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Category Archives: About BPH

Hyperplasia Vs. Hypertrophy

April 5, 2015

As you research prostatic enlargement you may come across two similar terms Benign Prostatic Hyperplasia and Benign Prostatic Hypertrophy. Both can be shortened to BPH and the terms are of often used interchangeably by patients and clinicians alike. While both represent an increase in the size of the prostate, the two phrases do have slightly different meanings.

BPH Treatment Options are Not One Size Fits All

January 20, 2015

When the signs and symptoms of BPH start to affect a man’s life, there is the tendency to jump to conclusions, assume the worst and think surgery is the only option. Luckily, the breadth of BPH treatment options has expanded in the past several decades, with novel approaches available to patients at all stages of their prostatic enlargement. Urologists have expanded their treatment goals to not only alleviate the symptoms of the disease, but also slow the progression of the … Continue reading

Enjoying the New Year – in Spite of BPH

January 8, 2015

The holidays are over and the New Year has begun. Now is the time many of us head south to enjoy some fun in the sun, or perhaps take to the slopes in a winter wonderland. Benign Prostatic Hyperplasia, or BPH, may make it very difficult to enjoy outings and vacations that we look forward to this time of year. Those suffering from BPH are often petrified at the thought of not be able to enjoy time with friends and … Continue reading

How Metabolic Syndrome Can Affect Prostatic Enlargement and BPH

September 4, 2014

With the significant rise in obesity and related heart disease and diabetes over the past several decades, clinicians have sought to properly describe the complexities of the problem. After all, there are many and varied factors that can cause heart attack, stroke and diabetes. Metabolic syndrome is the phrase now being used to describe the suite of risks that increase the chances of experiencing these very dangerous conditions. Metabolic risk factors include high blood pressure, high triglycerides, low good cholesterol … Continue reading

Watchful Waiting…A Cop-Out?

August 9, 2014

Some patients visit their urologist after experiencing the symptoms of BPH for  the first time only to be told that they should simply wait and see if the symptoms progress. Some may feel that waiting for symptoms to worsen is unacceptable, but in truth it is the most conservative of therapies and it is a legitimate treatment option.

Determining the Best Course of Action

July 31, 2014

As you discuss BPH treatment options with your urologist, you may find that there are several possible courses of action you can take, based on your unique medical history. It may be hard to choose between those treatments and looking up each option may make it more confusing. You’ll see average rates of effectiveness and retreatment. You’ll see percentages for side effects and risks. What you can’t see is how that affects you individually. After all, each of us is … Continue reading

BPH and the Incidence Erectile Dysfunction

June 28, 2014

Erectile Dysfunction, also known as ED or impotence, is a serious concern for anyone who has experienced it, and the risks of developing chronic ED increase with age. Estimates from a recent publication suggest roughly 18 million men in the US are affected by erectile dysfunction1. Anecdotal evidence in the form of advertising for and sales of Erectile Dysfunction drugs shows how prevalent the issue is.

Can Testosterone Therapy Cause or Worsen BPH?

June 18, 2014

As men age, it is common to encounter both Benign Prostatic Hyperplasia, BPH, and low testosterone, known as hypogonadism. Either condition is often disruptive to a man’s life. In an ideal world, both problems would be treated quickly and completely. However, there are concerns over the relationship between testosterone replacement therapy (TRT) and the development or worsening of BPH. Concerns center around the fact that testosterone is converted to by the body to dihydotestosterone (DHT), which in turn is known … Continue reading

Non-Symptomatic Enlarged Prostate or BPH

June 4, 2014

An enlarged prostate is virtually guaranteed in men as they age. Indeed, 90% of men over 80 have an enlarged prostate. However, this does not necessarily mean that treatment will be indicated or required. It’s a strange reality, but the symptoms of BPH do not necessarily correlate with the degree of prostatic enlargement – some men may have significant growth and few symptoms and vice versa. Ultimately, the treatment plan will largely rest on the degree of disruption to the … Continue reading

Treatment for Patients With Prior Prostate Surgery

May 29, 2014

We recently had a patient, who had prostate surgery 23 years ago and is once again experiencing BPH symptoms, ask if he is a candidate for an in-office procedure. Our reply: No procedure for BPH or Enlarged Prostate can guarantee complete resolution of symptoms for life. As such, there are times when patients need to consider their options for re-treatment if or when the symptoms of BPH do eventually return.

