Problems having a pee

[uptheos]

I take a french product based on plants extracts.Permixon 160 mg.No contra indications.

Looks promising and worth a try. Doesn't seem to have adverse effects.

[The results of long-term permixon treatment in patients with symptoms of lower urinary tracts dysfunction due to benign prostatic hyperplasia].

[Article in Russian]

Pytel' IuA, Lopatkin NA, Gorilovskiĭ LM, Vinarov AZ, Sivkov AV, Medvedev AA.

Abstract

The trial enrolled 155 patients (mean age 65 years) with documented benign prostatic hyperplasia and lower urinary tracts symptoms (LUTS) (IPSS > 6). All the patients received permixon in a dose 160 mg twice a day for 2 years. The data on 130 patients eligible for assessment were processed statistically by dynamics of IPSS, quality of life (QOL), index of sexual function (MSF-4), size of the prostate, urodynamic and biological parameters which were estimated in 6 (V6), 12 (V12), 18 (V18) and 24 months (V24). Clinical examination with registration of all side effects was made each 3 months. Permixon was found to noticeably reduce IPSS and QOL and increase maximal urine flow speed. The size of the prostate diminished insignificantly. Sexual function remained unchanged for 1 year and improved markedly within the second year (p = 0.001). Permixon had no effect on the level of prostate-specific antigen. Plasma hormones (testosterone, DHT, estradiol, LH, androstendion) did not change. Nine patients developed 10 side effects but they were unrelated to the treatment.

[CBR250]

"Permixon" is not yet another herbal preparation - it is our old friend "serenoa repens" aka "saw palmetto".

As Sheryl has noted earlier, there have been mixed reports of its efficacy. However, the weight of recent research suggests that this phyto-therapy may not be helpful for most men.

The internet is responsible for a lot of weird and wonderful stories, as well as factual information. So I am a bit cautious about sources for information. I don't wish to waste time on dubious treatments, and in matters of health, given the big $$$$ involved, being a little suspicious is useful. Rather than Any Old Web Page, I prefer information from peer-reviewed research published in credible journals - and using accepted research protocols.

My overall favourite for easily accessible and understandable medical information is the Cochrane Collaboration. "...a not-for-profit organisation with collaborators from over 120 countries working together to produce credible, accessible health information that is free from commercial sponsorship and other conflicts of interest."

To the main point - despite some earlier promising results with serenoa repens (see eg Urology, 2000, April 55(4), pp533-9), a recent (2012) meta-analysis* from Cochrane concluded:

"Compared with placebo, Serenoa repens, at double and triple the usual dose, provides no improvement for nocturia, peak urine flow, and symptom scores for men with benign prostatic hyperplasia."

The Cochrane review was quite robust - it included 32 previous random controlled trails involving a total of 5666 men.

See: http://summaries.cochrane.org/CD001423/PROSTATE_serenoa-repens-for-benign-prostatic-hyperplasia

* A meta-analysis collates data from numerous acceptable smaller studies. This resulting larger data set allows for greater statistical sensitivity in assessing outcomes.

[cheeryble]

I spent time at a Buddhist retreat centre in the Spanish mountains years ago practising towards orders.

I'd still love to know what it was which made everyone get up in the night to pee like a horse under the starlit sky with rosemary permeating the atmosphere. (Pee one by one I hasten to add)

We were not aged men, it was not normal behaviour, any many commented on it.

Contrary to this example I have noticed a calm relaxed mind might mean a longer night....without a pee and vice versa.

A calm mind in any case takes away the annoyance of the awakening.

Where was it that said

"All things are preceded by mind, led by mind, led by mind, fashioned by mind"?

The Dhammapada.

If we can deeply understand that, especially fashioned or created by mind, we've got enlightenment and a pee-cure all in one.

Edited August 19, 2014 by cheeryble

[CBR250]

The Urolift procedure looks like a winner compared to herbs, medications, surgery. Info at:

http://www.prostates.com.au/prostate/prostate-cancer/urolift/

As a (relatively) younger man with BPH, I prefer a permanent solution like this to a few more decades (should I be so lucky) of drugs with the attendant side effects.

