What Is Benign Prostatic Hyperplasia
Benign prostatic hyperplasia is a condition of prostate gland enlargement that often causes bothersome urinary symptoms. Enlargement of the prostate can cause obstruction of the lower urinary tract and the subsequent symptoms.
BPH is caused by several factors, including reduced prostate cell regulation, hormonal imbalance , and increased levels of insulin-like growth factors and inflammatory markers.
Natural interventions such as saw palmetto and beta-sitosterol may help keep the prostate healthy to prevent the development and/or progression of BPH.
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Dudley-Seth Danoff, M.D., F.A.C.S. Cedars-Sinai Medical Center Tower Urology
Dudley-Seth Danoff, M.D., F.A.C.S. Cedars-Sinai Medical Center Tower Urology
Dr. Danoff is voted one of the leading urologists in America every year. He graduated with honors from Yale University School of Medicine. He started Tower Urology at prestigious Cedars-Sinai Medical Center over 35 years ago and today it isthe number one urological clinic in America.
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Symptomatic treatment of an enlarged prostate usually involves a combination of medication and lifestyle changes. A diet rich in fruits and vegetables may be the best option if you suffer from chronic urination. It will help the body adjust to the increased size of the prostate. Also, taking regular urination intervals will help retrain the bladder to function properly. Inactivity also contributes to urine retention, and cold temperatures can increase the urge to urinate.
Invasive treatment of enlarged prostate includes medication that relieves the pressure on the urethra and bladder. However, if the condition is severe, it may require surgical intervention. If treatment is not successful, the enlarged prostate can become a potentially life-threatening disease. As the hormone levels in the body change, the enlarged prostate can lead to various complications, including urinary retention and even cancer. This is why it is critical to see a doctor for further evaluation.
A physician can recommend a number of treatments to address an enlarged prostate. An enlarged prostate will require surgery to relieve the symptoms. In most cases, surgical treatment for an enlargement of the penis is enough. Moreover, a doctor may recommend a course of treatment based on symptoms. A TURP procedure is not painful and requires less recovery time than open surgery. The recovery period will be shorter and less traumatic.
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General Information And History
Calcium, the most abundant mineral in the body, is found in some foods, added to others, available as a dietary supplement, and present in some medicines . Calcium is required for vascular contraction and vasodilation, muscle function, nerve transmission, intracellular signaling, and hormonal secretion, although less than 1% of total body calcium is needed to support these critical metabolic functions. Serum calcium is very tightly regulated and does not fluctuate with changes in dietary intake the body uses bone tissue as a reservoir for, and source of, calcium to maintain constant concentrations of calcium in blood, muscle, and intercellular fluids.
To evaluate the association between calcium intake and prostate cancer mortality and morbidity, it may be important to assess objective, biological of calcium, include data that account for nutritional and supplemental calcium intake, and control for other confounding factors. However, studies of the association between calcium and prostate cancer have been limited to nutritional sources of calcium, such as dairy products. Although more than half of the U.S. population uses vitamin and mineral supplements , few studies include supplement use in the association of disease risk, including prostate cancer or mortality rates. For more information, see Prostate Cancer Prevention.
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An enlarged prostate can also be the cause of other problems. If the enlarged prostate is causing symptoms, the best treatment would be a natural remedy. In the meantime, there are treatments for a wide range of conditions that cause a man to experience pain. A common surgical procedure involves an electric loop, laser, or electro-stimulation. The procedure is a safe and effective option for treating enlarged or symptomatic BPH.
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What Therapies Does Dr Weil Recommend For An Enlarged Prostate And Bph
In addition to the lifestyle measures above, Dr. Weil suggests the following nutritional changes and supplements to help address the symptoms of benign prostatic hyperplasia. Keep in mind that it may take at least eight weeks of using supplements before you see improvement of symptoms
- Avoid saturated fats and trans-fats, focusing instead on the healthier monounsaturated and omega-3 fats.
- Eat more soy. Asian men have a lower risk of BPH and some researchers believe it is related to their intake of whole soy foods
- Try saw palmetto . There is clinical evidence that saw palmetto can help shrink the size of the prostate, and it may help promote healthy prostate function. A typical dose is 160 mg of an extract twice a day. Men should inform their healthcare practitioner if they use this product.
- Other herbs and nutrients. Pygeum and stinging nettle root may be helpful in addressing the symptoms of BPH. Green tea extract, selenium and lycopene have also been shown to help maintain and promote normal prostate function.
