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“SUKHVERSHA”
PROSTATE CANCER PREVENTION
A HOLISTIC VIEW
Dr Naval Kumar Verma
MD (Hom)
Conflict of Interest Disclosure
• Neither I nor my immediate family members have any Financial Interests
or Significant Relationships that might affect – or reasonably appear to
affect – this presentation on “Role of Homeopathy in Prostate Cancer
prevention”
Objectives
• Discuss various diseases related to prostate Cancer
• Discuss BPH (Benign Prostatic Hyperplasia) and prostatic cancer
relation
• Explain its clinical manifestations and symptomatology
• Explain Aetiological factors and preventive measures by
Homeopathic treatment
• Recommend a unique 10 step program to prevent prostate problems
and cancer *
*reversing prostate problems in natural way-first edition 2015-page no62-Dr Naval Kumar Verma
Cancer Free World
…A First Step to Defeat Cancer….
Contents
1. The Prostate
2. Prostate Conditions
a.non cancerous conditions
b. cancerous condition
3. Alarming signs , tests, stages.
4. Cancer free world a overview-role of environment and
nutrition.
5. A 10 step unique guidelines to prevent and cure prostate
diseases.
6.Homeopathy role and cases.
7..Follow up care-post cancer care and Homeopathy.
Courtsey-www.webmd.com
Prostate Anatomy
Prostate
• a walnut-sized gland located below the bladder and anterior
to rectum
• Forms imp part of the male reproductive system
• produces fluid which protects and enriches sperm
• The urethra runs through the center of the prostate, from the
bladder to the penis, letting urine flow out of the body
Functions Of Prostate Gland
• Control and prevents urine entry during ejaculation
• Prostatic secretion aids sperm motility and survival
• Helps expel semen during ejaculation
Common Prostate conditions
• Prostatitis
• Benign prostatic hypertrophy ( BPH)
• Carcinoma of Prostate
Risk Factors
• AGE
• FAMILY HISTORY OF CA PROSTATE
• BOWEL CANCER
• ETHNICITY-African American
• DIET FACTORS
• OCCUPATIONAL HEZARDS
Campbell-Walsh UROLOGY, 9th edition
Comprehensive Textbook of Genitourinary Oncology, 3rd edition
Prostate Cancer
• Most common non-skin cancer in men
• Second leading cause of cancer death in U.S. men
• About 25% of prostate cancers are thought to be
clinically significant
Campbell-Walsh UROLOGY, 9th edition
Comprehensive Textbook of Genitourinary Oncology, 3rd edition
Prostate Cancer Incidence
• Leading Sites of Cancer by World age-adjusted
incidence rates (AAR) per 100,000 persons for males &
females, 2006*
**
• C33-34 Lung 14.2
• C61 Prostate 11.5
Source* Cancer incidence and mortality in Delhi and urban 2006-Vinod Rathi,B.B.Tyagi,N.Manoharan,G.K.Rathi
**coursey-photograph-www.sternurology.com/conditions_prostate_cancer.cfm
• .
Leading Sites of Cancer by World age-adjusted incidence rates (AAR) per
100,000 persons for males & females, 2006
Rank Male Female
ICD 10 Site AAR ICD 10 Site AAR
1 C33-34 Lung 14.2 C50 Breast 32.1
2 C61 Prostate 11.5 C53 Cervix Uteri 18.1
3 C01-02 Tongue 8.6 C56 Ovary etc. 8.6
4 C32 Larynx 8.0 C23-24 Gall Bladder 8.5
5 C67 Bladder 6.3 C54 Corpus UT 4.2
6 C82-85,C96 NHL 5.9 C33-34 Lung 3.6
7 C03-06 Mouth 5.7 C15 Oesophagus 3.0
8 C15 Oesophagus 4.7 C82-85,96 NHL 3.0
9 C23-24 Gall Bladder 4.1 C73 Thyroid 2.9
10 C70-72 Brain, Ner SYS 3.5 C01-02 Tongue 2.5
All Sites (C00-C96) 125.1 All Sites (C00-C96) 119.7
Source* Cancer incidence and mortality in Delhi and
urban 2006-Vinod Rathi,B.B.Tyagi,N.Manoharan,G.K.Rathi
The Highest incidence rate by age and sex per 100,000 population, 2006
Males Females
Age Group Leading Sites Rate Leading Sites Rate
00-04 Lymphoid Leuk. 5.0 Lymphoid Leuk. 1.5
05-09 Lymphoid Leuk. 4.5 Lymphoid Leuk. 1.7
10-14 Lymphoid Leuk. 2.6 Lymphoid Leuk. 1.2
15-19 Bone 2.5 Bone 1.5
20-24 Myeloid Leuk 1.9 Ovary etc. 2.4
25-29 NHL 2.3 Breast 5.6
30-34 Brain NS 3.5 Breast 10.2
35-39 Tongue 3.6 Breast 23.5
40-44 Tongue 6.0 Breast 50.8
45-49 Tongue 12.9 Breast 72.9
50-54 Lung 36.5 Breast 104.1
55-59 Lung 56.4 Breast 110.2
60-64 Lung 68.4 Breast 138.1
65-69 Lung 84.7 Breast 109.3
70-74 Prostate 145.1 Breast 98.1
75+ Prostate 175.7 Breast 85.6
Source *Vinod Raina l B B Tyagi l N. Manoharan l G.K. Rath, Cancer Incidence & Mortality in Delhi UT Urban, 2006,
Delhi Cancer Registry, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital
Life time risk of developing Cancer of
prostate
• Prostate Male - Age
• 0.01 (1 in 9,422)- Birth to 39 (%)
• 2.44 (1 in 41)- 40 to 59 (%)
• 6.45 (1 in 16)- 60-69(%)
• 12.48 (1 in 8)- 70 and Older(%)
• 15.90 (1 in 6)- Birth to death(%)
• Probability of Developing Invasive Cancers Within Selected
Age Intervals by Sex, United States, 2004–2006*
• Jemal et al. Cancer statistics, 2010. CA cancer J clin, 2011 Mar-
Apr;61(2):133-4.