But no info on the cost, unfortunately. I asked a Thai doctor if she knew about - she said not aware of this option here, and maybe a few more years until a doctor here goes OS for the training and invests in equipment to open a clinic specialising in this procedure.

PS I would prefer to follow cheerybie's advice and meditate my way to an unobstructed urethra! With my (admittedly undisciplined & irregular) meditation, I have noticed no changes. Maybe it only happens when one meditates in temples?

[JDGRUEN]

"Permixon" is not yet another herbal preparation - it is our old friend "serenoa repens" aka "saw palmetto".

As Sheryl has noted earlier, there have been mixed reports of its efficacy. However, the weight of recent research suggests that this phyto-therapy may not be helpful for most men.

The internet is responsible for a lot of weird and wonderful stories, as well as factual information. So I am a bit cautious about sources for information. I don't wish to waste time on dubious treatments, and in matters of health, given the big $$$$ involved, being a little suspicious is useful. Rather than Any Old Web Page, I prefer information from peer-reviewed research published in credible journals - and using accepted research protocols.

My overall favourite for easily accessible and understandable medical information is the Cochrane Collaboration. "...a not-for-profit organisation with collaborators from over 120 countries working together to produce credible, accessible health information that is free from commercial sponsorship and other conflicts of interest."

To the main point - despite some earlier promising results with serenoa repens (see eg Urology, 2000, April 55(4), pp533-9), a recent (2012) meta-analysis* from Cochrane concluded:

"Compared with placebo, Serenoa repens, at double and triple the usual dose, provides no improvement for nocturia, peak urine flow, and symptom scores for men with benign prostatic hyperplasia."

The Cochrane review was quite robust - it included 32 previous random controlled trails involving a total of 5666 men.

See: http://summaries.cochrane.org/CD001423/PROSTATE_serenoa-repens-for-benign-prostatic-hyperplasia

* A meta-analysis collates data from numerous acceptable smaller studies. This resulting larger data set allows for greater statistical sensitivity in assessing outcomes.

As I have posted before I have used Saw Palmetto for about 15 years and it quite good at giving relief for urinary problems with BPH... And as I have posted before if any research study used ground up berries for their study it most certainly will not show any improvement regardless of the dosage. Until it is determined what form of saw palmetto one study or another uses for their research - then the research is quite useless... When it comes to Saw Palmetto and BPH only the concentrated form - the Extract works - but it works well and without any noticeable side effects.

Over the years when I have not being able to keep a supply of Saw Palmetto extract for use my urinary problems return within days... I get near total relief of urinary problems with Saw Palmetto extract. Currently here in Thailand I use Sametto by Mega and Proseren by Blackmoor. Both are good but I like the Blackmoor better when I can get it...

The bottom line what people don't like about herbs, supplements and such is that usually one has to take the natural medication the rest of their life ... and in our modern age people want instant and permanent fix... So there are always detractors... Plus having to take any medication basically religiously - never failing to do it - people fall off the wagon and no fair test is ever done by that individual and the first thing they say is ... it didn't work.

And to say that getting 15 years of relief taking Saw Palmetto for urinary problems with BPH is nothing but a placebo effect is just ridiculous. I take other natural medications such as Omega 3 fish oils and turmeric (curcumin) I get relieve from a number of ailments - so I suppose it is just one big placebo effect...

[CBR250]

"Permixon" is not yet another herbal preparation - it is our old friend "serenoa repens" aka "saw palmetto".

As Sheryl has noted earlier, there have been mixed reports of its efficacy. However, the weight of recent research suggests that this phyto-therapy may not be helpful for most men.

The internet is responsible for a lot of weird and wonderful stories, as well as factual information. So I am a bit cautious about sources for information. I don't wish to waste time on dubious treatments, and in matters of health, given the big $$$$ involved, being a little suspicious is useful. Rather than Any Old Web Page, I prefer information from peer-reviewed research published in credible journals - and using accepted research protocols.

