Best enlarged Prostate treatment

[al007]

Interesting some research that says the newer Proton treatment may not be as good as the existing for prostate cancer, having said that who really knows, it is very early days

 

http://www.lifescript.com/health/news/reutersall/prostatenews/2012/04/17/pricier_therapy_no_better_for_early_prostate_cancer.aspx

 

Chulalongkorn is well under way with its new building to house its Proton Particle Beam facility

[whatawonderfulday]

It is suggested that having sex as a minimum 3 times per day can assist those with an enlarged prostate.  It will still be enlarged possibly but you will not be worrying about it as much.

[giddyup]

33 minutes ago, whatawonderfulday said:

It is suggested that having sex as a minimum 3 times per day can assist those with an enlarged prostate.  It will still be enlarged possibly but you will not be worrying about it as much.

Stupid comment for a serious subject.

[bazza73]

On 19/06/2017 at 3:40 PM, Sheryl said:

I personally think the problem is not the test but unwise use of the results, going overboard in reacting to an elevated reading.

 

A lot of the problem comes from the medico-legal culture in the west, doctors are so fearful of being sued that they will always err on the side of unnecessary investigations when there is anything that might possibly indicate cancer. Likewise patients tend to be easily spooked by the "C" word.  A doctor is far more likely to be blamed (or, in the west sued) for failing to investigate a lab result that is potentially indicative of cancer than he is of doing unnecessary tests.

 

PSA has its place, especially among symptomatic men (but can also be useful to have a baseline reading every now and then after say age 50) as long as it is used judiciously. It will be elevated in benign prostate enlargement but it will not usually be astronomically so, nor will it shoot up rapidly in benign conditions other than acute prostatitis. So it can be helpful as one of several paramenters in deciding whether or not further investigations are warranted.

 

It can also help distinguish fast growing from slow growing tumors, which is an important consideration in elderly men, as slow growing ones may be best left untreated.

 

What you are reading now is a reaction to a past tendency to do mass PSA screening and leap to biopsy for elevated results, which was misguided. However as with any wrong approach there is a risk of going to far to the opposite extreme.

 

 

Sheryl, just wondering....

I have ( according to my urologist ) gross BPH. He's been saying that on my cystoscopy reports for the last 2-3 years. However, I have no problems with urinating and my PSA is very low - 1.8 at last reading. I have sex 2 - 3 times a week.

The urologist isn't suggesting any intervention at this stage, perhaps he is waiting for problems to arise.

Is there anything I can do in terms of shrinkage, or maintenance of the status quo?

[al007]

24 minutes ago, bazza73 said:

 

The urologist isn't suggesting any intervention at this stage, perhaps he is waiting for problems to arise.

My observation, maybe all is well but obviously you are seeking reassurance

 

One urologist( I was with him over two years) I had; missed many things, and was blatantly incompetent, and his normal comment being what did I suggest, fortunately I followed my gut feeling and went to a top urologist for Holep surgery in India, who uncovered not only was my urologist incompetent but so also was the surgeon who did a colonoscopy and failed to interpret the results correctly. TWO different cancers were identified, I was very lucky they were found relatively early

 

I had also been having regular screening for the previous six/seven years

 

Many others have commented that the level of care is closely linked to the choice of consultant

 

Maybe if you have concern a second opinion, also not expensive and take copies of everything with you, and ask for a copy of his notes before you leave

[bazza73]

14 minutes ago, al007 said:

My observation, maybe all is well but obviously you are seeking reassurance

 

One urologist( I was with him over two years) I had; missed many things, and was blatantly incompetent, and his normal comment being what did I suggest, fortunately I followed my gut feeling and went to a top urologist for Holep surgery in India, who uncovered not only was my urologist incompetent but so also was the surgeon who did a colonoscopy and failed to interpret the results correctly. TWO different cancers were identified, I was very lucky they were found relatively early

 

I had also been having regular screening for the previous six/seven years

 

Many others have commented that the level of care is closely linked to the choice of consultant

 

Maybe if you have concern a second opinion, also not expensive and take copies of everything with you, and ask for a copy of his notes before you leave

Thanks for the response. My urologist has been taking care of me (bladder cancer ) for 11 years now ( Australia ) and I have no reason at all to doubt his competence.

When he decrees I am clear after the cystoscopy, I cancel the follow-up appointment. Maybe I should keep the one in December to ask some questions.

[Sheryl]

5 hours ago, bazza73 said:

Sheryl, just wondering....

I have ( according to my urologist ) gross BPH. He's been saying that on my cystoscopy reports for the last 2-3 years. However, I have no problems with urinating and my PSA is very low - 1.8 at last reading. I have sex 2 - 3 times a week.

The urologist isn't suggesting any intervention at this stage, perhaps he is waiting for problems to arise.

Is there anything I can do in terms of shrinkage, or maintenance of the status quo?

 

Nothing proven AFAIK.

 

BPH is very, very common as men age. And does not need treatment until/unless it interferes with bladder emptying.