Prostate Enlargement (BPH)

Understanding BPH

Benign Prostatic Hyperplasia (BPH) — non-cancerous proliferation of prostate stromal and glandular tissue in transition zone. Age-related: >50% at 60, >80% at 80. Pathophysiology: androgen-dependent (testosterone → DHT via 5α-reductase type 2), oestrogen/androgen ratio shift, growth factors (EGF, FGF, TGF-β), inflammation, metabolic syndrome. Symptoms (LUTS): storage (frequency, nocturia, urgency, incontinence), voiding (hesitancy, weak stream, intermittency, straining, terminal dribbling), post-micturition (incomplete emptying). IPSS score grades severity. Complications: acute urinary retention, recurrent UTI, bladder stones, bladder diverticula, hydronephrosis, renal impairment.

Homoeopathy treats the constitutional prostate diathesis — remedies selected by urinary symptom profile (storage vs voiding dominance), prostate character (enlarged, nodular, tender, congested), modalities (cold, heat, pressure, sitting, alcohol), sexual function (libido, erection, emission), associated symptoms (low back pain, perineal discomfort) and miasmatic sycotic tendency to hyperplasia. Treatment reduces prostate congestion and stromal oedema, improves detrusor contractility, modulates 5α-reductase/DHT pathway, enhances bladder compliance and reduces nocturia. Complements alpha-blockers (tamsulosin), 5α-reductase inhibitors (finasteride/dutasteride), combination therapy — may allow dose reduction. TURP/HoLEP for refractory retention, recurrent UTI, stones, renal impairment — homoeopathy supports pre/post-operative recovery.