My overall favourite for easily accessible and understandable medical information is the Cochrane Collaboration. "...a not-for-profit organisation with collaborators from over 120 countries working together to produce credible, accessible health information that is free from commercial sponsorship and other conflicts of interest."

To the main point - despite some earlier promising results with serenoa repens (see eg Urology, 2000, April 55(4), pp533-9), a recent (2012) meta-analysis* from Cochrane concluded:

"Compared with placebo, Serenoa repens, at double and triple the usual dose, provides no improvement for nocturia, peak urine flow, and symptom scores for men with benign prostatic hyperplasia."

The Cochrane review was quite robust - it included 32 previous random controlled trails involving a total of 5666 men.

See: http://summaries.cochrane.org/CD001423/PROSTATE_serenoa-repens-for-benign-prostatic-hyperplasia

* A meta-analysis collates data from numerous acceptable smaller studies. This resulting larger data set allows for greater statistical sensitivity in assessing outcomes.

As I have posted before I have used Saw Palmetto for about 15 years and it quite good at giving relief for urinary problems with BPH... And as I have posted before if any research study used ground up berries for their study it most certainly will not show any improvement regardless of the dosage. Until it is determined what form of saw palmetto one study or another uses for their research - then the research is quite useless... When it comes to Saw Palmetto and BPH only the concentrated form - the Extract works - but it works well and without any noticeable side effects.

Over the years when I have not being able to keep a supply of Saw Palmetto extract for use my urinary problems return within days... I get near total relief of urinary problems with Saw Palmetto extract. Currently here in Thailand I use Sametto by Mega and Proseren by Blackmoor. Both are good but I like the Blackmoor better when I can get it...

The bottom line what people don't like about herbs, supplements and such is that usually one has to take the natural medication the rest of their life ... and in our modern age people want instant and permanent fix... So there are always detractors... Plus having to take any medication basically religiously - never failing to do it - people fall off the wagon and no fair test is ever done by that individual and the first thing they say is ... it didn't work.

And to say that getting 15 years of relief taking Saw Palmetto for urinary problems with BPH is nothing but a placebo effect is just ridiculous. I take other natural medications such as Omega 3 fish oils and turmeric (curcumin) I get relieve from a number of ailments - so I suppose it is just one big placebo effect...

If it works for you, great. But you are a one sample experiment, and not necessarily free from bias, as is apparent in some of your statements.

When I want to know if something is effective or not, I prefer the rigour of carefully crafted research to anecdotes. Aside from the Cochrane meta-analysis that I referred to earlier, another research report - and one that addresses your concern over "extract" vs "berries", is a trial using that used increasing doses of saw palmetto fruit extract (you note that the extract is the only one you will consider).

This research was reported in the Journal of the American Medical Association, Sept 28, 2011. (http://jama.jamanetwork.com/article.aspx?articleid=1104439)

This study involved a double-blind, multicenter, placebo-controlled randomized trial with a sample of 69 men. It is entitled: "Effect of Increasing Doses of Saw Palmetto Extract on Lower Urinary Tract Symptoms".

And the study concluded:

"Increasing doses of a saw palmetto fruit extract did not reduce lower urinary tract symptoms more than placebo.".

I would also note, to head off any conspiracy theories, that the study was supported by a group of organisations, including the National Centre for Complementary and Alternative Medicine.

This is recent scientifically validated evidence. It states, politely, that saw palmetto is just snake oil. Your dismissing of this evidence as "ridiculous" because you prefer to believe otherwise is not really a legitimate objection. If you can refer me to any recent credible scientific studies that prove otherwise and I would be more than happy to consider them.

As to omega 3 and turmeric - maybe these 2 supplements, unlike saw palmetto - are effective over and above the placebo effect. I don't know. But if I did want to know, I would not accept the reports of a few individuals, but instead I would search for recent, credible sources that rely on rigorously conducted research. When it is our bodies and health that is the focus, we should rightly expect compelling evidence, not anecdotes.

