Saw Palmetto as Treatment for BPH

by Angelique Todd, RN

Benign prostatic hyperplasia, more commonly known as BPH is a non-cancerous enlargement of the prostate gland. This can be due to long- term stimulation of male sex hormone androgen. Microscopic appearance of BPH occurs typically by age 30 and is present in 50 percent of men by the age of 50 and 80 percent of men by age 80 (Burnett, 2006). It is said that, with longevity, every male will experience some level of this condition (Mauk, 2010). Symptoms may vary, but usually include urinary frequency, urgency, or inability to urinate.

Saw palmetto comes from a palm- like plant found in the southeast part of the U.S. It has been used to relieve symptoms related to BPH. Supporters claim that it has an anti-androgenic effect that with long-term use can reduce prostate cell proliferation, therefore minimizing symptoms. Some side effects include: nausea and vomiting, diarrhea, and bad breath. It is also believed to have anti-inflammatory and anti-platelet effects, and may be useful in chronic pelvic pain, bladder disorders, decreased sex drive, hair loss and hormone imbalance (Margaret A. Fitzgerald, December 2007). Finasteride is also a commonly used drug in the treatment of BPH. Effects are similar to those of saw palmetto and results of both are evident in PSA levels. In contrast the side effects are considerably different. Impotence, abnormal ejaculation and loss of sex drive are just a few. Older adult males may consider this to be more of a disadvantage when deciding whether to use a more traditional method of treatment.

As with most herbal supplements, safety, effectiveness or purity is not governed by the FDA making its use risky. When weighing the pros and cons of both a more holistic approach is needed it is the responsibility of the nurse to be knowledgeable about the modalities the client may be using and contraindications involved with other medications (Mauk, 2010). Basic knowledge in this area will give the nurse the tools necessary to help the patient make the most informed decision possible.

References

Burnett, A. W. (2006). "Benign Prostatic Hyperplasia in Primary Care: What you need to know.". Journal of Urology Issue75 , 19-24

Margaret A. Fitzgerald, D. A.-C. (December 2007). Herbal facts, herbal fallacies. Amercan Nurse Today , 27-32.

Mauk, K. L. (2010). Review of the Aging of Physiological Systems. In K. L. Mauk, Gerontological Nursing : Competencies for Care (pp. 150-151). Sudbury: Jones and Bartlett Publishers.

NOTE: This blog post reflects the work of a Registered Nurse with minor editing by Shirley Comer RN and was completed as a class assignment. The content of this blog is for informational purposes only. Before beginning or changing a treatment or lifestyle regime you should consult your primary health care provider.