Posts Tagged ‘BPH’

Don’t Beat the Band to Treat the Enlarged Prostrate Gland

October 21, 2016

The prostate is just a walnut sized gland that forms a part of the male reproductive system. The gland is constructed of two lobes, or areas, surrounded by an outer layer of tissue. For reasons not entirely understood, the prostate gland becomes enlarged, causes problems with urination, and affects a man’s quality of life.  That may be the bad news.  The good news is that there are ways to treat it.

 

The prostate can be found in front of the rectum and just beneath the urinary bladder, where urine is stored. The prostate also encompasses the urethra, the duct by which urine passes out from the body. For most men, the nightly bathroom runs can be the very first indication of an enlarged prostate. Other symptoms might include problem beginning a flow of urine, leaking or dribbling.

 

During the early stage of prostate enlargement, the urinary bladder muscle becomes thicker and forces pee through the narrow urethra by contracting more strongly. Like grey hair, an enlarged prostate is just a natural byproduct of getting older, doctors say.

Although it is just not known why only some males develop an enlarged prostate, it is clear that increasing age is the primary risk factor. The problem is, the nightly bathroom runs can be frequent, finally edging their way into the day routine. I recommend seeing your doctor if you develop urinary difficulties because of an enlarged prostate.

 

Benign prostatic hypertrophy is a non-cancerous enhancement of the prostate gland, often found in men over the age of fifty. Problem in passing urine or pain when passing urine, a burning or stinging feeling when passing urine, strong, regular urge to pass urine, even when there is just a small amount of urine are the signs of benign prostatic hypertrophy.

 

Treatment for an enlarged prostate is dependent upon the symptoms and signs and their severity. In case you have significant problems, like urinary bleeding, persistent bladder infections, urinary bladder and kidney harm, your physician will likely recommend treatment.

 

In case your prostate is enlarged, but your symptoms are not too bothersome, treatment might not be necessary. This is referred to as watchful waiting.  If you and your doctor select this option, you will be asked to return about once a year for a symptom check, a prostate exam and a PSA test or prostate specific antigen test which is a screen test for prostate cancer in men between the ages of 50 and 75.

 

There are two kinds of medication that help to control the signs of an enlarged prostate, they are alpha blockers and alpha reductase Inhibitors.

The alpha blockers work by calming the muscles at the neck of the urinary bladder making urination easier. Alpha reductase inhibitors work be actually shrinking the size of the prostate gland.  An enlarged prostate now is just easier to treat if the treatment begins early. These medications have side effects including reducing the volume of the ejaculate at the time of sexual intimacy.  The alpha blockers also affect the ability to have cataract surgery which is very common in older men.  Finally, the drugs must be taken for the rest of man’s life.

 

Now there are minimally invasive treatments such as lasers, prostatic urethral implants or UroLift to open the prostate to allow an improved flow of urine from the bladder to the outside of your body, and the use of steam or water vapor to heat the prostate tissue to reduce its size and affect urine flow.

 

Finally, there are surgical procedures to remove the prostate tissue.  The most common is the transurethral resection of the prostate or TURP.  These operations require admission to the hospital, a general anesthesia so the patient doesn’t experience any pain, the use of a catheter for a few days, and several weeks or moths to return to normal activity.

 

Your doctor will explain the different treatments and which might be best for your situation.

 

FAQs on the Enlarged Prostate

October 21, 2016

 

What is BPH?
 Benign prostatic hyperplasia is commonly known as enlarged prostate. BPH is a non-cancerous condition in which prostate cells grow, enlarging the gland and causing it to squeeze the urethra. A variety of symptoms may result, including difficult, frequent or urgent urination.

When Should I Seek BPH Treatment?
If you are experiencing BPH symptoms that are affecting your quality of life, such as losing sleep because you need to wake during the night to urinate, you are unable to urinate, you are unable to delay urination, have hesitancy, or a weak urine stream, check with your urologist to discuss if it is time to seek treatment.

BPH is not cancerous and is not life threatening, but it does create bothersome symptoms can significantly impact quality of life.

What Are the Long Term Risks of BPH?

If left untreated, BPH can progress and cause subsequent medical issues. When the bladder does not empty completely, you become at risk for developing urinary tract infections. Other serious problems can also develop over time, including bladder stones, blood in the urine (hematuria), incontinence, or urinary retention. In rare cases, bladder and/or kidney damage can develop from BPH.

