Frequent nighttime urination, or nocturia, is one of the earliest signs of an enlarged prostate — a condition known as benign prostatic hyperplasia (BPH). It's common in men over 40 and, in most cases, treatable.
This page explains why it happens and what treatment options are available, including UroLift and Rezum, two minimally invasive procedures offered at Gangnam St. Mary's Urology Clinic in Seoul.
1. Why Nocturia Happens
An enlarged prostate can press against the urethra, preventing the bladder from fully emptying. This means the bladder fills again sooner — often noticed as needing to urinate multiple times at night.
Common accompanying symptoms include:
- Weak or interrupted urine stream
- Incomplete emptying sensation
- Difficulty starting urination
Not all nocturia is caused by BPH. Fluid intake, medications, and other bladder conditions can also be factors, which is why a proper evaluation matters.
2. From Medication to Procedure
BPH is usually treated with medication first. When symptoms no longer respond well, or side effects such as dizziness or reduced sexual function become difficult to manage, minimally invasive procedures are typically considered next.
UroLift vs. Rezum: The Key Difference
| Decision Factor | UroLift® | Rezūm |
|---|---|---|
| Method | Implants widen the urethra | Steam therapy shrinks tissue |
| Tissue removed | No | No (naturally absorbed) |
| Symptom relief | Often noticeable soon after | Gradual, over several months |
| Often considered when | Minimal middle lobe enlargement | Middle lobe enlargement present |
Individual results and recovery timelines may vary. The right option is determined after an in-person evaluation, including ultrasound assessment.
3. About the Doctor
Dr. Jaewoo Seong is a licensed urologist certified by the Korean Urological Association (KUA). After training at Seoul St. Mary's Hospital, he founded Gangnam St. Mary's Urology Clinic, where he now practices independently. He is also an active member of the American Urological Association (AUA), keeping his practice aligned with international clinical standards. The clinic offers consultation, diagnosis, and treatment at a single location.
Location: CK Building 7F, Gangnam-daero, Seocho-gu, Seoul — 1 min from Exit 8, Nonhyeon Station (Line 7).
4. FAQ
Is nocturia always caused by an enlarged prostate?
Not always — but it's one of the most common causes in men over 40.
Do UroLift and Rezum require general anesthesia?
Both are typically performed without general anesthesia; details are confirmed during consultation.
Is a high PSA level dangerous?
Not necessarily. PSA levels vary by age and can be affected by conditions other than cancer.
How do I book a consultation as an international patient?
Contact us through this website with your symptoms and any prior medical records.
This page is for general information and does not replace individual medical evaluation.