New research praises non-invasive BPH treatment

Could this treatment be the answer to your prostate problems?


Dr. Jen Tan
@AVogelUK


15 August 2017

What are the current treatment options for BPH?

As men grow older, their prostate begins to naturally enlarge, for a number of reasons. As the gland grows, it can put pressure on the bladder and squeeze the urethra, causing a lot of urinary problems.

These common urinary symptoms include:

In some cases this can become incredibly debilitating, with some men needing to visit the bathroom every hour, even during the night!

There are actually a wide variety of treatment options for an enlarged prostate, and the choice of these can depend on the size of your prostate, your age and the severity of your symptoms.

In some cases medication such as 5α-reductase inhibitors, which act as antiandrogens (androgens are male sex hormones) are used to help reduce the size of the prostate. However, these are often associated with unpleasant side effects such as loss of libido, erectile dysfunction and even depression.

There are some surgeries too, which can involve removing the whole prostate, removing part of the prostate or treating the prostate with heat. However, as with any surgery, these come with a greater degree of risk, have a longer recovery period, and some methods also involve introducing instruments through the penis – not so pleasant!

One treatment that is relatively new and less widely used is Prostate Artery Embolization (PAE), but recent research has shown some promising results regarding this treatment.

What does Prostate Artery Embolization involve?

Prostate Artery Embolization involves blocking the arteries that feed the prostate, so that the gland begins to shrink due to reduced blood flow. 

To do this, a catheter is inserted into an artery (often in the thigh or groin) and directed to the prostate gland. Once there, microscopic beads are deposited to block the blood flow to parts of the prostate. As blood flow reduces, the prostate shrinks. It requires only local anaesthetic and has few short or long-term side effects.

What does the new research show?

New research released by the Society of Interventional Radiology this year looked at 1000 men with BPH who were treated with PAE.

Patients were evaluated for the short-term, medium term and long term success of the procedure, and the researchers found that the treatment had a success rate of 89% in the short term, 82% in the medium term and 78% in the long term1.

They found no effect on sexual function, and noted that the treatment is particularly effective for those experiencing acute urinary retention and those with very large prostates.

However, the researchers highlighted that this treatment is not suitable for those with arterial atherosclerosis, which is where the arteries become narrowed by fat or plaque. This is most common in overweight adults, people who smoke or those on highly fatty diets.

Is Prostate Artery Embolization available to me?

PAE is currently not a particularly common treatment for an enlarged prostate, and as of last year only 16 UK hospitals in the UK were offering the procedure2. This may have increased by now, so it may be worth speaking to your GP to find out if this treatment could be available to you.

Since this research has shown such positive results, I hope that this form of treatment will become more widely available over the coming years.

Are there natural alternatives?

If you’re not keen on any of the conventional treatments, then Saw Palmetto could help you. This handy herb is traditionally used to reduce the symptoms of an enlarged prostate such a frequent urination and nocturia (getting up during the night to use the toilet). It is not known to be associated with the negative side effects of many conventional BPH treatments.

1) Society of Interventional Radiology. "Nonsurgical treatment for enlarged prostate remains effective for years: Prostate artery embolization relieves urinary symptoms of BPH without causing major side effects." ScienceDaily, 8 March 2017.

2) Colchester University Hospital 'Mike benefits from new prostate procedure', 22 November 2016 

4 Comments

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  • Stanley's photo avatar
    Stanley — 29.08.2017 17:17
    A year ago I was waking up 6 - 8 time on a Six hour night sleep. I saw a specialist and the information I was given was not good. I spoke to a doctor friend who introduced me to Saw Palmetto capsules. At the moment, I wake up twice a night, the last at 06:00 hrs in the morning.

    Reply

    • Jen Tan's photo avatar
      Jen Tan — 30.08.2017 07:48
      Thanks for posting this information. I'm very pleased to hear that Saw palmetto has helped your symptoms. Many doctors do recommend this herb before more invasive treatment methods involving needles or scalpels.

      Reply

  • Charles Austin's photo avatar
    Charles Austin — 29.08.2017 12:37
    I am very interested in this I have to urinate several times during the night and repeatedly when I wake up with a very weak urine flow

    Reply

    • Jen Tan's photo avatar
      Jen Tan — 29.08.2017 15:18
      Yes, your symptoms could be the result of an enlarged prostate - you should get the diagnosis confirmed by your doctor who will also then be able to advise on whether this form of treatment is appropriate in your case.

      Reply

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What's being asked

Hi, I had a blood test a few weeks ago to check for prostate cancer, which came back as negative. Would this test tell me if I had an enlarged prostate?

No, blood tests are not part of the diagnosis for an enlarged prostate.
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I have an enlarged prostate. I take Saw Palmetto with other ingredients including zinc etc. Any other ideas please?

Zinc is a good supplement to take, as it is thought to benefit the prostate gland generally. You ...
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I have an enlarged prostate and have had a biopsy. All is ok but is there a herbal or other type of product I can take to reduce the size of my prostate?

If you have a diagnosis of enlarged prostate then you can take Prostasan Saw Palmetto capsules to ...
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As the A. Vogel Men’s Health expert, I recommend Prostasan® Saw Palmetto capsules to help relieve symptoms arising from enlarged prostate.

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Did you know?

BPH is a very common problem that increases the older men get, and around half of all men have an enlarged prostate by the age of 50. At the age of 80, this has risen to 80%

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