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Benign Prostatic Hyperplasia (BPH) / Enlarged Prostate

Our expert team at Yale Urology can help you better understand benign prostatic hyperplasia (BPH), your symptoms, and what treatment and management options are available. Our surgeons are dedicated to helping men experience relief from BPH by using the most minimally invasive methods of treatment possible.

Because a majority of men over the age of 50 experience BPH, we work to stay in the forefront of research in men’s health issues, driving the search for new treatments and cures, and staying current on the safest and most advanced techniques. As an outpatient procedure, we offer GreenLight PVP Laser Therapy, which creates a channel in the urethra so that men can urinate more easily.

We also now offer a new surgical option available to men who have not found success with other treatments. HOLEP, Holmium laser enucleation of the prostate, uses the Holmium laser to remove the prostate tissue that is blocking the flow of urine. An advantage of HOLEP is that it can remove large amounts of tissue without any incisions on the body and with less bleeding, reducing the patient stay in the hospital.

Yale Urology surgeons continually integrate the latest in innovative approaches into their practice to offer patients the safest and most effective treatments. Our surgeons meet regularly with the multidisciplinary specialists of Yale New Haven Hospital and Smilow Cancer Hospital to discuss every patient's care and develop a comprehensive treatment plan unique to each patient. This level of collaboration brings the medical management of our patients to the highest level.

BPH Explained

Benign prostatic hyperplasia (BPH) is a benign enlargement of the prostate gland. In the United States, approximately half of men over the age of 50 have BPH. The enlarged prostate squeezes and may partially block the urethra, which is the tube that carries urine out of the body. This tightening around the urethra may cause many symptoms including trouble urinating, the frequent feeling of the need to urinate, urine leakage, or a sense that the bladder is not fully emptied after urination.
  • Joseph Brito

    Assistant Professor of Urology

    Clinical Interests
    • Urology
    • Minimally Invasive Surgical Procedures
    • Image-Guided Biopsy

    Dr. Joseph Brito provides general urologic care to patients in the New London area, with additional focus on minimally invasive techniques for managing prostate, bladder, and kidney cancers.

    He attended Middlebury College followed by George Washington University School of Medicine and Health Sciences.  He completed a residency in Urology at Rhode Island Hospital and Alpert Medical School of Brown University, and trained at Yale School of Medicine in Clinical Oncology. Dr. Brito is a member of the American Urological Association. 

  • Thomas M. Buckley

    Assistant Professor of Clinical Urology; Urologist

    Dr. Buckley received his undergraduate degree Magna Cum Laude in Chemistry from Williams College and his medical degree from Harvard Medical School. He completed a residency in Urology at the Lahey Clinic Medical Center and has been a practicing urologist in the New Haven area for almost 20 years.

    Dr. Buckley was Chief of Urology at the Hospital of Saint Raphael in New Haven from 2009-2013 and President of the Connecticut State Urology Society from 2011-2013. He currently serves on the Board of Directors of the Connecticut State Urology Society and is the Urology representative for Connecticut on the Medicare Carrier Advisory Committee. In these roles, Dr. Buckley advocates for his patients’ rights on both the state and national level.

    Dr. Buckley’s clinical interests include general urology with an emphasis on men’s health including the treatment of prostatic disease, kidney stones, erectile dysfunction and vasectomy. Dr. Buckley provides personalized care for his patients focusing on patient education and compassionate care of their urologic needs.

  • Ralph J. Devito

    Assistant Professor of Clinical Urology; Clinical Vice Chair, Department of Urology

    Clinical Interests
    • Prostate
    • Practice Locations: Chapel Street Campus (Hamden and West Haven)
    • Residency: Yale-New Haven Hospital
    • Clinical Interests: urology, treatment of benign prostatic disease (BPH), prostate cancer diagnosis, bladder cancer, stone disease, voiding problems

    Born and raised in Utica, New York. Graduated from Hamilton College in 1970 with a BA, graduated from Albany Medical School in 1974. Married Karen Gaudio, MD who trained at Yale as a Pediatric Nephrologist and was on the medical school faculty for many years. I completed a residency in General Surgery at Hospital of St. Raphael from 1974-79 and then a Urology residency at Yale from 1979-82. Have been in clinical practice from 1982 and was section chief in urology at St. Raphael's for many years. Have a very active office practice with interests in endourology, prostate and bladder cancer diagnosis, treatment of renal stone disease, benign prostatic hypertrophy.

  • Harris E. Foster

    Professor of Urology

    Research Interests
    • Urinary Bladder, Neurogenic
    • Prostate
    • Prostatic Hyperplasia
    • Urinary Incontinence
    • Urology
    • Cystitis, Interstitial
    • Nitric Oxide Synthase
    • Female Urogenital Diseases
    Clinical Interests
    • Hematuria
    • Urinary Incontinence
    • Cystitis, Interstitial
    • Cystocele
    • Practice Locations: York Street Campus, VA Connecticut Healthcare System (West Haven, Newington), and Gaylord Hospital
    • Residency - University of Michigan
    • Clinical Interests: Female urology, urodynamics, neurogenic bladder, male and female urinary incontinence, interstitial cystitis; voiding dysfunction; benign prostatic hyperplasia, erectile dysfunction, urologic cancers.