[cheeryble]

PS I would prefer to follow cheerybie's advice and meditate my way to an unobstructed urethra! With my (admittedly undisciplined & irregular) meditation, I have noticed no changes. Maybe it only happens when one meditates in temples?

Thanks for the info on the Australian treatment CBR 250 I would imagine not too expensive as no admission, half hour procedure etc. Slightly confused about him doing green light laser presumably he's moving on from that?

ps

I used to lead a drop in meditation class in CM some years ago which was very well received.

I have recently determined to start up again.

Free, with donations to charity.

I did a meditation then questions and answers.....which I hope will be interesting for folk as I go beyond the Buddhist tradition to areas which may be new to many.....though you may say it's all the perennial philosophy.

When I get it going will report on any urethral relief. Not holding breath.

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Edited August 19, 2014 by cheeryble

[Sheryl]

Meditation has enormous benefits and can lead to improvement in symptoms/diseases which are psychological in origin. But it cannot shrink an enlarged prostate.

[cheeryble]

Meditation has enormous benefits and can lead to improvement in symptoms/diseases which are psychological in origin. But it cannot shrink an enlarged prostate.

I'd agree with that Sheryl......but perhaps meditation can shrink a negative mental reaction to an unseemly wake-up

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[i claudius]

Thanks for this OP. I am having similar problems and need to get it looked at. I've been putting it off because the thought of somebody putting a huge sausage finger up my ass is frightening.

The only time you have to worry is when he does the exam with his hands behind his back

[DisparateDan]

I have had the problem for at least 10 years and after researching, decided "to die with it, rather than of it", if I did have prostate cancer.

I did find a very useful chart to fill in to help diagnose cancer v. enlarged prostate.

Within the last few days I found a list of foods, supposedly to minimise the frequent urination by acting on an enlarged prostate.

Few will be more sceptical than myself about this sort of stuff, anyway from the list of 10 I bought dark chocolate and sunflower seeds.

Maybe it is coincidental but now I only get up twice at night and have much better flow during the daytime.

[cheeryble]

Googled for your chart DDan, and found this one applying to men aged 55-69

Naturally the "unfortunate outcomes" will increase with age.

1000 PSA tests

0 to 1 death from prostate cancer would be avoided.

100 to 120 men would have a false-positive test result that leads to a biopsy, and about one-third of the men who get a biopsy would experience at least moderately bothersome symptoms from the biopsy.

110 men would be diagnosed with prostate cancer. About 50 of these men would have a complication from treatment, including erectile dysfunction in 29 men, urinary incontinence in 18 men, serious cardiovascular events in 2 men, deep vein thrombosis or pulmonary embolism in 1 man, and death due to the treatment in less than 1 man.

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Edited August 31, 2014 by cheeryble

[DisparateDan]

I have found these two links especially informative.

http://www.mydr.com.au/tools/prostate-symptoms-assessment

http://www.nytimes.com/health/guides/disease/prostate-cancer/print.html

[seajae]

I started taking a moderate dose of Saw Palmetto daily about two years ago. It works like a charm! I only have to get up to pee in the middle of the night when I have been up late drinking beer.

So, here we have a person who has gained a lot from taking saw palmetto, and yet AyG says you'll be wasting your time because that's what the AMA say!! Perhaps otherstuff was dreaming?!

AMA have a lot to protect when it comes to choosing drug means for 'fixing' health problems. They consistently deny the anecdotal evidence of so many people who choose to go drug-free in curing their health disorders.

I think, Op, since you know india, i'm sure you could get some herbs sent over to you to take while biding your time before going over there to get this surgery done. Plenty of time to see if they work for you. Saw palmetto i guess you'd have to get sent over from europe or US.

Here in chiang mai we can buy many indian herbs, including ashwaganda, and i think guggul too.

Another option would be to go to chinatown in bangkok, assuming you live there, and see what they've got by way of herbs

have a friend in aussie that is the same and his doctor told him to try saw palmetto, after a short time his urine stream gained strength and he also stopped getting up during the night, he swears by it. Seems that only some doctors refuse to acknowledge it can help, maybe not in all cases but it is worth a try

[thaibeachlovers]

You do understand that prostate surgery will most likely leave you impotent.

