Medical and Physical Therapy (Hyperthermia) in Bph

Abstract

Medical treatment has a high placebo effect depending on the dynamic and/or obstructive nature of fibroleiomyoadenomatous hypertrophy in which the fibromuscular component may be three times as much as the epithelial one (Clark 1937). It is an indubitable fact that androgynoid transexuals do not develop BPH. This means that hormonal balance is fundamental for BPH control, both direct and through growth factors. The following medicines can be used in growth control: hormones, antihormones, organ extracts, vegetable extracts, anticholesteremics. Hormones are testosterone and its active DHT form, oestrogens, progestogens and their inhibitors, pituitary antiandrogens. The following are not to be discarded: organ and vegetable extracts, anticholesteremic antibiotics, long-term use anticholesteremics. Vasoplegic, ganglioplegic, antireceptory and parasympathomimetic drugs are used as symptomatic ones such as: prostaglandin, bethanechol, prazosin, alphuzosin. A specific temperature rise of the prostate obtained through microwaves (hyperthermia up to 11 °/45°C or up to 70° by thermotherapy) offers a 50% improvement rate. It is confirmed that medical or physical therapy is advisable in the initial stages or in very high risk cases: the placebo effect is remarkable and the ideal drug still has to be found.