Prostate Cancer Risk Factors
*Source-Prostate cancer foundation of Australia
Prostate Cancer Risk Factors
Other-Prostate cancer risk factors
• Obesity
• Sexually transmitted diseases (STDs)
• Smoking
• Alcohol
• Tea
• Night working
• Family history
www.pcf.org
Prostate –Screening and investigations
• Regular screening and examination – early detection can
prevent cancer
• Investigations and diagnosis are done for 2 main reasons:
• To evaluate prostate health and to differentiate between
Cancerous and Non Cancerous conditions of prostate
• To assess severity of the condition
Prostate Investigations
• For the diagnosis of prostate problems investigations and examinations
include:
1. DRE (Digital rectal examination)
2. Urine test
3. Blood test-Prostate Surface Antigen (PSA)
4. Prostate biopsy
5. Uroflowmetry
6. Radiological imaging tests include Firstly Ultrasound prostate with pre
and post void residual urine
7. Other tests include CT scan, MRI, and Bone scan
A new investigation is introduced in prostate problems
NON INVASIVE: “PSMA” PET SCANNING
• Reversing prostate problems in natural way-first edition-2015
Screening
*CaP-Cancer prostate
**American Urological Association 2009, National Comprehensive Cancer
Network 2010, European Association of Urology 2009, American Cancer
Society 2010
Guideline Age to start CaP* screening Suggested Screening Tests
AUA 2009 40 PSA and DRE
NCCN 2010 40 PSA and DRE
EAU 45 PSA and DRE
ACS 2010 40-50 (depends on risk) PSA with or without DRE
Diagnosis
• PSA can be elevated secondary to BPH, prostatitis, recent
ejaculation, prostate trauma (massage, biopsy, urethral
instrumentation, cycling, etc…)
• Use of age and ethnicity adjusted PSA values
Campbell-Walsh UROLOGY, 9th edition
Age Caucasian African-American Asian-American
40-49 0-2.5 0-2.0 0-2.0
50-59 0-3.5 0-4.0 0-3.0
60-69 0-4.5 0-4.5 0-4.0
70-79 0-6.5 0-5.5 0-5.0
Diagnosis
• PSA not perfect and can only be used to define risk of prostate
cancer NOT diagnosis
• No universally accepted threshold value
• Decision to biopsy based on many different criteria** (age,
DRE*,overall health, PSA velocity, PSADT, FH, race, etc…)
*DRE-Digital rectal examination)
**Campbell-Walsh UROLOGY, 9th edition
Prostate Conditions
• Prostate Problems divided into two main categories
• Non Cancerous Conditions Cancerous Condition
• PROSTATITIS PROSTATE CA
• PROSTATODYNIA
• BENIGN PROSTATIC
• HYPERPLASIA ( BPH )
*
* *Cancer Research UK
Alarming Signs
IF YOU HAVE THE FOLLOWING COMPLAINTS ITS TIME TO CONSULT
• Increased frequency of urination?
• Bladder does not feel like it is completely empty?
• Straining to urinate?
• Increased frequency of urination at night?
• Recurrent urinary tract infection?
• Inability to control one’s urination/bowel?
• Blood in urine?
• Pain/burning with urination?
• Hesitancy?
• Feeble stream of urination?
• Disturbed sexual life?
Stages and scoring -Gleason score 2 -10
Metastasis of Prostate Cancer
www.medscape.org/viewarticle 444792
Objectives by Clinical state
OBJECTIVES BY CLINICAL STATE
INITIAL
EVALUATION:
NO CANCER
DIAGNOSIS
LOCALIZED
DISEASE
CLINICAL
METASTASES:
NON-CASTRATE
PREVENTION MINIMIZE
MORBIDITY/
MAXIMIZE
CURE
PREVENT
METASTASES
ELIMINATE /
PREVENT
SYMPTOMS
DEATH OF
DISEASE
RISING
PSA
CLINICAL
METASTASES:
CASTRATE
Derek Raghavan MD PhD
Cleveland Clinic Taussig Cancer Center
Cleveland, OH.
Cancer Free World
Environment and Nutrition
1. Awareness - the key to detect cancer
2. Early diagnosis- by regular screening
3. lead healthy lifestyle
4. maintains healthy weight
5. Be vegetarian, Eat Fresh vegetarian food
6. Avoid Tobacco
7. Avoid and limit alcohol
8. Do Yoga and meditation-
9. stress management
10. regular exercises
American Cancer Society;
Reversing prostate problems in natural way-first edition2015
Cancer Free World
Though there is no exact explanation to why one person develops
cancer and another does not, research shows that a few
factors that can increase the chances of cancer are
• Global warming and environmental –Avoid direct sunlight, pollution, etc.
• Tobacco and alcohol-are proven risk factors of cancer.
• Radiations exposure from cell phone might have the potential to cause cancer or
other health problems as they emit radiation/radiofrequency energy which is
carcinogenic-specially when phone battery is discharged.
• Processed food- A diet, low in fiber and high in energy can increase a person’s risk
of developing cancer foods such in refined sugars, preservatives, food additives,
food colors and also non vegetarian food; have also been singled out as
carcinogenic.
• Personal hygiene
• Sexual habits – multiple sex partners and recurrent infections may cause cancer.
• Being overweight – you can help prevent many forms of cancer by maintaining a
healthy weight
Reversing prostate problem in natural-first edition-2015-Dr Naval Kumar Verma
10 STEP PROSTATE DISEASES REVERSAL AND
PREVENTION GUIDELINES
For success of any program or guidelines most important is..
• Health care awareness
• Early detection-with regular screening
• Life style management
• Stress Management
• Avoiding tobacco and alcohol use
• Treating chronic Prostate Infections ,Benign Prostate Hypertrophy
and Sexually transmitted diseases with Homeopathy
• Diet and Immunonutrition*
*www.nutritionjrnl.com
“10 STEPS TO PREVENT CANCER”
10 TIPS TO REVERSE PROSTATE PROBLEM
1. Role of Exercises
2. Kegel Exercise
3. Breathing Exercises
4. Role of Yoga
5. Meditation
6. Prostate Massage
7. Obesity Control
8. Walking
9. Homoeopathic Treatment
10. Diet Programs
– Diet Management (Promoting Vegetarian diet, organic food products and
Alcohol, Smoking and drug abuse de-addiction).
