List of medications for prostatitis and principles of treatment of prostate adenoma (prostate) in men. How to cure prostate adenoma without surgery: all about modern drugs The most effective remedy for prostatitis and adenoma

Adenoma prostate gland- a more harmless disease than, but no less insidious. According to statistics, this is the most common pathology genitourinary system, which awaits men after 45 years. Prostatic hyperplasia (BPH) causes a lot of pain. Effective treatment of prostate adenoma in men is medicinal medications.

What is prostate adenoma and its symptoms

Prostate adenoma is expressed in the uncontrolled proliferation of gland tissue. As a result, a new formation occurs. Moreover, this is not “native” tissue, but foreign, modified.

The tumor forms and grows without any hint of its presence for quite a long time.

The direction of development of this neoplasm can be different: both inside the prostate and from its outer walls. Depending on the direction of growth, the adenoma may or may not cause problems with urination.

The statistics are as follows:

• More than 60% of men over 60 years of age have histological signs of adenoma;
• More than 40% have its clinical signs;
• 20% of men experience a decrease in quality of life due to urinary disorders.

For a complete recovery, you need to know exactly what to treat. The symptoms of adenoma and prostate cancer are largely identical. In order to exclude oncology, it is necessary to go through several studies:

• Take a total and free PSA test;
• Undergo a digital rectal examination;
• Get an ultrasound;
• To do this for the purpose of collecting biomaterial for histology.

Symptoms of prostate adenoma

The first signs of developing pathology are difficulties in the process of urine outflow. They can manifest themselves in different ways, but most often - in numerous false urges to urinate throughout the night. In this case, pain may be present. Characteristic symptom adenomas – repeated night trips to the toilet.

In some cases, men have to wake up at least 7 times.

All this has a detrimental effect on the emotional and physiological state of the patient. Chronic lack of sleep provokes depression and causes systematic fatigue. The patient may experience increased irritability, which directly affects the quality of communication with others.

The most serious complication of a developing adenoma is acute urinary retention, expressed in the inability to spontaneously urinate, despite a strong urge to do so. As a result, urine begins to accumulate in the bladder. Its quantity can reach 3 liters. There are two options: catheterization, and if this is not possible, a puncture in the lower part of the abdominal wall.

As the disease progresses, a man begins to experience severe pain in the lower abdomen, and blood may appear in the urine and semen. All this cannot but frighten, and the person begins to intensively search for an opportunity to get rid of the disease. At the same time, men often ignore the need to visit the clinic and turn to the doctor in the most extreme and advanced cases.

Treatment methods for prostate adenoma

There are only three options to get rid of an adenoma.

1. Drug therapy;
2. Operative (surgical) intervention;
3. Herbal medicines.

When self-medicating, there is one danger: you can choose the wrong recipe or it will be incorrect, with distorted data on preparation, dosage and administration schedule (applies to traditional medicine). During treatment with this drug pathological process will develop. And precious time will be lost.

It is better not to tempt fate, but to immediately start with proven medications. However, there are pitfalls here too.

Treatment “blindly”, without knowing about the real state of things, is fraught not only with futility, but also with the possibility of serious side effects.

In order to avoid complications, you should consult a doctor. To make an accurate diagnosis, it is enough to do three things:

• Visit the nearest laboratory yourself and get tested for PSA;
• Visit your nearest medical Center and do ;
• Come to the clinic at your place of residence or visit a commercial medical institution and get a consultation with a urologist, providing the doctor with research data.

Most men are put off by the idea of ​​going to the doctor because of the possibility of a rectal palpation procedure. According to medical standards for urological examination, it is a mandatory method of examination in case of suspected pathology of the prostate gland.

But there are many doctors who, realizing that palpation is not very informative, refuse it and immediately refer the patient to (sampling of biomaterial with simultaneous ultrasound examination). The data obtained as a result of this procedure allows us to make an accurate diagnosis.

Drug treatment of adenoma

Prostate adenoma is a steadily progressive pathology. The growth of a benign neoplasm is constant, but the speed of the process may vary. As the patient ages, the risk of a variety of complications increases. At the beginning of the development of the disease, drug treatment is most effective, consisting of taking medications prescribed by a doctor. It is guaranteed to eliminate problems with urination.

At the moment there are three groups of drugs for the treatment of prostate adenoma:

• Alpha adrenergic blockers;
• 5-alpha reductase inhibitors;
• Products based on natural ingredients: herbal remedies.

The choice of therapeutic technique depends on two characteristics of the disease: its stage and the complexity of the course. The action of medications is aimed at eliminating the cause and symptoms of this insidious disease.

As concomitant treatment Probiotics (preparations and dietary supplements containing live microcultures) are often prescribed. These remedies will help restore the intestinal microflora, which will lead to increased immunity.

It is important to understand that alpha blockers can only eliminate the symptoms of BPH. And 5-alpha reductase inhibitors affect the cause of this pathology. Therefore, drugs of the first group quickly provide help, eliminating pain in the lower abdomen and cramps. And drugs of the second group eliminate the cause and treat.

Alpha adrenergic blockers in the treatment of prostate adenoma

Alpha blockers are effective medications that can quickly eliminate the symptoms of pathological processes in the prostate. But it is the symptoms that are eliminated, not the cause of the disease.

These medications are prescribed for sluggish, intermittent, painful urine flow.

The help of these drugs is expressed in relaxing the muscles of the prostate and bladder, which promotes the free flow of urine. At the same time, alpha blockers have no effect on the tumor itself. They are not able to reduce the size of the tumor or stop its growth.

Action of Alpha blockers

A significant role in the functioning of the male genitourinary system is assigned to alpha-adrenergic receptors in the bladder neck and proximal urethra. There are three types of receptors:

1. Alpha-1A adrenergic receptors. Located in the prostate, prostatic urethra, and bladder. The function of these receptors is to regulate the activity of the smooth muscles of the prostate, the base and neck of the bladder, seminal vesicles and ejaculatory ducts.
2. Alpha-1B adrenergic receptors. They are located in blood vessels and control the tone of the arteries during blood redistribution. The number of receptors increases with age.
3. Alpha 1D adrenergic receptors. Located in the bladder, spinal cord and nasal sinuses. The purpose of these receptors is not fully understood, but it is known that they play a significant role in the functioning of the bladder muscles.

Alpha adrenergic blocking drugs

The drug CARDURA "Cardura"

Release form: round tablets of small diameter. Available in doses of 1.2 and 4 mg. The 1mg tablets have CN 1 on one side and Pfizer on the other. The 2 mg tablets have CN 2 and Pfizer. The 4 mg tablets have CN 4 and Pfizer.

Active substance– mesylate. The drug affects all groups of alpha-adrenergic receptors and normalizes the functioning of the genitourinary system. The initial dose is 1 mg per day, taken in the morning or evening, at night. Based on urodynamic parameters, the dosage can be up to 2 and 4 mg per day.

• Artesin;
• Doxazosin;
• Kamiren;
• Urocard.

The drug "Omnic"

Most popular in blocking alpha-1 receptors. Relieves antispasmodic effects, normalizes bladder function. Available in yellow-green capsules in a dose of 400 mg. Take 1 capsule 1 time per day before meals. One pack can contain 10 or 30 capsules.

The drug has a wide range of contraindications and has caused a lot of negative reviews.

Possible side effects such as nausea, vomiting, itchy skin. diarrhea, headaches and dizziness.

• Alfater;
• Cornam;
• Bazetam;
• Adenorm;
• Setegsiz.

The drug "Dalfaz Retard"

The active ingredient is alfuzosin hydrochloride. It has a pronounced effect on adrenergic receptors, helps normalize the functioning of the genitourinary system, and eliminates the symptoms of BPH. Effective for grade 1 and 2 prostate adenoma.

Daily dosage 10 mg. Take the drug twice: morning and evening. Release form: capsules.

• Urorek;
• Alfuprost;
• Sonizin.

5-alpha reductase inhibitors: how they work and why they help

The second group of drugs for the treatment of prostate adenoma are 5-alpha reductase inhibitors (blockers). This is a protein compound and there are two types of its enzymes (ioenzyme): 5-alpha reductase type I and type II.

Ioenzymes of the first type are concentrated mainly in liver tissues, hair follicles, skin. Ioenzymes of the second type are in the prostate. Specifically: in the nuclei of its stromal cells. To influence benign prostate growth, type II 5-alpha reductase inhibitors are needed.

The pharmacological industry offers several types of drugs for the treatment of adenoma. Among them:

• Proscar (analogues of Finasteride, Propecia);

Long-term urological practice has shown that Finasteride and Dugasteride have the most effective action. Each of these drugs has its own pharmacological and clinical characteristics.

The recommended duration of taking the drugs is 5-6 months. Comparative analyzes of the effectiveness of these drugs have not been conducted. It is noted that the effectiveness of taking Finasteride and Dugasteride is almost the same. One of the positive effects: a decrease in PSA levels.

Possible reactions to taking 5-alpha reductase inhibitors:

• Depressive states;
• Decreased libido;
• Potency disorders;
• Cardiopalmus;
• Skin itching.

Side effects of drugs can be expressed in various kinds of disturbances in the functioning of the genitourinary system.

Often observed in varying degrees of severity painful sensations in the testicles, in mammary glands. There are cases of decreased sperm quality, and less commonly, male infertility.

Efficacy of 5-alpha reductase inhibitors

Since these drugs act on the cause of the pathology, a lot of time passes before complete recovery. Depending on size benign tumor and the rate of its progression, it takes from 5 months to 1 year.

At the initial stages of adenoma development, 5-alpha reductase inhibitors are able to completely stop the development of the tumor and subsequently eliminate it. On average, these treatments can reduce the adenoma symptom index by 3 points on the AAU scale.

Herbal medicines for the treatment of adenoma

Herbal medicines are to a greater extent prophylactic than medicinal. They can help in the initial stages of the disease. So, at the first problems with urination, you can take Prostamol Uno. This is a completely natural product made from saw palmetto. It helps quickly, but is not able to eliminate the cause of the pathology.

Any products that contain are guaranteed to provide assistance at the initial stage of pathological processes in the prostate.

The most popular is “Tykveol”, which not only normalizes the outflow of urine, but also has an analgesic effect.

Decoctions of hazel or hazel leaves will also help cope with minor disturbances in the functioning of the genitourinary system. It’s simple to prepare a healing remedy: you need to pour 1 tablespoon of the plant with 1 glass of boiling water. Leave for 30-40 minutes. Take 1/3 cup 3 times a day.

Thorn is useful for the prostate. A decoction of this herb can be taken as tea several times a day. The effect will immediately manifest itself: urination will become easy and painless. The sloe decoction is prepared as follows: a tablespoon of the herb is brewed with 1 liter of boiling water. They insist all night. Take during the day.

Stinging nettle is effective against congestion in the pelvic area and the proliferation of prostate tissue. This ubiquitous plant can provide good help in the initial stages of the disease and stop the growth of the tumor.

Combination drugs

A relatively new therapeutic agent is Sonirid Duo. It contains two main active ingredients: finasteride and tamsulosin. This medicine can quickly eliminate the symptoms of BPH while simultaneously addressing the cause of the disease. But there is a wide list of contraindications and side effects, which affects the popularity of this drug in clinical practice.

It is almost impossible to cure adenoma on your own

For a successful outcome, constant therapeutic monitoring is required. It is necessary to undergo studies to determine the degree of impact of a particular drug.

It is impossible to predict how taking pills will affect your body. Only a doctor can correctly assess all the risks. Self-medication is fraught with serious complications. Therefore, at the first signs of prostate adenoma, it is recommended to consult a urologist.

All medications for prostate adenoma are divided into the following types:

1. Hormonal drugs - prescribed to regulate growth glandular tissue in the organ. These medications are prescribed only by a doctor, since this medication is not always suitable in every individual case. This is primarily due to the fact that the drug has many contraindications and side effects. Hormonal drugs are mainly prescribed for initial stage diseases in order to normalize circulation in the prostate, stabilize urination and eliminate swelling.
2. Alpha-blockers - these drugs for the treatment of pathologies such as prostate adenoma have a relaxing effect on muscle fibers, eliminate muscle spasms and normalize urination. Due to its unique composition, this drug has a gentle effect on the human body, so it is recommended even for elderly patients, as well as men suffering from diabetes, bronchial asthma and many other diseases. These drugs include drugs such as Omnic, Adenorm, Focusil, Flosin and Lokren. Despite all their advantages and features, these drugs can only eliminate the symptoms, but unfortunately they cannot stop the pathological process itself, and therefore will not prevent the subsequent development of the disease.
3. Herbal preparations - these medications for prostate adenoma in men are considered to be among the most effective and are also distinguished by the fact that they contain a minimal number of side effects. Basically, these drugs are prescribed to eliminate problems with urination, as well as increase the rate of urine flow, and also completely eliminate inflammation. In addition, it is herbal preparations that improve urinary function and completely eliminate swelling. Such drugs include Trianol, Tykveol, Prostabin and Prostagute.
4. Antibacterial agents - these drugs for the treatment of the prostate gland are prescribed if a bacterial infection is additionally associated with the disease. Such situations happen quite often, and generally preference is given to Levorin or Gentamicin, as well as other drugs from the cephalosporin group. Despite the fact that these drugs cope well with inflammatory processes, they also have some contraindications, so taking them on your own is not recommended.
5. 5-alpha reductase inhibitors - these drugs not only relieve symptoms, but also prevent the subsequent development of pathology, and also cause the prostate gland to significantly decrease in size. Currently, such drugs as Prosteride, AVodart and Alfinal are presented on the pharmaceutical market.

When choosing drugs for the treatment of prostate adenoma, do not forget that getting rid of the pathology is completely impossible if a man has reduced immunity. That is why it is imperative to take means to boost immunity. Currently, drugs such as Cycloferon and Polyoxidonium are considered the most effective.

Treatment of prostatitis in old age has its own characteristics

Such medicines include:

1. Prostamol Uno - this drug contains extracts of creeping and dwarf palm trees. Thanks to this composition, prostate functions are significantly improved.
2. Soniride Duo - thanks to the complex effects of this drug, testosterone is suppressed and tumor cells are reduced. This drug is prescribed in most cases if a patient is diagnosed with prostate cancer.

As for the treatment of prostatitis and prostate adenoma in old age, with such a diagnosis, even if complications are diagnosed, surgical treatment is not carried out, but medications are prescribed. For the treatment of prostatitis and prostate adenoma in old age, the following drugs are prescribed:

1. Impaza - this drug is of plant origin and is distinguished by the fact that its only contraindication is individual intolerance.
2. Afala - this drug is also a completely safe and proven product. Thanks to the active substances in the process of taking the drug, the outflow of urine is significantly improved and the blood supply to the male organ is stimulated. In addition, Afala kills the inflammatory process and normalizes the functions of the prostate gland.

In order to completely eliminate such pathologies as prostatitis and prostate adenoma from a man’s life, and also to prevent the development of complications, it is necessary to contact a medical institution when the first symptoms appear. Since only a qualified specialist can make a correct diagnosis after a series of examinations.

