Benign Prostate Hyperplasia

Middle-aged men usually don't have the name for it, but they know the drill. It's frequent urination (at least once or twice a night, interrupting sleep), a sensation of incomplete emptying of the bladder, a stream that starts and stops, difficulty starting urination, residual dribbling of urine and returning to urinate almost immediately after finishing.

Sound familiar? These symptoms describe the effects of an enlarged prostate, often called benign prostate hyperplasia, or BPH. It is, by far, the most common prostate issue for men over 50. It affects about half of men between age 51 and 60 and up to 90 percent of men older than 80.

Fortunately, it's not cancerous. 

But it can be both a disruption and aggravation in your daily life. Once you’ve been diagnosed with an enlarged prostate, your Tallwood urologist will determine the best way to restore normal urination frequency and normal urine flow. 

How Is BPH/Enlarged Prostate Diagnosed?

A physical exam, blood and urine tests, your medical history and symptoms are all considered when diagnosing an enlarged prostate.

How to evaluate your urinary symptoms? The American Urological Association's BPH Symptom Score uses these seven questions: 

  1. How often have you had a sensation of not emptying your bladder completely after you finished urinating?
  2. How often have you had to urinate again less than 2 hours after you finished urinating?
  3. How often have you stopped and started again several times when you urinated?
  4. How often have you found it difficult to urinate?
  5. How often have you had a weak urinary stream?
  6. How often have you had to push or strain to begin urination?
  7. How many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning?

The Conservative Approach

Depending on the severity of your symptoms, your doctor might choose a conservative treatment that includes lifestyle changes such as:

  • Reducing stress, which can trigger more frequent urination.
  • Regular exercise.
  • Maintaining a healthy weight.
  • Avoiding alcohol and caffeine, particularly after dinner.
  • Avoiding decongestants or antihistamines, which make it more difficult for the bladder to empty.
  • Urinating as soon as you feel the urge.

Medications such as alpha blockers that relax bladder and prostate muscles can help, though some patients report dizziness, fatigue, lightheadedness and other side effects.

Surgery For Benign Prostate Hyperplasia

If your modern to severe BPH symptoms do not respond to medication, you doctor might recommend one of these procedures: 

Transurethral resection of the prostate (TURP): During a TURP procedure, a standard surgical treatment for BPH, your doctor shaves away blocking tissue in the prostate with an instrument inserted through your urethra. 

Transurethral incision of the prostate (TUIP): Unlike a TURP, your prostate tissue is not shaved away during a TUIP. To restore free urine flow in milder cases of BPH, incisions in the prostate allow the gland to expand and increase the size of the bladder outlet and urethra.

“Simple” prostatectomy: The inner part of the prostate, including the part of the gland blocking urine, is removed. 

Hartford HealthCare also offers this outpatient procedure:

Holmium laser enucleation of the prostate (HOLEP): In a HOLEP procedure, your doctor uses a laser to open an obstructing prostate by peeling away the obstructing tissue. The laser reduces bleeding during the operation and thus can be used even in very large prostates.

Other Options

The Tallwood experts also offer other techniques for treating BPH.

Rezūm™

The Rezūm system uses thermal energy in the form of sterile water vapor (steam) to remove the extra tissue cells generated in the prostate by BPH. The steam is created using radiofrequency power and administered in controlled doses through a needle ablation through the urethra. Condensation releases the stored thermal energy of water vapor against the walls of the cells in the treatment zone. Removal of the tissue – which is eventually absorbed by the body – reduces the urethra obstruction, relieving lower urinary tract symptoms of BPH and improving urine flow.

Learn More

UroLift®

A new, minimally invasive treatment called UroLift now allows doctors to treat an enlarged prostate by peeling back excess tissue using tiny implants to reduce pressure on the urethra. It’s the first BPH treatment that does not remove prostate tissue. It also does not affect sexual function. UroLift is often performed under local anesthetic, with no catheter or overnight stay in the hospital.

The UroLift System is an alternative for patients looking for something other than drug therapy or more invasive surgery. Treatment might be right for you if any of the following apply:

  • You do not want to take another pill every day.
  • You have tried BPH medication but are unhappy with the side effects.
  • You do not want to undergo major surgery due to potential surgical risks of side effects and complications.
  • You want a BPH treatment that preserves your sexual function.
  • You want to regain your quality of life with minimal downtime.

