Everything you need to know about PROSTATE GLAND ENLARGEMENT | BPH

[@alexmorgan3435]

The big elephant in the room you do not even talk about is DIET. Dairy is a big cause of prostate enlargement because of the female hormone oestrogen which causes enlargement of the prostrate. I cut out dairy and now I can pee like a water cannon. Also a diet high in sugar and carbs causes high insulin levels which also contributes to prostrate enlargement. Cut out sugar and eat a diet low in carbs will cause a marked easing of difficulty peeing. Finally fasting is a great way to stimulate reduction in prostrate size and ease peeing. For me when I fast for 24-36 hours I can pee so much more easily after 12 hours and beyond WITHOUT having eaten. Also when you do eat, eat lots of green cruciferous veg such as broccoli, brussel sprouts, cabbage. Beetroot is good too. Also nutmeg for relaxing smooth muscle. I would change diet FIRST before doing drugs and certainly contemplating surgery. I did take the drugs several years ago but they were useless. Diet and exercise is the best. Sitting down for long periods is NOT good either. Most doctors just want to prescribe drugs and carry out invasive surgery as they have financial incentive to do so. Diet and lifestyle first!

[@joeyabb1965]

😂🤣😂

[@jungj987]

👍

[@alvarodias68]

Unfortunately doctors don't get any money if one can handle things with diet. A bit of a conflict of interest. Fortunately quite a few doctors are realizing that traditional medicine doesn't work and they are trying to find answers.

[@dave5185]

These are great things to try before drugs and surgery. I noticed great results from taking DIM as well. Found good natural advice from Dr Berg as well.

[@timh-c7186]

how long did improvement take after cutting out dairy?

[@usaman7358]

This is the 2nd video I've heard you say to urinate SITTING DOWN but each time you say it so casually that it could be misconstrued. Can you please answer, once and for all, if the MEN SHOULD SIT TO URINATE when double voiding? Also, going forward, you might want to say something like "obviously men usually stand when urinating but for this method, men should be SITTING". Needs to be clearer. Thanks

[@TheFriendlyTroll]

You forgot Pumpkin Seed Oil. Did my research, then used 1000 mg with a meal once per day and it did the trick for me in correcting the stop-start urine flow thing. Took about 3-4 months to fully kick in, and has worked beautifully.

[@CoraFaye]

Sadly, doctors will not tell you secrets like that. They like to push prescription drugs. Couple of years ago I was having some blood pressure issues and my doctor wanted to put me on meds. I did a little research and found L-Arginine. Picked up some over the counter and two three per day. Went back to the doc and no issues. She said what did you do? I said something you know but will not tell. I left without telling her. :-)

[@giovanni0620]

I have used Saw Palmetto for a while but I don’t feel any different and one of my urologist doctors that work with him told me about pumpkin seeds but I will try the Pumpkin seed oil and see if it will work for me., thanks for the information. And also many thanks to Doctor Malik for all the great videos.

[@pabloblanco2656]

That's a long time to see results but glad to know it worked for you

[@pabloblanco2656]

@@CoraFaye Hell yeah. Proud of you for the way you handled the doc.

[@stevedmcwinner3169]

Our nature is just AMAZING

[@Joey-nq2ec]

Hi Dr. Great video. I am 65, had BPH, tried Flomax and diet and finasteride, all to no EFFECT. After 2 years of trying and up to 6 times per night getting up, my Dr and I decided on Urolift and viola. I had immediate benefit, my first urination after surgery was my best void in many years. It has been over 2 years since and I am still very pleased, rarely have to get up during the night and when I do,only once. I'd do it again in a heartbeat!

[@AM-cq6mt]

Try homeopathy. You won’t regret.

[@AM-cq6mt]

@GunZoR try homeopathy before u go for any invasive option mate

[@Wubby805]

Thank you for sharing. I had a cystoscopy last week, hurt like HELL!! My Urolift is scheduled for next Friday and I enjoy hearing your success story. I'm 60.

[@finddeniro]

Flomax..no effect.. No diary .cheese included...

[@LordBearistrescu]

Shoving a viola up the urethra sounds painful 🤣

[@macbeavers6938]

I solved my prostate problem a few years ago by having a simple robotic prostatectomy. I had 86% of my prostate removed. I am now shooting blanks but still shooting. It got to the point that several times I could not urinate at all and had to go to the emergency room to have a catheter inserted. My advice, take real action instead of "living with" the problem which I did for too many years.

[@davidking9854]

I do resistance training and walk daily a couple miles. One cup of coffee in morning. No alcohol. Intermittent fast 16/8. Tried low carb but it makes me feel like crap. Have enlarged prostate for many years. I’m 61 now. Had prostatis a few times, but have been able to resolve with antibiotics so far. Thank you for the education on this video. Very informative!

[@anemicroyalty8764]

Any chance you could do a video on prostate massages (Whether sexual or not)?

[@jeanvernesse8873]

Ohhhh Naughty naughty you!

[@davidcraig1714]

Very informative and comprehensive discussion on BPH. My urologists simply don't have the time (or desire?) to fully explain the options available. Your presentation is absolutely necessary to make an effective decision. It took me several years to arrive at my decision going forward. It would have been a lot easier to see this video long ago. In any event, I'm going for the hoLEP procedure next week. I believe it would be the gold standard considering my condition and the size of the prostate lobes growing into the bladder. I'm fortunate to live in an area to find a doctor qualified to to perform hoLEP. (Only a single doctor within the UCLA system is qualified.) Afterwards, I'll be totally off medications which are mostly ineffective.Thank you for this video. More doctors should take advantage of social channels!

[@gregkeen4907]

Eliminating dairy has made the most drastic improvement for me.

[@bora--bora]

yes dairy and sugar

[@robertparisi8016]

Yes dairy, sugar and soy! Alcohol such as beer creates estrogenic properties, I dont want to take pills, this works tremendously!

