Enlarged Prostate Treatment in Hartford and Enfield, CT

How is an Enlarged Prostate diagnosed?

To diagnose BPH, Dr. Pregenzer, Jr. reviews your medical history and symptoms. He may complete a digital rectal exam to feel your prostate gland or use a cystoscope, which is a thin, lighted tube. Dr. Pregenzer, Jr. may also order additional blood or imaging tests to make a diagnosis.

What treatments are available for BPH?

Treatment for BPH varies based on the severity of your condition. Dr. Pregenzer, Jr. typically starts by recommending conservative forms of treatment, such as:

  • Watchful waiting
  • Urinating as soon as you feel the urge
  • Urinating regularly, regardless of the urge
  • Avoiding antihistamines, alcohol, and caffeine
  • Stress management
  • Exercising regularly
  • Kegel exercises

If conservative measures don’t improve your symptoms, Dr. Pregenzer, Jr. may recommend medications like antibiotics, hormone reduction medications, or alpha-1 blockers that can reduce the size of your prostate and improve urine flow. Should conservative measures and medications fail to offer effective relief, Dr. Pregenzer, Jr. may recommend more assertive forms of intervention, which might include:

  • High-intensity focused ultrasonography
  • Water-induced thermotherapy
  • Transurethral microwave therapy
  • Transurethral needle ablation
  • Simple prostatectomy
  • Transurethral incision of the prostate
  • Transurethral resection of the prostate

Don’t let benign prostatic hyperplasia go untreated when effective solutions for BPH are within reach at Pregenzer Urology. Call the office nearest you, or request online today.

BPH Treatment Options

If you have been diagnosed with an enlarged prostate due to BPH, consult with your physician to determine which treatment is right for you.

Treatment Options May Include:

Watchful Waiting: Watchful waiting involves making behavioral changes such as decreasing your fluid intake prior to bedtime, regular physical activity, and avoiding caffeine and alcohol. For men with mild symptoms this may be a viable option until their condition shows signs of worsening.1 However, it is important to note that, in a study, 87% of men who elected watchful waiting experienced a worsening of symptoms over a 4-year time period.2

Medications: Your doctor may prescribe BPH medication, just one or even a combination of BPH medications that may help alleviate your urinary symptoms. These medications are effective and may improve your BPH symptoms; however, some men may not experience enough relief. In addition, some men experience bothersome side effects from BPH medication. Either or both of these things may lead them to discontinue the medication.3-6 

Some patients may suffer side-effects including dizziness, headaches, or sexual dysfunction. Some may not get adequate relief of their symptoms. Over 16% of men on medication for BPH discontinue treatment early for reasons such as being dissatisfied with side-effects or not getting adequate symptom relief.1

Minimally Invasive treatments: These are procedures which can often be done as an outpatient procedure with milder forms of anesthesia than what is used in a hospital operating room. They typically have fewer complications than traditional surgery.7

The UroLift® System uses small implants to open the prostate blockage and does not require heating or cutting tissue. The procedure is typically performed under local anesthesia in a doctor’s office and patients typically return home the same day without a catheter.6,8 The UroLift System offers rapid symptom relief with a low risk profile.6 As the procedure does not destroy tissue, recovery on average is more rapid than for TURP patients. It is the only leading BPH procedure shown to provide symptom relief while also preserving sexual function.*8-11Patients may experience short-term pelvic pain and light blood in the urine.6,7

* No instances of new, sustained erectile or ejaculatory dysfunction in the L.I.F.T. pivotal study. 

  • Another minimally invasive BPH treatment is Rezum™ Water Vapor Therapy. This is a form of thermal therapy in which the prostate is heated with steam. Another form of thermal therapy called Transurethral Microwave Therapy (TUMT) uses microwaves to destroy tissue.7 They can typically be done at a doctor’s office with local anesthesia and patients can usually go home the same day as the procedure. These procedures generally have fewer complications than traditional surgery. A catheter is typically required for a few days after the procedure and recovery may take a few weeks.11-13 

Traditional Surgery: Common traditional BPH surgeries include transurethral resection of the prostate (TURP) and laser photoselective vaporization of the prostate (GreenLight™ laser PVP). These procedures are the most aggressive treatment option and can be effective. Recovery can take time and is accompanied by a higher risk of complications.1 Less commonly performed surgeries include Aquablation® therapy and Holmium Laser Enucleation of the Prostate (HoLEP).7 Aquablation® therapy uses a high-pressure water jet to remove prostate tissue, whereas HoLEP uses a laser to remove the prostate tissue. Traditional surgery can offer significant relief of symptoms and help you improve quality of life.1 

Rezum and GreenLight are trademarks of Boston Scientific. Aquablation is a trademark of PROCEPT BioRobotics Corp.

References  

*No instances of new, sustained erectile or ejaculatory dysfunction in the L.I.F.T. pivotal study

  1. AUA BPH Guidelines 2003. Updated 2010.
  2. Djavan, Urology 2004
  3. Chang DF, Campbell JR, J Cataract Refract Surg. 2005
  4. Duan et al, Pharmacoepidemiol Drug Saf. 2018
  5. Welk et al, JAMA Intern Med. 2017
  6. Roehrborn, J Urol 2013
  7. Roehrborn, Can J Urol 2017
  8. Shore Can J Urol 2014 
  9. Tutrone, Can J Urol 2020 
  10. Eure, et al., AUA 2020
  11. Sonksen, et al., Eur Urol 2015 
  12. McVary, J Urol 2016
  13. McVary, J Urol 2020; AUA abstract LBA01-06 5-year Rezum 

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Other BPH Information

What is benign prostatic hyperplasia (BPH)?

Benign prostatic hyperplasia (BPH) describes the enlargement of your prostate gland. Your prostate gland surrounds your urethra, which is a tube that carries urine out of your body. BPH isn’t prostate cancer, nor does it increase your risk of cancer. While many men experience prostate growth as they age, an enlarged prostate gland can cause health problems if left untreated.

What symptoms are caused by BPH?

A number of BPH symptoms can occur after age 50. Examples include:

  • Frequent urination
  • Blood in urine
  • Urinary tract infections
  • Urine streams that are weak, slow, and abnormal
  • Inability to urinate
  • An urge to urinate right after using the restroom
  • Trouble beginning a urine stream
  • Dribbling after urinating

Severe BPH complications can include urinary tract infections and kidney or liver damage. Detecting the condition early means you’re less likely to experience severe complications.

Schedule an Appointment for BPH Treatment in Hartford, CT Today!

Dr. Pregenzer, Jr. specializes in the testing and treatment of BPH, if you are experiencing symptoms of BPH, contact Pregenzer Urology today. To schedule an appointment at our urology office, please call our office at (860) 962-6600 or request an appointment online.