BPH (Enlarged Prostate): Symptoms, Diagnosis and Treatment

What is BPH?

Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate that can slow or block urine flow. It’s common with age and very treatable.

Common symptoms

  • Weak or slow stream

  • Hesitancy (hard to start), stopping/starting

  • Frequent urination—especially at night

  • Sudden urgency or leakage

  • Feeling you didn’t fully empty

Simple steps to try

  • Evening fluids: Cut back 2–3 hours before bed

  • Bladder irritants: Reduce caffeine, alcohol, carbonated/sugary drinks

  • Timed voiding: Bathroom breaks every 3–4 hours

  • Medication review: Some cold/allergy meds can worsen symptoms—ask your clinician

  • Constipation management: Keeps pressure off the bladder

How we evaluate

A focused visit may include a symptom questionnaire, urine test, exam, PSA (as appropriate), and a quick bladder scan or flow test to see how well you empty.

Treatment options

  • Medications that relax or shrink the prostate

  • Minimally invasive office procedures to relieve blockage with shorter recovery

  • Surgical options for larger prostates or severe symptoms
    Your urologist will match options to your anatomy, goals, and lifestyle.

When to seek care promptly

Fever with urinary symptoms, inability to urinate, or blood in the urine with clots—call right away.

You don’t have to live with urinary symptoms—we’re here to help with clear answers and a plan that fits your life.

UTIs: Prevention Tips, Early Signs, and When to See a Urologist

What is a UTI?

A urinary tract infection happens when bacteria enter the urinary system (urethra, bladder, ureters, kidneys). Most infections involve the bladder, but untreated UTIs can travel upward and become serious.

Early signs to watch for

  • Burning or pain with urination

  • Frequent or urgent urination (even with small amounts)

  • Cloudy or strong-smelling urine

  • Pelvic pressure or lower abdominal discomfort

  • Fever, chills, or back/flank pain (possible kidney infection—seek care promptly)

Everyday prevention tips

  • Hydrate consistently: Flush bacteria by producing light-colored urine throughout the day.

  • Don’t “hold it”: Empty your bladder every 3–4 hours when possible.

  • Urinate after sexual activity: Helps reduce bacterial entry.

  • Wipe front to back: Reduces contamination of the urethra.

  • Choose breathable underwear: Cotton fabrics help reduce moisture.

  • Be mindful of irritants: Some perfumed soaps, bubble baths, or douches can irritate the urethra.

  • Discuss options if UTIs are frequent: Depending on your health history, your clinician may suggest vaginal estrogen (for post-menopausal women), non-antibiotic strategies, or targeted prevention plans.

For men: don’t ignore recurring symptoms

Repeated UTIs in men can be linked to prostate enlargement (BPH), urinary retention, or stones. A urologic evaluation can pinpoint the cause and prevent complications.

Antibiotics and stewardship

Not every urinary symptom needs an antibiotic, and some bacteria resist common medications. Testing can confirm the diagnosis and guide the right treatment—helping you feel better faster and reducing resistance.

When to see a urologist

  • Frequent UTIs (e.g., ≥2 in 6 months or ≥3 in a year)

  • Symptoms not improving after initial treatment

  • Blood in urine, fever, or back/flank pain

  • UTIs during pregnancy (coordinate promptly with your OB and a urologist)

  • Men with any UTI or anyone with known urinary tract abnormalities

Contact us for a tailored treatment plan.