Prince William Urology Associates

Urologists located in Manassas, VA

As you get older as a man, your prostate gets bigger, which can cause a number of frustrating and uncomfortable urinary symptoms. At Prince William Urology Associates in Manassas, Virginia, the team of urologists is experienced in treating benign prostatic hyperplasia (BPH), or enlarged prostate. For help managing the symptoms of BPH, call the office or schedule an appointment online today.


What is BPH?

BPH, or benign prostatic hyperplasia, is a medical term for an enlarged prostate. It’s called benign because it’s not cancerous. The growth itself isn’t cancerous, and you’re not at greater risk of prostate cancer if you have BPH.

During your life, you experience two phases of prostate growth. Early in puberty, your prostate nearly doubles in size. Then, starting around age 25, your prostate starts to grow again, at a much slower pace, for most of your life. At some point during the second phase, usually no earlier than age 50, your prostate may become large enough to put pressure on your urethra.

What defines BPH are the symptoms that result from the pressure your prostate places on your urethra. You don’t necessarily have BPH just because your prostate grows to a certain size.

What are the symptoms of BPH?

The symptoms of BPH affect your urinary tract. In its early stages, the condition squeezes your urethra, resulting in:

  • Difficulty trying to get urine out at first
  • Feeling like you need to “push” urine out
  • A weak stream
  • Having to start and stop multiple times to empty your bladder
  • Dribbling urine   

As your prostate continues to grow, your bladder has to work harder to empty. This can eventually cause the walls of your bladder to get thicker and the muscles to weaken, resulting in another set of symptoms that can include:

  • Urinating, then immediately feeling like you need to urinate again
  • Frequent urination (more than eight times a day)
  • Incontinence (not being able to control when you urinate)
  • Urgently needing to urinate out of nowhere
  • Waking up in the middle of the night to urinate

What defines BPH is how much your prostate is obstructing the flow of your urine. You don’t necessarily have BPH just because your prostate grows to a certain standard size. That means it’s possible to have a very large prostate and mild or no symptoms, or a slightly enlarged prostate with severe BPH symptoms.

How is BPH treated?

There are medications available for mild to moderate cases of BPH that can either relax the muscles in your prostate and bladder neck or gradually reduce the size of your prostate.

If your symptoms are more severe and don’t respond to medication, your doctor at Prince William Urology Associates may recommend a minimally invasive in-office procedure that targets the excess prostate tissue causing your blockage. Treatments they may recommend include:

  • UroLift®, which uses tiny implants to lift enlarged prostate tissue so it no longer obstructs your urethra
  • Rezūm®, which uses radio frequency to shrink prostate tissue
  • Transurethral microwave thermotherapy (TUMT), which heats excess tissue using a catheter
  • Photoselective vaporization of the prostate which uses lasers to reduce prostate size
  • TURP (transurethral resection of the prostate) which debulks prostate tissue by removing prostate tissue through the use of a cystoscope.

If you’re having difficulty urinating, the cause may be BPH. To schedule an appointment at Prince William Urology Associates, call the office today or use the online booking feature.

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