Medication for Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (BPH) is common in men over the age of 50 and can cause urinary problems. At Andrology Valencia, we offer personalized treatments, including pills and medications, to relieve symptoms and improve the quality of life.

¡Importante! No tomes medicación sin la recomendación de un urólogo o profesional sanitario

Types of medication for Benign Prostatic Hyperplasia

Existen diferentes tipos de medicación para tratar la hiperplasia benigna de próstata (HBP), cada uno enfocado en aliviar los síntomas y mejorar el flujo urinario. La elección de un tratamiento u otro depende de la gravedad de los síntomas, el tamaño de la próstata y las características del paciente.

Here are the main treatments available:

  • Alpha-blockers: ideal for rapid relief of symptoms by relaxing the muscles of the prostate and bladder.
  • 5-alpha-reductase inhibitors: recommended when the prostate is significantly enlarged, helping to reduce its size.
  • Combination of both: used in cases of severe symptoms or very enlarged prostate.
  • PDE5 inhibitors: suitable for patients who also suffer from erectile dysfunction.

1

Alpha-blockers

Alpha-blockers are medicines that help relax the muscles of the prostate and bladder, making it easier for urine to pass through. Although they do not reduce the size of the prostate, they quickly relieve symptoms. Among the pickups most used in Spain are:

  • Omnic (Tamsulosin)
  • Flomax (Tamsulosin)
  • Xatral (Alfuzosin)
  • Tamsulosin (generic)
  • Terazosin (generic)

2

5-Alpha-reductase inhibitors

These drugs help to reduce the size of the prostate by blocking the enzyme 5-alpha-reductase, which converts testosterone into dihydrotestosterone, promoting prostate growth. Some of the most common drugs in Spain are:

  • Proscar (Finasteride)
  • Dutasteride (Avodart)
  • Finasteride (generic)

3

Combination of Alpha-blockers and 5-alpha-reductase inhibitors

For some patients with severe symptoms or a considerably enlarged prostate, a combination of both types of medications is recommended. A common treatment in Spain is:

  • Duodart (combination of Dutasteride and Tamsulosin)

4

Phosphodiesterase type 5 (PDE5) inhibitors

PDE5 inhibitors, such as Tadalafil, may be useful in some cases of BPH, especially in patients who also suffer from erectile dysfunction. The most commonly used medicine in Spain is:

  • Cialis (Tadalafil)

How do the medicaments work for Benign Prostatic Hyperplasia?

The medicines for BPH have different mechanisms of action. Some relax the muscles of the prostate and bladder to facilitate the passage of urine, while others reduce the size of the prostate. This helps to improve urinary flow and relieve the symptoms of urinary obstruction.

What are the benefits of medication for BPH?

The main benefits include:

Improvement in urinary flow
Reduced urgency and frequency of urination
Relief from the feeling of incomplete emptying of the bladder
Improvement in the quality of life

What to do if the medication is not effective?

If medications do not adequately relieve symptoms, there are other treatment options, such as minimally invasive surgery or techniques such as Rezum, which may be more suitable depending on the patient’s situation.

Medicamentos para la infertilidad masculina, incluyendo gonadotropinas, antiestrógenos, inhibidores de la aromatasa y antioxidantes.

Team of Urologists and Andrologists in Valencia

If you have symptoms of benign prostatic hyperplasia and wish to explore medication options, contact our urologists at Andrology Valencia. Our urology specialists will provide you with a complete evaluation and a treatment adapted to your needs, always with the guarantee of a professional and personalized follow-up.