Prostatomegaly, or enlarged prostate, can cause a range of urinary symptoms due to the prostate's proximity to the urethra and bladder. These symptoms can include frequent urination, urgency, difficulty starting urination, weak stream, and nighttime urination (nocturia). Investigations involve physical exams, urine tests, and potentially imaging like ultrasound or MRI to assess prostate size and rule out other conditions

✅ CAUSES OF PROSTATOMEGALY

• Benign Prostatic Hyperplasia (BPH) – most common in older men.
• Prostate Cancer – especially in men over 50.
• Prostatitis – bacterial or non-bacterial inflammation.
• Hormonal changes – aging-related shifts in testosterone and estrogen.
• Chronic urinary retention – can cause compensatory prostate enlargement.
• Prostate cysts or abscesses – rare causes.

⚠️ SYMPTOMS OF PROSTATOMEGALY

• Lower Urinary Tract Symptoms (LUTS):
• Obstructive symptoms:
• Hesitancy
• Weak stream
• Intermittent flow
• Straining to void
• Incomplete emptying
• Irritative symptoms:
• Increased frequency
• Nocturia (nighttime urination)
• Urgency
• Dysuria (painful urination)
• Advanced symptoms:
• Urinary retention
• Recurrent urinary tract infections
• Bladder stones
• Hematuria (blood in urine)
• Renal impairment (in severe, chronic cases)

🔍 INVESTIGATIONS FOR PROSTATOMEGALY

• 1. History and Physical Examination
• • Focus on urinary symptoms.
• • Digital Rectal Examination (DRE) to assess size, consistency, and nodules.
• 2. Laboratory Tests
• • PSA (Prostate-Specific Antigen) – screening for prostate cancer.
• • Urinalysis – detect infection or hematuria.
• • Urine culture – if infection suspected.
• • Serum creatinine & BUN – assess renal function if obstruction suspected.
• 3. Imaging
• • Transabdominal or Transrectal Ultrasound (TRUS) – to measure prostate volume and detect nodules.
• • MRI prostate – if malignancy suspected or for surgical planning.
• • CT Urogram – in selected cases with suspected upper urinary tract involvement.
• 4. Urodynamic Studies - For evaluation of bladder function in complicated cases.
• 5. Cystoscopy - Direct visualization of urethra and bladder, usually done prior to surgery or if hematuria present.

Prostartomegaly BPH Ayurved Treatment @ Dr Garje Ayurved Panhakarma Clinic

for prostate enlargement primarily focuses on balancing Apana Vata through:

• Panchakarma:
  • Virechana (therapeutic purgation) and Basti (medicated enemas)
• External therapies:
  • Abhyanga (herbal-oil massage) and Chakra Basti
• Internal Ayurvedic medicines:
  • Herbs that are Mutrala (diuretic) and Vatanulomana (regulating Vata)

They also emphasize dietary and lifestyle adjustments alongside these therapies.

🌿 Complementary Ayurvedic Strategies for BPH

Key Herbs:

• – promotes urinary flow & reduces inflammation
• – diuretic & urinary tract tonic
• – anti-inflammatory, supports glandular health
• rejuvenating, supports urinary function

Panchakarma Therapies:

• Uttara Basti (enema through urethra) – directly treats prostate/glandular area
• Matra Basti – small oil enemas for Vata balance
• Virechana, Abhyanga, and internal Vata-regulating medicines

Diet & Lifestyle:

• Avoid caffeine, alcohol, red/processed meat
• Eat antioxidant-rich foods (tomatoes, berries, nuts), stay hydrated
• Include spices like turmeric, ginger, cumin, fennel
• Regular exercise, pelvic-floor yoga, stress management (yoga, pranayama)