I do resistance training and walk daily a couple miles. One cup of coffee in morning. No alcohol. Intermittent fast 16/8. Tried low carb but it makes me feel like crap. Have enlarged prostate for many years. I’m 61 now. Had prostatis a few times, but have been able to resolve with antibiotics so far. Thank you for the education on this video. Very informative!
Hi Dr. Great video. I am 65, had BPH, tried Flomax and diet and finasteride, all to no EFFECT. After 2 years of trying and up to 6 times per night getting up, my Dr and I decided on Urolift and viola. I had immediate benefit, my first urination after surgery was my best void in many years. It has been over 2 years since and I am still very pleased, rarely have to get up during the night and when I do,only once. I'd do it again in a heartbeat!
Thank you for sharing. I had a cystoscopy last week, hurt like HELL!! My Urolift is scheduled for next Friday and I enjoy hearing your success story. I'm 60.
Great Dr. Thanks for the elaborate information. I am 62. My prostate size was 46 gm. I reduced it to 26 gm in two months by using: 1. Saw Palmetto 500gm capsule daily. 2. Corn silk tea. One cup daily. 3. Kiegel. Exercises Stay blessed
Enlarged prostate for 25 years. Tried everything. Best remedy by far has been to keep hydrated. I drink plenty of water all day, including in the evening. Typically get up to void once a night.
Very informative and comprehensive discussion on BPH. My urologists simply don't have the time (or desire?) to fully explain the options available. Your presentation is absolutely necessary to make an effective decision. It took me several years to arrive at my decision going forward. It would have been a lot easier to see this video long ago. In any event, I'm going for the hoLEP procedure next week. I believe it would be the gold standard considering my condition and the size of the prostate lobes growing into the bladder. I'm fortunate to live in an area to find a doctor qualified to to perform hoLEP. (Only a single doctor within the UCLA system is qualified.) Afterwards, I'll be totally off medications which are mostly ineffective.Thank you for this video. More doctors should take advantage of social channels!
You forgot Pumpkin Seed Oil. Did my research, then used 1000 mg with a meal once per day and it did the trick for me in correcting the stop-start urine flow thing. Took about 3-4 months to fully kick in, and has worked beautifully.
Sadly, doctors will not tell you secrets like that. They like to push prescription drugs. Couple of years ago I was having some blood pressure issues and my doctor wanted to put me on meds. I did a little research and found L-Arginine. Picked up some over the counter and two three per day. Went back to the doc and no issues. She said what did you do? I said something you know but will not tell. I left without telling her. :-)
I have used Saw Palmetto for a while but I don’t feel any different and one of my urologist doctors that work with him told me about pumpkin seeds but I will try the Pumpkin seed oil and see if it will work for me., thanks for the information. And also many thanks to Doctor Malik for all the great videos.
I solved my prostate problem a few years ago by having a simple robotic prostatectomy. I had 86% of my prostate removed. I am now shooting blanks but still shooting. It got to the point that several times I could not urinate at all and had to go to the emergency room to have a catheter inserted. My advice, take real action instead of "living with" the problem which I did for too many years.
Dr. Malik I just wanted to say I really appreciate the apparently-comprehensive coverage of this topic! I expect I'll be undergoing some type of surgery at some point in the future, and my urologist has already suggested Urolift, which she offers. You introduced a few treatments I hadn't even heard of before, and I like to know all my options. Thank you!
Questions you will want to ask your doctor/surgeon before you have prostate surgery 1. How long will it be before my symptoms get better? ( Can be up to 3 months ) 2. How long am I going to need a catheter? 3. Am I going to need to spend the night in the hospital? 4. What is my chance of sexual side effects? (i.e retrograde ejaculation or erectile dysfunction ) 5. What is the probability that I might need surgery again? Great video!
I went plant based 3 yrs ago at 62 and gave up dairy, 5mg cialis daily for BPH / prostate cancer . I check PSA regularly and it’s been 0.7 for 20 years … do worry that primary no longer does a digit test for prostate … I guess I’ll have to see a urologist … with small fingers. Unfortunately being British I have to have a mug of tea at 9pm which doesn’t help with peeing during the night .. especially as I wake up with morning glory .. but .. luckily I can just go outside and pea without worrying about aiming … it’s also extremely satisfying .. lovely arcing stream .. like being a kid again.
I’m in a group of people there are Kaiser patience Prostrate cancer group and yes nothing talk about this Rena give a class To the group in the Napa Ca
Thanks for the info. Knowing m enlarged prostate is not from BPH but another issue and different procedures available to help reduce the size helps. Also knowing what's happening with ejaculation going back into the bladder very helpful.
@@dandettmann595 actually no on that one. Prostatitis through direct extensions. Inlarged prostate because it's INFECTED. actually called BACTERIAL PROSTATITIS. Not any fun when pushed out in the body. Sepsis also not fun. Will say be careful who you go to for medical issues nowadays.
Hi, Love your video; by the way! I'm 69 and I'll be 70 in Nov. One thing I can say that really help was going whole food, plant based. I really no longer have that problem. It also cleared my sinuses; that's another subject. This is something that should be looked into. Peace!
I've had some sinus benefits from reducing my dairy intake, to zero for about 18 months then just some cheese and yogurt these days. My diet is mostly veg/vegan , occasional fish, and I have a pretty active job and lifestyle but haven't noticed any urinary benefits from this myself, though likely a number of factors at work anyway. I agree that diet, exercise and state of mind are areas worth looking at for this too. Great video and channel.
The big elephant in the room you do not even talk about is DIET. Dairy is a big cause of prostate enlargement because of the female hormone oestrogen which causes enlargement of the prostrate. I cut out dairy and now I can pee like a water cannon. Also a diet high in sugar and carbs causes high insulin levels which also contributes to prostrate enlargement. Cut out sugar and eat a diet low in carbs will cause a marked easing of difficulty peeing. Finally fasting is a great way to stimulate reduction in prostrate size and ease peeing. For me when I fast for 24-36 hours I can pee so much more easily after 12 hours and beyond WITHOUT having eaten. Also when you do eat, eat lots of green cruciferous veg such as broccoli, brussel sprouts, cabbage. Beetroot is good too. Also nutmeg for relaxing smooth muscle. I would change diet FIRST before doing drugs and certainly contemplating surgery. I did take the drugs several years ago but they were useless. Diet and exercise is the best. Sitting down for long periods is NOT good either. Most doctors just want to prescribe drugs and carry out invasive surgery as they have financial incentive to do so. Diet and lifestyle first!
Unfortunately doctors don't get any money if one can handle things with diet. A bit of a conflict of interest. Fortunately quite a few doctors are realizing that traditional medicine doesn't work and they are trying to find answers.
These are great things to try before drugs and surgery. I noticed great results from taking DIM as well. Found good natural advice from Dr Berg as well.
You are wonderful! I have learned more in eleven minutes than I have learned in 20 years. Why are most urologists not as clear as you? Mine have been male, are men afraid to talk to other males about their penis and sexual side effects from having a damaged prostate? Who knows, but I am going to go through all of your videos so that I can become better informed and know what to ask my MD about my prostate issues.
Saw Palmetto has been my go to for years ! At 70, my PSA number was 1.5, and prostate size was in the normal range for someone less than 50 years young. Thanks for sharing XD
@@Detailguy101 What side effects? I've taken higher doses (more than brand recommended) with no side effects. In researching the topic I found only one reference to some guy anecdotally saying it tanked his drive. But as others on the forum noted, there were many unaccounted factors to could have been responsible. I suspect you got wind of this one 'report', that can get repeated and referenced more than once elsewhere.
Did you have BPH before you started the Saw Palmetto? I'm trying ProstaGenix which criticizes the Saw Palmetto and emphasizes the plant sterols...especially the Beta Sitosterol. They pretty much refer to Saw Palmetto as being ineffective and more or less a scam. That's the supplement that the late great Larry King swore by and referred to it as the miracle pill. A famous legendary urologist from Caesar-Sinai in LA also swears by it, uses it and it's part of his regimen for his patients.
Very smart, informative, & knowledgeable of symptoms, effects & side effects of treatments & procedures, and informative, this applies to all of your videos Dr. Malik, God bless you.
