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Benign Prostatic Hyperplasia Treatment in Atlanta

What is Benign Prostatic Hyperplasia?

Benign Prostatic Hyperplasia (BPH), or an enlarged prostate, is a common age-related condition where the prostate, a gland below the bladder that produces semen, enlarges and can restrict urine flow, causing discomfort.

We Offer The Best Treatment For
Benign Prostatic Hyperplasia In Atlanta

Our highly precise BPH treatments are performed as outpatient procedures with minimal sexual or urinary side effects. Read on to learn what causes BPH, the signs of benign prostatic hyperplasia, and the treatment options you can expect at Advanced Urology.

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Common Signs & Symptoms Of Benign Prostatic Hyperplasia

  • Frequent or urgent need to pee, also called urination.
  • Peeing more often at night.
  • Trouble starting to pee.
  • Weak urine stream, or a stream that stops and starts.
  • Dribbling at the end of urination.
  • Not being able to fully empty the bladder.
  • Urinary tract infection.
  • Not being able to pee.
  • Blood in the urine.

Possible Causes 
Of Benign Prostatic Hyperplasia

Benign Prostatic Hyperplasia (BPH) symptoms don't always align with the size of the prostate—some with a small enlargement may experience severe symptoms, while others with significant enlargement might have mild or no symptoms.

At Advanced Urology, we thoroughly evaluate the root causes of benign prostatic hyperplasia (BPH). If you have a history of BPH-related issues, such as urinary problems, we can help prevent further complications. Our goal is to provide proactive care to reduce the chances of recurring symptoms or conditions associated with BPH.

Urinary Tract Infection
Inflamed Prostate
Narrowing of the Urethra
Bladder or Kidney Stones
Prostate Cancer
Cold and Allergy Medicines

When to See a Doctor for Benign Prostatic Hyperplasia

Talk to your healthcare provider about your benign prostatic hyperplasia (BPH) symptoms, even if they don't seem bothersome. It's important to determine if there are treatable causes, as untreated BPH can increase the risk of serious urinary tract blockages.

While many associate BPH with urinary issues, symptoms can vary depending on factors such as prostate size and location. At Advanced Urology, we always evaluate the root cause of BPH to provide targeted treatment. If you experience trouble passing urine, pain, or other symptoms like blood in your urine, fever, or burning during urination, seek immediate medical attention, as these signs should not be ignored.

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Lifestyle Changes for Managing Prostate Enlargement

Adopting certain lifestyle changes can alleviate symptoms associated with benign prostatic hyperplasia (BPH) and improve quality of life. Key modifications include:

Fluid Management:

  • Reduce Evening Fluid Intake: Avoid drinking large amounts of liquids 2-3 hours before bedtime to minimize nighttime urination (nocturia).
  • Limit Bladder Irritants: Reduce consumption of caffeine and alcohol, as they can increase urinary frequency and urgency.
  • Schedule Bathroom Visits: Establish a regular urination schedule to avoid bladder overdistension.

Physical Activity:

  • Exercise Regularly: Regular exercise, such as walking or swimming, can improve bladder control and reduce BPH symptoms.
  • Pelvic Floor Exercises: Strengthening pelvic floor muscles through Kegel exercises may improve urinary symptoms.

Dietary Adjustments:

  • Eat a Healthy Diet: A diet rich in fruits, vegetables, and whole grains can reduce inflammation and support prostate health.
  • Limit Red Meat and Dairy: Reducing intake of animal fats may lower the risk of BPH progression.

Stress Reduction:

  • Stress can exacerbate urinary symptoms. Techniques like mindfulness, yoga, and meditation can help.
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Medications for Treating an Enlarged Prostate

Medications are the cornerstone of BPH management. They are chosen based on the severity of symptoms and the patient's overall health.

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Choosing the Right Approach

The best approach often involves a combination of lifestyle changes, supplements, and medications tailored to the patient's symptoms, prostate size, and overall health. Regular follow-up with a healthcare provider is crucial to monitor effectiveness and adjust the treatment plan as needed.

Understanding Your Treatment Options for an Enlarged Prostate

An enlarged prostate, or benign prostatic hyperplasia (BPH), affects many men, but modern treatments offer effective relief tailored to your needs. Below is a comprehensive guide to the options, categorized by prostate size, including the benefits, risks, typical site of service, and Foley catheter duration.

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Understanding Your Treatment Options for an Enlarged Prostate

An enlarged prostate, or benign prostatic hyperplasia (BPH), affects many men, but modern treatments offer effective relief tailored to your needs. Below is a comprehensive guide to the options, categorized by prostate size, including the benefits, risks, typical site of service, and Foley catheter duration.