The OP has not said that he is having prostate surgery ( and I'm not reading 8 pages to see if he did later ).

In the hands of a good surgeon prostatectomy is not necessarily going to cause impotence, though viagra or similar may be necessary post op.

OP, are you having prostatectomy or a TURP/ or similar? Prostatectomey is NOT necessary except for cancer. If you have a prostatectomy and don't need it you WILL regret it. Possible post op complications are ( probable ) incontinence and / or impotence.

[Sheryl]

That is not really true.

Benign enlargement of the prostate, without cancer, can fail to respond adequately to medication and other conservative measures, leading to urinary retention (which in turn can lead to infection and even sepsis and death, not to mention being awfully painful). It is sometimes necessary to relieve it with surgery...usually not full removal of the prostate but may involve removal of part of it. There are a wide variety of techniques in use, including minimally invasive surgery, use of lasers, RF or thermotherapy etc.

Rates of impotence/ED vary greatly with the technique used.Many men have surgical treatment for this problem and retain full continence and sexual function.

Surgery is never the first recourse, but no reason to unnecessarily scare people for whom it may be necessary.

See http://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/basics/treatment/con-20030812

[thaibeachlovers]

That is not really true.

Benign enlargement of the prostate, without cancer, can fail to respond adequately to medication and other conservative measures, leading to urinary retention (which in turn can lead to infection and even sepsis and death, not to mention being awfully painful). It is sometimes necessary to relieve it with surgery...usually not full removal of the prostate but may involve removal of part of it. There are a wide variety of techniques in use, including minimally invasive surgery, use of lasers, RF or thermotherapy etc.

Rates of impotence/ED vary greatly with the technique used.Many men have surgical treatment for this problem and retain full continence and sexual function.

Surgery is never the first recourse, but no reason to unnecessarily scare people for whom it may be necessary.

See http://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/basics/treatment/con-20030812

Hmmmm. You must have missed the part where I asked if he was having a TURP- Transurethral Resection of the Prostate.

Far less likely to cause post op complications related to prostatectomy.

Men SHOULD be scared about having a non essential prostatectomy.

[Tolley]

Some of the Clinics in Germany say that have great success with who have BPH and general prostate problems using hyperthermia ie no surgery

''Both the benign prostate disease, such as prostate inflammation (prostatitis) or benign prostatic enlargement, benign prostatic hyperplasia (BPH) and prostate cancer can be treated, locally, through the urethra guided hyperthermia (transurethral radio frequency hyperthermia TURF).'

http://www.klinik-st-georg.de/en/biomedical-center-for-mens-health/

[DisparateDan]

I have had the problem for at least 10 years and after researching, decided "to die with it, rather than of it", if I did have prostate cancer.

I did find a very useful chart to fill in to help diagnose cancer v. enlarged prostate.

Within the last few days I found a list of foods, supposedly to minimise the frequent urination by acting on an enlarged prostate.

Few will be more sceptical than myself about this sort of stuff, anyway from the list of 10 I bought dark chocolate and sunflower seeds.

Maybe it is coincidental but now I only get up twice at night and have much better flow during the daytime.

I have to report the relief was only for a few days.

Even worse I simply "can't get it up" now, whatever the stimuli !!

[DisparateDan]

Reading up on some of the very useful links above, I notice (with some trepdation), that, "......is passed throught the urethera"

Is this under any kind of anathesia ? I think I would have to prefer frequent "jimmies" otherwise.

Talking recently to a guy who had a robotic surgery to remove his prostate (Chulalongkorn), the after effects came out as a horror story..adult diapers et al.

Edited September 16, 2014 by DisparateDan

[DisparateDan]

<script type='text/javascript'>window.mod_pagespeed_start = Number(new Date());</script>

I started taking a moderate dose of Saw Palmetto daily about two years ago. It works like a charm! I only have to get up to pee in the middle of the night when I have been up late drinking beer.