Based on the results of these studies, appropriate treatment is prescribed, of course, based on the personal characteristics of the man’s body. Only by adhering to all the recommendations can you completely get rid of such an insidious pathology thanks to the list of prescribed medications for prostate adenoma. Otherwise, if the disease is in an advanced stage, the only way out is surgery, which also may not always bring the desired results.

You can cope with the disease without resorting to expensive medications. Such drugs often have analogues with low cost. They are more accessible for purchase, but it is not recommended to prescribe them yourself. It is worth asking your doctor about analogues of the medications he prescribes. Each category of drugs listed above includes an assortment of inexpensive products.

Timely elimination of inflammation of the prostate gland helps to significantly improve the general condition. For this purpose, anti-inflammatory drugs are prescribed. Many of them additionally have an analgesic effect. These include:

• Diclofenac;
• Nimesulide;
• Ibuprofen.

The result of taking them is that a man stops experiencing pain and discomfort when urinating. The simplest painkiller is Analgin. Anti-inflammatory drugs additionally prevent chronicity of the disease. Among these medications are:

1. Vitaprost. Consists of prostate extract, indicated for benign prostatic hyperplasia, prevention of exacerbations of its inflammation, before and after surgery on the prostate gland. Dose – 1 tablet 2 times every day for a month. Vitaprost is contraindicated in case of hypersensitivity to its composition. Adverse reactions: allergies, itching, redness, swelling. The advantage of Vitaprost is the rapid development of the therapeutic effect.
2. Wobenzym. Includes papain, pancreatin, amylase, rutoside, bromelain, lipase, chymotrypsin, trypsin. In urology it is used to treat the prostate, genital infections, cystitis and cystopyelitis. In case of moderate condition, 5-7 tablets are prescribed in 3 doses for 2 weeks. Wobenzym is prohibited for hemodialysis, risk of bleeding, and under 5 years of age. Adverse reactions include urticaria, abnormal smell and consistency of stool. The advantage of the drug is a combination of anti-inflammatory and immunomodulatory properties.
3. Cernilton. Contains pollen extract of wheat, rye and meadow timothy. The drug is effective in the complex treatment of prostatitis and benign prostatic hyperplasia. You need to take prostate pills half an hour before meals, 4 pieces 3 times every day. Cernilton is contraindicated if you are allergic to the natural components of the drug. From side effects allergies and nausea are noted. Dignity – negative reactions develop extremely rarely.

Due to spasms of the walls of blood vessels in smooth muscle tissue, blood circulation is disrupted, which worsens the condition of prostate inflammation. As a result, other unpleasant symptoms develop, in addition to pain when urinating. To relax the muscles of the bladder neck and urethra Alpha blockers are used:

1. Omnic. Consists of tamsulosin, used for dysuric disorders, prostate adenoma. Omnic capsules are taken orally, 400 mcg after breakfast, with 100-200 ml of water. It is necessary to limit their use in case of liver failure, orthostatic hypotension and hypersensitivity to tamsulosin. Adverse reactions sometimes include nausea, vomiting, headache, diarrhea, asthenia, tachycardia, dizziness, constipation. Plus - does not affect sex life men. The drugs Persen, Glycine, Validol, Lotosonic are used as analogues of Omnic.
2. Flomax. Contains ketoprofen, which is an anti-inflammatory agent. Used for pain and inflammation in the pelvic organs. Capsules take 300 mg per day with meals. Contraindications and side effects of Flomax are numerous, so they should be clarified in the detailed instructions for the drug. Advantage – it has a gentle effect on the gastrointestinal tract.
3. Urorek. Silodosin is the basis of this medicine. It is indicated for the treatment of benign prostatic hyperplasia. The daily dose is 8 mg. The capsule is taken at the same time. Urorek is not recommended if you are under 18 years of age or have liver or kidney failure. After taking the capsule, some patients experience nausea, diarrhea, dizziness, retrograde ejaculation, nasal congestion, and dry mouth. The safety of this medicine is considered a plus.

Some cheap drugs are as effective as expensive drugs. This is not their only advantage. Another plus is accessibility to a wide range of the population. Even with such advantages, you cannot prescribe such remedies for yourself. Before use, you should consult your doctor. Inexpensive medicines for prostatitis in this category:

1. Peponen. Contains biologically active substances obtained from pumpkin. This inexpensive remedy for prostatitis it is also used to treat hepatitis, stomach and duodenal ulcers, prostate hyperplasia and inflammation. The dosage regimen is selected individually depending on the indications. Side effects may include belching or diarrhea. No contraindications have been established, which is an advantage of Peponen.
2. Prostan. Contains finasteride, a type II 5-alpha reductase inhibitor. The effectiveness of Prostan is manifested in benign prostate hypertrophy, improving the outflow of urine, reducing the risk of urine retention. The dosage is 5 mg 1 time per day. Reception of Prostan is limited in case of high sensitivity to finasteride. Side effects are numerous, so they should be clarified in the instructions. Plus Prostana - no dose adjustment is required for elderly patients.

1. Suppositories for rectal administration. Such drugs improve metabolism.
2. Injections. Promote rapid penetration of the drug into the body, stimulate the immune and vascular systems. The most popular injection drug is Prostatilen.
3. Nonsteroidal anti-inflammatory drugs (NSAIDs) – prevent the development of inflammatory reactions.
4. Instillations. With this type of treatment, the medicine is administered by the doctor directly to the destination site.
5. Microclysters. Are considered folk method. Herbal infusions and decoctions are used as medicines; it is based on temperature and medicinal effects. It is carried out before bedtime; after the procedure, the prostate gland should not be overstrained or overcooled.
6. Pills. Most often, treatment of prostatitis with tablets involves the use of antibacterial drugs that have a wide spectrum of action. Especially in cases where the specific causative agents of the disease have not been identified.
7. Alpha adrenergic blockers - have a similar effect by blocking alpha adrenergic receptors of the sympathetic nervous system.

Azithromycin	Available in tablet form. Azithromycin belongs to the group of antibacterial drugs with a wide spectrum of effects. It blocks many protein compounds responsible for the growth and development of infectious bacteria. So, the drug fights chlamydia, streptococci, listeria, and so on. Azithromycin is prescribed for infectious lesions of the genitourinary system and other parts of the body.
Wobenzym	It is intended to stimulate the immune system, thereby increasing the production of antibodies and immunoglobulin. A “side” effect of this medication is the improvement of the cardiovascular system. In particular, Wobenzym prevents the formation of blood clots in blood vessels. The drug consists of many components, so it has a wide range of effects. Wobenzym helps reduce clinical picture due to the destruction of connections that arise between pathogenic microorganisms. Despite the fact that the drug is available without a prescription, it is recommended to take it only after a doctor’s prescription, since taking this medicine often leads to unpleasant consequences. Side effects that occur after consuming Wobenzym include vomiting, nausea, gastrointestinal upset, and headache. It is contraindicated for persons with individual intolerance to certain components. In addition, it should not be taken by children under 5 years of age and by men who are being treated with hemodialysis or have a bleeding tendency.
Tetracycline	Tetracycline has antibacterial properties. It comes in several forms, including tablets and powders. Tetracycline is prescribed for the bacterial form of prostatitis caused by chlamydia and streptococci. This drug should not be used by persons who suffer from severe forms of liver and gastrointestinal diseases. Tetracycline, unlike other antibiotics, has relatively few side effects. In addition to possible allergic reactions, it can cause a feeling of dizziness, nausea, and stomach and intestinal upset.
Prostactive	Prostactive consists of 12 biological active substances plant origin. It is used to normalize the functions of the genitourinary system, providing anti-inflammatory, antispasmodic, antimicrobial and bactericidal effects. Among the contraindications, only individual intolerance to individual components stands out.

Injections

What is prostatitis

The disease is an inflammation of the prostate gland, the reproductive organ in men. The pathology leads to psychological discomfort and severe pain when urinating. Without treatment, deterioration of erection and problems with reproductive function are possible. According to the nature of the course of inflammation, it is divided into acute and chronic.

To treat both forms, medications are used in the form of tablets, suppositories, injections, injections and even patches. The following categories of medications are prescribed according to their mechanism of action:

1. Anti-inflammatory. Aimed at eliminating inflammation of the prostate and relieving pain.
2. Antispasmodics. They fight spasms of smooth muscles in the perineum, which helps normalize urination.
3. Antibacterial. Prescribed for bacterial inflammation, but only as prescribed by a doctor after necessary tests to identify infectious agents. They are mycoplasma, chlamydia, ureaplasma.
4. Improving blood circulation. A common cause of prostate inflammation is congestion in the pelvic area. Drugs that improve blood circulation help eliminate this problem. In addition, they ensure that antibiotics and other drugs reach the site of infection.
5. Vitamins. They help strengthen the immune system and improve the condition of the body as a whole.

A benign neoplasm that is localized in the prostate gland is called prostate adenoma. It is this pathology that reduces a man’s sexual activity and disrupts the natural outflow of urine. In the event that the pathology is not diagnosed in time and does not prescribe effective treatment this can lead to the development of serious pathologies such as benign hyperplasia, which has a tendency to become malignant.

Prostate adenoma is the appearance of a benign formation in the prostate gland

As medical practice shows, the progression of the pathology is mainly observed in men over forty years of age, and it is at this age that the disease does not respond well to conservative treatment. I would also like to note the fact that surgical intervention is also not carried out if the man is of advanced age.

In the male body there is a special organ responsible for the production of hormones - the prostate gland or prostate. It consists of tissues and has ducts through which microorganisms and infections can enter. Prostatitis is an inflammation in which the gland enlarges and puts pressure on neighboring organs, causing painful symptoms. As the disease develops, the following are observed:

• cutting, aching pain in the lower abdomen;
• problems with urination;
• frequent nighttime urge to go to the toilet;
• pain during sex;
• erectile dysfunction;
• the appearance of blood and pus in the urine.

Untimely treatment of the disease can lead to complications - infertility, impotence, prostate adenoma, cancer. Before deciding which is the most effective remedy for prostatitis, you need to determine the causes of the disease. Inflammation can be caused by:

• Infections that are sexually transmitted. The influence of microorganisms that have entered the blood from diseased organs, such as the genitourinary system and gastrointestinal tract, cannot be ruled out.
• Non-infectious causes. These could be: poor nutrition, excess weight, diabetes, sedentary lifestyle, injury to organ tissue.

Main groups of drugs and their mechanism of action

The first thing worth saying about prostate adenoma is that it cannot be neglected. If you feel pain during urination, then quickly go to the urology department to conduct an examination and identify the disease, because the cause of this could be any other inflammation, the occurrence of kidney stones.

As for medications, they are all divided into main groups:

1. With androgens - this active substance is included in many medications for prostatitis and helps improve detrusor tone, which significantly improves urination.
2. With progesterones - doctors call them antiandrogens. The use of drugs in this group helps to reduce the adenoma and relieve pain for the patient. It is recommended to combine them with special procedures: prostate massage, electrophoresis, phonophoresis.
3. Anti-inflammatory drugs for prostatitis based on herbs. Although they are not considered the most effective, they have a powerful antiseptic effect. Among the herbs in the composition, it is especially worth noting sage, coltsfoot, chamomile, dill, parsley, and nettle.

From the proposed drug options, you can choose the most suitable one, however, only your attending physician can tell you how to cure prostate adenoma without surgery quickly and effectively. It is important to remember that the course of treatment should consist of both medication and other procedures to promote a speedy recovery of the patient. A striking example are massage, physiotherapy.

DETAILS: Prostate size in men is normal after 60 years

Almag-01 device and contraindications for its use

Almag is a magnetic therapy device used at home for adenoma and urination problems.

Excellently improves local immunity, accelerates tissue regeneration and normalizes blood circulation. The course of treatment ranges from 10 to 20 days, and the optimal duration will be advised by the doctor.

Direct contraindications to the use of Almag are:

• thromboembolism;
• oncology;
• exacerbation inflammatory process in the prostate gland;
• anemia;
• suffered a heart attack or stroke;
• sepsis;
• brain damage.

The presence of cardiovascular pathologies is a reason to consult a specialist.

Types of drugs for prostate inflammation

Types of medications for prostatitis:

• Tablets and capsules. The difference between the products is in their structure - the former have a dense consistency, while the latter have a structure consisting of a gelatin shell and the drug contained inside. Both medications are taken orally (by mouth);
• Solutions for injections (injections). Penetration of the drug inside occurs instantly. Intramuscular or intravenous administration is used;
• Candles. Their advantages are that they simultaneously have antibacterial, anti-inflammatory and analgesic effects. They are inserted directly into the rectum, the patient should lie on his side on his side and remain in this position for at least another half hour. During this time, the suppository has time to dissolve and be absorbed by the mucous membrane. The treatment course is 5-10 days;

Suppositories for prostatitis

• Instillations. Used in inpatient conditions. The reason is the method of administration, thanks to which the medicine is delivered almost to the very source of inflammation and it quickly passes. The medicine is administered through the urethra using a catheter;
• Microclysters. Medicines are based on herbal decoctions. The main property is the anti-inflammatory effect. But this does not replace full-fledged therapy, as it is one of the means of alternative medicine.

First of all, all drugs and tablets for treating tumors at an early stage are designed to relieve symptoms.

This concerns relaxation of the smooth muscles of the prostate, facilitating the process of emptying the bladder, and relieving inflammation.

As an option for treatment in the first stage of adenoma, there are three most common groups that include.

• α-blockers;
• 5α-reductase inhibitors;
• preparations based on herbal substances.

Other symptomatic agents

• urinary disturbance;
• a frequent need to urinate;
• incomplete emptying (part of the urine remains in the body due to compaction);
• urge to urinate at night;
• in the later stages of the disease, uncontrolled urination is possible.

To eliminate pathological changes in the tissues of the prostate and urinary tract, doctors use symptomatic remedies that do not have a direct effect on the prostate gland. In order to relieve spastic contractions of the urethral canal and bladder neck, anticholinergic or antispasmodic drugs are prescribed.

Belladonna derivatives have the most pronounced effect - Atropine in injections, drops, belladonna suppositories. Platiphylline is less active. The drugs help relieve pain and tension in the bladder muscles. They are prescribed only by a specialist in limited doses (we remember that in stages II-III of the disease, muscle atony occurs).

To reduce swelling of the prostate tissue, diuretic groups of loop diuretics (representative - Furosemide) are recommended. Do not use products that irritate the urinary system. If there is a threat of inflammation in the bladder or kidneys, the doctor prescribes antibiotics for the adenoma. These medications also eliminate the symptoms of prostatitis, which often accompany prostate hyperplasia.

The most commonly used antibiotics:

• cephalosporins (Cefuroxime, Cefaclor, Cefixime);
• aminoglycosides (Gentamicin);
• fluoroquinolones (Norfloxacin, Ofloxacin, Ciprofloxacin).

In severe inflammation, combinations of anti-inflammatory drugs have to be made. The presence of signs of renal failure should be taken into account. If chronic organ failure occurs, aminoglycosides and tetracyclines are contraindicated due to the toxic effect on the renal parenchyma.

To activate the defenses, patients are prescribed complexes of vitamins and microelements. They help restore metabolism in the glandular tissue of the prostate, reduce oxidation, and improve blood circulation.