Finasteride was fairly effective for me, but it also turned me into a eunuch.The Urolift did not help me, but aside from needing a catheter for three days it wasn't a terrible experience. It did not hurt sexual function. One procedure urologists don't mention is prostatic arterial embolization where tiny beads are inserted through a catheter in the arm or leg to block the blood flow to the prostate, causing it to shrink about 30 to 40 percent. It is done by interventional radiologists. It is currently considered an experimental procedure for prostate reduction but it seems to have promising results with minimal discomfort and no effect on sexual performance. It normally does not require a urinary catheter and is done as an outpatient. Improvement in urine flow generally takes a couple of months to appear.
@@code_6 Hopefully the finasteride will keep your prostate growth under control with no further action needed. Up four times or more a night is no fun, hope you are getting some rest. It is very frustrating. I had a PAE three weeks ago (I'm also 67). The procedure went very smoothly, very little discomfort. But, unfortunately, to this point I have not seen any improvement and I am still getting up often each night. The prostate is supposed to continue shrinking for up to a year, according to my doctor, so hopefully I'll soon get some relief. Best of luck to all of us dealing with big prostates!
My go-to "treatment" for a long time was Bell E-Z Flow Tea. Worked every time. I just ordered two more boxes, to deal with recently recurring symptoms. But this always cleared up what ailed me.
are you serious , Bell E Z Flow Tea , is that real tea I can get in the US ? I love the doctor , she's fantastic but she's making nervous talking about surgery ...
Great summary, thank you! A few questions about the HoLEP procedure if I may: 1) Why do they cut into the bladder sphincter and put all the prostate tissue up into there, then use a 'morcellator' to remove it afterwards, rather than leaving the bladder alone and just removing the tissue down through the urethra as it is cut out of the prostate? 2) Why do men usually recover bladder function after this surgery, but not always normal sexual function? 3) Isn't there some way to accomplish the laser enucleation of the prostate - or, use another type of treatment or procedure for large prostates that will preserve normal ejaculation? 4) One more question: Are surgeons using factors such as the speed of the surgery, the amount of bleeding afterwards, and the overall recovery time as their measurements for "success" rather than subsequent sexual function? If so, who is driving this?
Recovering currently from my second TURP in two years. They have removed 124 grams of prostate so far. Good news is no cancer. Been told I certainly have a extremely large prostate. Finally peeing much much better.
Flaxseeds sprinkled on your food, magnesium tables can help with Frequent Urination (FU). Urolift seems to be the most popular and successful surgery right now .
Im almost 60 and had history with BPH. Oh boy...i suffered, until i added some stuff to my diet and really, but really solved my problems with it. Grapefruit juice (PLEASE, NOT THE BOX, BUT THE ACTUALLY FRUIT), one glass every morning the first thing going down your throat. Second, pomit T and crusera, look for it. I also included daily, spinach, kale in my salad. Im happy now, problem solved....
I take stinging nettle (root) (500mg 2x daily) and this helped me from having to go so all night to only once or twice. Saw palmetto (from Swanson) did not do anything for me so I don't take it anymore. Maybe I should have tried another brand. Also taking pygeum (bark)(250mg 2xdaily) and pumpkin seed oil (1000mg 2x daily). (All the these are from Swanson as well.) I understand that walking and other leg exercise helps because of the improved blood flow. When I sit too long have noticed that the symptoms get worse sometimes! So I walk and climb stairs regularly now, so much better.
I tried saw palmetto alone and it did work. I've tried 3 different brands, e.g. some had different minor co-factor ingredients in addition to the saw palmetto. However, at first the saw palmetto did not work but I was only taking the recommended dosage, e.g. 1-2 caps twice a day. But as soon as I started taking like 4-5 cap of any brand, 2-3 times a day then I got results. Some nights now I don't get up at all(70% of time), but if I do, it now is only once. Also, my urine flow is at a good strong flow when I do go about 80% of the time. I'm going to stop taking the saw palmetto soon and see if I can maintain my current 'status' with some minor changes to diet only. Ironically I still have some stinging nettle (root) on hand I could take too but just haven't gotten around to taking it. It's good you mention root because I've noticed there are many stinging nettle caps being sold that use leaf. I guess from your research you already know it should be root - I have an ayurvedic text that describes nettle root as the part to be used for prostrate(as a side note, since true ayurveda goes by balance of doshas not treating symptoms).
Dr. Malik Outstanding presentation! Good point. Since changing to a modified vegetarian diet -90% veggies and 10% animal proteins). Note, cutoff all processed meats (cold cuts) and meats with hormones. Also cut soy and soy products. Main source of protein is goat cheese, salmon and lamb. I have noticed a significant improvement with my urination. Agree, you also need to reduce high sugar diet and processed carbs( chips, donuts, junk food). And last but not least- workout 3-4 times a week to burn calories, improve muscle tone and do a regular form of cardio (swim, walk, bike, row, hike, run),and also fast. Bty, life is too short, have a cheat meal of what you like, every one to two weeks.
Mine, you're great, lady! i wish i had gotten such detailed and the point informations from my urologist. i would have, for instance, avoided allergy medication, for, you are right, when i such meds, urination becomes uncobtrolable. Thank you.
I find that sustaining regular vigorous exercise for at least 30 minutes 3-6 times a week, improves this condition within a few weeks of beginning regular exercise.
Comprehensive, timely and useful information. I've been on Finasteride and RapaFlo for years. Very little improvement. I guess I'll consider surgery now that I've seen your review of the procedures and risks. Thanks
The two medications that have helped me most with my BPH are Tadalafil and Doxazosin, as mentioned in the video. They're wonderful! They also help make things much better in the bedroom, if you know what I mean. ;)
I'm not sure which one of the surgeries my urologist performed (two weeks ago). He called it robotically assisted prostatectomy. He told me that I definitely needed this surgery as opposed to the TURP. He went through the bladder and removed 80% of the prostate, and said the size was larger than 90% of all prostates. I definitely prefer laparoscopic to open surgery, so I am glad I only have two little slits that are healing up. Urinary function seems okay now, with little post op discomfort.
Thanks for your great channel, Rena! I'm a professor of neuroscience and find your videos to be really informative and easy to watch. Not once have I experienced Rena(l) failure. Get it? Sorry. Thanks again.
Dr. Rena, As always excellent video! You are authentic, open, engaging and a very interesting woman. Thank you so much for addressing male health issues. Wishing you and your family a Happy New Year 2022!
Hi Dr. Malik! Even as a German I am enjoying your videos. What do you think about PAE? This is a fairly new treatment with good results. Would you recommend it to your patients? Best wishes, Franz
BPH caused me to have UTIs, CKD, Bladder Stones, Sepsis, and hospitalized twice. I had TURP surgery. The surgery and/or the post surgery medications (Avodart and Flomax) killed my sexual function. I had to have a catheter twice for a month each time.
Damn, you've been through a lot. Just watching this video made me feel faint- I'm getting old and hate it. Libido is fading anyway, so that's a big concern but not a deal breaker- it's the pain.
Symptoms of an enlarged prostate include: finding it difficult to start peeing. straining to pee. having a weak flow of urine. "stop-start" peeing. needing to pee urgently and/or frequently. needing to get up frequently in the night to pee. accidentally leaking urine (urinary incontinence)👍
57 here with diagnosis of prostatitis through direct extension. Total loss of hair on legs only over two years. Some regrowth after procedure that messed up reproductive system. Hair above hip bone grows all the time in including head.
@@markkirk2129 , Now that you mention it, I do have a loss of hair on my legs. However I’ve contributed it to always wearing long pants when in public no matter how hot it is here in South Florida and having my knees in the breeze riding my motorcycle. 4 weeks ago I underwent a medical procedure removing two large bladder stones and been recovering ever since passing blood and blood clots when I void. As of last night after passing one of the largest blood clots so far, there’s less blood in my urine since.
Hello, your videos are very informative and quick, thank you for taking the time to explain all these options. I'm 50yo, with BPH, and considering Rezum, because I'm tired of taking tamsulosin, and retrograde ejaculation. However, I don't like the idea of using a cathether, however the benefits outweigh the sacrifice, and I'm getting a biopsy done first to be clear for the operation, and then Rezume my prostate. I'm scared, because I don't want to lose my ejaculation power, or have any other side effects, I want to remain fertile so this is probably one of the safest procedures with min side effects. I considered the urolift but I heard it's short lived and Rezum will last longer. So my question is: Do I wait until my prostate gets so bight the no medication works, or should I do the rezum now, and get it over with.
