Benign Conditions of the Prostate

Benign Prostatic Hypertrophy Summary (BPH)

This condition may affect as many as 80% of people over the age of 80 years. In this condition, there is basically an excessive growth of normal prostate cells. The prostate remains soft when one has BPH. (In PC, prostate becomes hard, although in 30% of cases no abnormality felt in prostate).

The two main reasons why Prostate enlarges is due to DHT (dihydrotestosterone and estrogen). Testosterone is converted in the body by enzyme 5-alpha reductase to DHT which is ten times more potent than testosterone. The prostate releases PSA (Prostate Specific Antigen) into the blood stream. The PSA in men of 50 years old may be as high as 2.5 ng/ml, and in 60-year-olds 3.5 ng/ml. A man with a large Prostate and BPH, may have a PSA as high as 10ng/ml.

Prostatitis

Prostatitis may elevate the PSA-usually acute, often associated with Bacterial or Chlamydia infection. Chronic Prostatitis due to bacterial infection is uncommon. (An asymptomatic inflammatory prostatitis may occur) Back to Top

Management

At the Houston Wellness Center we may recommend a specific combination of the following: 5-alpha-reductase inhibitor, androgen-receptor blocker, Luteinizing hormone, Lupron, and Zoladex.

Alternatives to Surgery

The following may be considered depending on the patient's specific situation:

  • Transurethral microwave thermotherapy (TUMT)
  • Transurethral needle ablation (TUMA)
  • High intensity Focused Ultrasound (HIFU)via rectal probe
  • Saw Palmetto
  • Cox-2 inhibitor
  • Nettle root extract (urtica doica)
  • African Pygeum
  • Estrogen and BPH

Ratio of Free Estradiol to Free Testosterone is 40% higher in older men. In aging men there is accumulation of DHT, Estradiol and Estrone, and a dramatic increase in Estrogen/Androgen ratio, so men become Estrogen-dominant.

Testosterone is converted to Estrogen by Aromatase enzyme. The Estrogens then bind to sex hormone binding globulins (SHBG) that are already attached to cell membrane. SHBG also tends to increase with age.

Herbal Remedy

The Houston wellness clinic will determine exactly what combination of the following is best:

  • Chimaphila ubellata
  • Horsetail-excellent for acute prostatic infection, as well as inflammatory arthritis
  • Purple coneflower
  • Pulsatilla/Delphinia - good for inflammatory prostatitis
  • Specified vitamins and minerals
  • Antibiotics are often administered for acute bacterial Prostatitis
  • Foods
  • Anti-inflammatory foods - ginger, onions, garlic, flax, apples, curry, pineapple, pumpkin seeds, berries and flax

Overall, Dr. Allibone is a specialist at finding the root of the problem. Our clinic gets a detailed medical background and the appropriate test results to determine an individualized management plan. This method is the best possible way to manage this condition long-term for optimal health. Back to Top

If we fill our hours with regrets of yesterday and with worries of tomorrow, we have no today in which to enjoy our existence. Seize the day, and take control of your health and life. How you are going to live those tomorrows will depend on how you act and choose today. - George Allibone M.D.