Talk:Benign prostatic hyperplasia

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Gat and Goren[edit]

Bondi1975 has been writing on a few different articles about this Gat and Goren. He recently added these links [1] [2]. I looked at the links and felt it seemed dubious, and Bondi seems like it may be a single purpose accountSpecial:Contributions/Bondi1975. The whole things seems very commercial. I think it should probably be scrubbed from all the articles it was added to, but I would like to see some commentary first on the best way to handle this.

A study published in 2008 in the journal of andrology "Andrologia"[4] reports on a newly discovered venous route by which free (active) testosterone reaches the prostate in extremely high concentrations, promoting the accelerated proliferation of prostate cells, leading to the gland's enlargement. The study (conducted by two Israeli doctors: Dr. Yigal Gat and Dr. Menachem Goren) suggests that BPH is caused by malfunction of the valves in the internal spermatic veins manifesting as varicocele, a phenomenon which has been shown to increase rapidly with age,[5][6] roughly equal to 10-15% each decade of life. The 6- to 8-fold elevated hydrostatic pressure then leads to retrograde venous drainage, allowing free communication with the prostatic circulation. Having measured a concentration of free testosterone of some 130-fold above serum level in the internal spermatic vein (the testes being the main source and the blood being undiluted in systemic circulation), the authors conclude that the elevated venous pressure causes hypertrophy and exposure to high concentrations of free testosterone causes hyperplasia in the prostate. The study also proposes a treatment method (Gat–Goren Technique) similar to that used in treating varicocele, which restores normal pressure in the venous drainage system, effectively reducing the volume of the prostate and clinical manifestation of BPH.
Benign prostatic hyperplasia#Cause
In the Gat-Goren nonsurgical method for treating varicoceles, performed under local anesthesia, a catheter is inserted through a vein in the upper thigh. Fluid injected through the catheter selectively closes off the malfunctioning veins, thus enabling the testicular tissues to recover and begin to produce normal sperm in normal amounts. The procedure lasts one to two hours and causes almost no discomfort. The patient can return to his regular routine in about 5 days.[11]
Varicocele#Possible treatment

--Taylornate (talk) 20:54, 5 November 2011 (UTC)

I am a doctor specializing in Urology (I have no connection to this research group). From what I read here, the quotes and articles that are attached indeed confirm the existence of this method and it's results. I think that the text may be relevant to the readers 79.181.208.117 (talk) 10:35, 17 December 2011 (UTC)
There are zero hits for this "Gat Goren" method on pubmed. Doc James (talk · contribs · email) 08:49, 4 January 2016 (UTC)
Doc James, you are absolutely wrong. Y. Gat & M. Goren (Gornish) are mentioned many times in Pubmed.
Here is one link which is relevant in this caes:
http://www.ncbi.nlm.nih.gov/pubmed/18811916
One should be careful before erasing data which people worked hard to find and write. Specialy an information that exists here for long time and backed up with peer reviewed medical articles Bondi1975 (talk · contribs · email) 15:50, 4 January 2016 (UTC)
Bondi, please do read and follow WP:MEDRS – we base content about health on reviews – the most recent we can find. Please do not add content about health supported by primary sources. Happy to explain more if you like. Jytdog (talk) 15:37, 4 January 2016 (UTC)
Bondi appears to be promoting the business of these two physicians. Here [3] they add a link to their website[4]
No pubmed source uses the term "Gat Goren method" just them Doc James (talk · contribs · email) 22:45, 4 January 2016 (UTC)
The IP above that claims to have no connection comes from Tel Aviv.[5] And so does the business in question [6]. I am thinking we have some conflict of interest here. Doc James (talk · contribs · email) 23:08, 4 January 2016 (UTC)

Should add prostate artery embolisation somewhere[edit]

Maybe under Minimally invasive therapies (since it's offered by UK NHS)? - but maybe also in an Experimental section if that is the status in USA ? - Rod57 (talk) 12:36, 7 January 2016 (UTC)

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