Prostatitis is considered the most common reason for men to consult a urologist. The problem is not the inflammatory process itself, but the results. Men seek help late, as a result, the disease becomes chronic and causes complications. Therefore, you should consult a specialist in time at the first symptoms. The doctor will immediately prescribe drugs that should be taken in a course.
Treatment of prostatitis is carried out with the use of various drugs.
What does therapy include?
Drug treatment of prostatitis should be carried out in a complex manner. The whole scheme includes several groups of drugs that help to cope with the disease, acting in several areas at once. The course of treatment consists of 6 types of drugs:
- Antibacterial substances.
- Hormonal preparations.
- Alpha blockers.
- Muscle relaxants.
- Rectal suppositories.
- Means that strengthen the immune system.
However, it is important to know that the drug treatment of prostatitis is different for each man. Each procedure is selected individually by the urologist. Self-medication is strictly prohibited, 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-type therapy will be questioned. The duration of therapy should be at least one month, after which it should be extended for another month. If there is no effect, the doctor can change the regimen and remove antibiotics from it. They are replaced by plant extracts or alpha-blockers.
During the empiric course of treatment, fluoroquinolones are prescribed. They have high bioavailability and fast penetration into the prostate mucosa. They also have the merit of being active against gram-negative organisms, chlamydia. As for a specific drug, the indications do not change after the treatment of chronic prostatitis. Positive results can be observed only after an integrated approach to the disease.
It is desirable to take antibacterial drugs as prevention and treatment of bacterial inflammation.
In case of repeated relapse, the doctor may prescribe the previous treatment of prostatitis with drugs capable of destroying bacteria, but the doses are usually lower. If antibacterial drugs did not work, then they were chosen incorrectly, or the men's body has bacteria that are immune to these types of drugs.
When are antibiotics needed?
Prostatitis usually occurs for two reasons. In the first case, it is the penetration of harmful elements, and in the second, it is a violation of blood flow in the pelvic organs. Antibiotics for an inflamed prostate 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, the symptoms will remain.
The course of tablets for each man is selected individually and the general special scheme is calculated. Ignoring antibiotics in the acute phase of prostatitis can cause 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 turned out that prostatitis, which a man does not cure, causes not only kidney disease, but also urolithiasis.
When drawing up a treatment plan with antibiotics, all the individual characteristics of the patient are taken into account.
It is necessary to know that drugs are needed for inflammation of the prostate gland, without which the treatment will not give any results. Moreover, the disease can cause pathological processes in the pelvis. If one of the men often observes exacerbations in himself and does not consult a specialist, he risks facing negative consequences in the future.
Rules for prescribing drugs
Medicines are prescribed immediately after the man comes to the urologist and explains his problem. This applies especially to 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 selected for the first few days:
- preparations from the group of macrolides;
- aminoglycosides;
- fluoroquinolones.
The most effective therapy with drugs is selected after receiving the results of the tests.
Erythromycins are prescribed less often because they cannot kill bacteria en masse. After passing the tests, it takes a few days before the results are delivered to a specialist. After studying them, the doctor chooses the treatment or prescribes a more modern and unique drug. This applies only to mild inflammation.
Men's age should also be taken into account. During the examination, his diseases and allergies will be an indicator to adjust the course of treatment. In turn, the man should inform the doctor about the drugs he has recently taken or is currently using. It should be noted that if a man takes 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 when there is no effect of the specified course. Such a scheme has a strong effect on the body. They will be prescribed only if conservative treatment does not help at all. Usually repeated tests show zero effect.
Complications of prostatitis will require inpatient treatment with injections.
If strong antibiotics are prescribed, it is advisable to use them in injections, and at this time it is desirable to be in the hospital. Antibiotic capsules for men are selected for home treatment, their dosage and time are thoroughly determined by the doctor. Of course, drug treatment of prostatitis requires following several recommendations. Medicines should be taken on certain days, usually about 2 weeks. Then antibiotics are canceled or slightly extended.
The entire prescribed scheme must be followed to the end. When the treatment is stopped, a positive "place" begins to form, where the infection will pass into the chronic stage. 3 days should pass from the beginning of therapy to the elimination of symptoms. If the symptoms of prostatitis have not disappeared within the specified time, you should immediately consult a doctor and review the treatment regimen.
After adequate treatment, the quality of life of men is noticeably normalized. Relieves pain and discomfort while urinating. Symptoms practically do not pass with universal therapy. As a rule, there are painful spasms (75%), difficult emptying of the bladder (70%). Ejaculation causes anxiety in 40% of men. If there is no immunomodulator in the scheme, prostatitis will return again, so it is mandatory to have it in therapy. Without it, the symptoms of the disease practically stop.