– Detoxification of chemical and mutants, that causes cancer.
Source-Reversing prostate problems in natural way-first edition 2015
•
Role of Homeopathy
• The homeopathic understanding of health is intimately
connected to its understanding of the mind in general
• Homeopaths don't separate the mind and body in the usual
way; they generally assume that body and mind are dynamically
interconnected and that both directly influence each other
• This acknowledgement of the inter bond of body and mind is not
simply a vague, impractical concept. Homeopaths base virtually
every homeopathic prescription on the physical and
psychological symptoms of the sick person
• Psychological symptoms often play a primary role in the
selection of the correct medicine
Authors' view
Homeopathic case taking overview
• General Case taking-Homeopathic Performa
• Special points to consider for screening and treating Prostate
patients
• Concomitant symptoms and lifestyle changes to be taken in
causative factors
• Follow up care and advice
Homeopathic Preventive Care
1.Medicines for bad effect of tobacco and alcohol
2.Medicines for lifestyle problems and Holistic health
3.Medicines and cure for BPH-Benign prostatic hypertrophy
4.Homeopathic management of prostatitis
5.Homeopathic remedies for Cancer prostate
6.Homeopathic management for Post Cancer care (Urinary
incontinence and impotency)
Homeopathic Quit tobacco Program
SMOKING:
• Leads to aggressive prostate cancer*
• Smoking might directly affect the aggressiveness of cancer.
Carcinogens in tobacco smoke may speed tumor growth, for
instance, as might the higher levels of testosterone
associated with smoking
• Men who'd smoked a pack a day for 40 years -- or,
equivalently, two packs a day for 20 years -- were 82% more
likely to succumb to prostate cancer than men who had
never smoked.
*Cigarette Smoking and Risk of Prostate Cancer in Middle-Aged Men1Lora A. Plaskon,David F.
Penson, Thomas L. Vaughan, and Janet L. Stanford2
Tobacco control
Tobacco/
nicotene
craving
Triggers
more stress
leads to
more
craving
De-stress
yourself by
engaging in
pleasurable
activities
Avoid
smoker's
company
Join freinds
and family
during urge
to smoke
http://www.heart.org
Homeopathic Help in Craving and tobacco abuse
Tips to
quit-
smoking
Stress
relief/yoga/me
ditation/prana
yam
Stop coffee,
Avoid alcohol
Drink
more
fluids/eat
healthy
Be with freinds
or call a
support group
http://www.heart.org
Quit –Tobacco Help
• Remedies to quit smoking
• 1.Daphne Indica-Drug introduced by Bute
• Cinchona
• Tabacum
• Staphysgaria
• Kreosotum
• Platina Kent Repertory: stomach:desire tobacco
Ailments from Tobacco
• Nux Vomica
• Thuja
• Staphysgaria
• Abies Can
• Argentum Nitricum
• Chinium ars
• Lobelia
• Lycopodium
• Sepia
• Phosphorus
• Veratrum album
special repertory
Complete Male genitalia:Erection troubles:wanting impotancy:tobacco from abuse of
Alcohol abuse and Homeopathy
ALCOHOL
• Alcohol influenced tumor volume doubling time (TVDT)
• Alcohol consumption of 50 g and 100 g per day is also
associated with cancers of the ovary and prostate
• Few studies conclude, that moderate alcohol consumption
increases the risk of prostate cancer
Homeopathic Remedies for ailment
from alcohol
Prostate cancer and alcohol abuse has been established in some studies.
Homeopathy plays a major role
• Constitutions and miasmatic background- Miasm Psora is the root cause that,has to
be removed to prevent cancer ,remedies which help and clinically proven are
• Sulphur
• Nux Vomica
• Quercus robur-introduced by Dr Burnett
• Pulsatilla
• Hepar Sulph
• Lachesis
• Arsenic
• Belladonna
• Calcarea Carb
• Mercurious
• (Source:Boenning:Urine:Micturition:strangury alcohol from)
Homeopathic approach in Prostate diseases
Prostate Care in Homeopathy
• Homeopathy has an important role in reducing size of
enlarged (BPH) prostate and treating Prostatitis (established
in research of CCRH, India)
• Benign Prostate hypertrophy can lead to ca prostate in
vulnerable age group associated with other risk factors like
tobacco, lifestyle, diet and infection
• common remedies for BHP-Prostate*
Conium, Sabal Serrulata, Solidago,Pariera Brava, Pulsatilla,
Thuja, Selenium, Staphysgaria, Apis, Chimaphilla,
Crotalus horridus, Digtalis, Lycopodium, Medorrhinum,
Sepia ,Sulphur
*Phatak:Prostate
Remedies for BPH
• common remedies for BHP-Prostate*
1.Conium,
2.Sabal Serrulata,
3.Solidago,
4.Pariera Brava,
5.Pulsatilla,
6.Thuja,
7.Selenium,
8.Staphysgaria,
9.Apis,
10.Chimaphilla,
11.Digtalis,
12.Chmaphilla
13.Lycopodium,
14.Medorrhinum,
15. Sepia ,
16.Sulphur *Phatak:Prostate
Conversion Risk Of BPH to
Prostate Cancer
• Historical autopsy data* has shown that
83.3% of PCa arises with the concomitant
presence of BPH
• Orsted et al ** have reported (2011)- a two-
three-fold increased risk of the development
of Pca in BPH patients than normal population
* Bostwick DG, Cooner WH, Denis L, Jones GW, Scardino PT, Murphy GP. The association of benign
prostatic hyperplasia and cancer of the prostate.Cancer. 1992;70
** Orsted DD, Bojesen SE, Nielsen SF, Nordestgaard BG. Association of clinical benign prostate
hyperplasia with prostate cancer incidence and mortality revisited: A nationwide cohort
study of 3,009,258 men. EurUrol. 2011;60:691–8.