    Dr. Harris E. Foster Jr. is board certified in urology and has specialized interests in voiding dysfunction and female urology. Particular to this area include treatment of female and male urinary incontinence, neurogenic bladder, benign prostatic hyperplasia (BPH), interstitial cystitis, urethral diverticula and vesicovaginal fisulae. In addition, Dr. Foster treats general urological conditions such as kidney stones, erectile dysfunction, prostate cancer, superficial bladder cancer, and benign conditions involving the scrotum (hydrocele, epididymal cyst). He also performs circumcision and vasectomy in patients who desire these procedures. Dr. Foster has expertise in the evaluation of voiding dysfunction utilizing urodynamics.

    Dr. Foster earned his undergraduate degree from the University of Michigan at Ann Arbor. He then graduated with honors from University of Miami School of Medicine, a member of the Alpha Omega Alpha medical honor society. Dr. Foster subsequently completed his urology residency at the University of Michigan Hospitals and joined the faculty at Yale University School of Medicine. Dr. Foster is Chief of Urology for the Veteran’s Administration Connecticut Healthcare System and is a urology consultant at the Gaylord Rehabilitation Hospital in Wallingford, Connecticut and The Hospital for Special Care in New Britain, Connecticut. He also provides urological care at the Yale University Health Services. Dr. Foster has received grants from the National Institutes of Health (NIH) to perform clinical trials investigating the pharmacologic and phytotherapeutic treatment of BPH. He was also the chairman for many years of the NIH sponsored Interstitial Cystitis Collaborative Research Network. Dr. Foster was a member of the American Board of Urology Examination Committee and has functioned as an oral board examiner for this organization. He has written numerous research publications and textbook chapters and is a reviewer for many of the major urology journals including The Journal of Urology, Urology, and Neurourology and Urodynamics. Finally, Dr. Foster has been a member of the guidelines committee for the evaluation and treatment of BPH and overactive bladder (OAB) sponsored by the American Urological Association.

    Dr. Foster is dedicated to treating patients suffering from urological diseases with a particular focus on those who have voiding dysfunction. He recognizes that although most of these disorders do not affect duration of life, they can in many instances have significant if not devastating effects on quality of life. Despite being a urological surgeon, he fully understands that surgery is not frequently indicated nor is it always the best option for many patients.

  • Stanton Honig

    Professor of Clinical Urology; Director, Male Reproductive Health Program; Director, Male Sexual Medicine Program

    Research Interests
    • Hypogonadism
    • Erectile Dysfunction
    • Infertility, Male
    • Reproduction
    • Vasectomy
    Clinical Interests
    • Endocrinology
    • Genitalia, Male
    • Erectile Dysfunction
    • Prostatic Diseases
    • Prostatic Hyperplasia
    • Urology
    • Vasectomy
    • Reproductive Medicine
    • Men's Health

    Dr. Stanton Honig is a nationally known expert on male fertility, sexual medicine and surgery. In his large clinical urology practice, he focuses on providing compassionate, personalized care to men struggling with infertility, sexual problems and gender affirming surgery for male to female, in addition to general urology. This involves working with couples that are having trouble conceiving because of male reproductive issues, such as no sperm in the ejaculate, low sperm counts, or blockage of the vas deferens, the tiny tubes that deliver sperm.

    Dr. Honig has been at the forefront of many groundbreaking techniques in urology, including sperm retrieval techniques, medical and surgical treatment of erectile dysfunction, treatment of peyronie’s disease (curvature of the penis) and unique treatments for low testosterone, vasectomy and testis implants. 

    To provide coordinated care for fertility patients, he works closely with reproductive endocrinologists, doctors who specialize in female fertility issues. “It’s so rewarding to help couples achieve pregnancy, and to improve intimacy in couples,” Dr. Honig says. He often tells patients, “as long as we can find sperm, we can help you to start a family. In cases of erectile dysfunction, we can help everyone! It’s just a matter of what treatment you would like to choose.”

    Dr. Honig has more than two decades of experience in microsurgery and is the most experienced fellowship-trained urologist in microsurgery, male reproduction and sexual medicine in Connecticut. He is the past president of the Society for the Study of Male Reproduction (SSMR), a sub society of the American Urological Society. He is currently on the American Urology Association’s (AUA) Vasectomy Guidelines Committee, Center for Disease Control’s (CDC) Male Infertility Working Group and the Male Reproductive Health Alliance.

    Dr. Honig regularly presents at the AUA’s national meetings on the latest developments in his field, and has served as a reviewer on the editorial board of many peer-reviewed academic journals. He speaks widely, lecturing at conferences, regionally, nationally and internationally. He works to promote public awareness of men’s health issues, specifically addressing issues related to preservation of fertility for cancer patients, testis self-examination, and the prevention of male reproductive health issues and has spoken at the CDC on these topics.

