Homoeopathic Management of Benign Prostatic Hypertrophy – Case Reports
(Advancements in Homeopathic Research, Vol. 7 No.1, February 2022-April 2022, Date of Publication 2022/02/01, Pages no. 19-27)
Principal, Professor& HOD, Department of Practice of Medicine& Research Guide, National Homoeopathy Research Institute in Mental Health (NHRIMH), Kottayam. Kerala.
Former Professor & HOD in Practice of Medicine & Research Guide,
Vinayaka Missions Homoeopathic Medical College, Salem. Tamil Nadu.
Address for correspondence:
Dr. R. Sitharthan
National Homoeopathy Research Institute in Mental Health (NHRIMH), Kottayam. Kerala.
Benign prostatic hypertrophy or benign prostatic hyperplasia (BPH) is a condition that occurs due to proliferation of cells of prostatic gland. BPH is most commonly seen in elderly men.Benign hyperplastic changes may start at 45 years. Most of the research studies proved that homoeopathy is having more significant action over genitourinary diseases especially in case of diseases like benign hypertrophy of prostate (BHP). Even in surgical cases when the patient is treated with principles of homoeopathy, permanent cure is attained. This case report presents 4 cases of BPH which improved symptomatically.
The Urinary tract consists of kidneys, ureters, bladder and urethra.1Prostate is an organ of male which is situated around the urethra. Benign prostatic hypertrophy or benign prostatic hyperplasia (BPH) is a condition that occurs due to proliferation of prostatic gland cells.2 It is a non malignant condition. BPH is most commonly seen in elderly men. Benign hyperplastic changes may start at 45 years. Age incidence of BPH is usually between 45-50, can present up to 75 years among 75% in total male population. 3,4,5Aetiology for prostatic enlargement is unknown till now, even though hormonal changes in elderly men is believed as one of the reason.3
Patients may present complaints due to infection and mechanical obstruction caused by BPH. Nocturia due to reduced capacity of bladder or more urine output, discomfort during initiation of urination, frequency of urination, urgency to pass urine due to increased sensitivity of bladder secondary to acute bacterial cystitis, urine stream force reduced, pain and uneasiness while micturition, post void dribbling, paradoxical incontinence or overflow incontinence due to increased intra vesical pressure caused by urinary retention, frequent urinary tract infections and renal failure are the other common presentations of BPH. 6,7,8
BPH is identified and confirmed by serum prostate specific antigen, serum creatinine, blood urea, ultrasound, intravenous urography, uroflowmetry, cystourethroscopy, rectal examination, urethral endosonography, transrectal ultrasound biopsy and urine complete, which reveals the exact size and abnormality of the prostate.9-15 Quality of life is an inevitable measure to assess the prognostic evaluation in BPH patients. Numerous BPH- specific QOL scales are available nowadays like International Prostate Symptom Score (IPSS), Danish Prostate Symptom Score (DAN-PSS-1), BPH Quality of Life Index andInternational Continence Society ‘male’ questionnaire short-form (ICSmale-SF).16-19