Benign Prostatic Hyperplasia (BPH)

“Why do I keep peeing so much?”

Have you been asking yourself, “Why does it hurt to pee?” Or “Why do I keep peeing so much?” Problems with urination, including frequent urination at night, dribbling after urination and struggling to empty your bladder completely may be signs of an enlarged prostate.

This condition is called benign prostatic hyperplasia (BPH). It’s common, and treatable.

About 50% of men 51–60 years of age have BPH.
That number jumps to 70% for men 60–69,
and 80% for men 70 years and older.

Benign Prostatic Hyperplasia (BPH)

What is BPH?

As men age, the number of cells in the prostate increases in response to hormonal changes. In some cases, the prostate grows only slightly larger than normal – in others, it grows a lot, causing BPH. Problems with urination are caused by the prostate physically pressing against the urethra and obstructing the flow.

Common symptoms of an enlarged prostate

  • Frequent urination (eight or more times a day)
  • Urgent urination or difficulty holding urination
  • Trouble starting a urine stream
  • Weak or interrupted urine stream
  • Dribbling at the end of urination
  • Frequent urination during sleep
  • Inability to empty bladder completely
  • Urinary incontinence
  • Pain after ejaculation or during urination
  • Urine that has an unusual color or smell
  • Recurrent urinary tract infections (UTI)

If your quality of life is being affected by an enlarged prostate, doctors at Urology Nevada can help. We’re experts in BPH, including state-of-the art, minimally invasive treatments. Fill out the form below to get expert care from one of our prostate doctors.

Urology Nevada

Problems with urination?

If you’re looking for relief from these symptoms, come see one of the exceptional prostate doctors at Urology Nevada.

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Who do you see for prostate problems?

A board-certified urologist will be able to provide you with the most skilled care for BPH, as well as other prostate issues and urological conditions. At Urology Nevada, all of our physicians are board-certified by the American Board of Urology.

How do prostate doctors diagnose and treat BPH?

The physicians at Urology Nevada are experts at diagnosing and treating BPH. To diagnose BPH, we collect personal and family medical history, conduct a physical exam and administer appropriate tests. We can also obtain additional diagnostic information by using a small camera to visualize the prostate or with an ultrasound image. Among the tests is a highly predictive, non-invasive bladder function test called the UroCuff® Test. 

There are a variety of treatment approaches for BPH, depending on the degree of enlargement in the prostate, including medication, surgery and minimally invasive procedures. Our prostate doctors are knowledgeable on the latest treatments for enlarged prostate.

benign prostatic hyperplasia (BPH)

Treatment Options

Medication

The most commonly prescribed medications relax the muscle in your prostate, which reduces tension on your urethra. Examples include:

  • Tamsulosin (Flomax®)
  • Terazosin (Hytrin®)
  • Doxazosin (Cardura®)
  • Alfuzosin (Uroxatral®)
  • Silodosin (Rapaflo®)

Some medications decrease the production of the hormone DHT, which can slow the growth of the prostate gland, and even reduce its size. These medications are most beneficial to people with larger prostates.

  • Finasteride (Proscar®)
  • Dutasteride (Avodart®)

Minimally Invasive Treatments

If you’re looking for the latest treatments for enlarged prostate, you’re in the right place. The prostate doctors at Urology Nevada are committed to evolving urologic care in our region by regularly attending training courses and national conferences on new and emerging technologies, as well as other continuing medical education opportunities. The BPH procedures we offer are the result of this commitment, allowing us to provide treatment that is less invasive than surgery, less damaging to healthy tissue and quicker to recover from.

The UroLift® System Treatment

The UroLift® System Treatment uses a minimally invasive approach that provides rapid relief and recovery of BPH symptoms, without any risk of sexual side effects such as erectile dysfunction or retrograde ejaculation. The procedure separates enlarged prostate lobes using implants, widening the urethra, making it easier to pee. It is an earlier treatment option that can get men off BPH medications and help them avoid surgery.

Rezūm Water Vapor Therapy

Rezūm Water Vapor Therapy is an alternative to surgery. It injects steam vapor into the prostate, using thermal energy to destroy prostate cells. As the body reabsorbs the dead cells, the prostate shrinks. The procedure is done without an incision or general anesthesia, and preserves sexual function in the majority of cases.

Aquablation Therapy

Aquablation Therapy is a safe and effective treatment for patients suffering from lower urinary tract symptoms (LUTS) due to BPH. It can be performed on prostates of all sizes and shapes. Aquablation therapy is a resective procedure, meaning the prostate tissue causing symptoms is removed. No incision is made, as the prostate is reached through the urethra. An advantage of this over a traditional Transurethral Resection of the Prostate (TURP) is the ability to precisely preserve the parts of the prostate responsible for sexual function.

Surgical Options

Several types of surgery can remove prostate tissue that blocks your urethra, restoring normal bladder function.

  • Robotic Assisted Simple Prostatectomy (RASP): A minimally invasive surgical treatment for patients with an enlarged prostate. This procedure is ideal for men with a severe enlargement (100 grams or more) and for those with significant obstruction, urinary retention, recurrent gross hematuria or bothersome Lower Urinary Tract Symptoms (LUTS).
  • Transurethral Resection of the Prostate (TURP): A special instrument called a resectoscope is inserted through your urethra, allowing your prostate doctor to see and remove prostate tissue.
  • Transurethral Incision of the Prostate (TUIP): Two small incisions are made, one in your prostate and one where your urethra and bladder join (called the bladder neck). This widens your urethra and improves urine flow.
  • Transurethral Electrovaporization: An electrode is used to heat your prostate tissue. This eliminates tissue cells in the enlarged areas of your prostate by turning them into steam.
  • GreenLight™ Laser: This procedure utilizes a special laser, through which your prostate doctor evaporates your enlarged prostate tissue.
Benign Prostatic Hyperplasia (BPH)

In Northern Nevada, Urology Nevada is who you see for prostate problems.

If you’re asking, “Why do I keep peeing so much?” or “Why does it hurt when I pee?” – we have answers, and we have treatments. You don’t have to live with the symptoms of an enlarged prostate. Our expert prostate doctors can diagnose and treat your BPH, so you can get back to living well. Appointments are typically available within ten days.