Diet And Pathophysiology Of Benign Prostatic Hyperplasia
Benign prostatic hyperplasia is characterized by histologic cellular proliferation of the Transitional Zone of the prostate. Multifactorial and age-related hormonal changes associated with BPH may also lead to the development of lower urinary tract symptoms . Dietary factors can modulate these physiological disturbances. For example, bioactive ingredients and high caloric densities of different foods may affect the sympathetic nervous system and increase prostate smooth muscle tone observed in BPH . High polyunsaturated fat content may also increase the risk of BPH by causing chronic inflammation and subsequent oxidative damage .
Anthony I. Zarka, Neal C. Dalrymple, in, 2009
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We know that individual bodies can react differently to the very same compounds. Even though the science and our customer experience shows that ProstaGenix can benefit most men, we realize that results can vary. So, if you’re unsatisfied withthis product for any reason whatsoever after a full 90 days of use, we will return your money 100%, hassle-free and courteously . . . . guaranteed.
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Another type of prostate issue is chronic prostatitis, or chronic pelvic pain syndrome. This condition causes pain in the lower back and groin area, and may cause urinary retention. Symptoms include leaking and discomfort. In severe cases, a catheter may be required to relieve the symptoms. If the problem is unresponsive to other treatments, your doctor may suggest a surgical procedure. If these do not work, your symptoms could progress and become chronic.
An acute bacterial infection can cause a burning sensation. Inflammation of the prostate can affect the bladder and result in discomfort and other symptoms. This is the most common urinary tract problem in men under 50, and the third most common in men over 65. The symptoms of acute bacterial prostatitis are similar to those of CPPS. Patients may experience a fever or chills as a result of the infection.
A bacterial infection can also lead to prostate issues. Acute bacterial infections can be hard to treat. Some men with a bacterial infection may need to take antibiotics to prevent or treat symptoms. Symptoms of the disease include fever and chills, pain in the lower back and the tip of the penis. Some men may have blood in the urine, frequent urination, and blood in the urine. If you suffer from acute bacterial prostatitis, a medical professional should be able to prescribe you the appropriate treatments to prevent the disease.
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No Treatment Or Watchful Waiting
For those with mild cases of BPH, where symptoms are tolerable, treatment may not be necessary. In these cases, the patient must still be monitored to ensure their problem does not worsen. Monitoring involves keeping an eye on the BPH symptoms, the size of the prostate, and regular blood tests. Limiting fluids in the evening, avoiding caffeinated drinks, alcohol, and spicy foods may minimize symptoms.
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Acute Complications Of Turp Surgery
Similar to any surgical intervention, transurethral resection of the prostate gland is associated with surgical complications. The patients doctor will discuss with them the possible risks and ways of preventing in advance.
- Temporary difficulties with urination. In the first few days after the operation, the patient will urinate through a catheter.
- Dry orgasm. After prostate surgery, the direction of movement of sperm during ejaculation changes as it retrogrades into the bladder. The process does not affect the achievement of orgasm, though it becomes an obstacle when planning a pregnancy.h
- Erectile dysfunction. The dysfunction develops when nerve endings are damaged.
- A decrease in the level of sodium in the blood or TURP-syndrome. During the TURP, the operating area is washed with a large amount of fluid, which is partially absorbed into the systemic circulation . The factor leads to impaired blood electrolyte levels and can potentially be a life-threatening condition. When using bipolar resectoscopes, the risk of developing this complication is reduced to zero.
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Disclaimer And Safety Information
This information is not intended to replace the attention or advice of a physician or other qualified health care professional. Anyone who wishes to embark on any dietary, drug, exercise, or other lifestyle change intended to prevent or treat a specific disease or condition should first consult with and seek clearance from a physician or other qualified health care professional. Pregnant women in particular should seek the advice of a physician before using any protocol listed on this website. The protocols described on this website are for adults only, unless otherwise specified. Product labels may contain important safety information and the most recent product information provided by the product manufacturers should be carefully reviewed prior to use to verify the dose, administration, and contraindications. National, state, and local laws may vary regarding the use and application of many of the therapies discussed. The reader assumes the risk of any injuries. The authors and publishers, their affiliates and assigns are not liable for any injury and/or damage to persons arising from this protocol and expressly disclaim responsibility for any adverse effects resulting from the use of the information contained herein.
What Is The Best Natural Prostate Supplement
Total Health for the Prostate contains 21 all-natural ingredients, including beta-sitosterol, curcumin, quercetin, boron, and zinc.
It is the only health supplement that contains clinically significant doses of all the active nutrients your prostate needs.
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Other Invasive Surgical Procedures
Transurethral Incision of the Prostate
In TUIP, the surgeon makes only one or two incisions in the prostate, causing the bladder neck and the prostate to spring open and reduce pressure on the urethra. TUIP is generally reserved for men with minimally enlarged prostates who have obstruction of the neck of the bladder.
