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