Treatment for Enlarged Prostate

Depending on the size of the prostate and severity of symptoms, different treatments may be recommended for BPH (enlarged prostate). At American Prostate Centers, we want men to understand the options available to them so that they can make well-informed choices about their health.

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BPH Treatment Options

If your BPH symptoms are affecting your daily life, it’s important to get treatment. If medication does not work or your symptoms are more severe, you may need a medical procedure. At American Prostate Centers, our affiliated physicians will evaluate your symptoms and determine the best treatment option based on your individual needs.

Lifestyle Changes

Most men will experience benign prostatic hyperplasia as they age, but not all will have severe symptoms. While you can’t prevent BPH, you can make lifestyle changes to keep your prostate healthy before you experience symptoms, or to improve symptoms of BPH. Leading a healthy lifestyle is also beneficial to prevent other diseases. At American Prostate Centers, our affiliated physicians will help you pick the treatment option that is right for you.

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Maintain a Healthy Weight

Obesity can increase your risk of developing BPH and prostate cancer. Extra weight increases abdominal pressure, leading to increased bladder and intravesical (within the bladder) pressure, which can make BPH symptoms much worse. It also increases the chance of developing heart disease, diabetes type 2, and a host of other conditions. Losing and maintaining a healthy weight may help reduce your symptoms.

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Eat a Healthy Diet

Eating a well-balanced diet is good practice for your overall health and helps lower your risk of  serious diseases or conditions. A low-fat diet, high in vegetables and fruit may help with symptoms of BPH, and lower your risk of diabetes, heart disease, and erectile dysfunction.

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Limit or Avoid Certain Foods & Drinks

Diets high in red meat and dairy may increase your risk of developing BPH. It’s important to avoid those foods and spicy or acidic foods that tend to inflame your bladder and increase symptoms of BPH. Limiting processed foods, foods high in sugar, caffeine, and alcohol may also help reduce your symptoms.

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Exercise Regularly

Get moving! It is surprising that a routine of regular physical activity may actually keep the prostate healthy and prevent some prostate disorders.  Evidence shows even walking regularly at a moderate pace is beneficial.

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Avoid Certain Medications

Men with BPH should avoid certain medications.  Antihistamines (like Benadryl) and decongestants (like Sudafed) found in cold medicine can worsen BPH symptoms or cause urinary retention.

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Training Your Bladder

You can help relieve your symptoms by working with your physician to train your bladder to hold urine longer and do exercises to strengthen your pelvic floor muscles. Make sure you are also emptying your bladder as thoroughly as possible with each urination.

Medications

The first line of treatment for mild or moderate symptoms of BPH is to try and treat the symptoms with medication. They may help to shrink the prostate gland and alleviate the urinary symptoms you may be having. Medication may be offered as an option before deciding on a surgical or minimally invasive procedure if your symptoms are not severe.

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Alpha-Blocker

Alpha-blockers can work quickly and relax the muscles around the prostate, which causes less pressure on the urethra. Less pressure will encourage urine flow, to help with the urinary symptoms of BPH. Terazosin and doxazosin, used to treat high blood pressure, have been very useful for men with BPH.

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5-Alpha Reductase Inhibitors

5-alpha reductase inhibitors can shrink an enlarged prostate gland. Shrinking the prostate gland to reduce its size helps will keep the urethra from being squeezed and causing urinary issues.  Finasteride and dutasteride are two of the common 5-alpha reductase inhibitors.

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Phosphodiesterase-5 Inhibitors

Phosphodiesterase-5 Inhibitors are generally prescribed to treat erectile dysfunction, but may also smooth muscles in the bladder and prostate to help ease BPH symptoms. It’s not prescribed as often as other medications.

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Diuretics

Diuretics are commonly used for patients that are retaining water (such as swollen legs and ankles), speeding up the production of urine to help with incontinence. They may also help with symptoms of nightly urination if taken during the day. It may help reduce the amount of urine you produce at night.

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Anticholinergics

Anticholinergics inhibit nerve impulses that are responsible for various bodily functions. In cases of BPH, they are used to treat an overactive bladder. This class of drugs relaxes the bladder muscle, reducing the urge to frequently urinate.

