Enlarged Prostate and BPH Symptoms, Diagnosis and Treatment

Our board certified urologists specialize in evaluating men with symptoms of enlarged prostate. We also offer second and third opinion services for men with prostate and urinary problems.  We care for men in NYC as well as visitors both from neighboring states and international patients.

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: 646-663-4044. We offer affordable rates with or without insurance.

Dr. Alex Shteynshlyuger has extensive experience having treated hundreds of men for symptoms of enlarged prostate and has personally performed hundreds of procedures and surgeries for treatment of enlarged prostate including TURP, Greenlight Laser, Urolift, Holmium laser,  and other minimally invasive procedures as well as open and robotic surgery.  He specializes in second opinion for men who had treatment for enlarged prostate but have not experienced expected results or developed complications of treatment.

What is BPH or Enlarged Prostate?

BPH refers to benign prostatic hypertrophy, a medical term that means enlarged prostate.  Prostate is an organ that is present only in men. The prostate sits in the pelvis. Prostate surrounds the urethra and can affect urination if it grows by blocking urine flow.  Prostate is also involved in producing semen (fluid in which sperm swim). 

What Are the Causes of Enlarged Prostate / BPH?

Over time, under hormonal influence (from testosterone) the prostate increases in size. Prostate gland has volume of 15-20 ml in young men (20-30 years old).  By the time men reach age 50, it is not uncommon for the prostate gland to grow to 40-60 grams. Some men appear to have genetic predisposition to enlarged prostate and can develop symptoms earlier in life in mid-to-late 30’s and 40’s. 

Almost all men develop enlarged prostate as they get older. Some men have minimal to no symptoms of prostate enlargement; other men develop symptoms as early as age 30-35.

Who Gets BPH or Enlarged Prostate?

Enlarged prostate usually occurs in men who are over 40-45 years old. It is fairly uncommon for men younger than 40 to experience symptoms of enlarged prostate. The symptoms are most common after age 50; as men age they are more likely to develop symptoms of enlarged prostate over time.

Many Men ask us “What do I need to worry about”?

Treatment for enlarged prostate

BPH treatment

As men approach age 40, the prostate starts to grow.  This is a normal process and occurs in virtually every man.

As men approach age 50, they start to experience the symptoms of enlarged prostate or BPH.   The symptoms of BPH or prostate enlargement are typically related to urination.  

A good way to see whether you have symptoms that are typical of BPH is to fill out the AUA symptom score. It’s free. It takes less than 5 minutes to do. You can print it out and take it to your doctor appointment – Download it for Free from Us!  You can do it online for free on our website: NewYorkUrologySpecialists.com – click under “Forms“. We offer treatment for enlarged prostate for men including medications and surgical treatment when necessary.

Symptoms of BPH and Enlarged Prostate

Read about the Symptoms of Enlarged Prostate.  With modern treatment options there is no need to suffer from urinary problems caused by enlarged prostate.  Common symptoms of enlarged prostate include slow urine stream, start-and-stop-urination, urge to urinate, waking up at night to pee, pain in the penis or lower abdomen as well as perineal pain. 

REMEMBER: Symptoms of enlarged prostate can also be caused by other medical problems such as overactive bladder (OAB), bladder cancer and UTI among other causes.

What You Need to Know About BPH

Treatment Options for Enlarged Prostate

We offer innovative treatment options for BPH. Read and compare different treatment options for BPH offered at the New York Urology Specialists.  Compare Greenlight Laser to Microwave and TUNA treatments:  TUNA vs Microwave vs TURP vs Greenlight Laser: Compare Treatment Options for BPH and Enlarged Prostate

Urolift for BPH – New Treatment Option for Men with Enlarged Prostate

Urolift System for BPH is a New Treatment Option for Men with Enlarged Prostate New Minimally invasive treatment for BPH with fewest sexual side effects than other treatment options. by Dr. Alex Shteynshlyuger, a board certified urologist and specialist in treatment of enlarged prostate is one of the first urological surgeons in the country to offer this treatment to men with symptoms of enlarged prostate.

