The Types Of Enlarged
An enlarged prostate can
be divided into two types, one is a blockage type, and the other one
is a hyperplastic type. With the blockage type of an enlarged
prostate, prostate cells are enlarged, but the number of cells do
not increase because of the actual blockage, prostate congestion and
swelling. This causes various kinds of prostate diseases (such as
prostatitis, prostate cysts, prostate nodules, prostate
calcification, etc.) and various stimulant factors (like frequent
sex and masturbation, chronic long-term drinking, too spicy food or
too much stimulant food, etc.) which press on the posterior urethra
and the surrounding blood vessels and nerves and cause urinary
problems and sexual dysfunction. This can happen to any man at any
age after puberty. A principle of treatment should be making an
accurate diagnosis thus identifying all causes and clearing the
prostate blockage. NB: using alpha blockers and 5α-reductase
inhibitors normally does not work; on the contrary, they have a lot
of side effects including decreased libido, and ejaculatory or
The Hyperplastic type of
an enlarged prostate means prostatic cells are enlarged and the
number of cells increase mainly due to an age-related sex hormone
imbalance, generally from 50 years of age, on. The use of alpha
blockers and 5α-reductase inhibitors can improve the symptoms, but
they cannot control the development of prostatic hyperplasia. Once
the medication is stopped, symptoms will become more serious. In the
end, patients will likely need surgical intervention which can lead
to the debilitating consequences of an inability to ejaculate and/or
Calculate The Volume and Weight of the Prostate
The volume of the
prostate: the transverse diameter, the longitudinal diameter and the
antero-posterior diameter of the prostate will be measured by
ultrasound, the volume of the prostate is equal to 0.523 mutiplied
by the product of the three diameters of the prostate. And the
weight of the prostate equals the volume of the prostate mutiplied
Estimate The Degree Of Enlarged Prostate
Using Digital Rectal
Examination (DRE) to evaluate the size of the prostate and estimate
1) Degree I, Enlargement:
the volume is 20
to 25ml and the estimated weight is 20 to 25 grams.
2) Degree II,
Enlargement: the volume is
25 to 50ml and the estimated weight is 25 to 50 grams.
3) Degree III,
Enlargement: the volume is 50 to 75ml and the
estimated weight is 50 to 75 grams.
4) Degree IV,
Enlargement: the volume of of the prostate is more than
75ml and the estimated weight is above 75 grams.
Causes Of An Enlarged Prostate
There are many reasons
that can cause an enlarged prostate, and here are some of the most
infections, like prostatitis, seminal vesiculitis, urethritis,
cystitis, verumontanitis can make the prostate tissue continuously
congested,and result in prostate enlargement.
2) Excessive sexual
activity and masturbation can cause the prostate tissue to congest
repeatedly, with eventual prostate enlargement.
3) Chronic, long-term
drinking and eating an excess of rich and spicy food will irritate
the prostate, make it congested, and cause prostate enlargement.
4) Lack of exercise can
lead to artery hardening and poor prostate blood circulation and can
also result in prostate enlargement.
5) Long-term tension and
pressure, and vegetative nerve dysfunction can also cause a
microcirculation problem in the prostate, and result in prostate
6) Retaining urine for
too long makes urine highly concentrated with decreased frequency,
leading to an ingress of toxins in the body, and urine reflux into
the prostate during urination. Any pathogenic/toxic elements in the
urine will affect the prostate and make it enlarged.
7) Lifestyle. Obesity is
closely related to the volume of prostate. The fatter you are, the
bigger the prostate volume is. The increased intake of total energy
and proteins; fat, milk and milk products, red meat, also grain,
poultry, starchy foods can potentially raise the risk of having an
enlarged prostate and prostate cancer. Vegetables, fruit,
polyunsaturated fatty acids, linoleic acid and vitamin D can
potentially reduce the risk of having an enlarged prostate and
developing prostate cancer .
8) Age-related enlarged
prostates mostly result from a declining body function, imbalanced
hormone levels from decreased production, decreased testicular and
prostate secretion production, atrophying, degenerative changes of
the gland and connective tissue hyperplasia in the prostate, all,
can enlarge the prostate. An enlarged prostate presses on the
urethra and the vas deferens thereby causing urination and
ejaculation dysfunction. As the sexual hormones decrease further,
functions of other areas of the body also gradually decline.
Symptoms Of An
The urethra goes through
the prostate gland. Therefore, when the prostate is enlarged,
urination must be negatively affected. The enlarged prostate will
compress the urethra and the bladder neck, meaning the bladder
cannot be emptied completely. In order to overcome any obstruction
from the bladder neck, the bladder wall muscle will attempt to
overcome the problem and over-contract becoming thicker as a
trabecular-like protrusion, forming a diverticulum. As the bladder
neck obstruction get worse, the bladder cannot be emptied
completely, and there will be some residual urine in the bladder
after urination. That residual urine is the basis for developing
urinary tract infection and stones. Without proper treatment, the
enlarged prostate will develop further, and compression of the
urethra will gradually increase, the residual urine in the bladder
will increase, the pressure in the bladder will increase causing the
urine to go to the ureters and kidneys, result in bilateral
hydronephrosis and renal insufficiency.
