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PROSTATE SHRINKING

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Posted 12/31/2013 9:35 PM (GMT 0)
I have a huge prostate, just measured at 174cc. The prostate is restricting urine flow.

I have to take flomax to keep decent urination, and I abhor drugs.

What is the safest way to shrink this beast, without drugs?

I have been studying focused ultrasound....and found a clinic in California ( http://bichercancerinstitute.org) which claims they can shrink it within a few weeks.

Anyone know of this place, or another non toxic treatment that works? I dont want a turp as that causes retrograde for life, and I hear laser can do the same thing, and is only temporary?
Posted 12/31/2013 11:26 PM (GMT 0)
Like to see what others say. I don't think there is anything short of the usual suspects. Avodart, Greenlight laser, Turp, etc especially with your over sized,massive prostate.

Hoping for a natural side-effect free solution doesn't exist( It does come down to the size of the donut hole not the donut. Perhaps you could get away with a trim, I did, with a minor green light laser to remove the offending encroachment. darn prostate keeps growing however..

Dealing with an enlarged prostate isn't just an inconvenience

you can develop bladder distention which ultimately can lead to the bladder no longer being able to contract and push urine out. People who aren’t able to empty their bladder can develop kidney issues. And bladder stones - while not damaging –also won’t go away on their own and require surgery to fix.”
Posted 12/31/2013 11:52 PM (GMT 0)
There are some trials of NX-1207 for BPH.

clinicaltrials.gov/ct2/results?term=nx1207&Search=Search
Posted 1/1/2014 3:03 AM (GMT 0)
The drugs are the least invasive way of dealing with BPH - an alpha blocker plus a 5-AR inhibitor (Proscar or Avodart) are very safe.

All the other methods you mention like TURP, laser ablation or HIFU ablation are invasive and physically destroy tissue.

There are no other ways of reducing the size of the prostate without taking a medication of removing or destroying excess tissue.

- Allen
Posted 1/1/2014 12:14 PM (GMT 0)
you need to look at the GAT GOREN threads. G/G have a procedure that closes off the spermatic veins and capillaries, preventing backflow of free testosterone rich blood which they claim, causes the enlargement. I had the process carried outalmost two years ago and my prostate is now almost back to normal size and my flow is good. No getting up night anymore and no medication.

Orignally I had a similar size enlargement to you and i wasgetting up 4 -5 times a night and it would take 20 minutes to have a pee - if you could call it that.
Posted 1/1/2014 12:16 PM (GMT 0)
by the way, the procedure was done without any pain killers or drugs and it took an hour or so. It was not painful or uncomfortable and I was able to walk around my hotel a few hours after the procedure.
Posted 1/1/2014 6:28 PM (GMT 0)
blackdog69 -

I'm responding because my situation was similar to yours.

A couple of years ago I also was having severe urinary difficulties, consulted a urologist about it, and found that I also had a rather large prostate (154 cc).

My uro suggested that a TURP in my case was probably my best option, as medication (Avodart was mentioned) would take a good while to work with such a large prostate (at least weeks, probably longer, and I would likely need to be wearing a catheter during that entire time).

He also mentioned that in some cases a prostate can enlarge to the point where drug treatment of it becomes not very effective.

So I did go with the TURP. Yes, retrograde ejaculation has been a side effect of that (happens in at least 80 % of TURP cases, per my uro), but my urinary function was substantially improved.

It also turned out in my case that prostate cancer was there all along and was discovered a few months after the TURP following ongoing high PSA readings.

In your case is there more that you can tell us? Following discovery that your prostate was as large as it is, did your physician (a urologist?) recommend further tests? A PSA test at least? A biopsy? Did he recommend a course of antibiotics out of a concern that you may have an infection? Do you have any idea whether PC (or a condition preliminary to it) may be present in you? Any additional information that you can provide might enable us to give you better advice.

Concerning your comments about hyperthermia as a treatment option, I went to the link you provided and read their home page. Something said there caught my eye:

"Hyperthermia cancer treatment in conjunction with low dose Intensity-Modulated Radiation Therapy (IMRT) offered at BCI, is purposely intended to cure when tumors are localized". (I added the boldface).

So it seems they are saying that to be effective, this hyperthermia treatment needs to be administered along with IMRT. Were you aware of this? (I also had IMRT, BTW). Also, when they make the claim that they "can shrink it in a few weeks" you might want to do some research to see if there is anything that can back up that kind of claim.

You need to understand that whichever treatment path you choose to follow there will likely be side effects. Your stated aversion to use of drugs is understandable, but most treatment modalities are likely to involve at least some use of medication in some form.

If you would like to expand in your original post, telling us more if there is more, perhaps some of us can advise you better.
Posted 1/2/2014 3:16 PM (GMT 0)
In addition to PCa my uro is a BPH specialist. He was a principal investigator on the Reduce and Redeem trials for Avodart and the Combine trial for Jalyn (combines Avodart and Flomax). He also was a pioneer with the GreenLigtht laser and recently presented hands on GreenLight instruction at the annual American Urological Association meeting. When we have discussed BPH he reports very positive results using these combinations.

Given your condition, I would suggest you get a urologist that does a lot of advanced BPH work. As was said earlier, this is not just an inconvenience but can seriously threaten your health. And it probably won't get better on its own. I would also think that using Jalyn should be considered as the trial found that the combination was more effective than each drug on its own. I have been on Jalyn for three years and have been fine.
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