Prostatitis is considered the most common reason men 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 leads to complications. Therefore, you need to consult a specialist in time, at the first symptoms. The doctor will immediately prescribe medications, which must be carried out as part of a 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 regime includes several groups of drugs that help to cope with the disease, acting on several areas at once. The course of treatment includes 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 each man. Each procedure is individually selected by a urologist. It is strictly forbidden to self-medicate, as ignoring medications can cause serious health problems.
In addition to drugs, rectal suppositories are widely used in the treatment of prostatitis.
Medical treatment
If prostatitis in men occurs without symptoms, then antibiotic-type treatment will be involved. The course of treatment 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 diet and remove antibiotics from it. They are replaced by plant extracts or alpha-blockers.
During empirical therapy, 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 dealing with a specific drug. Positive results can be observed only after an integrated approach to the disease.
Antibacterial drugs are desirable for the 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 dosages are usually lower. If antibacterial drugs did not work, they were selected incorrectly or there are bacteria in the body of men who are immune to this type of drug.
When are antibiotics needed?
Prostatitis usually occurs for two reasons. In the first case, it is the ingress of harmful elements, in the second - a violation of blood flow in the pelvic organs. Antibiotics for an inflamed prostate are especially beneficial if the disease is caused by bacteria. If there are no antibacterial drugs in the complex pattern, the inflammatory process will not decrease, and the symptoms will persist.
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 reach third 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 developing a treatment plan with antibiotics, all 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. 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.
Medication prescription rules
Medicines are prescribed immediately after the man comes to the urologist and explains his problem. This is especially true in 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. For the first few days, the following scheme is selected:
- preparations from the group of macrolides;
- aminoglycosides;
- fluoroquinolones.
The most effective therapy with drugs 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 before the results are sent 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 the men must 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 turn, the man should tell the doctor about the drugs he has recently taken or is currently using. It should be noted that if a man had a course of antibiotics a few days before 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 diet, the doctor has a "rainy day diet". 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 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. For treatment 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. The drugs need to be drunk for a number of days, usually around 2 weeks. Then antibiotics are canceled or slightly prolonged.
All prescribed regimens should be followed to completion. When the treatment is interrupted, a positive "place" begins to form, through which the infection will pass into the chronic stage. From the start of treatment to the elimination of symptoms, it takes 3 days. If the signs 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 noticeably normalizes. Relieves pain and discomfort during urination. With universal therapy, the symptoms practically do not disappear. 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 scheme, prostatitis will return, therefore its presence in therapy is mandatory. Without it, the signs of the disease practically stand still.