Very High Post Void Residual - Why? What to do?

albedo1

Do we have a new take on this?

I already posted on same subject topic (search, old thread is now closed, so I cannot add to it). I wish to give a small update:

I visited after one year my (new) urologist:

- post void residual PVR ~70ml after 1 hour from last urination
- digital rectal exam (DRE) normal
- PSA 0.86 (10% lower than one year before)

Quite happy of things are evolving! Bipolar TURP done almost 3 years ago is a success so far but bladder is still voiding slowly and I need to take my time every time I go. Despite many agree self cath is not as bad as you might think of course I would like to avoid it. Will see how condition evolve during the years. Please report your experience on this new thread.

I continued my diet/excercis/supplementation regime particularly focusing on prostate protection and health:

Diet
Balancing between carbs and protein every meal/snack. I drastically diminished fat cheese and read meat, tried to eat a relative portion of protein at most meals/snacks a bit (though not rigorously) following the Zone program which is basically anti-inflammatory. Using fatty fishes regularly during the week. Introduced soy foods (fermented as tempeh and miso vs. tofu). Drinking green tea, moderate amount of coffee (should help bladder voiding). Favoring berries and pomegranate as fruit. I do no skip breakfast, use oats and nuts, pumpkin seeds in my muesli. Using ginger, garlic, onions. Daily fiber (salads, oats). Once per week I eat vegetarian only (soy, lentils, beans, tempeh as protein sources).

Exercise
I do not bike. I walk two hours 2x/week and resistance train 2-3x/week. Use a very moderate dose of creatine before and after exercise mostly for muscle recovery and preserving (check values of testosterone and mostly DHT when using creatine as they might rise and you do not want too much DHT if you already have an enlarged prostate). I also use a trampoline between exercise efforts to help circulating the lymphatic fluid. I often work by alternating standing and sitting.

Supplementation (prostate, BPH and cancer focus).
- Zyflamend Whole Body (anti-inflammatory, tested clinically again HGPIN)
- Ultra Natural Prostate (saw palmetto, flower pollen extract, boswellia serrata, pumpkin seed oil, singing nettle, pygeum, lycopene, beta-sitosterol, boron, …)
- I3C/DIM
- Broccoli extract
- Green tea extract (evidence suggesting some protection against HGPIN)
- Curcumin (synergisting with green tea extract, pomegranate extract and broccoli extract to lower PSA)
- Pomegranate extract
- IP6 (emerging as very positive against cancer, increases immunity)
- Probiotics
- Zinc citrate (also good 5-alpha reductase inhibitor)
- Moderate EPA/DHA, very moderate selenium, Vitamin E, soy isoflavones (genistein/daidzein, ...), GLA (only when deficient in the free fatty acids tests), quercetin
- Cycling from time to time with extra beta-sitosterol (helps BPH) and pumpkin seed extract (mild 5-alpha-reductase inhibitor)

Regularly testing (include hormonal (total T, free T, E2, DHT, ...), PSA, free PSA, free fatty acids (check EPA/AA and omega6/omega3 ratios for inflammation), hr-CRP, IGF-1, ....).

Regular urologist visits for post void residual, digital rectal exam.

Keep researching (e.g. read this and follow emerging treatments such as Gat/Goren's in Israel).

Do not give cancer a chance!

I hope this helps!