Prostate Care

Benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate, is one of the most common conditions affecting men as they age. As the prostate grows, it can squeeze the urethra and make it harder to urinate, leading to symptoms such as a weak urine stream, frequent trips to the bathroom, difficulty starting or stopping urination and waking up at night to urinate. While BPH is not cancerous, these symptoms can significantly affect your daily comfort, sleep and quality of life.

Medical Management

For many men, BPH can be effectively managed with medication. Some medications relax the muscles around the prostate and bladder to improve urine flow, while others work to gradually shrink the prostate over time. Our specialists will work with you to find the right approach based on your symptoms and overall health.

Minimally Invasive Procedures & Surgery

For men whose symptoms are not well controlled with medication, we offer a range of minimally invasive procedures designed to relieve obstruction with less discomfort and faster recovery. When symptoms are more severe, surgery may be the best option. Our surgeons are highly experienced in the latest surgical techniques for BPH, including robotic-assisted approaches that offer excellent results with shorter hospital stays and quicker recovery times.

No matter where you are in your BPH journey, our team is here to help you find the right solution.

Surgical Options & Advanced Treatments

A full range of prostate surgical options is available when needed. Many procedures use minimally invasive prostate surgery techniques designed to support faster recovery and improved comfort.

Treatments may include:

• TURP (Transurethral Resection of the Prostate): A well-established procedure that removes excess prostate tissue to improve urine flow.
• HoLEP (Holmium Laser Enucleation of the Prostate): A laser-based technique that removes obstructing prostate tissue with precision and minimal bleeding.
• Aquablation: A robot-assisted procedure that uses a high-velocity water jet to remove prostate tissue.
• Robotic Simple Prostatectomy: A minimally invasive robotic procedure ideal for men with very large prostates, offering excellent outcomes with a faster recovery than traditional open surgery.

Your care team will recommend the most appropriate treatment based on your diagnosis and goals.

Prostate-Specific Antigen (PSA) Testing

Prostate-specific antigen is a protein made by the prostate gland. A PSA blood test is a simple and important tool for checking prostate health and catching early signs of disease before symptoms even begin. At the Institute of Urology, we go beyond the standard PSA test to give you a more complete picture of your prostate health.

We offer additional blood and urine-based tests that, combined with PSA results, help us better understand your individual risk for prostate cancer. When needed, we also use advanced imaging such as prostate MRI, which gives our team a detailed look at the prostate and helps identify areas of concern. Together, these tools allow us to make smarter, more personalized decisions about your care — including whether a prostate biopsy, which is a more invasive procedure to sample prostate tissue, is truly necessary.

Our goal is to make sure that every step of your evaluation is guided by the most complete and accurate information available, so you can feel confident in the path forward.

PSA testing is often part of routine screening for individuals at risk. Blood tests and screening services can help guide early detection and next steps.

Transperineal Prostate Biopsy

When a prostate biopsy is needed, our team offers the most advanced and accurate technique available: the transperineal prostate biopsy. This represents the latest advancement in prostate cancer detection, and our providers are among the most experienced in performing this procedure.

Unlike the traditional transrectal biopsy — which passes a needle through the wall of the rectum — the transperineal approach accesses the prostate through the skin between the scrotum and the rectum, an area called the perineum. This small but important difference has a major impact on patient safety. Studies have shown that the transperineal approach reduces the risk of serious infection by as much as ten times compared to the traditional method, making it a significantly safer option for patients.

In addition to being safer, the transperineal technique also provides more thorough and accurate sampling of the prostate, helping our team detect cancers that might otherwise be missed. When combined with advanced imaging such as prostate MRI (e.g., MRI-fusion transperineal prostate biopsy), this approach gives our specialists the clearest and most complete picture possible.

At Lahey, you can feel confident knowing that you are in the hands of experts who are trained in the very latest techniques — and who are committed to providing you with the safest, most accurate care available.

Not all prostate conditions are related to cancer or enlargement. Prostatitis — an infection or inflammation of the prostate — can cause pain, difficulty urinating, and discomfort in the pelvic area. Chronic pelvic pain with prostatic causes can significantly affect quality of life. Our team is experienced in diagnosing and treating these conditions, using a personalized approach that may include medication, physical therapy and lifestyle changes.

No matter your prostate health concern, you will have access to a dedicated prostate specialist who will work closely with you through evaluation, diagnosis and every stage of treatment.