After consulting an experienced nutritionist, the patient may be prescribed orthomolecular therapy with high doses of vitamins and dietary supplements

Symptomatic therapy should not be placed on the same level as special treatment of the tumor. Advertising information, as experience shows, can deceive the patient’s hopes of a full recovery and force him to incur considerable financial expenses. But this will miss the necessary time for conservative therapy.

The Chinese urological patch for prostate adenoma is best left for treatment by the Chinese themselves. There is no convincing data on its effectiveness yet. The set of herbal remedies given in the instructions is not able to penetrate the prostate tissue.

How is diagnosis done?

• examination by a urologist: examination and digital rectal examination of the prostate gland;
• Ultrasound of the prostate gland, including TRUS - transrectal (through the rectum) ultrasonography prostate gland;
• urodynamic studies (uroflowmetry, video urodynamics) - methods for measuring urine flow, allowing to determine the nature and degree of urination disorders;
• determining the level of prostate-specific antigen (PSA) in the blood - used to diagnose the early stage of prostate cancer. PSA is produced by prostate cells; if its level increases, it may be necessary to consult a urologist-oncologist and perform a prostate biopsy.

Urodynamic studies (uroflowmetry, video-urodynamics) form an integral part of the examination of patients with urination disorders. They help the urologist determine the nature and degree of urinary disorders, establish the cause of the symptoms that appear, and evaluate functional state lower urinary tract.

The term “uroflowmetry” comes from two Greek words and one English (Greek uron - urine, English flow - stream, stream, Greek metreo - measure, measure). Thus, uroflowmetry is a method of measuring urine flow, allowing one to determine the volumetric flow rate of urination. Currently, there are many electronic devices for performing uroflowmetry, including at home.

Currently, a mandatory test for suspected prostate adenoma is to determine the level of prostate-specific antigen (PSA). This marker allows you to monitor the course of the disease, as well as timely diagnose prostate cancer.

Treatment

Treatment of prostate adenoma is carried out in a clinic or in a hospital, depending on the stage of the disease and the complications that arise.

Various medications are used in the early stages of the disease. In later stages and if complications develop, surgery may be required.

Medicines for prostate adenoma

The goal of drug therapy is to slow down the growth of the prostate, reduce its volume and the severity of urination disorders. The following drugs are used for this:

• affecting hormonal metabolism - to reduce the size of the prostate gland;
• affecting the tone of the urethra and prostate - to facilitate urination;
• plant origin, the effect of which has not yet been fully studied.

The dosage and regimen of medication should be determined by the attending physician depending on the general condition of the patient and the characteristics of the course of the disease.

Operations for prostate adenoma

Transurethral resection of the prostate (TUR) is the removal of prostate tissue using a special device - a resectoscope inserted through the urethra. With such endoscopic intervention, the risk of complications is reduced and the postoperative period is reduced. Today, if surgical treatment is necessary, this operation is preferred.

Prostatectomy (adenectomy) is a method of removing the prostate gland by “open” surgery. It differs from TUR in that it is more traumatic and has a longer rehabilitation period.

Treatment of prostate adenoma without surgery

Today, there are so-called minimally invasive methods for treating prostate adenoma.

• Thermal methods– reduction in the size of adenoma under the influence of high temperatures. Microwaves, radiofrequency radiation, and ultrasound are most often used to heat prostate tissue. Transurethral microwave thermotherapy is the most common thermal method.
• Cryodestruction– destruction of prostate tissue using low temperatures.
• Laser techniques- laser radiation heats the water in the prostate tissue, evaporation (vaporization) of water occurs, and at the same time coagulation (folding) of the prostate tissue occurs. Transurethral vaporization of the prostate is the most common thermal method.
• Balloon urethral dilatation– expansion of the lumen of the urethra by inserting a catheter into it with an inflating balloon at the end.
• Stenting of the prostatic urethra– expansion of the lumen of the urethra by introducing a stent. A stent is a frame in the form of a cylinder made of a polymer material that prevents narrowing of the lumen of the urethra.

Typically, balloon dilatation and stenting are used simultaneously.

These minimally invasive methods are safer than surgery, but less effective. Therefore they are used quite rarely.

Thanks to modern technologies in medicine, there are many methods for treating adenoma:

1. Medicinal effects.
2. Performing operations (transurethral resection (TUR), transurethral incision (TUIP)).
3. Minimally invasive procedures (embolization of prostate arteries - blocking arterial vessels, supplying the enlarged prostate with blood, the use of a holmium laser operating in a pulsed mode, which promotes the evaporation of biological tissue (the radiation occurs through a quartz fiber, therefore there is practically no scarring of the tissue during the healing process)).
4. Cryotherapy (cooling the adenoma with low and ultra-low temperatures).
5. Ultrasound treatment.
6. Installation of a urethral stent.
7. Balloon dilatation.

Treatment with traditional methods:

• herbal infusions;
• vegetable oils;
• medicines enriched with minerals and vitamins.

• the effect of a magnet on the prostate;
• starvation;
• Ayurveda practices;
• yoga.

Following a diet and a healthy lifestyle:

• refusal of fats, meat, canned goods, spicy or salty foods;
• eating foods enriched with fiber and zinc (cheese, pumpkin seeds, etc.), adding fruits and vegetables to the diet.

• multifocal transrectal technique;
• urethral massage on bougie.

Before prescribing medications for the growth of prostate hyperplasia, it is necessary to make an accurate diagnosis.

First of all, the doctor must not only accurately diagnose the tumor, but also determine how quickly the tumor is growing and at what stage it is.

As a result, you can start prescribing medications.

In particular, in diagnosis it is important:

• Determine the speed and pressure of urine flow during urination.
• Determine whether urine remains in the bladder, and in what volume.
• How enlarged is the prostate gland?
• What is the level of prostate hypertension?
• How far have the prostate changes progressed?

All this is necessary, since in men prostate hyperplasia can be treated with drugs only if the tumor is at the first stage.

When is drug treatment indicated?

Although the drug treatment method for prostate adenoma is often recommended, in some cases it may be contraindicated for the patient. Men who have the following disorders will have to choose another method of therapy:

1. Suspicion of a malignant tumor in the prostate;
2. The presence of scar tissue in the pelvis;
3. Renal failure occurring in acute form;
4. Advanced hyperplasia.

All decisions regarding the choice of one treatment option or another must be made by a competent specialist. If the patient adheres to all the doctor’s requirements, he will be able to cope with prostate adenoma in a relatively short time. It is very important not to miss taking the medication at the prescribed dosage.

Treatment of prostate adenoma without surgery

Treatment process

In many cases, one must try to understand the treatment process and have a tendency to analyze it. Access to knowledge, taking into account the capabilities of information sources, is now simple. If, with benign prostatic hyperplasia, with forms of chronic prostatitis, the patient’s understanding is at the level, then the effectiveness of therapy is possible to be maximum, no matter what type of variety it belongs to.

When the first symptoms of BPH and prostatitis make themselves felt, the man goes to see a doctor. The doctor, after appropriate diagnosis, has prescriptions in the form of:

• drug formulations;
• various types of physiotherapeutic procedures;

If such visits were limited to visits to clinics with positive results, everything would be great. But this very often does not happen. Such diagnoses are not always amenable to drug therapy, and many decent and experienced doctors this fact recognized categorically.

ethnoscience

Traditional (to be more precise, natural) medicine. In terms of its impact, it is often phenomenal, but not in the treatment of prostate adenoma and the prostate in general. The information space here is filled with a lot of recipes. As a rule, everything is simple and affordable to manufacture. Only they can bring relief in rare cases, nothing more.

Remember that it is also important not to harm yourself. Starting an epic with such remedies, you move on to self-medication. It’s not easy to get professional and necessary advice. After all, a herbalist is a wide-ranging profession; I have never met a specialist working in the urology segment. It is possible, for example, to easily confuse and use potency-stimulating drugs in therapy, but they have no useful relation to adenoma.

1. Antibiotics.
2. Hormonal medications.
3. Alpha blockers.

Dermatovenerologist Vyacheslav Vasilievich Makarchuk talks about the use, forms of release, side effects and analogues of the drug troxevasin:

1. 5-alpha reductase inhibitors.
2. Preparations based on herbal ingredients.
3. Medicines to normalize blood circulation in the prostate area (Troxevasin capsules).

If an infection is detected during diagnosis, the doctor may prescribe antibiotics. Typically, cephalosporins, Levorin, Gentamicin, Norbactin are used for this. Such drugs help relieve swelling and inflammation. Their use also improves urodynamics. But only a doctor can prescribe them, since many of them can cause side effects during treatment.

Gentamicin is used most often for adenoma complicated by infection. The average price in pharmacies for 10 ampoules of 2 ml each is 30 rubles

Pharmaceutical drugs that are prescribed for prostate adenoma belong to different pharmacological groups. Working together, they effectively remove the obvious symptoms of the disease. Information about many modern remedies that help with this disease can be found if you visit the thematic forum. There, patients and doctors leave their reviews about certain medications.

If prostate adenoma is detected in a timely manner, it is possible to get rid of the disease with the help of medications alone. Surgery is not recommended for such patients. It has to be resorted to if drug therapy does not give a positive result or the disease has become complicated. To understand this, it is enough to study the symptoms that worry the patient and conduct an examination of the prostate gland.

Alpha blockers

The tablets that are included in this group are intended to relieve painful symptoms that bother the patient with adenoma. They perfectly relax the muscles of the bladder and urinary tract. Thanks to this, spasms in the affected area and sharp pain stop. And the process of urination becomes more natural.

Alpha blockers help improve urination. But they are not able to solve the problem that led to this discomfort. That is, such drugs are not intended to treat the prostate gland.

Alpha blockers are prohibited for men diagnosed with hypotension. This is because they can lower blood pressure. Also, this medicine is not prescribed in the presence of an acute disorder in the functioning of the organs that are responsible for the process of urination. This condition occurs against the background of a significant enlargement of the prostate gland.

It makes sense to take alpha blockers if you have mild hyperplasia. Experts usually prescribe the following drugs:

• "Omnic";
• "Lokren";
• "Flosin";
• "Segetis".

“Omnic” helps normalize urination

The most popular remedy is Omnic. You can read about it if you go to a thematic forum dedicated to medicine and medicines. Omnic contains tamsulosin. The active substance blocks receptors that belong to the neck of the bladder. Due to this, the spasm goes away, and the outflow of urine is immediately normalized.

This drug, like many other alpha-blocker drugs, is well tolerated by the body. Since it has a small list of contraindications, this remedy is suitable even for elderly patients. It has no side effects. This is explained by the fact that Omnic acts exclusively on the organ that needs therapy.

Treatment of prostate adenoma without surgery is carried out using 5-alpha reductase inhibitors. They help stop the development of the pathological process in the organ, as well as restore damaged tissue. That is, after taking such medications, regression of the disease is observed. In addition, inhibitors fight the signs of adenoma. Therefore, as a result of such therapy, the patient begins to feel much better.

More than half of the patients managed to avoid surgical intervention by taking medications from this group. This treatment leads to a better prognosis. To achieve a pronounced effect, it is necessary to take medications for at least 6 months. The first results will become noticeable no earlier than 2-3 months from the start of the therapeutic course.

Doctors recommend treating prostate adenoma with inhibitors, which contain finasteride and dutasteride. Both substances are intended to reduce the amount of dihydrotestosterone in human blood. This hormone affects the growth of pathological tissue in the prostate. Therefore, when it is suppressed, the disease stops developing.

The selection of inhibitors is a complex process. This is due to the fact that they have many side effects. In some cases, medications negatively affect the prostate gland, sperm quality and intimate life. To reduce the likelihood of developing such reactions, before prescribing the drug, the attending physician must conduct comprehensive examination patient.

• "Avodrat";
• "Finasterit Teva";
• "Prosteride."

The most famous and popular remedy among them is Finasteride Teva. It is suitable for all patients, except for those men who are planning to conceive a child with their spouse. Taking it is not recommended, as the active components of the medicine can have a detrimental effect on the development of the baby.

When taking the drug, paternity will have to wait

Since it is necessary to treat hyperplasia comprehensively, the doctor may additionally prescribe a man combination drugs. If you visit a medical forum, you can learn in detail about the effects of these drugs.

DETAILS: BPH treatment urinary incontinence

Combination medications should be taken for a period of 6 months to 1 year. The most famous representative of this group is Sonirid Dow. It combines the properties of an alpha blocker and a 5-alpha reductase inhibitor. Due to this, the medication quickly removes the acute symptoms of the disease and helps the prostate recover faster.

Androgens

Effective for prostate adenoma are drugs called androgens. They are not able to directly influence the process of tissue proliferation of the problem organ. But with their help it is possible to normalize the tone of the bladder muscles. This helps improve the urination process.

TO the best drugs androgen groups include:

• "Sustanon";
• "Testobromlecite";
• "Methyltestosterone";
• "Omnadren."

You can be treated with such drugs for 1 month. It is very important to avoid drug overdose, as it causes dangerous condition due to inhibition of the hypothalamic-pituitary system. To prevent this, you should not take more than 5 mg of medication at a time.

Herbal remedies

Medicinal products that are made from natural ingredients are very popular. They help suppress the development of small adenomas. The herbal medicine has the following effect:

1. Antibacterial;
2. Anti-inflammatory;
3. Anesthetic;
4. Decongestant.

The list of drugs for prostate adenoma that are suitable for herbal medicine includes drugs that have a positive effect on blood vessels, which is their additional advantage. With the help of natural medicines, it is possible to eliminate spasmodic pain, suppress the growth of pathological tissue and improve the process of urination.

Prostate disease can be cured using the following herbal remedies:

• "Pumpkin";
• "Adenostop";
• "Peponen";
• "Prostagute Forme";
• "Prostamol."

Main ingredient: pumpkin seed oil

The drug “Tykveol” is in greatest demand among men, as it quickly relieves painful symptoms and helps reduce tumors in the prostate. Treatment with this medication should be for 3 months or more.

Based on natural medicinal herbs. They reduce swelling of the prostate gland, its inflammation, prevent stagnation, and restore the outflow of physiological fluids. Preparations based on pumpkin seeds, creeping palm fruits and sabal are considered popular.

How beneficial is herbal treatment?

An advanced form of the disease requires surgery. It is necessary when the prostate reaches a size of 80 mm or more.

In all other cases, you can get by with medications, physiotherapy and proper nutrition. You will have to give up bad habits, change your usual lifestyle and strictly adhere to the doctor’s recommendations.

You should seek help when the first signs of illness appear.

Adenoma develops and grows over 10-15 years, but initial symptoms appear within a few months. The main symptoms of the initial stage of development:

• slightly more frequent urination (especially at night);
• constant, poorly controlled urges;
• the stream of urine becomes thinner.

Treatment started at this point, in the vast majority of cases, allows you to do without surgery. This condition lasts a long time, about 12 years, after which a gradual deterioration occurs.

The second stage of adenoma progression is characterized by:

• dark urine mixed with blood and purulent discharge;
• severe pain in the lower abdomen and lower back;
• the bladder is not completely emptied;
• when urinating, the urine stream becomes even thinner;
• burning and itching in the urethra;
• sexual desire decreases or disappears altogether;
• constant thirst.

The third stage of the disease is extremely dangerous not only for health, but also for life. Only hospitalization and subsequent surgery will help here. Otherwise, the pathology will begin to rapidly progress, causing concomitant diseases, infections of the bladder, kidneys, which will lead to death.

