Clifton, NJ
201-201-3456
Book Now

Treatment in Clifton, NJ

Prostate Enlargement

Improve Urinary Flow & Comfort

Introduction to Prostate Enlargement Treatment

An enlarged prostate can place pressure on the urethra and interfere with the normal flow of urine. This can lead to symptoms such as a weak urine stream, frequent or urgent urination, difficulty emptying the bladder, and waking during the night to urinate.

At East Coast Advanced Urology in Clifton, NJ, Dr. Karl Coutinho offers several treatment options for benign prostatic hyperplasia (BPH). He welcomes patients from throughout the greater New York metropolitan area and recommends treatment based on each patient’s symptoms, prostate condition, overall health, and previous treatment.

Senior man with white beard reading book on park bench in autumn setting - Prostate enlargment in Clifton, NJ

What is Prostate Enlargement?

Prostate enlargement, also called benign prostatic hyperplasia (BPH), is a noncancerous enlargement of the prostate gland. The prostate surrounds part of the urethra, which carries urine out of the bladder. As the prostate becomes larger, it can narrow the urethra and interfere with urine flow.

As BPH begins to affect urine flow, you may notice changes in your usual bathroom habits. These can range from trouble getting started or maintaining a steady stream to needing to urinate more often, particularly at night. Some men also have difficulty fully emptying their bladder.

BPH is different from prostate cancer. Dr. Coutinho can evaluate your symptoms and prostate health to determine what may be causing your urinary concerns and whether treatment is appropriate.

How to Treat Prostate Enlargement?

Treatment for an enlarged prostate depends on factors such as your symptoms, prostate anatomy, overall health, previous treatment, and personal priorities. Some patients may be managed with medication or monitoring, while others may benefit from a procedure to address urinary obstruction.

A guideline-based BPH evaluation commonly includes a symptom assessment and urinalysis. Depending on the treatment being considered, Dr. Coutinho may also measure post-void residual urine, urine-flow rate, and prostate size or anatomy using imaging or cystoscopy. The right approach to prostate enlargement will vary from one patient to another. Dr. Coutinho will use the findings from your evaluation to recommend an appropriate treatment plan.

Dr. Coutinho offers several treatment options, including:

UroLift® is a minimally invasive procedure that uses small implants to pull enlarged prostate tissue away from the urethra. This creates more room for urine to pass without cutting or removing prostate tissue. It is suitable for certain prostate sizes and prostate architecture. Dr. Coutinho can determine whether your prostate anatomy and symptoms make UroLift an appropriate option.

Who Are the Best Candidates for Prostate Enlargement Treatment?

Not everyone with an enlarged prostate requires the same treatment. Dr. Coutinho will evaluate your urinary symptoms, prostate, medications, overall health, and previous treatment before recommending an appropriate approach.

Patients who may benefit from treatment include men who:

  • Have bothersome urinary symptoms associated with BPH
  • Experience a weak or interrupted urine stream
  • Have difficulty completely emptying the bladder
  • Need to urinate frequently or urgently
  • Continue to experience symptoms despite medication or other management
  • Have experienced urinary retention or other problems associated with prostate enlargement
  • Want to discuss procedural options for managing their symptoms

What Are the Benefits of Prostate Enlargement Treatment?

The purpose of treatment is to address the urinary problems associated with an enlarged prostate. The specific changes you experience will depend on your symptoms and the treatment Dr. Coutinho recommends.

Treatment may help with:

  • Urine flow
  • Bladder emptying
  • Frequent trips to the bathroom
  • Urinary urgency
  • Difficulty starting urination
  • Nighttime urination
General Urology and Men’s Health-evaluation

Beginning Your Prostate Enlargement Evaluation

The first step is an evaluation with Dr. Coutinho at East Coast Advanced Urology in Clifton, NJ. He will review your urinary symptoms and prostate health before discussing which treatment options may be appropriate.

Patients can expect to:

  • Discuss your urinary symptoms and how they affect your daily life
  • Review your medical history and current medications
  • Complete any recommended examination, imaging, or urinary testing
  • Discuss previous treatments and how well they have worked
  • Review appropriate treatment options and their potential benefits and limitations
  • Receive a treatment plan based on the findings from your evaluation

What to Expect on the Day of Prostate Enlargement Treatment

What happens on the day of treatment will depend on the procedure Dr. Coutinho recommends. Before treatment begins, he and the care team will review your procedure, preparation instructions, and what you can expect afterward.