What are the Treatment Options?

Based on the AUA Guidelines for the treatment of BPH, there are four recommended treatment options: Watchful Waiting, medications, in-office therapy, and surgery.

Are In-Office Therapies Safe?

Yes, these treatments are safe. UroLift has been cleared by the FDA to treat BPH. In-Office BPH Treatments are associated with few side effects and adverse events.

Are In-Office Therapies Effective?

Based on clinical studies, in office procedures is proven to be a safe, effective and durable option for BPH with very few side effects.

Are In-Office Therapies Covered By Insurance?

Medicare and many commercial insurance plans provide coverage for the UroLift procedure. Ask your doctor’s office to assist you by providing the information your insurance plan may require.

Do In-Office Therapies Hurt?

Some men describe the UroLift as causing some discomfort, while most men report no discomfort at all.

Will I need a catheter after the treatment?

Most patients will not need a catheter after the procedure.

Can I go home right after the procedure?
 Yes. You should arrange for someone to drive you home because you may have been given some medication to help you relax during the procedure. Your urologist will give you post-treatment instructions and prescriptions and explain the recovery period to you.

Bottom Line: BPH is a common problem and effective treatments are available.  For more answers, speak to your physician.

Options for Treating The Enlarged Prostate Gland

November 16, 2015

For reasons not entirely known, the prostate gland starts to increase in size around age 50 and causes symptoms of difficulty with urination. The prostate gland is a walnut sized organ at the base of the bladder and surrounds the tube, the urethra, which transports urine from the bladder to the outside of the body. When the prostate gland grows, it compresses the urethra making urination difficult.

By the time men are in their 40s or 50s, many are already experiencing symptoms, such as having to get up at night to urinate. Into their 60s and 70s, they may have to get up two or three times.

In addition, an enlarged prostate can also result in other urinary symptoms such as having to go frequently during the day, having a weak stream or having to go urgently.

The “gold standard” is called a transurethral resection of the prostate (TURP), where an instrument is inserted up the urethra to remove prostate tissue that is blocking urine flow. It is sometimes colloquially referred to as a “roto-rooter” procedure. The purpose of the TURP to carve out the inner portion of the prostate and leave just the shell. The procedure allows a much stronger stream and men who have it will have to urinate much less frequently.

However, the procedure requires general anesthesia and a hospital stay. While it does not usually interfere with the ability to have an erection, more than half of those who have it will experience “retrograde ejaculation,” meaning that no fluid comes out of the penis during orgasm. Instead, the fluid goes into the bladder where it is eliminated during urination. Men will also have to wear a catheter for a few days after the procedure and will require several months before they can resume all activities including sexual intimacy and heavy lifting.

Similar procedures known as GreenLight Laser Treatment, which uses a high-energy laser to vaporize prostate tissue, and holmium laser enucleation of the prostate (HoLEP), which also uses a laser to destroy prostate tissue, are also available. They are pretty much the same in terms of outcomes. They just use different energy sources.

Now there is a new treatment, the UroLift, that doesn’t remove any tissue but relieves the compression on the prostate gland making urnation easier and reducing the symptoms. The procedure can be done in the office setting, does not require any catheter, and does not cause any sexual side effects or retrograde ejaculation.

Bottom Line: Many middle aged men have sympotms related to the enlarged prostate gland. There are multiple treatment options and men can plan to resume their activities after treatment for benign prostate disease.

If you are 50 or older and you have any of these symptoms and they are bothersome, talk to your doctor.

 

 

 

 

Benign Enlargement of the Prostate Gland Affects Millions of U.S. Men-New Treatment With Prostate Urethral Lift

November 11, 2015

Benign enlargement of the prostate gland affects nearly millions American men. In the past the procedure of choice was a surgical procedure, transurethral resection of the prostate gland, which is often referrd to as the rotor router procedure. Now a first line treatment is the prostate urethral lift PUL, is a new alternative. This blog will discuss the PUL, how it works, and what are the risks and complications of the procedure.

Lack of awareness about a common health condition may be causing millions of men to suffer unnecessarily. Benign prostate enlargement (BPE), affects more than 37 million men in the United States alone. Unfortunately, many men postpone treatment for this disorder because of concerns about side effects such as problems with ejacualtion and impotence or erectile dysfunctihowever, their concerns may be alleviated with additional information.BPE occurs when the prostate gland that surrounds the male urethra becomes enlarged with advancing age and begins to obstruct the urinary system. Symptoms include sleepless nights and urinary problems, and can cause loss of productivity, depression and decreased quality of life.

