See a Prostate Specialist in Los Angeles
When you’re ready to see a prostate specialist, we’re here to help. Dr. Michael Lalezarian is double-board certified Vascular and Interventional Radiologist at ProVascularMD that specializes in enlarged prostate conditions and minimally invasive, non-surgical vein treatment. Dr. L is a committed partner in the battle against prostate conditions. He values spending quality physician time with his patients to address their needs and concerns, and assist them on their journey to better health.
“I was referred to Dr. Lalezarian from my orthopedic surgeon for varicose vein treatment options. From the second I walked into the office, I was at ease and felt very welcomed from Kimberly and the staff. Upon meeting the doctor, he was so kind and fully explained my options after the initial ultrasound on both legs. I decided to go with the sclerotherapy and am so happy that I did. The procedures were quick and virtually painless but the results are life changing for me. The pain suffered for so many years and countless sleepless nights are a thing of the past.”
Vickie W, March 2022
What is an Enlarged Prostate?
The prostate is a muscular gland next to the bladder that surrounds part of the urethra, which is the tube that carries urine and sperm out of the body. It is responsible for the production of semen. When healthy, the prostate is roughly the size of a walnut. However, as men age, many develop an enlarged prostate. Due to its positioning near the bladder and around the urethra, an enlarged prostate can restrict urine flow or cause other significant urinary symptoms.
Enlarged Prostate Symptoms
Urinary symptoms can be indicative of prostate problems. For many men, enlarged prostate symptoms can cause a gerat deal of discomfort and seriously hinder everyday life. Fortunately, the symptoms of an enlarged prostate are often treatable with medications and/or interventional procedures, and men seeking treatment for BPH have quite a few options to choose from.
Common Enlarged Prostate Symptoms
- Frequent need to pee
- Urgency (sudden, overwhelming need to urinate)
- Peeing more often at night (nocturia)
- Difficulty starting to pee
- Weak urine stream, or a stream that stops and starts
- Dribbling at the end of urination
- Not being able to fully empty bladder
- Feeling like you still have to pee after peeing
Less Common Enlarged Prostate Symptoms
- Urinary tract infection (UTI)
- Not being able to pee
- Blood in the urine
Enlarged Prostate Diagnosis
Digital Rectal Exam
Your physician will briefly insert a finger into your rectum to see if your prostate is enlarged.
Urinary Flow Test
Postvoid Residual Volume Test
24-Hour Voiding Diary
A special ultrasound probe is inserted into the rectum to take images of the prostate.
Urodynamic & Pressure Flow Studies
A catheter is inserted into the bladder via the urethra to measure bladder pressure.
Allows your physician to visualize inside the urethra and the bladder.
Enlarged Prostate Treatment
Alpha blockers work by relaxing the smooth muscle of the bladder neck and the prostate, making it easier to pee.
5 alpha reductase inhibitors (5ARIs) shrink the prostate by inhibiting the hormone changes that cause the prostate to grow.
Prostatic Artery Embolization
(Minimally Invasive Procedure)
Patients often choose prostate artery embolization because it is less invasive than traditional surgery and less traumatic than other specialized interventions that target the prostate directly. Compared to other therapies, PAE provides minimal risk of sexual side effects, low risk of urinary incontinence, no hospital stay, quick recovery, and minimal downtime following the procedure.
Prostate Lift (Urolift)
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