International Journal of Homoeopathic Sciences

Materials and Methods: This retrospective observational study was conducted at the Geriatrics OPD of NHMC & Hospital, New Delhi. Data from BPH patients (n=50) aged 50 to 80 years, enrolled between May 2020 and April 2023, who had regular follow-ups for six months, IPSS >7, PSA ?4 ng/ml, PV >20 g/20cc/20 ml, were analysed. The primary outcome was evaluated using the International Prostate Symptom Score (IPSS), and secondary outcomes included prostatic weight and Residual Urine Volume (RUV). Statistical analysis employed paired t-tests to determine changes in these values.

Results: 72% of patients (n=36) exhibited a Minimally Important Difference (MID) of ?3.1 in IPSS. Common symptoms recorded were increased urination frequency (72%), urgency to urinate (69%), dribbling of urine (55%), weak urinary stream (48%), and urinary retention (42%). Post-treatment analysis demonstrated significant reductions in IPSS (25.9%, t=8.29) (MD= ?3.9 ±0.47, p < 0.001); mean prostatic weight (10.9%, t=6.27) (MD= ?6.08 ±0.97, p < 0.001) and RUV (13.3%, t=6.55) (MD= ?10.16 ±1.55, p < 0.001). The most prescribed remedies were Lycopodium clavatum (20%), Thuja occidentalis (16%), and Pulsatilla nigricans (16%). Miasmatic analysis revealed sycosis as the predominant miasm in 82% of patients.

Conclusion: This study provides encouraging preliminary evidence towards the effectiveness of Homoeopathy in addressing BPH as a safe, non-surgical, and efficacious solution. Miasmatic analysis, primarily indicating sycosis, highlights its relevance in BPH management. Further research, including randomised controlled trials, is warranted.