[@claudiomonreal4822]

Thanks I have to be careful my dad passed away last year today of prostate cancer

[@MikeAnn193]

Dr. Malik I just wanted to say I really appreciate the apparently-comprehensive coverage of this topic! I expect I'll be undergoing some type of surgery at some point in the future, and my urologist has already suggested Urolift, which she offers. You introduced a few treatments I hadn't even heard of before, and I like to know all my options. Thank you!

[@AJ-eo2hz]

Urologists don’t have a clue about Prostatitis hence not even mentioned as a cause,and this is very common in men . Same symptoms as Bph but pain in the prostate as it’s inflamed and mainly not from an infection even though most urologists prescribe antibiotics for it even though as no bacterial infection present do not not work at all . Very poorly understood prostatitis is,I’m in England Uk

[@ericanderson7346]

I’ve been prescribed two regiments each of two different antibiotics with no improvement in the last couple years. Overall I’ve lived with periodic prostate pain since my mid 20s, and I’m 46.

[@AJ-eo2hz]

@@ericanderson7346 Sorry to hear that ,I’ve had chronic prostatitis for 22 years .

[@Chiroman527]

Hey gents, Mee Too. I've suffered with chronic bouts of incontinence, for years, including the plague of dribbling. I'm 70 yo, and have had these urinary problems which I think stem primarily from spinal stenosis and other spinal related malady of degenerative disc disease, and scoliosis , all affecting the central and Peripheral nervous systems. This doctor Rena is very good at describing the problems of BPH, / Prostatitis. My PSA has always been in 2 to 2.4 range. However, two weeks ago, after feeling intense burning while peeing at waking in the morning, prompted me to go to Urgent Care the next day. Urine dip tested as showing an infection. So prescribed Cepro and Tylenol for the pain and fever (which varied from 99.5 to 101. After 4 days, pain and burning subsided, but urinating has become more problematic. So off to Urologist for the dreaded battery of bladder tests. Blood showed a PSA Jumped to 22.5!!! Initial prostste exam revealed not to have an enlarged prostate. The NP prescribed Flowmax ( Tamsulosin), and Phenazopyridine. I have NOT taken either. Dr. Rena, like all non holistic doctors simply prescribed drugs to treat the symptoms, not attack the cause. I'm going to through these tests, but I am going to try natural supplements approach. Another poster here who has become embattled in media fencing about diet do indicate to stop all caffeine, eliminate sugar and carbs, and eliminate Dairy!! Include Saw Palmetto, Stinging Nettle, black pepper, Pumpkin seed oil ( which I heard of before but never tried). I guess it can't hurt . Once you start Flomax, you can't stop , like statins. Bottom line is Look at any possible spinal related issues you may have. FYI, check out cervical instabilities on YT , Caring Medical YT Channel. All the nerve pathways flow down from the brain stem and cervical spine, affecting so much in your body including bowel and bladdel. Stay well.

[@AJ-eo2hz]

@@Chiroman527 Thank you sir , and best of luck

[@drrettner]

You forgot to mention hormone imbalances: excess estrogen, testosterone and insulin (it makes things grow). Please address this in a future video.

[@waynerm401]

Another Doctor mentioned Insulin as well.

[@bilalakbar8627]

Modern Medicine Doctors and Big Pharma drugs treat the symptoms. They never address the cause of any disease.

[@terrellrussel2833]

@@bilalakbar8627 As opposed to other times in history?

[@yaryar1976]

Yes! I want my powerhouse back. I don’t want to just try and delete DHT after it’s been created,I want to prevent it from being created. Until they discover and confess the reason,I’m just gonna do autophagy fasting.

[@alexmorgan3435]

Yep this a major omission of this video. Failed to talk about diet at all. Cut out dairy (oestrogen), sugar and eat a low carb diet (reduce insulin production). Eat a healthy diet lots of green cruciferous veg and do some exercise. Don't spend all your time sitting down munching on crap processed foods which is bad for the prostrate. Also intermittent fasting and autophagy is very powerful at restoring your immune system and shrinking the prostrate. I know as I did this having had big problems peeing for a few years. Now fine. Most doctors only want to prescribe you drugs or carry out invasive surgical procedures as they make more cash if they prescribe or operate, but not if they suggest modifying your diet or lifestyle.

[@fatwhitetuna6659]

Thank you Dr. Malik! You explain better than a classroom lecture.

[@anthonywilliams6764]

why hasn't an electronically remote controlled stent valve yet been invented? With one of these inserted into the urethra, and a remote handset to lift the stent open, you can "dial - a pee " shall I write an abstract for the Patent ?

[@ralphwaters8905]

Great topic, but really hard to cover that much ground in a short video. It seems to me that most lay people who are unfamiliar with medical terminology may not comprehend what you're describing in terms of surgeries. For example, your description of Urolift as using a suture to lift the prostate does not fit well with my understanding of the Z-shaped stainless wires that attach the urethra to the exterior of the prostate. Similarly, describing "water vapor" for Rezum is also vague. "Steam ablation" would be better. If you said "steam is injected thru a tiny needle that heats and kills off prostate tissue near the urethra", I think people would understand this option better. Perhaps a single video on "surgical" options would give you time to cover these in more detail.

[@davidgosselin5466]

Extremely well done, Rena. Your knowledge and presentation is helping us men navigate a bothersome issue.

[@tonyhorthman3569]

Please do a video on protatitis on young men

[@mlwebb79]

Flaxseeds sprinkled on your food, magnesium tables can help with Frequent Urination (FU). Urolift seems to be the most popular and successful surgery right now .

[@justgivemethetruth]

BS

[@markkirk2129]

Thanks for the info. Knowing m enlarged prostate is not from BPH but another issue and different procedures available to help reduce the size helps. Also knowing what's happening with ejaculation going back into the bladder very helpful.

