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How is BPH Diagnosed?

If you are experiencing symptoms of BPH, the first step is to be evaluated by your urologist, who will perform a thorough physical exam. Your physician will review your medical history and take bloodwork to confirm your BPH diagnosis to rule out any other conditions that may have similar symptoms. At American Prostate Centers, our affiliated physicians are highly skilled in the diagnosis and treatment of BPH. If symptoms progress, your doctor may refer you to one of our affiliated specialists who can help confirm your diagnosis and provide the right treatment for your enlarged prostate.

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Tests for Diagnosing an Enlarged Prostate

During your consultation, your doctor may start by asking detailed questions about your symptoms and medical history. After that, your physician will perform a physical exam and then recommend additional tests to help confirm BPH.

Digital Rectal Exam

A digital rectal exam, or DRE, will help the doctor assess the size and condition of the prostate gland.  An enlarged prostate may be felt through the wall of the rectum.  Your physician will insert a gloved finger into the rectum, which is located next to the prostate. With BPH, the prostate should feel smooth and firm. 

Urine Test

A urinalysis may be performed to help with the diagnosis of BPH. The doctor will ask for a urine sample to send to a lab to be tested for infections or other problems. Since other conditions may have the same symptoms, a urine test can rule out infections or other issues.

Blood Urea Nitrogen Test

A blood urea nitrogen test (BUN) is a common test that measures the amount of urine nitrogen in the blood, and how well your kidneys are working. Urine nitrogen is a waste product that your liver produces; this test shows how well your kidneys remove it from your blood.

Prostate Specific Antigen Test

Another laboratory blood test that is essential in diagnosing BPH is a prostate-specific antigen (PSA) test. The prostate gland produces a protein called PSA. Elevated levels of PSA are higher in men with benign prostate hyperplasia, infection, inflammation, or prostate cancer.

Urodynamic Testing

Urodynamic tests may include a post-void residual measurement,  to measure how much urine is left in your bladder after you pee. A uroflowmetry test measures your flow rate, or how fast you release urine. A urodynamic pressure test uses a meter to determine how much pressure your bladder requires for you to urinate.

Transrectal Ultrasound

Further diagnosis may require a transrectal ultrasound. An ultrasound probe is inserted into your rectum to measure and evaluate your prostate.

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What to Do After You are Diagnosed with BPH?

If you are experiencing moderate symptoms and have been diagnosed with BPH, your doctor may monitor you until your symptoms require intervention. The treatment plan for your enlarged prostate depends on your unique situation. Your physician will take into account your age, medical history, overall health, the size of your prostate gland, and how your symptoms are impacting your life. If you are experiencing minimal symptoms at first, your doctor may recommend watchful waiting and some lifestyle changes to help control your symptoms.

  • Monitor your symptoms
  • Stay active and follow a healthy diet
  • Limit beverages at night and caffeine and alcohol
  • Schedule bathroom visits to try to urinate at regular times
  • Go to the bathroom when you first feel the urge
  • Double voiding – urinate and then urinate again a few moments later
  • Discuss your treatment options with your doctor if symptoms get worse

Treatment for BPH

If you have been diagnosed with BPH and your symptoms get more severe, you may need further treatment. Your treatment plan may include medication or minimally invasive procedures to help you urinate or reduce the size of your prostate. Our affiliated physicians will review your options and determine if you are a candidate for Prostate Artery Embolization, a minimally invasive treatment with fewer side effects, that does not require surgery. PAE offers the following benefits:

  • Low risk of complications
  • Low risk of sexual side effects
  • Same day procedure 
  • No hospital stay
  • Quick recovery time 
  • Effectively reduces the size of the prostate
  • Relieves uncomfortable symptoms

Our Prostate Specialists

The American Prostate Centers affiliated interventional radiologists are highly skilled  in the diagnosis and treatment of PAE. They utilize the latest technology and minimally invasive techniques to deliver the highest quality outcomes for patients suffering from an enlarged prostate. Dr. David Mobley is one of the few interventional radiologists to perform this treatment.

Our Prostate Center in NY

At American Prostate Center in Astoria, Queens, NY, our affiliated physicians are committed to providing you with the utmost care and compassion. We have state-of-the-art facilities and some of the nation’s most respected interventional radiologists and vascular specialists to help treat BPH.