About one in four men experience BPH-related symptoms by age 55 and, by age 70, over 80 percent of men suffer from BPH. Most men blame their symptoms on aging. They may not be aware of the high prevalence of BPH or the available medical or surgical treatment options. There is a high risk to delaying treatment and so men should proactively talk with their doctors.

The prostatic urethral lift is a minimally invasive procedures the risks are low compared to medications or other surgeries. BPE can have a significant impact on quality of life for men as well as their partners, and can place limitations on their activities. For example, the need for frequent urination may make travel, sleep and sports activities difficult. We hope that with greater awareness of symptoms and treatment options, men will take a more active role in treating BPE, and live life with greater vitality.

A recent U.S. survey of more than 1,000 men over the age of 50 demonstrated that concerns about the risk of side effects, such as loss of sexual function or urinary incontinence, would cause a majority to postpone or avoid treatment of BPH.

This is unfortunate because, not only is early treatment important to alleviate symptoms and stop the
disorder from worsening, but a new minimally invasive treatment option is available that does not require cutting, heating or removal of prostate tissue, and as such does not result in loss of sexual function or urinary incontinence.

The survey results mirror other research and anecdotal evidence from patients that show that men
rarely mention their BPE-like symptoms.

The more recent survey, which was completed in October 2015, demonstrated that:
• A majority of men (61 percent) would postpone treatment for BPH because of the risk of sexual
• side effects or urinary incontinence from traditional treatments
• Eighty-four percent of respondents indicated they would be more open to seeking treatment for
• BPE if the treatment options available held less of a risk of impotence or incontinence
• Nearly half of the men surveyed (44 percent) were not aware that BPH is more common than
• prostate cancer. In fact, BPE impacts more than 12 times as many men in the U.S. as prostate cancer
• Concerns over surgical treatments was high among respondents, with 83 percent stating they
• were interested in a treatment option that could improve BPE symptoms without cutting, heating or
• removing prostate tissue1

In the past,mMedication is often the first-line therapy for enlarged prostate, but relief can be inadequate and temporary. Side effects of medication treatment can include sexual dysfunction, dizziness and headaches, prompting many patients to quit using the drugs. For these patients, the classic alternative is surgery that cuts or ablates prostate tissue to open the blocked urethra. While current surgical options can be very effective in relieving symptoms, they can also leave patients with permanent side effects such as urinary incontinence, erectile dysfunction and retrograde ejaculation (dry orgasm).

About NeoTract
The PUL is a minimally invasive and clinically effective device that address unmet needs for men with BPE. The PUL is a minimally invasive permanent implant system that treats symptoms while preserving normal sexual function.

The UroLift System consists of a delivery device and tiny permanent implants. FDA cleared in 2013, this
unique technology works by directly opening the urethra with tiny implants that hold the enlarged tissue out of the way, like tiebacks on a window curtain. No cutting, heating, or ablating tissue is involved, making the UroLift System the first and only BPE treatment that does not remove prostate tissue and does not negatively impact a man’s sexual function.

4 pins in the prostate open the gland and allow improvement in urinary symptoms

4 pins in the prostate open the gland and allow improvement in urinary symptoms

I have done over 40 cases using the PUL and none of the men have experienced any sexual side effects from
the procedure. Most men can have the procedure in the office setting. They can leave the office without
a catheter and have marked improvement immediately or in a few days. The side effects are frequency of
urination and small amount of bleeding which only last for a short period of time. Research has demonstrated
that the procedure lasts for at least three years.

Most insurance companies, including Medicare, pay for the PUL procedure.

If you would like to more about the PUL, go to my website, http://www.neilbaum.com, or go to YouTube and use the following URL: https://www.youtube.com/watch?v=cEJsJ3E0pJI

Bottom Line: BPE is a common condition affects millions of American men. A first line treatment that is effect is the prostate urethral lift. Give my office a call if you have
any questions.

