OVER THE COUNTER
Just what does the March, 1990 publicity release by the FDA mean? Will there still be over the counter preparations designed to help with BPH problems by the end of the year, or into 1991? Only the FDA knows.
A check of health food and nutrition specialty stores in mid 1990 showed at least five products on the market. Many of these tend to be regional and there well could be twenty or fifty more out there. These are shown as examples of what’s on the market now. We do not judge any of them but present them here as another element of the BPH real-life picture for the layman.
Prostate Plus
This product came to our attention through a multi-page tabloid type newspaper mailed to a name and address (or current occupant). It was a national mass mailing and held a 3/4 page story and advertisement for Prostate Plus.
Prostate Plus was described as a “Total nutritional support for a healthy prostate.” It went on to say that it: “provides every nutrient known to benefit a healthy, well-functioning prostate gland.” Since it is advertised as a nutritional supplement and not a medical treatment, perhaps it will get around the FDA broadsword.
What’s in it? I-Glycine, I-Alanine, I-glutamic acid, zinc, raw prostate, saw palmetto, pumpkin seed concentrate, vitamin E, golden rod, and flaxseed oil.
Ninety capsules cost you $14.95 in the store.
Prostone
Prostone comes from the Enzymatic Therapy people in Green Bay, Wisconsin. The Prostone No. 190 is described this way: “The nutrients in this formula including zinc, Vitamin A, essential fatty acids and amino acids, are vital for proper prostate function.”
What’s in it? Oil concentrate from wheat germ and safflower seeds, linoleic acid from safflower seed oil, intrinsic glandular lipids, lecithin, L-Glutamic acid, L-A Ian i fie, Amenoacetic acid, Prostate tissue, Vitamin B6, Vitamin A from fish liver oil, Zinc chelate, bee pollen and saw palmetto berries extract.

Sixty capsules will cost you $11.95.
Raw Prostate With Gaba
This product is made up exclusively of raw bovine prostate and gamma amino butyric acid. That’s about all we know about it except that it comes from Country Life, a large maker of health food additives and products. It’s on the market. Glad they told us it was bovine prostate. Ninety tablets will cost you $13.00
Prostatrophic Concentrate
This one is made up entirely from raw bovine prostate. One such ingredient indicated it had been freeze dried. Here 100 tablets are priced at $8.00.
Search
This small bottle of sixty tablets was priced at $10 and the ingredients were listed as raw bovine prostate.
So, we’ve talked about the non-surgical, minor surgery and drug type of treatments for BPH. Where do we go from here? If none of the other methods are right for you, your urologist may suggest traditional surgery for your BPH. What’s that? Move right on to the next chapter and find out.

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LASER MINOR SURGERY
Yes, the laser is now finding its way into prostatic surgery. For some patients the balloon treatment doesn’t open the urethra enough. To help these patients, Dr. Roger S. Warner, a urologist at New York University in Manhattan, wields his laser to remove some of the offending tissue around the urethra, and then follows that up with the use of the balloon dilation. Dr. Warner said this treatment helped twenty-five out of twenty-nine patients treated.
Other doctors say that laser surgery, first used in medicine in the 1970’s, is only scratching the surface of its potential. In the future they say there will be a much greater use of the laser. Lasers can also be used to vaporize benign and malignant growths, and it’s all done quickly and simply without the patient trauma of an open surgery.
The role of laser surgery in urology is limited but it has a great potential. Dr. Israel Barken, a urologist in private practice in San Diego, and a researcher at University of California at San Diego Medical School, has a patent on a device to use in laser surgery of the prostate.
Intrasonix Company from Boston in conjunction with the Lahey clinic has developed a new device by the name of TULIP. They have used it in operations on 25 dogs so far with promising results.
In the future, from mid 1990, you may wish to ask your urologist about the possibility of having laser surgery by your urologist. Right now it’s still experimental, but work is going on in three places aroud the world.
OTHER NON MAJOR SURGICAL APPROACHES
Dr. Terrence R. Malloy, chief of urology at Pennsylvania Hospital in Philadelphia, attacks the enlarged prostate tissue with ultrasound waves. The tissue is turned into a pulp and dislodged and then sucked out of the body by an aspirator.
Some research is now being done with microwaves. They are aimed directly at the enlarged prostate. Testing is now underway to see what results are of attempts to shrink the enlarged prostate tissue, thereby relieving the pressure on the urethra.

Another experimental type of minor surgery is the use of cryogenics. This utilizes a probe through the penis and urethra and into the heart of the enlarged prostate. The probe then releases liquid nitrogen into the enlarged tissue.
This intensely cold fluid freezes and shrinks the tissue and destroys it which relieves the pressure on the urethra. More experiments and results of this type of cryosurgery will be reported in the first half of the 1990’s we are sure.
Another new development in the opening of the urethra through the prostate is the insertion of a spring like spiral device that mechanically keeps the urethra open. This is a new technique and while some urologists have the springs available and can insert them, we expect much development in this area of the open urethra in the coming years.

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