TUIP is less invasive than TURP, has a lower rate of the same complications , and usually does not require a hospital stay. More studies are still needed, however, to determine whether they are comparative in long-term effectiveness.
Simple Prostatectomy
In simple prostatectomy, the enlarged prostate is removed through an open incision in the abdomen using standard surgical techniques. This is major surgery and requires a hospital stay of several days. Simple prostatectomy is used only for severe cases of BPH, when the prostate is severely enlarged, the bladder is damaged, there are many stones or one large stone in the bladder, or other serious problems exist. Some people need a second operation because of scarring. Side effects of simple prostatectomy can include erectile dysfunction and urinary incontinence. This surgery can be performed through an incision in the lower abdomen or keyhole incisions for robot-assisted laparoscopy.
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Summary And Quick Facts For Benign Prostatic Hyperplasia
- Benign prostatic hyperplasia is a condition of prostate gland enlargement that often causes bothersome urinary symptoms. It primarily affects older men: about 25% of men in their 40s have BPH, but this increases to more than 80% between the ages of 70 and 79.
- This protocol will discuss the underlying causes of BPH and review conventional treatments along with their drawbacks. In addition, we will review several scientifically studied natural therapies that may ease BPH symptoms, as well as an innovative medical therapy that may provide relief to BPH sufferers who have failed to respond to conventional therapy.
- Natural interventions such as saw palmetto and beta-sitosterol may help keep the prostate healthy to prevent the development and/or progression of BPH.
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Common Herbs And Supplements For Prostate Health
Harvard Health estimates that about one-third of American men with prostate cancer have turned to at least one form of alternative treatment with supplements and herbal remedies. Some of the most widely used supplements include:
Saw Palmetto This one ranks near the top because its used for a variety of urological issues such as patients who have an enlarged prostate gland . Most people tend to take about 320 milligrams each day. Some studies say it can help with urinary incontinence, but some research suggests saw palmetto doesnt really do anything. Some men take this herb along with melatonin supplements in the hopes that it will help slow down prostate cancer from spreading. However, you run the risk of bleeding if this herb is taken along with pain relievers like aspirin, naproxen, and ibuprofen.
Lycopene This naturally occurring antioxidant is found in high concentrations in your bodys prostate cells. Its commonly found in cooked tomatoes! At one time, studies suggested that taking lycopene twice daily could help decrease prostate cancers growth rate and prevent cancer. However, those findings were refuted years later.
The Most Common Supplements
The best-studied, most commonly used supplements to treat BPH are:
- Beta-sitosterol
- Rye grass
- Saw palmetto
Beta-sitosterol: This is a substance found in many plants. It doesnât affect the size of the prostate, but it may help your bladder empty and give you a stronger urine flow. It may improve other BPH symptoms as well.
Studies with Harzol and Azuprostat, two supplements that contain beta-sitosterol from South African stargrass, have shown particular promise.
Pygeum: This comes from the bark of the African plum tree. It seems to help some men with BPH wake up less at night to pee, go fewer times during the day, have a stronger urine stream, and empty their bladders better.
Rye pollen extract: This substance may improve a number of BPH symptoms, such as:
- Dribbling after you finish peeing
- Having to pee often throughout the day
- Having a weak urine stream
- Having an urgent need to pee
Some research shows that it may also shrink the prostate, give you a better flow, and help you empty your bladder.
Saw palmetto: This is a short tree that grows in North America. Some small studies have shown a benefit. However, several large studies do not show that saw palmetto reduces the size of the prostate or eases urinary symptoms. Men may try it hoping to relieve common BPH symptoms such as:
- You have a hard time getting pee to start
- You must go often throughout the day
- Having a weak stream
- Having an urgent need to urinate
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Supplements That Show Promise
Other supplements show hopeful signs of helping in studies so far, but thereâs less research on these than the more common options.
Pumpkin seeds: These and pumpkin seed oil extract seem to help with BPH symptoms and may shrink the size of the prostate. It may also be helpful when used along with other supplements such as saw palmetto.
Stinging nettle: This is a type of herb, and its root may help with urine flow and waking up a lot at night to pee. Itâs sometimes used along with other supplements to treat BPH symptoms.
How Is Bph Diagnosed And Evaluated
Early diagnosis of BPH is important because if left untreated it can lead to urinary tract infections, bladder or kidney damage, bladder stones and incontinence. Distinguishing BPH from more serious diseases like prostate cancer is important.
Tests vary from patient to patient, but the following are the most common:
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