[@dandettmann595]

You confused me on that one. An enlarged prostate is BPH.

[@markkirk2129]

@@dandettmann595 actually no on that one. Prostatitis through direct extensions. Inlarged prostate because it's INFECTED. actually called BACTERIAL PROSTATITIS. Not any fun when pushed out in the body. Sepsis also not fun. Will say be careful who you go to for medical issues nowadays.

[@blairsterling6141]

If guys do themselves and clean out their pipes and clean out the prostate they are much more healthy. Dudes, let the white goo fly !!

[@richardpauly1635]

Oh yes baby

[@dorian4559]

Wish I had someone like you for a urologist!

[@malang73]

I heard constant heavy lifting, for work, mostly, cause enlarged prostate. Is it true, doc. I work as stocker at W..mart. I'm required to be able to lift about 50 pounds of weight for 10 feet. I'm pushing 50 now. I try not to bend over to lift anything, even small box about half pound. So far no incident, knock on wood.

[@dailydoseofmedicinee]

Symptoms of an enlarged prostate include: finding it difficult to start peeing. straining to pee. having a weak flow of urine. "stop-start" peeing. needing to pee urgently and/or frequently. needing to get up frequently in the night to pee. accidentally leaking urine (urinary incontinence)👍

[@markkirk2129]

Question for you with enlarged prostate can that cause hair loss?

[@cptdenny007]

@@markkirk2129 I’m 66 yo with an enlarged prostate and a full head of hair. In my case no hair loss.

[@markkirk2129]

57 here with diagnosis of prostatitis through direct extension. Total loss of hair on legs only over two years. Some regrowth after procedure that messed up reproductive system. Hair above hip bone grows all the time in including head.

[@cptdenny007]

@@markkirk2129 , Now that you mention it, I do have a loss of hair on my legs. However I’ve contributed it to always wearing long pants when in public no matter how hot it is here in South Florida and having my knees in the breeze riding my motorcycle. 4 weeks ago I underwent a medical procedure removing two large bladder stones and been recovering ever since passing blood and blood clots when I void. As of last night after passing one of the largest blood clots so far, there’s less blood in my urine since.

[@johnmyers8588]

WTF is this hair loss on legs???? Ive had that for YEARS and never figured out why?? Its from an enlarged prostate???

[@jazzyaz]

She didn't mention anything about diet. Hyperinsulinemia is the root cause of BPH, and the proper diet, like keto., will help prevent BPH and helps reduce the prostate size after several months on the diet.

[@1babysag]

You are wonderful! I have learned more in eleven minutes than I have learned in 20 years. Why are most urologists not as clear as you? Mine have been male, are men afraid to talk to other males about their penis and sexual side effects from having a damaged prostate? Who knows, but I am going to go through all of your videos so that I can become better informed and know what to ask my MD about my prostate issues.

[@TAROTAI]

Doc - you know that you NEVER stop blinking? Better get that checked Doctor. And one more matter - you might want to find another word for your redundant usage of the word ACTUALLY, actually.

[@franz3091]

Hi Dr. Malik! Even as a German I am enjoying your videos. What do you think about PAE? This is a fairly new treatment with good results. Would you recommend it to your patients? Best wishes, Franz

[@johnnyberetta9533]

I justhad a T.U.R.P. operation after having to wear a catheter and collection bag for 11 months. The monthly catheter change at a nursing clinic was very unpleasant until they found I need a special catheter called a cude type. It has a small curved tip on the end of it that makes it skide through the swollen prostate gland , easier. Much less discomfort. Then one day after ten months of hell, I had a serious blockage and could not clear it myself by inject 50 ml of saline solution. I ended up in an emergency department, with a full bladder that could not empty. I was in agony. I could not drive my car to the hospital due to the pain, and had to call an ambulance. I had to wait two hours in emergency. When they nurse finally saw me she drained my bladder, and there was a LOT of urine in their. Talk about relief !!! Then she inserted a new catheter. I asked, "Is it in ?" The nurse smiled and replied, "Yes, it's in." I was surprised. The first time I never felt any pain nor discomfort with a new catheter going in. She had used a silicone catheter ! What a remarkable pain free difference ! The nursing clinic where I went for monthly catheter changes did not carry silicone catheters. I was awaiting urologic surgery all this time, which was backed up due to Covid. Two months ago I went into the hospital, and was operated on. They put me under with gas, and stuck a miraculous instrument up my urtethra and into the blockage in the prostate where the urethra was being pinched and compressed. That instrument had a camera, a cutting tool, and an electro cauterizing tool. The urologic surgeon cut through the urthra and scrped and removed tissue in the prostate. That would give the urethra adequate room to let urine flow properly like it used to. The operation was a complete success. I was out of the hospital in excellent shape after one night (26 hours. There was never ANY pain nor discomfort after the operation. It was a BREEZE ! I did have blood in my urine the next day and it continued for almost four weeks and diminsished over that time period. The urologist explained that the blood in my urine was completely normal and would eventually disappear, which it did. I am back to normal. However I do have a bit of a problem reaching ejaculation, otherwise I am in perfect shape. I hope this calms an anxiety for anyone out there scheduled for a transurethral prostatic resection. Seven moths ealier I had a prostate biopsy which I made them put me me to sleep for. They puncture your rectum to get at the prostate. I was worried sick about a diagnosis of prostate cancer (I am 64) No cancer....benign. I am still celebrating !!!

[@johncorboy2163]

Thanks for sharing,I’m 64 and 1week post opp ,I seem to be on the same journey so far so good .enlightened to hear your story .cheers

[@hfactor6429]

Thank you I've been dealing with it for to long now (1yr) and want it to end. Step 1 - give up coffee PS (and TMI time) I found right after I ejaculate......my pee flow is strong and flowing (when my tank is semi full)

[@hfactor6429]

@Bill Blaze Giving up caffeine??......did you notice real improvement?

