Benign Prostatic Hyperplasia (BPH)

Benign prostatic hyperplasia (BPH) is a common problem in older men, with the prostate growing larger and causing problems in the urinary tract. While not cancerous, this condition (previously called prostatism) can prove irritating and hinder your lifestyle, which is why we offer a full range of effective treatments.

Why choose Henry Ford VUI for benign prostatic hyperplasia (BPH)

We have a proven track record of successful BPH care. Our program offers:

  • Minimally invasive procedures, including robotic-assisted surgery — one of our specialties
  • A full range of diagnostic tools to confirm the problem

Diagnosing a growing prostate

If you’re diagnosed with BPH, our doctors rank it from mild to severe, starting with a series of questions about your symptoms. Other diagnostic tools include:

  • Digital rectal examination (DRE): The doctor uses a gloved, lubricated finger to go into the rectum and feel the prostate.
  • Prostate-specific antigen (PSA) test: A blood test for prostate cancer is run.
  • Rectal ultrasound: The rectum is scanned.
  • Urine flow study: A special device measures the speed of urine flow.
  • Cystoscopy: A thin instrument is threaded into the urethra to examine the bladder and urinary tract.
  • Urodynamics

Benign prostatic hyperplasia (BPH) treatment

Treatment options can include:

  • Watchful waiting: Also called active surveillance, our doctors carefully monitor your prostate if further treatment is not yet necessary.
  • Medications: Medications can help relieve urinary tract problems caused by BPH. We have different medications to treat the severity of the disease.
  • Transurethral needle ablation (TUNA): A special instrument is inserted into the prostate and emits low-frequency radio waves, heating and killing some of the prostate tissue to reduce the gland’s size.
  • Transurethral microwave thermotherapy (TUMT): It’s similar to TUNA but uses high-frequency radio waves.
  • Laser prostatectomy: We employ several different laser techniques to vaporize excess tissue.
  • Transurethral electrovaporization (TUVP): Electricity from an electrode evaporates extra tissue.
  • Stents: A spring-like device is placed in the urethra to prop it open.
  • Transurethral resection (TURP): A special instrument is threaded into the penis and the urethra, with a laser or electricity then used to cut off tissue.
  • Transurethral incision (TUIP): This procedure widens the urethra by making several small cuts where it meets the bladder.
  • Robotic-assisted prostatectomy: During this minimally invasive surgery to remove tissue too large to come out the penis, our doctors use a robot arm and special tools. Compared to a traditional open procedure, this approach provides:
    • Greater precision
    • Smaller incisions
    • Less blood less and lower possibility of transfusion
    • Less pain
    • Shorter hospital stay
    • Faster recovery
  • Open prostatectomy: This surgery uses a traditional, open approach in the unlikely event that patients are not good candidates for other procedures.

Benign prostatic hyperplasia (BPH) risk factors and symptoms

The chances of developing BPH are increased by several factors:

  • Age
  • Obesity
  • Lack of physical activity
  • Erectile dysfunction
  • Race (African-American men have a higher risk)
  • Family history of the condition

Symptoms include are generally classified as lower urinary tract symptoms (LUTS) and include:

  • Frequent urination (especially at night)
  • Difficulty starting to urinate
  • Dribbling after urination
  • Smaller and weaker urine stream
  • Feeling that you can’t fully empty your bladder
  • Need to urinate as soon as you feel the urge
  • Pushing or straining to urinate
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