Enlarged Prostate Specialist

Urology Specialty Care of Miami -  - Urologist

Urology Specialty Care of Miami

Urologists located in Miami, FL

An enlarged prostate, also called benign prostatic hyperplasia (BPH), causes symptoms in about 25% of all men by the age of 55. Dr. Robert Puig of Urology Specialty Care of Miami has extensive experience relieving the urinary tract problems caused by BPH using medication and minimally invasive surgery, including da Vinci® robotic-assisted surgery. If you have any concerns about your prostate health, call the office in Miami, Florida, or book an appointment online.

Enlarged Prostate Q & A

What is an Enlarged Prostate?

BPH occurs when abnormal cell growth (hyperplasia) enlarges your prostate gland. The growth isn’t cancerous, and it doesn’t increase your risk of prostate cancer.

The prostate is a walnut-sized gland found just under a man's bladder, surrounding the urethra. It produces prostate fluid, which together with spermatozoa from the testicles, and other glandular fluids, are the components of semen.

What are the Symptoms of BPH?

The urethra, the tube that carries urine, passes through the center of your prostate. As the prostate enlarges, it blocks the flow of urine, causing symptoms such as:

  • Difficulty urinating
  • Weak urine stream or a stream that stops and starts
  • Dribbling after urinating
  • Frequent need to urinate
  • Sudden strong urge to urinate
  • Increased urination at night
  • Inability to empty your bladder

How is an Enlarged Prostate Diagnosed?

Diagnosing BPH requires a complete medical history and a physical examination. Dr. Puig also performs a digital rectal exam to evaluate the size and shape of your prostate and to check for the presence of cancer.

A urinalysis is performed, and other lab tests may be ordered, depending on the results of your exam. Dr. Puig may also recommend diagnostic tests such as ultrasound to evaluate your prostate, urodynamic studies to assess your bladder, or a cystoscopy to examine the inside of your urethra and bladder.

How is an Enlarged Prostate Treated?

In some cases, BPH stabilizes. It can even improve over time. The prostate often continues to enlarge, however, worsening urethral obstruction and increasing your risk of complications such as a thickened bladder, urinary retention, and kidney damage.

Individualized treatment depends on the severity of your symptoms, the size of your prostate, the extent of urinary tract damage, and your overall health. Your treatment plan may include the following options:

  • Watchful Waiting: schedule regular check-ups to monitor for changes
  • Medication: to shrink the size of your prostate and make urination easier
  • Surgery: to reduce the size of your prostate by destroying or removing overgrown tissue

What is Robotic-Assisted Prostatectomy for BPH?

A simple prostatectomy removes only the part of the prostate blocking your urine flow. Dr. Puig and Dr. Yekutiel Sandman are experts in performing robotic-assisted prostatectomies with the da Vinci® surgery system. Robotic-assisted surgery offers benefits such as:

  • More precise removal of tissue
  • Small incisions
  • Reduced blood loss
  • Less pain
  • Shorter time in the hospital
  • Quicker recovery

If you have symptoms of BPH, call the team at Urology Specialty Care of Miami or book an appointment online.