[@hfactor6429]

@Bill Blaze I understand everyone is different But it did improve yours......so motivation for me

[@alexanderarmstrong5306]

Thanks doc!! You're an amazing help!!

[@katazack]

Finasteride was fairly effective for me, but it also turned me into a eunuch.The Urolift did not help me, but aside from needing a catheter for three days it wasn't a terrible experience. It did not hurt sexual function. One procedure urologists don't mention is prostatic arterial embolization where tiny beads are inserted through a catheter in the arm or leg to block the blood flow to the prostate, causing it to shrink about 30 to 40 percent. It is done by interventional radiologists. It is currently considered an experimental procedure for prostate reduction but it seems to have promising results with minimal discomfort and no effect on sexual performance. It normally does not require a urinary catheter and is done as an outpatient. Improvement in urine flow generally takes a couple of months to appear.

[@katazack]

@@code_6 Hopefully the finasteride will keep your prostate growth under control with no further action needed. Up four times or more a night is no fun, hope you are getting some rest. It is very frustrating. I had a PAE three weeks ago (I'm also 67). The procedure went very smoothly, very little discomfort. But, unfortunately, to this point I have not seen any improvement and I am still getting up often each night. The prostate is supposed to continue shrinking for up to a year, according to my doctor, so hopefully I'll soon get some relief. Best of luck to all of us dealing with big prostates!

[@Dulcimerist]

The two medications that have helped me most with my BPH are Tadalafil and Doxazosin, as mentioned in the video. They're wonderful! They also help make things much better in the bedroom, if you know what I mean. ;)

[@jimreagan6510]

Where were you 20 years i went to urology i call them a butcher shop Rena thank you for open my eyes for my two sons God bless

[@Rayh423]

I had one of those. I went because of kidney stones and he immediately wanted to do a biopsy. I never went back.

[@jimreagan6510]

I’m in a group of people there are Kaiser patience Prostrate cancer group and yes nothing talk about this Rena give a class To the group in the Napa Ca

[@Rickenbacker954]

Asians take very good care of the mans prostate. I go to the massage ladies once a week and get the full treatment. Massage of prostate, testes and perineum. Good blood flow is essential to health of these organs.

[@stefpix]

when the solutions sounds worse than the problem. Aging and mortality are a fact of life.

[@pabloblanco2656]

There's a solution to every problem but the problem is every solution generates a problem

[@alexmorgan3435]

Diet.

[@lesliesweeney368]

Once you remove the prostate what is used to take it's place.?

[@harrycordell7769]

I have BPH and I wish my Dr would have told what it would be like after the surgery. Like letting me know that my sperm was going to go back in my bladder.Thanks so much and I know this will help other gentileman.

[@Weloveyoupyrex]

Do you think bph happens to someone who has varicocele?

[@harrycordell7769]

@@Weloveyoupyrex what is that?

[@flywelder]

What if, my first pee in the morning reflects the symptoms you describe as being prostate related? The remainder of the day I have no symptoms? I don't get up to pee during the night. Every pee after the first is good, so good I may be called on to put our forest fires! During the day, I go hrs. between peeing urges, I drink 54 oz. + -, every day. Some times, maybe once or twice a week I have lower back pain, and hip socket pain. I drink a hard cider drink once a week, sometimes twice a week. I use olive , avocado, and coconut oil, and real butter only. using a Urispec GP+A test trip, my Pee has a neg. to low glucose, neg. protein, and ascorbic acid is at a + level. I am a white male, 60 yrs. old, I weigh 175 pounds, and 5ft.8 inches tall. I have some belly fat, These are my only signs of prostate problems. A week ago, I seriously began starting my transition to a keto diet. My concerns are the urination issue first thing in the mornings, and the rest of the day is normal, and would you discuss this in a video? Do other men have these same symptoms/issues?

[@davidbaldwin3140]

My go-to "treatment" for a long time was Bell E-Z Flow Tea. Worked every time. I just ordered two more boxes, to deal with recently recurring symptoms. But this always cleared up what ailed me.

[@mitch5699]

are you serious , Bell E Z Flow Tea , is that real tea I can get in the US ? I love the doctor , she's fantastic but she's making nervous talking about surgery ...

[@rbagboyz]

can they put something over the urithra like a tube or something that doesnt let te urethra get squeezed ??

[@1maggotbrain]

Love this Dr. and her teaching information

[@abusharara5453]

Very smart, informative, & knowledgeable of symptoms, effects & side effects of treatments & procedures, and informative, this applies to all of your videos Dr. Malik, God bless you.

[@ehankhan2465]

Please help, madam. If you have BPH problems, please tell us what to eat and what to avoid. Answer my question I am thankful to you madam.

[@Dulcimerist]

Ironically, KZbin put an ad in front of this video for a testosterone boosting health supplement that actually causes prostate enlargement (BPH).

[@zaedlo]

I think more men are likely to listen to Dr Malik than another man.

[@pabloblanco2656]

I think so

[@ardenpowers7730]

Saw Palmetto has been my go to for years ! At 70, my PSA number was 1.5, and prostate size was in the normal range for someone less than 50 years young. Thanks for sharing XD

[@Detailguy101]

Sp gives too many sexual side effects.

[@RHINOSAUR]

@@Detailguy101 -Like what? I’ve used SP in very high doses for years without sexual side effects.

[@babajaiy8246]

@@Detailguy101 What side effects? I've taken higher doses (more than brand recommended) with no side effects. In researching the topic I found only one reference to some guy anecdotally saying it tanked his drive. But as others on the forum noted, there were many unaccounted factors to could have been responsible. I suspect you got wind of this one 'report', that can get repeated and referenced more than once elsewhere.

