Phytotherapy in urology

Abstract

Complementary and alternative medicine (CAM) includes various practices, measures and products which are not presently considered as part of the conventional (mainstream) medicine. Herbal products, vitamins, minerals and amino acids are increasingly popular as dietary supplements for the treatment, improvement and prophylaxis of urological diseases, and as therapeutic options to improve general health and well-being. As these products are available for free without prescription, conventional healthcare providers are often unaware that their patients are using CAM. A particular attention is paid to herbal products by the public. For this reason it is essential to know that some herbal supplements may act in the same way as chemical drugs, and that the fact that they originate ‘from nature’ does not mean that they are safe and/or with no potential harmful effects and/or toxicity. The possible interactions with conventional medications and contamination with prescription drugs and metals have been reported. The active components of many phytotherapeutic preparations and their mechanism(s) of action are still being determined and evaluated. There is scientific evidence for the effectiveness of some treatments, but for most of them, many important key questions still need to be answered through basic research and well-designed studies, according to established guidelines. Because of the increasing popularity and use of Phytotherapy, urologists should not ignore it, and be well informed about its benefits and potential risks.