BPH

Khaled Fareed, MD -  - Urology

Urology Center of Orange County

Khaled Fareed, MD

Urology located in Fountain Valley, CA

By the age of 60, more than one-third of men struggle with urinary tract problems caused by benign prostatic hyperplasia (BPH). At the Urology Center of Orange County, Khaled Fareed, MD, has extensive experience treating BPH. Dr. Fareed uses conservative treatment whenever possible but specializes in advanced minimally invasive procedures that effectively relieve symptoms. If you have trouble urinating, call the office in Fountain Valley, California today.

BPH Q&A

What causes BPH?

Your prostate gland goes through its first growth phase during puberty; a second phase begins around the age of 25. The second phase continues throughout your lifetime.

As the gland enlarges, it can press against the urethra (the tube that carries urine) and cause problems in the urinary tract. That’s when you have BPH, or as it’s more commonly known, an enlarged prostate.

BPH is not cancerous and it does not increase your risk of prostate cancer.

What symptoms does BPH cause?

Since the prostate wraps around your urethra, the enlarged gland narrows the urethra and makes it hard to empty your bladder. When your bladder works harder to eliminate urine, its muscular walls gradually thicken and then weaken.

BPH causes symptoms such as:

  • Difficulty starting to urinate
  • Weak or slow urine stream
  • Urine stream that stops and starts
  • Urinary urgency
  • Dribbling after urination
  • Urinary incontinence
  • Inability to completely empty your bladder
  • Waking up at night to urinate


Some men don’t have significant symptoms until one day they can’t urinate because of a blocked urethra.

How is BPH diagnosed?

At the Urology Center of Orange County, Dr. Fareed reviews your medical history and uses the American Urological Association Symptom Score to initially diagnose BPH. He also performs a digital rectal exam and performs urinalysis to rule out bladder infections.

In some cases, you may need urodynamic testing to evaluate your urinary flow rate and the amount of urine left in the bladder. Dr. Fareed may also run a prostate-specific antigen (PSA) test to screen for prostate cancer.

If the results of your tests are inconclusive, Dr. Fareed may perform a cystoscopy or prostate ultrasound.

How is BPH treated?

The BPH treatment that’s best for you depends on the severity of your symptoms. If you have mild symptoms, Dr. Fareed may recommend monitoring prostate growth and starting treatment only when needed.

When your symptoms require treatment, you may receive:

Medication

Dr. Fareed may prescribe medication that improves urine flow and shrinks the prostate.

Minimally invasive procedures

Dr. Fareed specializes in minimally invasive procedures that reduce the size of the prostate and relieve pressure from the urethra, such as:

  • UroLift® System
  • Rezūm™ Water Vapor Therapy
  • AquaBeam® Robotic System (Aquablation therapy)
  • Greenlight laser ablation
  • Plasma kinetic vaporization
  • Holmium laser enucleation of the prostate (HoLEP)
  • Thulium laser enucleation of the prostate (ThuLEP)

Surgery

Some men may need surgery such as transurethral resection of the prostate (TURP) or robotic nerve-sparing prostatectomy. 

If you get up during the night to urinate or have trouble urinating, call the Urology Center of Orange County today.