[@wildmansamurai3663]

@@Detailguy101 no it doesn't

[@dandettmann595]

Did you have BPH before you started the Saw Palmetto? I'm trying ProstaGenix which criticizes the Saw Palmetto and emphasizes the plant sterols...especially the Beta Sitosterol. They pretty much refer to Saw Palmetto as being ineffective and more or less a scam. That's the supplement that the late great Larry King swore by and referred to it as the miracle pill. A famous legendary urologist from Caesar-Sinai in LA also swears by it, uses it and it's part of his regimen for his patients.

[@Gabriel_Moline]

So much information explained so very well! You are so professional. 🙂

[@tedroybal5231]

Enlarged prostate for 25 years. Tried everything. Best remedy by far has been to keep hydrated. I drink plenty of water all day, including in the evening. Typically get up to void once a night.

[@Kebutor]

Have you tried Saw Palmetto? Also curious what might someone expect to happen on a regular basis?

[@brucehuddler7518]

Up to urinate once a night is normal, 7 times a night is not.

[@elppedro77]

I take stinging nettle (root) (500mg 2x daily) and this helped me from having to go so all night to only once or twice. Saw palmetto (from Swanson) did not do anything for me so I don't take it anymore. Maybe I should have tried another brand. Also taking pygeum (bark)(250mg 2xdaily) and pumpkin seed oil (1000mg 2x daily). (All the these are from Swanson as well.) I understand that walking and other leg exercise helps because of the improved blood flow. When I sit too long have noticed that the symptoms get worse sometimes! So I walk and climb stairs regularly now, so much better.

[@babajaiy8246]

I tried saw palmetto alone and it did work. I've tried 3 different brands, e.g. some had different minor co-factor ingredients in addition to the saw palmetto. However, at first the saw palmetto did not work but I was only taking the recommended dosage, e.g. 1-2 caps twice a day. But as soon as I started taking like 4-5 cap of any brand, 2-3 times a day then I got results. Some nights now I don't get up at all(70% of time), but if I do, it now is only once. Also, my urine flow is at a good strong flow when I do go about 80% of the time. I'm going to stop taking the saw palmetto soon and see if I can maintain my current 'status' with some minor changes to diet only. Ironically I still have some stinging nettle (root) on hand I could take too but just haven't gotten around to taking it. It's good you mention root because I've noticed there are many stinging nettle caps being sold that use leaf. I guess from your research you already know it should be root - I have an ayurvedic text that describes nettle root as the part to be used for prostrate(as a side note, since true ayurveda goes by balance of doshas not treating symptoms).

[@cmh2111]

I take Webber Naturals Super Prostate 180 softgels. Its not the magic bullet, but I suffer when not taking it, so it helps.

[@michaels7566]

I am 66 and do have a bit of trouble sometimes urinating. However, my simple solution is to relax and hum a tune, any tune...weird...but it works.

[@fernandoyyo1]

Dr. Rena, As always excellent video! You are authentic, open, engaging and a very interesting woman. Thank you so much for addressing male health issues. Wishing you and your family a Happy New Year 2022!

[@buddylove3640]

Dr. Can you put a video out on prostate massage. Thank you.

[@justgivemethetruth]

Questions you will want to ask your doctor/surgeon before you have prostate surgery 1. How long will it be before my symptoms get better? ( Can be up to 3 months ) 2. How long am I going to need a catheter? 3. Am I going to need to spend the night in the hospital? 4. What is my chance of sexual side effects? (i.e retrograde ejaculation or erectile dysfunction ) 5. What is the probability that I might need surgery again? Great video!

[@chuckkjansen]

Dr Malik, i do not normally make comments on you tube, but felt i must try to get this message out.. you, being a urologist, you might not be aware of this option to treat BPH.. or it might be similar to me going into an ICE car dealership and asking for info on the latest EV’s.. i am 79 years old and can speak from personal experience.. i started off with tadafil to orally treat my enlarged prostate.. i did that for a year or so.. then consulted a urologist, hoping for the least invasive cure.. i did not qualify for the urolift because of the size or shape of my prostates interference in my urethera.. i then had the Resume procedure, hoping to minimize the risk of incontenance and not being able to have an errection.. things didnt go well during the procedure, but without going into gory details, i got thru it.. after 2 or 3 years my prostate started to restrict my urine flow.. by the grace of God, i stumbled across the PAE procedure !! (Prosthetic arterial embolization) .. it isn’t performed by a urologist, but by a doctor specializing in radiology intervention .. the same doctors that install stents in your arteries to remedy poor blood flow.. i had the procedure done at UCLA medical center.. the procedure involves blocking off some of the arterial capillaries that supply the prostate using appropriately sized micro-spheres of a silicone based material, if i remember correctly.. this will make the prostate shrink in size as tissue dies and your body absorbs and eliminates the dead tissue.. it doesnt stop all blood flow, so you still have your prostate and everything still works, if you know what i mean.. haha .. seeing that your prostate never stops growing, i may need another PAE procedure, which is a piece of cake.. the only other advice i have, that was also give to me, is find a doctor that has done many of these procedures.. i am not sure if i can add a link to a video or not, so search UCLA arterial prostate intervention..

[@HowToWithCraig]

I find that sustaining regular vigorous exercise for at least 30 minutes 3-6 times a week, improves this condition within a few weeks of beginning regular exercise.

[@danwitteman5631]

Does acoustic wave treatments help ED and are the safe?

[@dallasbrat81]

I believe its FDA approval

[@jzwillows]

The suggestion stand up after peeing and then sit back down and pee caught my attention. Pygeum is another herb for prostate.

[@kevinstiles1752]

mine too!

