Enlarged Prostate

Bladder Health and Reconstructive Urology Institute

Urology located in Miramar, FL & Aventura, FL

Prostate enlargement becomes increasingly common as men age, with about 50% experiencing enlargement by the age of 60 and 90% by age 85. For symptoms of prostate enlargement or a general prostate exam, see Angelo Gousse, MD, in Miramar, Florida. As the head of Bladder Health & Reconstructive Urology Institute, Dr. Gousse has provided men with safe, effective treatment for enlarged prostates for more than 25 years. To schedule a consultation, call or set up a visit online today.

Enlarged Prostate Q & A

What are the signs of an enlarged prostate?

Signs of an enlarged prostate include:

  • Dribbling at the end of urinating
  • Difficult urination or inability to urinate (urinary retention)
  • Incomplete emptying of your bladder
  • Incontinence
  • Needing to urinate two or more times per night
  • Pain when urinating or bloody urine
  • Slowed or delayed start of the urinary stream
  • Straining to urinate
  • Strong and sudden urge to urinate
  • Weak urine stream, or starting and stopping mid-urination


Only about half of men experience these symptoms, so it’s best to be screened for prostate enlargement after age 40 in order to reduce potential complications — such as cancerous changes in your prostate.

What causes an enlarged prostate?

There is no known cause of prostate enlargement, though research has shown that the prostate undergoes a growth spurt, typically after the age of 40. Other possible causes of prostate enlargement include:

  • Factors linked to aging
  • Cellular changes in the testicles
  • Testosterone levels


There are no known risk factors for developing an enlarged prostate either, so it’s best to begin screenings around age 40.

How is the cause of an enlarged prostate determined?

To determine the cause of your prostate enlargement and diagnose your condition, Dr. Gousse performs the following diagnostic tests:

  • Digital rectal exam
  • Urinalysis
  • Prostate specific antigen (PSA) blood test
  • Urodynamic tests
  • Cystoscopy


Based on the outcome of your tests, Dr. Gousse identifies the cause of your enlarged prostate and may diagnose you with:

  • Benign prostatic hypertrophy, also called benign prostatic hyperplasia (BPH)
  • Prostate cancer
  • Prostatitis


Other conditions, such as urinary tract infections, may cause similar symptoms to an enlarged prostate — including difficult or painful urination — and should be ruled out before beginning treatment.

What treatments are available for an enlarged prostate?

Treatments for an enlarged prostate depend on the severity of your symptoms, your age and overall health, and whether you show signs of prostate cancer. For mild, benign cases, Dr. Gousse may recommend regular monitoring to determine if your symptoms worsen over time.

Those cases that are more moderate or cause disruptions to your daily life or sleep can benefit from noninvasive treatments, including:

  • Transurethral microwave therapy
  • Transurethral needle ablation
  • Laser therapy
  • Laser vaporization


Surgical interventions include:

  • Transurethral resection of the prostate (TURP)
  • Open prostatectomy (open surgery)
  • Laser surgery
  • Transurethral incision of the prostate (TUIP)


Medications may also be prescribed to improve your ability to urinate or reduce urinary incontinence symptoms.

To schedule a prostate exam at Bladder Health & Reconstructive Urology Institute, call the office or book online now.