Small Glands (Typically <40cc)

1. Urolift

How it works: Implants are used to lift and hold prostate tissue out of the way, relieving blockage without cutting or removing tissue.

Benefits:

· Quick recovery.

· Preserves sexual function.

· No cutting, heating, or removal of tissue.

Risks:

· Temporary urinary discomfort.

· Rare risk of bleeding or infection.

· Potential need for additional treatments over time.

Site of Service: Outpatient Advanced Urology Ambulatory Surgery Center

Foley Catheter Duration: Typically not required; occasional same-day/next day removal if used.

Ideal for: Men seeking a rapid, minimally invasive solution with no significant downtime.

2. Prostate Artery Embolization (PAE)

How it works: Tiny particles are injected into the arteries supplying the prostate, reducing its blood flow and size. This is performed through a small puncture in the wrist or groin. May take 6 weeks to 6 months to see results. This procedure is performed by a highly experience Interventional Radiologist.

Benefits:

· Non-surgical; performed through a small puncture in the wrist or groin.

· Minimal downtime.

· Effective for most gland sizes.

· Highly effective for men with catheter dependent urinary retention

Risks:

· Mild pain or bruising at the puncture site.

· Rare risk of non-target embolization or urinary retention.

Site of Service: Outpatient Advanced Urology Interventional Radiology Lab

Foley Catheter Duration: Typically not required.

Ideal for: Men seeking a non-invasive treatment without general anesthesia.

Medium Glands (40–80cc)

1. Aquablation

How it works: A robotic high-velocity water jet removes prostate tissue precisely under ultrasound guidance. This allows for uniform and effective tissue removal.

Benefits:

· Uniform and precise tissue removal.

· Reduced risk of sexual side effects.

· Shorter operating time compared to traditional methods.

Risks:

· Temporary bleeding or urinary retention.

· Rare risk of urethral stricture or sexual side effects.

Site of Service: Hospital with at least 1 stay night in the hospital for monitoring and bladder irrigation.

Foley Catheter Duration: 2-5 days.

Ideal for: Men seeking effective symptom relief with minimal impact on urinary or sexual function.

2. Transurethral Resection of the Prostate (TURP)

How it works: A heated loop removes prostate tissue through the urethra, allowing for better urinary flow. This traditional surgical option has been widely used and studied.

Benefits:

· Proven long-term effectiveness.

· Widely available and well-studied.

Risks:

· Temporary bleeding or urinary discomfort.

· Risk of Erectile Dysfunction and Urinary Incontinence

· Possible retrograde ejaculation.

Site of Service: Outpatient Advanced Urology Ambulatory Surgery Center

Foley Catheter Duration: 1-3 days.

Ideal for: Men seeking a traditional surgical solution for moderate gland sizes.

Large Glands (>80cc)

1. Holmium Laser Enucleation of the Prostate (HoLEP)

How it works: A laser enucleates prostate tissue, which is then removed through the urethra.

Benefits:

  • Effective for very large glands.
  • Minimal bleeding and long-lasting results.

Risks:

  • Temporary bleeding or urinary retention.
  • Risk of retrograde ejaculation.

Site of Service: Hospital with 1 night stay.

Foley Catheter Duration: 1-3 days.

Ideal for: Men seeking a definitive, long-term solution for large glands.

2. Prostate Artery Embolization (PAE)

How it works: Tiny particles are injected into the arteries supplying the prostate, reducing its blood flow and size. This is performed through a small puncture in the wrist or groin. May take 6 weeks to 6 months to see results. This procedure is performed by a highly experience Interventional Radiologist.

Benefits:

· Non-surgical; performed through a small puncture in the wrist or groin.

· Minimal downtime.

· Effective for most gland sizes.

· Highly effective for men with catheter dependent urinary retention

Risks:

· Mild pain or bruising at the puncture site.

· Rare risk of non-target embolization or urinary retention.

Site of Service: Outpatient Advanced Urology Interventional Radiology Lab

Foley Catheter Duration: Typically not required.

Ideal for: Men seeking a non-invasive treatment without general anesthesia.

3. Robotic Simple Prostatectomy

How it works: Robotic-assisted removal of excess prostate tissue.

Benefits:

  • Precision of robotic technology.
  • Suitable for very large prostates.
  • Provides long-term symptom relief.

Risks:

  • Bleeding or infection.
  • Temporary urinary incontinence.
  • Possible retrograde ejaculation.

Site of Service: Hospital.

Foley Catheter Duration: 7 days.

Ideal for: Men with very large prostates requiring a definitive surgical solution.