Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland. It is a common condition in men over the age of 50. It can cause urinary symptoms such as difficulty starting or stopping urine, weak or interrupted urine flow, and frequent urination.

As you age, it can become enlarged and cause urinary problems. When the prostate increases in size, it can lead to urinary symptoms.


BPH symptoms are different for each person and may change over time. For some, BPH never progresses beyond mild symptoms, which can include a weak urine stream, a feeling of incomplete emptying of the bladder, a frequent need to urinate, a sense of urgency to urinate, and waking up multiple times during the night to urinate.

Some men may choose to do nothing and watch the symptoms, while others may find relief with prescription medications and lifestyle changes. However, surgical treatments may be an option if you have more severe symptoms that impact your quality of life.

Complications can arise from BPH. These may include:

  • Bladder damage
  • Bladder or kidney infection
  • Bladder stones
  • Hematuria (blood in the urine)
  • Kidney damage/renal failure
  • Urine retention and urinary tract infection 


Urologists can diagnose BPH through a physical exam and lab tests. Your provider may use lab tests to diagnose BPH. These tests can include a prostate-specific antigen (PSA) test to measure PSA levels and help screen for prostate cancer, urine tests to rule out kidney disorders and urinary tract infections, and blood urea nitrogen (BUN) and creatinine blood tests to evaluate kidney function.

In some cases, we also use imaging tests, such as ultrasound to measure the size of the prostate and determine the amount of urine in the bladder, cystoscopy to evaluate the urethra and bladder, and magnetic resonance imaging (MRI) or computed tomography (CT) scans to examine the prostate if indicated. We also use a prostate biopsy to rule out prostate cancer.


If you’ve been diagnosed with BPH, your urologist can talk with you about the best treatment approach for your specific needs. Your urologist will describe each treatment option and help you decide which treatment can offer you the best outcome.

  • Lifestyle changes/behavioral therapy: These treatments will help you reduce fluid intake in the evening and remove bladder irritants from your diet, such as caffeine, alcohol, spicy and acidic foods, and highly processed foods.
  • Minimally invasive therapies: There are several minimally invasive approaches to treat BPH on an outpatient basis. One new approach is the UroLift® System.
    • UroLift® System – an approach to treat an enlarged prostate or BPH that helps relieve lower urinary tract symptoms. During the procedure, your urologist places tiny implants to hold the prostate lobes apart to relieve compression on the urethra. Separating the lobes allows urine to flow normally again. You can experience quicker symptom relief, retain sexual function, need no ongoing BPH medications, and return to regular activity in days, not months.
  • Surgery: Surgical approaches can treat BPH when lifestyle changes or minimally invasive therapies are unsuccessful. We use the following surgical techniques to treat BHP: 
    • Transurethral resection of the prostate (TURP) – a procedure to remove prostate tissue using a thin, lighted tube inserted through the urethra. We use this to treat moderate to severe BPH.
    • Transurethral incision of the prostate (TUIP) – a procedure used to make small cuts in the prostate gland to help the urethra expand, making urination easier.
    • Open prostatectomy – a surgical procedure that removes all or part of the prostate gland used for those with a significantly enlarged prostate gland, bladder damage or other factors, such as bladder stones or urethral narrowing.

    Our Urology Providers

    Our Urology Location

    Franklin County Specialty Clinic
    64 N 1st E, Preston, ID 83263
    Second Floor, Suite 200
    Monday – Friday 8:00 am – 5:00 pm
    (208) 852-3662


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