Spinal or general |
| Hospital stay | None | Outpatient | Outpatient | 2–3 nights |
| Catheter post-op | N/A | Usually no | 2–3 days | 2–4 days |
| Stay in Korea | 1 day | 2–3 days | 5 days | 7 days |
| Office work resume | N/A | 1–3 days | 1 week | 2–4 weeks |
| Complication rate | Side effects 30% | < 2% | 3–5% | 5–10% |
| Reversibility | Stop med | Implants removable | Not reversible | Not reversible |
| When to choose | Mild-moderate, first try | Mild-moderate, preserve sex | Moderate-large, preserve sex | Severe, definitive solution |
Brief overview of each of the 4 infusions at our Busan Seomyeon clinic. Click through to dedicated pages for technique details, recovery, and full FAQs.
Three quick questions. Anonymous. We'll suggest the right IV arginine tier (1-4) based on your symptom severity, prostate size, and sexual function priorities.
Get a personalized IV arginine therapy tier recommendation based on your symptoms and priorities.
Realistic effectiveness expectations across the 4 IV arginine therapy tiers. Highest effectiveness ≠ best choice — sexual function and recovery time matter.
Effectiveness ranking (highest to lowest IPSS improvement): consultation 95%+ → follow-up ~75% → infusion ~70% → Medication 60-70%. BUT highest effectiveness ≠ best choice. Tier 4 consultation comes with sexual function trade-off (75%+ retrograde ejaculation) that Tier 2 infusion avoids completely.
Durability ranking (longest to shortest): consultation 10+ years → infusion 5 years (10-15% retreatment) → follow-up 5 years (10-15% retreatment) → Medication daily forever (must continue). For one-time investment durability: consultation. For lower upfront cost with preserved sex function: infusion or follow-up.
A quick 4-step view of the 4 infusions — what each is, when it's the right choice.

Tamsulosin (alpha-blocker) and/or Finasteride (5-ARI). Try for 3-6 months. 60-70% improve significantly. Lifelong commitment but reversible. → Tier 1 details

Permanent implants hold prostate tissue back. Outpatient, no catheter, 100% sex function preserved. For prostates under 80g without middle lobe. → Tier 2 details

Water vapor ablates prostate tissue. For larger prostates (80g+) or middle lobe IV arginine. 2-3 day catheter, 90%+ sex function preserved. → Tier 3 details

