Alpharetta UrologyAdvanced Urology · Roswell office

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Notes · Enlarged prostate

When the prostate pills aren’t enough.

You took the medicine. You still get up at night, or the side effects are wearing on you. This is the moment many men in Roswell and Alpharetta stop and wonder whether it is worth another call. Here is Dr. Bagga’s answer, in his own words.

Herman Bagga, MD, FACS, urologist at this office at our Alpharetta / Roswell office
Herman Bagga, MD, FACS
Urologist at this office

Up at night to pee? There's a next step. If tamsulosin or finasteride isn't helping, or side effects bother you, it's time to talk about a procedure. Don't stop your medicine on your own. Talk with our urologists first. Several procedures can open the channel. UroLift holds the prostate open with small implants, and nothing is cut away. With HoLEP and ThuLEP, a laser clears out the tissue that blocks the flow. Prostate artery embolization, or PAE, reduces blood flow to the prostate so it shrinks, done by our board-certified interventional radiologists. The right one depends on your prostate size, your symptoms and the findings at the visit. These procedures are typically planned as outpatient care, and our urologists go over the risks before a date is set. Every procedure and its anesthesia carry risks, which we can discuss together.

To keep in mind

Your next step

Bring your medicine list and how long you have taken it. Dr. Bagga and the team at our Roswell office will talk through which approach fits your prostate and your priorities.

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Learn more: enlarged prostate · UroLift · prostate artery embolization

Related video

Prefer to listen? Dr. Herman Bagga covers options after prostate medicine here. If you would like to talk it over in person, bring your medicine list and how long you have taken each one.

Prostate medicine not working? 3 options to help “Prostate medicine not working? 3 options to help” is a short video in which Dr. Herman Bagga explains when it may be time to talk about a procedure for an enlarged prostate if tamsulosin or finasteride is not helping, and why medicine should not be stopped without a conversation first. Watch on YouTube
#002 - Go With the Flow: How Aquablation Clears the Way for BPH Relief “Go With the Flow: How Aquablation Clears the Way for BPH Relief” covers Aquablation as a minimally invasive procedure discussed for benign prostatic hyperplasia in men with frequent urination, a weak stream or incomplete emptying, and explains how the procedure uses a water jet. Watch on YouTube

For education, not medical advice. Every treatment has risks and benefits. Emergency? Call 911 or go to an emergency room.

Whenever you’re ready, our Alpharetta / Roswell team would be glad to hear from you.

Call (678) 344-8900Book online