Queens, NY
28-18 31st Street
Queens, NY 11102
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What Our Patients Are Saying

I felt very comfortable with him. Excellent bedside manner, proper teaching , and knowledgeable. I highly recommend him!
Jamel Jackson
Jamel Jackson
14:07 27 Feb 24
The absolute BEST Dr!! Detailed, caring & kind! The best medical procedure I’ve ever had from consultation to post procedure, perfect! 10s all around 👏🏽👍🏽👍🏽 many thank yous🙏🏾
Josi W
Josi W
22:04 12 Jan 24
Excellent service and staff i’ll let you feel relaxing and comfortable
kadine campbell
kadine campbell
21:01 23 Oct 23
Really like this doctor, talks in your language, just over all regular nice person.
Linda Thoomey
Linda Thoomey
22:03 21 Jul 23
I’m very satisfied of my visit for the first time, everyone was concerned about me, and Dr David was very patient to listen to my long health stories, after that He gave me good explanation for my problem, that was great 👍
Claude Jean Pierre
Claude Jean Pierre
22:38 18 Jul 23
Follow up to a procedure. Dr Mobley and his staff are great and always helpful
DanLiza Diehl
DanLiza Diehl
21:25 10 Jul 23
David monkey,MD and the grupo are excellent very kind and helpful.i will return to them.the attention.its very satisfied.thank u ..
Luis Sarria
Luis Sarria
12:16 29 Jun 23
I had a good experience with my procedure and Dr. Mobley’s follow-up calls are great. I’ve never had a doctor who has been so concerned about following up after a procedure to see how I’m doing and if there are any post-procedure problems I may have experienced (which there aren’t). I’d highly recommend Dr. Mobley.
Hey Beej
Hey Beej
16:42 23 Jun 23
Dr Mobley was so helpful, informative and made me feel secure in making my future medical plan. Supportive and kind. Highly recommended.
Amanda L Browder
Amanda L Browder
15:57 23 Jun 23
Doctor was very thorough. Explaining what the procedure is all about. Tell me what I could realistically expect. Couldn’t have asked for a better consultation. Highly recommended if you have a prostate issue
John Buric
John Buric
16:26 15 Jun 23
I was very pleased and satisfied on how Dr. David Mobley examined me and explained everything on what I need to know regarding my condition. He’s very professional and knowledgeable in all aspects of his profession. I would highly recommend him to my other friends!
Celine Parcon
Celine Parcon
23:16 07 Jun 23
He puts his patients before himself, returning calls and e-mails quickly. Not only is he kind and considerate, he is an excellent physician. I had to have a procedure that requires me to be awake, and he talked me through it and kept me at ease. If I could give him more stars, I would.
Super friendly, tentative, once in the procedure rm the sx staff made you feel comfortable, easy,+ answered all questions. David mobley, MD answered all my questions, very informative, caring. I felt confident in his care
Thais Bini
Thais Bini
21:22 30 May 23
Great doctor. Everyone is so kind and caring. Great place to go
Joan Jurica
Joan Jurica
14:46 30 May 23
The best in Astoria I recommend Dr mobley and staff 100 percent
michaela1951
michaela1951
21:25 30 Mar 23
Knowledgeable , experienced, great bed side manners
mohamed hamed
mohamed hamed
10:09 30 Mar 23
The doctor was very nice and professional. He explained the tests that I need and why I need them.
Judith AndersonNeal
Judith AndersonNeal
22:12 27 Mar 23
This was the best experience I have had in such a long time and I have had quite a few procedures in the past both in patient and out including the procedure I was currently present for. No other surgeon has been so kind, transparent, and gentle. Not only did he personally come out beforehand to provide me with education on my procedure, but he talked me through every step of the way and made me feel so comfortable and relaxed. Not to mention his amazing staff! Despite being extremely nervous they kept me smiling and laughing throughout the whole process. 10/10 would recommend. Thank you so much guys!!
Riah L.
Riah L.
13:49 22 Mar 23
Excellent bedside manners and the procedure was a breeze.
sen-pei hsia
sen-pei hsia
18:26 20 Mar 23
Los mejores/ the best💖🙏
Ruthy Ochoa
Ruthy Ochoa
04:17 03 Mar 23
I went with my mom who just had a hip surgery. The whole team was very caring, nice and very professional. I did appreciate that the surgeon took the time to explain to me what was wrong with my mom’s arm and what he did to fix it.
mouna khalyat
mouna khalyat
14:37 24 Feb 23
Although I didn’t meet with the doctor, the receptionist, assistant and nurse were great.
Theresa Gaines
Theresa Gaines
13:25 13 Feb 23
Every thing and the process are being done properly ..Terissa you are very Carey ..thank you so much every body are very polite and very professional.. Thank you so much to Dr.Mobley..God blessed you all .🙏🙏🙏👍
Remigio Ruda
Remigio Ruda
03:28 31 Jan 23
Very knowledgeable, personable and professional. I came to Dr. Mobley to correct another surgeons work and I was pleased with the outcome. There is a Hispanic woman that runs things in the O.R.She is great! The whole staff is wonderful and caring.Highly recommend
Lakesha Kingdom
Lakesha Kingdom
15:57 17 Jan 23
I had a wonderful PA take care of me, & the nurses were very sweet. I was happy with my visit
Aurora Anello
Aurora Anello
19:20 10 Jan 23
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