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Anti-inflammatory drugs in urology in men. Medicine for the genitourinary system Medicines for the treatment of urological diseases

As you know, phimosis is treated with surgery, but there are non-surgical methods to combat this disease. One of the methods of non-surgical treatment is the use of ointments - topical corticosteroids for local use. Statistics show high rates of their successful use in medicine: in different age groups, results vary from 67 to 95% of cures.

Urological catheters

A urological catheter is a medical device in the form of a tube that is inserted into the body to drain and collect urine from the patient's urinary tract. Catheters are needed to treat urological conditions such as urinary incontinence and difficulty urinating. In medicine, there are several types of catheters for individual purposes.

Therapeutic exercise for urological diseases in men

Since ancient times, physical exercise has been used as an effective therapeutic agent in the treatment of many diseases. A precisely calculated load ensures training of specific muscles and has a general healing effect. Even if the patient is in serious condition, he may be prescribed so-called passive gymnastics.

Treatment of urinary tract infection

The main goal of treating a urinary tract infection is to eliminate the pathogen and suppress the infectious inflammation. To solve it, various antibacterial drugs are used. The question of choosing the optimal drug is not easy. And only a doctor can make the right choice.

Modern methods of treating prostate adenoma

In recent years, there have been significant changes in approaches to the treatment of prostate adenoma. In addition to traditional surgical removal of the adenoma, alternative treatment methods have become widely used, such as treatment with laser, high and low temperatures, etc.

Thermal therapy - treatment with sand, paraffin and ozokerite

Heat therapy is a new method for treating chronic diseases. Sometimes, when traditional medicine offers injections and expensive medications, heat therapy sessions can help cope with chronic prostatitis using wax, sand or ozokerite.

Mud therapy

The mud therapy method involves applying therapeutic mud to various painful areas of the body. In appearance, mud treatment is a fairly simple procedure. But even here it is worth adhering to some rules and following recipes when using mud applications.

Chromotherapy (phototherapy) - treatment using light and color

The science that studies and uses certain colors for medicinal purposes is called chromotherapy. The influence of color on mood has long been known. All colors are divided into active and passive. Active ones have a stimulating effect - they charge the body with energy and accelerate vital processes. The article talks about the effects of primary colors, and also describes possible light treatment methods.

Currently, there are a huge variety of drugs. And the doctor’s task is to prescribe a medicine taking into account the causative agent of the disease, which tests help identify. Below we will talk separately about beta-lactams.

Drugs in this group are equally effective against several types of bacteria. They are able to overcome staphylococci that other medications could not cope with.

This group includes:

  • aminopenicillins;
  • antipseudomonas penicillins;
  • cephalosporins.

The latest urological tablets are represented by drugs from the first to the fourth generation. Each of them fights a specific type of bacteria. Fourth generation cephalosporins are especially in demand today.

There is another separate group of drugs called fluoroquinolones. They are also very effective if inflammation of the bladder and kidneys is diagnosed. Most often, the doctor chooses these drugs when the patient’s life is at risk. They are indispensable during exacerbation of chronic pathologies of the genitourinary system.

Also, antibiotics of the urological group include:

  • microlides, which are effective for urethritis;
  • aminoglycosides, which cope with complicated infections;
  • tetracyclines prescribed for atypical nephritis.

Urologists often prefer drugs that have a broad spectrum of action. With their help, you can remove the causes of kidney disease.

Urological tablets for women and men are chosen only by the doctor. It takes into account many nuances that the patient may not be aware of.

The most commonly prescribed popular remedies are:

  • Palin;
  • Furagin;
  • Azithromycin;
  • Furazolidone;
  • Furadonin.

Urological drugs, the list of which is presented above, are considered classic. But there are also medications that are prescribed only in a hospital under the close attention of a doctor. Usually we are talking about aminoglycosides. They have powerful antimicrobial activity, but they have quite serious contraindications. The most popular drug is called Amikacin.

