Retention of Urine (Incomplete Bladder Emptying) From Large Prostate and BPH: Treatment for Men in New York, New Jersey and Connecticut
by Dr. Alex Shteynshlyuger, a board-certified urologist and specialist in the treatment of enlarged prostate, BPH and urinary retention. He is one of the first urologists in the US and NYC to offer Urolift and prostate enucleation, an alternative to traditional TURP as a treatment for enlarged prostate.
What are the Symptoms of Urinary Retention in Men with BPH?
Symptoms of urinary retention and incomplete bladder emptying can vary substantially from person to person. Some men have minimal or no symptoms and discovered to be in urinary retention only after a test such as a CT scan or ultrasound of the abdomen reveals a full bladder.
More commonly, men may experience a slow urine stream, frequent urination during the day and at night, discomfort in the perineum or lower abdomen and sensation of incomplete bladder emptying and urinary urgency. Sometimes men report fatigue caused by renal insufficiency as a result of urine retention.
Occasionally men may have frequent urination and urinary “overflow” incontinence caused by overfilling of the bladder with high pressure.
Treatment Options for Urinary Retention in Men with Enlarged Prostate
At New York Urology Specialists we offer most effective minimally invasive treatment options for men with urinary retention caused by enlarged prostate and BPH.
For men who require a Foley catheter in the penis to drain urine from the bladder, we have a success rate of greater than 85% of converting the catheter to a more comfortable option called clean intermittent catheterization. We successfully teach men to catheterize themselves which can be done painlessly and quickly. Most men are very grateful and relieved to get rid of the catheter. Usually, catheter use is a temporary solution until a long-term treatment is scheduled.
The choice of treatment option is individualized for each patient, his preferences, the severity of obstruction, size of the prostate and cause of urinary retention.
If the cause of urinary retention is reversible and due to a temporary problem, the underlying problem is treated. For example, if the cause of urinary retention is a UTI in the presence of an enlarged prostate, the UTI is treated and medications for enlarged prostate are started. Most men with mild to moderate obstruction will be able to void on their own.
If the prostate is very large or very obstructive (a small prostate can be very obstructive and a large prostate may not be very obstructive), and if medications for BPH such as Flomax, Rapaflo and Proscar did not help, procedures such as laser prostate enucleation, Greenlight laser, HoLAP or bipolar TURP can be performed. The choice of the procedure depends on the patient’s anatomy and a number of other factors.
The success of surgical procedure for enlarged prostate depends on the surgeon’s experience. Dr. Alex Shteynshlyuger at New York Urology Specialists is a very experienced prostate surgeon who performs a variety of procedures for enlarged prostate that best fit the needs of each patient.
Causes of Urinary Retention in Men with Enlarged Prostate
- Urinary infection: UTI, urethritis, prostatitis, and STDs
- Neurological Problems
- Diabetes and diabetic neuropathy
- Multiple sclerosis
- Spinal injury and trauma
- Prostate Cancer
- Bladder cancer
What are the Risks of Urinary Retention?
Urinary retention exposes men to a number of risks and requires prompt evaluation.
Is very important to find out the cause of urine retention. Prostate enlargement can be caused by prostate swelling from infection, enlargement of the prostate that slowly grows beginning at around age 40. Urinary obstruction and urine retention can also be caused by prostate cancer as well as other serious problems including bladder cancer and urinary stricture.
Urinary retention man can lead to damage to the kidneys and occasionally leads to a need for dialysis and kidney transplantation if not addressed promptly.
Urinary retention can also cause UTIs, urinary incontinence and if not treated promptly can over time cause damage to the bladder to the point that it will not work.
Why Choose New York Urology Specialists for Treatment of Urinary Retention Caused by Enlarged Prostate?
- All treatment for urine retention in men with large prostate 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 a full range of options for treatment of BPH.
- We offer prostate 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 with urinary retention caused by swollen prostate and prostate growth have been treated successfully using medical therapy, Urolift, 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).
When 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.
Medicare and major insurances accepted. We offer affordable rates and financing options.
Schedule an Appointment with Dr. Shteynshlyuger:
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 including prostate enucleation and Urolift for BPH. He is highly recommended by top primary care physicians in the New York area.
He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in a surgical center and affiliated hospitals under anesthesia.
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.