Thomas Jefferson University Hospital
 
DEPARTMENT OF UROLOGY

Diseases and Conditions

Benign Prostatic Hyperplasia (BPH)

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Benign prostatic hyperplasia (BPH), also referred to as benign prostatic hypertrophy, is a condition in which the prostate gland becomes very enlarged and may cause problems associated with urination. These problems may include difficulty starting the flow of urine, slow flow of urine, frequent urination (especially at night), incomplete bladder emptying, discomfort with urination, or urinary infection. BPH can also raise  prostate-specific antigen (PSA). An increased PSA level does not indicate cancer, but all men with elevated PSA levels should be evaluated by a urologist.

Some of the signs of BPH and prostate cancer are the same. BPH does not seem to increase the chances of developing prostate cancer. A man who has BPH may also have undetected prostate cancer at the same time, or he may develop prostate cancer in the future. Therefore, the National Cancer Institute and the American Cancer Society recommend that all men over 50 consult their physicians about having a digital rectal and PSA examination once a year to screen for prostate cancer, even if they have undergone surgery for BPH.

Treatment at Jefferson
To help men with BPH, Jefferson urologists offer a full complement of minimally invasive treatments, including drug therapy, transurethral microwave thermotherapy (in which microwaves are used to heat and destroy excess prostate tissue) and interstitial laser treatment (which uses a laser fiber to heat and destroy excess tissue), as well as traditional and laser surgeries. Jefferson is a leader in the use of leading-edge, minimally invasive procedures, offering the first microwave treatments in the Delaware Valley in 1997. These leading-edge procedures effectively treat BPH on an outpatient basis with no general anesthesia and with little blood loss, no risk of fluid and electrolyte imbalance.

Additional information about BPH