  • Daniel S. Kellner

    Assistant Professor of Clinical Urology; Clinician in Urology

    Clinical Interests
    • Urinary Bladder
    • Urinary Bladder Diseases
    • Urinary Bladder Neoplasms
    • Genital Diseases, Male
    • Kidney Diseases
    • Prostatic Diseases
    • Prostatic Hyperplasia
    • Prostatic Neoplasms
    • Urologic Surgical Procedures, Male
    • Ureteral Diseases
    • Urethral Diseases
    • Urinary Incontinence
    • Urinary Tract
    • Urination Disorders
    • Urogenital System
    • Urologic Diseases
    • Urinary Retention
    • Male Urogenital Diseases
    • Urolithiasis
    • Urinary Incontinence, Urge

    Dr. Kellner has been providing urologic care in the Greater New Haven area and the Shoreline since 2005. A graduate of the UConn School of Medicine, he trained at Lenox Hill Hospital in New York City as well as New York Presbyterian Hospital and Memorial-Sloan Kettering Cancer Center. He is board certified by the American Board of Urology.

    Dr. Kellner offers his patients laparoscopic, robotic and other minimally invasive techniques for treating urological disease. He has expertise in robotic surgery for prostate cancer and has instructed fellow urologists in learning this technique. A large focus of his practice is men’s health issues, with a strong interest in helping men manage benign prostatic hyperplasia, also known as BPH.  Dr. Kellner offers several treatment options for BPH, including office-based procedures such as Urolift, as well as several surgical treatments for BPH including TURP (Transurethral Resection of the Prostate), GreenLight Laser treatment, and HoLEP (Holmium Laser Enucleation of the Prostate).

    Dr. Kellner is a member of the American Urological Association and the Connecticut Urological Society. He is featured regularly on the list of “Top Doctors” by Connecticut Magazine.

  • James S. Rosoff

    Assistant Professor of Urology

    Research Interests
    • Hypogonadism
    • Testicular Diseases
    • Urogenital Neoplasms
    Clinical Interests
    • Infertility, Male
    • Kidney Calculi
    • Urinary Incontinence
    • Urologic Diseases
    • Urologic Neoplasms
    • Urology

    James Rosoff grew up in New Rochelle, NY and attended Yale University, earning his undergraduate degree in 1997. He then went on to serve as a Peace Corps Volunteer, teaching science for two years in the West African country of Benin. After the Peace Corps, he worked for three years as a science teacher in Boston.

    James then attended medical school at the Weill Medical College of Cornell University in New York City, earning his medical degree in 2006. He stayed at Cornell for his residency training, which he completed in 2012. From there, James went to Charleston for a fellowship in Urologic Oncology. He joined the Yale Department of Urology in July 2013 and is now based primarily in Greenwich.

    Dr. Rosoff's clinical focus is on the management of urologic cancers and minimally invasive surgery. His other interests include the treatment of male infertility, kidney stone disease, and voiding dysfunction. His research interests include prostate cancer imaging, genetics of kidney cancer, treatment of male infertility, evaluation of minimally invasive surgical techniques as well as urologic illness in the global health arena.

  • Ralph F. Stroup

    Assistant Clinical Professor of Urology

    Clinical Interests
    • Urology
    • Practice Location: York Street Campus
    • Residency: Yale New Haven Hospital
    • Clinical Interests: Teaching Urology Residents quality care of clients in the outpatient setting; focusing on personal standards of excellence in management of medical issues, relating to other and cross cultural sensitivity issues.

    Dr. Stroup is currently the physician in charge of the urology residents’ training clinic held every Monday at the Yale Cancer Center. He received his urology training under the direction of Dr. Bernard Lytton, the chairman of the Section of Urology at that time, completing his training in 1973. Dr. Stroup has more than 40 years of clinical experience in the field of general urology and was in private practice prior to joining the faculty here at Yale.

    Training and background:
    Attended The University of Rochester School of Medicine, 1961-65
    Elected to Alpha Omega Alpha honor medical society for academic excellence
    General Surgery Internship and Residency at Strong Memorial Hospital, Rochester, NY 1965-67
    Medical Officer in the USAF 1967-69. Tour in Vietnam. Awarded the Bronze Star for service
    National Institutes of Health research grant at Yale New Haven Hospital 1969-70 studying basic renal physiology
    Urology Residency training at YNHH 1970-1973
    Private practice as a member of The Urology Group in New Haven, CT 1973-2006
    Created Kenyan Health Care Initiatives, Inc. a non-profit working to develop primary health care infrastructure, clean water, and educational initiatives in conjunction with Maasai pastoralists in Laikipia Districts, Central Highlands of Kenya 2008 to present
    He was asked to join the faculty in 2009 and currently is an Assistant Clinical Professor in Urology
    Member of the American Urological Association Circumcision Task Force traveling to Swaziland 2011 on an HIV/AIDS circumcision project

    Personal philosophy
    Dr. Stroup brings to the department more than 40 years of clinical experience. He is committed to providing quality, timely, personalized care to all regardless of their ability to pay. During his mentoring of the urology residents, he emphasizes cross cultural sensitivity, and the need to be an empathetic, kind, compassionate physician.