Benign Prostatic Hyperplasia
At Montefiore Einstein Urology, you can access exceptional care for benign prostatic hyperplasia. As a global leader in urology, we are an academic-based, national and international referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions.
Ranked in the top 1% of all hospitals in the nation for urology according to U.S. News & World Report, Montefiore Einstein continues to make advances in the diagnosis and treatment of GU conditions. Our multidisciplinary team of world-renowned specialists is passionate about uncovering the latest diagnostic approaches and treatments that can improve outcomes.
At Montefiore Einstein Urology, you can expect compassionate, personalized, research-driven treatment plans that meet the highest standards for quality and safety. In addition, we offer patients a full range of support services, from nutritional guidance to rehabilitative therapies.
When you need benign prostatic hyperplasia care, turn to our dedicated multidisciplinary team for a personalized treatment plan.
Montefiore Einstein offers the following content from the U.S. Department of Health & Human Services.
What Is Benign Prostatic Hyperplasia?
Benign prostatic hyperplasia (BPH) is a noncancerous enlargement of the prostate gland. BPH occurs when the prostate's cells multiply rapidly in response to the hormone dihydrotestosterone. This increase can lead to weak urine flow, urinary frequency, and other urinary tract symptoms.
Causes of Benign Prostatic Hyperplasia
There is no known cause of benign prostatic hyperplasia, but it is believed to be linked to hormonal changes as men age.
Signs & Symptoms of Benign Prostatic Hyperplasia
Symptoms of benign prostatic hyperplasia include:
- Dribbling at the end of urination
- Nocturia (frequently waking up to urinate)
- Pain during urination
- Trouble or delay starting a urine stream or emptying your bladder
- Urinary frequency
- Urinary urgency
- Weak or interrupted urine stream
Diagnosing Benign Prostatic Hyperplasia
Benign prostatic hyperplasia is diagnosed based on a complete physical exam and a review of your personal and family medical histories. Your physician may also order tests to identify any lower urinary tract conditions related to BPH, including:
- Urine studies
- Cystoscopy
- Prostate tests, such as a prostate-specific antigen (PSA) blood test or prostate biopsy
- Imaging studies of the prostate
- Urodynamic tests
Treating Benign Prostatic Hyperplasia
Benign prostatic hyperplasia treatment depends on the severity of symptoms and how they affect quality of life. Treatments include:
Watchful Waiting
If your prostate is slightly enlarged and your symptoms don’t affect your quality of life, your urologist may recommend watchful waiting and lifestyle changes, including:
- Avoidance or limitation of alcohol and caffeine intake
- Drinking fewer liquids before you go out in public or go to bed
Prescription Medications
Medications used to treat BPH include:
- 5-a-reductase inhibitors (5-ARIs) to stop the growth of or help shrink the prostate
- Alpha-blockers to relax the muscles in the bladder and prostate enabling improved urine flow
- Phosphodiesterase-5 inhibitors to relax the muscles around the bladder and prostate
Minimally Invasive Surgery
Minimally invasive and surgical procedures can help mitigate symptoms of benign prostatic hyperplasia. The decision regarding specific procedure is patient-specific and depends on the prostate as well. Montefiore Urology offers a variety of procedures including:
- Prostatic urethral lift (UroLift)
- Rezum steam therapy
- Transurethral resection of the prostate (TURP)
- Greenlight laser vaporization of the prostate
- Simple prostatectomy (via an open or robotic approach)