Snellville Clinic & Surgery Center
1557 Janmar RdSnellville, GA 30078
Snellville & Conyers, GA
Weak urine stream, trouble urinating or peeing at night?
Trouble urinating can look like a long wait before anything comes out, a thin trickle, or being up again and again after midnight. For many men these changes creep in slowly. Our urologists in Snellville and Conyers find the reason and help you sleep and go more easily.
What might you notice?
- A stream that’s slower or weaker than it used to be
- Waiting before it starts, or a stream that stops and starts
- Straining or pushing to empty
- Dribbling at the end
- Feeling you still need to go right after you finish
- Getting up at night, sometimes several times
What can it mean?
In men, the most common reason is an enlarged prostate, a non-cancerous growth called BPH that squeezes the tube urine passes through. It’s very common with age.
Other things can look similar: a narrowing of the urethra, a bladder stone, an infection, an overactive bladder, or some cold and allergy medicines. Waking at night can also come from drinking late, caffeine or alcohol in the evening, or sleep problems, so we look at the whole picture.
When should I see a urologist?
Make a visit when these changes affect your sleep or your day, when medicine from your doctor isn’t helping, or simply to find out what’s going on. Blood in the urine, burning or a fever are reasons to call us sooner.
If you can’t urinate at all, go to the emergency room.
What happens at your visit?
- We ask about your stream, night trips, fluids and medicines.
- An exam and a urine test, and often a PSA blood test.
- A quick bladder scan shows how much urine stays behind after you go.
- Sometimes a flow test, a look inside with a thin scope, or imaging of the prostate’s size and shape.
- We build a plan around what bothers you most.
Which treatments do we offer?
Simple changes come first for many men: easing off fluids a few hours before bed, less caffeine and alcohol in the evening, and medicines that relax or shrink the prostate. When that isn’t enough, Advanced Urology offers procedures including:
- UroLift, small implants that hold the prostate open
- Aquablation, a robot-guided water jet that removes prostate tissue
- TURP, trimming tissue through the urethra
- HoLEP and ThuLEP, laser procedures that shell out the enlarged tissue
- Robotic simple prostatectomy, for some very large prostates
- Prostate artery embolization (PAE), done by an interventional radiologist at Advanced Urology’s Decatur or Alpharetta location after your evaluation with us; see our PAE page
The right choice depends on your prostate’s size and shape, how well your bladder works, your health and what you want to protect, such as ejaculation. Many of the other procedures are done at our Snellville surgery center.
Where can I be seen?
Prostate visits happen at either location. Call (678) 344-8900 to book in Snellville or Conyers.
Snellville, GA 30078
Conyers Clinic
1366 Wellbrook Circle Suite BConyers, GA 30012
Who will I see?
Urologists who care for an enlarged prostate here: meet the whole team.
Jitesh Patel, MDUrologist · Snellville 
A. Dev Mally, MDUrologist · Snellville 
Moshe Shapiro, MDUrologist · Snellville 
Vik Sabarwal, MDUrologist · Snellville 
Marc Greenstein, DOUrologist · Conyers 
Kushan Radadia, MDUrologist · Conyers
Is there a video on this?
Dr. Marc Greenstein of our Conyers Clinic on the enlarged prostate.
What do people ask us?
Is a weak stream a sign of prostate cancer?
Usually it comes from an enlarged prostate, which is not cancer. The two can exist together, which is why a PSA is often part of the visit.
How often is too often at night?
Waking twice or more most nights is worth a routine visit, especially if you are tired the next day. Bring a two-day record of drinks and bathroom trips; it shows whether the bladder, the prostate or night-time urine production is the main cause.
What does enlarged prostate treatment start with?
For many men, fewer evening drinks and a medicine that relaxes the prostate or slowly shrinks it. If that is not enough, procedures such as UroLift, Aquablation, HoLEP and TURP are next.
Is UroLift an option for me?
It is for many men. UroLift places small implants that hold the prostate open; very large prostates or certain shapes may suit another approach better.
Will a procedure affect sex?
Some can. TURP and HoLEP often reduce or stop ejaculation, while UroLift is designed to avoid that, and erections are usually unchanged. If keeping ejaculation matters, say so at your first visit.
Do women get a weak stream?
They can, though the causes differ: prolapse, a narrow urethra or a bladder that does not squeeze well. A urine test, a bladder scan and a pelvic exam are the usual first steps.
Can I be seen in Conyers?
Yes. Consultations and follow-up can be at our Conyers clinic on Wellbrook Circle. Procedures such as UroLift, HoLEP or TURP are done at our Snellville surgery center.
Where can I read more?
This page educates; it doesn’t diagnose. Every option carries risks and benefits that your urologist will go over.
Ready to sleep through the night again?
Talk with one of our urologists in Snellville or Conyers about what fits you.