Prostatitis is considered the most common reason men visit a urologist. The problem does not lie 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 medication, which must be carried out in 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 full 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 ovules.
- 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, since ignorance of drugs 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, 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 may change the regimen and remove the antibiotics. 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 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 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 relapses, the doctor may prescribe pre-treatment of prostatitis with drugs that have the ability to destroy bacteria, but the doses are usually lower. If antibacterial drugs did not work, then 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 generally 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 enlarged prostate are especially beneficial 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 specific general 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 necessary, without them the treatment will not give 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 medications.
Medications are prescribed immediately after the man went to the urologist and explained 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 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 often because they cannot kill bacteria en masse. After passing the tests, it takes a couple of days before the results are taken 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 should also be taken into account. Your diseases 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 medications he has recently taken or is currently using. It is worth noting that if a man took antibiotic treatment 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 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 is not helpful. Repeated tests usually 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. To be treated at home, antibiotic capsules for men are selected, the dosage and time of which are painstakingly prescribed by the doctor. Of course, drug treatment of prostatitis requires compliance with various recommendations. The drugs need to be drunk for a certain number of days, usually around 2 weeks. Then the antibiotics are canceled or slightly prolonged.
Any prescribed scheme 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 the start of therapy to the elimination of symptoms should pass 3 days. If the signs of prostatitis do not disappear 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 remarkably normalizes. Relieves pain and discomfort when urinating. 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, the prostatitis will return again, so its presence in therapy is mandatory. Without it, the signs of the disease practically stop.