Welcome to Arkansas Urology

Arkansas Urology is the state’s premier urology practice, providing comprehensive treatment services to men and women of all ages. We provide our patients with the most effective, state-of-the-art procedures in a caring and compassionate atmosphere.

Enlarged Prostate

Education/General Information

Enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a common urological condition caused by the enlargement of the prostate gland in aging men. Enlarged prostate symptoms occur in more than half of all men between age 51 and 60, and in more than 80 percent of men over age 80. As the prostate enlarges, it can squeeze down on the urethra. Enlarged prostate is not cancer and has not been shown to lead to cancer. But, this condition does cause painful and uncomfortable symptoms and may lead to more serious health problems. Symptoms may include difficult or painful urination, frequent need to urinate, weak urine flow, urinary incontinence and interference with sexual activity.

Diagnosis

If you are suffering from abnormal urinary flow, you may have an enlarged prostate. Call Arkansas Urology for an appointment and evaluation. The evaluation may include a questionnaire developed by the American Urological Association that addresses your symptoms, a urine test called a urinalysis, a thorough medical history, a physical examination and a blood test. Depending on the severity of your situation, other tests may be offered:

  • A prostate-specific antigen (PSA) test helps check for prostate cancer, which can cause the same symptoms as enlarged prostate.
  • A digital rectal exam (DRE) checks the size and firmness of the prostate. The size of the prostate does not always determine the severity of the symptoms. A man with only a small degree of prostate enlargement may have more severe symptoms than a man with more enlargement.
  • A urinalysis and urine culture checks for a urinary tract infection that might be the cause of the symptoms.
  • A blood creatinine test checks how well your kidneys are working.
  • Urinary cytology is a urine test to screen for bladder cancer.
  • A measurement of post-void residual volume (PVR) determines the amount of urine left in the bladder after urinating.
  • Uroflowmetry, or urine flow study, measures how fast urine flows when you urinate.
  • Cystoscopy is a direct look in the urethra and/or bladder using a small flexible scope.
  • A urodynamic pressure-flow study tests the pressure inside the bladder during urination.
  • An ultrasound may be used to check the kidneys or the prostate

Treatment

Enlarged prostate can be treated with medication, nonsurgical microwave procedures, an innovative new laser procedure or surgery:

  • Two types of medication are often used for treatment of enlarged prostate. One type helps relax the muscles of the prostate, while the other aims to shrink the prostate.
  • Microwave therapy is a nonsurgical and minimally invasive treatment for enlarged prostate. This procedure uses microwave technology to heat and destroy enlarged prostate tissue. A catheter is used to direct heat deep into the prostate.
  • Several different microwave devices can be used in this procedure. The Targis™ System has a cooling mechanism to protect surrounding tissue during the procedure. Though it cannot cure enlarged prostate, microwave therapy reduces the symptoms of the condition. This procedure is performed in the Little Rock Office procedure area, allowing you to return home within hours of the procedure.
  • The GreenLight PVP Laser Procedure uses laser energy to vaporize and precisely remove enlarged prostate tissue. This new technology dramatically restores urine flow and immediately relieves symptoms.

    During the procedure, a thin fiber is inserted into the urethra through a cystoscope. The fiber delivers green laser energy that removes the enlarged prostate tissue. The physician is able to safely view and control the treatment area, tailoring it to each patient’s anatomy and needs. This new treatment is more effective and less complicated than traditional enlarged prostate treatments. It requires a shorter hospital stay and recovery period than invasive surgery.

  • Surgical treatment is typically a last resort if your symptoms are severe and other treatments have not worked.
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