Enlarged Prostate Urologist - Dr. Angelo Gousse, MD

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 Aventura, Miramar or West Palm Beach, 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

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.

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.

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.

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 nearest to you or book online now.

An enlarged prostate creates a lot of inconveniences for men. Even though it is a noncancerous condition, its symptoms are embarrassing and annoying to men who’re trying to live their everyday lives. If you experience any urination problems, such as incontinence or painful urination, you need to immediately see an enlarged prostate specialist.

Dr. Angelo Gousse is the leading urologist at the Bladder Health & Reconstructive Urology Institute. His enlarged prostate treatment methods have earned him praise and recognition by other fellow urologists and physicians of his field. Dr. Gousse has revolutionized the treatment processes of enlarged prostate conditions. The severity of your enlarged prostate will determine which treatment option he finds best to treat your specific condition.

Gousse Urology has clinics in three critical areas of South Florida: Miami-Dade County, Broward County, and Palm Beach County. If you’d like to make an appointment to visit one of these clinics and seek treatment for your enlarged prostate problem, give us a call at (305) 606-7028 or contact us here.

Dr. Gousse: An Enlarged Prostate Specialist

Dr. Gousse has been an enlarged prostate specialist for over 25 years. In addition to his other urologic specialties, Dr. Gousse utilizes the most advanced treatment methods to reduce or reverse the enlarged prostate symptoms. Some of his treatment methods were featured in several renowned scientific journals across the globe.

Dr. Gousse’s educational background includes some of the top universities and medical schools in the United States, including York College at City University of New York, Yale School of Medicine at Yale University, and Baylor College of Medicine. He currently serves as a faculty member at the University of Miami Miller School of Medicine and as the director of reconstructive urology and female pelvic medicine at Memorial Hospital Miramar.

When you first visit Dr. Gousse for a consultation regarding your enlarged prostate condition, he will examine you to determine the severity of the enlarged prostate and its symptoms. If your symptoms are mild, medication will be prescribed to improve your condition orally. Sometimes medication will do enough to reduce urinary incontinence and prostate discomfort.

If the symptoms exceed minor urinary incontinence or discomfort and cause disruptions to your daily life, we’ll try more advanced treatment methods. Dr. Gousse will start with noninvasive procedures, such as transurethral microwave therapy and laser therapy. If they have little effect on the symptoms, the last resort will be surgical intervention. The most effective surgeries for an enlarged prostate are transurethral resection of the prostate, transurethral incision of the prostate, open prostatectomy, or laser surgery.

Our Clinics are Professional and Anti-Discriminatory

We want all patients to feel comfortable when they visit our clinics. It is difficult enough to live with an enlarged prostate, but it can be even more challenging to find the courage to seek treatment for it. That is why Dr. Gousse and his staff members run a professional and judgment-free practice. Each patient is always treated with the same level of dignity, respect, and empathy.

Furthermore, our anti-discrimination policy ensures that men of all races and backgrounds can receive equal attention and treatment for their enlarged prostate. Dr. Gousse conducts a personalized examination on each patient to determine which specific treatment options will work best for them. Sometimes the only option might be surgery, but that will only come after all other options have been exhausted.

Contact Us Today

You shouldn’t have to live with the symptoms of an enlarged prostate for any longer. Dr. Gousse and his team can help you get relief from your pain and discomfort. Please call (305) 606-7028 or contact us here to make an appointment at our clinic in Miami-Dade, Broward County, or Palm Beach County.