Prostatitis is considered to be the most common reason men 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, it is necessary to go to a specialist in time, at the first symptoms. The doctor will immediately prescribe drugs, which should be carried out in one course.
Treatment of prostatitis is carried out with the use of various drugs.
What is included in the 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 every man. Each procedure is selected individually by a urologist. Self-medication is strictly prohibited, as ignorance of drugs can lead to serious health problems.
In addition to drugs, rectal suppositories are widely used in the treatment of prostatitis.
Pharmacological treatment
If prostatitis in men occurs without symptoms, then antibiotic-type therapy will be under discussion. The duration of therapy should be at least one month, after which it must be extended for another month. If there is no effect, 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 a high bioavailability and rapid penetration into the mucous membrane of the prostate. 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.
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 drugs that have the ability to destroy bacteria, but the dosages are usually lower. If the antibacterial drugs did not produce any effect, they were selected incorrectly 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 helpful if the disease is caused by bacteria. If there are no antibacterial drugs in the complex scheme, the inflammatory process will not subside 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, 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 an antibiotic treatment plan, all the individual characteristics of the patient are taken into account.
It is worth knowing that drugs for inflammation of the prostate gland are needed, without them the treatment will not bring any results. Also, 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, he risks facing negative consequences in the future.
Rules for prescribing drugs
Drugs are prescribed immediately after the man came to the urologist and explained the problem to him. This is especially true of the acute phase of the inflammatory process. This means that the doctor will not wait for tests and will immediately prescribe the desired treatment regimen. For the first few days the following scheme is selected:
- preparations of the group of macrolides;
- aminoglycosides;
- fluoroquinolones.
The most effective drug therapy is selected after receiving test results.
Erythromycins are prescribed less frequently because they cannot kill bacteria en masse. After passing the tests, it takes a couple of days for the results to be 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 must also be taken into consideration. His diseases at the time of examination and allergies will be an indicator for the adjustment of the course of treatment. In turn, the man should inform the doctor about the drugs 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 no effect.
With the 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 selected for men, the dosage and timing of which are carefully prescribed by the doctor. Of course, the drug treatment of prostatitis requires compliance with several recommendations. Medicines need to be drunk for a number of days, usually around 2 weeks. Then the antibiotics are canceled or slightly prolonged.
All prescribed schemes must be followed to the end. When the treatment is stopped, a positive "place" begins to form, through which the infection will pass into the chronic stage. It should take 3 days from initiation of therapy to elimination of symptoms. If the signs of prostatitis have not disappeared within the allotted time, you should immediately go to the doctor and review the treatment regimen.
After proper 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 are no immunomodulators in the scheme, prostatitis will return again, so its presence in therapy is mandatory. Without it, the signs of the disease practically stop.