Treatment and doctors

Enlarged prostate doctors in Marietta, Canton, Dallas and Jasper

If a weak urine stream, trouble urinating or night-time trips have you looking for an enlarged prostate doctor, this page explains who you will see at our offices, how the first visit works and how our urologists match a treatment to your prostate.

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Advanced Urology Marietta Clinic & Surgery Center name card with street address

Who treats an enlarged prostate at our offices?

Dr. Jason Lomboy and Dr. Andy Ostrowski list enlarged prostate care among their focus areas, and Dr. Lomboy performs UroLift and Aquablation. Our physician assistants and nurse practitioner handle much of the evaluation and medicine follow-up, working alongside the urologists. When a procedure is on the table, you meet the urologist who would perform it.

What happens at the first appointment?

We go through a seven-question symptom score, test a urine sample, scan your bladder after you urinate to see what stays behind, examine the prostate and usually draw a PSA. If you are leaning toward a procedure, an ultrasound measures the gland's size and shape, which narrows the list of options more than anything else.

How do we decide on enlarged prostate treatment?

Three things drive the choice: how much the symptoms bother you, the size and shape of the prostate, and how you weigh recovery time against keeping ejaculation unchanged. A man with a moderately sized gland who wants to stop daily pills is often a UroLift candidate. A very large gland points toward Aquablation, ThuLEP or robotic simple prostatectomy. Someone who wants to avoid surgery altogether may ask about medicine or prostate artery embolization.

Which treatments do we offer?

Medicine: alpha blockers relax the prostate within days; finasteride or dutasteride shrink it over several months; some men take both.
UroLift: small implants hold the lobes of the prostate apart, done as an outpatient procedure at our Marietta surgery center without cutting or removing tissue.
Aquablation: a robot-guided water jet removes the blocking tissue, often used for larger glands.
TURP and ThuLEP: tissue is removed from the inside with a scope, with no skin incision.
Robotic simple prostatectomy: for the largest glands, through small abdominal incisions.

Our enlarged prostate (BPH) page describes symptoms and recovery for each one.

What about prostate artery embolization (PAE)?

PAE treats an enlarged prostate through the blood vessels instead of through the urethra. An interventional radiologist guides a thin catheter from an artery in the wrist or upper thigh to the arteries feeding the prostate and releases tiny beads that reduce its blood supply, so the gland shrinks over the following weeks. Advanced Urology performs PAE at its Alpharetta and Decatur locations, not at our Marietta, Canton, Dallas or Jasper offices. Men from our area are evaluated here by our urologists first, and our PAE page explains who it may suit and how the referral works.

When is it more than a bother?

Go to an emergency department if you cannot pass urine at all or your lower belly is swollen and painful. Call us promptly for fever with urinary symptoms, blood in the urine, or new leaking. Repeated urinary infections, bladder stones or a rising leftover-urine volume are signs the blockage is starting to strain the bladder, and they make treatment more pressing.

Symptoms that bring men in

Weak urine stream, trouble urinating or up at night: is it your prostate? walks through the symptoms in more detail, and our high PSA guide explains what a raised PSA can mean, since both often come up together.

Where can I be seen for this?

Marietta Clinic & Surgery Center, 1371 Church Street Extension NW, Marietta, GA 30060. Seen here for this concern: Jason Lomboy, MD, Andy Ostrowski, MD, Daniel Roberson, PA-C, Amanda Boulos, PA-C, Ionela Turcin, PA-C, Britany Howard, FNP. Procedures for all four offices happen in this building.
Canton Clinic, 2205 Riverstone Blvd Suite 101, Canton, GA 30114. Seen here for this concern: Jason Lomboy, MD, Andy Ostrowski, MD, Daniel Roberson, PA-C, Amanda Boulos, PA-C, Ionela Turcin, PA-C. Procedures are scheduled at our Marietta Clinic & Surgery Center.
Dallas Clinic, 2713 Charles Hardy Parkway, Bldg 100, Suite 122, Dallas, GA 30157. Seen here for this concern: Daniel Roberson, PA-C. Visits here are with Daniel Roberson, PA-C. Physician visits and procedures are arranged in Marietta.
Jasper Clinic, 49 Gordon Rd Suite 103, Jasper, GA 30143. Seen here for this concern: Jason Lomboy, MD, Britany Howard, FNP. Procedures are scheduled at our Marietta Clinic & Surgery Center.

Jason Lomboy, MD, Advanced Urology — Jason Lomboy, MD

Andy Ostrowski, MD, Advanced Urology — Andy Ostrowski, MD

Daniel Roberson, PA-C, Advanced Urology — Daniel Roberson, PA-C

Amanda Boulos, PA-C, Advanced Urology — Amanda Boulos, PA-C

Ionela Turcin, PA-C, Advanced Urology — Ionela Turcin, PA-C

Britany Howard, FNP, Advanced Urology — Britany Howard, FNP

Questions people ask us

Do I need a referral to see an enlarged prostate doctor?

Most plans allow a direct urologist visit, though some HMO and Medicare Advantage plans require a primary care referral. Check with your insurer, then phone 678-344-8900 to set up the evaluation at the office you pick.

Which procedure keeps ejaculation the same?

UroLift and PAE are the options most often chosen by men who want to protect ejaculation, while TURP and other tissue-removal procedures more often cause dry or reduced ejaculation. Our urologists go through these trade-offs using your prostate measurements before anything is scheduled.

How long is recovery after UroLift?

Most men go home after the procedure, often without a catheter, and return to desk work within a few days. Burning, urgency and a little blood in the urine are common for a short time.

Can I have a procedure if I take blood thinners?

Often, yes, but the plan changes. Bring your full medicine list; our team coordinates with the prescribing doctor about whether and when to pause it.

Can I start in Jasper or Dallas?

Yes. Dr. Jason Lomboy and Britany Howard, FNP, see men for enlarged prostate in Jasper, and Daniel Roberson, PA-C, does in Dallas. Imaging and any procedure are arranged at our Marietta Clinic & Surgery Center, with follow-up back at your office.

Enlarged prostate (BPH) on advancedurology.com

Prostate artery embolization on advancedurology.com

Related treatment pages

Educational information, not medical advice or a diagnosis. Every treatment has risks, benefits and alternatives to discuss with your clinician.