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!

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

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

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!

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!

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.

Dr. Malik Outstanding presentation! Good point. Since changing to a modified vegetarian diet -90% veggies and 10% animal proteins). Note, cutoff all processed meats (cold cuts) and meats with hormones. Also cut soy and soy products. Main source of protein is goat cheese, salmon and lamb. I have noticed a significant improvement with my urination. Agree, you also need to reduce high sugar diet and processed carbs( chips, donuts, junk food). And last but not least- workout 3-4 times a week to burn calories, improve muscle tone and do a regular form of cardio (swim, walk, bike, row, hike, run),and also fast. Bty, life is too short, have a cheat meal of what you like, every one to two weeks.

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!

Comprehensive, timely and useful information. I've been on Finasteride and RapaFlo for years. Very little improvement. I guess I'll consider surgery now that I've seen your review of the procedures and risks. Thanks

Love this Dr. and her teaching information

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.

Dr. Malik, as always fantastic presentation and very helpful advice!!

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

Thank you so much for the info very helpful with understanding what's going on. Your a beautiful person for sharing.

Very grateful for this information. Thanks so much!

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!

Always a great informative video from Dr. Malik.

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

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.

You are amazing and wonderful Dr. Malik!

Concise,clear,complete,congrats!

Thank you for this valuable, pragmatic information!

Keep up the good work. Your channel has really grown fast.

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.

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

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

Жыл бұрын

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

@markkirk2129

Жыл бұрын

@@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.

Thank you for taking the time to make these vids. 🙂

So glad I discover your KZread channel,, got understand my situation,, thank you doctor,, from the Philippines

Thank you Dr. Malik!

I’m glad I saw this. I have this and take meds ( flomax )that caused for the retrograde ejaculation seamen flow.

Thank you for giving us this information.

Thank you sooo much for your explanation. You are an Angel Doctor.

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?

I'm not sure which one of the surgeries my urologist performed (two weeks ago). He called it robotically assisted prostatectomy. He told me that I definitely needed this surgery as opposed to the TURP. He went through the bladder and removed 80% of the prostate, and said the size was larger than 90% of all prostates. I definitely prefer laparoscopic to open surgery, so I am glad I only have two little slits that are healing up. Urinary function seems okay now, with little post op discomfort.

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. ;)

Just subscribed to your channel!! Im so glad i found ur videos!! So much helpful info thank you Dr. your the best. 😊🤗

Thank you, this is appreciated!

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

2 жыл бұрын

@@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!

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

2 жыл бұрын

😂🤣😂

@jungj987

2 жыл бұрын

👍

@alvarodias68

2 жыл бұрын

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

2 жыл бұрын

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

2 жыл бұрын

how long did improvement take after cutting out dairy?

Thanks .. I had surgery to hollow out the tissue 25 years ago. Now it’s grown back. Will try the dairy and pumpkin seed oil and see how it goes.

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

Жыл бұрын

Try homeopathy. You won’t regret.

@AM-cq6mt

Жыл бұрын

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

@Wubby805

Жыл бұрын

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

Жыл бұрын

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

@LordBearistrescu

Жыл бұрын

Shoving a viola up the urethra sounds painful 🤣

Thanks Dr really informative and detailed

I went plant based 3 yrs ago at 62 and gave up dairy, 5mg cialis daily for BPH / prostate cancer . I check PSA regularly and it’s been 0.7 for 20 years … do worry that primary no longer does a digit test for prostate … I guess I’ll have to see a urologist … with small fingers. Unfortunately being British I have to have a mug of tea at 9pm which doesn’t help with peeing during the night .. especially as I wake up with morning glory .. but .. luckily I can just go outside and pea without worrying about aiming … it’s also extremely satisfying .. lovely arcing stream .. like being a kid again.

Wish I had someone like you for a urologist!

Thank you, Dr. Malik, for the informative video.

Thanks... I've got both symptoms

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.

Thank you for the info on the different types of drugs. 10 mins on U tube listening, worth quite a few visits to the GP.

Very helpful information ...Thank you so much👍👍👍👍

Many thanks, Dr. Malik. 🙏

Your VDOs are always very interesting, the way you explain complicated medical topics to an ignorant like me is always very simple, accessible & efficient. Meanwhile sometimes, your speech rate is way too fast for me(& maybe to others?), though I will suggest you to enable subtitled medical words, lasting long enough, so it gives readers enough time to read & decipher. I strongly recommend people (at least those interested & maybe concerned) to subscribe to your content. Competence, objectivity makes it very valuable & not the least, it’s a free way to save yourself a visit to your practitioner just to get your unanswered question’s anxiety relieved. I am a 65 years old male and I learned a lot, thank you.

Thank you, Dr. Mailik!

Thank you so much for the information .

Thank you very much for all you do to make our lives better 😎

This is fascinating, thank you

Thank you for the important information Dr. Malik!

Dr Malik I probably should say I like how you explain things and trust your knowledge.i don't believe much on the internet but you seem very different from most so that's why I asked for help .

You have a big heart 💖💓💖 to share this information

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

2 жыл бұрын

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 ...

An super informative video! Thanks Doc!

