What's actually going on
An enlarged prostate — the medical term is benign prostatic hyperplasia, or BPH — is one of the most common conditions we treat. It is not cancer, and it doesn't raise your risk of cancer. But it can wear down your sleep, your comfort, and your patience, and it tends to get slowly worse if left alone.
The good news: treatment has changed a great deal in the last decade, and most men have more options — and gentler options — than they expect.
How we evaluate it
A first visit is straightforward. We'll talk through your symptoms and how much they actually bother you — that matters more than any number — review your health history and medications, and do a focused exam. Depending on your situation, we may check how well your bladder empties, measure your urine flow, or look at the prostate with ultrasound. The goal is a clear picture of what's causing the symptoms and how far along things are, so the treatment fits you rather than a protocol.
Your options, honestly
Not every enlarged prostate needs treatment. If your symptoms are mild, watchful waiting with periodic check-ins is a perfectly good plan, and we'll tell you so. When treatment does make sense, the ladder generally runs:
Medication. Daily pills that relax the prostate or slowly shrink it. They help many men, though some experience side effects or simply don't want a pill for life.
Procedures and surgery. When medication isn't enough — or isn't the life you want — a range of procedures can relieve the blockage itself, from minimally invasive options through surgery for larger prostates, including robotic approaches when appropriate. We perform and coordinate the full range, and we'll tell you plainly which path fits your anatomy and your goals.