Prostatitis is considered the most common reason for men to visit a urologist. The problem is not in the inflammatory process itself, but in the consequences. Men seek help late, as a result of which the disease becomes chronic and gives complications. That is why you should go to a specialist on time, at the first symptoms. The doctor will immediately prescribe drugs that must be taken in a course.
Treatment of prostatitis is carried out with the help of various drugs.
What does therapy involve?
Drug treatment of prostatitis should be carried out 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 medical treatment of prostatitis is different for each man. Each procedure is selected individually by a urologist. Self-medication is strictly prohibited, as ignorance of medicines can cause serious health problems.
In addition to drugs, rectal suppositories are widely used in the treatment of prostatitis.
Medication 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 should be extended by 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 empiric course of treatment, fluoroquinolones are prescribed. They have high bioavailability and rapid penetration into the prostate mucosa. They also have the merit of being active against gram-negative organisms, chlamydia. The indicators after the treatment of chronic prostatitis do not change when it comes to a certain 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 the case of a 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 did not produce an effect, then they were incorrectly chosen or there are bacteria in the men's body that are immune to this type of drugs.
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 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 man is selected individually and the general specific scheme is calculated. In the acute stage of prostatitis, neglecting 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 organs and cause pyelonephritis or cystitis. It turns out that prostatitis, which the man has not cured, causes not only kidney problems, but also urolithiasis.
When preparing 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 gland are necessary, without them the treatment will not bring results. In addition, the disease can provoke pathological processes in the small 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 as soon as the man comes to the urologist and explains his problem. This is especially true for 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. The following scheme is chosen for the first few days:
- preparations from the group of macrolides;
- aminoglycosides;
- fluoroquinolones.
The most effective drug therapy is selected after receiving the results of the research.
Erythromycins are prescribed less often because they cannot destroy 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 medicine. This applies only to inflammation that occurs in a mild form.
Men's age should also be considered. His diseases during the examination and allergies will be an indicator for adjusting the course of treatment. For his part, the man should tell the doctor about the drugs he has recently taken or is currently using. It is worth noting that if a person took a course of antibiotics a few days before prostatitis, then there is a high risk that such 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 when there is no effect from 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 zeroeffect.
Complications of prostatitis will require inpatient treatment with injections.
If strong antibiotics are identified, it is advisable to use them in injections and it is desirable to be in the hospital at that time. For treatment at home, antibiotic capsules for men are chosen, the dosage and time of which are carefully prescribed by the doctor. Of course, drug treatment of prostatitis requires compliance with several recommendations. Medicines must be taken for a certain number of days, usually about 2 weeks. Antibiotics are then withdrawn or slightly prolonged.
The entire prescribed scheme must be followed to the letter. When treatment is interrupted, a positive "spot" begins to form, through which the infection will pass into a chronic stage. From the beginning of therapy to the elimination of symptoms, 3 days should pass. If the signs of prostatitis do not disappear within the specified time, you shouldto see a doctor immediately and review the treatment regimen.
After adequate treatment, the 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, there are painful spasms (75%), difficulty emptying 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 the therapy is mandatory. Without it, the signs of the disease practically stand still.