I have prostate inlargement and also diagnosed with prostate cancer the the doctor gave me two options one is radiotherapy or surgery to remove and try to srink the prostate, but I told them I don't want both, I will get rid of it myself, he respects my decision and told me to monitoring me every two get blood test,. Two months later I got my test results it down, I also no trouble sleeping at they also makes me do micro scanner and the results showed no signs of the cancer. I think the foods that we eat is bad, we shouldn't eat meats specially red meat and for cancer stop eating sugars sweets, it's been almost two years now I am feeling much much better, and I know it's works
Dr Malik I probably should say I like how you explain things and trust your knowledge.i don't believe much on the internet but you seem very different from most so that's why I asked for help .
Great video and finally you addressed this subject. TY. You want questions? What about diet and exercise, can any of this help with symptoms or reduce BPH in the first place? Does long sitting in a chair or prolonged bike riding effect, irritate prostate, BPH symptoms? Is there a certain way to pee for best emptying of the bladder with BPH? Can this ever go away on its own or is it just inevitable to get worse and worse over time?
@@donholmes3267 that’s not what my family doctor told me, he said to stand up and pee, which I’ve compared to sitting down position, and standing won. I guess our anatomy is very personal.
Good questions! One you could have added was, do any of the numerous prostate supplements work? Those that emphasize with ingredients such as Saw Palmetto, nettle, pumpkin seed oil , pygeum, etc...and those that emphasize on plant sterols, such as Beta Sitosterol, etc. I'm attempting to correct my BPH, which includes acute urine retention with a combination of prostate supplements, diet, exercise and non tobacco use. But I'd sure like to hear from some folks that have found success in that type of regimen without Big pharma drugs and/or surgery.
Your classes are really awesome dr. Please do a big video on bpH with understandable English for global audiences with pros and cons and exercises like physical and yoga without medication and surgery and food restrictions please. Thank you dr 🙏🙏🙏
why hasn't an electronically remote controlled stent valve yet been invented? With one of these inserted into the urethra, and a remote handset to lift the stent open, you can "dial - a pee " shall I write an abstract for the Patent ?
Thank you for info about SawPalmetto. It has helped me, but traditional medicine and big pharma are NOT allowed to admit this. Thanks for breaking rank and telling it like it is.
Yes! I want my powerhouse back. I don’t want to just try and delete DHT after it’s been created,I want to prevent it from being created. Until they discover and confess the reason,I’m just gonna do autophagy fasting.
Yep this a major omission of this video. Failed to talk about diet at all. Cut out dairy (oestrogen), sugar and eat a low carb diet (reduce insulin production). Eat a healthy diet lots of green cruciferous veg and do some exercise. Don't spend all your time sitting down munching on crap processed foods which is bad for the prostrate. Also intermittent fasting and autophagy is very powerful at restoring your immune system and shrinking the prostrate. I know as I did this having had big problems peeing for a few years. Now fine. Most doctors only want to prescribe you drugs or carry out invasive surgical procedures as they make more cash if they prescribe or operate, but not if they suggest modifying your diet or lifestyle.
Please discuss natural and or do it at hime remedies: Diet, exercise, stress relief. My diet adjustment included no sugar, no starch. I lost 34 lbs,,, lost inflamation, gained all my organ body healthy funcions. Exercise was three workouts per week monitored by pilates trainer. My prostate health has improved over two years. I am 71 + yrs ...
I justhad a T.U.R.P. operation after having to wear a catheter and collection bag for 11 months. The monthly catheter change at a nursing clinic was very unpleasant until they found I need a special catheter called a cude type. It has a small curved tip on the end of it that makes it skide through the swollen prostate gland , easier. Much less discomfort. Then one day after ten months of hell, I had a serious blockage and could not clear it myself by inject 50 ml of saline solution. I ended up in an emergency department, with a full bladder that could not empty. I was in agony. I could not drive my car to the hospital due to the pain, and had to call an ambulance. I had to wait two hours in emergency. When they nurse finally saw me she drained my bladder, and there was a LOT of urine in their. Talk about relief !!! Then she inserted a new catheter. I asked, "Is it in ?" The nurse smiled and replied, "Yes, it's in." I was surprised. The first time I never felt any pain nor discomfort with a new catheter going in. She had used a silicone catheter ! What a remarkable pain free difference ! The nursing clinic where I went for monthly catheter changes did not carry silicone catheters. I was awaiting urologic surgery all this time, which was backed up due to Covid. Two months ago I went into the hospital, and was operated on. They put me under with gas, and stuck a miraculous instrument up my urtethra and into the blockage in the prostate where the urethra was being pinched and compressed. That instrument had a camera, a cutting tool, and an electro cauterizing tool. The urologic surgeon cut through the urthra and scrped and removed tissue in the prostate. That would give the urethra adequate room to let urine flow properly like it used to. The operation was a complete success. I was out of the hospital in excellent shape after one night (26 hours. There was never ANY pain nor discomfort after the operation. It was a BREEZE ! I did have blood in my urine the next day and it continued for almost four weeks and diminsished over that time period. The urologist explained that the blood in my urine was completely normal and would eventually disappear, which it did. I am back to normal. However I do have a bit of a problem reaching ejaculation, otherwise I am in perfect shape. I hope this calms an anxiety for anyone out there scheduled for a transurethral prostatic resection. Seven moths ealier I had a prostate biopsy which I made them put me me to sleep for. They puncture your rectum to get at the prostate. I was worried sick about a diagnosis of prostate cancer (I am 64) No cancer....benign. I am still celebrating !!!
Your VDOs are always very interesting, the way you explain complicated medical topics to an ignorant like me is always very simple, accessible & efficient. Meanwhile sometimes, your speech rate is way too fast for me(& maybe to others?), though I will suggest you to enable subtitled medical words, lasting long enough, so it gives readers enough time to read & decipher. I strongly recommend people (at least those interested & maybe concerned) to subscribe to your content. Competence, objectivity makes it very valuable & not the least, it’s a free way to save yourself a visit to your practitioner just to get your unanswered question’s anxiety relieved. I am a 65 years old male and I learned a lot, thank you.
My doctor recommended a new procedure developed in New York but not well know. It involves putting shunts in prostate arteries to limit blood flow. This slowly causes the prostate to shrink in size, but does not stop it from functioning. Please give your thoughts on this method.
As a guy, the thought of surgery or whatever doesn't phase me in the slightest if I needed it. It is the thought of urinary catheterization (if that is the word) that scares the hell out of me. I don't know if it is a phobia or something, but the thought of it just puts me totally on edge. I could see myself avoiding surgery/treatment etc, just because of that aspect. Yet it is treated as so matter of fact, that I wonder do Doctors even realise people are afraid of this aspect? Are their any other options? Tube direct to the bladder or something? Like I say this would be the major hurdle for me with any sort of treatment.
It sounds traumatic but if its done gently and with lubrication, it is not that bad. The thought of anything being shoved up your pee pee feels painful. It is not that bad.
I had an enlarged Prostate. My PSA had been between 11-12. I used Flomax, Finisteride, and Cialis. 3 biopsies, showed no cancer. Last Aug had a Holmium surgery My PSA is now .455. I have had erection problems for years. Any suggestions what would work? I am 75 years old. I love your presentations.
Whenever I go to the bathroom I play "rain & rolling thunder" soundtracks and it helps you completely relax your bowels & bladder and empty everything.
Can they grow new prostates in the lab yet with your own genetics, and surgically implant them if you need a new prostate, or do they do prostate transplants for people who need a healthy prostate who don't have a good prostate anymore, and then they can get a good prostate gland from a donor?
Great topic, but really hard to cover that much ground in a short video. It seems to me that most lay people who are unfamiliar with medical terminology may not comprehend what you're describing in terms of surgeries. For example, your description of Urolift as using a suture to lift the prostate does not fit well with my understanding of the Z-shaped stainless wires that attach the urethra to the exterior of the prostate. Similarly, describing "water vapor" for Rezum is also vague. "Steam ablation" would be better. If you said "steam is injected thru a tiny needle that heats and kills off prostate tissue near the urethra", I think people would understand this option better. Perhaps a single video on "surgical" options would give you time to cover these in more detail.