The initial stage of the disease requires an integrated approach to treatment. Therefore, the doctor prescribes several drugs that complement their mutual action. Medicines are intended to reduce the size of a benign prostate tumor, improve blood circulation, and normalize the process of urination.

After visiting a doctor, examination and clarification of the diagnosis, several different groups of drugs are prescribed:

• Painkillers.

In case of severe pain, the urologist may prescribe analgesics (painkillers). They can be in the form of tablets or injections. Good results for adenoma are provided by non-steroidal drugs that have a pronounced anti-inflammatory and anesthetic effect.

Analgesics for prostate hyperplasia in tablets:

Injectable analgesics are Reopirin, Tramolin or Tramadol. For a quick effect, you can use anesthetic suppositories (Cefekon or Pamol).

Alpha adrenergic blockers.

These drugs are intended to normalize the size of the prostate gland and eliminate problems with urination. But these medications have many contraindications and adverse reactions, so it is necessary to strictly adhere to the recommended dosage and duration of treatment.

Alpha blockers cannot be used in the presence of infectious lesions, and the duration of administration is strictly limited and selected individually. Most often, doctors advise taking Prazosin, Terazosin, Alfuzosin, etc. tablets. Most effective, they act in combination with anti-inflammatory drugs.

Antibiotics.

Antibiotics for hyperplasia are prerequisite successful treatment, especially with the bacterial form. At home, you can take the following groups of drugs:

1. Cephalosporins (Cefatoxime or Ceftriaxone);
2. Macrolides (Roxithromycin or Josamycin);
3. Penicillins (Amoxiclav or Amoxicillin).

Antibiotics are especially effective if there is bacterial infection in the urinary tract, bladder.

Anticholinergics.

Used for simultaneous use with alpha blockers to enhance the healing effect. Anticholinergics are involved in blocking the increased action of the main neurotransmitter on the bladder muscles.

They relieve increased swelling, normalize microcirculation in the affected tissues and allow you to control urination. The severity of this condition can be reduced rectal suppositories Prostatilen or intramuscular injections of Atropine. The duration of therapy should be determined by a specialist.

Vitamins and dietary supplements.

Any disease requires additional intake of vitamin complexes aimed at strengthening the immune system. In combination with traditional therapy, they provide useful action on affected prostate tissue. During this period, older men need the following vitamins and minerals:

1. Retinol;
2. zinc;
3. vitamin C;
4. copper;
5. vitamins B6 and B12;
6. magnesium;
7. vitamins D and E.

The therapy also includes special herbal supplements (BAS), which have strong anti-inflammatory properties. For example, Complivit Selenium, Prost-Actin or Prostate Forte. They perfectly relieve swelling and inflammation and help reduce the size of the gland.

Microclysters.

They represent the introduction of medicinal liquid or herbal decoctions into the rectum, in a volume of 30-60 ml. The composition of such liquids will depend on the form of the disease and the stage of its development.

Microclysters can be medicinal (Dimexide solution) or medicinal-herbal, with the addition of a decoction of chamomile or St. John's wort. In addition, antibiotics are added to the microenemas to relieve inflammation. The temperature of the liquid should be comfortable (40-45 degrees), and the procedure is carried out after defecation, preferably at night.

Injections.

In addition to antibiotic injections, other injectable forms of drugs are used for prostate hyperplasia. They help reduce the number of leukocytes in prostate secretions, restore proper blood flow in the tissues, and help active sperm production. These injections include:

1. Prostatilen or Prostacor;
2. Ingaron;
3. Pyrogenal;
4. Methyluracil;
5. Diclofenac.

With the help of these medications you can quickly get rid of pain, relieve swelling and inflammation of the organ.

At the first signs of prostate adenoma, it is necessary to begin to act. On initial stages the development of the disease is selected effective medicine, which will help stop the pathological process and improve the condition of the affected tissue. If the adenoma is in an advanced form, then drug therapy will only alleviate the symptoms.

If the medications were chosen correctly, the man’s quality of life will improve significantly. The risk of developing other diseases of the genitourinary system will be reduced to a minimum.

To choose the appropriate medication for newly diagnosed prostate adenoma in men, a doctor must consider a number of factors:

• Age of the patient;
• The body's susceptibility to various substances, which may be contained in tablets;
• Stage of development of tumor formation;
• Features of the location and size of the tumor;
• Signs of illness that worry a man;
• Tendency to allergic reactions.

The complex of drugs is selected individually

If you go to the medical forum, you can see a lot of useful information about the basis on which this or that medicine is selected for patients with adenoma.

There are three types of prostatitis:

1. spicy;
2. chronic;
3. asymptomatic.

To successfully undergo treatment and alleviate a man’s condition, doctors recommend complex therapy, which is divided into several types.

Antibacterial

It is considered fundamental for all types of illness.

The method is based on choosing the drug most suitable for neutralizing a certain type of microorganism.

Sensitivity to a particular component of the drug is also taken into account.

Duration of treatment - 2 weeks. If the medication does not have a positive effect within several days of taking it, it should be replaced with another one.

It is used for non-infectious diseases. Under the influence of medications, mainly suppositories, accelerated renewal of pathogenic cells occurs, blood circulation is normalized, inflammation is relieved and pain is eliminated.

Immunostimulating

Carried out in combination with antibacterial therapy. A decrease in the body's protective function contributes to the formation of prostatitis. Therefore, immunomodulators and immunostimulants should be taken for treatment. The drugs act in a short time. They contain plant components, minerals and vitamins, and zinc.

Physiotherapy

It is used during the prevention of the disease, its remission, exacerbations, as well as during sanatorium treatment.

The essence of the method is that it activates blood circulation inside the prostate and urinary system, facilitating the supply of antibacterial and other drugs.

Strengthens the outflow of lymph, which promotes the rapid removal of decay products from pathological tissue areas, relieves swelling and reduces pain.

Improves the condition of the pelvic muscles, thereby normalizing their contraction.

The metabolism in the gland is stabilized. It has a calming and analgesic effect by affecting nerve receptors.

Basic physiotherapeutic procedures:

• galvanization and electrophoresis;
• low frequency and voltage currents (DDT, SMT);
• high frequency and voltage currents (UHF);
• a magnetic field;
• ultrasound;
• light therapy.

The effect on the prostate occurs in three ways: through liquid media - blood, lymph, skin and organs. Due to the variety of methods, the appropriate therapy method is selected individually. In addition, courses can alternate and follow one after another for quite a long time.

However, like other types of treatment, physiotherapy has contraindications - rectal fissures, bleeding hemorrhoids, tumors in any part of the body.

A combination of physiotherapy with physical therapy is desirable.

Massage

It can be external and internal. The latter has a more powerful effect, as it is performed in close proximity to the prostate gland, through the wall of the rectum.

The procedure improves blood flow through the vessels of the affected organ.

Muscle activity is restored. The release of prostate secretions is improved. Rapid penetration of drugs into the prostate tissue is ensured.

You should know that massage can only be done by a specialist.

For prostatitis and prostate adenoma, the urologist determines the method of treatment depending on the phase of the disease - acute or chronic, on the cause of occurrence, duration of the course and the general physical condition of the patient.

In the acute phase, short treatment with antibiotics is prescribed. In the chronic form of the disease, taking antibiotics can last up to three months.

Completely curing prostatitis is not an easy task. It depends entirely on the qualifications of the doctor diagnosing the disease, and on the patient himself, whose responsibility is to strictly and strictly follow all the doctor’s recommendations.

Treatment should take a comprehensive approach, including:

• antibacterial therapy;
• alpha-blockers;
• hormonal medications;
• antispasmodics and muscle relaxants;
• immunomodulators;
• herbal medicine;
• physiotherapy;
• healthy lifestyle.

If you follow all points of treatment, you can forever remove from your life such unpleasant manifestations of prostatitis and prostate adenoma as pain, burning in the lower abdomen, problems with urination and sex life.

Antibacterial therapy

The main thing in the prescribed measures is to eliminate the congestive or inflammatory process in the prostate gland. Antibiotics are effective when the type of bacterial infection is correctly identified. If after three days of taking the antibiotic there is no visible change, it is necessary to change the medicine. Selecting the right antibiotic against bacteria is very important for effective treatment and the further condition of the patient.

The most effective are the antibiotics of the Fluoroquinolone group, which include: Lomefloxacin, Moxifloxacin, Gatiloxacin, Ofloxacin, Ciprofloxacin. Having penetrated the prostate gland, this medicine destroys pathogenic bacteria. Antibiotics of the penicillin group Amoxicillin are also effective.

In the treatment of chronic prostatitis, the most effective antibiotics are Doxycycline and Metacycline - from the tetracycline group, as well as the macrolides Erythromycin and Oleandomycin.

If the cause of the disease is not bacterial in nature, then antibiotics are not prescribed.

Alpha blockers

Treatment with this type of medication allows the muscles of the prostate gland and ureter to relax, thus relieving the spasm and restoring normal urination. Adrenergic blockers Amikacin, Prazonin, Gentamicin, Phentolamine are prescribed.

Hormonal agents

To relieve pain and against the inflammatory process, non-steroidal anti-inflammatory drugs (NSAIDs) are prescribed, which include Diclofenac, Nimesulide, Meloxicam.

If NSAIDs do not work, then hormonal Dexamethasone and Prednisolone are prescribed, which are intended both against inflammation and swelling, and to stimulate erectile function.

Antispasmodics and muscle relaxants

Additionally, antispasmodics and muscle relaxants can be prescribed to relax the muscles of the prostate gland and urinary canal, which helps improve blood circulation and normal outflow of prostate secretions. The most famous are No-shpa and Baralgin.

Immunomodulatory

One of the factors contributing to the inflammatory process in the prostate is reduced immunity. Therefore, in addition to the prescribed drug treatment, it is recommended to take immunomodulating agents, for example, Polyoxidonium.

Prostatilen is available in injection form and is intended to strengthen the walls of blood vessels and improve blood circulation. It also improves the body's immunity.

Phytotherapy

The use of infusions and decoctions of medicinal herbs in treatment and, especially, prevention is an effective remedy. Medicinal mixtures can be bought at a pharmacy and brewed at home in a thermos. Or you can buy capsules or tablets.

Prostanorm includes the herb St. John's wort, echinacea, licorice root, and Canadian goldenrod. Prostamol-uno contains sabal fruit extract and is prescribed to regulate the functioning of the genitourinary system.

Forms of treatment

Medications can be prescribed by the attending physician in any of the following forms:

• injections - the fastest delivery of medicine to a diseased organ, stimulating the circulatory and immune systems;
• tablets are the most accessible and convenient form of taking medications with a different spectrum of action - painkillers, anti-inflammatory, antibacterial, relaxing;
• immunostimulating;
• suppositories - used rectally against inflammation and pain. After administration, you need to lie down for 10-15 minutes so that the medicine has time to be absorbed into the walls of the rectum;
• instillation - administration of medication up to 5 ml through the urethra for direct effect on the diseased organ;
• microenemas - the effect is designed on the medicinal properties of the herbs from which the enema decoction is made, and the temperature effect on the prostate gland through the walls of the rectum.

Microenemas are done at night, after which you are supposed to not get up and not strain the prostate.

Popular drugs for prostate and adenoma

1. Prostan - tablets are prescribed to relieve symptoms and restore the functions of the urinary system. Long-term use for 6 months, 1 t/day.
2. Vitaprost Forte - the active substance stimulates metabolic processes in the prostate gland and regulates urodynamics. Apply rectally, 1 suppository once a day.
3. Cernilton is a wheat pollen extract. Prescribed as part of complex therapy.
4. Omnic - available in capsules, taken for urological disorders, inflammation and benign prostatic hyperplasia.
5. Ekado is one of the latest achievements in the treatment of prostatitis and adenoma. The medicine eliminates congestion in the prostate gland. Daily use of the cream at night is necessary to avoid the development of prostatitis syndrome in middle-aged men.

Traditional medicine recipes

Treatment using traditional medicine recipes helps reduce the symptoms of inflammation of the prostate gland and reduce the progression of adenoma, so it is recommended that it be carried out in parallel with conservative drug treatment.

To relieve severe pain and against inflammation and swelling, the following are recommended:

1. Propolis – 0.1 g extract and 2 g cocoa butter, prepare candles based on butter or pork fat and inject into the rectum once a day in the evening. The course of treatment for prostatitis is carried out every day for a month.
2. Shepherd's purse - grind the seeds, pour 4 tablespoons of boiling water over a glass, leave in a water bath for 15 minutes, strain and take 1 tbsp. l. 5-6 times a day
3. Goose cinquefoil - infuse the herb in hot milk. This drink has a diuretic effect. Indicated for cystitis, pyelonephritis and other disorders of the urinary system.

For the greatest effect in the treatment and prevention of prostatitis and adenoma, it is recommended to review your diet, remove from it everything harmful and conducive to the disease and introduce those foods that will have a positive effect on the condition of the genitourinary system and prostate gland.

A new way to treat prostatitis in 2017, which you don’t know about yet! Click for details...

Unfortunately, today statistics on male diseases of the genitourinary system show that cases of prostatitis and prostate adenoma have become more frequent, and effective medications must be found. What is the reason - in ecology, nutrition, lifestyle - is a mystery, but the fact remains a fact, and the disease must be treated. For this purpose, new drugs against prostatitis and prostate adenoma in men are appearing on the pharmaceutical market. Which of them are the most effective, which will help you quickly and effectively get rid of the symptoms of the above-mentioned diseases? In what forms are medications produced against prostate symptoms and prostate adenoma?

The form of medication intended for your specific case is determined by the stage and form of the disease. It is also determined by the symptoms that appear or, conversely, do not appear. This happens because the form of the drug determines the mechanism and degree of effect on the body.

But they are all united by the following forms of influence on the body:

• improving the dynamics of the urological system;
• normalization of metabolism;
• normalizing hormonal balance;
• improvement of prostate microcirculation.

This is exactly how all medications for prostatitis and prostate adenoma act on a man’s body.

Here are the forms of medicines offered by modern medicine:

• rectal suppositories;
• intravenous injections;
• intramuscular injections;
• tablet medications;
• medicines in capsules;
• liquid for oral administration.

The most effective drugs

Now let's look at some of the drugs that are most actively used by men to treat diseases of the genitourinary system. In the initial stages of diseases of the genitourinary system in men, treatment is carried out with those medications that act on the internal muscles of the bladder and urinary tract, namely, they have a relaxing effect.

Treatment for men occurs through the patient taking medications that help reduce the size of the tumor and the area of ​​inflammation. Such medications are most effective in the early stages of prostate adenoma and prostatitis. They have an excellent effect on the general condition of the genitourinary system in men.

Drugs for the treatment of prostate hyperplasia improve the process of urination, reduce swelling and irritation, and stop the growth of tumors.

Doctors in most cases prescribe a patient a medicine from the following groups:

1. Alpha-1 adenoblockers.
2. 5-alpha-reductose inhibitors.

Let's start a more detailed consideration with the first group, namely Alpha-1-adrenergic blockers. In what cases are drugs from the Alpha-1-adrenergic blocking group used for the treatment of prostate adenoma and prostatitis? First, let's figure out what kind of products are included in this group and what effect they have on the body.

