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.

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
- Pills not enough? Side effects?
- Don't stop medicine on your own
- UroLift · HoLEP / ThuLEP · PAE: less blood flow, prostate shrinks
- Seen fast · Procedure scheduled quickly
- Every procedure has risks
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.
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.
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.