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Benign Prostatic Hypertrophy (BPH)

Benign Prostatic Hypertrophy (BPH) and Lower Urinary Tract Symptoms (LUTS)

Voiding concerns are a common occurrence in men of advancing age. Slowly worsening symptoms such as a weakening stream, frequency and urgency to urinate, difficulty emptying, and getting up at night to urinate are a consistent reality for the average male. These symptoms are commonly caused by a benign (non cancerous) growth of the prostate gland due to years of exposure to the male hormone, testosterone. The prostate is a male sex accessory gland located within the pelvis and below the bladder that encircles the urethra. The normal role of the prostate is to aid in reproduction by secreting fluid that accompanies sperm in making up the semen needed for ejaculation. When the prostate enlarges, it causes progressive compression of the urethra, thereby obstructing the bladder from emptying adequately. Over time, urinary symptoms develop and complications can occur from this process. These include urinary tract infections, bladder stone formation, episodes of urinary retention where one feels the need to urinate but cannot, and worst of all, damage to the kidneys due to the obstruction of urine.

There are several treatment options should a man develop lower urinary tract symptoms or any of the complications. Behavioral adjustments alone can often improve quality of life. However, further treatment is commonly needed to achieve satisfaction. Medical management with a single or combination of prescription medications taken daily is a safe and well established treatment option that can improve quality of life and limit the risk of complications due to an enlarged prostate down the road. However, it is not the only option, and the optimal treatment modality is patient dependent, based on individual situation, preferences, and degree of bother. Today, there are several non-medication options to address an enlarged prostate that range from minimally invasive office procedures to endoscopic or robotic operations that require an overnight stay in the hospital. An in-depth discussion with an urologist is the best way to understand all your options and decide what is right for you.

Kidney Stones

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Prostate Cancer

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Robotic Prostate Surgery

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Incontinence

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Erectile Dysfunction

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Benign Prostatic Hypertrophy (BPH)

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Robotic Kidney Surgery

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Bladder Cancer

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