BPH (Enlarged Prostate) · Tustin, CA

Living with an enlarged prostate?

Benign Prostatic Hyperplasia (BPH) is one of the most common conditions affecting men as they age. At Prestige Medical Group, our board-certified urology team provides advanced, personalized treatment options to help relieve urinary symptoms and improve quality of life — from lifestyle changes to minimally invasive Rezūm and UroLift to surgical care.

Board-certified urology
Rezūm & UroLift available
Advanced diagnostics
Personalized plans
Watch & Learn

Understanding BPH

A brief educational overview of benign prostatic hyperplasia — what it is, why it happens, and how it’s treated.

Benign Prostatic Hyperplasia (BPH), also known as an enlarged prostate, is one of the most common conditions affecting men as they age. At Prestige Medical Group, our board-certified urology team provides advanced, personalized treatment options to help relieve urinary symptoms and improve quality of life.

If you’re experiencing frequent urination, weak urine flow, or nighttime awakenings, you may be dealing with BPH — and effective treatment is available.

Understanding the Condition

What is BPH?

Non-Cancerous Enlargement

A non-cancerous enlargement of the prostate gland

BPH is a non-cancerous enlargement of the prostate gland that occurs naturally with age. The prostate surrounds the urethra — the tube that carries urine out of the body. As it enlarges, it can restrict urine flow, leading to uncomfortable and sometimes disruptive urinary symptoms.

Important: BPH is NOT prostate cancer
What Causes BPH

The contributing factors

The exact cause of BPH is not fully understood, but it is strongly linked to these four key factors.

Age-Related Changes

Hormonal shifts that occur naturally as men age

Elevated DHT

Increased dihydrotestosterone levels in the prostate

Hormone Imbalance

Shifts in testosterone-to-estrogen ratio

Genetic Factors

Family history can increase your risk

Most men over the age of 50 will experience some degree of prostate enlargement — it’s a normal part of aging that affects nearly half of men in their 50s and 70% or more of men in their 60s.
Recognizing the Symptoms

Symptoms of an enlarged prostate

BPH symptoms typically develop gradually and may worsen over time. They fall into three categories.

Urinary Symptoms

Flow Issues
Weak or slow urine stream
Difficulty starting urination
Dribbling after urination
Interrupted urine flow

Bladder Symptoms

Urgency & Frequency
Frequent urination (especially at night / nocturia)
Urgent need to urinate
Feeling unable to fully empty the bladder
Urinary leakage (incontinence)

Advanced Symptoms

Seek Care Promptly
Urinary tract infections (UTIs)
Bladder stones
Blood in urine
Medical emergency: Inability to urinate requires immediate care.
Getting Answers

How BPH is diagnosed

At Prestige Medical Group, diagnosing BPH involves a comprehensive evaluation to rule out other conditions and determine severity.

01
Symptom Assessment

Medical history and IPSS score evaluation

02
Digital Rectal Exam

Physical examination of prostate (DRE)

03
Urine & Blood Tests

Including PSA (prostate-specific antigen)

04
Ultrasound Imaging

Visualizing prostate size and structure

05
Uroflowmetry

Measuring urine flow rate and patterns

06
Post-Void Residual

PVR — checking bladder emptying

07
Urodynamic Testing

Advanced bladder function (if needed)

08
Personalized Plan

Comprehensive treatment recommendations

Treatment Options

From conservative to surgical

Treatment depends on symptom severity, prostate size, and overall health. Our providers customize every treatment plan — starting with the least invasive approach that’s right for you.

1
Tier
Conservative

Lifestyle & Conservative Management

For mild symptoms, simple lifestyle adjustments often provide meaningful relief without medication.

Reduce caffeine & alcohol Fluid timing adjustments Pelvic floor exercises Bladder training
2
Tier
Pharmaceutical

Medications

Prescription medications target the underlying mechanisms — improving urine flow or reducing prostate size.

