BPH (benign prostatic hyperplasia) is often known as enlarged prostate. BPH is a non-cancerous condition in which prostate cells grow, enlarging the gland and causing it to squeeze the urethra, the tube that carries urine from the bladder. A variety of symptoms may result, including difficult, frequent, or urgent urination. Enlarged prostate is a very common condition for men to develop as they age. About half of men between the ages of 51 and 60, and up to 80 percent of men over age 80, have BPH.
Dr. Perez follows AUA guidelines in offering four kinds of treatment options for BPH: Watchful Waiting, Medications, In-Office Therapies, and Surgery. He is exceptionally skilled in planning a course of treatment that provides maximum effectiveness with minimum side effects and downtime.
How do I know if I have BPH/enlarged prostate?
The most common sign of a prostate problem is change in your urination, because an enlarged prostate often narrows the urethra. You might experience symptoms such as a weak or intermittent flow of urine, having to urinate more often, finding it difficult to postpone urination, or having to get up at night to urinate.
Are there any long-term risks for BPH?
If left untreated, BPH can cause subsequent medical issues related to damage of the kidneys and bladder. When the bladder does not empty completely, you become at risk for developing urinary tract infections (UTIs). Other serious problems can also develop over time, including bladder stones, blood in the urine (Hematuria), incontinence, or urinary retention. In most men, BPH gets worse as you age. If you are experiencing any of the symptoms of BPH, you should talk with your doctor and get the diagnosis and treatment you need.
Are there any minimally-invasive treatment options for BPH/enlarged prostate?
In some cases, medications, such as alpha blockers, are effective at relaxing the prostate gland muscles, or reducing its size, making it easier to urinate. Dr. Perez offers the latest minimally-invasive, office-based procedures that are safe and effective for treating symptoms associated with enlarged prostate. Most people resume normal activities within 24 hours.
Minimally-invasive treatment options include:
- Prostiva Transurethral Needle Ablation of the Prostate (TUNA® Therapy)
- Rezum, water vapor therapy (www.rezum.com)
- UROLift system (www.urolift.com)
What are the latest advances in surgical treatments for BPH?
In more severe cases, the inner part of the prostate gland that is blocking the urethra can be surgically removed, or the urethra can be widened using the latest advances in surgical technology. Our experienced surgeons offer state-of-the-art procedures that are safe and effective, including a minimally invasive procedure called “Bipolar Plasm Vaporization of the Prostate.”
Are there any options for patients on anticoagulants?
Yes. Dr. Perez and Nancy Dahl, ARNP, offer GreenLight™ Laser Therapy, a minimally-invasive outpatient procedure for enlarged prostates. It provides immediate relief from lower urinary tract symptoms and is a very safe option for those who cannot undergo traditional surgery because of anticoagulants.
Will the treatment for my BPH interfere with erectile function or ejaculatory function?
Depending on your specific case, many of the treatment options available can effectively preserve erectile and ejaculatory function, and require minimal recovery time. Treatments for BPH are advancing rapidly, and some of the latest less-invasive therapies are being utilized at Urology Specialists of West Florida.
Especially in younger men, ejaculatory function is extremely important. There are many treatments that are better at preserving that function in men such as Rezum, a water vapor treatment therapy and the Urolift System which holds the enlarged prostate tissue out of the way. Both treatment have high success in preserving both erectile and ejaculatory function.
What other conditions could be affecting my prostate?
In addition to benign prostatic hyperplasia (BPH), the size and functioning of the prostate gland can also be affected by inflammation of the prostate gland (prostatitis). Prostatitis is an inflammation of the prostate, which can be related to an acute or chronic bacterial infection, or can be an inflammation with no sign of infection. Prostatitis is the most common urologic complaint in young men.