Case Presentation
• Patient- A age-50
• Presenting symptoms
• case history
Diagnosis :case of BPH
Before treatment Ultrasound- prostate size: Volume 57
CC-dated-22-4-2014
After treatment –Ultrasound- prostate volume 39cc-
dated 23-61024
Rx-Arsenic Album 30 C, Sabal serr Q
*Case presented by Dr Naval Kumar Verma ,in Schwabe single remedy times-Vol:1 Issue: 1
Prostate Cancer –Homeopathic
remedies
• Crotalus Horridus*
• Conium Maculatum-Polycrest
• Sabal Serrulata ( Saw palmetto)
• Petroselinium( Parsley )
• Prunus Spinosa (Black thorn)
• Tribulus Terrestris
• Ferrum picricum (Picrate of iron)
• Cantharis
• Thuja
*Knerr: Urinary Organs: Urine Bloody: cancer prostate*
Post Prostate Cancer Care
• Impotency ,Urinary incontinence and bowel
dysfunction are the major side effects of most of
the modern treatments like, Surgery, Radiation,
Hormone therapy and Chemotherapy
Post Cancer Care
• Remedies for Emotional wellbeing
Ignitia, Staphysgaria, Aconite ,Arsenic Album
• Remedies for controlling Urinary incontinence
• (Adopt Kegel training also see in 10 step program
• Kent: Bladder: Urination Dribbling: day and night after urination
Cannabis Indica, Clematis, Hepar Sulph,Causticum,Chinium
sulph,Conium,Graphites,Petroselenium,Staphysgaria,Thuja)
• Remedies for Erectile Disorders**
Damiana, Selenium,Acid Phosphoricum,Agnus
Castus,Conium,Staphysgaria,Claladium,Lycopodium,Nux Vomica-
• *Kent: Bladder: Urination Dribbling: day and night after urination
• **Kent Repertory- Genitalia Male: sexual passion erection without
Goals of Preventive measures and
Treatment
Clinical State Aim Outcome
No Cancer Prevent Cancer No cancer
Localized Disease Delay recurrence
Maximize cure
Minimize toxicity
PSA level
- after surgery
- after radiotherapy
Rising PSA Prevent clinical
metastases
Absolute PSA level?
Altered kinetics?
Summarize
Prostate cancer –a very common problem
Need to know whom to offer screening, when to begin, and how
often to follow up
Need to start preventive measures at initial symptoms of
prostate conditions like Prostatitis, Benign Prostatic
hyperplasia, and Carcinoma prostate
Need to educate masses about role and efficacy of homeopathy
as a holistic care, preventive medicine
Currently over diagnose, which leads to overtreatment of
prostate cancer, the side effects like urinary incontinence,
erectile disorder and “stress-urinary incontinence* can be
managed with homeopathy
www.ncbi.nlm.gov /pmc/articles/PMC 1913182
References
1.Naval Kumar Verma, Reversing prostate problems in natural way-first edition 2015-page no 62
2.Campbell-Walsh UROLOGY, 9th edition, Comprehensive Textbook of Genitourinary Oncology, 3rd edition
3.Campbell-Walsh UROLOGY, 9th edition, Comprehensive Textbook of Genitourinary Oncology, 3rd edition
4.Vinod Rathi, B.B.Tyagi, N.Manoharan, G.K.Rathi- Cancer incidence and mortality in Delhi and urban 2006-Vinod
5. Vinod Raina l B B Tyagi l N. Manoharan l G.K. Rath, Cancer Incidence & Mortality in Delhi UT Urban, 2006, Delhi Cancer
Registry, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital
6. Jemal et al. Cancer statistics, 2010. CA cancer J clin, 2011 Mar-Apr;61(2):133-4
7. Farley J, Shin HR, Bray F, Forman D, Mathers C et al. (2010) GLOBOCAN 2008: cancer incidence and mortality worldwide.
8. www.pcf.org
9. www.medscape.org/viewarticle 444792
10. Derek Raghavan MD PhD,Cleveland Clinic Taussig Cancer Cen
11. American Cancer Society
References
12. *www.nutritionjrnl.com
13. 1Lora A. Plaskon,David F. Penson, Thomas L. Vaughan, and Janet L. Stanford2 Cigarette Smoking and Risk
of Prostate Cancer in Middle-Aged Men
14. http://www.heart.org
15. J.T. Kent- Repertory: stomach:desire tobacco
16. special repertory
17. Roger Von Zandvoort- Complete Male genitalia: Erection troubles: wanting impotency: tobacco from abuse of
18. Phatak: Phatak repertory-sector-Prostate
19. Boenning:Urine:Micturition:strangury alcohol from
18. Naval Kumar Verma ,in Schwabe single remedy times-Vol:1 Issue: 1
19. Knerr: Urinary Organs: Urine Bloody: cancer prostate
20. Kent: Bladder: Urination Dribbling: day and night after urination
21.Kent Repertory- Genitalia Male: sexual passion erection without
References
22. www.ncbi.nlm.gov /pmc/articles/PMC 1913182
23. Bostwick DG, Cooner WH, Denis L, Jones GW, Scardino PT, Murphy GP. The association of benign prostatic hyperplasia and
cancer of the prostate.Cancer. 1992;70
24. Orsted DD, Bojesen SE, Nielsen SF, Nordestgaard BG. Association of clinical benign prostate hyperplasia with prostate cancer
incidence and mortality revisited: A nationwide cohort study of 3,009,258 men. EurUrol. 2011;60:691–8.