[@regardecoetzee13]

I have difficulty with urine flow and emptying my bladder properly, urologist said my prostate was still okay, 2 urologist said I need to get my bladder muscle cut, I haven't yet cause of the risk and operation costs, I am on tamsul, flow Max medication long term now and still don't bow why I can't urinate properly apart from that I'm normal and fairly healthy can you help with some insight Dr Malik

[@brently1973]

Sometimes i pee and think im done but after i zip up i realize oh crap there is more and i pee a little more not much maybe a teaspoon or less. Its annoying. Is that because of enlarged prostate?

[@GregSmith-vi2gp]

Look thru the rest of her videos. She made one about the problem your experiencing. It is helpful.

[@rodrigosepulveda4559]

Hello, your videos are very informative and quick, thank you for taking the time to explain all these options. I'm 50yo, with BPH, and considering Rezum, because I'm tired of taking tamsulosin, and retrograde ejaculation. However, I don't like the idea of using a cathether, however the benefits outweigh the sacrifice, and I'm getting a biopsy done first to be clear for the operation, and then Rezume my prostate. I'm scared, because I don't want to lose my ejaculation power, or have any other side effects, I want to remain fertile so this is probably one of the safest procedures with min side effects. I considered the urolift but I heard it's short lived and Rezum will last longer. So my question is: Do I wait until my prostate gets so bight the no medication works, or should I do the rezum now, and get it over with.

[@lennyanders1639]

Liquid pumpkin seed oil fixed my BPH, I drink some everyday,it's natural with zero side effects.

[@brookcej]

Can they grow new prostates in the lab yet with your own genetics, and surgically implant them if you need a new prostate, or do they do prostate transplants for people who need a healthy prostate who don't have a good prostate anymore, and then they can get a good prostate gland from a donor?

[@frankpaya690]

The six million Dollar Man May soon become a reality

[@sparklestudios2083]

Hey Doc, I did a routine blood test and my PSA is 14.3 ; I got MRI and other tests (all results are normal ) and the doc has prescribed me Levofloxacin & doxycycline for BPH. I am under 6 weeks observation. Should I be concerned prostrate cancer ? I am 56 years old.

[@bassforkids4504]

Pumpkin seed oil, pomegranate juice and a supplement containing pine pollen and beta sitosterol has kept my enlarged prostate under control.PSA reading dropped from 6-4 in 2 years at age 69.Gotta stick with it though and not give it up after just 6 months.

[@nostalgicbliss5547]

That's a very good program you got there. When did you start noticing prostate issues?

[@dandettmann595]

Any particular prostate supplement you have found that seems to be working for you? Also...I'm considering buying some pumpkin seed oil to take along with the ProstaGenix supplement I'm taking now since it doesn't contain the highly recommended pumpkin seed oil...and the fact the ProstaGenix company attempted to sell me a pumpkin seed oil supplement when I ordered the ProstaGenix from them. Protagenix has the largest dose of plant sterols including the Beta Sistosterol of all the available supplements. 1,050 mg's of total sterols and lab proven.

[@charlespratt8663]

I find zinc supplements helpful for bph and general prostate health.@@dandettmann595

[@hermansohier7643]

I had a HOlep operation 6 weeks ago and i feel just fine.The dry ejakulation feel just the same as another ejakulation.

[@joemahadeo7317]

Thanks Dr really informative and detailed

[@olderandwiser127]

It's really too bad that you don't talk about the most obvious factor causing BPH: hyperinsulinemia. A change to a very low-carb diet will quickly reverse BPH. A very low-carb diet will also reduce hypertension and the risk of prostate cancer. To all the men reading this: hyperinsulinemia is killing us, with cancer, heart disease, diabetes, obesity, and dementia. Cut the carbs, regain your health. And whatever you do, don't believe that the only solution is drugs or surgery.

[@user-gh5lj6dn3n]

Thank you so much for the information .

[@byron9710]

@RenaMalik what is your opinion on prostate massages? Do they actually help?

[@SALCAPANO]

Dr. You really make these videos Fun. 💪 Thank you for all your Knowledge .

[@BromptonChpt3]

Great video and finally you addressed this subject. TY. You want questions? What about diet and exercise, can any of this help with symptoms or reduce BPH in the first place? Does long sitting in a chair or prolonged bike riding effect, irritate prostate, BPH symptoms? Is there a certain way to pee for best emptying of the bladder with BPH? Can this ever go away on its own or is it just inevitable to get worse and worse over time?

[@justgivemethetruth]

Great questions, hope you get an answer.

[@BromptonChpt3]

@@justgivemethetruth -nope, not reply on anything. Hope she reads my post. Thanks for the compliment…

[@donholmes3267]

Sitting while peeing is helpful for me .

[@Brightly747]

@@donholmes3267 that’s not what my family doctor told me, he said to stand up and pee, which I’ve compared to sitting down position, and standing won. I guess our anatomy is very personal.

[@dandettmann595]

Good questions! One you could have added was, do any of the numerous prostate supplements work? Those that emphasize with ingredients such as Saw Palmetto, nettle, pumpkin seed oil , pygeum, etc...and those that emphasize on plant sterols, such as Beta Sitosterol, etc. I'm attempting to correct my BPH, which includes acute urine retention with a combination of prostate supplements, diet, exercise and non tobacco use. But I'd sure like to hear from some folks that have found success in that type of regimen without Big pharma drugs and/or surgery.

[@keylimepie210]

Whenever I go to the bathroom I play "rain & rolling thunder" soundtracks and it helps you completely relax your bowels & bladder and empty everything.

[@sanatan0018]

Thank you for sharing.

[@lyfandeth]

You didn't mention prostatic arterial embolization. Approved for about two years now in the US. Apparently the lowest and least chance of any collateral damage, and performed by an interventional radiology group.

