Prostate Health

Prostate Symptom Guide

1. Over the past month, have you had a sensation of not emptying your bladder completely after you finished urinating?
   
   
2. Over the past month, have you had to urinate again less than 2 hours after you finished urinating?
   
   
3. Over the past month, have you experienced your urine flow stopping and starting again while you urinated?
   
   
4. Over the past month have you found it difficult to postpone urination?
   
   
5. Over the past month, have you had a weak urinary stream?
   
   
6. Over the past month, have you had to push or strain to begin urination?
   
   
7. Over the past month, have you found yourself getting up more than once a night to urinate?

If you answered yes to any of the above questions, then you may be suffering from an enlarged prostate, also known as Behign Prostatic Hyperplasia (BPH).  An enlarged prostate can dramatically affect your quality of life.  Please schedule an evaluation with an urologist today.

What is BPH?

BPH is an age-related condition that causes prostate cells to enlarge. When the prostate is enlarged, the urethra (the tube that carries urine and semen through the penis) is restricted, making urination difficult or painful. Because most men typically don’t think about their prostate until they experience a problem, it is viewed as a sensitive and sometimes embarrassing subject. However, BPH is far more common than you may think, affecting approximately 50% of men over age 50 and 90% of men over age 80. With a number of treatments available, you don’t have to let BPH control your life.

What treatments are available for BPH?

The most common medications used to treat BPH are Hytrin (Terazosoin), Cardura (Doxasosin), Uroxatral, and Flomax.  These medications, known as alpha-blockers, relax the muscles in the prostate which relieve urine outflow tension.  These drugs work best on small glands, affecting most patients within 24-48 hours.  For prostates that are 40 grams or larger in size, Proscar and Avodart are commonly prescribed, which can take from 3 weeks to 2 months to show results.

Other treatment options are minimally invasive and can be performed PAIN-FREE in the office under conscious sedation by a Certified Registered Nurse Anesthetist.  The two procedures allow for a return to work and daily activities in 1-2 days and sexual activity in 1-2 weeks. 

TUMT – Transurethral Microwave Therapy

• Works best for prostate glands that are larger than 40 grams in size and prostate length 4 cm or more
  
  
• One time treatment lasting approximately 30 minutes
  
  
• Catheter use for 3-7 days after the procedure

TUNA – Transurethral Needle Ablation

• Works best for prostate glands under 40 grams in size and prostate length under 4 cm
  
  
• One time treatment lasting approximately 20 minutes
  
  
• Catheter use for 3-7 days after the procedure

What kind of treatment should I expect from The Hubbard Clinic?

On your first office visit, you will receive a general prostate exam, urine test, and PSA blood test to determine bladder retention and urine flow.  If applicable, you will be placed on a two-week trial of medication to see if your symptoms improve. 

The second visit will consist of a cystoscopy and prostate ultrasound to determine the size and degree of prostate blockage.  To ease discomfort, you have the option to have this procedure done under local anesthesia and oral pain medication.  Pending results, our staff will discuss a detailed treatment plan that will best suit your needs.  The type of treatment you will receive depends on the size and degree of your prostate blockage.

Our goal, at the Hubbard Clinic, is to perform the most successful treatment in the most comfortable manner possible.            .

           

The Hubbard Clinic is you Quality of Life team that will help you
LIVE LIFE WITHOUT LIMITS!

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Location and Hours

The Hubbard Clinic

Office Address:

3920 Dupont Square South, Suite C

Louisville, KY 40207

(502) 893-3510

Location Map

Hubbard Clinic Pamphlets

Stop by The Hubbard Clinic to pick up the following pamphlets and learn more about The Hubbard Clinic and what they can do for you…

• The choice to End Stress Urinary Incontinence
  Find out how to stop urine leakage like Bonnie did…(Bonnie Blair, 5 time Olympic Champion, Speed Skating.
• Interstitial Cystitis – The Interstitial Cystitis
  AssociationPatients, Researchers, Caregivers Putting the Pieces Together
• Stress urinary Incontinence in Women – What YOU can do about it…
• Embrace Life without Enlarged Prostate- Cooled ThermoTherapy
• Be Yourself: Helping you manage menopause step by step
• Looking Toward better bone health
• Male Bladder Control : The Simple Facts
• The Women’s Life Cycle
• The Prostiva RF Therapy for Symptomatic Enlarged Prostate
• Prostate Health for men over 40
  Inside the pamphlet
• What is an enlarged prostate
• Signs and symptoms
• Getting treatment
• Symptom scorecard
• Take Control…Incontinence: Diagnosis, Treatment, and Management
• Freedom From Stress…Urinary Incontinence It’s within your control…