This section of drugs includes dalfas, cordura, hydrin, flamax, urosotral, omnic, omsulazine, etc. The active elements of the drugs are alfuzolin, doxazosin, terozosin, tamsulazin. These block alpha-1 adrenergic receptors in the area of ​​the prostate gland, bladder triangle and urethra. The drugs lower pressure in the urinary tract, reduce their resistance to fluid flow, eliminate dysuria and improve the process of urination.

Adrenergic blockers can quite quickly eliminate the symptoms of the disease, but they are not able to stop the growth of prostate hyperplasia. This type of medication may best help patients with a prostate gland that is moderately enlarged or of normal size.

Taking adrenergic blockers may well have some side effects - you may feel dizzy, have a headache, runny nose, and some problems with the digestive system. This category of drugs prescribed for prostatitis and prostate adenoma is contraindicated for men whose disease is already in a more advanced and advanced form. This running form characterized by the following symptoms: difficulty urinating, frequent urge to urinate. Also severe forms often complicated by concomitant infectious diseases genitourinary system of men.

Individual drugs and their characteristics, properties

Dalfaz. This medicine is intended for those patients who suffer from dysfunction of the genitourinary system due to a benign prostate tumor. Dalfaz retard has properties similar to dalfaz.

Both drugs have the following side effects:

• dry mouth;
• stomach ache;
• heartburn;
• nausea;
• vomit;
• headache;
• weakness;
• dizziness;
• constant drowsiness;
• loss of appetite;
• cardiopalmus.

Doxazosin and properties

This drug is indicated for those men who have mild symptoms of prostate adenoma.

Impact: this medicine helps cure the symptoms of prostate adenoma and prostatitis mainly due to the fact that it normalizes the general tone of all muscles and blood vessels, while especially affecting the organs of the male genitourinary system.

However, this medicine has some side effects, namely:

• drowsiness;
• decreased blood pressure;
• headache;
• sleep disturbance;
• tachycardia;
• dysfunction of the sense organs;
• hematuria;
• rhinitis, nosebleeds;
• hepatitis, jaundice;
• the appearance of a skin rash;
• rash.

Doxaprostan

These tablets are also used to treat prostate adenoma and prostatitis in men.

This medicine effectively treats the symptoms of prostate adenoma, you need to take it starting from the first " loading dose" The “first dose” syndrome is one of the side effects of doxaprostan; it is most often characterized by such symptoms as dizziness, headache, darkening of the eyes, lightheadedness, hypotension, tachycardia, irritability, decreased level of general endurance of the body, etc.

The drugs listed as an example are used mainly against prostate adenoma. They effectively treat symptoms and also have a positive effect on the general condition of the patient. Now let's look at the pills most often used for prostatitis

Tablets for prostatitis

These medications and their properties work differently. Among them there are adrenergic blockers, but there are also antibacterial agents.

Azithromycin. Azithromycin tablets belong to the group of antibacterial macrolides that have a wide range of antibacterial effects. Its manufacturer is the pharmaceutical company Replek Pharm. Sold only upon presentation of a prescription from the hospital. It can be stored for 2 years.

The effect of Azithromycin is based on blocking the synthesis of vital protein compounds in microbes. Acts against streptococci, staphylococci, Haemophilus influenzae, Moroxella, Bardetella, Neisseria, Helecobacter pylari, Fusabacterium, Gardnirella, Campylabacter, Clastridium, Mycobacteria, Legiodella, Chlamydia, Mycoplasma, Ureaplasma, Listeria, Treponema, Gonococcus and Borrelia .

It is prescribed in the following cases:

• infectious diseases of the urinary tract and genitourinary system of men;
• for respiratory tract infections;
• for diseases of the ear, nose and throat;
• for various skin infections.

Wobenzym. This drug is immunomodulatory, that is, one that stimulates the body’s immune system, normalizes the production of antibodies, immunoglobulin, lysozyme, interferons. It also has an effective property - it has a positive effect on the functioning of the cardiovascular system, namely, it prevents the formation of blood clots in the vessels.

For patients with prostatitis, the remedy is useful because it destroys connections between pathogenic bacteria, destroys connections between foci of infection, which promotes a speedy recovery. The tablets are also effective because they dull the symptoms of prostatitis and prostate adenoma. Treatment with them will be effective, but taking them without a doctor’s prescription is not recommended.

These tablets have a complex composition, and therefore their action is broad and very effective. It is sold in pharmacies without a special prescription, but it is not recommended to buy them without a doctor’s prescription, as it has a long list of contraindications and side effects.

Among the contraindications, individual intolerance to some of the components included in the drug is determined; they also cannot be given to children under 5 years of age; combination with hemodialysis is not allowed; and it is also not used if there is a concomitant tendency to bleeding. Among the side effects, experts name possible nausea, vomiting, digestive disorders, possible headache and dizziness, as well as skin allergies.

Tetracycline. This medicine is available in the form of tablets, powder, eye ointment and ointment for external use, is applied topically and effectively eliminates the symptoms of prostatitis.

It has antibacterial properties, preventing microorganisms from synthesizing protein compounds, and effectively acts on chlamydia - the most common causative agents of prostatitis. Contraindications include individual intolerance and severe liver and gastrointestinal diseases.

The product has relatively few side effects - digestive disorders, abdominal pain, nausea; dizziness and increased pressure inside the skull are possible allergic reactions. This medication is available without a prescription, but must be used as directed. It is incompatible with alcoholic drinks and does not cause addiction.

Not so long ago, surgery was the only option to rid a patient of prostatic hyperplasia. Today, medications and drugs for the treatment of prostate adenoma in men are capable of, if not working miracles, then something close to that. Pharmaceutical companies offer a variety of effective remedies, having found effective methods for treating prostate adenoma.

Pharmaceutical companies offer a variety of effective treatments for prostate adenoma.

Popular medications for the treatment of prostate adenoma

Although BPH (benign prostatic hyperplasia) is not cancerous tumor, but if its symptoms are detected, then treatment should be immediate. Modern medications for adenoma and prostatitis are aimed directly at the affected tissue, without having a detrimental effect on other organs.

List of the most popular:

1. Alpha adrenergic blockers.
2. Blockers of the enzyme 5-alpha reductase.
3. Herbal medicines.

This list of medications is irreplaceable, especially in combination with therapy, as the initial stage of treatment, regardless of the severity and course of the disease.

Already from the name it is clear that these drugs for the treatment of prostatitis and prostate adenoma in men have a cellular effect, that is, they specifically work to destroy and prevent the growth of “extra” prostate cells. Modern remedies for prostatitis give the following dynamics:

• stabilization of the urinary system;
• normalization of hormones and metabolism;
• improving blood supply to the prostate.

Depending on the patient’s condition and the severity of the disease, the doctor prescribes drugs for prostatitis in various forms:

• rectal suppositories;
• tablets or capsules;
• syrup or tincture;
• injections into a muscle or vein.

Omnic is a very popular remedy for prostate adenoma

Alpha blockers

Medicines in this group are designed to normalize the process of excretion of urine from the body. Particularly good results are achieved in patients with prostate adenoma or prostatitis in the initial stage of the disease, as well as in elderly patients with chronic stage diseases.

• Doxazosin is a tablet with a wide range of action against prostatitis and prostate adenoma. They have antispasmodic and hypolipidemic properties. The appointment occurs after a detailed study of the characteristics of the nature of the pathology.
• Alfuzosin is a tablet drug for prostatitis - a prolongator. It has a positive effect on urination and controls the outflow of urine. It has every reason to be prescribed for stage 1 diagnosed male prostate adenoma.
• Terazosin is a vasodilator tablet to disperse congestion in the pelvic organs. Stabilizes the outflow of urine during prostatitis. During the administration, the dosage is increased to achieve maximum effect.
• Omnic is a very popular remedy for prostate adenoma. It has an excellent effect on the functioning of the urinary system, strengthening the walls and increasing the elasticity of the bladder. It is also used during rehabilitation after surgery to avoid complications.

Action of drugs from the group of adrenoreceptor blockers

Blocking adrenergic receptors leads to the following positive changes in the functioning of the genitourinary organs:

• the tone of the smooth muscles of the prostate and urethra is strengthened;
• urethral obstruction decreases;
• the volume of the prostate gland decreases;
• symptoms of the disease are relieved;
• the speed and pressure of the jet increases;
• the amount of urine remaining in the bladder decreases.

Taking adrenergic receptor blockers does not distort the patient's hormonal balance.

Negative reactions to alpha-blocker therapy are rare, but occur in the form of headaches and dizziness

Clinical result

Signs of a pronounced effect of alpha-blockers begin to appear approximately 2-4 weeks from the start of the course and maintain a persistent effect until the next therapy. However, if after three months of use the symptoms of the disease remain at the same level, then the attending physician discontinues the use of alpha-blockers due to the pointlessness of taking them and the impossibility of treating prostate adenoma with this method.

Side effects

In most cases, alpha-blocker therapy for the treatment of prostate diseases is well tolerated by patients, even very long time. There are a minimum of negative reactions, but if they appear, then those taking medications for prostatitis note the following signs:

• decrease in blood pressure;
• muscle weakness;
• increased heart rate;
• headaches and dizziness.

Typically, the longer the medication is used, the fewer side effects occur.

Group of 5-alpha reductase inhibitors

5-alpha reductase inhibitors are drugs for the treatment of prostate adenoma with a serious effect on the problem of glandular tissue growth. Their main task is to help stimulate the production of testosterone by the gland.

• Dutasteride is a cumulative anticholinergic; a long six-month course of therapy is a serious competitor to surgical treatment, as it effectively stops the growth of tumor cells.
• Alfinal is a remedy for prostatitis from the group of anticholinergic drugs, to reduce the size of the prostate gland and stabilize the urinary process, subject to prolonged use.
• Proscar is a 5-alpha inhibitor that controls cell growth and minimizes the likelihood of complications of urological diseases.

Proscar – controls cell growth, minimizes the likelihood of complications of urological diseases

The effectiveness of the drugs has been proven both at the initial stage of prostate adenoma lesions and in cases of stage 2 pathology.

Action of 5 reductase inhibitors

The mechanism of action is to suppress the enzyme that converts testosterone into dihydrotestosterone, an ill-fated androgen, which provokes the growth of prostate tumors.

Clinical result of 5-alpha reductase

The effect of therapy when using reductase occurs after about 2 weeks, but for stable remission a treatment course of at least 6 months is required. As a result of the reception:

• reduction in the size of the adenoma and gland;
• relieving symptoms of pathology;
• prevention of prostate cancer;
• stabilization of the bladder.

Side effects

Negative reactions are minimal and practically disappear with long-term therapy. It does not happen to everyone; the manifestation is expressed by the following symptoms:

• potency decreases;
• the mammary glands become swollen and painful;
• ejaculation becomes unstable;
• allergic reactions appear.

Gentos is a homeopathic remedy aimed at improving the smooth muscles of prostate tissue

Herbal preparations

The naturalness of the elements included in the composition makes them absolutely safe, but no less effective than their synthetic counterparts. They have a targeted effect on the two main “enemies” of the prostate – adenoma and urethral disorder.

• Speman is a very effective medicine that, in addition to adenoma, acts on reproductive function, increasing the quantity and quality of seminal fluid.
• Gentos is a homeopathic remedy aimed at improving the smooth muscles of prostate tissue.
• Afala is a super popular remedy due to its wide spectrum of action. Not only stabilizes the functionality of the pelvic organs, but also increases sexual activity.

Other drugs on a natural basis - Prostamol-Uno, Permixon, etc.

Clinical result

Preparations for the treatment of prostate adenoma, based on herbal components, are indicated for long-term course use and have proven their effectiveness with good results:

• relieve inflammation of the urethral canal;
• control urine residue;
• stabilize the urination process and stream pressure.

Action and side effects

The composition of the medicines includes creeping palm, known for its phytosterol content. This substance stops inflammation in the prostate gland and reductase enzymes.

So-called combination drugs have appeared, such as Sonirid Duo

There is practically no negative reaction to herbal medicine. The only limitation is individual intolerance to the elements of the medication, but this happens extremely rarely.

Other treatments for prostate adenoma and prostatitis in men

Among the medications aimed at combating prostate pathologies, so-called combination drugs have appeared. The main one is Sonirid Duo. This is a medicine that includes two active mechanisms at once - an adrenergic blocker and 5-alpha reductase.

The combination of two monomedicines has all the best characteristics inherent in each individual drug. Sonirod Duo is used both for the treatment of prostate pathologies and as a prevention of male urological diseases. A long course significantly reduces symptoms, stabilizes the acute course, and normalizes the functioning of the urinary system.

Compared to monotherapy, taking combinators provokes the appearance of adverse reactions much more often, although not in all patients. This may result in the following symptoms:

• allergy;
• abdominal pain;
• swelling and breast enlargement;
• decrease in blood pressure;
• cardiopalmus;
• impaired libido and ejaculation.

For adenoma complicated by infection, Gentamicin is most often used

Antibiotics

Antimicrobial agents are often included in the complex treatment of genitourinary diseases in men. This is explained by the fact that bacterial infection is a common occurrence during congestion in the bladder and against the background of the growth of tumor cells.

For adenoma complicated by infection, Gentamicin, Levorin and other drugs are most often used.

Timely diagnosis of prostate diseases, well-chosen treatment with modern medications, in most cases prevent a man from going under the surgeon’s knife.

Used in the treatment of prostate diseases various means. In many cases, medications for prostate adenoma in men are quite effective and can avoid or delay surgery. However, when drug treatment Side effects may occur, which must be taken into account when choosing drugs.

When is drug treatment indicated?

Drugs for the treatment of prostate adenoma in men are prescribed according to indications as primary or auxiliary treatment. The characteristics of the disease and the condition of the patient’s body, as well as contraindications and possible side effects, must be taken into account.

Drugs are prescribed as the main or auxiliary treatment

Indications for drug treatment of prostate adenoma

• No renal complications
• Inability to perform an operation
• Re-development of adenoma after surgical treatment.

Drug treatment can be prescribed in the initial stages of adenoma, when dysfunction is minimal and there are no complications affecting the functioning of the kidneys. Surgical treatment prostate adenoma is not always possible, as there may be contraindications to surgery. Most often, this is the patient’s advanced age, and the condition of the cardiovascular system can become such a contraindication. In some cases, patients themselves refuse surgery for some reason.

Contraindications

• Serious urinary problems
• The volume of residual urine is more than 100 ml,
• Acute urinary retention,
• Hematuria,
• Bladder stones.

A few decades ago, the main treatment for prostate adenoma was surgery; today, only 20% of men with this diagnosis undergo surgery, the rest receive effective treatment with medications.

Drugs for the treatment of adenoma

Among the medications for prostate adenoma in men there are the following groups of drugs:

• alpha blockers,
• antibacterial agents,
• 5-alpha reductase inhibitors,
• hormonal drugs,
• herbal remedies.

When are antibiotics needed?

Antibiotic therapy is indicated in cases of bacterial infection, which often happens with prostate adenoma. The most commonly used are Gentamicin, Levorin, and drugs from the cephalosporin group. With the help of antibiotics, it is possible to extinguish inflammation and improve urodynamics, however, when choosing a drug, possible side effects should be taken into account.