[@Fallenlords1969]

As a guy, the thought of surgery or whatever doesn't phase me in the slightest if I needed it. It is the thought of urinary catheterization (if that is the word) that scares the hell out of me. I don't know if it is a phobia or something, but the thought of it just puts me totally on edge. I could see myself avoiding surgery/treatment etc, just because of that aspect. Yet it is treated as so matter of fact, that I wonder do Doctors even realise people are afraid of this aspect? Are their any other options? Tube direct to the bladder or something? Like I say this would be the major hurdle for me with any sort of treatment.

[@manoo422]

Catherterisation is nothing compare to the permanent side effects of most surgeries...

[@waynejennings7046]

It sounds traumatic but if its done gently and with lubrication, it is not that bad. The thought of anything being shoved up your pee pee feels painful. It is not that bad.

[@petershulick5270]

I experienced BPH my blood pressure medicine lisinopril and HCTZ creates problems with urine flow Sue enlarged prostate whereas if I stop taking him the problem goes away? Now I'm going to consult my doctor primary care physician about this and see if there's another blood pressure med or medications that I can take that will not produce the symptoms? Can you tell me possibly what you would recommend? Also can you tell me if the possibility of putting a stent through the urethra passing through the prostate would be effective and holding the uretha open versus having to do a Euro floral or some type of other procedure?

[@justgivemethetruth]

This is fascinating, thank you for laying this all out like this. I was wondering if the Bilateral Hydronephrosis can be a "ROOT CAUSE" of high blood pressure?

[@beatmixer0097]

I’m going to see a urologist today! So excited to finally get meds to help with my enlarged prostate. Too many middle of the night bathroom visits.

[@chenchunageswararao8632]

Your classes are really awesome dr. Please do a big video on bpH with understandable English for global audiences with pros and cons and exercises like physical and yoga without medication and surgery and food restrictions please. Thank you dr 🙏🙏🙏

[@jonasgeorges2711]

Mine, you're great, lady! i wish i had gotten such detailed and the point informations from my urologist. i would have, for instance, avoided allergy medication, for, you are right, when i such meds, urination becomes uncobtrolable. Thank you.

[@rexwave4624]

I'm at that age where this is vital information. This video was very well-presented, not talking down to me. Thank you.

[@justgivemethetruth]

I agree, this was a well done very informative video.

[@lorengarn8211]

Dr I'm 57 and having alot of prostate problems,my Dr. Said turp was my only option ,don't want that !! I'm wondering where you practice ? Also I have PTSD so sexual side effects are making my life worse . I need help before it's to late. !!!

[@jonathanwalker2219]

Great summary, thank you! A few questions about the HoLEP procedure if I may: 1) Why do they cut into the bladder sphincter and put all the prostate tissue up into there, then use a 'morcellator' to remove it afterwards, rather than leaving the bladder alone and just removing the tissue down through the urethra as it is cut out of the prostate? 2) Why do men usually recover bladder function after this surgery, but not always normal sexual function? 3) Isn't there some way to accomplish the laser enucleation of the prostate - or, use another type of treatment or procedure for large prostates that will preserve normal ejaculation? 4) One more question: Are surgeons using factors such as the speed of the surgery, the amount of bleeding afterwards, and the overall recovery time as their measurements for "success" rather than subsequent sexual function? If so, who is driving this?

[@hankfaber3131]

I had an enlarged Prostate. My PSA had been between 11-12. I used Flomax, Finisteride, and Cialis. 3 biopsies, showed no cancer. Last Aug had a Holmium surgery My PSA is now .455. I have had erection problems for years. Any suggestions what would work? I am 75 years old. I love your presentations.

[@michaeltillman886]

Hi, Love your video; by the way! I'm 69 and I'll be 70 in Nov. One thing I can say that really help was going whole food, plant based. I really no longer have that problem. It also cleared my sinuses; that's another subject. This is something that should be looked into. Peace!

[@chris-terrell-liveactive]

I've had some sinus benefits from reducing my dairy intake, to zero for about 18 months then just some cheese and yogurt these days. My diet is mostly veg/vegan , occasional fish, and I have a pretty active job and lifestyle but haven't noticed any urinary benefits from this myself, though likely a number of factors at work anyway. I agree that diet, exercise and state of mind are areas worth looking at for this too. Great video and channel.

[@greensombrero3641]

A question: I've noticed that hot water from a shower helps to empty my bladder. At least for me - I've noticed this since I was very young. Has anyone used heat to help empty the bladder?

[@dandettmann595]

Warm water has always given me that effect since I was younger also. Always. Easy to pee in the shower, LMAO! But since I've been diagnosed with BPH back on May 9th this year (2022)...I've been self-catharizing most of the time...so I really don't have an urge to go unless I've held off on catharizing and retaining around 600 cc's of urine in my bladder. Then I have to go...and sometimes quite often. But not at night...unless I have a UTI.

[@languagetruthandlogic3556]

Thank you doctor - excellent video. Could you do a video on steps to take to avoid / delay the onset of BPH? Thanks again.

[@DMac-uv1bl]

Hi, I’m curious if it is safe to take TRT if you have BPH. I’m a 47 year old male. My VA urologist thinks I should steer away from it. I just had my labs checked by a men’s clinic and my testosterone is low at 241. I have symptoms of fatigue no stamina and no sex drive at all right now. I feel I would benefit from being on it. Thanks

[@richardkremmen7811]

Fantastically informative vid, thanks! I'm in anticipation of doing Rezum on my BPH in the near future and meanwhile, I have to do intermittent catheterization. I know I'll have to continue with the caths for several weeks post procedure most likely and I hope to avoid an indwelling foley. I can't imagine why someone would have to have a foley unless it's necessary as a tamponade. Rezum though results in very little bleeding from what I've been able to learn so is a foley always necessary?

[@RenaMalikMD]

It's recomended to use a catheter post procedurally for 24-48 hours.

[@richardkremmen7811]

@@RenaMalikMD Still wondering why the indwelling foley for someone who self caths already, but thanks for your reply.