When prescribing urological medications for men and women, the doctor does not limit himself only to antibiotics. You always need funds that will support the body's functioning. We are talking about vitamin-mineral complexes and immunomodulators. Thanks to their action, the body responds more easily to therapy and recovers faster.

When selecting the main drug, the doctor must take into account all contraindications, carefully studying the patient’s medical history.

The drug Ofloxacin is often prescribed. It fights various types of bacteria. Urological antibiotics for men and women are rarely different, although there are some limitations. Thus, during pregnancy or during breastfeeding, not all drugs are allowed. Amoxicillin is often prescribed instead of Ofloxacin. In this case, phytotherapeutic agents are needed to enhance the effect of the antibiotic.

At this point in time, the problem of prostatitis has affected more than one man. Every year more and more people of different ages are faced with this unpleasant disease, and not everyone wants to admit it, which plays into the hands of the successful progression of the disease and the emergence of serious complications. The embarrassment of men will turn to a specialist, and self-medication leads to dire consequences.

What is prostatitis?

Prostatitis is a urological disease characterized by inflammation of the prostate gland. The reasons for the development of the disease can be very different, among which the most common are the following factors:

  • past infections of various etiologies;
  • frequent stress;
  • sedentary lifestyle;
  • decreased immunity;
  • severe hypothermia of the body.

Prostatitis can appear suddenly (acute form) or occur in a chronic form with almost imperceptible symptoms. In the first case, the man’s temperature rises sharply (up to 39˚C), fever begins, and he begins to feel pain in the groin and anus. Urination and defecation also become painful. In the second, only minor discharge from the urethra and pain in the prostate area appear, which are periodic. But the second case is more dangerous, since representatives of the stronger sex do not pay attention to these minor symptoms and prefer to be patient rather than go to an appointment with a urologist. And as a result, inflammation of the testicles, cystitis, erectile dysfunction and even pyelonephritis occur.

Diagnosis of prostatitis

First of all, the disease can be diagnosed using prostate ultrasound. It is carried out in one of 4 ways (either externally through the abdominal cavity, or externally through the male perineum, or through the rectum, or through the urethra). In any of these options you will receive accurate information about the condition of the prostate gland. The diagnosis of prostatitis can also be made using laboratory tests (analysis of urine, semen and prostate secretions).

Treatment of prostatitis

Treatment of prostatitis should be comprehensive and carried out only under the supervision of a qualified specialist. Self-medication is unacceptable - the price of the issue is too high. Most often, complex therapy for the treatment of prostatitis includes: massage and physiotherapy, the use of antibacterial and anti-inflammatory drugs, as well as correction of the patient’s lifestyle. Also, a lot depends on the form of the disease.

Read also: Prostate massage device: benefit or harm?

Table 1

Form of the disease Treatment methods
According to the course of the disease Acute prostatitis Broad-spectrum antibiotics, anti-inflammatory and painkillers, massage.
Chronic prostatitis Anti-inflammatory drugs, massage, physiotherapy, immunostimulants.
Due to the occurrence Congestive (stagnant) prostatitis Anti-inflammatory drugs, traditional medicine methods, massage.
Bacterial prostatitis Antibacterial, anti-inflammatory drugs, traditional medicine methods, diet.

Also in medical practice there is a mixed form of prostatitis. In this case, treatment should be purely individual, based on the results of tests and ultrasound.

Anti-inflammatory drugs

Anti-inflammatory drugs for prostatitis are very effective. They are used for any form of disease and always bring a certain result.

