Urology Specialists of Milford, LLC Blog

Posts for tag: Enlarged Prostate

The symptoms of an enlarged prostate can become a problem for men as they age. You may have been the kind of person who never suffered from an overactive bladder when, all of a sudden, it seems like you are waking up to use the restroom every night. This increased frequency of nighttime urination (nocturia) can be one of the first signs of an enlarged prostate.

Nearly 50 percent of all men suffer from an enlarged prostate by the age of 60, according to the American Urological Association.

The telltale signs of an enlarged prostate, or benign prostatic hyperplasia (BPH), include having difficulty emptying your bladder, having to urinate frequently or feeling like you need to urinate and not being able to. Symptoms like these, unfortunately, can start slowly before they begin to affect your daily life. Most men experience symptoms when the enlarged prostate blocks the free flow of urine from your bladder through your urethra. 

Not only is an enlarged prostate uncomfortable, but it can also be painful, frustrating, and put you at risk for other health issues. If you aren’t able to fully empty your bladder, you have a higher risk of developing a urinary tract infection (UTI), bladder stones, or having blood in the urine. 

Although an enlarged prostate may seem like an embarrassing problem, it’s actually incredibly common. Thankfully, there are plenty of remedies that can help relieve the symptoms of an enlarged prostate, including: 

Alpha Blockers

While alpha blocker medications do not actually reduce the size of an enlarged prostate, they do help to relax your muscles. So, while your prostate may still be causing a urinary tract blockage, relaxed muscles around the bladder allows you to urinate more easily without pain, strain, or frustration.

Noninvasive Therapy

Transurethral microwave thermotherapy (TUMT), is a type of treatment that uses a microwave of sorts to heat and destroy prostate tissue that is blocking urine flow. Considered a minimally invasive treatment, TUMT involves inserting a narrow antenna through the penis tip to the location of the urethra blockage. This type of treatment can help reduce urinary frequency and urgency, and make it easier for you to empty your bladder. 

Surgical Procedures 

There are plenty of options to relieve the symptoms of an enlarged prostate if you are open to a more invasive approach. 

Your doctor can insert a stent, or small metal coil, in your urethra in order to widen it and keep it open. This is usually performed as an outpatient procedure.

A transurethral incision of the prostate (TUIP) involves making one or two small incisions to open the urinary channel.

One of the most common types of surgery for an enlarged prostate is a transurethral resection of the prostate (TURP), which surgically removes the overgrown prostate tissue. 

Prostate laser surgery uses concentrated light energy to destroy prostate tissue. The advantages of this type of laser surgery include less bleeding, a less invasive procedure and faster recovery. 

To learn more about benign prostatic hyperplasia (BPH), contact the Urology Specialists of Milford. Dr. Jeffrey Steinberg, a board-certified and highly experienced urologist, specializes in urological disorders, especially prostate enlargement and its symptoms. To schedule your consultation, call us at (508) 473-6333 or use our convenient appointment request form.

It is inevitable that most men, especially as they age, will at some point experience some sort of urological problem. These complications could also be a result of certain conditions, injury, genetics, or even a birth defect. Urinary health is a vital component of a man’s healthcare. Urology focuses on the health of the urinary tract, which encompasses the kidney’s, bladder, urethra, and reproductive system, and is responsible for removing waste (urine) from the body.

Urologists have special training and knowledge of men’s health and what to do for the male urinary tract and reproductive system, should an issue arise. Many times, problems like urinary incontinence, infertility, and bladder infections (UTIs) are common problems that are often associated with women. However, this is not always the case, as men can be affected too. This can often cause embarrassment, and effect self-esteem, confidence, and quality of life. Therefore, when issues do arise, it is crucial that a man seek help from a urologist as early as possible, so further complications do not occur.

Here are a few of the most common urological conditions that affect men: 

  1. Enlarged Prostate (BPH): Having an enlarged prostate is one of the most common issues for men, especially older men. This condition is called Benign Prostatic Hyperplasia or BPH. BPH occurs when the prostate, a walnut shaped gland located between the bladder and urethra, becomes enlarged, making it hard to urinate. Some men experience a sensation that they need to urinate, but nothing comes out, due to swelling of the bladder and prostate. BPH can be dangerous if left untreated, with kidney problems and infections a distinct possibility. The urologist will test a man’s PSA level (Prostate-Specific Antigen, a protein produced by the prostate), and if levels are high, it can indicate a possible diagnosis of prostate cancer.
  2. Prostate Cancer: Prostate cancer happens to be the second leading cause of death for men. It occurs when cells in the prostate become cancerous and start to grow uncontrollably. All men need to have their PSA level checked annually as well as have a digital rectal exam. Depending on the man’s PSA levels, and severity of the cancer, treatment options will vary and may include chemotherapy and radiation.
  3. Erectile Dysfunction (ED): Erectile Dysfunction is a common condition that affects men, with 52 percent of men age 40 and up experiencing ED in the United States. ED occurs when a man is unable to get or maintain an erection for sexual intercourse. It’s not uncommon for a man to feel embarrassed or depressed in this situation, as sexual health is an extremely important part of an intimate relationship. If they feel like they are not providing or pulling their weight, it hurts their confidence and self-esteem. Fortunately, the urologist has many treatment options for erectile dysfunction, including medication, hormone replacement, surgery, etc. 
  4. Prostatitis or UTI: Men can get a urinary tract infection just like women can. If it burns when you pee, or the urine is cloudy, this can be a sign that bacteria are in your urinary tract and could result in a UTI. Generally, a UTI can be treated with antibiotics. Prostatitis is an infection in the prostate that is similar to a UTI, but can cause painful urination, abdominal pain, pelvic and lower back pain.
  5. Urinary Incontinence: Urinary incontinence is a more common condition for men as they get older. This occurs when muscles in the pelvic wall weaken, causing a person to lose control of their bladder, causing leaking, or someone to have to pee frequently.

Infertility: Infertility doesn’t only affect women. A man is the other part of the equation. 15 percent of couples are infertile, meaning after having sex for about a year, they are unable to conceive a child. Half of that percentage of couples contributes to the male side.  A urologist can help properly diagnose the cause of infertility and help create a treatment plan. Treatment for infertility depends on what is causing it, which could be hormone levels, mood, stress, low sperm count, etc.

To learn more about the common urological conditions that could affect men, and what treatment options are available, call Urology Specialists of Milford at (508) 473-6333, or request an appointment online. A Harvard trained and board-certified urologist, Dr. Steinberg has extensive knowledge of the many ways that men’s health can be affected. He will diagnose your condition, and find the safest, most effective treatment for each individual.