[@salrusso1233]

@@RenaMalikMD Hi 👋 Doc are you still taking patients? Your videos are great 👍

[@dandettmann595]

@@richardkremmen7811 Are you referring to using a Foley cath post surgery?

[@richardkremmen7811]

​@@dandettmann595 Apparently some docs insist on foley cath (in anticipation of post procedure urethral obstruction) while others allow a pt. to go without an indwelling foley if the pt. already does intermittent self-cath. Some pts. can void enough naturally though, even immediately post procedure, and can avoid both foley cath and intermittent cath.

[@joshtaylor4583]

BPH caused me to have UTIs, CKD, Bladder Stones, Sepsis, and hospitalized twice. I had TURP surgery. The surgery and/or the post surgery medications (Avodart and Flomax) killed my sexual function. I had to have a catheter twice for a month each time.

[@kenm7179]

Damn, you've been through a lot. Just watching this video made me feel faint- I'm getting old and hate it. Libido is fading anyway, so that's a big concern but not a deal breaker- it's the pain.

[@tariqpasha5277]

Great Dr. Thanks for the elaborate information. I am 62. My prostate size was 46 gm. I reduced it to 26 gm in two months by using: 1. Saw Palmetto 500gm capsule daily. 2. Corn silk tea. One cup daily. 3. Kiegel. Exercises Stay blessed

[@nostalgicbliss5547]

Good routine

[@jstpsgthru]

How do you the weight of your prostate?

[@captainpedro99]

It took me almost 3 years and four urologists and a lot of private research to reach my conclusions. The first thing you should be aware of is that all current surgical procedures offered by these urologists have the potential for permanent sexual side effects. By the way sexual side effects includes losing your ability to have an erection. Should I repeat that? I found this was downplayed or ignored by my urologists repeatedly. Its my opinion that a 20% chane of "sexual dysfunction" is too much risk so I have refused the urologists "gold standard" procedure. By the way the label gold standard is coined by the Urology Community the aua, and certainly not my opinion of that procedure. It is a crude operation that involves scraping out tissue including nerves which ultimately can lead to sexual dysfunction. I am not a statistic well a urologist May dismiss 20% as a reasonable loss rate or incidence of casualties, not when it's my body. I could go on and on but.. . In short my experience led me to PAE, prosthetic artery embolization. I've seen a few comments / questiobs here asking about the efficacy of PAE, however no one addresses it. In my experience, your urologist will NOT address it for a few reasons. Number one the society of American urologist, the AUA, is withholding their endorsement of PAE citng they believe it is still experimental. This despite the fact that PAE is offered by most major academic medical centers here in the US. AND Medicare has now agreed to pay for it. It is offered in the UK most European countries and even countries like Brazil and other supposedly third world countries. Why is it not offered here in the USA?. Simply stated, A urologist will not get paid for pae as it's performed by an Interventional radiologist. It is sickening to me that we have a healthcare system that is so motivated by money that a urologist does not seek to do what's best for the patient instead of what's either dictated by their society or best for their pocketbook. Likewise anyone considering finasteride should make sure they are well aware of the risks ,again those risks have been understated here. There are many patients that have suffered serious side effects and you can find this discussion online through your own research. I decided I didn't want man boobs or any of the other potentially permanent sexual side effects offered by finasteride. Good luck to you if you are a patient in search of a solution. I am pursuing P A E.

[@dsan2509]

I take stinging nettle and saw palmetto. That’s seems to help me greatly.

[@sherlockhomer]

How long before it starts getting better? I just started saw palmetto a week ago.

[@mikebirnie6381]

Nettle tea helps...beers doesn't...not sure about coffee yet...

[@DavidHart-s6y]

Hello I’m just turned eighty and I have been taking Finasteride 5mg and Tamsulosin 400 micro grams for quite a few years ,and over the last year I have not managed to reach orgasam ,please can you give me advice.kind Regard’s Dave.

[@frankd8957]

I was on 5mg of finasteride for an enlarged prostate. After 2 weeks I started to have pain in the prostate area which persisted. So, I went off the finasteride and live with the symptoms.

[@amydascalos3964]

try low dose daily cialis..it works better

[@frankd8957]

@@amydascalos3964 My Doc just wrote me a scrip for that. Hope it works!

[@MrBargill]

Ironically just got diagnosed with mild BPH(it runs in the family)/PSA was normal..........

[@trailboy68]

I have heard of prostate massaging, Are there any health benefits?

[@tonynes3577]

Fast forward 2024. Diet plays an important part in having a healthy prostate. Sometimes its limiting your meat intake, and limiting or avoiding alcohol 6 hours before bedtime. Sometimes its exercising and walking daily that will improve urination and keep the prostate from causing urinary obstruction. Most importantly, just remember, if you remove the prostate, you will no longer have the ability of ejaculation of semen. This can be devastating and depressing for some men as it causes inferior sexual function.

[@justgivemethetruth]

Are Ophthalmologists trained to consistently ask surgery patients if they are on these Alpha Blockers? Seems like that would be a good idea to put on the Ophthalmologists' checklist. Thanks for all the organized and clear knowledge presentation.

[@dsm1984]

Have had this for years. Flow is disrupted- starting is hard, stoppping is hard, and post void dribble is awful. Urologist put me in flo max but basically says nothing can be done about post void dribble . Great.

[@sydneyduge2078]

Interesting information, thank you. I notice you don’t mention any correlation with PSA blood test results and BPH during the detection of prostate cancer. Does a high PSA test result help determine whether you have BPH? Any other thoughts on the merits of PSA as a factor in diagnosing Prostate Cancer?

[@ChiNguyen-wf1qt]

I believe PSA is every urologist wet dream

[@leastcoast5606]

I am 75 and my urologist told me it isn't recommended anymore as all my past reading were very low. I just got the finger the other day and my prostate is pretty large (60)