UroLift®, GreenLight™ laser prostate surgery, and TURP use different methods to address urinary obstruction caused by an enlarged prostate. Dr. Coutinho will explain how your specific procedure is performed, the type of anesthesia or numbing medication that may be used, and whether a urinary catheter may be needed afterward.

Before you leave, you will receive instructions regarding medications, activity, urinary symptoms, and follow-up care based on your procedure.

General Urology and Men’s Health-expect

Other Procedures and Evaluations

Urinary symptoms can have more than one possible cause. Depending on your symptoms and testing, Dr. Coutinho may recommend additional evaluation or treatment as part of your urologic care.

Cystoscopy

Cystoscopy allows Dr. Coutinho to examine the inside of the urethra and bladder using a small camera. It may be used to evaluate urinary symptoms further, examine the urinary tract, or gather information to help guide treatment.

Cystolitholapaxy

Difficulty emptying the bladder can contribute to bladder stone formation in some patients. Cystolitholapaxy is used to break bladder stones into smaller pieces that can be removed through the urinary tract. If bladder stones are present along with prostate enlargement, Dr. Coutinho can determine how both conditions should be addressed.

Prostate Biopsy (MRI Fusion)

An abnormal PSA, prostate examination, or imaging finding may require additional evaluation separate from BPH treatment. When appropriate, an MRI fusion prostate biopsy can be used to collect tissue from areas of the prostate that require closer examination.

Prostate Enlargement Treatment Recovery

Your Guide to Post-Prostate Enlargement Care

Recovery will depend on the type of prostate enlargement treatment you receive and your individual response to the procedure. Dr. Coutinho will explain what to expect based on the treatment selected for you.

You will receive instructions regarding medications, fluids, activity, sexual activity, and other precautions during recovery. If a urinary catheter is needed, Dr. Coutinho will also explain how to care for it and when it may be removed.

Follow-up visits allow Dr. Coutinho to monitor your recovery, evaluate your urinary symptoms, and determine whether any additional care is needed.

How Much Does Prostate Enlargement Treatment Cost in New Jersey?

The cost of prostate enlargement treatment in Clifton, NJ, and the greater New York metropolitan area can vary depending on the treatment selected, diagnostic testing, anesthesia, facility fees, and your insurance coverage.

Insurance coverage will depend on your individual plan and medical needs. Before treatment, our team can help review your benefits and explain any costs you may be responsible for.

Why Choose Dr. Coutinho?

Dr. Karl Coutinho offers several approaches to BPH treatment, including medication management, UroLift, GreenLight laser surgery, and TURP. Having multiple options is important because the most appropriate treatment depends on prostate anatomy, symptom severity, bladder function, previous treatment, overall health, and priorities such as recovery and preservation of ejaculation.

His involvement in BPH research includes serving as principal investigator for the randomized, sham-controlled PINNACLE trial and co-authoring its peer-reviewed results. He also co-authored subsequent research evaluating preservation of sexual function after BPH treatment. This research experience complements his clinical practice when helping patients compare treatment options.

pub-banner-overlay

Prostate Enlargement FAQ’S

Related Content

Blood in the Urine

Elevated PSA

Erectile Dysfunction

Patient Reviews

  • My surgery was life changing and the recovery period was better than I ever expected. I would highly recommend Dr Coutinho , he is the best.

    View Gallery Claude R.

  • I had an outstanding experience with Dr. Coutinho and their entire urology team. They truly go above and beyond.

    View Gallery Jenney S.

  • Dr Karl Coutinho is an excellent doctor in his field. He made me feel whole again after doing two procedures for me.

    View Gallery Keith A.

  • I’ve never met a doctor so empathetic

    I’ve never met a doctor so empathetic, professional and Knowledgeable Dr Coutinho performed a very difficult surgery on me. I had absolutely no pain.

    View Gallery
Patient Reviews

East Coast Advanced Urology

Schedule Your Consultation

If an enlarged prostate is causing problems with urination, schedule a consultation with Dr. Karl Coutinho at East Coast Advanced Urology in Clifton, NJ. He can evaluate your symptoms and prostate health and discuss which treatment options may be appropriate for you.

Dr. Coutinho welcomes patients from throughout the greater New York metropolitan area. Contact East Coast Advanced Urology to schedule your consultation.

Contact Us