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 of which the disease becomes chronic and causes complications. Therefore, you need to go to a specialist on time, at the first symptoms. The doctor will immediately prescribe medication, which should be carried out in a course.
Treatment of prostatitis is carried out with the use of various medications.
What is included in therapy
Drug treatment of prostatitis should take place in the complex. The whole scheme includes several groups of drugs that help to 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 each man. Each procedure is selected individually by a urologist. It is strictly forbidden to self-medicate, since ignorance of drugs can provoke serious health problems.
In addition to medications, rectal suppositories are widely used in the treatment of prostatitis.
Medication treatment
If prostatitis in men occurs without symptoms, then antibiotic-type therapy will be in question. The duration of therapy should be at least a month, after which it must 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 plant extracts or alpha-blockers.
During the empirical 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. Indicators after the treatment for chronic prostatitis do not change 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 a prevention and treatment of bacterial inflammation.
In case of repeated relapse, the doctor may prescribe the previous treatment of prostatitis with medications that have the ability to destroy bacteria, but the dosages are usually lower. If antibacterial drugs did not bring an effect, then they were incorrectly selected or there are bacteria in the body of men that are immune to this type of drug.
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 beneficial 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 man is selected individually and the general specific scheme is calculated. At the acute stage 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 problems with the kidneys, 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, treatment will not bring any results. Moreover, the disease can provoke pathological processes in the pelvis. If one of the men often observes exacerbations 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 of the acute stage 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 few days, the following scheme is selected:
- preparations from the group of macrolides;
- aminoglycosides;
- fluoroquinolones.
The most effective therapy with medications is selected after receiving the results of the tests.
Erythromycins are prescribed less frequently because they cannot kill bacteria en masse. After passing the tests, it takes a couple of days before the results are brought to a specialist. After studying them, the doctor selects a treatment or prescribes a more modern and unique drug. This applies only to inflammation, which occurs in a mild form.
The age of men should also be taken into account. His diseases at the time of examination and allergies will be an indicator for adjusting the treatment course. In turn, the man should tell the doctor about the medications that 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 a null effect.
With complications of prostatitis, inpatient 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 selected for men, the dosage and timing of which are thoroughly prescribed by the doctor. Of course, drug treatment of prostatitis requires compliance with several recommendations. Medicines need to be drunk for a certain number of days, usually about 2 weeks. Then antibiotics are canceled or slightly prolonged.
All prescribed scheme must be followed to the end. When treatment is interrupted, a positive "place" begins to form, through which the infection will move to the chronic stage. From the start of therapy to the elimination of symptoms should take 3 days. If the signs of prostatitis have not gone away within the allotted time, you should immediately go to the doctor and review the treatment regimen.
After adequate treatment, the quality of life of men noticeably normalizes. Relieves pain and discomfort when urinating. 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 stand still.