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Does Saw Palmetto Treat Enlarged Prostate?

Study Shows Saw Palmetto Is No Better Than Placebo in Treating Symptoms of BPH
WebMD Health News
Reviewed by Laura J. Martin, MD

Sept. 27, 2011 -- For years, men with enlarged prostate glands have turned to a supplement called saw palmetto to ease their trouble with urination and other symptoms.

Exactly how saw palmetto was thought to relieve the symptoms is unclear, but the fruit of saw palmetto dwarf palm tree remains widely used.

Now, a new study shows that this popular remedy is no more effective than a placebo or dummy pill at relieving these symptoms -- even in high doses.

The study is published in The Journal of the American Medical Association.

The technical name for an enlarged prostate gland is benign prostatic hyperplasia (BPH).

Symptoms of BPH include:

  • Trouble with urination
  • Weak urine stream
  • Frequent urination, especially at night
  • Not feeling empty after urination

As a result, men run the risk of developing urinary tract infections and/or needing surgery because of a blockage of urine flow.

Saw Palmetto or Rx Drugs?

So should men skip the saw palmetto and go right to prescription medications?

Not so fast. "There is no real downside to taking saw palmetto, but the patient forgoes treatment that we know works," says researcher Gerald Andriole, MD. He is the Robert K. Royce distinguished professor and chief of urologic surgery at Washington University School of Medicine in St. Louis.

Certain prescription medications can help treat the symptoms of an enlarged prostate. These include alpha blockers such as Cardura (doxazosin), Flomax (tamsulosin), Hytrin (terazosin), and Uroxatral (alfuzosin). These drugs help relax the prostate muscle tissue to increase the flow of urine.

Another category of drugs to treat BPH are 5-alpha reductase inhibitors. These include Avodart (dutasteride) and Proscar (finasteride). They help shrink the enlarged prostate and may prevent further growth. Both types of drugs do have risks.

Some men will need surgery to relieve the symptoms associated with an enlarged prostate.

"Proven therapies prevent urinary retention and the need for surgery and help reduce the chances of developing a urinary tract infection," Andriole says.

But according to the new study, "men are at the same risk for these events if they take saw palmetto as someone with placebo."

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