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Genitourinary

Overactive bladder (adjunct)

Urgency, frequency, nocturia without infection. A post-void residual, hematuria, and neurologic exam still come first. Cranberry is a UTI-prevention file, not an OAB drug. Saw palmetto is a BPH symptom file in men — not an overactive detrusor therapy. Horsetail is a traditional diuretic, which is the opposite of what nocturia wants.

Primary plants

  1. Cranberry (Vaccinium macrocarpon)
    1
    CranberryHuman data

    Vaccinium macrocarpon

    UTI-prevention file (proanthocyanidins). Not an OAB antimuscarinic. Useful only if recurrent UTI is the real leftover.

    Typical. Juice/extract as in prevention studies if UTI is the story — not for dry OAB.

    Safety. Warfarin INR folklore. Sugar load in juice. GI.

Supportive plants2
  • Saw palmetto (Serenoa repens)
    Saw palmettoHuman data
    Serenoa repens

    BPH LUTS file in men. Borrowed here only if the patient is a man with overlap. Not a woman's OAB drug.

    Typical. Fruit extract as labeled for male LUTS overlap only.

    Safety. GI. Not a prostate-cancer skip.

  • Stinging nettle (Urtica dioica)
    Stinging nettleStrong traditional
    Urtica dioica

    Root is a BPH-traditional; leaf is a different diuretic/hay-fever object. Easy to mix up.

    Typical. If used at all, know which organ you bought.

    Safety. Leaf stings fresh. Diuretic leaf can worsen nocturia.

Clinical notes

  • New urgency plus hematuria or a smoking history is a bladder-cancer thought, not cranberry.

When this is not enough

  • Retention, hematuria, fever/flank pain, cauda equina signs, overflow incontinence

Rooted is a private clinical reference for licensed practitioners. It is educational, not a treatment protocol, and not a substitute for the chart, the exam, or pharmacy review. Plant medicines interact with drugs and can harm liver, kidney, heart, pregnancy, and children.

All genitourinary diagnoses