In medicine, there are two groups of anti-inflammatory drugs - non-steroidal anti-inflammatory drugs (NSAIDs) and glucocorticosteroids. For the treatment of diseases associated with the prostate gland, only NSAIDs are used, and this is primarily due to the fact that in addition to a pronounced anti-inflammatory effect, drugs in this group also have a strong analgesic effect. They are used in the form of rectal suppositories or tablets. The most effective among NVSPs are medications based on ibuprofen, diclofenac or ketoprofen (Table 2).

table 2

Active ingredient Drugs and their forms Method of treatment
Diclofenac Rectal suppositories (Diclofenac, Voltaren, Dikloberl) 1 suppository (50 or 100 mg) is injected into the posterior opening of a man daily.
Tablets (Diclofenac, Voltaren, Dikloberl) Depending on the form of prostatitis: 75-150 mg/day (3 doses)
Solution for intramuscular injection (Diclofenac, Voltaren, Dikloberl). 3.0 ml intramuscularly 1 time per day for 5 days.
Ibuprofen Tablets (Iprene, Solpaflex, Ibusan) Ingestion. Recommended dosage is 1200-1800 mg/day (3-4 doses).
Ketoprofen Rectal suppositories (Ketanol, Oruvel) Insert 1 suppository (100 mg) into the posterior opening daily

As a rule, doctors prescribe drugs based on diclofenac, since the side effects when taking it are the least pronounced. But this does not mean that they do not exist at all. Therefore, before taking this type of medication, it is recommended to carefully read the instructions for contraindications and side effects, and if symptoms occur, immediately contact your doctor to correct the course of treatment.

Content

The disease cystitis is common among females. However, men may experience an unpleasant illness, accompanied by pain and cramps in the lower abdomen. Detecting its symptoms involves contacting a doctor as soon as possible so that he can prescribe suitable medications.

How to treat cystitis in men

Since cystitis is caused by bacteria, antibiotics must be taken to combat these pathogens. A doctor must prescribe antimicrobial drugs to avoid the possibility of allergic reactions and side effects. In addition to them, antispasmodics and drugs that eliminate inflammation are needed to relieve a person from severe pain.

Antibiotics for bladder inflammation

  • Monural is an antibiotic used in urology.

Medicine for cystitis in men should be used for:

  • bacterial cystitis in acute form;
  • the presence of infections in the urinary tract after surgery;
  • periodic recurrence of acute cystitis;
  • prevention of infections during surgery.

Available in granule form. The main active ingredient of the drug is fosfomycin. The product has a destructive effect on bacterial cell walls. It is forbidden to drink Monural to patients with severe renal failure, children under 5 years of age, and those who have allergic reactions to this medicine. Adults need to take the drug for 1 day, the dosage is 3 g. The medication granules should be diluted with water in the amount of 1/3 cup, drinking 60 minutes before eating or after it at the same interval.

  • Cyston is a homeopathic medicine that has an anti-inflammatory effect.

The drug contains:

  • stemmed double-carp;
  • madder;
  • reed saxifrage;
  • vernia ashy;
  • Onosma bracts;
  • rough strawflower;
  • filmy wart;
  • fragrant basil;
  • peeled mumiyo;
  • lime silicate;
  • fava beans;
  • horsetail;
  • aromatic pavonia;
  • yellow mimosa;
  • teak wood seeds.

When to take: for inflammatory processes in the bladder; if urolithiasis is detected; for the treatment of gout and crystalluria. Medication dosage: 2 tablets twice a day. The action of the medicine for cystitis in men is antimicrobial, antispasmodic, litholic, anti-inflammatory.

  • Nolitsin belongs to antibacterial drugs that show results in eliminating cystitis.

The following diseases may be the reasons for taking the drug:

  • urethritis;
  • pyelonephritis;
  • prostatitis (bacterial and chronic);
  • cystitis;
  • gonorrhea that occurs without complications;
  • cervicitis;
  • endometritis;
  • prevention of relapse of infectious diseases.

The medicine has contraindications:

  • allergic reactions to the active substance (norfloxacin) and other components;
  • age up to 18 years.

Dosage regimen for cystitis in men: 0.4 g twice a day. The course of treatment is 3-5 days. An overdose may result in nausea, vomiting, loose stool, drowsiness, facial swelling, and convulsions. Nolitsin has an impressive list of side effects that affect all body systems. Therefore, it is advisable to consult a doctor before use.