Bee Venom Takes the Sting Out of An Enlarged Prostate Gland

August 3, 2015

Around age 50 most men will develop a benign enlargement of the prostate gland that causes urinary symptoms such as getting up at night to urinate, dribbling after urination, frequency of urination, urgency of urination, and rarely urinary retention. About three of four men in their 60s have the condition, and it affects more than 90 percent of those over the age of 80. The cause is not known but may be a result of hormonal changes in middle aged men. The treatment consists of watchful waiting if the symptoms aren’t impacting a man’s quality of life, medication or minimally invasive surgery, such as microwave, lasers, and the new treatment, UroLift, which uses pins to open the obstructing prostate tissue. Now bee venom is being evaluated as a treatment option.

Bee venom has long been used in folk medicine to treat immune-related diseases, such as arthritis. In recent decades, researchers have been exploring its use in fighting many conditions, including cancer. Researchers in South Korea have found still another use for the venom: A study found that the venom from honey bees may be as effective in treating enlarged prostates as conventional drugs.

An animal study was conducted with rats. One group was treated with bee venom, and the second was treated with the drug finasteride (Proscar), which is commonly used to treat enlarged prostate. The third group got no additional treatment. A fourth group of uncastrated rats received placebo shots and served as a control.

Researchers found that the prostates of rats castrated and then given testosterone were significantly larger — 1.8 times — than the control rats. But the prostates of rats given either bee venom or finasteride were much smaller: When compared to control rats, the rats given bee venom were only 1.1 times larger, and those treated with finasteride were 1.3 times larger.

The research was published in the journal Experimental Biology and Medicine.

New Treatment For The Enlarged Prostate Gland-The UroLift

March 13, 2015

NEW ORLEANS – It’s a condition that men may not want to talk about, but it affects their sleep, their intimate relationships, and work.

But now there’s a new, simple fix for a common prostate condition.

Doug Depp is one of the millions of baby boomer men with a common health problem, Benign Prostatic Hyperplasia, called BPH.
“I was getting up 4, 5 times a night easy and feeling the discomforts of it. I couldn’t empty my bladder. I lost a lot of confidence in being able to go places, be comfortable,” said Depp, 68.

After the age of 50, the prostate gland, for some reason, grows. When it does, it squeezes down the size of the tube that urine flows through. It affects a man’s quality of life. But now there is a new procedure called UroLift System. It involves no cutting or heating away tissue in an O.R.

“I think this is a game changer, and the reason being is that often times men who have an enlarged prostate, are treated with medications. These medications affect their sex life,” explained Dr. Neil Baum, a urologist at Touro.

The UroLift has a pin on one side and a clip on the other. In less than an hour in the office or outpatient surgery, Dr. Baum inserts a few of the devices through the urethra. They permanently hold both sides of the enlarged prostate away from putting pressure on the urethra. Men can either be under mild IV sedation or a local anesthesia.

“This procedure, the UroLift, preserves sexual performance. The men have no problem with ejaculation. It doesn’t affect their erections and the beauty is when they have the procedure, they go out without a catheter most of the time, and they are able to urinate with improved stream immediately,” Dr. Baum explained.

Depp says there was not a lot of discomfort and a few days later he was 100 percent normal again.

“I used to always think of a place to go, you know, McDonald’s or some place you know, on the way, and you have to pick and choose but now it’s a lot more freedom not to worry about it,” laughs Depp.

The UroLift is FDA approved and most insurance companies pay for the procedure.

The Enlarged Prostate Gland-What You Need To Know

February 10, 2015

The enlarged prostate gland affects 13 million American men and affects their quality of life. This blog will discuss the symptoms of the enlarged prostate gland and treatment options that you might consider if you have urinary tract symptoms.

One in every six men above the age of 50 suffers from prostate problems. Prostate is the walnut-shaped gland between urinary bladder and urinary passage. Enlarged prostate is a common problem as men become older. Also, fifty per cent of men over the age of 50 show signs of prostate enlargement. By the age of 70, about 80 per cent of men have enlarged prostates. And while this problem is becoming very common, often men do not identify it as a crisis and approach doctors for help and just believe it is a normal part of the aging process. As a result then, there is an increased risk of kidney failure and prostate cancer.
Men suffering from prostate problems are often not willing to discuss their problems till it reaches a stage where they can’t take the pain and suffering any longer. Early symptoms of the burning sensation, frequent and urgent need to urinate and also pain in the lower abdomen and back are not taken seriously.
The early symptoms can be treated with medicines. Often men do not come in at early stages either because they fail to identify the problem or are not willing to discuss the problems. It is only when they suffer from getting up multiple times each night and frequent urinary tract infections do they visit the doctors.

