Benign Prostate Enlargement

Benign prostatic hypertrophy (BPH) refers to enlargement of the prostate gland that tends to be more common and symptomatic in the aging male.

The exact cause is unknown. The enlarged prostate causes lower urinary tract symptoms (LUTS) by direct bladder outlet obstruction and increased resistance to flow. Symptoms include night and daytime frequency and difficult and prolonged urination. Development of moderate to severe LUTS symptoms may progress to acute urinary retention.

The most important motivation for treatment intervention is the severity and degree of bother related to symptoms. The goal of treatment is relief of symptoms that significantly impact quality of life.

Options for treatment include watchful waiting, medical therapies including alternative medicines, minimally invasive therapies and surgery. Normally more invasive therapies are reserved for the patients that have moderate to severe symptoms and for patients that have developed urinary retention related to obstruction.

Urologic evaluation often includes a careful prostate exam with PSA and a review of a voiding diary. Further evaluation may include an assessment of voiding function and cystoscopy depending on risk factors. Need for treatment intervention can then be discussed and guided by your urologist.

Our Surgeons

picture of dr mike dennisMichael A. Dennis, MD, FACS
Clinical Assistant Professor
Medical Director, UF Health Urology – Medical Plaza

Residency: University of Florida Department of Urology, College of Medicine, Gainesville, FL
Clinical Interests:  Male and Female Adult Urology, Erectile Dysfunction,  Kidney Stones, Hematuria, Evaluation of Kidney, Bladder and Prostate Cancer, Surgical treatment of BPH

DR. TOM STRINGERThomas F. Stringer, MD
Associate Chair
Associate Professor

Residency: University of Florida Department of Urology, College of Medicine, Gainesville, FL
Fellowship: Uro-oncology, Wayne State University, Detroit, MI
Clinical Interests: Prostate Cancer Screening, Benign Prostate Disease, Erectile Dysfunction,  and Urinary Tract Infections

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