25. American Urological Association 2009, National Comprehensive Cancer Network 2010, European Association of Urology
2009, American Cancer Society 2010
26. Prostate cancer foundation of Australia
27.Richard M Delany MD FACC-www.drdelany.com-517-696-0700-©2003personalized preventive
medicine
Thanks
• Dr Naval Kumar Verma MD(Hom)
• Rejoice Health Foundation India
• J 13/34,Rajouri Garden, New Delhi, India
• drnaval.kumar@gmail.com
• 9868210017,25410265,25172076

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Prostate disease prevention and new guidelines

  • 1. “SUKHVERSHA” PROSTATE CANCER PREVENTION A HOLISTIC VIEW Dr Naval Kumar Verma MD (Hom)
  • 2. Conflict of Interest Disclosure • Neither I nor my immediate family members have any Financial Interests or Significant Relationships that might affect – or reasonably appear to affect – this presentation on “Role of Homeopathy in Prostate Cancer prevention”
  • 3. Objectives • Discuss various diseases related to prostate Cancer • Discuss BPH (Benign Prostatic Hyperplasia) and prostatic cancer relation • Explain its clinical manifestations and symptomatology • Explain Aetiological factors and preventive measures by Homeopathic treatment • Recommend a unique 10 step program to prevent prostate problems and cancer * *reversing prostate problems in natural way-first edition 2015-page no62-Dr Naval Kumar Verma
  • 4. Cancer Free World …A First Step to Defeat Cancer….
  • 5. Contents 1. The Prostate 2. Prostate Conditions a.non cancerous conditions b. cancerous condition 3. Alarming signs , tests, stages. 4. Cancer free world a overview-role of environment and nutrition. 5. A 10 step unique guidelines to prevent and cure prostate diseases. 6.Homeopathy role and cases. 7..Follow up care-post cancer care and Homeopathy.
  • 7. Prostate • a walnut-sized gland located below the bladder and anterior to rectum • Forms imp part of the male reproductive system • produces fluid which protects and enriches sperm • The urethra runs through the center of the prostate, from the bladder to the penis, letting urine flow out of the body
  • 8. Functions Of Prostate Gland • Control and prevents urine entry during ejaculation • Prostatic secretion aids sperm motility and survival • Helps expel semen during ejaculation
  • 9. Common Prostate conditions • Prostatitis • Benign prostatic hypertrophy ( BPH) • Carcinoma of Prostate
  • 10. Risk Factors • AGE • FAMILY HISTORY OF CA PROSTATE • BOWEL CANCER • ETHNICITY-African American • DIET FACTORS • OCCUPATIONAL HEZARDS Campbell-Walsh UROLOGY, 9th edition Comprehensive Textbook of Genitourinary Oncology, 3rd edition
  • 11. Prostate Cancer • Most common non-skin cancer in men • Second leading cause of cancer death in U.S. men • About 25% of prostate cancers are thought to be clinically significant Campbell-Walsh UROLOGY, 9th edition Comprehensive Textbook of Genitourinary Oncology, 3rd edition
  • 12. Prostate Cancer Incidence • Leading Sites of Cancer by World age-adjusted incidence rates (AAR) per 100,000 persons for males & females, 2006* ** • C33-34 Lung 14.2 • C61 Prostate 11.5 Source* Cancer incidence and mortality in Delhi and urban 2006-Vinod Rathi,B.B.Tyagi,N.Manoharan,G.K.Rathi **coursey-photograph-www.sternurology.com/conditions_prostate_cancer.cfm • .
  • 13. Leading Sites of Cancer by World age-adjusted incidence rates (AAR) per 100,000 persons for males & females, 2006 Rank Male Female ICD 10 Site AAR ICD 10 Site AAR 1 C33-34 Lung 14.2 C50 Breast 32.1 2 C61 Prostate 11.5 C53 Cervix Uteri 18.1 3 C01-02 Tongue 8.6 C56 Ovary etc. 8.6 4 C32 Larynx 8.0 C23-24 Gall Bladder 8.5 5 C67 Bladder 6.3 C54 Corpus UT 4.2 6 C82-85,C96 NHL 5.9 C33-34 Lung 3.6 7 C03-06 Mouth 5.7 C15 Oesophagus 3.0 8 C15 Oesophagus 4.7 C82-85,96 NHL 3.0 9 C23-24 Gall Bladder 4.1 C73 Thyroid 2.9 10 C70-72 Brain, Ner SYS 3.5 C01-02 Tongue 2.5 All Sites (C00-C96) 125.1 All Sites (C00-C96) 119.7 Source* Cancer incidence and mortality in Delhi and urban 2006-Vinod Rathi,B.B.Tyagi,N.Manoharan,G.K.Rathi
  • 14. The Highest incidence rate by age and sex per 100,000 population, 2006 Males Females Age Group Leading Sites Rate Leading Sites Rate 00-04 Lymphoid Leuk. 5.0 Lymphoid Leuk. 1.5 05-09 Lymphoid Leuk. 4.5 Lymphoid Leuk. 1.7 10-14 Lymphoid Leuk. 2.6 Lymphoid Leuk. 1.2 15-19 Bone 2.5 Bone 1.5 20-24 Myeloid Leuk 1.9 Ovary etc. 2.4 25-29 NHL 2.3 Breast 5.6 30-34 Brain NS 3.5 Breast 10.2 35-39 Tongue 3.6 Breast 23.5 40-44 Tongue 6.0 Breast 50.8 45-49 Tongue 12.9 Breast 72.9 50-54 Lung 36.5 Breast 104.1 55-59 Lung 56.4 Breast 110.2 60-64 Lung 68.4 Breast 138.1 65-69 Lung 84.7 Breast 109.3 70-74 Prostate 145.1 Breast 98.1 75+ Prostate 175.7 Breast 85.6 Source *Vinod Raina l B B Tyagi l N. Manoharan l G.K. Rath, Cancer Incidence & Mortality in Delhi UT Urban, 2006, Delhi Cancer Registry, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital
  • 15. Life time risk of developing Cancer of prostate • Prostate Male - Age • 0.01 (1 in 9,422)- Birth to 39 (%) • 2.44 (1 in 41)- 40 to 59 (%) • 6.45 (1 in 16)- 60-69(%) • 12.48 (1 in 8)- 70 and Older(%) • 15.90 (1 in 6)- Birth to death(%) • Probability of Developing Invasive Cancers Within Selected Age Intervals by Sex, United States, 2004–2006* • Jemal et al. Cancer statistics, 2010. CA cancer J clin, 2011 Mar- Apr;61(2):133-4.
