Prostatitis is considered to be the most common reason why men visit a urologist. The problem is not in the burning process itself, but in the consequences. Men seek help late, which is why the disease becomes chronic and causes complications. Therefore, it is necessary to go to a specialist on time, at the first symptoms. The doctor will immediately prescribe medication, which should be administered during the course.
Treatment of prostatitis is carried out using different drugs.
What is included in the therapy
Treatment of prostatitis with drugs should take place in a complex manner. 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.
- Agents that strengthen the immune system.
However, it is worth knowing that the treatment of prostatitis with drugs is different for each man. Each procedure is selected individually by a urologist. It is strictly forbidden to self-medicate, because ignorance of medicines can cause serious health problems.
In addition to drugs, rectal suppositories are widely used in the treatment of prostatitis.
Drug treatment
If prostatitis in men occurs without symptoms, then antibiotic therapy will be in question. The duration of therapy should be at least one 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 by 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. Indicators after 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.
It is preferable to take antibacterial drugs as prevention and treatment of bacterial inflammation.
In case of repeated recurrence, the doctor may prescribe pretreatment of prostatitis with drugs that have the ability to destroy bacteria, but the doses are usually lower. If antibacterial drugs did not work, then they were chosen incorrectly or there are bacteria in the men's body that are immune to this type of drug.
When are antibiotics needed?
Prostatitis usually occurs for two reasons. In the first case, it is the penetration of harmful elements, in the second, a violation of blood flow in the pelvic organs. Antibiotics for prostatitis are especially useful 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 pills for each man is selected individually and the general specific scheme is calculated. In the acute phase of prostatitis, neglecting antibiotics can lead to complications. As a rule, it is 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 creating a treatment plan with antibiotics, all the individual characteristics of the patient are taken into account.
It is worth knowing that drugs for inflammation of the prostate are necessary, without them the treatment will not bring any results. Moreover, the disease can cause pathological processes in the pelvis. If one of the men often observes deterioration in himself and does not turn to a specialist, then he risks facing negative consequences in the future.
Rules for prescribing medicines
Medicines are prescribed immediately after the man comes to the urologist and explains his problem to him. This especially applies to 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. The following scheme is selected for the first few days:
- preparations from the group of macrolides;
- aminoglycosides;
- fluoroquinolones.
The most effective drug therapy is chosen after receiving the test results.
Erythromycins are prescribed less often because they cannot kill bacteria en masse. After passing the tests, it takes several days before the results are brought to the specialist. After studying them, the doctor chooses a treatment or prescribes a more modern and unique medicine. This applies only to inflammation that occurs in a mild form.
The age of the men should also be taken into account. His illnesses at the time of examination and allergies will be an indicator for adjusting the course of treatment. In return, the man should tell the doctor about the drugs he has recently taken or is currently using. It is worth noting that if a man took antibiotics a few days before prostatitis, then there is a high risk that similar drugs will not help him in the process of treating prostate inflammation.
In addition to the universal scheme, the doctor also 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 preferable to be in the hospital at that time. For treatment at home, antibiotic capsules are chosen for men, the dose and time of which is prescribed in detail by the doctor. Of course, the treatment of prostatitis with drugs requires compliance with several recommendations. Medicines need to be taken for a certain number of days, usually about 2 weeks. Then the antibiotics are canceled or slightly extended.
All prescribed schemes must be followed to the letter. When the treatment is stopped, a positive "spot" begins to form, through which the infection will pass into the chronic stage. 3 days should pass from the beginning of therapy to the elimination of symptoms. If the signs of prostatitis do not disappear within the expected period, 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 disappear. As a rule, painful spasms occur (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 are practically at rest.