Enlarged Prostate Treatment in New York, NY
An enlarged prostate is one of the most common health issues men face as they age. While it is not cancer, it can cause frustrating urinary symptoms that interrupt sleep, limit activities, and in some cases lead to bladder or kidney problems. At Prostate Cancer 911, Dr. David Samadi offers personalized enlarged prostate treatment in Midtown Manhattan, matching each man with the option that best balances symptom relief, recovery time, and preservation of sexual function.
Understanding an Enlarged Prostate
The medical term for an enlarged prostate is benign prostatic hyperplasia, or BPH. The prostate surrounds the urethra just below the bladder, so as it grows with age, it can squeeze the urinary channel and make it harder for urine to flow. About half of men in their 50s and most men over 80 have some degree of prostate enlargement.
Signs You May Have an Enlarged Prostate
- Needing to urinate frequently, especially at night
- Urgency or difficulty holding urine
- A weak or stop-and-start stream
- Straining to begin urinating
- Dribbling after urination
- A sense that your bladder never fully empties
Seek prompt care if you are suddenly unable to urinate, see blood in your urine, or develop fever with urinary symptoms.
How We Evaluate Prostate Enlargement
Your visit may include a symptom questionnaire, digital rectal exam, urinalysis, a PSA test to help screen for prostate cancer, a urine flow test, and an ultrasound to measure prostate size and bladder emptying. Prostate size and shape play a major role in choosing the right procedure.
Choosing the Right Enlarged Prostate Treatment
Watchful Waiting and Lifestyle Changes
For mild symptoms, monitoring combined with simple changes, such as reducing evening fluids, caffeine, and alcohol, may be all that is needed.
Medications
Alpha blockers relax the prostate and bladder neck for quick symptom relief. 5-alpha reductase inhibitors gradually shrink the prostate. Tadalafil can ease urinary symptoms and may also help erectile dysfunction. Some men benefit from combination therapy.
Minimally Invasive Procedures
- UroLift: Small implants hold the prostate open without cutting or removing tissue. Recovery is fast and sexual function, including ejaculation, is typically preserved.
- GreenLight Laser PVP: A laser vaporizes excess tissue with minimal bleeding, often allowing a short recovery.
Surgical Treatment
- TURP and Button TURP: Excess tissue is removed through the urethra, providing durable relief for moderate to large prostates.
- Robotic simple prostatectomy: For very large prostates, the obstructing inner portion is removed using robotic surgery.
Why Treat an Enlarged Prostate?
Beyond improving comfort and sleep, treating an enlarged prostate can prevent complications such as urinary retention, recurrent infections, bladder stones, and bladder or kidney damage. Many men are surprised by how much better they feel once their symptoms are under control.
Schedule an Enlarged Prostate Consultation
Learn more about enlarged prostate symptoms, causes and treatment options and other urinary issues, or call Prostate Cancer 911 at (212) 365-5000 to schedule your evaluation with Dr. Samadi.
Related Care and Resources at Prostate Cancer 911
Enlarged Prostate FAQs
Does an enlarged prostate mean I have cancer?
No. An enlarged prostate (BPH) is non-cancerous and does not turn into cancer, although both can occur at the same time. A PSA test and exam help screen for cancer.
What is the fastest way to relieve enlarged prostate symptoms?
Alpha blocker medications often improve urine flow within days. For lasting relief, minimally invasive procedures such as UroLift offer quick recovery.
Which enlarged prostate treatment preserves sexual function?
UroLift is designed to relieve symptoms while preserving erectile and ejaculatory function. Dr. Samadi will discuss the trade-offs of each option.
Can an enlarged prostate shrink?
5-alpha reductase inhibitors such as finasteride and dutasteride can shrink the prostate gradually over several months.
When is surgery needed for an enlarged prostate?
Surgery is considered when symptoms are severe, medications are not effective or cause side effects, or complications such as urinary retention, stones, or kidney problems develop.
Is TURP still a good option?
Yes. TURP remains a gold-standard, durable treatment for many men with moderate to large prostates.
How do I schedule an enlarged prostate evaluation?
Call (212) 365-5000 or request an appointment with Dr. Samadi.
Schedule Your Consultation With NYC’s Leading Urologist
Take control of your health today. Whether you are seeking a second opinion or experiencing symptoms like hematuria, Dr. David Samadi and the team at Prostate Cancer 911 are here to provide world-class care in Midtown Manhattan.
Request an AppointmentOffice Location: 485 Madison Ave, 21st Floor, New York, NY 10022
Phone: (212) 365-5000