  • Furadonin is an anti-cystitis tablet for men, the list of ingredients of which includes nitrofurantoin.

The drug Furamag has a similar effect. It is not recommended to use the medicine in cases of impaired renal function, liver cirrhosis, chronic hepatitis, porphyria, or heart failure. For men, the required amount of the drug is 50-100 mg at a time, you need to drink the medicine 4 times a day. It is recommended to be treated with Furadonin for a week.

  • Palin is an antiseptic used in urology. Contains pipemidic acid.

Suitable for the treatment of urethritis, pyelonephritis, cystitis and prostatitis. Medicine for cystitis in men has the following contraindications: porphyria, impaired functioning of the kidneys and liver, pregnancy and breastfeeding, allergies to the components of the drug, age less than 14 years, central nervous system diseases. You need to drink Palin 0.2 g 2 times a day before breakfast and dinner.

  • Levomycetin, being an antibiotic designed to eliminate a wide range of types of bacteria, can have a therapeutic effect for cystitis.

Dosage regimen: 0.5 g 3-4 times/day. The drug has contraindications:

  • liver diseases that impair its functioning;
  • psoriasis;
  • eczema;
  • skin ailments caused by fungi;
  • pregnancy and breastfeeding period.

Medicines for bladder inflammation in men

Antibiotics work well against pathogens in the bladder, helping to get rid of cystitis after a while. However, many patients experience severe pain in the organ area, which must be relieved so that the person can carry out normal life activities. Antispasmodics and anti-inflammatory drugs of non-steroidal origin are suitable for this.

Antispasmodics

Antispasmodic drugs make up a large group of painkillers. Since the bladder is formed by a smooth type of muscle tissue, when inflammation occurs, it begins to contract at an accelerated pace, causing a spasm in the organ. This process creates pain and cutting during urination. Antispasmodics help eliminate unpleasant and painful sensations during cystitis, normalizing the frequency of muscle contractions.

The modern pharmaceutical industry produces a large number of such drugs. The most popular of them is No-shpa. It can be purchased in tablet or liquid form. The average number of pills needed for cystitis: 3-6 pieces. Do not use the drug if you have liver, heart or kidney failure or allergic reactions to the medicine.

In addition to No-shpa, other representatives of antispasmodics are known:

  • Papaverine.
  • Bencyclane.
  • Bendazole.

Anti-inflammatory drugs

  • Ibuprofen.
  • Nimesil.
  • Diclofenac.
  • Ketorolac.
  • Ketoprofen.
  • Indomethacin.

These medications relieve symptoms:

  • microcirculation disturbance resulting from edema;
  • pain;
  • spasm of muscle tissue;
  • malfunction of the diseased organ.

It is not recommended to use symptomatic therapy with these drugs for a long time, as they can cause complications:

  • ulcerative or erosive damage to the gastrointestinal tract;
  • stroke;
  • thrombosis;
  • bleeding;
  • increase in blood pressure.

Video

Anti-inflammatory drugs are one of the most popular areas in the pharmaceutical industry.

Anti-inflammatory drugs with similar drug indicators differ in the way they affect the human body.

There are two main groups of PVA:

  • non-steroidal (non-hormonal) anti-inflammatory drugs (NSAIDs);
  • non-hormonal, having anti-inflammatory, analgesic, antipyretic properties;
  • steroidal (hormonal) anti-inflammatory drugs (SPVS).

Hormonal drugs are much more effective than NSAIDs, but their use can contribute to addiction. Use only as prescribed by a doctor and under his supervision.

Nonsteroidal (NSAIDs)

NSAIDs work by preventing the formation of substances called prostaglandins, which can cause fever, pain, and muscle cramps.

This task is achieved by blocking the enzymes cyclooxygenase types 1 and 2 (COX-1 and COX-2). It is with their help that prostaglandin is produced.

NSAIDs are safer and more versatile than NSAIDs, but they have one drawback - they block COX 1, with the help of which substances are formed that prevent the destruction of the gastric mucosa, which is affected by hydrochloric acid present in the gastric juice.

