For most of modern urology, a man with an enlarged prostate faced a narrow set of choices. He could live with worsening symptoms, take medication for the rest of his life, or undergo a major operation that carried real risks to urinary and sexual function. That trade-off, manage it with drugs or accept the side effects of surgery, defined the field for a generation. It no longer does.
Dr. Jitesh Patel, the board-certified urologist who founded and leads Advanced Urology in metro Atlanta, has spent his career at the point where that older model broke down. He earned his medical degree at Temple University School of Medicine and completed a six-year surgical residency at Thomas Jefferson University Hospitals, where he served as chief resident and trained in robotics, laparoscopic surgery, and endourology. Over roughly two decades in practice, he has watched the treatment of benign prostatic hyperplasia, the clinical name for an enlarged prostate, move from a blunt instrument toward something far closer to precision medicine.