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, which causes the disease to become chronic and cause complications. Therefore, you need to go to a specialist in time at the first symptoms. The doctor will immediately prescribe medication, which must be carried out in a course.
The treatment of prostatitis is carried out with the use of various medications.
What's Included in Therapy
Drug treatment of prostatitis should take place in the complex. The whole scheme includes several groups of drugs that help to deal with the disease, acting in several areas at the same time. 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 drug treatment for prostatitis is different for every man. Each procedure is individually selected by a urologist. It is strictly forbidden to self-medicate, as the lack of knowledge of the medicines can cause serious health problems.
In addition to medications, rectal suppositories are widely used in the treatment of prostatitis.
drug treatment
If prostatitis in men occurs without symptoms, antibiotic-type therapy is in question. 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 may change the regimen and remove the antibiotics. They are replaced by 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 treatment of chronic prostatitis do not change when it comes to a specific drug. Positive results can only be observed after an integrated approach to the disease.
Antibacterial drugs are desirable for the prevention and treatment of bacterial inflammation.
In case of repeated relapses, the doctor may prescribe pre-treatment of prostatitis with drugs that have the ability to destroy bacteria, but the dosages are usually lower. If antibacterial drugs did not work, they were selected incorrectly, or there are bacteria in men's bodies 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 Organs pelvic organs. Antibiotics for an inflamed prostate are especially beneficial if the condition is caused by bacteria. If there are no antibacterial drugs in the complex scheme, then the inflammatory process will not subside, and symptoms will remain.
The course of tablets for each man is selected individually and the general specific scheme is calculated. In the acute phase 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 has not cured, causes not only kidney problems, but also urolithiasis.
When designing an antibiotic treatment plan, all individual patient characteristics are taken into account.
It is worth knowing that drugs for inflammation of the prostate are needed, without them, the treatment will not bring results. In addition, 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 medication
Medications are prescribed immediately after the man goes to the urologist and explains his problem. This is especially true in 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. For the first few days, the following scheme is selected:
- preparations from the group of macrolides;
- aminoglycosides;
- fluoroquinolones.
The most effective drug therapy is selected after receiving the test results.
Erythromycins are prescribed less frequently because they cannot kill bacteria en masse. After passing the tests, it takes a few days for the results to be taken to a specialist. After studying them, the doctor selects a treatment or prescribes a more modern and exclusive drug. This only applies to inflammation, which occurs mildly.
The age of men must also be taken into account. Your illnesses at the time of examination and allergies will be an indicator to adjust the course of treatment. In turn, the man should inform the doctor about the medications 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 his prostatitis, 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 only be prescribed when conservative treatment doesn't help at all. Repeated tests usually show a null 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 desirable to be in the hospital at this time. To be treated at home, antibiotic capsules are selected for men, the dosage and schedule of which are carefully prescribed by the doctor. Obviously, the drug treatment of prostatitis requires compliance with several recommendations. Medications need to be drunk for a certain number of days, usually around 2 weeks. Then antibiotics are canceled or slightly extended.
Every prescribed regimen must be followed to the end. When treatment is stopped, a positive "place" begins to form, through which the infection will pass into the chronic stage. From initiation of therapy to elimination of symptoms should take 3 days. If the signs of prostatitis do not go away within the allotted time, you should immediately go to the doctor and review the treatment regimen.
After proper treatment, men's quality of life visibly normalizes. Relieves pain and discomfort when urinating. With universal therapy, 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 regimen, then prostatitis will return again, so its presence in therapy is mandatory. Without it, the signs of the disease practically stop.