  • 16.
  • 17. Prostate Cancer Risk Factors *Source-Prostate cancer foundation of Australia
  • 19. Other-Prostate cancer risk factors • Obesity • Sexually transmitted diseases (STDs) • Smoking • Alcohol • Tea • Night working • Family history www.pcf.org
  • 20. Prostate –Screening and investigations • Regular screening and examination – early detection can prevent cancer • Investigations and diagnosis are done for 2 main reasons: • To evaluate prostate health and to differentiate between Cancerous and Non Cancerous conditions of prostate • To assess severity of the condition
  • 21. Prostate Investigations • For the diagnosis of prostate problems investigations and examinations include: 1. DRE (Digital rectal examination) 2. Urine test 3. Blood test-Prostate Surface Antigen (PSA) 4. Prostate biopsy 5. Uroflowmetry 6. Radiological imaging tests include Firstly Ultrasound prostate with pre and post void residual urine 7. Other tests include CT scan, MRI, and Bone scan A new investigation is introduced in prostate problems NON INVASIVE: “PSMA” PET SCANNING • Reversing prostate problems in natural way-first edition-2015
  • 22. Screening *CaP-Cancer prostate **American Urological Association 2009, National Comprehensive Cancer Network 2010, European Association of Urology 2009, American Cancer Society 2010 Guideline Age to start CaP* screening Suggested Screening Tests AUA 2009 40 PSA and DRE NCCN 2010 40 PSA and DRE EAU 45 PSA and DRE ACS 2010 40-50 (depends on risk) PSA with or without DRE
  • 23. Diagnosis • PSA can be elevated secondary to BPH, prostatitis, recent ejaculation, prostate trauma (massage, biopsy, urethral instrumentation, cycling, etc…) • Use of age and ethnicity adjusted PSA values Campbell-Walsh UROLOGY, 9th edition Age Caucasian African-American Asian-American 40-49 0-2.5 0-2.0 0-2.0 50-59 0-3.5 0-4.0 0-3.0 60-69 0-4.5 0-4.5 0-4.0 70-79 0-6.5 0-5.5 0-5.0
  • 24. Diagnosis • PSA not perfect and can only be used to define risk of prostate cancer NOT diagnosis • No universally accepted threshold value • Decision to biopsy based on many different criteria** (age, DRE*,overall health, PSA velocity, PSADT, FH, race, etc…) *DRE-Digital rectal examination) **Campbell-Walsh UROLOGY, 9th edition
  • 25. Prostate Conditions • Prostate Problems divided into two main categories • Non Cancerous Conditions Cancerous Condition • PROSTATITIS PROSTATE CA • PROSTATODYNIA • BENIGN PROSTATIC • HYPERPLASIA ( BPH ) * * *Cancer Research UK
  • 26. Alarming Signs IF YOU HAVE THE FOLLOWING COMPLAINTS ITS TIME TO CONSULT • Increased frequency of urination? • Bladder does not feel like it is completely empty? • Straining to urinate? • Increased frequency of urination at night? • Recurrent urinary tract infection? • Inability to control one’s urination/bowel? • Blood in urine? • Pain/burning with urination? • Hesitancy? • Feeble stream of urination? • Disturbed sexual life?
  • 27. Stages and scoring -Gleason score 2 -10
  • 28. Metastasis of Prostate Cancer www.medscape.org/viewarticle 444792
  • 29. Objectives by Clinical state OBJECTIVES BY CLINICAL STATE INITIAL EVALUATION: NO CANCER DIAGNOSIS LOCALIZED DISEASE CLINICAL METASTASES: NON-CASTRATE PREVENTION MINIMIZE MORBIDITY/ MAXIMIZE CURE PREVENT METASTASES ELIMINATE / PREVENT SYMPTOMS DEATH OF DISEASE RISING PSA CLINICAL METASTASES: CASTRATE Derek Raghavan MD PhD Cleveland Clinic Taussig Cancer Center Cleveland, OH.
  • 30. Cancer Free World Environment and Nutrition 1. Awareness - the key to detect cancer 2. Early diagnosis- by regular screening 3. lead healthy lifestyle 4. maintains healthy weight 5. Be vegetarian, Eat Fresh vegetarian food 6. Avoid Tobacco 7. Avoid and limit alcohol 8. Do Yoga and meditation- 9. stress management 10. regular exercises American Cancer Society; Reversing prostate problems in natural way-first edition2015
  • 31. Cancer Free World Though there is no exact explanation to why one person develops cancer and another does not, research shows that a few factors that can increase the chances of cancer are • Global warming and environmental –Avoid direct sunlight, pollution, etc. • Tobacco and alcohol-are proven risk factors of cancer. • Radiations exposure from cell phone might have the potential to cause cancer or other health problems as they emit radiation/radiofrequency energy which is carcinogenic-specially when phone battery is discharged. • Processed food- A diet, low in fiber and high in energy can increase a person’s risk of developing cancer foods such in refined sugars, preservatives, food additives, food colors and also non vegetarian food; have also been singled out as carcinogenic. • Personal hygiene • Sexual habits – multiple sex partners and recurrent infections may cause cancer. • Being overweight – you can help prevent many forms of cancer by maintaining a healthy weight Reversing prostate problem in natural-first edition-2015-Dr Naval Kumar Verma
  • 32. 10 STEP PROSTATE DISEASES REVERSAL AND PREVENTION GUIDELINES For success of any program or guidelines most important is.. • Health care awareness • Early detection-with regular screening • Life style management • Stress Management • Avoiding tobacco and alcohol use • Treating chronic Prostate Infections ,Benign Prostate Hypertrophy and Sexually transmitted diseases with Homeopathy • Diet and Immunonutrition* *www.nutritionjrnl.com