@alexmorgan3435

2 жыл бұрын

No it wasn't. No mention of diet or lifestyle which is ultimately the cause of difficulty peeing and enlarged prostrate.

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

Жыл бұрын

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.

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 🙏🙏🙏

Thank you for sharing.

Great video as always! Thx...

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

2 жыл бұрын

BS

I love you and wish you had a Satellite Office in Central Florida. Good job and thank you!

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.

Wow,awesome video,thank you so much 💪❤️

Very informative, thank you so much

Recovering currently from my second TURP in two years. They have removed 124 grams of prostate so far. Good news is no cancer. Been told I certainly have a extremely large prostate. Finally peeing much much better.

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

Im almost 60 and had history with BPH. Oh boy...i suffered, until i added some stuff to my diet and really, but really solved my problems with it. Grapefruit juice (PLEASE, NOT THE BOX, BUT THE ACTUALLY FRUIT), one glass every morning the first thing going down your throat. Second, pomit T and crusera, look for it. I also included daily, spinach, kale in my salad. Im happy now, problem solved....

Thanks for your great channel, Rena! I'm a professor of neuroscience and find your videos to be really informative and easy to watch. Not once have I experienced Rena(l) failure. Get it? Sorry. Thanks again.

Very informative - thank you.

Thank You, D. Malik.

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

2 жыл бұрын

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

@jimreagan6510

2 жыл бұрын

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

Gracias Dra! Good information

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?

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

2 жыл бұрын

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

2 жыл бұрын

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

2 жыл бұрын

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

@pabloblanco2656

2 жыл бұрын

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

@stevedmcwinner3169

2 жыл бұрын

Our nature is just AMAZING

Smart and beautiful😍 Dr, I like the way you explain things. You make it easier to understand about things. Good video.

Hi there dr. Malik, Love your videos. They are very informative and much appreciated. Just curious, is there anything someone can do to shrink the prostate such as diet, exercise techniques, or supplements one can take?

Thank you for a very informative video dear.

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

2 жыл бұрын

Sp gives too many sexual side effects.

@RHINOSAUR

2 жыл бұрын

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

@babajaiy8246

2 жыл бұрын

@@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

2 жыл бұрын

@@Detailguy101 no it doesn't

@dandettmann595

Жыл бұрын

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.

Please discuss natural and or do it at hime remedies: Diet, exercise, stress relief. My diet adjustment included no sugar, no starch. I lost 34 lbs,,, lost inflamation, gained all my organ body healthy funcions. Exercise was three workouts per week monitored by pilates trainer. My prostate health has improved over two years. I am 71 + yrs ...

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

2 жыл бұрын

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

@brucehuddler7518

Жыл бұрын

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

Hey Dr Malik! How are you? I absolutely LOVE your helpful informative videos. Please keep up the great work. You’re very professional intelligent knowledgeable helpful & experienced. I’m almost 64 and I’ve had problems with BPH for almost 10 years now. I’ve been experiencing urinary incontinence as well as fecal incontinence. Can BPH affect the rectum as well if it’s large enough to press against it? Please let me know Rena. I really appreciate it very much. Take care and keep the wonderful videos coming.

@CassiePlaya22

2 жыл бұрын

Yes, this was happening to my boyfriend! And then a full rectum can further aggravate the prostate!

Excellent information.

well done doc. thanks

This is great information

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

@justgivemethetruth

2 жыл бұрын

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

thanks dr. you are the best

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

2 жыл бұрын

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.

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

Thanks Doctor I do love all your videos ❤

Rena Malik thank Soo much

I have prostate inlargement and also diagnosed with prostate cancer the the doctor gave me two options one is radiotherapy or surgery to remove and try to srink the prostate, but I told them I don't want both, I will get rid of it myself, he respects my decision and told me to monitoring me every two get blood test,. Two months later I got my test results it down, I also no trouble sleeping at they also makes me do micro scanner and the results showed no signs of the cancer. I think the foods that we eat is bad, we shouldn't eat meats specially red meat and for cancer stop eating sugars sweets, it's been almost two years now I am feeling much much better, and I know it's works

Thanks for doing this...

Excellent description for the lay public Dr. Malik, I wish to respectfully add that there is good reasons to take heart is that at least a third of the cases of mild to moderate BPH would give no grief and on top of that after about a decade or so (some times sooner) the BPH goes away as the prostrate shrinks in size on its own. A somewhat sinister news is that because both BPH and cancer of prostate are common conditions in many cases the less malignant prostate cancer can be hidden in the BPH. If there is some suggestion of cancer from blood in the urine or from ultrasound, it might become necessary to do a prostate biopsy. But biopsy is hit and miss so the best course of action could be taking the whole prostate out and have pathologist take a look at the gland thoroughly. The trouble with the prostate removal is that in many cases the man would be rendered impotent. There is plenty of wisdom in trying to guard against prostate cancer and BPH starting in second and third decade through having a robust sex life or keeping up a high orgasm rate of between 10-20 per week. Having multiple partner is associated with prostatitis and BPH which seems to make a case for monogamy and refraining from casual sex and promiscuity. But it seems to be fine to practice swinging as they regularly use condoms. It is good idea to try to escape genital herpes but that is easier said than done because its dissemination remains bit mysterious.

Thanks very good information

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.