Chapter 2.25- Prostate Disorders
In this chapter, Dr. Donache presents Complementary/Alternative Medical (C.A.M.) Therapies for the prevention and treatment of prostate disorders.
The chapter includes an overview of the disease's symptoms, conventional treatment methods, and alternative therapies, including Bio-Energetic therapies, Bodywork and Movement therapies, and Mental / Emotional treatments.
This chapter is taken from Dr. Donache's upcoming book, Finding Balance - Integrating Complementary/Alternative Medical (C.A.M.) Therapies for the Prevention of the Top 30 Diseases in America. Each section of chapter 2, which describes alternative treatments for each of the top diseases, is available as a download on this website.
Table of Contents
Glossary of Terms Used in this Chapter
Additional Disease Descriptions and Treatments Available for Download
Table of Contents
- ABOUT THIS DOCUMENT
- PROSTATE DISORDERS
- CONVENTIONAL APPROACHES
- TREATMENT AND MANAGEMENT
- Watchful Waiting
- Issues and Answers
- BIO-ENERGETIC THERAPIES
BODYWORK AND MOVEMENT THERAPIES
- Nutrition and Supplements
- Enzymatic Therapies
- Rainforest and Western Herbs
- Rainforest Herbs
- Western Herbs
- Homeopathic Remedies
- Essential Oils
MENTAL AND EMOTIONAL SUPPORT
- Therapeutic Bodywork and Massage
- Traditional Chinese Medicine
- Hatha Yoga Postures
- PRODUCT ORDERING INFORMATION
- GLOSSARY OF TERMS
Back to Top
Prostatitis, common in men of all ages, is the inflammation of the prostate gland. The usual cause is infectious bacteria that invade the prostate from another area of the body. The prostate's function is to add fluid to the sperm prior to ejaculation.
Benign prostatic hyperplasia (BPH) is a non cancerous enlargement of the prostate caused by cell growth within the gland. BPH seldom poses a health risk, but it can cause bothersome urinary symptoms that affect quality of life. The cause of BPH is unknown, but male hormones like testosterone clearly play a role in prostate growth. Aging is also a factor. Seventy-five percent of men over age 60 have an enlarged prostate, and about a quarter of those will see a doctor for their BPH symptoms.
It is important to remember that BPH is not prostate cancer. A man with BPH is no more likely to develop prostate cancer than any other man. It is true that many men with prostate cancer also have BPH, but research has not shown that these conditions are related or that one leads to the other. Normally, a full bladder contracts, pushing urine through a narrow tube called the urethra and out of the penis. As men age, the number of prostate cells surrounding the urethra increases. This increase is called hyperplasia.
Prostatitis can be either acute or chronic. Symptoms of acute prostatitis include:
- pain between the scrotum and rectum,
- frequent urination accompanied by burning sensation,
- a feeling of fullness in the bladder, and
- blood or pus in the urine.
Over time, prostate cells can form nodules that squeeze the urethra and obstruct flow from the bladder, making urination difficult. Adding to the problem is muscle tissue within the prostate. This tissue can tighten around the urethra, further constricting the urine passageway. Initially, bladder muscles compensate for the obstructed urethra by working harder to force urine out of the body. This builds up the bladder wall. The thickened wall becomes more fibrous, reducing the bladder's ability to hold urine. Bladder irritation leads to more frequent and urgent urination.
Besides frequency and urgency, other symptoms may include:
- awakening at night to urinate;
- a weak urine stream;
- difficulty starting or stopping urination;
- a sense that the bladder has not been emptied by urination.
BPH complications are uncommon, but they can include urinary tract infections; acute urinary retention; and, in rare cases, kidney damage. It is largely attributable to hormonal changes associated with aging. After the age of fifty or so, a man's testosterone and free testosterone levels decrease, while the levels of other hormones, such as prolactin and estradiol, increase. This creates an increase in the amount of dihydrotestosterone - a very potent form of testosterone, within the prostate. This causes hyperplasia (overproduction) of prostate cells, which ultimately results in prostate enlargement.
Although a gradual onset of urinary symptoms in an older man often points to BPH, other conditions, such as prostatitis, prostate cancer and bladder cancer, must be ruled out. Prostatitis is more common in younger men, and its symptoms tend to develop more swiftly than BPH and subside with treatment. A digital rectal exam (DRE) is a test in which the physician inserts a gloved finger into the rectum to feel the prostate for abnormalities. Another test checks the blood for prostate specific antigen (PSA). These tests give important clues as to whether cancer may be present. A urine sample also may prove useful. Most cases of prostatitis can be detected this way. Most men with BPH are treated by a family physician or internist. a urologist may be consulted, especially if additional tests such as ultrasonography or cystoscopy are necessary. Cystoscopy is often reserved for patients considering surgery. In most cases, additional testing isn't necessary, and a treatment plan is often discussed after the initial office visit.
Back to Top
Glossary of Terms
- Acute Urinary Retention
- An inability to urinate, sometimes caused by BPH itself or by the added effect of certain medications that decrease the bladder's ability to release urine.
- Benign Prostatic Hyperplasia (BPH)
- A noncancerous enlargement of the prostate, common among older men; also called "enlarged prostate."
- The muscular sac above the prostate where urine is stored.
- A procedure in which a small viewing device is inserted through the opening in the penis in order to view the urethra, prostate, and bladder.
- Tissue or organ enlargement caused by an increase in the number of cells; hyper means excessive and plasia means development.
- The inability to maintain an erection.
- An inability to control urine flow.
- A walnut-shaped gland located in the male pelvic region that supplies fluid and enzymes to semen prior to ejaculation; surrounds a portion of the urethra.
- Inflammation of the prostate that may be caused by a bacterial infection; can lead to rapid onset of urinary symptoms and may also cause chills and fever.
- Retrograde Ejaculation
- A condition in which semen flows back into the bladder, instead of out of the penis, upon ejaculation; a common side effect of BPH surgery.
- Transurethral Resection of the Prostate (TURP)
- A surgical procedure to remove excess prostate tissue.
- A test that uses sound waves to view internal structures; it can reveal whether urine is retained in the bladder after urination.
- Uretha A thin, narrow tube through which urine and semen exit the penis.
- A doctor whose specialty is treating conditions of the male and female urinary systems and the male reproductive system.
- Watchful Waiting
- Observation of symptoms until the patient and/or doctor decides that treatment is necessary.
Back to Top