Enlarged prostate · BPH
Enlarged prostate: measured first, then matched to a procedure.
Benign prostatic hyperplasia, or BPH, means the prostate has grown with age, and the extra tissue can squeeze the urethra. Symptoms don’t always track size, which is why the evaluation matters.
Common signs
Typical complaints: needing to go often or in a hurry, waking at night to urinate, a slow start, a thin or interrupted stream, dribbling afterward, and a bladder that never quite feels empty.
02The evaluation
Men noticing these changes can be assessed at the same appointment in Johns Creek or Cumming. No procedure is recommended until our urologists know the prostate’s size and how completely your bladder empties.
03When medication isn’t enough
Don’t stop prescribed medicine on your own. Procedures our team provides include UroLift implants that hold the tissue open, HoLEP and ThuLEP laser procedures that remove the blocking tissue, TURP, and prostate artery embolization (PAE) performed by our interventional radiologists. Which fits depends on prostate size and what matters to you. UroLift, explained on its own page.
04If you searched for Rezum
Rezum is not part of our practice. The BPH treatments our urologists provide are the ones listed above, and the full list is on advancedurology.com.
05Can’t urinate at all?
Being unable to empty is a reason to seek emergency care: go to the ER. If you left the ER with a catheter, call us to plan the next steps.
An enlarged prostate, measured first, then matched to a treatment
Benign prostatic hyperplasia is a non-cancerous enlargement of the prostate that can squeeze the urethra and slow the stream, send you to the bathroom at night, or make the bladder feel unfinished. Our urologists can help if those symptoms are getting in the way, if a medicine has stopped helping, or if you have been told the gland is large and you want a clear map of options.
Visits are at Johns Creek, 10730 Medlock Bridge Rd, and at the Cumming Clinic. We measure symptoms, look at the gland, and, when it matters, measure size, because Advanced Urology organizes many procedure choices by size as well as by goals such as sexual function and recovery.
Options our urologists offer, including how size is used
Lifestyle measures and medicines, including alpha-blockers and 5-alpha-reductase inhibitors, are the usual starting point when symptoms are modest. Our BPH list includes UroLift, which uses implants to hold tissue aside without cutting it away and is discussed for smaller glands; prostate artery embolization, done by an interventional radiologist through a puncture in the wrist or groin; Aquablation, a water-jet procedure used for medium-size glands; TURP, a resection through the urethra; and HoLEP, a laser enucleation used for larger glands. If you searched for Rezum, Rezum is not part of our practice. We will say which of the options we do offer might fit you, with risks, after we have measurements — not from a headline that pretends recovery comes with no cost.
What to bring, and when to be seen sooner
A list of prostate medicines you have tried, a note about nighttime trips and stream strength, identification, and your insurance card. Use 678-344-8900 or the book-online button. If you suddenly cannot urinate, that is an emergency and should go to a hospital emergency department, rather than a routine clinic schedule for BPH.
Will a procedure be scheduled at the first visit?
Not before we have the measurements and you have had time to consider the trade-offs. Some men leave with a medicine change or a follow-up test rather than a date in the surgery center.
Does treating BPH treat prostate cancer?
No. They can be evaluated in the same clinic, but an enlargement treatment is not a cancer treatment. We keep those plans separate.
Who does PAE?
PAE is presented on our page as a procedure performed by an interventional radiologist in our practice. The urologist you see remains the person who helps decide whether that path, or another, is the one to take.
Official BPH videos, including one with a Cumming Clinic urologist
Dr. Herman Bagga, who practices at our Cumming Clinic, discusses three options when prostate medicine is not enough. Two other official Advanced Urology videos cover Aquablation and prostate artery embolization. They are education; your gland still needs to be measured and discussed.
Watch: Prostate medicine not working? 3 options to helpWhat the video covers. Titled "Prostate medicine not working? 3 options to help." The official video, featuring Dr. Herman Bagga, is about next steps for an enlarged prostate (BPH) when tamsulosin or finasteride is not helping or the side effects bother you, as the public description states.
Watch: #002 - Go With the Flow: How Aquablation Clears the Way for BPH ReliefWhat the video covers. Titled "#002 - Go With the Flow: How Aquablation Clears the Way for BPH Relief." The public description says the episode discusses Aquablation as a procedure for benign prostatic hyperplasia (BPH) in people struggling with frequent urination, weak urine flow, or incomplete bladder emptying.
Watch: #005 - Prostate Artery Embolization: A Surgery-Free Breakthrough for Enlarged ProstateWhat the video covers. Titled "#005 - Prostate Artery Embolization: A Surgery-Free Breakthrough for Enlarged Prostate." The public description says the episode discusses prostate artery embolization (PAE) as a procedure for treating benign prostatic hyperplasia, for people with frequent nighttime urination who have questions about traditional prostate surgery.
Can a BPH visit start in Cumming?
Yes. Medicine management and a clinic plan can begin in Cumming. Procedures we perform, including UroLift, laser procedures and work in the operating room, are scheduled at Johns Creek.
What should I bring to a prostate visit?
A medicine list, including any prostate medicines you already take, prior PSA values, and any urine-flow or bladder-scan results you have. The packing-list page on this site has the rest.
When should prostate trouble be treated as emergency care?
If you cannot empty, go to emergency care or call 911. We will take on the follow-up once you are able to empty or have been unblocked.
How do UroLift, laser procedures and PAE fit together?
They are different tools for different prostates and different priorities. Our UroLift page and this page stay on the options we actually provide. We will say which ones belong in your conversation after an exam.
Whenever a visit would help, the Johns Creek and Cumming teams are a phone call or a booked appointment away.