  • 33. “10 STEPS TO PREVENT CANCER” 10 TIPS TO REVERSE PROSTATE PROBLEM 1. Role of Exercises 2. Kegel Exercise 3. Breathing Exercises 4. Role of Yoga 5. Meditation 6. Prostate Massage 7. Obesity Control 8. Walking 9. Homoeopathic Treatment 10. Diet Programs – Diet Management (Promoting Vegetarian diet, organic food products and Alcohol, Smoking and drug abuse de-addiction). – Detoxification of chemical and mutants, that causes cancer. Source-Reversing prostate problems in natural way-first edition 2015 •
  • 34. Role of Homeopathy • The homeopathic understanding of health is intimately connected to its understanding of the mind in general • Homeopaths don't separate the mind and body in the usual way; they generally assume that body and mind are dynamically interconnected and that both directly influence each other • This acknowledgement of the inter bond of body and mind is not simply a vague, impractical concept. Homeopaths base virtually every homeopathic prescription on the physical and psychological symptoms of the sick person • Psychological symptoms often play a primary role in the selection of the correct medicine Authors' view
  • 35. Homeopathic case taking overview • General Case taking-Homeopathic Performa • Special points to consider for screening and treating Prostate patients • Concomitant symptoms and lifestyle changes to be taken in causative factors • Follow up care and advice
  • 36. Homeopathic Preventive Care 1.Medicines for bad effect of tobacco and alcohol 2.Medicines for lifestyle problems and Holistic health 3.Medicines and cure for BPH-Benign prostatic hypertrophy 4.Homeopathic management of prostatitis 5.Homeopathic remedies for Cancer prostate 6.Homeopathic management for Post Cancer care (Urinary incontinence and impotency)
  • 37. Homeopathic Quit tobacco Program SMOKING: • Leads to aggressive prostate cancer* • Smoking might directly affect the aggressiveness of cancer. Carcinogens in tobacco smoke may speed tumor growth, for instance, as might the higher levels of testosterone associated with smoking • Men who'd smoked a pack a day for 40 years -- or, equivalently, two packs a day for 20 years -- were 82% more likely to succumb to prostate cancer than men who had never smoked. *Cigarette Smoking and Risk of Prostate Cancer in Middle-Aged Men1Lora A. Plaskon,David F. Penson, Thomas L. Vaughan, and Janet L. Stanford2
  • 38. Tobacco control Tobacco/ nicotene craving Triggers more stress leads to more craving De-stress yourself by engaging in pleasurable activities Avoid smoker's company Join freinds and family during urge to smoke http://www.heart.org
  • 39. Homeopathic Help in Craving and tobacco abuse Tips to quit- smoking Stress relief/yoga/me ditation/prana yam Stop coffee, Avoid alcohol Drink more fluids/eat healthy Be with freinds or call a support group http://www.heart.org
  • 40. Quit –Tobacco Help • Remedies to quit smoking • 1.Daphne Indica-Drug introduced by Bute • Cinchona • Tabacum • Staphysgaria • Kreosotum • Platina Kent Repertory: stomach:desire tobacco
  • 41. Ailments from Tobacco • Nux Vomica • Thuja • Staphysgaria • Abies Can • Argentum Nitricum • Chinium ars • Lobelia • Lycopodium • Sepia • Phosphorus • Veratrum album special repertory Complete Male genitalia:Erection troubles:wanting impotancy:tobacco from abuse of
  • 42. Alcohol abuse and Homeopathy ALCOHOL • Alcohol influenced tumor volume doubling time (TVDT) • Alcohol consumption of 50 g and 100 g per day is also associated with cancers of the ovary and prostate • Few studies conclude, that moderate alcohol consumption increases the risk of prostate cancer
  • 43. Homeopathic Remedies for ailment from alcohol Prostate cancer and alcohol abuse has been established in some studies. Homeopathy plays a major role • Constitutions and miasmatic background- Miasm Psora is the root cause that,has to be removed to prevent cancer ,remedies which help and clinically proven are • Sulphur • Nux Vomica • Quercus robur-introduced by Dr Burnett • Pulsatilla • Hepar Sulph • Lachesis • Arsenic • Belladonna • Calcarea Carb • Mercurious • (Source:Boenning:Urine:Micturition:strangury alcohol from)
  • 44. Homeopathic approach in Prostate diseases
  • 45. Prostate Care in Homeopathy • Homeopathy has an important role in reducing size of enlarged (BPH) prostate and treating Prostatitis (established in research of CCRH, India) • Benign Prostate hypertrophy can lead to ca prostate in vulnerable age group associated with other risk factors like tobacco, lifestyle, diet and infection • common remedies for BHP-Prostate* Conium, Sabal Serrulata, Solidago,Pariera Brava, Pulsatilla, Thuja, Selenium, Staphysgaria, Apis, Chimaphilla, Crotalus horridus, Digtalis, Lycopodium, Medorrhinum, Sepia ,Sulphur *Phatak:Prostate
  • 46. Remedies for BPH • common remedies for BHP-Prostate* 1.Conium, 2.Sabal Serrulata, 3.Solidago, 4.Pariera Brava, 5.Pulsatilla, 6.Thuja, 7.Selenium, 8.Staphysgaria, 9.Apis, 10.Chimaphilla, 11.Digtalis, 12.Chmaphilla 13.Lycopodium, 14.Medorrhinum, 15. Sepia , 16.Sulphur *Phatak:Prostate
  • 47. Conversion Risk Of BPH to Prostate Cancer • Historical autopsy data* has shown that 83.3% of PCa arises with the concomitant presence of BPH • Orsted et al ** have reported (2011)- a two- three-fold increased risk of the development of Pca in BPH patients than normal population * Bostwick DG, Cooner WH, Denis L, Jones GW, Scardino PT, Murphy GP. The association of benign prostatic hyperplasia and cancer of the prostate.Cancer. 1992;70 ** Orsted DD, Bojesen SE, Nielsen SF, Nordestgaard BG. Association of clinical benign prostate hyperplasia with prostate cancer incidence and mortality revisited: A nationwide cohort study of 3,009,258 men. EurUrol. 2011;60:691–8.