So, here we have a person who has gained a lot from taking saw palmetto, and yet AyG says you'll be wasting your time because that's what the AMA say!! Perhaps otherstuff was dreaming?!

AMA have a lot to protect when it comes to choosing drug means for 'fixing' health problems. They consistently deny the anecdotal evidence of so many people who choose to go drug-free in curing their health disorders.

I think, Op, since you know india, i'm sure you could get some herbs sent over to you to take while biding your time before going over there to get this surgery done. Plenty of time to see if they work for you. Saw palmetto i guess you'd have to get sent over from europe or US.

Here in chiang mai we can buy many indian herbs, including ashwaganda, and i think guggul too.

Another option would be to go to chinatown in bangkok, assuming you live there, and see what they've got by way of herbs

have a friend in aussie that is the same and his doctor told him to try saw palmetto, after a short time his urine stream gained strength and he also stopped getting up during the night, he swears by it. Seems that only some doctors refuse to acknowledge it can help, maybe not in all cases but it is worth a try

Saw http://en.wikipedia.org/wiki/Saw_palmetto_extract

and.... wthin..

Saw palmetto extract is an extract of the fruit of Serenoa repens. It is rich in fatty acids and phytosterols. It has been used in traditional, eclectic, and alternative medicine to treat a variety of conditions, most notably benign prostatic hyperplasia (BPH). Review of clinical trials, including those conducted by the National Center for Complementary and Alternative Medicine, found the extract to be no more effective than placebo for BPH

But I'm gonna get some if I can. !!

[cheeryble]

I have had the problem for at least 10 years and after researching, decided "to die with it, rather than of it", if I did have prostate cancer.

I did find a very useful chart to fill in to help diagnose cancer v. enlarged prostate.

Within the last few days I found a list of foods, supposedly to minimise the frequent urination by acting on an enlarged prostate.

Few will be more sceptical than myself about this sort of stuff, anyway from the list of 10 I bought dark chocolate and sunflower seeds.

Maybe it is coincidental but now I only get up twice at night and have much better flow during the daytime.

I have to report the relief was only for a few days.

Even worse I simply "can't get it up" now, whatever the stimuli !!

The chocolate and seeds are giving you the droops? :-0

Sent from my iPad using ThaiVisa app

[cheeryble]

I have had the problem for at least 10 years and after researching, decided "to die with it, rather than of it", if I did have prostate cancer.

I did find a very useful chart to fill in to help diagnose cancer v. enlarged prostate.

Within the last few days I found a list of foods, supposedly to minimise the frequent urination by acting on an enlarged prostate.

Few will be more sceptical than myself about this sort of stuff, anyway from the list of 10 I bought dark chocolate and sunflower seeds.

Maybe it is coincidental but now I only get up twice at night and have much better flow during the daytime.

I have to report the relief was only for a few days.

Even worse I simply "can't get it up" now, whatever the stimuli !!

Chocolate gives you the droops? :-0

Tell us it ain't so.

Edited September 17, 2014 by cheeryble

[JDGRUEN]

<script type='text/javascript'>window.mod_pagespeed_start = Number(new Date());</script>

I started taking a moderate dose of Saw Palmetto daily about two years ago. It works like a charm! I only have to get up to pee in the middle of the night when I have been up late drinking beer.

So, here we have a person who has gained a lot from taking saw palmetto, and yet AyG says you'll be wasting your time because that's what the AMA say!! Perhaps otherstuff was dreaming?!

AMA have a lot to protect when it comes to choosing drug means for 'fixing' health problems. They consistently deny the anecdotal evidence of so many people who choose to go drug-free in curing their health disorders.

I think, Op, since you know india, i'm sure you could get some herbs sent over to you to take while biding your time before going over there to get this surgery done. Plenty of time to see if they work for you. Saw palmetto i guess you'd have to get sent over from europe or US.

Here in chiang mai we can buy many indian herbs, including ashwaganda, and i think guggul too.