I've seen four different urologists and not one of them told me how diet and lifestyle can affect The prostate and frequent urination. I lost about 15lbs off my gut and the number of trips to the bathroom per night was cut in half. I had to learn that on my own. Years of going to urologists not one of them told me this was even a possibility. Doctors care only about making money which means surgery and medications.
I have BPH and I wish my Dr would have told what it would be like after the surgery. Like letting me know that my sperm was going to go back in my bladder.Thanks so much and I know this will help other gentileman.
Pumpkin seed oil, pomegranate juice and a supplement containing pine pollen and beta sitosterol has kept my enlarged prostate under control.PSA reading dropped from 6-4 in 2 years at age 69.Gotta stick with it though and not give it up after just 6 months.
Any particular prostate supplement you have found that seems to be working for you? Also...I'm considering buying some pumpkin seed oil to take along with the ProstaGenix supplement I'm taking now since it doesn't contain the highly recommended pumpkin seed oil...and the fact the ProstaGenix company attempted to sell me a pumpkin seed oil supplement when I ordered the ProstaGenix from them. Protagenix has the largest dose of plant sterols including the Beta Sistosterol of all the available supplements. 1,050 mg's of total sterols and lab proven.
She didn't mention anything about diet. Hyperinsulinemia is the root cause of BPH, and the proper diet, like keto., will help prevent BPH and helps reduce the prostate size after several months on the diet.
Excellent description for the lay public Dr. Malik, I wish to respectfully add that there is good reasons to take heart is that at least a third of the cases of mild to moderate BPH would give no grief and on top of that after about a decade or so (some times sooner) the BPH goes away as the prostrate shrinks in size on its own. A somewhat sinister news is that because both BPH and cancer of prostate are common conditions in many cases the less malignant prostate cancer can be hidden in the BPH. If there is some suggestion of cancer from blood in the urine or from ultrasound, it might become necessary to do a prostate biopsy. But biopsy is hit and miss so the best course of action could be taking the whole prostate out and have pathologist take a look at the gland thoroughly. The trouble with the prostate removal is that in many cases the man would be rendered impotent. There is plenty of wisdom in trying to guard against prostate cancer and BPH starting in second and third decade through having a robust sex life or keeping up a high orgasm rate of between 10-20 per week. Having multiple partner is associated with prostatitis and BPH which seems to make a case for monogamy and refraining from casual sex and promiscuity. But it seems to be fine to practice swinging as they regularly use condoms. It is good idea to try to escape genital herpes but that is easier said than done because its dissemination remains bit mysterious.
I was on 5mg of finasteride for an enlarged prostate. After 2 weeks I started to have pain in the prostate area which persisted. So, I went off the finasteride and live with the symptoms.
This is fascinating, thank you for laying this all out like this. I was wondering if the Bilateral Hydronephrosis can be a "ROOT CAUSE" of high blood pressure?
Urologists don’t have a clue about Prostatitis hence not even mentioned as a cause,and this is very common in men . Same symptoms as Bph but pain in the prostate as it’s inflamed and mainly not from an infection even though most urologists prescribe antibiotics for it even though as no bacterial infection present do not not work at all . Very poorly understood prostatitis is,I’m in England Uk
I’ve been prescribed two regiments each of two different antibiotics with no improvement in the last couple years. Overall I’ve lived with periodic prostate pain since my mid 20s, and I’m 46.
Hey gents, Mee Too. I've suffered with chronic bouts of incontinence, for years, including the plague of dribbling. I'm 70 yo, and have had these urinary problems which I think stem primarily from spinal stenosis and other spinal related malady of degenerative disc disease, and scoliosis , all affecting the central and Peripheral nervous systems. This doctor Rena is very good at describing the problems of BPH, / Prostatitis. My PSA has always been in 2 to 2.4 range. However, two weeks ago, after feeling intense burning while peeing at waking in the morning, prompted me to go to Urgent Care the next day. Urine dip tested as showing an infection. So prescribed Cepro and Tylenol for the pain and fever (which varied from 99.5 to 101. After 4 days, pain and burning subsided, but urinating has become more problematic. So off to Urologist for the dreaded battery of bladder tests. Blood showed a PSA Jumped to 22.5!!! Initial prostste exam revealed not to have an enlarged prostate. The NP prescribed Flowmax ( Tamsulosin), and Phenazopyridine. I have NOT taken either. Dr. Rena, like all non holistic doctors simply prescribed drugs to treat the symptoms, not attack the cause. I'm going to through these tests, but I am going to try natural supplements approach. Another poster here who has become embattled in media fencing about diet do indicate to stop all caffeine, eliminate sugar and carbs, and eliminate Dairy!! Include Saw Palmetto, Stinging Nettle, black pepper, Pumpkin seed oil ( which I heard of before but never tried). I guess it can't hurt . Once you start Flomax, you can't stop , like statins. Bottom line is Look at any possible spinal related issues you may have. FYI, check out cervical instabilities on YT , Caring Medical YT Channel. All the nerve pathways flow down from the brain stem and cervical spine, affecting so much in your body including bowel and bladdel. Stay well.
I heard constant heavy lifting, for work, mostly, cause enlarged prostate. Is it true, doc. I work as stocker at W..mart. I'm required to be able to lift about 50 pounds of weight for 10 feet. I'm pushing 50 now. I try not to bend over to lift anything, even small box about half pound. So far no incident, knock on wood.
I do resistance training and walk daily a couple miles. One cup of coffee in morning. No alcohol. Intermittent fast 16/8. Tried low carb but it makes me feel like crap. Have enlarged prostate for many years. I’m 61 now. Had prostatis a few times, but have been able to resolve with antibiotics so far. Thank you for the education on this video. Very informative!
Hi Dr. Great video. I am 65, had BPH, tried Flomax and diet and finasteride, all to no EFFECT. After 2 years of trying and up to 6 times per night getting up, my Dr and I decided on Urolift and viola. I had immediate benefit, my first urination after surgery was my best void in many years. It has been over 2 years since and I am still very pleased, rarely have to get up during the night and when I do,only once. I'd do it again in a heartbeat!
Try homeopathy. You won’t regret.
@GunZoR try homeopathy before u go for any invasive option mate
Thank you for sharing.
I had a cystoscopy last week, hurt like HELL!!
My Urolift is scheduled for next Friday and I enjoy hearing your success story.
I'm 60.
Flomax..no effect..
No diary .cheese included...
Shoving a viola up the urethra sounds painful 🤣
Great Dr. Thanks for the elaborate information. I am 62. My prostate size was 46 gm. I reduced it to 26 gm in two months by using:
1. Saw Palmetto 500gm capsule daily.
2. Corn silk tea. One cup daily.
3. Kiegel. Exercises
Stay blessed
Good routine
How do you the weight of your prostate?
Enlarged prostate for 25 years. Tried everything. Best remedy by far has been to keep hydrated. I drink plenty of water all day, including in the evening. Typically get up to void once a night.
Have you tried Saw Palmetto? Also curious what might someone expect to happen on a regular basis?
Up to urinate once a night is normal, 7 times a night is not.
Thank you Dr. Malik! You explain better than a classroom lecture.
Very informative and comprehensive discussion on BPH. My urologists simply don't have the time (or desire?) to fully explain the options available. Your presentation is absolutely necessary to make an effective decision. It took me several years to arrive at my decision going forward. It would have been a lot easier to see this video long ago. In any event, I'm going for the hoLEP procedure next week. I believe it would be the gold standard considering my condition and the size of the prostate lobes growing into the bladder. I'm fortunate to live in an area to find a doctor qualified to to perform hoLEP. (Only a single doctor within the UCLA system is qualified.) Afterwards, I'll be totally off medications which are mostly ineffective.Thank you for this video. More doctors should take advantage of social channels!
You forgot Pumpkin Seed Oil. Did my research, then used 1000 mg with a meal once per day and it did the trick for me in correcting the stop-start urine flow thing. Took about 3-4 months to fully kick in, and has worked beautifully.