The Anti-BPH Diet

May 21, 2014

Over the course of a man’s lifetime there is a very good chance that they will develop the symptoms of an enlarged prostate or BPH. These symptoms can disrupt daily life and include waking up to urinate at night (nocturia), urgency and frequency of urination, and retention of urine in the bladder—a constant feeling of needing to urinate. While we don’t know the cause of prostatic tissue enlargement, we do know that age is by far the greatest risk factor. … Continue reading

What You Can Do To Minimize The Effects of an Enlarged Prostate

April 6, 2014

With age, many men will become aware of increasingly troublesome urinary issues. These problems are often a result of an enlarged prostate or BPH. It is common to do nothing about their symptoms because they believe that can cope with the discomfort. Others are embarrassed or unwilling to see a physician. Either way, ignoring the symptoms of BPH can cause significantly lower quality of life and increase the chance of more serious medical conditions. It is important to note that … Continue reading

What Is the Prostate Gland’s Purpose?

March 19, 2014

On the surface, it may seem that the prostate gland (a walnut sized organ surrounding the urethra) doesn’t do a whole lot. In fact, if the prevalence of BPH is any indication, it might seem that the prostate is more of a problem than an advantage.

Making BPH Treatment Seem Less Scary and Embarrassing

February 25, 2014

Most men who experience urinary problems associated with BPH have two major impediments to seeking appropriate and swift treatment. First, is the embarrassment that many feel as a result of their Lower Urinary Tract Symptoms or LUTS. It is perfectly natural to feel some apprehension when discussing sensitive issues such as these. However, the symptoms of LUTS can be disruptive and interfere with your everyday activities and enjoyments. Many men spend years changing their habits and behaviors to avoid potentially … Continue reading

The Truth about BPH

December 21, 2013

The truth about BPH, or Enlarged Prostate, may be a shocking one. It is a condition that is not well understood in the public domain and, while it is not life-threatening, it is certainly life-alternating.  BPH causes considerable quality of life issues in the men suffering from this disease.  The result is that many men find themselves forced to take medications for the rest of their lives or pursuing more invasive treatment options largely because they did not address their … Continue reading

What is the AUASS or American Urological Association Symptom Score?

December 11, 2013

The AUASS is based on a seven question survey in which patients rate the severity of the symptoms associated with Benign Prostatic Hyperplasia (BPH), commonly known as enlarged prostate. The answer to these questions offers insight into how BPH may be affecting a man’s daily routine and quality of life. Patients are asked to rate the frequency of experiencing symptoms over the past month. Each score is ranked on a scale of 1 to 5, with lower scores suggesting fewer … Continue reading

Let’s Make National Prostate Health Month Every Month

November 30, 2013

September was National Prostate Health Month in the United States. However, just because we’re now past September, doesn’t mean we should forget the need to increase awareness of prostatic diseases and conditions. These conditions, including prostate cancer, prostatitis and Benign Prostatic Hyperplasia (BPH), affect a significant number of men each and every year. Many prostate problems – as a result of benign or malignant conditions – present the signs and symptoms of prostatic enlargement. Men should visit their physician or … Continue reading

Botox for BPH

November 8, 2013

BOTOX, a revolutionary advancement in wrinkle management, has been a topic of conversation as a treatment for BPH (Enlarged Prostate). BOTOX, also known as botulinum toxin type A, works to eliminate wrinkles by blocking the communication between nerves and muscles. The result is that the affected muscle is essentially paralyzed, improving the aesthetics of wrinkles in the treated area.1 The same theory has been postured for BPH. By possibly weakening some of the muscles in and around the prostate, bothersome … Continue reading

Taking Pills for BPH – Easy, But Not Always Best

October 23, 2013

Let’s face it; as a consumer, it’s easy to take a pill. You may already be taking other pills and this is just one more to add to the rotation. As a urologist, prescribing BPH medication is simple as well. It doesn’t take a lot of time and there is no cost to the clinic. In fact, most of the time, the patient will be satisfied at the initial follow-up visit.  A satisfied patient doesn’t complain.  A satisfied patient needs no additional … Continue reading

BPH and Prostate Cancer

September 26, 2013

BPH is one of the most common health problems in men of advanced age. In fact, the majority of men over the age of 50 will suffer from the symptoms of Benign Prostatic Hyperplasia. These disruptive symptoms can include trouble urinating, urgency in urination and frequency in urination amongst others.