Benign Prostatic Hyperplasia (BPH)

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Benign Prostatic Hyperplasia Treatment in Metro Atlanta

BPH Diagram

Benign prostatic hyperplasia (BPH), also known as prostate gland enlargement, is a common condition that affects the male reproductive system. It occurs when the prostate gland, which is a small walnut-shaped gland located below the bladder, begins to grow in size. This growth is considered benign, meaning it is non-cancerous.

As men age, hormonal changes, particularly an increase in dihydrotestosterone (DHT), can lead to the enlargement of the prostate gland. The exact cause of BPH is not fully understood, but age and hormonal factors play a significant role. BPH is more common in older men, typically affecting those over the age of 50. By the age of 60, more than half of men will have some degree of prostate enlargement, and by age 85, this number increases to about 90%.

The enlarged prostate can cause a range of urinary symptoms due to its proximity to the urethra, which is the tube that carries urine from the bladder out of the body.

Symptoms

The most common symptoms of BPH include:

  • Frequent urination: The need to urinate more often, especially during the night (nocturia).
  • Urgency: A sudden and strong urge to urinate.
  • Weak urine flow: A weakened or intermittent stream of urine during urination.
  • Difficulty starting and stopping urination.
  • Incomplete bladder emptying: Feeling like the bladder is not fully emptied after urination.

If left untreated, BPH can lead to complications such as urinary tract infections, bladder stones, bladder damage, and kidney problems.

Treatments

Treatment options for BPH depend on the severity of symptoms and the impact on the patient’s quality of life. The treatment approaches can include:

  • Watchful waiting: For men with mild symptoms, regular monitoring of the condition may be recommended without immediate intervention.
  • Medications: Various medications can be prescribed to manage BPH symptoms. These may include alpha blockers to relax the muscles around the prostate and 5-alpha reductase inhibitors to reduce the production of DHT.
  • Minimally invasive procedures: Procedures like Urolift, Aquablation, transurethral resection of the prostate (TURP), or laser therapy can be used to remove or reduce excess prostate tissue that is obstructing urine flow. The Bhalani Urology Institute is a Center of Excellence in Urolift.
  • Prostatic artery embolization (PAE): This procedure involves blocking the blood supply to the prostate, leading to its shrinkage.
  • Surgery: In severe cases or when other treatments are ineffective, surgical intervention, such as a simple prostatectomy, may be recommended to remove part or all of the prostate gland.

It’s important for individuals experiencing any symptoms related to the urinary system to consult with a healthcare professional for a proper diagnosis and appropriate treatment options. Call our office to schedule an appointment at (678) 321-7227.

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Our office is easily accessible via GA 400 and Hwy 20.

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