BPH (benign prostatic hyperplasia) , also known as Prostate enlargement, is one of the most common ailments for men — especially as men age. Approximately half of American men over 50 have some degree of BPH.
BPH is a non-cancerous growth of the prostate that does not leave the prostate or spread to other areas of the body. BPH occurs when the prostate expands to the point were it restricts the flow of urine as it passes through the urethra, making it difficult for a man to pee and completely drain his bladder. This situation is often compounded by a frequent and urgent need to urinate.
What causes BPH? There are many culprits: poor diet, sedentary lifestyle, stress, a declining male sex hormones (androgen/estrogen ratio), pelvic floor dysfunction (PFD), family history — but most of all, aging. BPH is not a young man’s disease.
Also, pelvic floor dysfunction is often called “The Great Imitator” of BPH. What does this mean? Basically, when it comes to restricting the flow of urine, a big prostate isn’t always to blame. For example, the urinary symptoms are the same for a man with an enlarged prostate, chronically tight pelvic floor muscles, or a narrowing of the urethra (called a “urinary stricture”). All three obstructions make it difficult to pee.
Clearly, the treatment for this problem (difficulty urinating) should be based — not on the symptoms — but on the location of the obstruction. Identifying our patients’ issues and providing them with the right treatment plan is what Choices in Health does best.
Our practice is based on our more than 60 years of collective experience in men’s health, which allows us to synthesize multiple factors and design individualized treatment plans for each patient based on orthodox and complementary medicine.
We look for the causes beneath the symptoms. (Why are you having trouble peeing? Why are you waking up to go to the bathroom in the middle of the night when you never used to? Why has your prostate gotten bigger? Most importantly: How can we improve you prostate health so your BPH symptoms resolve themselves? Our integrated approach to healing the whole person is based on a deep understanding of traditional medicine, and supported by complementary and alternative products and techniques.
- Exercises designed to strengthen your torso: Pilates, yoga, and advanced core exercises
- Herbal remedies
- Condition-specific Acupressure (Our on-staff acupuncturist teaches patients the precise acupuncture points to assist in healing the patient’s particular condition.)
- Partner-facilitated physical therapy (We teach both patient and their partner the specific physical therapy techniques and exercises to facilitate the patient’s healing at home.)
Diagnostic Tools for BPH
- Medical history
- Physical exam (with digital rectal exam)
- PSA screen (rule out prostate cancer)
- Urodynamic flow study
- Post void residual (PVR) testing
Treatment Options for BPH
- Oral Medications