Learn More

 
 
 
 
 
 
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Meet our BPH Specialists:

John Griffith

4.9

Urology

Medical Group Hartford HealthCare Medical Group
Southington, CT 06489
More Locations
Plainville, CT 06062
Christine Liaw

4.7

Urology

Medical Group Tallwood Urology & Kidney Institute at St. Vincent's Medical Center
Bridgeport, CT 06606
More Locations
Stamford, CT 06905
Wilton, CT 06897
Shaun Hager

4.8

Urology

Medical Group Tallwood Urology & Kidney Institute
Waterford, CT 06385
More Locations
Mystic, CT 06355
Evan Shreck

4.9

Urology

Medical Group Tallwood Urology & Kidney Institute at MidState Medical Center
Meriden, CT 06451
More Locations
Cheshire, CT 06410
Eric Katz

4.8

Urology

Medical Group Tallwood Urology & Kidney Institute at Hartford Hospital
Hartford, CT 06106
More Locations
Avon, CT 06001
Farmington, CT 06032
West Hartford, CT 06107
Paul Pyo

4.9

Urology

Medical Group Tallwood Urology & Kidney Institute at MidState Medical Center
Meriden, CT 06451
More Locations
Cheshire, CT 06410
David Rosenberg

4.9

Urology

Medical Group Tallwood Urology & Kidney Institute
Manchester, CT 06040
Kenneth Weisman

4.8

Urology

Medical Group Hartford HealthCare Medical Group
Thomaston, CT 06787
More Locations
Plainville, CT 06062
Bristol, CT 06010
Paul Ceplenski

 

Urology

Starling Physicians
New Britain, CT 06052
Brian McLeod

4.9

Urology

Medical Group Backus Center for Specialty Care - Urology
Plainfield, CT 06374
Brandon Stahl

4.9

Urologic Oncology

Medical Group Tallwood Urology & Kidney Institute
Norwich, CT 06360
Arthur Tarantino

4.9

Urology

Medical Group Tallwood Urology & Kidney Institute
Gateway Medical Office Park - South
Glastonbury, CT 06033
More Locations
Farmington, CT 06032
Anthony DiStefano

4.9

Urology

Medical Group Tallwood Urology & Kidney Institute
Manchester, CT 06040
Jean Wong

4.8

Urology

Medical Group Tallwood Urology & Kidney Institute
Norwich, CT 06360
Johnny Chang

 

Urology

Charlotte Hungerford Hospital Adult & Pediatric Urology
Torrington, CT 06790
Joshua Stein

4.8

Urology

Medical Group Tallwood Urology & Kidney Institute
Manchester, CT 06040
More Locations
Avon, CT 06001
Raphael Cooper

 

Urology

Starling Physicians
New Britain, CT 06052
James DeVanney

 

Urology

Charlotte Hungerford Hospital Adult & Pediatric Urology
Torrington, CT 06790
Anthony Quinn

 

Urology

Medical Group Tallwood Urology & Kidney Institute
Waterford, CT 06385
More Locations
Norwich, CT 06360
Dmitry Volkin

4.8

Urology

Medical Group Tallwood Urology & Kidney Institute
Waterford, CT 06385
More Locations
Norwich, CT 06360
Jonathan Telsey

4.8

Urologic Surgery

Medical Group Tallwood Urology & Kidney Institute
Norwich, CT 06360
More Locations
Waterford, CT 06385
John Graham

4.8

Urology

Medical Group Tallwood Urology & Kidney Institute at St. Vincent's Medical Center
Bridgeport, CT 06606
More Locations
Stamford, CT 06905
Wilton, CT 06897
David Crawley

4.8

Urology

Medical Group Tallwood Men’s Health
Waterford, CT 06385
More Locations
Norwich, CT 06360
Jared Bieniek

4.8

Urology

Medical Group Tallwood Men's Health
Farmington, CT 06032
More Locations
Glastonbury, CT 06033
Fairfield, CT 06824

Tallwood Urology & Kidney Institute