Enlarged Prostate (BPH) Treatment in New York
Benign prostatic hyperplasia (BPH)—commonly known as an enlarged prostate—affects millions of men, yet many live with its symptoms for years without seeking help. If urinary urgency, pelvic discomfort, or blood in urine is disrupting your daily life, you don’t have to accept it as normal. Dr. Shtainer has more than 30 years of experience diagnosing and treating BPH cases, offering a full range of clinically proven options to help you.
Do I Suffer from Enlarged Prostate (BPH)?
BPH is a non-cancerous enlargement of the prostate gland that puts pressure on the urethra and bladder. It is the root cause of most urinary symptoms in men over 50. Left unmanaged, an enlarged prostate can worsen over time and lead to serious complications, including urinary retention and bladder damage.
Symptoms of Enlarged Prostate (BPH)
These symptoms can overlap with other urological conditions. That’s the main reason why an accurate diagnosis from Dr. Shtainer is necessary to craft the foundation of an effective treatment. Most patients will show these signals when they develop an enlarged prostate:
Discomfort When Urinating:
Pain, burning, or a persistent sensation of pressure during urination are signs that the enlarged prostate is impacting the urinary tract.
Urinary Urgency:
A sudden, overwhelming need to urinate that is difficult to control. Urgency can strike at work, during sleep, or in social situations, limiting where you go and what you do.
Blood in Urine:
Finding blood in your urine is always a reason to seek prompt evaluation. In enlarged prostate patients, hematuria can result from pressure and stress on the urinary tract. While it is not always serious, it requires a thorough diagnostic workup to rule out other conditions and determine the appropriate course of action.
Lower Abdomen Pain:
Persistent aching, pressure, or cramping in the lower abdomen can indicate BPH-related bladder stress or inflammation. This discomfort often goes unaddressed because men assume it is unrelated to their prostate.
Treatment Options for Enlarged Prostate in New York
Before any treatment begins, we measure the prostate precisely. Prostate size determines which treatments are appropriate, how urgently action is needed, and how likely each option is to succeed. After a blood test, Dr. Shtainer will distinguish BPH from prostate cancer and will establish a baseline for monitoring treatment progress over time.
Thanks to proper assessment, we can decide what options to put on the table:
- Behavioral Modifications: For mild to moderate symptoms, targeted lifestyle changes can significantly reduce BPH’s impact without medication or surgery.
- Herbal Supplements: We use evidence-supported supplements that have shown benefit in managing mild BPH symptoms and improving urinary flow for some patients. We guide patients through which options have genuine clinical backing and which do not.
- Medication: Alpha-blockers relax the muscles around the prostate and bladder neck, providing rapid symptom relief. 5-alpha reductase inhibitors work over time to actually shrink the prostate. Combination therapy is often used for more advanced cases. We prescribe based on your PSA results, prostate size, and symptom profile.
- The Rezum Treatment: Rezum Water Vapor Therapy is a breakthrough in BPH treatment and one of the most patient-friendly options available in New York.
- Surgery.
Getting an Enlarged Prostate (BPH) Treatment
If you’re experiencing BPH symptoms and are located in New York City—including Brooklyn or Queens—Dr. Shtainer can help you to take the first step toward lasting relief. Schedule a consultation with Dr. Shtainer today.
About Dr. Alfred Shtainer
With a career spanning more than three decades, Dr. Alfred Shtainer is one of New York’s foremost urological specialists. A board-certified urologist and Fellow of the American College of Surgeons, he holds a faculty appointment as Clinical Instructor at the Icahn School of Medicine at Mount Sinai and serves as an attending urologist at Mount Sinai Beth Israel Medical Center.
FAQ
Is an enlarged prostate (BPH) the same as prostate cancer?
No. BPH is a benign (non-cancerous) condition. It does not cause cancer and does not increase your risk of developing it.
Do I need surgery for BPH right away?
Not necessarily. Many men manage BPH successfully with behavioral changes, herbal supplements, or medication. Surgery—including the minimally invasive Rezum procedure—is reserved for cases where conservative treatments are not providing adequate relief, or where prostate size warrants a more direct intervention.
What makes Rezum different from traditional BPH surgery?
Traditional surgery, like TURP, requires a hospital stay, general anesthesia, and a recovery period of several weeks. Rezum is a single in-office procedure that takes approximately 9 minutes, requires no general anesthesia, and allows most patients to return to normal activities within days. It also carries a strong safety profile for preserving sexual function.
What does blood in urine mean for a BPH patient?
Hematuria (blood in urine) in BPH patients is most commonly caused by strain on the urinary tract from an enlarged prostate. However, blood in urine always warrants prompt evaluation to rule out other causes—including infections, kidney stones, or bladder conditions.
How long does a PSA test and prostate measurement take?
Both are performed in-office during your initial consultation. The PSA test is a simple blood draw. Prostate measurement via ultrasound takes approximately 10–15 minutes. Most patients complete their full diagnostic workup in a single visit.