Treatment Options Offered at New York Urology Specialists:

Why Choose New York Urology Specialists for Treatment of Enlarged Prostate (BPH) and Urinary Retention?

  • All treatment is performed by a Board certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
  • We are one of the few practices in the region to offer full range of options for treatment of BPH.
  • We offer BPH treatment options under local anesthesia which avoids the risks, costs and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
  • Extensive Experience: Hundreds of men treated successfully using medical therapy, microwave procedure, TUNA, lasers for BPH (Holmium, Thulium, Evolve , Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
  • We treat men with BPH who have heart problems (hypertension, CAD, CHF), renal failure (ESRD) on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin (Warfarin), apixaban, rivaroxaban (Xarelto).

Would I Need to use Medications (Flomax, Uroxatral and Finasteride) after Urolift or Prostate Enucleation?

After your procedure for treatment of enlarged prostate is performed by the urological surgeons at New York Urology Specialists,  we advise to continue using the medications as instructed. Typically we advise our patients to stop medications 1 month after treatment with Urolift, Greenlight laser, TURP, prostate enucleation and Rezum. 

Medicare and major insurances accepted. Urologist.We offer affordable rates and financing options.

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: 646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board certified urologist with expertise in evaluation and treatment of urinary problems in men.  He uses modern effective and proven treatment methods.  He is highly recommended by top primary care physicians in New York area.

He has successfully performed hundreds of prostate procedures in adults. Procedures are performed in the office under local anesthesia, in surgical center and affiliated hospitals under anesthesia.

If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to Contact Us with any questions.

Excellence-Urology_Care VasectomyWhen it comes to experience and innovation – New York Urology Specialists are a step ahead.  Better Science Means Better Care.  We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: 646-663-4044

Dr. Alex Shteynshlyuger  is a board certified urologist, who specializes in all aspects of care for sexual and reproductive health in men.  He is one of the few urologists who performs no-scalpel, no-needle vasectomies.  We see patients from all parts of New York City (Manhattan, Brooklyn, Queens, Bronx, Staten Island), Long Island, Westchester and New Jersey as well as other parts in the USA, Canada, South America and the Caribbean and other international patients. .

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: (646) 663-4044

When you are faced with a prostate problem you need a highly trained and experienced urologist.  Dr. Alex Shteynshlyuger was trained at some of the top hospitals in the United States for Urology.  He is fellowship trained and specializes in treating  men with prostate problems including BPH, enlarged prostate>, urinary problems and prostate cancer.

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.

Patients Reviews

Overall Rating:


Total Ratings


Total Reviews



Ease of Appointment: Bedside Manner:
Promptness: Spends Time with Me:
Courteous Staff: Follows Up After Visit:
Accurate Diagnosis:

urology services
by on Apr 11, 2018

I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.

by on Nov 19, 2017

I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.

Dr visit
by on Sep 14, 2017

I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.

Urination problem
by on Aug 25, 2017

Thank you New York Urology Specialists for helping with my problem. The doctor and the staff are great!

Worth the wait
by on Nov 15, 2014

I went to see Dr. Shteynshlyuger for a second opinion about a urinary problem after having a continuing issue for many months that wasn\'t getting better. He seemed very knowledgeable. I highly recommend him. Cons: If you\'re not the first patient the wait can be LONG.

Excellent doctor
by on Jul 03, 2014

I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.

My cramps and burning are gone
by on May 23, 2013

Dear Dr. Alex – Since starting the Vesicare, my cramps and burning have mostly gone. The biggest benefit is my leaking has been reduced to the lowest amount in almost 10 years. Charles M. Date: 2013

Thank you for excellent care
by on Jan 07, 2013

Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013

We appreciate all that you did to help my dad
by on Sep 17, 2012

Dear Dr. Alex – I just wanted to write you a note to thank you for all of the care you have gave to my father during his illness. We appreciate all that you did to help my dad through his illness. We wanted to be sure to let you know how much it meant to us. Sincerely Joanne R.

We love you!
by on Feb 16, 2012

Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.

This post is also available in: Russian Spanish