An enlarged prostate can squeeze the urine channel. That causes a weak stream, urgency, and many night trips.
Key points
- Over time, a bladder that works hard against a blockage can thicken, weaken, and stop emptying well.
- Some men develop retention, bladder stones, or infections.
- Treating BPH, with medicine or a procedure, can improve symptoms, sleep, and protect bladder health.
- Some medicines shrink the prostate, and some procedures remove tissue.
When should I come in about this?
If “Why should I shrink my prostate” is the reason you are looking us up, call 678-344-8900 or book online and we will see you at our Sandy Springs Clinic & Surgery Center at 1450 S Johnson Ferry Road, or at our Decatur Clinic at 2711 Irvin Way. If you cannot pass urine at all, if bleeding is heavy, or if a high fever arrives with urinary symptoms, call 911 or go to an emergency department now rather than waiting for a routine slot. For a weaker stream, trouble urinating, or getting up often at night, a first visit usually includes a history, an exam, a urine test, and a talk through enlarged prostate treatment we already offer, including medicines, UroLift, Aquablation, laser or TURP procedures, and prostate artery embolization at Decatur or Alpharetta. Bring a photo ID, insurance information if you carry it, a medicine list, and any PSA or urine reports so we can match the next step to what is already known.
We would like to see you in Sandy Springs
Our Sandy Springs Clinic & Surgery Center at 1450 S Johnson Ferry Road, which has its own surgery center, and our Decatur Clinic at 2711 Irvin Way are both ready to welcome you. One number books either office: 678-344-8900.
Schedule your visit with Advanced Urology, with locations across metro Atlanta. Call 678-344-8900 Book online
Further reading
- Read the full answer to this question on advancedurology.com
- Enlarged prostate (BPH): Advanced Urology overview
How our Sandy Springs urologists think through this question
When someone brings this exact question into our Sandy Springs Clinic & Surgery Center, 1450 S Johnson Ferry Road, it gets a full hearing. Our Sandy Springs urologists give that question the time it deserves. In Sandy Springs our urologists sit with the story you bring, the tests already in hand, and what would actually change the plan, and then we talk about a procedure if one belongs in the discussion. When treatment comes up in Sandy Springs, we stay with what Advanced Urology already offers: a carefully chosen medicine first, then, when needed, Aquablation, UroLift, prostate artery embolization, ThuLEP or HoLEP, or TURP — the procedures Advanced Urology already offers. At Sandy Springs we do not offer Rezum. If a popular option is one we do not offer, we will tell you so at the Sandy Springs visit. These notes are here to get you ready; the Sandy Springs visit is where we fit the plan to you.
What a visit at Sandy Springs is usually like
The first appointment at our Sandy Springs Clinic & Surgery Center, 1450 S Johnson Ferry Road leaves room for you to tell the story in your own words. In that first conversation we ask how long the problem has lasted, what you have already tried, and which medicines you currently take. An exam is often part of that first Sandy Springs visit, and we walk through any urine study or scan before it happens. If a later procedure needs a surgery center, we will tell you whether it is scheduled here at 1450 S Johnson Ferry Road or at another Advanced Urology surgery center, and how to prepare. At the desk at our Sandy Springs Clinic & Surgery Center, 1450 S Johnson Ferry Road, please have a government-issued identification, insurance information if you carry it, and the names of the medicines you take; old records help, and we can see you even if the file is still coming together.
When to call our team at Sandy Springs about this
Call 678-344-8900 when the question you just read is the one on your mind, or when a test result named here has just arrived. We will get you on the Sandy Springs schedule, or you can use online booking, and we will tell you the earliest opening we can offer. Heavy bleeding, clots that stop you from urinating, a fever with pain in the side or back, or being unable to pass urine at all should be handled in an emergency department or by calling 911, rather than waiting for a routine slot at our Sandy Springs Clinic & Surgery Center, 1450 S Johnson Ferry Road.
A video from Advanced Urology that relates to this topic
You can watch the official Advanced Urology video below at your own pace, then bring questions from it to our Sandy Springs clinic.
Dr Greenstein Educates about Aquablation. Watch on YouTube Prostate medicine not working? 3 options to help. Watch on YouTube
Other reading from Sandy Springs
What the video covers
On this Sandy Springs page the official video we link is titled Dr Greenstein Educates about Aquablation. This Sandy Springs summary stays with that public title and does not add other claims.
What the video covers
On this Sandy Springs page the official video we link is titled Prostate medicine not working? 3 options to help. Topics noted in the public listing include Don't stop your medicine on; Several procedures can open the; UroLift holds the prostate open; HoLEP and ThuLEP use a. Those short phrases come from the public YouTube description; we have not added quotes.