Sadly, doctors will not tell you secrets like that. They like to push prescription drugs. Couple of years ago I was having some blood pressure issues and my doctor wanted to put me on meds. I did a little research and found L-Arginine. Picked up some over the counter and two three per day. Went back to the doc and no issues. She said what did you do? I said something you know but will not tell. I left without telling her. :-)
I have used Saw Palmetto for a while but I don’t feel any different and one of my urologist doctors that work with him told me about pumpkin seeds but I will try the Pumpkin seed oil and see if it will work for me., thanks for the information. And also many thanks to Doctor Malik for all the great videos.
That's a long time to see results but glad to know it worked for you
@@CoraFaye Hell yeah. Proud of you for the way you handled the doc.
Our nature is just AMAZING
Extremely well done, Rena. Your knowledge and presentation is helping us men navigate a bothersome issue.
I solved my prostate problem a few years ago by having a simple robotic prostatectomy. I had 86% of my prostate removed. I am now shooting blanks but still shooting. It got to the point that several times I could not urinate at all and had to go to the emergency room to have a catheter inserted. My advice, take real action instead of "living with" the problem which I did for too many years.
Dr. Malik I just wanted to say I really appreciate the apparently-comprehensive coverage of this topic! I expect I'll be undergoing some type of surgery at some point in the future, and my urologist has already suggested Urolift, which she offers. You introduced a few treatments I hadn't even heard of before, and I like to know all my options. Thank you!
Questions you will want to ask your doctor/surgeon before you have prostate surgery
1. How long will it be before my symptoms get better? ( Can be up to 3 months )
2. How long am I going to need a catheter?
3. Am I going to need to spend the night in the hospital?
4. What is my chance of sexual side effects? (i.e retrograde ejaculation or erectile dysfunction )
5. What is the probability that I might need surgery again?
Great video!
I went plant based 3 yrs ago at 62 and gave up dairy, 5mg cialis daily for BPH / prostate cancer . I check PSA regularly and it’s been 0.7 for 20 years … do worry that primary no longer does a digit test for prostate … I guess I’ll have to see a urologist … with small fingers. Unfortunately being British I have to have a mug of tea at 9pm which doesn’t help with peeing during the night .. especially as I wake up with morning glory .. but .. luckily I can just go outside and pea without worrying about aiming … it’s also extremely satisfying .. lovely arcing stream .. like being a kid again.
Where were you 20 years i went to urology i call them a butcher shop Rena thank you for open my eyes for my two sons God bless
I had one of those. I went because of kidney stones and he immediately wanted to do a biopsy. I never went back.
I’m in a group of people there are Kaiser patience Prostrate cancer group and yes nothing talk about this Rena give a class
To the group in the Napa Ca
Thanks for the info. Knowing m enlarged prostate is not from BPH but another issue and different procedures available to help reduce the size helps. Also knowing what's happening with ejaculation going back into the bladder very helpful.
You confused me on that one.
An enlarged prostate is BPH.
@@dandettmann595 actually no on that one. Prostatitis through direct extensions. Inlarged prostate because it's INFECTED. actually called BACTERIAL PROSTATITIS. Not any fun when pushed out in the body. Sepsis also not fun. Will say be careful who you go to for medical issues nowadays.
Hi, Love your video; by the way! I'm 69 and I'll be 70 in Nov. One thing I can say that really help was going whole food, plant based. I really no longer have that problem. It also cleared my sinuses; that's another subject. This is something that should be looked into. Peace!
I've had some sinus benefits from reducing my dairy intake, to zero for about 18 months then just some cheese and yogurt these days. My diet is mostly veg/vegan , occasional fish, and I have a pretty active job and lifestyle but haven't noticed any urinary benefits from this myself, though likely a number of factors at work anyway. I agree that diet, exercise and state of mind are areas worth looking at for this too. Great video and channel.
The big elephant in the room you do not even talk about is DIET. Dairy is a big cause of prostate enlargement because of the female hormone oestrogen which causes enlargement of the prostrate. I cut out dairy and now I can pee like a water cannon. Also a diet high in sugar and carbs causes high insulin levels which also contributes to prostrate enlargement. Cut out sugar and eat a diet low in carbs will cause a marked easing of difficulty peeing. Finally fasting is a great way to stimulate reduction in prostrate size and ease peeing. For me when I fast for 24-36 hours I can pee so much more easily after 12 hours and beyond WITHOUT having eaten. Also when you do eat, eat lots of green cruciferous veg such as broccoli, brussel sprouts, cabbage. Beetroot is good too. Also nutmeg for relaxing smooth muscle. I would change diet FIRST before doing drugs and certainly contemplating surgery. I did take the drugs several years ago but they were useless. Diet and exercise is the best. Sitting down for long periods is NOT good either. Most doctors just want to prescribe drugs and carry out invasive surgery as they have financial incentive to do so. Diet and lifestyle first!
😂🤣😂
👍
Unfortunately doctors don't get any money if one can handle things with diet. A bit of a conflict of interest.
Fortunately quite a few doctors are realizing that traditional medicine doesn't work and they are trying to find answers.
These are great things to try before drugs and surgery. I noticed great results from taking DIM as well. Found good natural advice from Dr Berg as well.
how long did improvement take after cutting out dairy?
You are wonderful! I have learned more in eleven minutes than I have learned in 20 years. Why are most urologists not as clear as you? Mine have been male, are men afraid to talk to other males about their penis and sexual side effects from having a damaged prostate? Who knows, but I am going to go through all of your videos so that I can become better informed and know what to ask my MD about my prostate issues.
Saw Palmetto has been my go to for years !
At 70, my PSA number was 1.5, and prostate size was in the normal range for someone less than 50 years young.
Thanks for sharing XD
Sp gives too many sexual side effects.
@@Detailguy101 -Like what? I’ve used SP in very high doses for years without sexual side effects.
@@Detailguy101 What side effects? I've taken higher doses (more than brand recommended) with no side effects. In researching the topic I found only one reference to some guy anecdotally saying it tanked his drive. But as others on the forum noted, there were many unaccounted factors to could have been responsible. I suspect you got wind of this one 'report', that can get repeated and referenced more than once elsewhere.
@@Detailguy101 no it doesn't
Did you have BPH before you started the Saw Palmetto?
I'm trying ProstaGenix which criticizes the Saw Palmetto and emphasizes the plant sterols...especially the Beta Sitosterol.
They pretty much refer to Saw Palmetto as being ineffective and more or less a scam.
That's the supplement that the late great Larry King swore by and referred to it as the miracle pill.
A famous legendary urologist from Caesar-Sinai in LA also swears by it, uses it and it's part of his regimen for his patients.
Very smart, informative, & knowledgeable of symptoms, effects & side effects of treatments & procedures, and informative, this applies to all of your videos Dr. Malik, God bless you.
I’m going to see a urologist today! So excited to finally get meds to help with my enlarged prostate. Too many middle of the night bathroom visits.
Finasteride was fairly effective for me, but it also turned me into a eunuch.The Urolift did not help me, but aside from needing a catheter for three days it wasn't a terrible experience. It did not hurt sexual function. One procedure urologists don't mention is prostatic arterial embolization where tiny beads are inserted through a catheter in the arm or leg to block the blood flow to the prostate, causing it to shrink about 30 to 40 percent. It is done by interventional radiologists. It is currently considered an experimental procedure for prostate reduction but it seems to have promising results with minimal discomfort and no effect on sexual performance. It normally does not require a urinary catheter and is done as an outpatient. Improvement in urine flow generally takes a couple of months to appear.
@@code_6 Hopefully the finasteride will keep your prostate growth under control with no further action needed. Up four times or more a night is no fun, hope you are getting some rest. It is very frustrating. I had a PAE three weeks ago (I'm also 67). The procedure went very smoothly, very little discomfort. But, unfortunately, to this point I have not seen any improvement and I am still getting up often each night. The prostate is supposed to continue shrinking for up to a year, according to my doctor, so hopefully I'll soon get some relief. Best of luck to all of us dealing with big prostates!
My go-to "treatment" for a long time was Bell E-Z Flow Tea. Worked every time. I just ordered two more boxes, to deal with recently recurring symptoms. But this always cleared up what ailed me.
are you serious , Bell E Z Flow Tea , is that real tea I can get in the US ? I love the doctor , she's fantastic but she's making nervous talking about surgery ...
Great summary, thank you! A few questions about the HoLEP procedure if I may:
1) Why do they cut into the bladder sphincter and put all the prostate tissue up into there, then use a 'morcellator' to remove it afterwards, rather than leaving the bladder alone and just removing the tissue down through the urethra as it is cut out of the prostate?