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Desmopressin

Desmopressin has been an effective treatment for nocturia, or nightly urination. It decreases night urine output, which decreases the number of nocturia episodes.  This helps patients get a more restful sleep, without getting up many times to urinate.

Minimally Invasive Enlarged Prostate Treatment

Many men may think TURP or a UroLift may be the only options available to treat benign prostatic hyperplasia. Both procedures may require a longer recovery time and a higher risk of complications and unwanted side effects. With recent medical advances and powerful imaging technology, our affiliated physicians offer Prostate Artery Embolization (PAE), a minimally invasive-image guided procedure with fewer complications that requires no hospital stay.

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Prostate Artery Embolization (PAE)

Prostate Artery Embolization is a minimally invasive, outpatient procedure used to treat BPH (enlarged prostates) without the need for surgery. PAE uses a catheter that is inserted through the groin or wrist to block the blood flow to the prostate, causing it to shrink.

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PAE vs. TURP

A transurethral resection of the prostate (TURP) removes excess tissue from the enlarged prostate.  TURP may cause heavy bleeding, erectile dysfunction, dry orgasm, and urinary tract infections, along with urinary problems after the procedure. It is not recommended for men over 65. PAE, however, has a lower risk of complications and has no age limit.

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PAE vs. UroLift

A UroLift places tiny implants on each side of the prostate to hold prostate tissue out of the way and open up the urethra. UroLift procedures may cause more side effects, such as burning with urination and pelvic pain. It also is only a temporary solution and has limitations on prostate size, treating only smaller glands. PAE, however, is an effective enlarged prostate treatment with long-term effects and has no limits on prostate size to perform PAE.

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What is the Best Treatment for BPH?

At American Prostate Centers, we recommend Prostate Artery Embolization. PAE is a minimally invasive-image guided procedure, performed by an experienced interventional radiologist. The risk of side effects like sexual dysfunction, heavy bleeding, and urinary tract infections is less than 1% of major complications and 1-3% of minor complications. Men who wish to have fewer complications and want to keep their sexual function should strongly consider PAE treatment

PAE only requires a tiny incision that causes minimal scarring. It’s usually performed on an outpatient basis and requires no hospital stay. PAE patients usually can go home 2 hours after surgery and patients start feeling themselves after about 4 days, with total recovery 6-10 days after treatment. Patients can also resume normal activities the day after the procedure.

What to Expect from Prostate Artery Embolization

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Less invasive than surgery
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Quicker recovery time
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No hospital stay required
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Preserves sexual function
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No catheter remaining after procedure

Prostate Artery Embolization FAQ

How Successful is Prostate Artery Embolization?

The rate of success for Prostate Artery Embolization is very high. Over 90% of men experience relief of their symptoms within the first 6 months. With other treatments, there is a chance to cause unwanted sexual side effects. We can assure you, PAE does not affect sexual performance.

Who is a candidate for Prostate Artery Embolization?

The best candidates for PAE are men with moderate to severe BPH who experience urinary symptoms and discomfort or pain in the lower pelvic region. Frequent urination, incontinence, inability to urinate, slow or irregular urination, and erectile dysfunction are some symptoms.  You should also choose PAE if you wish to preserve sexual function, you have a prostate size over 80 ml, or you have symptoms that are not controlled well by medication.

Does Prostate Artery Embolization Hurt?

PAE does not hurt. You do not require general anesthesia and patients can go home the same day. A local anesthetic will be placed at the entry site for the catheter. When the particles are injected, you may feel a warm sensation. Once the procedure is done, the catheter is withdrawn with virtually no blood loss.

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Schedule an Appointment

Schedule an appointment at your nearest American Endovascular affiliated center.

Our Prostate Specialists

Our board-certified, affiliated physicians at American Prostate Centers are among the nation’s most experienced in treating men with BPH. Dr. Mobley will work closely with you to find the best treatment to help relieve your symptoms and improve your quality of life.

Our Prostate Center in NY

American Prostate Centers has a convenient outpatient center in Queens, serving men across New York City and throughout the US. Our location is equipped with state-of-the-art technology to ensure the best possible outcome for your condition.

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

Learn more about our patients’ experiences at American Fibroid Centers.

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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Request an Appointment

Schedule an appointment at your nearest American Prostate affiliated center.