Gentamicin for injection

Alpha blockers

Drugs from this group have a relaxing effect on the muscle fibers of the prostate. This means that muscle spasms stop and the urination process normalizes. Relief with alpha-blockers can be achieved quite quickly. Many drugs from this group cause a significant decrease in blood pressure, so they are contraindicated in men with low blood pressure. Tamsulosin-based products do not have this effect. These medications for prostate adenoma act more carefully and can be prescribed to elderly patients, as well as those who have concomitant problems such as diabetes mellitus, bronchial asthma, since they have minimal side effects.

Preparations based on tamsulosin

• Omnik,
• Focusin,
• Lokren,
• Flosin,
• Adenorm.

Alpha-blockers are often prescribed in combination with Picamilon, due to which their effect is more effective.

Drugs from the group of adrenergic blockers quickly eliminate symptoms, but they do not affect the pathological process itself, that is, they cannot stop the development of adenoma. They are most effective for mild prostate hyperplasia. Men with severe forms of urinary dysfunction, as well as those who often have genitourinary infections, are not prescribed alpha-blockers.

Possible side effects

• Headache,
• Nasal congestion,
• Digestive disorders.

Omnic drug

One of the most commonly used drugs for the treatment of adenoma from the group of alpha-blockers is Omnic. A drug is prescribed to eliminate functional disorders of the urinary organs. In most cases, the effect of treatment appears after about 2 weeks of use, but in some patients the effect occurs very quickly, sometimes even after the first dose. The drug is highly selective, that is, it acts selectively on exactly those organs for which it is used to treat, so side effects occur infrequently. Omnic does not affect blood pressure.

Omnik is a drug from the group of alpha-blockers

Omnik is available in capsules, taken once a day, one capsule after meals, preferably in the morning. This drug is contraindicated in case of severe liver failure and hypersensitivity to the components included in the composition.

5-alpha reductase inhibitors

Drugs in this group allow you to get rid of the symptoms of prostate adenoma, as they prevent the progression of the disease and lead to a decrease in the size of the prostate gland. This is achieved by reducing the level of the hormone dihydrotestosterone, which provokes prostate hyperplasia. After treatment with 5-alpha reductase inhibitors, more than half of patients do not require surgery. When treating with these drugs, remember that it takes time to achieve the effect. Relief of symptoms may occur only after 3-6 months of therapy. An important advantage of such drugs is their effectiveness for large adenomas in men.

Possible side effects are associated with inhibition of sexual functions, weakening of erection and decreased sperm production. As a rule, after stopping taking the drugs, the negative effects disappear, and the man’s sexual function is completely restored.

Currently available drugs based on dutasteride or finasteride:

• Avodart,
• Alfinal,
• Prosteride,
• Finasteride TEVA.

Finasteride TEVA - the drug is indicated for prostate adenoma

The most popular drug is Finasteride TEVA, which is available in tablets. For treatment, take one tablet once a day. Contraindications are hypersensitivity to the components of the drug; it is prescribed with caution in case of liver failure, with a large amount of residual urine. If a man plans to have a child, then he is prohibited from taking Finasteride, as there is a risk of fetal pathology. This drug poses a danger to a male fetus if a pregnant woman comes into contact with crushed tablets.

The undoubted advantage of this drug is the ability to achieve stable, long-term remission and complete restoration of urinary function.

Hormones in the treatment of prostate adenoma

Application hormonal drugs in the treatment of prostate adenoma is due to the fact that it is hormones that regulate the growth of the glandular tissue of the organ. In some cases, it is necessary to block testosterone synthesis in order to limit the androgenic effect on the prostate. In others, it is necessary to increase the amount of male sex hormones. Such drugs are not prescribed to all patients, as they have a considerable list of side effects.

Hormonal drugs can be used in the form of injections or suppositories; in each case, the form of the medication is selected individually.

Hormone-based drugs

• Raveron is effective in the initial stages,
• Prostatilen normalizes circulation in the prostate, eliminates swelling, stabilizes urination,
• Sustanon has a prolonged action, allowing it to be administered by injection once a month.

Herbal preparations

To treat prostate adenoma, herbal medicines are used, which are quite effective but have fewer side effects. They can improve the process of urination, increase the speed of urine flow, and eliminate inflammation. Some drugs effectively eliminate swelling, improving urinary function, without reducing libido.

Herbal preparations will also help in the fight against adenoma!

Effect of herbal medicines

• Suppression of prostate cell growth factors,
• Blocking androgen receptors,
• Suppression of the action of enzymes involved in hormonal metabolism,
• Impact on tissue growth factors.

Herbal medicines today are available in convenient forms; they are often prescribed both as an independent remedy when a gentle effect is needed, and as part of complex therapy for prostate adenoma.

Herbal remedies

• Trianol stimulates epithelial restoration, reduces inflammation, activates the excretory function of the gland, and improves urodynamics.
• Tykveol has an anti-inflammatory effect, improves blood supply to the pelvic organs, and tones the bladder muscles.
• Prostagut is effective in the initial stages of adenoma, as well as in case of weakness of the bladder sphincter.
• Prostabin is a protein-vitamin complex rich in zinc, which is so necessary for the normal functioning of the prostate gland. In addition to a positive effect on the functioning of the prostate, this remedy has a strengthening effect on the entire body and improves immunity.

Homeopathic medicine Afala

This remedy improves the functional state of the genitourinary system, sexual functions, eliminates the symptoms of adenoma and dysuric phenomena.

The effectiveness of Afala has been proven for stages 1 and 2 of prostate adenoma, as well as for the prevention of exacerbations during chronic processes. The drug is available in lozenges, which are taken twice a day. The dosage and duration of treatment is determined by the doctor.

With prostate adenoma, the timeliness of measures taken is of great importance in the success of treatment. When the first signs of trouble appear, you should consult a doctor. Today, men often prescribe treatment themselves, after reading articles about medications and reviews about their use. On the forums of sites dedicated to men's problems, you can find a lot of advice on treating adenoma. However, you should not self-medicate, as this can only worsen the situation. The most effective treatment is complex treatment with several drugs. Only a specialist can choose them correctly after analyzing the data obtained during diagnostic studies.

Hypertrophy of prostate tissue and its inflammatory damage (prostatitis) is diagnosed in many men over 45 years of age. Both diseases not only cause a lot of discomfort and worsen the quality of life, but also pose a hidden danger to men's health.

The modern pharmaceutical industry is engaged in the serial production of many types of drugs used for the effective complex treatment of acute and chronic prostate diseases. Not every one of them is universal for any patient, since the selection of medications is carried out on an individual basis, taking into account important criteria.

In order to make it easier for men to navigate the list of medicinal medications and for reference, we offer list of the most popular and effective remedies for the treatment of prostate tissue hypertrophy and prostatitis.

Drugs for the treatment of adenoma

Hypertrophic changes in the prostate gland are characterized by stable progression and the risk of transition from a benign tumor to a malignant one. The greatest effect of drug therapy for prostate adenoma can be obtained in the initial stages of the development of the disease.

Today, urologists use 3 main groups of drugs for the treatment of prostate adenoma. These include:

• 5-alpha reductase inhibitors;
• alpha-blockers;
• herbal remedies, as well as medicinal medicines containing natural ingredients.

The treatment tactics for adenoma directly depend on the severity of hypertrophic changes, the rate of their progression, as well as the presence or absence concomitant diseases at the patient.

Along with the listed medications, patients with prostate adenoma prescribe dietary supplements, immunostimulants and probiotics, the action of which is aimed at strengthening the body’s defenses and fighting the disease.

From the presented list of medicinal drugs Only 5-alpha reductase inhibitors affect the cause of prostate hypertrophy. The therapeutic effect of alpha adrenergic blockers is aimed at eliminating the key symptoms of the pathology, so their use can be regarded as an ambulance option.

Alpha blockers

Medicines from the group of alpha adrenergic blockers belong to the links of symptomatic therapy, aimed at improving the general condition of patients with adenoma. This medication group is prescribed if the patient complains of discomfort and pain when urinating, a sluggish stream of urine, pain and a feeling of fullness in the perineum.

The action of alpha adrenergic blockers is aimed at relaxing the smooth muscle elements of the prostate gland and bladder, which helps normalize the outflow of urine. Meanwhile, drugs from this group are not able to influence the volume of the prostate gland and the rate of development of hypertrophic changes in the organ.

In the process of functioning of the organs of the male genitourinary system, alpha adrenergic receptors play a significant role, divided into the following types:

1. Alpha 1A adrenergic receptors. This group of receptors is located in the bladder area, the urethral canal located near the gland and in the prostate itself. Their functional significance lies in the regulation of the tone of the smooth muscle elements of the bladder neck, prostate gland, vas deferens and seminal vesicles.
2. Alpha 1B adrenergic receptors. The location of these receptors is the walls of blood vessels.
3. Alpha 1D adrenergic receptors. Their localization sites are the sinuses, spinal cord and bladder. In addition, this type of receptor plays a significant role in the process of functional regulation of the prostate gland.

Medicinal medicine belongs to the group of alpha 1 adrenergic receptor blockers. This drug is prescribed to those patients who have clinical manifestations Prostate adenomas are mild in nature.

Relief of adenoma symptoms when using Doxazosin occurs due to the relaxation of smooth muscle elements in the area of ​​the gland and bladder.

These effects include:

• tachycardia;
• sleep disorders and drowsiness;
• toxic liver damage;
• allergic rash like urticaria;
• bleeding from the nasal passages;
• dizziness and headache;
• decreased hearing acuity and suppressed sense of smell.

Each of these effects is a reason to revise the Doxazosin treatment regimen or completely replace the drug with a structural analogue.

Doxaprostan

This universal medicine is used with equal frequency to treat men suffering from prostate adenoma and prostatitis.

Men with prostate diseases of an inflammatory and non-inflammatory nature, as a rule, shock dosages of medication are prescribed. This treatment regimen allows the patient to be relieved of the painful symptoms of the disease in a short period of time.

Treatment with high dosages of Doxaprostan can cause side effects such as decreased blood pressure, dizziness, headache, increased irritability and decreased visual acuity. That is why the drug must be used strictly as prescribed by the doctor.

Among all the names of drugs from the group of alpha adrenergic blockers Omnic is the most popular. Under the influence of the active components of the product, spasm of the smooth muscles of the bladder is relieved, which leads to normalization of the outflow of urine.

The drug is produced in capsule form with a dosage of 400 mg. The recommended dosage of the medication is 1 capsule per day.

In addition to positive effects, Omnic has a whole list of side effects. Such effects include stool disorders, vomiting, dizziness and headache, nausea and itchy skin.

To the list of analogues Omnic includes the following medications:

• Adenorm;
• Alfater;
• Setexiz;
• Cornam;
• Bazetam.

Cardura

This drug is available in tablet form in dosages of 1.2 and 4 mg. The active ingredient of the drug is doxazosin mesylate.

If the drug enters the male body spreads its pharmachologic effect to all types of alpha-adrenergic receptors, normalizing the condition of the genitourinary system.

The initial daily dosage of the drug is 1 mg.

To analogues Cardura drugs include Doxazosin, Urocard, Artezin, Kamiren.

Dalfaz Retard

The therapeutic effect of the drug is due to the content of alfuzosin hydrochloride. This remedy affects all groups of adrenergic receptors, normalizes the functioning of the genitourinary system, while improving the outflow of urine.

This tool effective in the treatment of hypertrophic changes in the prostate gland grades 1 and 2.

So called 5 alpha reductase enzyme blockers, have a direct impact on the cause of prostate adenoma.

In order to inhibit the process of proliferation of glandular tissue prostate patients are prescribed the following names of medications:

• Prosteride;
• Proscar;
• Avodart.

Based on clinical observations, best therapeutic result was achieved in those patients with prostate adenoma who took Dugasteride and Finasteride.

The average duration of treatment with drugs from the group of 5 alpha reductase blockers ranges from 4 months to six months.

While using these medications, patients may experience itching, decreased libido, tachycardia, erectile dysfunction and psycho-emotional disorders (depression).

Despite the list of side effects, 5-alpha reductase inhibitors have proven their effectiveness.

Depending on the size of the gland itself and the degree of its hypertrophy, the treatment process can take from 4 months to a year. If patients begin to take inhibitors in the initial stages of adenoma development, then tumor growth stops in a short period of time, and the functional state of the gland returns to normal.

Herbal preparations

Medicines containing plant materials are used primarily for prevention prostate adenoma, and also as an effective addition to the main therapy.

If symptoms of prostate hypertrophy occur, men are prescribed the drug Prostamol Uno containing exclusively natural ingredients. This remedy belongs to the links of symptomatic therapy, and does not have the ability to influence the rate of disease progression.

Another effective herbal remedy is Tykveol, available in the form of oil, capsules and rectal suppositories. The active components of the product reduce the intensity of pain and normalize the act of urination.

A pharmaceutical novelty is a drug Sonirid Duo, containing tamsulosin and finasteride. The medication affects the cause of the adenoma and at the same time fights its clinical manifestations.

Medicines for prostatitis

Inflammatory lesions of the prostate are no less pressing problem for the male population than adenoma.

If the disease was caused by pathogenic microorganisms of a bacterial nature, then patients are prescribed tableted medications from the antibiotic group. The most effective drugs include:

1. Azithromycin. This antibiotic from the macrolide group has a wide spectrum of antibacterial action. The mechanism of action of the drug is based on suppressing the production of protein compounds necessary to maintain the vital activity of pathogenic microorganisms. It is effective against staphylococci, streptococci, clostridia, gardnerella, chlamydia, ureaplasma, mycoplasma, gonococci and treponema.
2. Tetracycline. This antibacterial drug has a detrimental effect on gram-positive and gram-negative bacteria. Drug therapy for chronic or acute prostatitis using Tetracycline should be carried out under the constant supervision of a urologist, since the medication can cause many adverse reactions. Such reactions include allergic rash, constipation, discoloration of tooth enamel, vomiting and nausea, dizziness, Quincke's edema.

In addition to antibacterial drugs in the complex therapy of acute and chronic prostatitis combination medications are used.

Vitaprost

The drug is produced in the form of rectal suppositories and tablets. Medicinal properties Vitaprost is due to the content of a natural extract from the gonads of the large cattle.

The positive effects of the drug Vitaprost include:

• normalization of male fertility;
• restoration of blood circulation in the prostate gland;
• improvement of quantitative and qualitative indicators of seminal fluid;
• normalization of the urination process.

Medicinal drug Vitaprost active used not only for treatment, but also for prevention relapses of chronic prostatitis. The effectiveness of the drug is at least 95%.

Prostamol Uno

This medicinal drug contains predominantly plant components. The medicine is released in the form of capsules filled with liquid with a specific odor.

The active component of the product is natural extract of Sabala palm fruits. As a rule, the drug is prescribed 1 capsule per day. The total duration of the therapeutic course is individual for each patient.

Prostatilen

This medicinal drug for the treatment of inflammatory lesions of the prostate gland is produced in the form of a solution for injection, as well as in rectal suppositories. The drug contains a natural extract from the gonads of cattle, which causes its beneficial effect on the male reproductive system.