2) Why do men usually recover bladder function after this surgery, but not always normal sexual function?
3) Isn't there some way to accomplish the laser enucleation of the prostate - or, use another type of treatment or procedure for large prostates that will preserve normal ejaculation?
4) One more question: Are surgeons using factors such as the speed of the surgery, the amount of bleeding afterwards, and the overall recovery time as their measurements for "success" rather than subsequent sexual function? If so, who is driving this?
Recovering currently from my second TURP in two years. They have removed 124 grams of prostate so far. Good news is no cancer. Been told I certainly have a extremely large prostate. Finally peeing much much better.
Flaxseeds sprinkled on your food, magnesium tables can help with Frequent Urination (FU). Urolift seems to be the most popular and successful surgery right now .
BS
Im almost 60 and had history with BPH. Oh boy...i suffered, until i added some stuff to my diet and really, but really solved my problems with it. Grapefruit juice (PLEASE, NOT THE BOX, BUT THE ACTUALLY FRUIT), one glass every morning the first thing going down your throat. Second, pomit T and crusera, look for it. I also included daily, spinach, kale in my salad. Im happy now, problem solved....
I take stinging nettle (root) (500mg 2x daily) and this helped me from having to go so all night to only once or twice. Saw palmetto (from Swanson) did not do anything for me so I don't take it anymore. Maybe I should have tried another brand. Also taking pygeum (bark)(250mg 2xdaily) and pumpkin seed oil (1000mg 2x daily). (All the these are from Swanson as well.) I understand that walking and other leg exercise helps because of the improved blood flow. When I sit too long have noticed that the symptoms get worse sometimes! So I walk and climb stairs regularly now, so much better.
I tried saw palmetto alone and it did work. I've tried 3 different brands, e.g. some had different minor co-factor ingredients in addition to the saw palmetto. However, at first the saw palmetto did not work but I was only taking the recommended dosage, e.g. 1-2 caps twice a day. But as soon as I started taking like 4-5 cap of any brand, 2-3 times a day then I got results. Some nights now I don't get up at all(70% of time), but if I do, it now is only once. Also, my urine flow is at a good strong flow when I do go about 80% of the time.
I'm going to stop taking the saw palmetto soon and see if I can maintain my current 'status' with some minor changes to diet only.
Ironically I still have some stinging nettle (root) on hand I could take too but just haven't gotten around to taking it. It's good you mention root because I've noticed there are many stinging nettle caps being sold that use leaf. I guess from your research you already know it should be root - I have an ayurvedic text that describes nettle root as the part to be used for prostrate(as a side note, since true ayurveda goes by balance of doshas not treating symptoms).
I take Webber Naturals Super Prostate 180 softgels. Its not the magic bullet, but I suffer when not taking it, so it helps.
Dr. Malik Outstanding presentation!
Good point. Since changing to a modified vegetarian diet -90% veggies and 10% animal proteins). Note, cutoff all processed meats (cold cuts) and meats with hormones. Also cut soy and soy products. Main source of protein is goat cheese, salmon and lamb. I have noticed a significant improvement with my urination. Agree, you also need to reduce high sugar diet and processed carbs( chips, donuts, junk food). And last but not least- workout 3-4 times a week to burn calories, improve muscle tone and do a regular form of cardio (swim, walk, bike, row, hike, run),and also fast.
Bty, life is too short, have a cheat meal of what you like, every one to two weeks.
Love this Dr. and her teaching information
Mine, you're great, lady! i wish i had gotten such detailed and the point informations from my urologist. i would have, for instance, avoided allergy medication, for, you are right, when i such meds, urination becomes uncobtrolable. Thank you.
I find that sustaining regular vigorous exercise for at least 30 minutes 3-6 times a week, improves this condition within a few weeks of beginning regular exercise.
Wish I had someone like you for a urologist!
I'm at that age where this is vital information. This video was very well-presented, not talking down to me. Thank you.
I agree, this was a well done very informative video.
Comprehensive, timely and useful information. I've been on Finasteride and RapaFlo for years. Very little improvement. I guess I'll consider surgery now that I've seen your review of the procedures and risks. Thanks
The two medications that have helped me most with my BPH are Tadalafil and Doxazosin, as mentioned in the video. They're wonderful!
They also help make things much better in the bedroom, if you know what I mean. ;)
I'm not sure which one of the surgeries my urologist performed (two weeks ago). He called it robotically assisted prostatectomy. He told me that I definitely needed this surgery as opposed to the TURP. He went through the bladder and removed 80% of the prostate, and said the size was larger than 90% of all prostates. I definitely prefer laparoscopic to open surgery, so I am glad I only have two little slits that are healing up. Urinary function seems okay now, with little post op discomfort.
Eliminating dairy has made the most drastic improvement for me.
yes dairy and sugar
Yes dairy, sugar and soy! Alcohol such as beer creates estrogenic properties, I dont want to take pills, this works tremendously!
Thanks I have to be careful my dad passed away last year today of prostate cancer
Thanks for your great channel, Rena! I'm a professor of neuroscience and find your videos to be really informative and easy to watch. Not once have I experienced Rena(l) failure. Get it? Sorry. Thanks again.
Dr. Rena, As always excellent video! You are authentic, open, engaging and a very interesting woman. Thank you so much for addressing male health issues. Wishing you and your family a Happy New Year 2022!
I am 66 and do have a bit of trouble sometimes urinating. However, my simple solution is to relax and hum a tune, any tune...weird...but it works.
Hi Dr. Malik! Even as a German I am enjoying your videos. What do you think about PAE? This is a fairly new treatment with good results. Would you recommend it to your patients? Best wishes, Franz
So glad I discover your RUclips channel,, got understand my situation,, thank you doctor,, from the Philippines
Please do a video on protatitis on young men
BPH caused me to have UTIs, CKD, Bladder Stones, Sepsis, and hospitalized twice.
I had TURP surgery. The surgery and/or the post surgery medications (Avodart and Flomax) killed my sexual function.
I had to have a catheter twice for a month each time.
Damn, you've been through a lot. Just watching this video made me feel faint- I'm getting old and hate it. Libido is fading anyway, so that's a big concern but not a deal breaker- it's the pain.
Thanks doc!! You're an amazing help!!
Thanks .. I had surgery to hollow out the tissue 25 years ago. Now it’s grown back. Will try the dairy and pumpkin seed oil and see how it goes.
Symptoms of an enlarged prostate include:
finding it difficult to start peeing.
straining to pee.
having a weak flow of urine.
"stop-start" peeing.
needing to pee urgently and/or frequently.
needing to get up frequently in the night to pee.
accidentally leaking urine (urinary incontinence)👍
Question for you with enlarged prostate can that cause hair loss?
@@markkirk2129 I’m 66 yo with an enlarged prostate and a full head of hair. In my case no hair loss.
57 here with diagnosis of prostatitis through direct extension. Total loss of hair on legs only over two years. Some regrowth after procedure that messed up reproductive system. Hair above hip bone grows all the time in including head.
@@markkirk2129 , Now that you mention it, I do have a loss of hair on my legs. However I’ve contributed it to always wearing long pants when in public no matter how hot it is here in South Florida and having my knees in the breeze riding my motorcycle. 4 weeks ago I underwent a medical procedure removing two large bladder stones and been recovering ever since passing blood and blood clots when I void. As of last night after passing one of the largest blood clots so far, there’s less blood in my urine since.
WTF is this hair loss on legs???? Ive had that for YEARS and never figured out why?? Its from an enlarged prostate???
I’m glad I saw this. I have this and take meds ( flomax )that caused for the retrograde ejaculation seamen flow.
Hello, your videos are very informative and quick, thank you for taking the time to explain all these options. I'm 50yo, with BPH, and considering Rezum, because I'm tired of taking tamsulosin, and retrograde ejaculation. However, I don't like the idea of using a cathether, however the benefits outweigh the sacrifice, and I'm getting a biopsy done first to be clear for the operation, and then Rezume my prostate. I'm scared, because I don't want to lose my ejaculation power, or have any other side effects, I want to remain fertile so this is probably one of the safest procedures with min side effects. I considered the urolift but I heard it's short lived and Rezum will last longer. So my question is: Do I wait until my prostate gets so bight the no medication works, or should I do the rezum now, and get it over with.