The level of Prostate-Specific Antigen (PSA) is a blood test done frequently. This test is done to identify the risk of cancer. If the PSA levels are under 4 it is normal and is merely a sign of enlarged prostate. If it is more than four then there is a risk of prostate cancer. Surgery to remove the prostate is not recommended till there are severe complications or there is a high risk of cancer. The first line of treatment is medicines and often patients respond well to it. However, these medications are often associated the sexual side effects such as retrograde ejaculation or dry ejaculation where the semen\sperm goes back into the bladder at the time of orgasm or erectile dysfunction. Minimally invasive surgery can also be done through microwave or laser where high-energy is used to remove prostate tissues. The other procedure or transurethral resection of the prostate (TURP) is to cut the prostate tissues into small pieces through a tube inserted into the penis and remove them from the body. This latter technique requires a general anaesthesia, a catheter for several days after the procedure, and a hospital stay. Nearly all of the men who have the TURP will have sexual side effects following surgery.

The problem of prostate enlargement is common in men and is largely due to the natural aging process. It is not due to any genetic predisposition nor is it related to lifestyle.

Now there is a new treatment option that does not require medication, hospital admission or a catheter after surgery. This is the UroLift which can be accomplished in the doctor’s office or in the one-day stay area of hospital. The UroLift consists of an implant that pins open the prostate gland and makes urination easier and reduces the urinary symptoms. This procedure is covered by most insurance companies and Medicare.

Bottom Line: The enlarged prostate gland affects millions of American men. Help is available. Speak to your doctor to find a solution if you have symptoms of frequent urination, urgency of urination, painful urination, or getting up at night to urinate.

Over the Counter Cold Medicnes May Wreck Havoc With Your Prostate Gland.

February 10, 2015

Nearly 14 million American men have symptoms related to an enlarged prostate gland. Nearly 50% of men over age 50 will have symptoms. OTC cold medications such as diphenhydramine (Benadryl), brompheniramine (Dimetapp), and loratadine (Claritin), pseudoephedrine (Sudafed) and phenylephrine (Sudafed PE) may worsen your prostate symptoms.

The prostate gland is a walnut sized organ at the base of bladder and surrounds the urethra or the tube in the penis that transports urine from the bladder to the outside of the body. For reasons not entirely known, the prostate gland enlarges after age 50 and compresses the urethra making urination difficult and rarely impossible. Often men who have enlargement of the prostate gland have the cold or the flu and will take cold medications containing antihistamines and decongestants, which can worsen prostate symptoms.

It’s very important that men with enlarged prostate avoid cold medicines with pseudoephedrine or phenylephrine. Those are ingredients in decongestants and they constrict the prostatic and cause more compression on the urethra thus aggravating men’s urinary symptoms. Antihistamines aren’t quite as bad, because they work more on the bladder muscle, but they can decrease bladder contractility thus making it difficult for men to empty their bladder of urine.

Enlargement of the prostate is more common in older men, because as men age their prostate continues to grow. Nearly 80 percent of men age 50 and older will be diagnosed with some degree of the disease. Sometimes men need to get up every hour at night. I recommend against waiting too long to visit a doctor for this problem as urinary retention can occur and can cause kidney damage and other serious issues.

If a man is already having a little difficulty and his stream is already slow, and then you (make it worse) it by adding one of these OTC cold medicines, it’s the recipe for causing retention.

Cold remedies that are inhaled, such as a nasal corticosteroid, will not have the same side effects as an oral agent. Mentholated ointments are a safer alternative to decongestants.
If men notice problems with urination after taking certain medicines, they may need to weigh the risks and benefits of the OTC medications.

Bottom Line: I urge men to carefully read over-the-counter drug labels. You have to be aware of what a medication’s potential side-effects are. Unfortunately, the package insert for most medications is quite lengthy. Men need to have a relationship with a primary care doctor or a urologist, doctor who specializes in treatments of the enlarged prostate gland.

Saw Palmetto for the Enlarged Prostate Gland-What You Need to Know

January 23, 2015

Over 30 million Americans suffer from the enlarged prostate gland. The symptoms include getting up at night to urinate, frequency of urination, and dribbling after urination. Constantly rushing to the bathroom is a common complaint among the millions of men who develop an enlarged prostate gland, or benign prostatic hyperplasia (BPH). This blog will discuss the treatment with the herbal product, saw palmetto.

