If you experience blood in your urine or other urinary problems, it could be a sign of benign prostatic hyperplasia (BPH), which can lead to serious complications if left untreated.At Aloha Urology, board-certified urologists Garry Peers, MD, Tim Roytman, MD, and Jason Smotherman, MD,  treat BPH with medications, nonsurgical procedures, and surgery when necessary to increase your quality of life.  Aloha Urology has locations in Honolulu, Hawaii and the neighboring islands. Call our office to learn more about BPH treatment.

What is benign prostatic hyperplasia?

Benign prostatic hyperplasia (BPH) is the enlargement of your prostate gland. Your prostate gland surrounds a tube that carries urine out of your body.

BPH isn’t prostate cancer and doesn’t increase your risk of cancer. While it’s normal for your prostate gland to grow with age, an enlarged prostate gland can cause health problems if left untreated.

What are the symptoms of BPH?

Numerous symptoms of BPH can occur after age 50. Examples include:

  • Blood in urine
  • Frequent urination
  • Trouble beginning a urine stream
  • Urine streams that are weak, slow, and abnormal
  • An urge to urinate right after using the restroom
  • Urinary tract infections
  • Inability to urinate
  • Dribbling after urinating

Complications associated with severe BPH include urinary tract infections and kidney or liver damage. Detecting the disease early means you’re less likely to experience complications.

How is BPH diagnosed?

To diagnose BPH, your provider reviews your medical history and symptoms. He may complete a digital rectal exam to feel your prostate gland or use a cystoscope, which is a thin lighted tube. Your urologist might order blood or imaging tests to make a diagnosis.

What is the treatment for BPH?

BPH treatment varies based on the severity of your condition. Your doctor might recommend:

Watchful waiting

In nonsevere cases, your urologist may suggest watching and waiting to see if your prostate gland continues to change.


Certain medications help treat mild to moderate prostate gland enlargement. They ease symptoms or shrink the prostate gland.

Laser therapy

Laser therapy for BPH uses laser energy to remove or destroy prostate tissue and relieve symptoms.

Transurethral microwave thermotherapy (TUMT)

Your urologist places an electrode through the urethra near your prostate and uses microwave energy to destroy and shrink part of the prostate gland.


Numerous surgical procedures can treat BPH in more severe cases. The experienced urologists at Aloha Urology specialize in robot-assisted prostatectomy, or prostate tissue removal. You might require a short stay in a hospital after BPH surgery.

Don’t let symptoms of benign prostatic hyperplasia go untreated when simple solutions for BPH are within reach at Aloha Urology. Schedule an appointment by phone today.

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