Liquid pumpkin seed oil fixed my BPH, I drink some everyday,it's natural with zero side effects.
I have prostate inlargement and also diagnosed with prostate cancer the the doctor gave me two options one is radiotherapy or surgery to remove and try to srink the prostate, but I told them I don't want both, I will get rid of it myself, he respects my decision and told me to monitoring me every two get blood test,.
Two months later I got my test results it down, I also no trouble sleeping at they also makes me do micro scanner and the results showed no signs of the cancer.
I think the foods that we eat is bad, we shouldn't eat meats specially red meat and for cancer stop eating sugars sweets, it's been almost two years now I am feeling much much better, and I know it's works
Thank you doctor - excellent video. Could you do a video on steps to take to avoid / delay the onset of BPH? Thanks again.
Dr Malik I probably should say I like how you explain things and trust your knowledge.i don't believe much on the internet but you seem very different from most so that's why I asked for help .
Great video and finally you addressed this subject. TY. You want questions? What about diet and exercise, can any of this help with symptoms or reduce BPH in the first place? Does long sitting in a chair or prolonged bike riding effect, irritate prostate, BPH symptoms? Is there a certain way to pee for best emptying of the bladder with BPH? Can this ever go away on its own or is it just inevitable to get worse and worse over time?
Great questions, hope you get an answer.
@@justgivemethetruth -nope, not reply on anything. Hope she reads my post. Thanks for the compliment…
Sitting while peeing is helpful for me .
@@donholmes3267 that’s not what my family doctor told me, he said to stand up and pee, which I’ve compared to sitting down position, and standing won. I guess our anatomy is very personal.
Good questions!
One you could have added was, do any of the numerous prostate supplements work?
Those that emphasize with ingredients such as Saw Palmetto, nettle, pumpkin seed oil , pygeum, etc...and those that emphasize on plant sterols, such as Beta Sitosterol, etc.
I'm attempting to correct my BPH, which includes acute urine retention with a combination of prostate supplements, diet, exercise and non tobacco use.
But I'd sure like to hear from some folks that have found success in that type of regimen without Big pharma drugs and/or surgery.
Concise,clear,complete,congrats!
Your classes are really awesome dr. Please do a big video on bpH with understandable English for global audiences with pros and cons and exercises like physical and yoga without medication and surgery and food restrictions please. Thank you dr 🙏🙏🙏
Dr. Malik, as always fantastic presentation and very helpful advice!!
So much information explained so very well! You are so professional. 🙂
Thank you sooo much for your explanation. You are an Angel Doctor.
why hasn't an electronically remote controlled stent valve yet been invented? With one of these inserted into the urethra, and a remote handset to lift the stent open, you can "dial - a pee " shall I write an abstract for the Patent ?
Thank you for info about SawPalmetto. It has helped me, but traditional medicine and big pharma are NOT allowed to admit this. Thanks for breaking rank and telling it like it is.
You forgot to mention hormone imbalances: excess estrogen, testosterone and insulin (it makes things grow). Please address this in a future video.
Another Doctor mentioned Insulin as well.
Modern Medicine Doctors and Big Pharma drugs treat the symptoms. They never address the cause of any disease.
@@bilalakbar8627 As opposed to other times in history?
Yes! I want my powerhouse back. I don’t want to just try and delete DHT after it’s been created,I want to prevent it from being created. Until they discover and confess the reason,I’m just gonna do autophagy fasting.
Yep this a major omission of this video. Failed to talk about diet at all. Cut out dairy (oestrogen), sugar and eat a low carb diet (reduce insulin production). Eat a healthy diet lots of green cruciferous veg and do some exercise. Don't spend all your time sitting down munching on crap processed foods which is bad for the prostrate. Also intermittent fasting and autophagy is very powerful at restoring your immune system and shrinking the prostrate. I know as I did this having had big problems peeing for a few years. Now fine. Most doctors only want to prescribe you drugs or carry out invasive surgical procedures as they make more cash if they prescribe or operate, but not if they suggest modifying your diet or lifestyle.
Please discuss natural and or do it at hime remedies: Diet, exercise, stress relief. My diet adjustment included no sugar, no starch. I lost 34 lbs,,, lost inflamation, gained all my organ body healthy funcions. Exercise was three workouts per week monitored by pilates trainer. My prostate health has improved over two years. I am 71 + yrs ...
I justhad a T.U.R.P. operation after having to wear a catheter and collection bag for 11 months. The monthly catheter change at a nursing clinic was very unpleasant until they found I need a special catheter called a cude type. It has a small curved tip on the end of it that makes it skide through the swollen prostate gland , easier. Much less discomfort. Then one day after ten months of hell, I had a serious blockage and could not clear it myself by inject 50 ml of saline solution. I ended up in an emergency department, with a full bladder that could not empty. I was in agony. I could not drive my car to the hospital due to the pain, and had to call an ambulance. I had to wait two hours in emergency. When they nurse finally saw me she drained my bladder, and there was a LOT of urine in their. Talk about relief !!! Then she inserted a new catheter. I asked, "Is it in ?" The nurse smiled and replied, "Yes, it's in." I was surprised. The first time I never felt any pain nor discomfort with a new catheter going in. She had used a silicone catheter ! What a remarkable pain free difference ! The nursing clinic where I went for monthly catheter changes did not carry silicone catheters. I was awaiting urologic surgery all this time, which was backed up due to Covid. Two months ago I went into the hospital, and was operated on. They put me under with gas, and stuck a miraculous instrument up my urtethra and into the blockage in the prostate where the urethra was being pinched and compressed. That instrument had a camera, a cutting tool, and an electro cauterizing tool. The urologic surgeon cut through the urthra and scrped and removed tissue in the prostate. That would give the urethra adequate room to let urine flow properly like it used to. The operation was a complete success. I was out of the hospital in excellent shape after one night (26 hours. There was never ANY pain nor discomfort after the operation. It was a BREEZE ! I did have blood in my urine the next day and it continued for almost four weeks and diminsished over that time period. The urologist explained that the blood in my urine was completely normal and would eventually disappear, which it did. I am back to normal. However I do have a bit of a problem reaching ejaculation, otherwise I am in perfect shape. I hope this calms an anxiety for anyone out there scheduled for a transurethral prostatic resection. Seven moths ealier I had a prostate biopsy which I made them put me me to sleep for. They puncture your rectum to get at the prostate. I was worried sick about a diagnosis of prostate cancer (I am 64) No cancer....benign. I am still celebrating !!!
Thanks for sharing,I’m 64 and 1week post opp ,I seem to be on the same journey so far so good .enlightened to hear your story .cheers
Your VDOs are always very interesting, the way you explain complicated medical topics to an ignorant like me is always very simple, accessible & efficient.
Meanwhile sometimes, your speech rate is way too fast for me(& maybe to others?), though I will suggest you to enable subtitled medical words, lasting long enough, so it gives readers enough time to read & decipher.
I strongly recommend people (at least those interested & maybe concerned) to subscribe to your content. Competence, objectivity makes it very valuable & not the least, it’s a free way to save yourself a visit to your practitioner just to get your unanswered question’s anxiety relieved.
I am a 65 years old male and I learned a lot, thank you.
Brainy, intelligent, gorgeous, what a combo! You're the finest, Dr. Malik.
My doctor recommended a new procedure developed in New York but not well know. It involves putting shunts in prostate arteries to limit blood flow. This slowly causes the prostate to shrink in size, but does not stop it from functioning. Please give your thoughts on this method.
Any chance you could do a video on prostate massages (Whether sexual or not)?
Ohhhh Naughty naughty you!
Thanks... I've got both symptoms
As a guy, the thought of surgery or whatever doesn't phase me in the slightest if I needed it. It is the thought of urinary catheterization (if that is the word) that scares the hell out of me. I don't know if it is a phobia or something, but the thought of it just puts me totally on edge. I could see myself avoiding surgery/treatment etc, just because of that aspect. Yet it is treated as so matter of fact, that I wonder do Doctors even realise people are afraid of this aspect? Are their any other options? Tube direct to the bladder or something? Like I say this would be the major hurdle for me with any sort of treatment.
Catherterisation is nothing compare to the permanent side effects of most surgeries...