This medication activates local immunity, improves erectile function, has a beneficial effect on the quality of seminal fluid and reduces the risk of prostate cancer. For therapeutic purposes, Prostatilen is prescribed in a 10-day course, which can be shortened or extended depending on clinical indicators.

In most cases, the drug is perceived favorably by the male body, but in rare situations, such adverse reactions cannot be excluded:

• weakness and general malaise;
• headache;
• itching in the area anus and perineum;
• allergic reactions.

Prostan

The active component of the drug is finasteride. This substance affects the process of transformation of testosterone into dihydrotestosterone. Under the influence of finasteride, the swelling of the prostate tissue decreases, and the intensity of hypertrophic changes also decreases.

Special advantage of this remedy is that it can be prescribed to men with renal failure and in old age. The only contraindication is previously diagnosed malignant neoplasms in the prostate gland.

Peponen

The drug is made from natural extract pumpkin seeds. Peponen is produced in capsule form. Most often, the drug is used to prevent prostatitis and prostate adenoma. The desired therapeutic effect can be obtained only with long-term use of the drug.

Before using each of the remedies mentioned, you must consult a urologist and carefully read the instructions for the drug.

Unfortunately, today statistics on male diseases of the genitourinary system show that cases of prostatitis and prostate adenoma have become more frequent, and effective medications must be found. What is the reason - in ecology, nutrition, lifestyle - is a mystery, but the fact remains a fact, and the disease must be treated. For this purpose, new drugs against prostatitis and prostate adenoma in men are appearing on the pharmaceutical market. Which of them are the most effective, which will help you quickly and effectively get rid of the symptoms of the above-mentioned diseases? In what forms are medications produced against prostate symptoms and prostate adenoma?

The form of medication intended for your specific case is determined by the stage and form of the disease. It is also determined by the symptoms that appear or, conversely, do not appear. This happens because the form of the drug determines the mechanism and degree of effect on the body.

But they are all united by the following forms of influence on the body:

• improving the dynamics of the urological system;
• normalization of metabolism;
• normalizing hormonal balance;
• improvement of prostate microcirculation.

This is exactly how all medications for prostatitis and prostate adenoma act on a man’s body.

Here are the forms of medicines offered by modern medicine:

• rectal suppositories;
• intravenous injections;
• intramuscular injections;
• tablet medications;
• medicines in capsules;
• liquid for oral administration.

Contents [Show]

The most effective drugs

Now let's look at some of the drugs that are most actively used by men to treat diseases of the genitourinary system. In the initial stages of diseases of the genitourinary system in men, treatment is carried out with those medications that act on the internal muscles of the bladder and urinary tract, namely, they have a relaxing effect.

Treatment for men occurs through the patient taking medications that help reduce the size of the tumor and the area of ​​inflammation. Such medications are most effective in the early stages of prostate adenoma and prostatitis. They have an excellent effect on the general condition of the genitourinary system in men.

Drugs for the treatment of prostate hyperplasia improve the process of urination, reduce swelling and irritation, and stop the growth of tumors.

Doctors in most cases prescribe a patient a medicine from the following groups:

1. Alpha-1 adenoblockers.
2. 5-alpha-reductose inhibitors.

Let's start a more detailed consideration with the first group, namely Alpha-1-adrenergic blockers. In what cases are drugs from the Alpha-1-adrenergic blocking group used for the treatment of prostate adenoma and prostatitis? First, let's figure out what kind of products are included in this group and what effect they have on the body.

This section of drugs includes dalfas, cordura, hydrin, flamax, urosotral, omnic, omsulazine, etc. The active elements of the drugs are alfuzolin, doxazosin, terozosin, tamsulazin. These block alpha-1 adrenergic receptors in the area of ​​the prostate gland, bladder triangle and urethra. The drugs lower pressure in the urinary tract, reduce their resistance to fluid flow, eliminate dysuria and improve the process of urination.

Adrenergic blockers can quite quickly eliminate the symptoms of the disease, but they are not able to stop the growth of prostate hyperplasia. This type of medication may best help patients with a prostate gland that is moderately enlarged or of normal size.

Taking adrenergic blockers may well have some side effects - you may feel dizzy, have a headache, runny nose, and some problems with the digestive system. This category of drugs prescribed for prostatitis and prostate adenoma is contraindicated for men whose disease is already in a more advanced and advanced form. This advanced form is characterized by the following symptoms: difficulty urinating, frequent urge to urinate. Also, severe forms are often complicated by concomitant infectious diseases of the male genitourinary system.

Individual drugs and their characteristics, properties

Dalfaz. This medicine is intended for those patients who suffer from dysfunction of the genitourinary system due to a benign prostate tumor. Dalfaz retard has properties similar to dalfaz.

Both drugs have the following side effects:

• dry mouth;
• stomach ache;
• heartburn;
• nausea;
• vomit;
• headache;
• weakness;
• dizziness;
• constant drowsiness;
• loss of appetite;
• cardiopalmus.

Doxazosin and properties

This drug is indicated for those men who have mild symptoms of prostate adenoma.

Effect: this medicine helps to cure the symptoms of prostate adenoma and prostatitis mainly due to the fact that it normalizes the general tone of all muscles and blood vessels, while affecting especially the organs of the male genitourinary system.

However, this medicine has some side effects, namely:

• drowsiness;
• decreased blood pressure;
• headache;
• sleep disturbance;
• tachycardia;
• dysfunction of the sense organs;
• hematuria;
• rhinitis, nosebleeds;
• hepatitis, jaundice;
• the appearance of a skin rash;
• rash.

Doxaprostan

These tablets are also used to treat prostate adenoma and prostatitis in men.

This medicine effectively treats the symptoms of prostate adenoma; it should be taken starting with the first “loading dose”. The “first dose” syndrome is one of the side effects of doxaprostan; it is most often characterized by such symptoms as dizziness, headache, darkening of the eyes, lightheadedness, hypotension, tachycardia, irritability, decreased level of general endurance of the body, etc.

The drugs listed as an example are used mainly against prostate adenoma. They effectively treat symptoms and also have a positive effect on the general condition of the patient. Now let's look at the pills most often used for prostatitis

Tablets for prostatitis

These medications and their properties work differently. Among them there are adrenergic blockers, but there are also antibacterial agents.

Azithromycin. Azithromycin tablets belong to the group of antibacterial macrolides that have a wide range of antibacterial effects. Its manufacturer is the pharmaceutical company Replek Pharm. Sold only upon presentation of a prescription from the hospital. It can be stored for 2 years.

The effect of Azithromycin is based on blocking the synthesis of vital protein compounds in microbes. Acts against streptococci, staphylococci, Haemophilus influenzae, Moroxella, Bardetella, Neisseria, Helecobacter pylari, Fusabacterium, Gardnirella, Campylabacter, Clastridium, Mycobacteria, Legiodella, Chlamydia, Mycoplasma, Ureaplasma, Listeria, Treponema, Gonococcus and Borrelia .

It is prescribed in the following cases:

• infectious diseases of the urinary tract and genitourinary system of men;
• for respiratory tract infections;
• for diseases of the ear, nose and throat;
• for various skin infections.

Wobenzym. This drug is immunomodulatory, that is, one that stimulates the body’s immune system, normalizes the production of antibodies, immunoglobulin, lysozyme, interferons. It also has an effective property - it has a positive effect on the functioning of the cardiovascular system, namely, it prevents the formation of blood clots in the vessels.

For patients with prostatitis, the remedy is useful because it destroys connections between pathogenic bacteria, destroys connections between foci of infection, which promotes a speedy recovery. The tablets are also effective because they dull the symptoms of prostatitis and prostate adenoma. Treatment with them will be effective, but taking them without a doctor’s prescription is not recommended.

These tablets have a complex composition, and therefore their action is broad and very effective. It is sold in pharmacies without a special prescription, but it is not recommended to buy them without a doctor’s prescription, as it has a long list of contraindications and side effects.

Among the contraindications, individual intolerance to some of the components included in the drug is determined; they also cannot be given to children under 5 years of age; combination with hemodialysis is not allowed; and it is also not used if there is a concomitant tendency to bleeding. Among the side effects, experts name possible nausea, vomiting, digestive disorders, possible headache and dizziness, as well as skin allergies.

Tetracycline. This medicine is available in the form of tablets, powder, eye ointment and ointment for external use, is applied topically and effectively eliminates the symptoms of prostatitis.

It has antibacterial properties, preventing microorganisms from synthesizing protein compounds, and effectively acts on chlamydia - the most common causative agents of prostatitis. Contraindications include individual intolerance and severe liver and gastrointestinal diseases.

The product has relatively few side effects - digestive disorders, abdominal pain, nausea; dizziness and increased pressure inside the skull, allergic reactions are possible. This medication is available without a prescription, but must be used as directed. It is incompatible with alcoholic drinks and does not cause addiction.

Various means are used in the treatment of male diseases. In many cases, medications for prostate adenoma in men are quite effective and can avoid or delay surgery. With drug treatment, side effects often occur, which must be taken into account when choosing drugs.

When is drug treatment indicated?

Drugs for the treatment of male ailments are prescribed according to indications as primary or auxiliary treatment. The characteristics of the disease, the condition of the patient’s body and contraindications to the use of medications must be taken into account.

Drugs are prescribed as the main or auxiliary treatment

Indications for drug treatment

• No renal complications
• Inability to perform an operation
• Re-development of adenoma after surgical treatment.

Drug treatment is prescribed in the initial stages of the development of the pathology, when dysfunction is minimal and there are no complications affecting the functioning of the kidneys. There are contraindications to surgical therapy - the patient’s advanced age and the state of the cardiovascular system.

Problems with urination

Contraindications

• Serious urinary problems.
• The volume of residual urine is more than 100 ml.
• Acute urinary retention.
• Hematuria.
• Bladder stones.

Until recently, the main method of treating male ailments was surgery. With the progress of drug therapy, only 20% of men with this diagnosis undergo surgery, the rest receive effective treatment with medications.

Drugs for the treatment of adenoma

Drugs and medicines for treatment

There are the following groups of drugs for the treatment of the disease:

• alpha-blockers;
• antibacterial agents;
• 5-alpha reductase inhibitors;
• hormonal drugs;
• herbal remedies.

When are antibiotics needed?

Antibiotic therapy is indicated in cases of bacterial infection. In this case, Gentamicin, Levorin, and drugs from the cephalosporin group are used. With the help of antibiotics it is possible to extinguish inflammation and improve urodynamics. When choosing a drug, you should take into account possible contraindications for use.

Gentamicin for injection

Alpha blockers

Drugs from this group have a relaxing effect on the muscle fibers of the prostate. Muscle spasms stop and the urination process normalizes. Relief with alpha-blockers can be achieved quickly. Many drugs from this group cause a significant decrease in blood pressure, so they are contraindicated in men with low blood pressure. Tamsulosin-based products do not have this effect. These medications for prostate adenoma act more carefully and can be prescribed to elderly patients, as well as those who have concomitant problems such as diabetes mellitus, bronchial asthma, since they have minimal side effects.

Preparations based on tamsulosin

• Omnic.
• Focusin.
• Lokren.
• Flosin.
• Adenorm.

Flosin capsules

Alpha blockers are often prescribed in combination with Picamilon to increase the effectiveness of the drug.

Drugs from the group of adrenergic blockers quickly eliminate symptoms. But they do not affect the pathological process itself. They are most effective for mild prostate hyperplasia. Men with severe forms of urinary disorders and genitourinary infections are not prescribed alpha-blockers.

Possible side effects

• Headache.
• Nasal congestion.
• Digestive disorders.

Digestive disorders

Omnic drug

One of the most commonly used drugs for the treatment of pathology from the group of alpha-blockers is Omnic. A drug is prescribed to eliminate functional disorders of the urinary organs. The effect of treatment appears after 2 weeks of use. In the initial stages of disease development in patients, the effect occurs after the first dose. The drug is highly selective, that is, it acts selectively on exactly those organs for which it is used to treat, so side effects occur infrequently. Omnic does not affect blood pressure.

Omnic is available in capsules. Take one capsule once a day after meals in the morning. This drug is contraindicated in case of severe liver failure and hypersensitivity to the components included in the composition.

Omnik is a drug from the group of alpha-blockers

5-alpha reductase inhibitors

Drugs in this group allow you to get rid of the symptoms of the development of the disease, as they prevent the progression of the disease and lead to a decrease in the size of the development of the pathology. This is achieved by reducing the level of the hormone dihydrotestosterone, which provokes prostate hyperplasia. After treatment with 5-alpha reductase inhibitors, more than half of patients do not require surgery. When treating with these drugs, remember that it takes time to achieve the effect. Relief of symptoms may occur only after 3-6 months of therapy. An important advantage of such drugs is their effectiveness for large adenomas in men.

Possible side effects are associated with inhibition of sexual functions, weakening of erection and decreased sperm production. After finishing taking the drugs, the negative effects disappear, and the man’s sexual function is completely restored.

Currently available drugs based on dutasteride or finasteride:

• Avodart.
• Alfinal.
• Prosteride.
• Finasteride TEVA.

Finasteride TEVA - the drug is indicated for prostate adenoma

The most popular drug is Finasteride TEVA, which is available in tablets. For treatment, take one tablet once a day. Contraindications are hypersensitivity to the components of the drug; it is prescribed with caution in case of liver failure, with a large amount of residual urine. If a man plans to have a child, then he is prohibited from taking Finasteride, as there is a risk of fetal pathology. This drug poses a danger to a male fetus if a pregnant woman comes into contact with crushed tablets.

Finasteride-Teva

The undoubted advantage of this drug is the ability to achieve stable, long-term remission and complete restoration of urinary function.

Hormones in the treatment of prostate adenoma

The use of hormonal drugs in the treatment of prostate adenoma is due to the fact that it is hormones that regulate the growth of the glandular tissue of the organ. In some cases, it is necessary to block testosterone synthesis in order to limit the androgenic effect on the prostate. In others, it is necessary to increase the amount of male sex hormones. Such drugs are not prescribed to all patients, as they have a considerable list of side effects.

Hormonal drugs can be used in the form of injections or suppositories; in each case, the form of the medication is selected individually.

Hormone-based drugs

• Raveron is effective in the initial stages.

Prostatilen suppositories and injections

• Prostatilen normalizes circulation in the prostate, eliminates swelling, and stabilizes urination.
• Sustanon has a prolonged action, allowing it to be administered by injection once a month.

Herbal preparations

To treat the pathology, herbal medicines are used, which are quite effective but have fewer side effects. They can improve the process of urination, increase the speed of urine flow, and eliminate inflammation. Some drugs effectively eliminate swelling, improving urinary function without reducing libido.

Herbal preparations are effective in the fight against adenoma!

Effect of herbal medicines

• Suppression of prostate cell growth factors.
• Blocking androgen receptors.
• Suppression of the action of enzymes involved in hormonal metabolism.
• Impact on tissue growth factors.

Herbal medicines today are available in convenient forms; they are often prescribed both as an independent remedy when a gentle effect is needed, and as part of complex therapy.

Herbal remedies

• Trianol stimulates epithelial restoration, reduces inflammation, activates the excretory function of the gland, and improves urodynamics.

