Cranberry tablets to reduce a large prostate?

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I know there are probably many posts in here over the months and years with lots of views on the best way to reduce a large prostate. My partners is 70cc, not large compared to some I have read about but large enough to affect his daily life. He does not want to take medication due to the side effects, loss of libido etc. We also read that they often don't work! He has started taking pomegranate juice daily to help with any prostatitis that may be present and also high strength cranberry tablets. I was just wondering if anyone had success with any of these, or anything else? Surgery has not been suggested yet.

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  • Posted

    I haven't seen any science that suggests a non-drug / non-interventional success re reducing prostate size.

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  • Posted

    I also wanted to avoid medication and tolerated the symptoms of an enlarged prostate for around 10 years. I tried diatery supliments (not cranberry concentrate) but the symptoms gradually worsened until I finally needed to address the issue. My intention was to use 'self catheterisation' but my doctor strongly recommended that I try Tamusolin and assured me that I could stop with no lasting side affects. Within a couple of days my life returned to normal. Still taking one tablet a day after two years with no regrets. My libido has been affected but the symptoms of BPH were much worse. I imagine that I will need surgery at some stage in the future but wish I had taken medication sooner. I wish your partner all the best and think that he must follow what feels right for him.

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  • Posted

    He was on Tamsulosin at the beginning and was then taken off them by his urologist. He has never had problems with his flow which is probably unusual for someone with a larger than normal prostate. Just frequency at the beginning of his problems. He will try anything that helps but, being a pharmacist, he has first-hand experience of men coming to speak to him about the side effects of Contiflo etc! I'm possibly getting confused about the benefits of cranberry tablets in particular. They seem to get quite positive reviews regarding the general health of the prostate and preventing bacteria adhering to it in cases of prostatitis. Anyway, I guess they can't do any harm and he will give them a go for a month or so and see how he feels.

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    • Posted

      Does he have retention or just frequency? Any other symptons? To put things into perspective you mght want to google "IPSS" score and take the five minute test then report back. It's a common misconception that urinary tract symptons are only due to prostate size. It's much more complicated and there are men with very large prostates and hardly any symptons and men with small prostates and significant symptons. Cranberry tablets have mixed reviews for preventing UTI's, and should have nothing to do with prostate size although probably couldn't hurt with prostatitis symptons if that is what he has. I haven't seen any studies that still suppport Saw Palmetto, etc, but won't due any harm.

      Jim

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  • Posted

    Hi Caz

    Contrary too what Arlington  below has said there are a lot of people all over the world who swear by Saw Palmetto and also Stinging Nettle Root Extract.

    Both are available on Amazon and there  have been a few small scale research projects carried out on Saw Palmetto.

    Google it and make your own decision.

    I take both and am convinced they make a difference, and my Urologist confirmed they are beneficial which is unusual for a Doctor!

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    • Posted

      Hi Jezzaman,

      You may have misunderstood me.  I'm not saying they don't have possible benefits but rather only that, with respect to shrinking the prostate size, there is no evidence.  The message I was responding to was asking about shrinking the size of the prostate.

      Respectfully,

      Arlington

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    • Posted

      Doctors in Germany actually do believe that Saw Palmetto helps. Here they just shake their heads. During the 9 years I took it my prostate went from 35 to 75grms but it did seem to help with other aspects.
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    • Posted

      Just an aside to your comment about Saw Palmetto and Stinging Nettle Root Extract.  I subscribe to a "Lab" that tests on behalf of their "Consumers."  Oddly enough, one of the highest recommended Saw Palmettos is from ... you guessed it ... Walmart.  As for the Stinging Nettle Root Extract, I don't believe they've tested it, but clearly WebMD says it "may be effective for symptoms of BPH."

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  • Posted

    Phyto chemicals have a mixed reputation. They seem to work for some and other not so much possibly indicating a placebo effect. After all this is all connected to the autonoic nervous system so mind over matter can work at times.

    I did not want chemicals either as I am 61 and did not want to be on meds for 15, 20 or 30 years. I opted for an iTind implant. It is temporary, causes little trauma to surronding tissue, relatively pain free and very safe. It basically creats a wider area within th eprostate to allow uringe to flow. As soon as it was removed all of my iurgency issues vanished.I was going up to 18 times a day, 3,4 and 5 times at night, with immediate urgency sensation and feeling like I never really emptied my bladder.

    The very first day it was removed I could empty my b;adder, control sensations of urgency, go 6-8 times a day and only get up once at night. No incntinence, no sexual disfunction, no erecticle disfunction, no retrograde ejaculation. Everything feels normal. Just a lot mor relaxed.

    It is available in europe, Canada, Brazil etc. and is in trials in the USA where I am. The trial sponsor is Medi-tate and they took care of everything. Google it and look into it.

    Good luck.

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    • Posted

      Hi Bobby, what sort of time benefit do you think it offers? Years ago I had 2 x DVIU procedures and over the years the problem returned. This sort of looks like a temporary stent that shapes the urethra inside the prostate, then is removed after the 7 days or so. Looks interesting. I thought they may leave the cage in place, though, I suppose, the risk of infection gets worse over time.

      Geoff

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    • Posted

      DVIU is used to eliminate strictures and is kmnown to not be very effective because scar tissue develops again.