Due to the development of modern pharmacology, selective NSAIDs have been improved. Modern NSAIDs only block COX-2. And, unlike SPVA, they do not have a hormonal effect. Thus, NSAIDs began to be divided into two categories: non-selective and selective.

NSAIDs are widely used in the treatment of many diseases, the main of which are:

  • arthrosis;
  • rheumatoid arthritis;
  • osteochondrosis;
  • lower back pain;
  • headache;
  • migraine;
  • acute gout;
  • dysmenorrhea (menstrual pain);
  • bone pain caused by metastases;
  • moderate pain due to inflammation or soft tissue injury;
  • postoperative pain;
  • pain in Parkinson's disease;
  • fever (increased body temperature);
  • intestinal obstruction;
  • renal colic;
  • prostatitis.

Non-steroidal drugs, just like NSAIDs, have a list of contraindications, including:

  • stomach ulcer;
  • duodenal ulcer;
  • kidney disease (in some cases, limited use of NSAIDs is allowed);
  • increased or decreased blood clotting;
  • pregnancy period;
  • period of breastfeeding;
  • allergic reactions of the patient’s body to this group of drugs.

In addition, side effects are possible, expressed in the form of changes in blood flow and inflammation or irritation of the stomach walls.

Due to the presence of side effects and a list of contraindications, the use of NSAIDs is allowed only as prescribed by a doctor.

Non-selective

Non-selective NSAIDs are outdated drugs that have a harmful effect on the gastrointestinal tract by neutralizing COX-1.

Non-selective NSAIDs are derivatives of acids:

  • acetylsalicylic– Aspirin and its varieties, Diflunisal, Salasat;
  • arylpropionic– Ibuprofen, Flurbiprofen, Naproxen, Ketoprofen, Tiaprofenic acid;
  • anthranilic acid– Flufenamic and Mefenamic acids;
  • arylacetic– , Fenclofenac, Fentiazac;
  • heteroarylacetic– Ketorolac, Amtolmetin;
  • methanesulfonic– Analgin;
  • indole/indene acetic acid– Indomethacin, Sulindac;
  • enolic acid, in particular oxicam– Piroxicam, Tenoxicam, Meloxicam, Lornoxicam.

Selective

Selective NSAIDs are modern medical drugs that act only on COX-2, allowing COX-1 to release substances that prevent the destruction of the gastric mucosa.

Selective NSAIDs are:

  • lumiracoxib– Prexage;
  • parecoxib– Dynastat;
  • rofecoxib– Denebol;
  • celecoxib– Celebrex;
  • etoricoxib- Arkosia.

Anti-inflammatory drugs in urology in men

Drugs with anti-inflammatory effects in the treatment of urological diseases in men are used in the following cases:

  • urethritis;
  • prostatitis;
  • cystitis;
  • urolithiasis disease;
  • balanoposthitis.

One of the common diseases that requires the use of NSAIDs is prostatitis. This disease is caused by inflammation of the prostate gland due to infection, hypothermia, stress, sedentary lifestyle and decreased immunity.

Non-steroidal anti-inflammatory drugs are widely used in tandem with antibiotics for prostatitis. NSAIDs for prostatitis are used to weaken the body’s reverse reaction to the onset of the pathological process, as well as to combat chronic inflammation characteristic of this disease.

Using anti-inflammatory drugs for prostatitis, it is possible to achieve positive results within a few hours, namely:

  • mitigation or complete relief of pain;
  • normalization of body temperature;
  • restoration of normal urination;
  • improving the general well-being of the patient.

Solution for injection Diclofenac

Anti-inflammatory drugs for prostatitis, which are most often used as primary treatment:

  • Diclofenac;
  • Ibuprofen;
  • Ketoprofen.

It is preferable to use Diclofenac-based NSAIDs, since they have less pronounced side effects.

Additionally, auxiliary medications are used:

  • Thiotriazolin;
  • propolis;
  • Ichthyol;
  • sea ​​buckthorn oil.