Saw palmetto has been used to treat urologic conditions since the days of the ancient Egyptians. It is a common non-medical approach to the enlarged prostate gland.

Here are five reasons you should skip saw palmetto and head to the doctor for advice instead.
1. It’s no better than a placebo.
Researchers have shown that saw palmetto is no better than a placebo at alleviating symptoms. Large studies have also shown the same effect in scientific studies comparing saw palmetto to placebo.

2. Its dosage may vary.
Even if you wanted to try taking a regular dose of saw palmetto, there’s currently no guarantee that the supplement you choose contains what it says it does. One study analyzed six different brands of the supplement and found that half of them contained less than 20 percent of the amount stated on the label.

3. It might not be safe.
Saw palmetto doesn’t seem to have any major side effects, but some users have reported headaches, nausea, and dizziness. However, we haven’t seen studies proving that saw palmetto is actually safe for the long term. In addition, supplements, including saw palmetto, are not well regulated by the FDA, and it’s not uncommon for wily manufacturers to distribute tainted products. You may think you’re taking a “natural” herbal remedy, but for all you know, you could be taking prescription, or even experimental, drugs.

4. It might mask another problem.
If you have symptoms of an enlarged prostate, including frequent urination, it doesn’t necessarily mean that you have an enlarged prostate. The same symptoms might pop up if you have prostatitis (an inflamed or infected prostate gland) or a bladder infection that can be treated with an antibiotic. Or the symptoms might even be a side effect of another medication. If supplements relieve your symptoms for some reason, you might neglect treating another ailment.

5. It’s a waste of money.
Instead of throwing your dollars away on saw palmetto supplements, see your doctor to get a proper diagnosis and find out about approved drugs that can help. Common treatments include alpha-blockers and 5-alpha-reductase inhibitors. Visit Consumer Reports’ Best Buy Drugs to find out more about drugs it recommends for treating enlarged prostate.

Bottom Line: The enlarged prostate is a common problem affecting millions of American men. Saw palmetto is an over the counter non-medical, herbal supplement that probably has minimal or even no benefit at all. All men with symptoms prostate enlargement should seek medical care as solutions are available.

New Help For the Enlarged Prostate Gland-The Uro-Lift

January 21, 2015

The enlarged prostate is a medical condition in which the prostate gland that surrounds the male urethra (tube in the penis that transports urine and semen located in the penis) becomes enlarged with advancing age and begins to obstruct the urinary system. The condition is common, affecting approximately 37 million men in the United States alone. BPH symptoms include sleepless nights as men are awakened to empty their bladder and urinary problems such as dribbling after urination, frequency of urination, and urgency of urination. This condition can cause loss of productivity, depression and decreased quality of life. About one in four men experience these urinary symptoms by age 55 and by age 70, over 80 percent of men suffer from BPH.

Treatment options
Medication is often the first-line therapy for enlarged prostate, but relief can be inadequate and temporary. Side effects of treatment can include sexual dysfunction, dizziness and headaches, prompting many patients to quit using the drugs. For these patients, the classic alternative is surgery that cuts or ablates prostate tissue to open the blocked urethra. While current surgical options, such as transurethral resection of the prostate (TURP or “roto rooter”), can be very effective in relieving symptoms, it can also leave patients with permanent side effects such as urinary incontinence, erectile dysfunction and retrograde ejaculation (dry orgasm).

A new study in published in Urology Practice, an official journal of the American Urological Association, concluded that the UroLift System preserves sexual function and provides rapid improvement in symptoms, flow and quality of life that are sustained to two years.

UroLift, which provides rapid relief of enlarged prostate symptoms with minimal side effects, are durable for at least two years after treatment, with less than one in ten patients requiring an additional procedure for symptom relief. At two years only 7.5% of patients required an additional procedure for lower urinary tract symptoms. Adverse events were typically early, mild and transient. There was no occurrence of de novo sustained ejaculatory or erectile dysfunction\impotence.

Bottom Line: Millions of American men suffer from the enlarged prostate gland. Help is available often starting with medication. Another option is Uro-Lift which can be done in the ambulatory treatment center and has immediate results.