Alpha-blockers 5-alpha reductase inhibitors Combination therapy
3
Tier
Minimally Invasive · Most Popular

Minimally Invasive Procedures

Highly effective, performed in-office or outpatient. Rezūm is one of the most popular modern treatments due to minimal downtime and strong outcomes.

Rezūm Water Vapor Therapy ★ UroLift® TUMT Microwave Therapy Laser Prostate Therapy
4
Tier
Surgical · Advanced Cases

Surgical Options

Reserved for more advanced cases or when other approaches haven’t provided adequate relief.

TURP TUIP Robotic Prostate Surgery Open Prostatectomy
Now Enrolling · Investigational Option

Exploring non-surgical BPH care?

Prestige Medical Group is a participating site for the RAPID-3 Clinical Study — evaluating the FloStent™ System, an investigational device designed to relieve BPH symptoms through a simple outpatient procedure. If you’re interested in exploring an emerging non-surgical approach, you may qualify.

Learn About the RAPID-3 Trial →
Why Treatment Matters

Potential complications

If BPH is left untreated

Untreated BPH can progressively affect both urinary and kidney health — making early evaluation and treatment important.

Bladder damage — chronic overstretching reduces function
Kidney issues — back-pressure can affect kidney health
Chronic urinary retention — inability to empty the bladder
Recurrent infections — UTIs become more common
Time to Act

When to see a urologist

Schedule an evaluation if you’re experiencing any of these symptoms — early treatment can significantly improve quality of life.

Frequent nighttime urination
Weak or slow urine stream
Difficulty starting urination
Urgency or leakage
Bladder feels not empty
Early treatment can prevent complications and significantly improve quality of life. Don’t wait until symptoms become severe — schedule a consultation today.
Why Choose Prestige

Advanced BPH care in Tustin

Five reasons men trust Prestige Medical Group for their urology care.

Board-Certified Urology
Minimally Invasive Options
State-of-the-Art Diagnostics
Convenient Tustin Location
Personalized Treatment Plans
Common Questions

BPH questions answered

Have a question not answered here? Call us at (949) 825-7650.

Take the First Step
Schedule your BPH consultation
Personalized BPH care at our Tustin office.
Request an Appointment
Is BPH the same as prostate cancer? +
No. BPH is a non-cancerous enlargement of the prostate gland that occurs naturally with age. While BPH and prostate cancer can share some similar urinary symptoms, they are distinct conditions. Diagnostic testing — including PSA blood tests and digital rectal exam — helps differentiate between them.
What causes BPH? +
The exact cause is not fully understood, but BPH is strongly linked to age-related hormonal changes — including increased levels of dihydrotestosterone (DHT), shifts in the balance between testosterone and estrogen, and genetic predisposition. Most men over 50 will experience some degree of prostate enlargement.
When should I see a urologist? +
Schedule an evaluation if you experience frequent nighttime urination, weak or slow urine stream, difficulty starting urination, urgency or leakage, or the feeling that your bladder is not empty after urinating. Early treatment can prevent complications and significantly improve quality of life.
What is Rezūm? +
Rezūm is a minimally invasive water vapor therapy that uses steam to shrink excess prostate tissue. It’s one of the most popular modern BPH treatments because of its minimal downtime and strong patient outcomes. The procedure is performed in-office or outpatient with no surgical incisions.
What happens if BPH is left untreated? +
Untreated BPH can lead to bladder damage, kidney issues, chronic urinary retention, and recurrent urinary tract infections. Early diagnosis and treatment help avoid these complications and preserve long-term urinary and kidney health.
Are there non-surgical BPH options? +
Yes. Many BPH cases respond well to lifestyle changes, medications (alpha-blockers, 5-alpha reductase inhibitors), or minimally invasive in-office procedures like Rezūm water vapor therapy or UroLift. Surgery is generally reserved for more advanced cases. Prestige Medical Group is also a participating site for the RAPID-3 Clinical Study evaluating an investigational non-surgical device.

Take control of your urinary health.

Schedule your consultation today to discuss your BPH symptoms and explore the right treatment plan for you. We’re accepting new patients at our Tustin office.