Prostatitis is considered the most common reason for men to visit a urologist. The problem lies not in the inflammatory process itself, but in the consequences. Men seek help late, as a result the disease becomes chronic and causes complications. Therefore, you should go to a specialist in time, at the first symptoms. The doctor will immediately prescribe medicines, which must be carried out in a course.
Treatment of prostatitis is carried out with the use of various medications.
What is involved in therapy?
Drug treatment of prostatitis should be done in a complex manner. The whole scheme includes several groups of drugs that help cope with the disease, acting on several areas at once. The course of treatment consists of 6 types of drugs:
- Antibacterial agents.
- Hormonal preparations.
- Alpha blockers.
- Muscle relaxants.
- Rectal suppositories.
- Means that strengthen the immune system.
However, it is worth knowing that the drug treatment of prostatitis is different for every man. Each procedure is selected individually by a urologist. Self-medication is strictly prohibited, as ignorance of drugs can provoke serious health problems.
In addition to medications, rectal suppositories are widely used in the treatment of prostatitis.
Drug treatment
If prostatitis in men occurs without symptoms, then antibiotic therapy will be questioned. The duration of the therapy should be at least one month, after which it should be extended for another month. If there is no effect, then the doctor can change the regimen and remove antibiotics from it. They are replaced with herbal extracts or alpha-blockers.
During the empiric course of treatment, fluoroquinolones are prescribed. They have high bioavailability and rapid penetration into the prostate mucosa. They also have the dignity of being active against gram-negative organisms, chlamydia. Indications after treatment of chronic prostatitis do not differ when it comes to a specific drug. Positive results can be observed only after an integrated approach to the disease.
Antibacterial drugs are desirable to take as prevention and treatment of bacterial inflammation.
In case of repeated relapse, the doctor can prescribe the previous treatment of prostatitis with drugs that have the ability to destroy bacteria, but the doses are usually lower. If antibacterial drugs have not brought effect, then they have been selected incorrectly or there are bacteria in the body of men that are immune to this type of medicine.
When are antibiotics needed?
Prostatitis usually occurs for two reasons. In the first case, this is the penetration of harmful elements, in the second, a violation of blood flow in the pelvic organs. Antibiotics for an inflamed prostate are especially helpful if the disease is caused by bacteria. If there are no antibacterial drugs in the complex scheme, the inflammatory process will not decrease and the symptoms will remain.
The course of tablets for each person is selected individually and the general specific scheme is calculated. In the acute phase of prostatitis, ignoring antibiotics can lead to complications. As a rule, we are talking about adenoma and impotence. If the disturbed flora is not normalized, it can go to third-party organs and cause pyelonephritis or cystitis. It turns out that prostatitis, which the man did not cure, causes not only kidney problems, but also urolithiasis.
When drawing up a treatment plan with antibiotics, all the individual characteristics of the patient are taken into account.
It is worth knowing that medications for inflammation of the prostate gland are necessary, without them, the treatment will not bring any results. In addition, the disease can provoke pathological processes in the pelvis. If one of the men often notices irritation in himself and does not turn to a specialist, then he risks facing negative consequences in the future.
Rules for prescribing drugs
Medicines are prescribed immediately after the man came to the urologist and explained his problem. This is especially true for the acute phase of the inflammatory process. This means that the doctor will not wait for the tests and will immediately prescribe the desired treatment regimen. For the first days, the following scheme is selected:
- preparations from the group of macrolides;
- aminoglycosides;
- fluoroquinolones.
The most effective drug therapy is selected after receiving the test results.
Erythromycin is less often prescribed because it cannot kill bacteria en masse. After passing the tests, it takes several days before the results are brought to a specialist. After studying them, the doctor chooses a treatment or prescribes a more modern and unique drug. This applies only to inflammation, which appears in a mild form.
Men's age should also be taken into account. His diseases at the time of examination and allergies will be indicators for adjusting the course of treatment. On the other hand, the man should tell the doctor about the medications he has recently taken or is currently using. It is worth noting that if a man took a course of antibiotics a few days before prostatitis, then there is a high risk that similar drugs will not help him in the process of treating an inflamed prostate.
In addition to the universal scheme, the doctor has a "rainy day scheme". It is used in the absence of the effect of the prescribed course. Such a scheme has a strong effect on the body. They will be prescribed only when conservative treatment does not help at all. Usually, repeated tests show zero effect.
With complications of prostatitis, hospital treatment with injections will be required.
If strong antibiotics are identified, it is advisable to use them in injections and it is desirable to be in the hospital at this time. To be treated at home, antibiotic capsules are chosen for men, the dose and time of which are fully determined by the doctor. Of course, drug treatment of prostatitis requires compliance with some recommendations. Medicines must be taken for a certain number of days, usually about 2 weeks. Then the antibiotics are canceled or slightly extended.
All the described schemes must be followed to the end. When the treatment is stopped, a positive "spot" begins to form, through which the infection will pass into the chronic phase. 3 days should pass from the beginning of therapy to the elimination of symptoms. If the signs of prostatitis have not disappeared within the specified time, you should immediately go to the doctor and review the treatment regimen.
After adequate treatment, men's quality of life is significantly normalized. Relieves pain and discomfort during urination. With universal therapy, the symptoms practically do not go away. As a rule, there are painful spasms (75%), difficult emptying of the bladder (70%). Ejaculation causes discomfort in 40% of men. If there is no immunomodulator in the scheme, prostatitis will return again, so its presence in therapy is mandatory. Without it, the signs of the disease practically remain.