Men’s Urination Problems
Expert and compassionate care for a range of men’s urination conditions, from incontinence to enlarged prostate to complex voiding problems
If you are having trouble with urination, you can trust the fellowship-trained urologists and surgeons at Hackensack to diagnose and treat your condition so you can regain your quality of life.
We offer a range of treatment options to address urination problems and will create a customized treatment plan for you. Should you require surgery, our urologists use the latest robotic technology to provide the best possible outcomes and preserve your potency.
Hackensack University Medical Center
Our Urologists are fully accredited and are highly trained. They are here to fulfill your needs and make your visit more than satisfactory.
Meet Our Team
Hackensack University Medical Group
The urologists of Hackensack University Medical Group (HUMG) are a subgroup within the Department of Urology at Hackensack University Medical Center. This faculty practice is the backbone of academics, research, and education for the Department of Urology.
Enlarged Prostate (BHP)
Benign prostatic hyperplasia (BPH), or an enlarged prostate, occurs in almost all men as they age. Most common in men older than 40, symptoms usually begin slowly and can become bothersome very suddenly.
Symptoms and Causes
BPH occurs when your prostate, which surrounds your urethra, becomes larger and squeezes or blocks your urethra. Symptoms of BPH can significantly affect your quality of life. Although they range from mild to severe, symptoms typically include:
- Frequent trips to the bathroom
- Weak urine stream
- Trouble getting your urine stream started and completely stopped
- Inability to completely empty your bladder
Our urologists are experienced at diagnosing BPH and will conduct a thorough exam to rule out other, more serious conditions. Your doctor will perform physical and rectal exams, and may order additional tests, such as a urine test or a prostate-specific antigen (PSA) test to rule out prostate cancer.
Your doctor will assess your condition and the severity of your symptoms before developing a personalized treatment plan for you. If surgery is recommended, our urologists are skilled at performing the latest, most minimally invasive procedures. Treatment options include:
- Medication. Your doctor may prescribe medications that relieve symptoms or reduce the size of your prostate. Depending on your condition, your doctor may also prescribe a combination of medications.
- Transurethral incision of the prostate (TUIP). Using minimally invasive techniques, small incisions are made in your prostate to relieve pressure on your urethra.
- Laser treatment. Using the GreenLight™ Laser system, pulses from a high-powered laser vaporize your overgrown prostate cells.
- Robotic Simple Prostatectomy. Typically performed only if the prostate is very large or if there are other complications, the inner part of your prostate gland will be removed using robotic technology, leaving the outer part of your prostate gland intact. The procedure is performed through several small incisions in your abdomen and a small opening in your bladder neck.
- UroLift®. UroLift is an advanced procedure that uses permanent implants to hold enlarged prostate tissue out of the way so it no longer blocks the urethra.
We deliver all our services in a private setting with compassion, care and understanding. Our goal is to make you as comfortable as possible.
Incontinence, or leaking urine, can be embarrassing and affects your ability to participate in normal activities. Our specialists have the expertise to determine what is causing your urinary incontinence and to provide safe, effective treatment.
Types and Causes
There are several types of urinary incontinence, including stress incontinence (urine leakage caused by pressure on your bladder when coughing or sneezing), urge incontinence (when you feel a strong need to urinate), and overflow incontinence (when your bladder becomes too full). Common causes of urinary incontinence include:
- Previous prostate treatment
- Urinary tract infections
- Bowel problems
- Prostate problems
- Kidney or bladder stones
- Neurological problems, such as Parkinson’s disease or stroke
Our urologists use a range of tools to diagnose the type of urinary incontinence you have and determine the best treatment plan for you. Your doctor will begin with a thorough history and physical exam. Other simple and painless tests may include:
- Urinalysis. A sample of your urine is checked for signs of infection, traces of blood or other problems.
- Bladder diary. You keep a record over several days of how much you drink, when you urinate, the amount of urine you produce, whether you had a sudden urge to urinate and the number of times you leak urine.
- Post-void residual measurement. After you urinate into a container, your doctor will measure the urine left in your bladder using an ultrasound test. A large amount of leftover urine in your bladder may mean that you have a blockage in your urinary tract or a problem with your bladder nerves or muscles.
- Urodynamic testing. This advanced diagnostic tool is important for determining the type of incontinence you have. A small, pediatric size catheter gently inserted through your urethra is used to fill your bladder with water while a pressure monitor measures and records the pressure within your bladder.
Once we have established a diagnosis, our team will create a treatment plan specifically for your type of incontinence.
Your treatment plan may be as simple as changing certain lifestyle habits or retraining your bladder. However, if your condition requires more intervention, we offer the latest minimally invasive procedures. Your treatment plan may include:
- Behavior and bladder training. This may include delaying urination to lengthen the time between trips to the toilet, learning to fully empty your bladder, and managing the amount and types of fluids you drink.
- Pelvic floor therapy. Our specially trained nurse will teach you to perform specific exercises such as Kegels that strengthen the muscles that control urination.
- Medications. A number of medications are available to help manage incontinence and overactive bladder.
- Percutaneous tibial nerve stimulation (PTNS). PTNS works by indirectly providing electrical stimulation via a nerve in your ankle to the sacral nerves responsible for bladder control. The stimulation gradually improves bladder activity. This outpatient treatment is delivered in weekly 30-minute sessions for about 12 weeks.
- Botulinum toxin type A (Botox®). Botox is injected into the bladder muscle to relax it and allow the bladder to fill with more urine before you have the urge to go to the toilet.
- Sacral nerve stimulation. A device like a pacemaker is implanted under your skin to deliver ongoing, painless electrical pulses to the sacral nerves involved in bladder control. Stimulating these nerves can control incontinence. This device may be implanted under the skin in your buttock and connected directly to the sacral nerves or may deliver pulses to the sacral nerves via a nerve in your ankle.
- Artificial sphincter. A device made of silicone rubber is placed around your urethra. The device can be inflated or deflated to control urination.
- Male urethral sling. A synthetic mesh-like surgical tape is placed under the urethra to provide support and prevent leakage of urine.