Prostate enlargement, medically referred to as benign prostatic hyperplasia (BPH), is a common condition that affects men as they age. Despite its prevalence, there is a considerable amount of misunderstanding surrounding it. The confusion often stems from misinformation on the internet, misinterpretation of symptoms, and the assumption that any change in urinary function is a sign of something far more serious. At 1Prostate Center in Manhattan and Queens, Dr. David Shusterman works to dispel myths and offer clarity to patients facing this condition.
One of the first things to understand is that prostate enlargement is not cancer. While the two conditions may share some overlapping symptoms, BPH is non-cancerous and does not increase the risk of prostate cancer. It’s also not an inevitable part of aging, although the likelihood increases with age. This distinction is important because it helps reduce the anxiety many men feel when first experiencing urinary symptoms.
Myth: All Urinary Symptoms Mean Prostate Cancer
It is one of the most common and harmful misconceptions that any change in urinary behavior automatically signals prostate cancer. While the prostate does play a central role in urinary health, not every urinary issue is tied to malignancy. BPH, for instance, is responsible for a large percentage of these symptoms, particularly in men over the age of 50. These include frequent urination, weak urine stream, and the feeling of incomplete bladder emptying.
Unfortunately, this myth leads some men to delay medical evaluation out of fear. This delay can actually worsen the problem and reduce the effectiveness of treatment. At 1Prostate Center, patients are educated on the spectrum of possible diagnoses and guided through advanced diagnostic testing that can differentiate between benign and malignant conditions. The goal is to empower men with knowledge rather than fear.
Myth: BPH Always Requires Surgery
Many patients assume that an enlarged prostate will inevitably lead to surgical intervention, which is not the case. In reality, the treatment approach depends on the severity of the symptoms and how much they affect quality of life. Many men are able to manage BPH with lifestyle changes, medications, or minimally invasive procedures that do not require traditional surgery.
Modern options like UroLift, Rezūm water vapor therapy, and even laser therapies offer effective results with faster recovery times. At 1Prostate Center, Dr. David Shusterman offers a full suite of these treatments right in the heart of Midtown Manhattan and Queens, giving patients access to leading-edge care without the need for hospital stays or long downtimes. Choosing the right treatment starts with an accurate diagnosis, which is why early consultation is crucial.
Myth: Prostate Enlargement Only Affects Urination
It’s easy to think of BPH as strictly a urinary condition, but the impact often extends beyond the bathroom. The prostate’s influence on bladder function can lead to poor sleep quality due to frequent nighttime urination (nocturia), fatigue from disrupted rest, and even a reduction in sexual confidence or performance. These ripple effects can significantly impair daily living and emotional well-being.
Because of the prostate’s role in both urinary and reproductive health, untreated BPH can also contribute to issues like urinary tract infections or bladder stones. In severe cases, it can even lead to kidney damage. This underscores the importance of seeing a urology specialist who can provide personalized management strategies. Dr. Shusterman emphasizes comprehensive care that looks beyond symptoms to support whole-body health.
Myth: BPH Medications Are Always Effective
While medications like alpha-blockers and 5-alpha reductase inhibitors are often the first line of treatment, they aren’t a one-size-fits-all solution. Some patients may experience side effects such as dizziness, fatigue, or sexual dysfunction. In other cases, the medications simply don’t provide enough relief to meaningfully improve quality of life.
When medication doesn’t work or is poorly tolerated, advanced procedural options are available. Many of these, like the non-surgical techniques offered at 1Prostate Center, target the enlarged tissue directly without removing the prostate. Understanding that medication is just one tool in a broader arsenal helps patients avoid frustration and find a more suitable solution.
Myth: Prostate Enlargement Is Just a Part of Aging to Accept
Although BPH is more common with age, it’s not something men have to simply “live with.” Accepting poor urinary function as inevitable can have long-term consequences. Delayed treatment may increase the risk of bladder damage, residual urine retention, and complications that become harder to treat.
In contrast, seeking early intervention can result in easier management, greater treatment success, and a better overall experience. Men in Manhattan and Queens who visit 1Prostate Center benefit from state-of-the-art diagnostics and tailored treatment planning. Dr. Shusterman’s philosophy centers around early action and patient education, helping men retain control over their health and lifestyle.
Recognizing Symptoms That Shouldn’t Be Ignored
While many symptoms of prostate enlargement are mild at first, they can become disruptive over time. Men should be aware of early warning signs that warrant evaluation, including:
- Frequent urge to urinate, especially at night
- Weak or interrupted urine stream
- Difficulty starting urination
- Incomplete emptying of the bladder
- Pain during urination or ejaculation
These symptoms should not be brushed off or assumed to be harmless. Evaluation by a qualified urologist ensures that any underlying condition—whether BPH or another issue—is identified and treated appropriately.
A Smarter Approach to Men’s Urological Health
Dispelling myths about prostate enlargement is more than just correcting misinformation—it’s about creating a culture of proactive, informed care. When men feel confident in understanding their symptoms and treatment options, they’re more likely to take timely action. This leads to better health outcomes and a better quality of life.
At 1Prostate Center, Dr. David Shusterman offers a highly specialized approach that includes in-office diagnostics, custom treatment planning, and access to advanced procedures in both Manhattan and Queens. Patients are never rushed or left in the dark—they’re partners in their care from start to finish.
Your Health Deserves Accurate Information
The misconceptions surrounding prostate enlargement can be discouraging, but they don’t have to dictate your care journey. If you’ve been experiencing symptoms or simply want clarity about your prostate health, a consultation with a skilled urologist is the best next step. Accurate diagnosis and early intervention are key to avoiding unnecessary complications.
Dr. Shusterman and the team at 1Prostate Center are here to support you with compassionate, expert-level care in a comfortable and discreet environment. Whether you live in Midtown Manhattan or nearby Queens, expert help is just around the corner.
Sources
Berry, S. J., Coffey, D. S., Walsh, P. C., & Ewing, L. L. (1984). The development of human benign prostatic hyperplasia with age. The Journal of Urology.
Roehrborn, C. G. (2008). Benign prostatic hyperplasia: an overview. Reviews in Urology.
McVary, K. T., Roehrborn, C. G., & Avins, A. L. (2011). Update on AUA guideline on the management of benign prostatic hyperplasia. The Journal of Urology.
