Enlarged Prostate Treatment in Wilmington, 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.

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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. H. Mallory 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 (910) 662-8765 or using our secure form. With two convenient locations in Wilmington and Jacksonville, 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, there are several treatment options available. Consult your physician to determine which treatment is right for you.

 

Treatment Options

BPH Treatment

 

Watchful Waiting

When symptoms are mild, your doctor may just monitor your condition and ask you to track your symptoms before deciding if any treatment is necessary.

Medications

Your doctor may prescribe medications to manage your symptoms. These medications include alpha blockers which relax the muscles around the neck of your bladder, making it easier to urinate, and alpha reductase inhibitors which act to shrink the prostate. While medications can be helpful in relieving symptoms for some men, patients must continue taking them long-term to maintain the effects.

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

UroLift® System Treatment

The UroLift® System treatment is a minimally invasive approach to treating BPH that lifts or holds the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue. Clinical data has shown that the UroLift System treatment is safe and effective in relieving lower urinary tract symptoms due to BPH without any impact to sexual function. 

Learn more about how the UroLift System treatment works or visit our FAQ page for more information on the benefits, risks, and recovery.

Thermotherapies

Thermotherapies are minimally invasive treatments where heat energy such as microwave or radiofrequency is applied to destroy prostate tissue. Less invasive than TURP, these treatments are generally safe, can be performed under local anesthesia and provide moderate symptom relief for some patients.

Applying high heat to the prostate can cause tissue swelling and uncomfortable urinary symptoms during the healing period. Symptom relief does not occur immediately, and patients often need to have a catheter that is attached to a urine bag inserted into their bladder during the recovery period.

Laser

Laser Resection of the Prostate

TURP may be performed with a laser in procedures called photoselective vaporization of the prostate (PVP) or holmium laser enucleation (HOLEP). Laser therapy lessens the bleeding risks of traditional TURP. However, since prostate tissue is still removed, there can be tissue swelling and an uncomfortable healing time. Typically, a catheter has to be inserted into the bladder after the procedure.

Surgery

Transurethral Resection of the Prostate (TURP)

TURP is the most common surgery to treat BPH. During this procedure, patients undergo general anesthesia, and prostate tissue is removed. TURP is often considered the "gold standard" for long-term results.

After prostate tissue has been removed, the body needs time to heal. The remaining prostate tissue may actually swell and become inflamed before the desired shrinking effect occurs. Patients may suffer an uncomfortable recovery period that includes short-term problems
such as bleeding, infection, erectile dysfunction, and urinary incontinence. Patients have to
have a catheter that is attached to a urine bag inserted into their bladder for several days after the procedure.

Symptom relief may not occur immediately, but lasts for a long time in many patients once it does occur.

There can be long-term side effects after TURP such as dry orgasm (retrograde ejaculation), erectile dysfunction or incontinence (leaking of urine).


  1. NeoTract US market model estimates for 2016 based on IMS Health and Drug Procedure Data

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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 Wilmington 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.

Call us at (910) 662-8765