Enlarged Prostate (BPH)
Better sleep, better flow, without unnecessary surgery.
For: Patients waking at night to urinate, or noticing a weaker stream.
Overview
Understanding Enlarged Prostate
Benign prostatic hyperplasia is a non-cancerous enlargement of the prostate that gradually obstructs the flow of urine. It affects roughly half of men by age 60 and the large majority by 80. Treatment is guided by how much the symptoms bother you, not by the size of the gland on a scan.
Symptoms
Signs worth an evaluation
- Waking more than once a night to urinate
- Weak stream, hesitancy, straining, or post-void dribbling
- A sense of incomplete emptying after urinating
- Frequent or urgent daytime urination affecting work, travel, or sleep
- Blood in the urine, recurrent infections, or an episode of urinary retention
Causes
Causes and risk factors
- Age-related hormonal changes, particularly the effect of dihydrotestosterone on prostate tissue
- Family history of BPH or prostate surgery
- Obesity, diabetes, and metabolic syndrome
- Reduced physical activity
Diagnosis
How we evaluate it
- 1IPSS symptom score and a focused history of what has changed
- 2Urinalysis to exclude infection or blood, and PSA when appropriate
- 3Uroflowmetry and post-void residual measurement
- 4Digital rectal examination, with prostate ultrasound or cystoscopy in selected cases
Testing is chosen for your situation. Not every patient needs every step listed here.
Treatment
Treatment options we offer
Watchful waiting and behavioral change
For mild symptoms: fluid timing, caffeine and alcohol adjustment, and review of medications that worsen flow.
Medications
Alpha blockers and 5-alpha reductase inhibitors, alone or in combination, tuned to your symptoms and side effect tolerance.
UroLift® System
A minimally invasive in-office procedure that lifts obstructing prostate tissue out of the way. No cutting, no tissue removal, and preservation of sexual function.
Rezūm™ water vapor therapy
Targeted steam gently reduces prostate tissue over several weeks. Performed in the office, with most patients back to normal activity within days.
Cystoscopy
Direct visualization of the urethra and bladder to plan treatment when anatomy or bladder changes are in question.
Surgical management
Transurethral and robotic approaches for larger glands or when minimally invasive therapy is not sufficient.
Why choose PSUMG
Specialist care for enlarged prostate, close to home.
Both leading in-office therapies, UroLift and Rezūm, are offered here
Treatment matched to how bothered you are, with sexual function explicitly discussed
Objective measurement with uroflow and residual volume rather than guesswork
Most patients with BPH never need major surgery. The goal is straightforward: sleep through the night and feel in control of your day.
Related
Learn More
For additional patient education, explore these trusted resources.
Medical Disclaimer. This information is provided for general educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider regarding your individual medical needs.