Enlarged Prostate Specialist

Although it may be true that an enlarged prostate is often part of the natural aging experience, you don’t have to live with the frustrating symptoms. Karl Coutinho, MD, is a highly-respected reconstructive urology specialist in Millburn, New Jersey, who uses advanced technology and minimally-invasive surgical techniques to reduce the size of your prostate and stop those frequent nighttime journeys to the bathroom. Call today for your appointment or use Dr. Coutinho’s online service to schedule your visit.

Enlarged Prostate Q & A

What causes an enlarged prostate?

Also known as benign prostatic hyperplasia, or BPH, the most common cause of prostate enlargement is aging. It’s important to note that while you may have both BPH and prostate cancer, benign prostate enlargement does not lead to prostate cancer.

Your prostate naturally begins to grow at about age 25, and that growth continues throughout your lifetime. As your prostate grows, it puts pressure on your bladder and urethra. This pressure is responsible for many of the symptoms associated with BPH.

What are the symptoms of BPH?

Men under age 40 rarely have symptoms associated with BPH. By age 60, however, about one-third of men experience symptoms and that grows to half of all men by age 80.

BPH symptoms may be mild or intense and typically include:

  • Urinary frequency or urgency
  • Increased frequency of nighttime urination (nocturia)
  • Difficulty starting your urinary stream and a weak stream that stops and starts
  • Dribbling at the end of urination and inability to completely empty your bladder

Symptoms that are rare, but may signal the need for urgent medical intervention, including blood in the urine or the inability to urinate at all.

Because symptoms of BPH are often difficult to differentiate from other urinary issues, such as bladder or kidney stones or an infection, Dr. Coutinho recommends you see a urologist whenever you develop symptoms that may be related to BPH. And with so many effective treatments available, there’s really no reason to suffer from the symptoms of BPH.

What is the treatment for BPH?

Dr. Coutinho considers treatment according to your symptoms, overall health, and the size of your prostate. For the most effective therapy for BPH, he may suggest:

  • Transurethral resection of the prostate (TURP), during which he inserts a lighted scope into your urethra and removes all but the outer portion of your prostate
  • GreenLight™ Laser Therapy, which is a minimally-invasive technique that uses laser technology to reduce the size of your prostate
  • UroLift®, which is another minimally-invasive surgical technique that provides implants to lift and hold your enlarged prostate away from the urethra
  • Rezūm® that uses a transurethral approach to deliver radiofrequency thermal therapy that reduces the size of your prostate

Insurance & Finance

Dr. Karl Coutinho is considered an in-network provider with the following insurance plans. This is not a complete list, if you do not see your plan listed please contact our office to verify your benefits.

Aetna / Coventry
Empire Blue Cross Blue Shield
Horizon Blue Cross Blue Shield of New Jersey
Humana Choice Care
MultiPlan / PHCS
United Healthcare
US Family Health Plan
Karl Coutinho, MD
225 Millburn Avenue, Building C, Suite 304
Millburn, NJ 07041
Phone: 973-218-9400
Fax: 973-218-9420
Office Hours

Get in touch