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Management & Treatment for BPH

Benign Prostatic Hyperplasia (Enlarged Prostate)

At Z Urology, we specialize in diagnosing and treating the common male condition BPH. When an enlarged prostate presses on the bladder, it can cause frustrating urinary symptoms. Contact us to discuss effective and minimally invasive treatment options.
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What is BPH?

Benign Prostatic Hyperplasia (BPH), commonly known as an enlarged prostate, is a non-cancerous condition affecting many men as they age. It occurs when the prostate gland grows larger, potentially causing urinary symptoms and discomfort. Over 70% of men in their 60s have BPH symptoms. It’s very common—and treatable.

The prostate is a male reproductive gland about the size of a walnut. It produces fluid for semen and surrounds the urethra, the tube that carries urine from the bladder out of the body. As the prostate enlarges, it can put pressure on and block the urethra. This causes uncomfortable urinary symptoms.

Symptoms of an Enlarged Prostate

Prostate gland enlargement varies in severity but tends to gradually worsen over time. Common symptoms include:

  • Frequent urination, especially at night
  • Weak urine stream or difficulty starting urination
  • Urgency to urinate
  • Incomplete bladder emptying
  • Dribbling at the end of urination
  • Straining to urinate
  • Urinary tract infections
  • Bladder stones
  • Reduced kidney function 

Many men notice BPH symptoms after the age of 50. If you don’t experience these common symptoms, your physician may find signs of prostate enlargement by performing a digital rectal examination (DRE), urine flow study, or prostate-specific antigen (PSA) blood test.

What Causes BPH? 

While the exact cause of BPH is unknown, factors contributing to its development include age, hormonal changes, family history of BPH, and lifestyle stressors (such as diet, obesity, and lack of exercise). 

Benign Prostate Hyperplasia Treatment Options

Z Urology offers a variety of treatments for BPH. These range from carefully monitoring mild cases to prescribed medications and minimally invasive procedures. We use the latest technologies to minimize complications and downtime, ensuring optimal care for all BPH severities.

Fortunately, today there are several advanced procedures that effectively treat BPH. Rezūm is typically the first-line recommendation, but there are also other options.

Rezūm

Rezūm is a minimally invasive procedure where steam ablates excess prostate tissue. Performed in-office, it addresses urinary symptoms like frequency, urgency, and weak stream without general anesthesia.

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 UroLift® System

UroLift is a minimally invasive BPH treatment where tiny implants are inserted to effectively lift prostate tissue, improving urinary flow without cutting or removing tissue.

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 iTind

iTind is a minimally invasive 5-7 day treatment for enlarged prostate. It temporarily reshapes the prostatic urethra to improve urine flow, providing rapid symptom relief without affecting sexual function.

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Aquablation

Aquablation uses a precise water jet to remove excess prostate tissue. It offers reduced complications, faster recovery, and improved urinary symptoms compared to traditional surgery.

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Optilume/BPH

Optilume is a minimally invasive procedure where a balloon coated with a chemical (paxitaxil) is inflated in the prostate. Over time the will shrink allowing a better urine flow.

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When Should You Seek Treatment for an Enlarged Prostate?

If you're experiencing urinary symptoms that affect your quality of life, it's time to visit a urologist. At Z Urology, our experts can provide a comprehensive evaluation and recommend the most suitable treatment option for your condition.

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment for BPH Relief

Schedule a consultation with Z Urology to discuss your BPH symptoms. Together, we’ll explore treatment options, including the advanced Rezūm therapy.
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