Enlarged Prostate? Discover Modern BPH Treatments That Can Help You Avoid Surgery, Catheters, and Recovery Time

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24:00Why daily tadalafil works for BPH, erections & heart health
30:00The pros and cons of alpha-blockers & 5-AR inhibitors




Dr. Robert Caruso

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What if an enlarged prostate didn’t have to mean surgery, catheters, and a long recovery? In this episode, Dr. Geo sits down with Dr. Robert Caruso, board-certified urologist and surgeon at RWJ Barnabas Health, to discuss modern BPH treatments that combine medical precision with a holistic mindset. From vapor therapy to lifestyle changes, learn what really restores a man’s comfort, sleep, and confidence.




Episode Summary:

Dr. Geo and Dr. Caruso go beyond “just the prostate” to explain why urinary symptoms can stem from your spine, sleep, metabolism, and lifestyle—not only gland size. You’ll hear how Dr. Caruso’s Italian “blue zone” roots and 98-year-old mother inspired his whole-body approach to men’s health. They cover everything from tadalafil’s triple benefit (for BPH, erections, and heart health) to when surgical options like bipolar TURP, UroLift, Rezūm, or iTind make sense.If you’re considering treatment for an enlarged prostate—or want to understand your options before surgery—this episode breaks it all down clearly.




CHAPTERS

00:00 Introduction: The truth about enlarged prostate and surgery
02:30 – Meet Dr. Robert Caruso: 25 years in urology and robotic surgery
05:00 – Italian roots, family garden & the “blue zone” lifestyle
07:00 – Lessons from his 98-year-old mother (and her showdown with a bear)
10:00How lifestyle, diet, and movement affect prostate health
13:00Not all urinary problems are from the prostate
15:30 – Hidden factors: spine, constipation, and sleep apnea
20:00 – Case study: Dr. Caruso’s mom, AFib & oxygen connection
24:00Why daily tadalafil works for BPH, erections & heart health
30:00The pros and cons of alpha-blockers & 5-AR inhibitors
33:00 – Natural support: saw palmetto, M-Enatium, and anti-inflammatory herbs
37:30TURP explained: what “bipolar” really means and why it’s safer
42:00UroLift: the 5-minute in-office “curtain holder” procedure
46:00Rezūm steam therapy: how it works and who benefits
50:00iTind: the temporary stent with long-term relief
53:00 – Final thoughts: choosing the right approach for your BPH
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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