Another option would be to go to chinatown in bangkok, assuming you live there, and see what they've got by way of herbs

have a friend in aussie that is the same and his doctor told him to try saw palmetto, after a short time his urine stream gained strength and he also stopped getting up during the night, he swears by it. Seems that only some doctors refuse to acknowledge it can help, maybe not in all cases but it is worth a try

Saw http://en.wikipedia.org/wiki/Saw_palmetto_extract

and.... wthin..

Saw palmetto extract is an extract of the fruit of Serenoa repens. It is rich in fatty acids and phytosterols. It has been used in traditional, eclectic, and alternative medicine to treat a variety of conditions, most notably benign prostatic hyperplasia (BPH). Review of clinical trials, including those conducted by the National Center for Complementary and Alternative Medicine, found the extract to be no more effective than placebo for BPH

But I'm gonna get some if I can. !!

I'll keep posting on this thread so that people who may not have read all the posts will have some helpful information.

Please do try Saw Palmetto ... it works despite the naysayers. It has worked for me for almost 15 years running... Please do not buy Saw Palmetto that is nothing more than ground up berries... it does not work and is probably what the 'research' outfit used in their study IMO... Buy a Concentrate of Saw Palmetto... the EXTRACT... The ones I have found in Thailand are Sametto by Mega (a well knows phamasuitical company in Thailand) or buy Blackmoore's Proseran (Proseren)... both fairly expensive. And you may have to take more than the recommended dose. I have posted more elaborately on this subject on this topic thread... take a look if you wish...

[loppylugs1]

The Urolift procedure looks like a winner compared to herbs, medications, surgery. Info at:

http://www.prostates.com.au/prostate/prostate-cancer/urolift/

As a (relatively) younger man with BPH, I prefer a permanent solution like this to a few more decades (should I be so lucky) of drugs with the attendant side effects.

But no info on the cost, unfortunately. I asked a Thai doctor if she knew about - she said not aware of this option here, and maybe a few more years until a doctor here goes OS for the training and invests in equipment to open a clinic specialising in this procedure.

PS I would prefer to follow cheerybie's advice and meditate my way to an unobstructed urethra! With my (admittedly undisciplined & irregular) meditation, I have noticed no changes. Maybe it only happens when one meditates in temples?

Yes am the OP.

Looking at the Urolift ,but further looking suggests it is not a clear case . The prostate cannot be over 100 grammes (or something like) mine was put at 135 a few years ago..

Anyway off to India soon to have the bi-annual body thrown to medical science,camera up the ass ,down the throat,check up for skin,prostate cancer,blood work,heart echo testing all for under $100 a bargain

If I have to have TURPS or similar I am concerned that it will put me off sex forever,couple of areas i had surgery ,one as a few days old baby and I cannot stand touching the area,funny really,but to cancel out the joy of life by surgery gives me the shudders

[DisparateDan]

got some Permixon from DR.Oliver today, it is based on the sawgrass I understand, about B1000 for 31 tablets (15 days supply). N/A at Foodland Pharmacy

Will try and report back.Not sure how significant, but during the latter part of the day, from noon until bedtime, seems fair flow and infrequent. I put this down to being vertical, but what do I Know.

Maybe one day be like this again......

[DisparateDan]

WE have the same urgencies but could we get away with his ?

[DisparateDan]

Update on the Permixon..no help at all !

[Aforek]

" Have enlarged prostate, had it checked out and no cancer,but the flow is now getting obstructed."

I know somebody who had the same than you, he was very bad , it's a medical urgency, he was transpoted to the hospital emergency ( acute urinary retention )

http://en.wikipedia.org/wiki/Urinary_retention

Edited October 2, 2014 by Aforek

[DisparateDan]

" Have enlarged prostate, had it checked out and no cancer,but the flow is now getting obstructed."

I know somebody who had the same than you, he was very bad , it's a medical urgency, he was transpoted to the hospital emergency ( acute urinary retention )

http://en.wikipedia.org/wiki/Urinary_retention

Time for Dignitas ?