      The iTind is less of a stent and more of an incision device. It incises the urethra through ischemic action by compressing the tissue and where it touches the tissue it dies off naturally and sloughs off like a scab. There is little trauma to surrounding tissue so no heavy scar tissue develops. The incisions do not heal because urine flows through them several time a day.

      So far they have been used for 5 years with no repeats, but the system should be repeatable if necessary. Since it is placed under visualization they can avoid damaging the seminal ducts and various nerves so little chance of any side effect damage to sexual function. Only downside is that it works about 85%-90% of the time and nobody knows the ultimate duration of effect.

      The procedure takes 5 mintues and you stay for an hour or two because of the sedation and you have to urinate before you go home. No overnight stay. Nocatheter and bag.

      The implant duration is not painful, but you know it is in you. You are a bit tender but minimal bleeding, mostly very small blood clots. Just a lot of urgency so you have to stay home.

      The removal did not require sedation, just a valium which helps relax your muscles. It took about 1 minute to remove and was uncomfortable for about 15 seconds; a 2.5 on a scale of 1-10. Within an hour of removal I felt relief. No urgency. Complete voiding. About 3-4 hours between bathroom visits. Heaven.

      If I had to do this every 4 years I would do it in a heaartbeat. Better than being on meds with loss of libido or ED or retrograde ejaculatiion.

      All procedures are somewhat temporary because the prostate keeps growing. Only a prostatecomy would "cure" that.

      If you are in the USA reach out to Medi-tate and see if you qualoify. They will screen you carefully. Hope this helps.

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    • Posted

      Thanks Bobby, very interesting. I looked at a few of their videos...all looks very efficient. My stricture returned many years ago that may need some repairs? Last week I had a Cystoscopy and will see the urologist in February to work out what action, if any, is required. I live in Australia and it seems this procedure is not here yet. We are not know as a pioneering nation when it come to medical devices and procedures.

      Geoff

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    • Posted

      I assume you were part of the study. Are you assuming based on sympton relief that you were not in the placebo arm or did they reveal it to you. If not, when is the reveal?

      Jim

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    • Posted

      Jim,

      Yes I was part of the study in the USA.

      Officially I do not know if I was in the sham arm or not but, actually, if you read the protocol of the study and do a little research it becomes pretty obvious if you are in the control arm or not.

      That and the results are pretty dramatic.

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    • Posted

      Hi Bobby,

      I may be wrong, but my understanding is that they do a rigid cystoscopy in the sham arm. That's somewhat invasive and therefore usually done under anathesia, therefore I don't see how it would be obvious just from the procedure itself if the patient is visually shielded both when the device is either really (or sham) introduced. And while it sounds like you got the real deal based on sympton relief, there may be some in the sham arm that are not sure, therefore wondering how long they have to wait to be told. 

      Jim

      Jim

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    • Posted

      No, the sham gets a Foley inserted and immediately withdrawn.

      Also a Foley is used during removal for both sham and implant.

      Everyone is sedated and there is a screen drape too. All was very comfortable and the only pain i experienced was buring during urination until the implant was removed.

      I believe that it does become obvious that somehtiing is inside of you for 5-7 days. There is no sedation with the removal, just a Valium to relax your muscles, and a screen drape is also used. I beleive the follow last for 3 to 6 months. Then your records are available.

      The results are so dramatic upon removal. If I had the sham I do not believe that I could be so much more improved. Hey maybe I was hypnotized!!!! *lol*

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    • Posted

      It sounds like you had an excellent response. It will be interesting to see how the study group did overall, and how effective iTind will be with populations that have less rigorous exclusion data. It seems that they have been using a chain saw for too long where perhaps a knife will do!

      Jim

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    • Posted

      It has been in use for 5 years internationally and is approved in the EU, UK, Canada, Brazil, Israel, Hong Kong, etc. The response has been about 85%-90% effective without negative side effects. The failures are with men who have multiple problems and are older or where the implant shifted in which case it is just removed.

      This solution is rather simple and elegant at the samer time. 

      It is using the body's natural process of shedding old cells which is much less traumatic than other methods. The incisions do not really cut the cells so much as part them. Before joining this trial I read dozens of medical reports in various journals about the expected outcomes of TURP, TUNA, HoLEP, Urolift, etc. as well a ischemic process at the cell level. They all have a downside. WIth iTind the downside was that it might not work for an individual. Other than that you have the same risk of a UTI as any of the other methodss. I am not a doctor so I am not sure what the parameters of a perfect patient would be so you would have to be screened. Before joining i spoke with almost a dozen medical professionals including researchers, cardiologists, urologists as well as my primary care internist. They all agreed with my basic comclusions.

      Also, patients in clinical trials get a very high standard of care. The sponsor picks the top doctors, usually in teaching hospitals. The docotrs do not accept devices that are sketchy. They pick patients very carefully. Everybody wants success so are super careful.

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    • Posted

      Bobby,

      I was referring to the exclusion criteria in the U.S. trials. For example, if your PVR was greater than 250ml, if you had a median lobe or had prostatitis within the last 5 years -- then you were excluded. In fact, most men on this forum would be excluded by that criteria. I am very hopeful about iTind's non-invasive approach but would like to see some data on how effective it is with a more diverse group. 

      Took a quick look and was unable to find much data, other than a few small studies, on iTind's prior use internationally. Could you post any references or links?

      Jim

       

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