BPH and Enlarged Prostate Treatment in Green Bay, WI

If you are living with the frustration of getting up multiple times a night to urinate, struggling with a weak stream, or feeling like your bladder never fully empties, you are not alone. Benign prostatic hyperplasia (BPH) affects millions of men, and the symptoms tend to worsen over time if left untreated. The good news is that effective treatment options exist, and at Urology Associates of Green Bay, we offer more of them than any other practice in the region.

What sets us apart is our commitment to individualized care. We do not believe in a one size fits all approach to BPH. Some practices offer only one or two procedures and steer every patient toward those options. At Urology Associates, we offer the full spectrum of BPH treatments, from medications and supplements to minimally invasive office procedures to advanced surgical options. Our goal is to match the right treatment to your specific symptoms, prostate anatomy, and personal priorities, including concerns about sexual function and recovery time.

We are a high volume BPH practice, performing approximately 400 BPH procedures per year across all treatment types. Our board certified urologists bring fellowship trained expertise and thousands of combined cases to every patient encounter. We are the only private urology practice in the Green Bay area, which means your care is directed by your surgeon, not by a hospital system.

Before recommending any treatment, we perform a thorough workup to understand exactly what is causing your symptoms and how your prostate is affecting your urinary function. This evaluation is done in our office and typically includes a validated symptom questionnaire to measure how much your symptoms are affecting your quality of life, a uroflow study (or UroFlow with UroFlowCuff) to objectively measure the strength and pattern of your urinary stream, a post void residual (PVR) measurement to check whether your bladder is emptying completely, a cystoscopy (a brief, in office look inside the urethra and bladder with a small camera) to evaluate for obstruction, and in some cases a transrectal ultrasound (TRUS) to measure the size and shape of the prostate.

This information is essential because the best treatment for a 30 gram prostate is very different from the best treatment for a 120 gram prostate. Likewise, the pattern of obstruction matters. A thorough evaluation up front means better outcomes and fewer surprises.

For many men, the first step in managing BPH is medical therapy. Depending on your symptoms and prostate size, options may include alpha blockers such as tamsulosin (Flomax) or silodosin (Rapaflo), which relax the smooth muscle in the prostate and bladder neck to improve urine flow. Daily tadalafil (Cialis) can also be effective, particularly for men who experience both urinary symptoms and erectile dysfunction. For men with larger prostates, finasteride (Proscar) can gradually shrink the gland over several months.

We also discuss behavioral strategies such as timed voiding, fluid management, and reduction of bladder irritants, as well as over the counter supplements that some men find helpful. If medications are working well and you are satisfied with your symptom control, there may be no need to pursue a procedure. However, if medications are not providing adequate relief, are causing side effects, or if you simply prefer not to take a daily pill for the rest of your life, we have a full range of procedural options available.

For men who want symptom relief without the recovery time of traditional surgery, we offer several minimally invasive options that can be performed right in our office.

Both of these procedures offer the advantage of a quicker recovery and a lower risk profile compared to traditional surgery, though they may be best suited for small to moderate sized prostates. Your workup results will help us determine whether an office based procedure is a good fit for you.

When BPH symptoms are more severe, when the prostate is larger, or when minimally invasive options are not the best anatomical fit, we offer a full range of surgical procedures performed in the operating room at Emplify Health (Bellin) in Green Bay.

Our surgeons are also experienced in HoLEP (holmium laser enucleation of the prostate) and can discuss prostatic artery embolization (PAE) as an alternative approach, arranging referral if this is the best fit for your situation.

One of the most common concerns men bring to their BPH consultation is what will happen to their sexual function. It is an important question and one we take seriously. Different procedures carry different risks to ejaculatory function, and we discuss these in detail before any decision is made.

Procedures such as Rezum, UroLift, Aquablation, and the Optilume balloon are specifically designed to preserve ejaculatory function. Traditional surgical procedures like TURP and PVP carry a higher likelihood of retrograde ejaculation, where semen flows backward into the bladder rather than out during orgasm. This is not harmful to health but is permanent and a significant concern for many men.

Erectile function is generally not affected by BPH procedures. Because we offer the full range of options, we can match you with a treatment that addresses your urinary symptoms while respecting your priorities for sexual health. This is one of the key advantages of seeing a practice that does not limit itself to a single procedure.

BPH procedures at Urology Associates of Green Bay are performed by all four of our board certified urologists: Dr. Sean McAdams, Dr. Herbert J. Wiser, Dr. Nevada Hughes, and Dr. Hamayun Mian. Dr. McAdams completed fellowship training in endourology at Mayo Clinic and brings specialized expertise in minimally invasive and surgical management of BPH. Together, the team performs approximately 400 BPH procedures per year across all treatment types, making this one of the most experienced BPH programs in the region.

We understand that many patients are on high deductible health plans or may not have insurance coverage that makes BPH treatment affordable. Urology Associates of Green Bay offers competitive cash pay pricing for BPH evaluations and procedures. We also work with employers who are looking for cost effective surgical options for their employees. If you are interested in cash pay pricing, please call our De Pere office at (920) 433-9400 or our Marinette office at (715) 732-3420 and ask to speak with our billing team.