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What is BPH or Enlarged Prostate?
Benign prostatic hyperplasia (BPH) is a condition in which the prostate enlarges as men get older.
To learn more about BPH and treatments, contact us to schedule an appointment.
Benign Prostatic Hyperplasia (BPH)
BPH is related to the normal aging process and is influenced by changes in the body’s levels of the male hormone testosterone. In some cases, an enlarged prostate may also be genetic. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man’s quality of life.
BPH is a very common condition that affects:
of men by age 603
of men 60+4
of men by age 853
of men with moderate symptoms are unhappy about it1
BPH is the most common urological condition men face and the leading reason that men visit a urologist.
As the prostate enlarges, it presses on and blocks the urethra, causing bothersome urinary symptoms such as:
- Frequent need to urinate both day and night
- Weak or slow urinary stream
- A sense that you cannot completely empty your bladder
- Difficulty or delay in starting urination
- Urgent feeling of needing to urinate
- A urinary stream that stops and starts
You can measure the severity of your BPH symptoms by taking the International Prostate Symptom Score (IPSS) questionnaire.
BPH treatment options
Lifestyle changes – you may want to start with the things you can control. For example, you can:
- Lower the amount of fluids you drink, especially before you go out or go to bed
- Drink less caffeine
- Drink less alcohol
Medical therapy – Your physician may suggest medicine, which is typically the first line of treatment. Some medications work by relaxing the muscles in your prostate and bladder. Others help shrink your prostate. This may include Enzyme (5-alpha-reductase) inhibitors as well as Alpha blockers or Anticholinergics.
If lifestyle changes and medications are ineffective, your physician has a number of ways to treat your prostate. Many of these are called “minimally invasive,” meaning they are easier on you than regular surgery.
Examples of minimally invasive procedures include:
Prostate Artery Embolization (PAE)
PAE is an interventional radiology procedure that injects small particles directly into the arteries that supply blood to the prostate, which leads to devascularization of the obstructing portion of the prostate.
Optilume BPH Treatment
Optilume is a catheter system that provides immediate relief without cutting, heating, burning, lasering, steaming or the use of implants. Optilume is a 30-minute, outpatient procedure.
Greenlight XPS™ Laser Therapy
Lasers are now used in many areas of medicine. During this procedure, the tissue blocking your prostate is rapidly heated and vaporized. Natural urine flow is rapidly restored in most patients.
Aquablation Therapy
The power of water delivered with robotic precision to provide long-lasting BPH relief. It is precise, consistent and predictable, and provides long-term relief no matter how large your prostate.
Rezūm Water Vapor Therapy
Using the natural energy stored in water vapor or steam, Rezūm relieves BPH symptoms safely and effectively, often eliminating the need for BPH medications.
iTind Therapy™
In-office procedure providing immediate results. Urologist places iTind™ device in your prostate using a cystoscope. Over next 5-7 days, the device reshapes your prostate improving urine flow.
UroLift® System
This system uses a minimally invasive approach that provides rapid relief and recovery of BPH symptoms. The system lifts and holds the enlarged prostate tissue so it no longer blocks the urethra.
HoLEP Procedure
Minimally invasive surgical technique that has no incisions, precise tissue removal, reduced bleeding, shorter hospital stay, and overall improvement in quality of life. This makes it a highly effective.
Examples of surgical options include:
Transurethral Resection of the Prostate (TURP)
A combined visual and surgical instrument (resectoscope) is inserted through the urethra where it’s surrounded by prostate tissue. An electrical loop cuts away excess prostate tissue to improve urine flow.
Suprapubic Prostatectomy
Suprapubic prostatectomy is done to remove part of an enlarged prostate gland. This procedure can be performed open or using the da Vinci robot and is performed for men who have very large prostate glands.