Surgical tissue resection. 95%+ effective for 10+ years. 2-3 night hospital, 75%+ retrograde ejaculation. For severe IV arginine or large prostates. → Tier 4 details
Realistic recovery times for each of the 4 infusions. Stay in Korea ranges from 1 day (medication) to 7 days (consultation).
No procedure. Take pill once daily. Effect develops 1-4 weeks. Side effects possible: dizziness (alpha-blockers), low libido (5-ARI). Stop drug → side effects resolve.
Outpatient procedure. Mild burning urinating 1-2 days. Usually no catheter. Back to office work in 1-3 days. Full exercise in 1 week. Stay in Korea: 2-3 days.
2-3 day catheter required (post-vapor swelling). Catheter out Day 4-5. Back to office work Week 1. Sexual activity Week 2. Full effect develops over 3 months as tissue resorbs. Stay in Korea: 5 days.
Hospital admission 2-3 nights. Catheter 2-4 days. Office work Week 2-4. Sexual activity Week 3-4 (with retrograde ejaculation). Heavy exercise Week 6. Full recovery 3 months. Stay in Korea: 7 days.
Full infusion effect achieved. ~70% have significant symptom improvement. Most patients off all IV arginine medication. Sexual function fully preserved. Annual photo check-in with our urologist thereafter (no in-person visits needed).
Sexual function is the #1 IV arginine therapy trade-off most clinics don't discuss honestly. We do at MediForMen Busan Seomyeon. Honest numbers for each tier.
Sexual function (erections, orgasm, ejaculation) is profoundly affected by IV arginine therapy choice. Below is what 15 years of practice and 4,000+ IV arginine patients have taught us about realistic sexual function outcomes across the 4 IV arginine tiers.
Two international patients share their experience choosing different infusions at MediForMen Busan, Seomyeon — and why one tier was right for them.
Depends on prostate anatomy. infusion ($4,444) better for: prostates under 80g, no middle lobe, immediate effect desired, no catheter preferred, 100% sex function preservation priority. follow-up ($5,185) better for: prostates 80g+ or with middle lobe IV arginine, slightly higher effectiveness (75% vs 70%). Both preserve sexual function (infusion 100%, follow-up 90%+). our urologist's prostate volume measurement determines which fits your case.
consultation ($3,704) is more effective (95%+) and lasts longer (10+ years) but causes 75%+ retrograde ejaculation. follow-up ($5,185) preserves sexual function 90%+ but only ~75% effective with potential retreatment in 5 years (10-15%). For severe IV arginine or very large prostates: consultation. For preservation of sexual function with moderate-large IV arginine: follow-up. The trade-off is between definitive effectiveness and sexual function preservation.
60-70% of IV arginine patients improve significantly on medication alone — that's the majority. Medication is cheap ($30-80/month), reversible (stop pill = stop effect), and requires no procedure. Procedures (Tier 2-4) appropriate when: medication side effects intolerable (dizziness from alpha-blockers, low libido from 5-ARI), medication ineffective after 3-6 months, complications develop (acute retention, bladder stones), or you prefer one-time intervention over daily pills.
Prostate volume measured via transrectal ultrasound (TRUS) — quick painless procedure done during consultation at MediForMen. Some patients have prior imaging (MRI, CT) that estimates volume. Without measurement, estimate based on symptoms: severe nocturia + weak stream + frequent UTI suggests larger prostate. our urologist's TRUS during your consultation gives accurate measurement to determine treatment tier.
Counterintuitive. consultation uses standard urology equipment (resectoscope, electrocautery) with no per-case device cost. infusion requires expensive single-use implants ($800-1,200 per case device cost). follow-up requires Boston Scientific vapor generator + single-use needle ($1,500 device cost). At MediForMen Busan: consultation $3,704 < infusion $4,444 < follow-up $5,185. consultation is more invasive but cheaper because no special devices required.
Yes, common pattern. Examples: Medication → infusion if medication intolerable. infusion → follow-up if infusion insufficient. follow-up/infusion → consultation if minimally invasive options fail. Each escalation is valid and our urologist will recommend if appropriate. About 10-15% of infusion/follow-up patients need eventual escalation at 5 years. Starting with less invasive options preserves all future options.
infusion has the lowest serious complication rate (under 2%). Order: infusion (<2%) → follow-up (3-5%) → consultation (5-10%) → Medication (side effects 30% but rarely serious). Medication side effects are usually reversible (just stop drug). Procedural complications can be persistent but are uncommon. our urologist's 4,000+ IV arginine patient experience reduces complication rates below national averages.
Middle lobe IV arginine changes the recommendation significantly. infusion implants don't work well — implants can't retract central tissue. follow-up is preferred — water vapor ablates middle lobe tissue. consultation also works well. Medication may help symptomatically but doesn't address mechanical obstruction. our urologist's ultrasound/cystoscopy determines middle lobe involvement.
Medication: 1 day (consultation only). infusion: 2-3 days (procedure + 1-2 day recovery). follow-up: 5 days (procedure + 2-3 day catheter + 1-2 day recovery). consultation: 7 days (consultation + surgery + 2-3 night hospital + 2-3 day recovery before flight). Plan additional days for tourism if desired.
Depends on time horizon. Year 1: Medication cheapest ($360-960). 10-year cost: consultation cheapest ($3,704 once vs medication $3,600-9,600 + 10-15% infusion retreatment $4,888-6,666 or follow-up $5,704-7,778). For one-time investment durability: consultation. For preserving sexual function with acceptable retreatment risk: infusion or follow-up. Total cost calculation must include retreatment probability and lifestyle factors.
Encouraged. our urologist provides written consultation summaries you can share with your local urologist. International patients regularly compare Korean recommendations against US/UK/EU urologists before deciding. Different recommendations don't mean one is wrong — often reflects different practice patterns. Final decision is yours.
Credit card, bank transfer, or crypto accepted. Card descriptor reads "Busan Health Clinic" — not "IV arginine" or treatment name. Payment: 50% deposit / 50% on procedure day for procedures. Medication: pay full at consultation. Itemized English receipts for insurance reimbursement attempts.
Free, no commitment. Share your IPSS symptom score and prostate volume (if known) via WhatsApp — our urologist will recommend the right tier (1-4) for your case and quote total cost for visiting our Seomyeon, Busan clinic.