Tykveol capsules

• Tykveol has an anti-inflammatory effect, improves blood supply to the pelvic organs, and tones the bladder muscles.
• Prostagute is effective in the initial stages and with weakness of the bladder sphincter.
• Prostabin is a protein-vitamin complex rich in zinc, which is so necessary for the normal functioning of the prostate gland. In addition to a positive effect on the functioning of the prostate, this remedy has a strengthening effect on the entire body and improves immunity.

Afala tablets

Homeopathic medicine Afala

This remedy improves the functional state of the genitourinary system, sexual functions, eliminates symptoms and dysuric phenomena.

The effectiveness of Afala has been proven for stages 1 and 2 of prostate adenoma. Suitable for preventing exacerbations in chronic processes. The drug is available in lozenges, which are taken twice a day. The dosage and duration of treatment is determined by the doctor.

With prostate adenoma, the timeliness of measures taken is of great importance in the success of treatment. When the first signs of trouble appear, you should consult a doctor. Today, men often prescribe treatment themselves, after reading articles about medications and reviews about their use. On the forums of sites dedicated to men's problems, you can find a lot of advice on treating adenoma. However, you should not self-medicate, as this can only worsen the situation. The most effective is complex treatment with several drugs. Only a specialist can choose them correctly after analyzing the data obtained during diagnostic studies.

Starting timely treatment for prostatitis is the main rule that will help men recover quickly. An advanced disease can be treated promptly. But in the initial stages therapeutic treatment quite acceptable. Pharmacists offer effective tablets for prostatitis. But there are many of them, and each drug has its own characteristics. Which tablets should I choose for treatment or prevention? This article will help answer this question - in it we will make a list of the best products (in terms of cost and quality) and make a short review of each drug.

How to choose?

First of all, it is worth noting that you should not select pills for the treatment or prevention of prostatitis on your own, focusing only on lists and reviews on the Internet - this can be dangerous, since the wrong medicine can only cause harm. It is better to let the doctor select pills against prostatitis.

The doctor will conduct a series of tests, confirm the diagnosis, determine the exact form and stage of prostatitis, and also find out the individual characteristics of the man. Based on the information received, the specialist will draw up a treatment program and a list of pills that a particular patient needs to take.

Treatment of acute and chronic prostatitis involves taking different types of tablets for different symptoms. It can be:

1. Antibiotics.
2. Painkillers.
3. Remedies for inflammation.
4. Adrenergic blockers.
5. Drugs that improve blood flow and eliminate congestion.

We will compile a list of tablets for the treatment and prevention of prostatitis, and also learn about their purpose, indications, features of administration, prices, etc.

Agents against pathogenic flora

Prostatitis is often accompanied by infection with bacterial flora, which causes serious complications. To eliminate harmful pathogens, you need to take antibiotics. In addition to eliminating bacteria, antibiotic tablets help reduce toxicity and stop inflammation.

Alas, it is often impossible to cure prostatitis without antibiotics. In the reviews you can find many stories about men refusing to take these medications, fearing side effects, and as a result, their illness started.

Often, for the treatment of acute and chronic prostatitis, doctors prescribe tablets from next list: Amoxiclav, Ciprofloxacin, Ofloxacin or Azithromycin.

• Amoxiclav.

Amoxiclav is most often prescribed to men for prostatitis. This is due to the high quality at a relatively affordable price of the drug. Another advantage is that the drug has a wide spectrum of action, and it can be prescribed for any causative agent of prostatitis.

The low price of Amoxiclav has made it popular, but allergies sometimes interfere with its use.

The medicine is included in the list of penicillin drugs (be careful - many people are allergic to penicillins). Amoxiclav tablets are coated with a white, easily soluble film coating. Packaged either in bottles or blisters.

Cost of tablets: from 190 rubles (375 mg).

• Ciprofloxacin.

The antibiotic Ciprofloxacin fights all groups harmful microorganisms, provoking the development of infectious prostatitis: gram-positive and aerobic, gram-negative and anaerobic. The main active ingredient is ciprofloxacin hydrochloride.

For uncomplicated prostatitis at the initial stage, Ciprofloxacin is prescribed 250 milligrams per day. In difficult cases, you will need to drink 500 milligrams twice a day. The duration of treatment is approximately 10 days.

The drug costs from 32 rubles (tablets 500 mg, 10 pcs per package)

• Azithromycin.

This is a medicine on the list effective tablets for prostatitis it has antifungal, antiprotozoal and antibacterial effects. Belongs to the category of broad-spectrum antibiotics. It is taken once a day, 1 g. The course lasts three days, but if necessary, the doctor can either extend the course or prescribe another antibiotic to enhance the effect.

Price - from 120 rub. (500 mg, 3 tablets per pack).

• Ofloxacin.

Strong tablets capable of killing gram-positive and gram-negative microorganisms that cause prostatitis in men in a short period of time. Treatment begins with a single dosage of 200 mg. For complicated prostatitis, the daily dose can be increased to 800 mg. The course, depending on the degree of the disease, can range from 3 to 10 days.

A box of 10 tablets (400 mg) costs from 30 rubles.

Anti-inflammatory

Prostatitis is always inflammation in the prostate. Moreover, if left untreated, inflammation in the tissues will quickly progress, causing very unpleasant symptoms (pain, urinary retention due to compression of the urinary ducts, problems with erection). Often, by reducing inflammation, it is possible to eliminate the symptoms of prostatitis. To do this, the doctor prescribes drugs from the list of non-steroidal anti-inflammatory drugs (Diclofenac, Meloxicam, Nimesulide, etc.) for men.

• Diclofenac.

By inhibiting the development of prostaglandins, Diclofenac reduces inflammation and promotes pain relief

The tablets are a non-steroidal anti-inflammatory drug with a pronounced analgesic, antipyretic and anti-inflammatory effect. The action of Diclofenac against inflammation is based on the fact that the components reduce the formation of so-called prostaglandins. They are the cause of the development of inflammatory processes in prostatitis.

The drug costs from 25 rubles. (pack of 1 tablet 50 mg) up to 50 rub. (box of 20 tablets of 100 mg).

• Meloxicam (Meloxicam-Teva).

Meloxicam is a non-steroidal anti-inflammatory drug with anti-inflammatory and antipyretic effects. Taking tablets is possible only as prescribed and under the direct supervision of a physician. It is he who should determine the dosage and duration of treatment.

The cost of the drug in pharmacies is from 45 rubles. per box of 20 pcs.

• Nimesulide.

Nimesulide tablets relieve inflammation in the prostate gland, and also help reduce high fever and reduce pain. An additional effect is blood thinning, that is, the medicine helps eliminate blood clots in the vessels. The standard course of taking this NSAID is 15 days, but the duration of treatment can be adjusted by the doctor depending on the patient’s condition.

There is a box of 20 pieces. (100 mg) from 65 rubles.

Alpha blocker group

Prostatitis in 85% of cases is accompanied by difficulties with urination - a man experiences a constant urge, but at the same time cannot go to the toilet normally. To normalize the process, you can take special medications - alpha-blockers. The reviews speak well of Tamsulosin and Omnic.

• Tamsulosin.

Main active substance Contains tamsulosin hydrochloride. The action of the drug is aimed at relaxing the postsynaptic α1A-adrenergic receptors of the smooth muscles of the prostate and bladder neck. The therapeutic effect is achieved within 4 hours after administration.

The dosage of tablets is 400 milligrams. Packaged in boxes of 30 pieces, cost - from 430 rubles.

• Omnic.

Tamsulosin contained in Omnic facilitates urination and significantly improves the patient’s general condition

Omnic is a urodynamic corrector: it helps relieve symptoms by eliminating spasms in the prostate and bladder neck; reduces pressure in the urethra and increases urine flow. The dosage of tablets is 400 milligrams. 1 piece is accepted per day. In pharmacies, this drug can be found in packages of 10 and 30 capsules. Price - from 430 rub.

Against pain

In case of exacerbation of prostatitis, when a man is tormented by severe pain, he must take antispasmodics. These tablets relax the smooth muscles of the prostate, improve blood circulation and thereby relieve pain. Most often, doctors recommend taking the following tablets: No-shpu, Papaverine, Baralgin.

• No-shpa.

No-spa is a common high-quality antispasmodic that quickly relieves pain during exacerbation of prostatitis. The tablets work almost instantly. The advantage of the medicine is the minimal number of contraindications and side effects - this is why No-shpa is very often prescribed by doctors.

Taking No-shpa is symptomatic, that is, you do not need to take the whole course. Taken as needed when pain occurs. But, judging by the reviews of doctors, you still shouldn’t take more than 2 tablets of this antispasmodic. If even a couple of tablets did not help relieve severe pain, then the cause of its occurrence is very serious and cannot be eliminated with simple painkiller tablets.

The cost of No-shpa is from 66 rubles. per box of 6 tablets.

• Baralgin.

The next drug on the list of tablets that can be taken for prostatitis is Baralgin. When taken, it weakens the urethra compressed by the inflamed and enlarged prostate gland and thereby relieves pain. However, it is worth remembering that Baralgin, like any other remedy, has a temporary effect, but does not remove pain forever. This is why men should not take antispasmodic tablets alone - they must be taken together with antibiotics or anti-inflammatory drugs.

Baralgin costs from 220 rubles. per box of 20 tablets.

• Papaverine.

This drug helps relax prostate tissue and increase blood conduction through the vessels. Unlike No-shpa and Baralgin, it does not provide immediate help; it must be taken in courses. But after completing the course, the effect will last quite a long time. The duration of treatment is determined by the doctor (can range from a couple of weeks to a month). After completion of treatment, in order to avoid remission, it is allowed to take Papaverine in a minimum dose (60 mg every 3 days) for prevention.

The drug costs from 40 rubles. for 20 pcs.

Other

For prostatitis, Troxevasin capsules are used, which is also sold as an ointment.

In addition to antibiotics, anti-inflammatory and painkillers, additional drugs may be prescribed as part of the treatment for men with prostatitis. For example, for prostatitis, Troxevasin is often prescribed, which is needed for venotonic and venoprotective effects. Troxevasin is prescribed for congestive formations in the prostate and for relieving symptoms. Accepted in courses (at least 2 weeks). You should take Troxevasin carefully, as it has many contraindications (be sure to consult your doctor before starting treatment).

Doctors often advise their patients, in addition to medications, to take vitamin supplements and natural complexes containing substances beneficial to the prostate. Here is a small list of quality tablets suitable for the treatment of prostatitis:

1. Cyston is a natural drug that helps remove toxins (they accumulate when taking strong antibiotics), and also helps remove stones from the prostate ducts. Most often prescribed for the calculous form of prostatitis.
2. Bull’s genital is a Chinese remedy that will help strengthen potency (it often suffers from prostatitis). The composition contains an extract from bovine testicles, ginseng, dodder, and lemongrass.
3. Furongbao - chinese pills for general strengthening of the body, strengthening potency, improving the secretory activity of the prostate. The drug contains Chinese ginseng root, ginseng, horny goat weed, lingzhi mushroom, wolfberry, and medicinal alpania.
4. Red root - this dietary supplement contains vitamins, microelements and other useful chemical substances only of natural origin. The main component is tea kopeck, which affects blood circulation and lymph flow, thereby reducing or preventing possible stagnation processes.

So, we have compiled a list of the most popular tablets used to treat prostatitis. Please note that this information is provided for informational purposes only.

You should not choose your own medications. The fact is that in one case a particular drug may be effective, but in another it may be contraindicated. That is why a doctor should select pills against prostatitis - based on data on the form and stage of prostatitis, a specialist will be able to determine which pills will be most effective for a particular patient. Don't take risks and self-medicate - it can be dangerous!

	Cost from 139 to 2798 rubles. The highest quality and time-tested drug in its group line. An essential drug for prostate adenoma, prostatitis and acute respiratory diseases. Allows urine to flow during obstructions of various etiologies, facilitating...
	Cost from 624 to 1790 rubles. An effective drug for the treatment of chronic prostatitis in the form of suppositories, they have a fairly good anti-inflammatory effect, relieve swelling, reduce pain, improve urination...
	Cost from 126 to 850 rubles. A modern drug for the treatment of symptoms of benign prostate hyperplasia. Has minimal effect on blood pressure. Reduces the frequency of urination, improves the pressure of the urine stream. In addition, with renal colic...
	Cost 247 rub.
	Cost from 529 to 5313 rubles. Original high quality and effective drug for the treatment of benign prostatic hyperplasia. I very rarely use it in clinical practice due to its extreme cost. Extremely high with…
	Cost from 179 to 769 rubles. Good quality drug for the treatment of benign prostate hyperplasia, has anti-inflammatory properties, reduces swelling, normalizes urination. I regularly use it in clinical...
	Cost from 298 to 1322 rubles. A very good generic tamsulosin. I am especially pleased with the price for a drug for long-term use. The effectiveness of the drug has been tested repeatedly. Even when switching from the original drug, the effect remained...
	Cost from 366 to 3201 rubles. I rarely use it in clinical practice because of the high cost with little clinical effect. The drug is more related to dietary supplements than to a drug. Refers to medicinal products…
	Cost from 277 to 669 rubles. A good drug with no side effects. Has a pronounced organotropic effect. Anti-inflammatory effect is pronounced. Sometimes there is an improvement in erectile function. Regularly use…
	Cost from 200 to 2104 rubles. An excellent drug in relieving the symptoms of prostate adenoma. Allows you to normalize urination and reduce the amount at night. Works great in complex therapy for treatment...
	Cost from 265 to 659 rubles. Absolute safety... the same as water. I never prescribe a drug consisting of “nothing”. Homeopathic medicines This is an anti-scientific purpose. I agree with the global trend to oblige...
	Cost from 870 to 1784 rubles. A good drug with an organotropic effect is used in the treatment of all forms of prostatitis and benign prostatic hyperplasia. I periodically use it in the treatment of all forms of prostatitis. Very...
	Cost from 213 to 1473 rubles. A good quality drug related to alpha-blockers is used for urinary disorders due to prostate disease. Good price/quality/effect ratio, use…
	Cost from 403 to 517 rubles. A good generic for the treatment of lower urinary tract symptoms, a good manufacturer. I practically don’t use it in my clinical practice due to the lower price of similar generics. Enough…
	Cost from 156 to 1603 rubles. A good drug for the treatment of benign prostatic hyperplasia should be used at the stage of significant increase in prostate volume. I use it regularly in clinical practice. Good ratio…
	Cost from 196 to 1189 rubles. A selective alpha adrenergic blocker is used in the treatment of urinary disorders in patients with benign prostatic hyperplasia and chronic prostatitis. I don’t use it in clinical practice because...
	Cost from 285 to 785 rubles.
	Cost from 647 to 1415 rubles. An original high-quality drug for the treatment of benign prostate hyperplasia, normalizes urination, and has anti-inflammatory properties. Safe for long-term use. Re...
	Cost from 225 to 1016 rubles. “Old”, tested over years of use, alpha-blocker, high quality from a well-known manufacturer. An ideal drug for the combination of benign prostatic hyperplasia and hypertensive pain…
	Cost from 170 to 3502 rubles. A safe drug for “all” diseases of the prostate gland, it is prescribed for both prostatitis and benign prostatic hyperplasia. I do not use it in clinical practice. Very high price for...