Enlarged Prostate Treatment in Greenville, NC

Urologist H. Mallory Reeves creates customized treatment based on the severity of your symptoms and the size of your prostate. Sometimes BPH stabilizes, while other times, the progressive urinary symptoms of a growing prostate put you at risk for futher complications. All these variables must be continuously assessed during a visit to our office in order to determine the treatment method that's right for you. If you experience uncomfortable or concerning symptoms, Dr. Reeves can provide comprehensive, personalized care. As a fellowship-trained urology expert, Dr. Reeves offers comprehensive treatment and is highly trained in the latest technology for BPH treatment. To speak with our enlarged prostate specialist about your BPH, call our office or request an appointment online today.

Many men will continue to muddle through their symptoms and adjust their life accordingly. This often means taking more bathroom breaks, especially all throughout the night. Not only does this ruin your chances of getting a good night’s rest, but it can also have negative effects on your overall health since BPH can quickly lead to a bladder infection or kidney damage. BPH can also impair your overall quality of life, as you will likely miss many moments while running back and forth to the bathroom.

The best way to take full advantage of your life is to discuss your symptoms with Dr. Reeves to determine which course of treatment will be best for your unique situation with an enlarged prostate.

Schedule an appointment at Atlantic Men's Health today by calling (252)752-5077 or using our secure form. With one convenient location in Greenville, Dr. Reeves will work to help lower the symptoms caused by BPH to help your quality of life.

BPH Treatment Options

If you have been diagnosed with an enlarged prostate due to BPH, consult with your physician to determine which treatment is right for you.

Treatment Options May Include:

Watchful Waiting: Watchful waiting involves making behavioral changes such as decreasing your fluid intake prior to bedtime, regular physical activity, and avoiding caffeine and alcohol. For men with mild symptoms this may be a viable option until their condition shows signs of worsening.1 However, it is important to note that, in a study, 87% of men who elected watchful waiting experienced a worsening of symptoms over a 4-year time period.2

Medications: Your doctor may prescribe BPH medication, just one or even a combination of BPH medications that may help alleviate your urinary symptoms. These medications are effective and may improve your BPH symptoms; however, some men may not experience enough relief. In addition, some men experience bothersome side effects from BPH medication. Either or both of these things may lead them to discontinue the medication.3-6 

Some patients may suffer side-effects including dizziness, headaches, or sexual dysfunction. Some may not get adequate relief of their symptoms. Over 16% of men on medication for BPH discontinue treatment early for reasons such as being dissatisfied with side-effects or not getting adequate symptom relief.1

Minimally Invasive treatments: These are procedures which can often be done as an outpatient procedure with milder forms of anesthesia than what is used in a hospital operating room. They typically have fewer complications than traditional surgery.7

The UroLift® System uses small implants to open the prostate blockage and does not require heating or cutting tissue. The procedure is typically performed under local anesthesia in a doctor’s office and patients typically return home the same day without a catheter.6,8 The UroLift System offers rapid symptom relief with a low risk profile.6 As the procedure does not destroy tissue, recovery on average is more rapid than for TURP patients. It is the only leading BPH procedure shown to provide symptom relief while also preserving sexual function.*8-11Patients may experience short-term pelvic pain and light blood in the urine.6,7

* No instances of new, sustained erectile or ejaculatory dysfunction in the L.I.F.T. pivotal study. 

  • Another minimally invasive BPH treatment is Rezum™ Water Vapor Therapy. This is a form of thermal therapy in which the prostate is heated with steam. Another form of thermal therapy called Transurethral Microwave Therapy (TUMT) uses microwaves to destroy tissue.7 They can typically be done at a doctor’s office with local anesthesia and patients can usually go home the same day as the procedure. These procedures generally have fewer complications than traditional surgery. A catheter is typically required for a few days after the procedure and recovery may take a few weeks.11-13 

Traditional Surgery: Common traditional BPH surgeries include transurethral resection of the prostate (TURP) and laser photoselective vaporization of the prostate (GreenLight™ laser PVP). These procedures are the most aggressive treatment option and can be effective. Recovery can take time and is accompanied by a higher risk of complications.1 Less commonly performed surgeries include Aquablation® therapy and Holmium Laser Enucleation of the Prostate (HoLEP).7 Aquablation® therapy uses a high-pressure water jet to remove prostate tissue, whereas HoLEP uses a laser to remove the prostate tissue. Traditional surgery can offer significant relief of symptoms and help you improve quality of life.1 

Rezum and GreenLight are trademarks of Boston Scientific. Aquablation is a trademark of PROCEPT BioRobotics Corp.

References  

*No instances of new, sustained erectile or ejaculatory dysfunction in the L.I.F.T. pivotal study

  1. AUA BPH Guidelines 2003. Updated 2010.
  2. Djavan, Urology 2004
  3. Chang DF, Campbell JR, J Cataract Refract Surg. 2005
  4. Duan et al, Pharmacoepidemiol Drug Saf. 2018
  5. Welk et al, JAMA Intern Med. 2017
  6. Roehrborn, J Urol 2013
  7. Roehrborn, Can J Urol 2017
  8. Shore Can J Urol 2014 
  9. Tutrone, Can J Urol 2020 
  10. Eure, et al., AUA 2020
  11. Sonksen, et al., Eur Urol 2015 
  12. McVary, J Urol 2016
  13. McVary, J Urol 2020; AUA abstract LBA01-06 5-year Rezum 

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How Soon Can Relief Be Expected?

You should see results from most treatment options, including medications, within one week. There are also a few lifestyle changes you can make to reduce symptoms of an enlarged prostate including: 

  • Avoid drinking too much liquid in the evenings
  • Limit your caffeine and alcohol consumption
  • Try to urinate regularly

These can work together with your treatment to improve results.

If you have symptoms or are in need of surgery to treat an enlarged prostate, you want to see H. Mallory Reeves, MD, in Greenville and Eastern North Carolina. With his extensive experience in minimally invasive surgical techniques, your enlarged prostate issue can soon be a thing of the past. You can call to schedule an appointment or request one online.

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