  • 48. Case Presentation • Patient- A age-50 • Presenting symptoms • case history Diagnosis :case of BPH Before treatment Ultrasound- prostate size: Volume 57 CC-dated-22-4-2014 After treatment –Ultrasound- prostate volume 39cc- dated 23-61024 Rx-Arsenic Album 30 C, Sabal serr Q *Case presented by Dr Naval Kumar Verma ,in Schwabe single remedy times-Vol:1 Issue: 1
  • 49. Prostate Cancer –Homeopathic remedies • Crotalus Horridus* • Conium Maculatum-Polycrest • Sabal Serrulata ( Saw palmetto) • Petroselinium( Parsley ) • Prunus Spinosa (Black thorn) • Tribulus Terrestris • Ferrum picricum (Picrate of iron) • Cantharis • Thuja *Knerr: Urinary Organs: Urine Bloody: cancer prostate*
  • 50. Post Prostate Cancer Care • Impotency ,Urinary incontinence and bowel dysfunction are the major side effects of most of the modern treatments like, Surgery, Radiation, Hormone therapy and Chemotherapy
  • 51. Post Cancer Care • Remedies for Emotional wellbeing Ignitia, Staphysgaria, Aconite ,Arsenic Album • Remedies for controlling Urinary incontinence • (Adopt Kegel training also see in 10 step program • Kent: Bladder: Urination Dribbling: day and night after urination Cannabis Indica, Clematis, Hepar Sulph,Causticum,Chinium sulph,Conium,Graphites,Petroselenium,Staphysgaria,Thuja) • Remedies for Erectile Disorders** Damiana, Selenium,Acid Phosphoricum,Agnus Castus,Conium,Staphysgaria,Claladium,Lycopodium,Nux Vomica- • *Kent: Bladder: Urination Dribbling: day and night after urination • **Kent Repertory- Genitalia Male: sexual passion erection without
  • 52. Goals of Preventive measures and Treatment Clinical State Aim Outcome No Cancer Prevent Cancer No cancer Localized Disease Delay recurrence Maximize cure Minimize toxicity PSA level - after surgery - after radiotherapy Rising PSA Prevent clinical metastases Absolute PSA level? Altered kinetics?
  • 53. Summarize Prostate cancer –a very common problem Need to know whom to offer screening, when to begin, and how often to follow up Need to start preventive measures at initial symptoms of prostate conditions like Prostatitis, Benign Prostatic hyperplasia, and Carcinoma prostate Need to educate masses about role and efficacy of homeopathy as a holistic care, preventive medicine Currently over diagnose, which leads to overtreatment of prostate cancer, the side effects like urinary incontinence, erectile disorder and “stress-urinary incontinence* can be managed with homeopathy www.ncbi.nlm.gov /pmc/articles/PMC 1913182
  • 54. References 1.Naval Kumar Verma, Reversing prostate problems in natural way-first edition 2015-page no 62 2.Campbell-Walsh UROLOGY, 9th edition, Comprehensive Textbook of Genitourinary Oncology, 3rd edition 3.Campbell-Walsh UROLOGY, 9th edition, Comprehensive Textbook of Genitourinary Oncology, 3rd edition 4.Vinod Rathi, B.B.Tyagi, N.Manoharan, G.K.Rathi- Cancer incidence and mortality in Delhi and urban 2006-Vinod 5. Vinod Raina l B B Tyagi l N. Manoharan l G.K. Rath, Cancer Incidence & Mortality in Delhi UT Urban, 2006, Delhi Cancer Registry, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital 6. Jemal et al. Cancer statistics, 2010. CA cancer J clin, 2011 Mar-Apr;61(2):133-4 7. Farley J, Shin HR, Bray F, Forman D, Mathers C et al. (2010) GLOBOCAN 2008: cancer incidence and mortality worldwide. 8. www.pcf.org 9. www.medscape.org/viewarticle 444792 10. Derek Raghavan MD PhD,Cleveland Clinic Taussig Cancer Cen 11. American Cancer Society
  • 55. References 12. *www.nutritionjrnl.com 13. 1Lora A. Plaskon,David F. Penson, Thomas L. Vaughan, and Janet L. Stanford2 Cigarette Smoking and Risk of Prostate Cancer in Middle-Aged Men 14. http://www.heart.org 15. J.T. Kent- Repertory: stomach:desire tobacco 16. special repertory 17. Roger Von Zandvoort- Complete Male genitalia: Erection troubles: wanting impotency: tobacco from abuse of 18. Phatak: Phatak repertory-sector-Prostate 19. Boenning:Urine:Micturition:strangury alcohol from 18. Naval Kumar Verma ,in Schwabe single remedy times-Vol:1 Issue: 1 19. Knerr: Urinary Organs: Urine Bloody: cancer prostate 20. Kent: Bladder: Urination Dribbling: day and night after urination 21.Kent Repertory- Genitalia Male: sexual passion erection without
  • 56. References 22. www.ncbi.nlm.gov /pmc/articles/PMC 1913182 23. Bostwick DG, Cooner WH, Denis L, Jones GW, Scardino PT, Murphy GP. The association of benign prostatic hyperplasia and cancer of the prostate.Cancer. 1992;70 24. Orsted DD, Bojesen SE, Nielsen SF, Nordestgaard BG. Association of clinical benign prostate hyperplasia with prostate cancer incidence and mortality revisited: A nationwide cohort study of 3,009,258 men. EurUrol. 2011;60:691–8. 25. American Urological Association 2009, National Comprehensive Cancer Network 2010, European Association of Urology 2009, American Cancer Society 2010 26. Prostate cancer foundation of Australia 27.Richard M Delany MD FACC-www.drdelany.com-517-696-0700-©2003personalized preventive medicine
  • 57. Thanks • Dr Naval Kumar Verma MD(Hom) • Rejoice Health Foundation India • J 13/34,Rajouri Garden, New Delhi, India • drnaval.kumar@gmail.com • 9868210017,25410265,25172076