It sounds traumatic but if its done gently and with lubrication, it is not that bad. The thought of anything being shoved up your pee pee feels painful. It is not that bad.
I had an enlarged Prostate. My PSA had been between 11-12. I used Flomax, Finisteride, and Cialis. 3 biopsies, showed no cancer. Last Aug had a Holmium surgery
My PSA is now .455.
I have had erection problems for years. Any suggestions what would work? I am 75 years old.
I love your presentations.
Thanks Dr really informative and detailed
Whenever I go to the bathroom I play "rain & rolling thunder" soundtracks and it helps you completely relax your bowels & bladder and empty everything.
Thank you so much for the information .
You are amazing and wonderful Dr. Malik!
Can they grow new prostates in the lab yet with your own genetics, and surgically implant them if you need a new prostate, or do they do prostate transplants for people who need a healthy prostate who don't have a good prostate anymore, and then they can get a good prostate gland from a donor?
The six million Dollar Man May soon become a reality
Thank you very much for all you do to make our lives better 😎
I think more men are likely to listen to Dr Malik than another man.
I think so
Dr. You really make these videos Fun. 💪 Thank you for all your Knowledge .
Great topic, but really hard to cover that much ground in a short video. It seems to me that most lay people who are unfamiliar with medical terminology may not comprehend what you're describing in terms of surgeries. For example, your description of Urolift as using a suture to lift the prostate does not fit well with my understanding of the Z-shaped stainless wires that attach the urethra to the exterior of the prostate. Similarly, describing "water vapor" for Rezum is also vague. "Steam ablation" would be better. If you said "steam is injected thru a tiny needle that heats and kills off prostate tissue near the urethra", I think people would understand this option better. Perhaps a single video on "surgical" options would give you time to cover these in more detail.
I've seen four different urologists and not one of them told me how diet and lifestyle can affect The prostate and frequent urination. I lost about 15lbs off my gut and the number of trips to the bathroom per night was cut in half. I had to learn that on my own. Years of going to urologists not one of them told me this was even a possibility. Doctors care only about making money which means surgery and medications.
I have BPH and I wish my Dr would have told what it would be like after the surgery. Like letting me know that my sperm was going to go back in my bladder.Thanks so much and I know this will help other gentileman.
Do you think bph happens to someone who has varicocele?
@@Weloveyoupyrex what is that?
Guys, she's on our side.
The suggestion stand up after peeing and then sit back down and pee caught my attention.
Pygeum is another herb for prostate.
mine too!
Keep up the good work. Your channel has really grown fast.
Dr. Can you put a video out on prostate massage. Thank you.
Thank you Dr. Malik!
Pumpkin seed oil, pomegranate juice and a supplement containing pine pollen and beta sitosterol has kept my enlarged prostate under control.PSA reading dropped from 6-4 in 2 years at age 69.Gotta stick with it though and not give it up after just 6 months.
That's a very good program you got there. When did you start noticing prostate issues?
Any particular prostate supplement you have found that seems to be working for you?
Also...I'm considering buying some pumpkin seed oil to take along with the ProstaGenix supplement I'm taking now since it doesn't contain the highly recommended pumpkin seed oil...and the fact the ProstaGenix company attempted to sell me a pumpkin seed oil supplement when I ordered the ProstaGenix from them.
Protagenix has the largest dose of plant sterols including the Beta Sistosterol of all the available supplements.
1,050 mg's of total sterols and lab proven.
I find zinc supplements helpful for bph and general prostate health.@@dandettmann595
Always a great informative video from Dr. Malik.
Thank you for sharing.
Very grateful for this information. Thanks so much!
She didn't mention anything about diet. Hyperinsulinemia is the root cause of BPH, and the proper diet, like keto., will help prevent BPH and helps reduce the prostate size after several months on the diet.
Excellent description for the lay public Dr. Malik, I wish to respectfully add that there is good reasons to take heart is that at least a third of the cases of mild to moderate BPH would give no grief and on top of that after about a decade or so (some times sooner) the BPH goes away as the prostrate shrinks in size on its own. A somewhat sinister news is that because both BPH and cancer of prostate are common conditions in many cases the less malignant prostate cancer can be hidden in the BPH. If there is some suggestion of cancer from blood in the urine or from ultrasound, it might become necessary to do a prostate biopsy. But biopsy is hit and miss so the best course of action could be taking the whole prostate out and have pathologist take a look at the gland thoroughly. The trouble with the prostate removal is that in many cases the man would be rendered impotent. There is plenty of wisdom in trying to guard against prostate cancer and BPH starting in second and third decade through having a robust sex life or keeping up a high orgasm rate of between 10-20 per week. Having multiple partner is associated with prostatitis and BPH which seems to make a case for monogamy and refraining from casual sex and promiscuity. But it seems to be fine to practice swinging as they regularly use condoms. It is good idea to try to escape genital herpes but that is easier said than done because its dissemination remains bit mysterious.
@RenaMalik what is your opinion on prostate massages? Do they actually help?
I'm 31 & I've symptoms of bph. Dr said I've prostatitis. I've these urine urgency & emptying bladder problems since 2010
I was on 5mg of finasteride for an enlarged prostate. After 2 weeks I started to have pain in the prostate area which persisted. So, I went off the finasteride and live with the symptoms.
try low dose daily cialis..it works better
@@amydascalos3964 My Doc just wrote me a scrip for that. Hope it works!
I wish I was smart. Thank you for this great information.
This is fascinating, thank you for laying this all out like this.
I was wondering if the Bilateral Hydronephrosis can be a "ROOT CAUSE" of high blood pressure?
I m taking Terazonsi. Since 25 years ago every physical examen ask my doctor for my PSA thanks!
Urologists don’t have a clue about Prostatitis hence not even mentioned as a cause,and this is very common in men . Same symptoms as Bph but pain in the prostate as it’s inflamed and mainly not from an infection even though most urologists prescribe antibiotics for it even though as no bacterial infection present do not not work at all . Very poorly understood prostatitis is,I’m in England Uk
I’ve been prescribed two regiments each of two different antibiotics with no improvement in the last couple years. Overall I’ve lived with periodic prostate pain since my mid 20s, and I’m 46.
@@ericanderson7346 Sorry to hear that ,I’ve had chronic prostatitis for 22 years .
Hey gents, Mee Too. I've suffered with chronic bouts of incontinence, for years, including the plague of dribbling. I'm 70 yo, and have had these urinary problems which I think stem primarily from spinal stenosis and other spinal related malady of degenerative disc disease, and scoliosis , all affecting the central and Peripheral nervous systems. This doctor Rena is very good at describing the problems of BPH, / Prostatitis. My PSA has always been in 2 to 2.4 range. However, two weeks ago, after feeling intense burning while peeing at waking in the morning, prompted me to go to Urgent Care the next day. Urine dip tested as showing an infection. So prescribed Cepro and Tylenol for the pain and fever (which varied from 99.5 to 101. After 4 days, pain and burning subsided, but urinating has become more problematic. So off to Urologist for the dreaded battery of bladder tests. Blood showed a PSA Jumped to 22.5!!! Initial prostste exam revealed not to have an enlarged prostate. The NP prescribed Flowmax ( Tamsulosin), and Phenazopyridine. I have NOT taken either. Dr. Rena, like all non holistic doctors simply prescribed drugs to treat the symptoms, not attack the cause. I'm going to through these tests, but I am going to try natural supplements approach. Another poster here who has become embattled in media fencing about diet do indicate to stop all caffeine, eliminate sugar and carbs, and eliminate Dairy!! Include Saw Palmetto, Stinging Nettle, black pepper, Pumpkin seed oil ( which I heard of before but never tried). I guess it can't hurt . Once you start Flomax, you can't stop , like statins. Bottom line is Look at any possible spinal related issues you may have. FYI, check out cervical instabilities on YT , Caring Medical YT Channel. All the nerve pathways flow down from the brain stem and cervical spine, affecting so much in your body including bowel and bladdel. Stay well.
@@Chiroman527 Thank you sir , and best of luck
I heard constant heavy lifting, for work, mostly, cause enlarged prostate. Is it true, doc. I work as stocker at W..mart. I'm required to be able to lift about 50 pounds of weight for 10 feet. I'm pushing 50 now. I try not to bend over to lift anything, even small box about half pound. So far no incident, knock on wood.