I will begin by quoting NCBI lit on BPH, Just google what I quote to find the actual paper since mods may block link.. References - BOO = "bladder Outlet Obstruction" "BOO can also be associated with a variety of morphological, contractile and biochemical changes within the bladder in both experimental and clinical studies. The symptomatic presentation of the disease is related largely to these degenerative changes that occur in the bladder. In general, the bladder modifies its structure to compensate the increased resistance to flow, while significant hypoxia ensues because of the high resistance to flow and consequent high intravesical pressure. The present review addresses current data on the response of the bladder to BOO, particularly focusing on the bladder wall alterations and biochemical adaptability in the presence of hypoxia." Commentary - Many BPH procedures and drug therapy may fail because of certain bladder conditions that are evident in patients, yet not being considered before therapy and or surgical intervention - detrusor hypertrophy being one example, degree of bladder trabeculation, and others. In other words, I think a lot Uro's are not being patient specific enough, and are more focused in doing what is right for them, instead of patients. Note from above, the word "hypoxia" is mentioned (deficiency in the amount of oxygen reaching the tissues). Hypoxic conditions within the bladder and prostate may explain why Cialis (Tadalafil) helps with BPH symptoms. (If you know where to look, you can get a year's supply of Tadalafil for under 100 bucks) Which brings me to this point - Google "Arginase Inhibitors in cocoa may increase endothelial nitric oxide synthase." There is a certain 'candy company' (Mars) who discovered Arginase Inhibition from cocoa flavanols. Now, just go to Amazon and look for the cocoa supplement. This may help some of you out there, and may not help some.
Thank you Lvscott
That was very interesting. I will look it up so I can read more of it.
That is way you need a good doctor that care about what your concerns are . He also has to listen to what your feeling and be able to do all the tests you need to be able to try to fix your problem.Not just one test and a finger you no were and set you up for surgery.
That’s again…Ken