Tamsulosin and finasteride for enlarged prostate

Something is wrong! Despite intense urge to urinate is not the river. The urine dribbles only as a small trickle and stops at the water’s edge, he has the uneasy feeling that the bladder is not completely empty.

At least every third man knows this situation from personal experience. The doctor speaks of benign prostate enlargement. What exactly is behind it, you’ll learn reading this information.

Sooner or later it affects almost every man: the benign enlargement of the prostate, doctors called “benign prostatic hyperplasia” (abbreviated as “BPH”). The diagnosis is still no reason to be alarmed, but as its name suggests, behind it is a benign change.

This disease affects the majority of men because 70% of people shy away from going to the doctor. But without the proper treatment, the symptoms are gradually getting stronger.

What is the prostate?

The prostate gland (prostate) is male sex organ. It is in shape and size similar to a chestnut and is located below the bladder, where it surrounds the urethra. The prostate consists of connective tissue, muscles and numerous glands, which are responsible for the production of a secretion. This prostatic fluid has an important significance for the spermatozoa.

Until the age of 20, the prostate reaches a weight of 18-20 grams. From about the age of 40 in most men is a slowly progressive growth of the prostate that usually runs initially without symptoms. Above a certain size, the prostate can constrict the urethra so this leads to difficulties in urination. The doctor’s diagnosis is Benign prostatic hyperplasia (BPH).

The typical symptoms of BPH

  • frequent urination
  • weakened urinary stream
  • delayed urination with interruptions
  • urination feeling
  • incomplete bladder emptying
  • dribbling and “burning”

As a modern form of drug therapy is now the treatment with the alpha-blocker tamsulosin. This drug acts directly on the muscle cells of the prostate and bladder neck. Thus, the urine flow rate increases by 20-35%, whereby the residual urine volume decreases. Tamsulosin often causes rapid and persistent symptoms. As a modern active ingredient Tamsulosin allowed in the form of prolonged release capsules, which ensure a sustained release, once-daily dosing. Other medications from this group are alfuzosin, doxazosin or terazosin.

So-called 5-alpha-reductase inhibitors (eg finasteride) are used to treat BPH. These drugs affect the prostate through hormones, by acting as testosterone, blocking the conversion of testosterone to dihydrotestosterone, which is about ten times stronger promotes prostate growth. Their effect can therefore occur only after a few months. They especially lead to a noticeable improvement when the prostate volume is already increased significantly.