Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia (BPH), enlarged prostate, is a condition that affects the prostate gland, which is walnut sized and is located beneath the bladder. It is a common condition in older men, and in fact, by the age of 85 it is reported that around 90 percent of all men will report symptoms of BPH. BPH is non-cancerous, yet it can still cause negative health effects if left untreated, with one of the most common being difficulty urinating.

Causes

Age appears to be the largest contributor to BPH; however, it is believed there may be many other linkages. It is believed BPH could also be related to the testicles, and/or the hormones estrogen and dihydrotestosterone. A non-active lifestyle, obesity, and a history of erectile dysfunction are associated risk factors.

Symptoms

The symptoms of BPH include difficulty starting to urinate, urinary incontinence (leakage), the sudden need to urinate, frequent urination, especially at night, a weak or interrupted urine stream, and the inability to completely empty the bladder. The symptoms can range in severity and some patients may experience no symptoms at all.  Take the symptom scoring survey to see your score.

Diagnosis

BPH is diagnosed with a thorough medical exam that includes past history and a rectal examination, as well as blood and urine tests. If necessary, ultrasound imaging may be used to get a view of the kidney or prostate, which could indicate BPH. A cystoscopy is another test that may be done, allowing our doctors to view the urethra and bladder through a small, flexible scope

Treatment

There are several treatment options available that can meet the individual needs of each patient. These options range from oral medications, diet and exercise modifications or minimally-invasive surgical procedures. Also, your physician may recommend the following depending upon the severity of the enlarged prostate:

  • Laser Therapy (GreenLight, Pro Touch, Holmium)
  • Transurethral needle ablation
  • Transurethral resection of the prostate (TURP)
  • Urolift

Our doctors are highly trained and have the latest available technology to perform these surgeries of the best quality.