The clinical symptoms of
an enlarged prostate is mainly a urination disorder. The signs are
1) Frequent and/or urgent
urination: Patients will have frequent urination in the early
stages, especially at night. The patient cannot empty their bladder
leaving residual urine. When there is inflammation or secondary
stones, the patient will have urgent and painful urination.
2) Urination difficulty:
The bladder muscle is exhausted, urination is weaker, and the
residual urine volume increases, this makes the prostate more
congested and swollen, and the urine flow is very small or split.
Sometimes, there is no urine flow, just dribbling, sometimes two
urine streams, or the patient may need wait for half or one minute
before they start to urinate.
3) Incontinence: When the
residual urine equals the volume of a normal bladder and when there
is a water sound or other stimulation causes reflection, urine will
flow automatically. Dribbling happens quite often, and the patient
may saturate their underwear and feel miserable.
4) Acute urinary
retention: With all the above urination problems, acute urinary
retention can happen at any time. If the patient cannot urinate,
they will have a lot of pain, and have to go immediately to the
hospital Emergency Room. Acute urinary retention can be induced by a
change of climate, catching a cold, fatigue, drinking of alcohol,
5) Other: Bloody urine
does not happen often. But for patients who have stones or a tumor,
blood will be seen in the urine. There are some complications
because the patient may have tried too hard to urinate, it may come
from a hernia, hemorrhoids, anal prolapse, varicocele in the lower
extremity, emphysema and so on.
6) Late stage Symptoms:
Azotemia caused by renal insufficiency, acidosis, high blood
pressure, poor appetite, anemia and weight loss, heart failure, and
cerebrovascular disease may occur.
Examination Of An Enlarged Prostate
At our 3D Prostate
Clinic, we use a full set of laboratory tests for the diagnosis of
an enlarged prostate.
1) Ultrasound: We use
ultrasound to check the shape, structure, and size of the prostate
arriving at volume and weight values using the formulas described
early in this article. TransRectal Ultrasound (TRUS) is not only
used to diagnose whether the prostate is enlarged or not, but also
to observe intuitional pathological changes in the prostate, such as
infection, hyperplasia, nodules, cysts, calcification, stones, etc.
2) Digital Rectal
Examination (DRE): DRE will be done after the bladder is emptied.
The aim is to check the tension of the anal sphincter (which is
different with a neurogenic bladder) and the condition of the
prostate, including shape, size, and texture, also to see if there
are nodules or tenderness/pain from the massage. When the prostate
is enlarged, the gland can increase in length and/or width attaining
a smooth surface, distinct edge, medium hardness and elasticity, the
central sulcus lessening or disappearing entirely. The size of a
normal prostate is similar to a chestnut. A Degree I enlarged
prostate is like an egg, and a Degree II enlarged prostate is like a
duck egg, and a Degree III enlarged prostate is like a goose egg.
3) Laboratory testing:
The high white blood cell urine count in a routine test shows
urinary tract infection. High white blood cell counts in prostate
fluid and semen routine examinations indicates prostatitis and
vesiculitis. High urea nitrogen and creatinine levels indicate
impaired renal function.
4) A full set of lab.
testing to identify causative pathogens:
The doctors at our Clinic
take a number of samples for causative pathogen testing, which
includes urethral secretions, prostate fluid, semen, and blood, etc.
This sampling process combined with our extensive testing allows us
to accurately identify the causative pathogens. The most common
urogenital infections include: Staphylococcus aureus, Hemolytic
streptococcus, Gonococcus, Bacterium aeruginosum, Corynebacterium,
Escherichia coli, Proteus, Enterococcus, Klebsiella, Tubercle
Bacillus, Chlamydia, Mycoplasma, Virus, Fungus, and Trichomonas,
5) Determination of
residual urine: The normal bladder volume is 350 to 500 ml. Residual
urine after urination should be less than 10ml. When the residual
urine is over 30ml, this indicates a pathological condition. The
simplest and most atraumatic testing method is abdominal ultrasound.
Urodynamics can be utilized to objectively evaluate urinary
function. During the examination, 250 to 400 ml is the optimal urine
volume, 150 to 200 ml is the minimum urine volume. The fastest
uroflow rate is 15ml/s.
7) Cystoscopy: The normal
distance from the seminal hillock to the bladder neck is 2cm. When
the prostate is enlarged, the posterior urethra will be extended,
the urethra will be compressed and cracks will form. The bottom of
the bladder will sink and trabecula, cella or diverticulum
abnormalities will form in the bladder wall.
