Prostate health (BPH, prostate cancer)

Learn about symptoms, causes, diagnosis, and treatments for prostate health concerns like enlarged prostate (BPH) and prostate cancer. Our team offers compassionate, personalized care every step of the way.

Prostate health is an important part of a man’s overall well-being, especially as he ages. Two of the most common concerns are benign prostatic hyperplasia, or BPH (enlarged prostate), and prostate cancer. Specialists at TidalHealth understand how personal and sometimes sensitive these topics can be and offer expert, compassionate care every step of the way.

What is BPH (Enlarged Prostate)?
BPH is a noncancerous enlargement of the prostate that affects many men as they age. It can cause difficulty urinating, a weak urine stream or a feeling that the bladder is not fully empty. While the exact cause is unknown, age and natural prostate growth play a major role. BPH is most common in men in their 60s and older.

What is Prostate Cancer?
Prostate cancer occurs when prostate cells grow uncontrollably. It is one of the most common cancers in men. Early stages often cause no symptoms, making regular screenings and checkups important for early detection, when treatment is most effective.

Diagnosis
Evaluation typically begins with a review of your medical history and symptoms, along with a physical exam. TidalHealth providers may recommend tests such as urine testing, a digital rectal exam, ultrasound, cystoscopy, urine flow studies or post-void residual measurements to help determine the cause of symptoms.

Treatment and Ongoing Care
Treatment depends on your symptoms and diagnosis. For BPH, lifestyle changes such as adjusting fluid intake, avoiding certain medications, and practicing pelvic floor exercises may provide relief. When additional treatment is needed, advanced options are available. These include HoLEP, a minimally invasive procedure to remove excess prostate tissue, and Aquablation therapy, a unique, heat‑free waterjet treatment guided by robotic-assisted technology to precisely resect prostate tissue.

For prostate cancer, our specialists provide comprehensive care and review all appropriate options, including monitoring, surgery and other therapies tailored to your needs.

A Personalized Approach
TidalHealth believes prostate care should be individualized and guided by clear, honest communication. Our team is committed to respectful care focused on your comfort, health goals and long-term well-being.

What are common symptoms of prostate problems?
Symptoms may include difficulty starting urination, weak urine flow, frequent urination (especially at night), feeling that the bladder is not empty, pain or burning with urination and blood in the urine. Prostate cancer may not cause early symptoms, which is why regular checkups are important.

What causes an enlarged prostate (BPH)?
The exact cause is unknown. The prostate naturally grows with age, often beginning around age 25 and continuing throughout life. Symptoms are most common in men in their 60s or older.

How are prostate conditions diagnosed?
Diagnosis usually includes a medical history review, physical exam and symptom discussion. Tests may include:

  • Urine tests to check for infection
  • Digital rectal exam to assess prostate size and shape
  • Ultrasound imaging of the prostate and nearby organs
  • Cystoscopy to evaluate the bladder and urinary tract
  • Urine flow studies to measure urine output
  • Post-void residual testing to assess bladder emptying

How are BPH and prostate cancer treated?
Treatment varies based on diagnosis and symptom severity. BPH may be managed with lifestyle changes, medication or surgical procedures. Prostate cancer treatment may include monitoring, surgery or other therapies. Your care team will help determine the best approach.

Can delaying treatment for BPH cause problems?
Yes. Delaying care can lead to permanent bladder damage. If symptoms develop, contact TidalHealth for evaluation.

What can I do to manage mild BPH symptoms?

  • Limit fluids before bedtime
  • Reduce alcohol and caffeine, especially in the evening
  • Avoid certain medications if advised by your provider
  • Practice pelvic floor exercises
  • Maintain healthy habits, including balanced nutrition and not smoking

When should I see a specialist about my prostate health?
Contact TidalHealth if you experience urinary difficulties, blood in the urine, pain, changes in bladder habits or other prostate-related concerns. Our team is here to help.