Formulated by Ray-Sahelian, M.D.
Prostate enlargement treatment
Prostate enlargement is caused by an increase in the number of both epithelial and stromal cells. Clinically, prostate enlargement leads to voiding problems, which is most often referred to as lower urinary tract symptoms (LUTS).
Prostate enlargement progression
Prostate enlargement usually occurs in males 45-50 old and progressively
involves 75% of the male population over 75 years of age.
Prostate Power
Rx -
Physician Formulas
Formulated by
Ray-Sahelian, M.D.
With Saw Palmetto, Pygeum, Stinging Nettle, Gensitein, Quercetin, Phytoestrogens, and several Ingredients for support of normal prostate health and size.
Prostate Power Rx is carefully
formulated with important herbs and nutrients to provide optimal prostate
health.
Prostate Power Rx
Supplement Facts
Saw Palmetto extract
Stinging Nettle extract
Quercetin
Rosemary extract
Beta Sitosterol
Pygeum extract
Daidzein and Genistein (standardized to contain 40% isoflavones)
(treatment with the isoflavones daidzein and genistein, the estrogen-like
compounds found in soy, block prostate growth in rats)
Lycopene
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Symptoms of prostate enlargement
Symptoms of prostate enlargement are related primarily to bladder outlet
obstructions resulting from enlargement of the prostate gland, and from
extrinsic and intrinsic sympathetic activation of alpha-adrenoceptors present in
the muscle tissue of the prostate gland, the urethra portion of the prostate
gland, bladder base and neck.
The symptoms of prostate
enlargement
vary, but the most common ones involve changes or
problems with urination, such as:
A hesitant, interrupted, weak stream; Urgency and leaking or dribbling; More frequent urination, especially at night. This is called nocturia. Men who have symptoms of prostate
obstruction are more likely to develop chronic kidney disease.
Prostate enlargement
cause
Prostate enlargement may be due to genetics
and diet. Hormone changes as we get older also influences the growth of
the prostate gland. Prostate gland development requires the conversion of
testosterone into DHT with the help of an enzyme called 5-alpha reductase.
As aging occurs, the amount of DHT in the prostate gland remains high,
even through the circulating testosterone level drops which could lead to
prostate enlargement.
Common NSAID painkillers like ibuprofen and naproxen may increase
the risk for prostate enlargement and worsen urinary symptoms in men
who already have the condition.
Prostate enlargement treatment
Historically, the only treatments for LUTS due to prostate enlargement
were watchful waiting or surgery (transurethral or open prostatectomy). However,
over the last three decades, medical treatment has taken a prominent role in the
management of prostate enlargement symptoms.
Several drugs are used in the treatment of a prostate gland.
Medical treatment for prostate
enlargement
Current medical treatments for enlarged prostate gland include alpha-adrenergic
receptor antagonists, inhibitors of the 5-alpha reductase enzyme and various
herbal remedies. Many patients are unable to tolerate the side effects of these
medications, or are refractory to medical management and require surgery.
Prostate enlargement Medicines -
Prostate enlargement Drugs
Several drugs are currently used for an enlarged prostate gland:
5-alpha reductase
inhibitors:
The
enzyme 5 alpha-reductase (5 alpha R) catalyses the reduction of
testosterone into the more potent androgen dihydrotestosterone.
The abnormal production of dihydrotestosterone is associated with
pathologies of the main target organs of this hormone: the prostate and the
skin. Prostate enlargement, prostate cancer, acne, androgenetic alopecia in men,
and hirsutism in women appear related to excess dihydrotestosterone production. Two
isozymes of 5 alpha-reductase have been cloned, expressed and
characterized (5 alpha R-1 and 5 alpha R-2).
Proscar (finasteride) for enlarged prostate gland,
manufactured by Merck. Proscar blocks the
conversion of testosterone into the more active dihydrotestosterone.
Fincar - Generic Proscar manufactured by Cipla;
Avodart -
Dutasteride manufactured by GlaxoSmithKline;
Dutas - Generic Dutasteride manufactured by Dr. Reddy's.
Alpha 1 blocker for prostate
enlargement:
Alpha1-blockers are the medical therapy of choice for symptomatic patients with
prostate enlargement and low risk of clinical progression (e.g. prostate volume
< 30-40 ml). Alpha1-blockers have no effect on the long-term risk of acute
urinary retention and the risk of surgery. The
alpha 1 blocking agents (Terazosin, Doxazosin, Tamsulosin) that improve urinary
symptoms.
Flomax - Tamsulosin Hydrochloride manufactured by Boehringer Ingelheim. Terazosin alpha 1 blocker appears to be useful in the treatment of patients with mild- to moderate symptomatic prostate enlargement.
Hormonal treatment of
prostate enlargement
LHRH analogs (Leuprorelin and Goserelin)
can reduce the testicular production of androgens with reduction in prostate
size.
Surgical treatment of prostate
enlargement
Many potential new surgical treatment options are available for the treatment of
prostate enlargement.