8) Prostate Specific
Antogen (PSA): Prostatitis, prostate enlargement and prostate cancer
can all make the PSA value increase. Normally a PSA>4 ug/L result is
the critical value that is used to screen prostate cancer. When the
PSA result is between 4 to 10ug/L, it is called the grey area, it
can indicate prostate cancer or prostate enlargement. When the PSA
result is over 10ug/L, the possibility of prostate cancer is almost
certain. When checked by digital rectal examination (DRE) and
transrectal ultrasound, and prostate nodules are detected, and PSA
is over 10ug/L, a prostate biopsy is required to diagnose or exclude
Prostate Precision & Targeted Treatment Can successfully Treat Various Types Of Enlarged
3D Prostate Precision &
successfully treat various types of enlarged prostate. Our treatment
consists of several steps. First, we identify the causes of enlarged
prostate by a full set of lab. tests and determine the location,
size, and degree of the enlarged prostate lesion tissues by Digital
Rectal Examination (DRE) and TransRectal UltraSound (TRUS). And then
we inject a set of treatment herbal extracts without any side
effects (including anti-enlargement
herbal extracts, anti-hyperplasia herbal extracts, anti-infection medicines,
and/or anti-cancer herbal extracts,etc) into the enlarged prostate lesion
tissue areas in high concentration by using 3D local injection
technology, thus directly inhibiting and killing the causative
pathogens and the enlarged cells. At the same time, we inject
unblocking herbal extracts to clear blockages, and discharge toxic
substances, making the enlarged prostate shrink significantly,
restoring normalcy. In addition, we use some herbal medicine to
improve and restore prostate immunity and blood circulation to
prevent the recurrence of any prostate enlargement.
3D Prostate Precision &
Targeted Treatment is a non-surgical method that is not harmful, has no
side effects, no secondary consequences and cures the various types
of an enlarged prostate completely . After the causative pathogens
and pathogenic cells have been eradicated, and the blockages and
toxic substances have been cleared, the enlarged prostate shrinks
significantly and returns to normal, and the patient's symptoms and
body condition usually improve significantly overtime as the body
heals itself. The prostate's blood circulation and endocrine
secretion levels tend to return to normal. 3D Prostate Precision &
Treatment does not
need to be long term treatment and is by far the best, it is the
best treatment for an enlarged prostate.
At present, 3D Prostate
Precision & Targeted Treatment is not suitable for the volume greater than 80ml
of benign prostatic hyperplasia, and hyperplasia site is protruding
into the bladder inside.
Treatment Of An Enlarged Prostate
The most common treatment
of an enlarged prostate includes watchful waiting, 5α-reductase
inhibitors, alpha blockers, surgery, or a comprehensive use of the
above-mentioned treatments. How to choose the most suitable
treatment depends on the degree of prostate enlargement, and the
patient's age, physical fitness, and their wishes which must be
taken into account. These treatments may have serious side effects,
such as erectile dysfunction and incontinence so the patient needs
to find a balance between efficacy and life quality when they choose
Alpha blockers and
5α-reductase inhibitors often will not work for a blockage type of
enlarged prostate. And, although they can improve symptoms, they
cannot stop the development of the hyperplastic type of enlarged
prostate. In total, many doctors fail to differentiate between, and
address the needs of, these two types of enlarged prostate. So,
unfortunately, the blind use of alpha blockers and 5α-reductase
inhibitors in treating these conditions have become standard
George Patterson from
USA, Living in Philippines
I suffered with waking up
to pee 7-10 times per nite for 15 years, never empty my bladder.
Once I had the urge to pee I had less than 5 minutes to find a
restroom without problems. It didn’t matter if I was driving, in a
meeting or on the airplane....I always had to plan on knowing in
advanced where the toilets were located.
I never had a full nites sleep in 15 years always feeling tired and
needing to nap during the day.
I contemplated surgery, hot steam or anything to change this
With luck I saw a link to Dr Songs clinic and it made sense. I
signed up for 1 week as a Christmas present to myself. After talking
to other clients and their success stories and after talking to Dr
Song and his son I had hope that this make perfect success.
I stayed for 3 weeks Christmas thru New Years staying at MGM and
Paragon Hotel. Paragon was more relaxing and only cost $2.50 for a
taxi to the clinic.
Daily injections into the Prostate (5 minutes) and IV drip (1.5
hours) 6 times per week for three weeks.
First week 3 - 6 times per nite to pee. Dr Song recommended to pee
into a glass to see if particles or calcium sediment was visible.
Second and third week showed a lot of sediment.
There was daily review of my progress with many questions and
answers that made me feel like this was the correct course of
My Prostate reduced in size and I could feel a surge in energy as my
Prostate started producing more testosterone which was down to 453
and high estrogen levels.
Dr Song recommended to return for three week at least 3 months
later. If the virus and pathogens were gone he would treat my
calcium deposits more aggressively .
In May, I booked for a three week stay. I ate only organic and low
carbohydrates with no sugar and daily exercise and my tests were
Dr Song treated me very aggressive for calcium and no IV. After two
weeks he said my Prostate was reduced in size and very small to the
touch and he felt I did not need the last week of treatments since
my body could heal it with the correct diet.
Since 6 month ago and 5 weeks of treatments I now sleep from 9 pm
through 6am and only wake up if I drink liquids after 6 pm. I never
think about searching for a restroom in advance and can’t believe I
had that problem for 15 years.
I have lost 50 lbs down to 170 lbs, I follow the Keto diet with
intermittent fasting and I have transformed my body with more
muscles ever in my life. My testosterone levels are now up to 978
with low estrogen.
The constant frustration and anger I had for so many years are now
Best move I ever made in my life.