Suppositories and solution for injection Prostatilen

The above anti-inflammatory drugs for prostatitis most effectively affect the body when taken in the form of suppositories. But in some cases, oral administration is allowed.

Anti-inflammatory drugs are mandatory for chronic prostatitis. In addition to all the above drugs, Indomethacin is used for the chronic nature of the disease. It effectively copes with the symptoms of the disease, but has a large number of various contraindications. Therefore, Indomethacin is prescribed only in emergency situations.

Suppositories Indomethacin

In addition to drugs from the NSAID group, other drugs are also prescribed for the effective treatment of chronic prostatitis:

  • antibiotics: Moxifloxacin, Gemifloxacin, Levofloxacin;
  • alpha blockers: Alfuzosin, Finasteride, Artesin;
  • vitamins.

Ketorol (ketorelacotromitamine) shows good results in the treatment of prostatitis. But it contains potent substances and has a very intense effect on the body, so it cannot be used without a doctor’s recommendation.

Steroids (SPVA, SPVP)on

Steroid PVAs are hormonal drugs that are superior to NSAIDs in terms of their effect on the body, but with prolonged use they are addictive. In addition, NSAIDs have a list of contraindications and strong side effects, therefore they are prescribed by doctors only in cases of special need.

The most common drugs:

  • Cortisone;
  • Maxidex;
  • Dexamethasone Syn;
  • Oftan-Dexamethasone;
  • Prednisolone;
  • Sinalar Sin;
  • Berlicourt;
  • Kenalog;
  • Nazacort;
  • Polcortolon;
  • Triamsinolone;
  • Flucinar;
  • Fluorocort;
  • Betamethasone.

The use of SPVA is effective in the treatment of systemic diseases and relief of symptoms in connective tissues and joints:

  • arthritis;
  • arthrosis;
  • sarcoidosis;
  • alveolitis

SPVA can also be used to treat the nose and throat and other non-infectious inflammatory processes in tandem with antibiotics.

Side effects caused by drugs of the SPVA group may depend on several factors: dosage, methods of administration and properties of the drug. With topical use of SPVA, a weakening of resistance to diseases may occur.

With systemic, constant use of the drug there is a risk of manifestation of the list of diseases:

  • arterial hypertension;
  • steroid gastric ulcer;
  • steroid vasculitis;
  • hypertrichosis;
  • Cushing's syndrome;
  • steroid diabetes;
  • psychosis;
  • potassium loss;
  • myocardial dystrophy;
  • osteoporosis;
  • tuberculosis;
  • water and sodium retention.

Contraindications for the use of SPVA are determined by the presence of the following symptoms and diseases:

  • tuberculosis and other infectious diseases;
  • osteoporosis, including during the postmenopausal period;
  • tendency to thrombosis;
  • diabetes;
  • peptic ulcer of the duodenum and stomach;
  • mental disorders;
  • arterial hypertension;
  • pregnancy period;
  • the presence of an infectious process in the respiratory tract, as well as in the joints.

NSAIDs are medications that act at the hormonal level and have many side effects, as well as a list of contraindications. SPVA drugs can only be used as prescribed by a doctor and under the supervision of specialists.

Video on the topic

About anti-inflammatory suppositories for the treatment of prostatitis:

Anti-inflammatory drugs are effective drugs needed in modern medicine. They are able to improve the condition of the patient’s body in the shortest possible time. Like all medications, anti-inflammatory drugs have a list of limitations. The main problem with the use of anti-inflammatory drugs is that often drugs of this type are perceived as a panacea for all diseases and are used without a doctor’s prescription. This is dangerous because after eliminating the symptoms of the disease, a pseudo-sensation of recovery is created. But the cause of the symptoms is very likely not eliminated, and it may begin to progress, with serious consequences. In addition, when NSAIDs and NSAIDs are abused, all sorts of side effects and negative reactions associated with contraindications for drugs in this group may occur.