Benign Prostate Conditions — BPH & Prostatitis Treatment in Newmarket

Enlarged Prostate (BPH)

Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that affects the majority of men over age 50. As the prostate grows, it can compress the urethra and obstruct urine flow, causing a range of lower urinary tract symptoms (LUTS): weak or interrupted stream, straining to void, frequency, urgency, nocturia (waking at night to urinate), and a sensation of incomplete bladder emptying.

Patients with BPH are evaluated through clinical evaluation using symptoms assessment, digital rectal examination, PSA testing, urinalysis, and uroflowmetry. Medical management options include alpha-blockers (tamsulosin, alfuzosin) and/or PDE5 inhibitors (tadalafil 5 mg), which relax the prostate and bladder neck to improve flow, and 5-alpha-reductase inhibitors (finasteride, dutasteride), which shrink the prostate over time. Combination therapy is often more effective than either drug class alone.

When medications are insufficient or not tolerated, surgical options are considered. Dr. Green performs laser transurethral resection of the prostate (Greenlight TURP) and other minimally invasive procedures to relieve obstruction. He works with each patient to weigh symptom burden, medication side effects, and surgical risk to determine the optimal management strategy.

Chronic Prostatitis & Chronic Pelvic Pain Syndrome (CPPS)

Chronic prostatitis and chronic pelvic pain syndrome (CPPS) are among the most challenging urological conditions to manage, affecting men of all ages. Symptoms include persistent pelvic, perineal, or genital pain lasting three or more months, often accompanied by urinary symptoms and, in some cases, sexual dysfunction. The condition can profoundly impact quality of life and may be misdiagnosed or undertreated.

As a chronic prostatitis doctor, Dr. Green takes a multimodal approach to CPPS management. This may include alpha-blockers to relax the bladder neck and prostate, anti-inflammatory medications, antibiotics, neuropathic pain modulating medications, pelvic floor physiotherapy referral, low intensity shock wave therapy, and psychological support.

Why Choose Dr. Green for Prostate Care in York Region

With over 20 years of urological experience and his role as Head of Urology at Southlake Health, Dr. Green brings a depth of expertise that is rarely available outside major academic centres. His practice in Newmarket serves as a regional hub for prostate care, offering patients in York Region and beyond access to advanced diagnostics and treatments close to home.

Dr. Green's comprehensive approach to prostate health integrates cancer screening, benign disease management, and pelvic health — ensuring that each patient receives coordinated, evidence-based care. Whether you are newly referred for lower urinary tract symptoms or seeking a second opinion on prostate disease, Dr. Green is committed to providing clear answers and effective treatment.