Prostatitis is considered the most common reason why men visit the urologist.The problem is not in the inflammatory process itself, but in the consequences.Men seek help late, so the disease enters a chronic stage and causes complications.Therefore, it is necessary to go to a specialist in time, at the first symptoms.The doctor will immediately prescribe a medication, which must be done in a course.
What is included in the therapy?
Pharmacological treatment of prostatitis must be carried out in a complex way.The entire scheme includes several groups of drugs that help to cope with the disease, acting in several areas at once.The treatment course consists of 6 types of medications:
- Antibacterial agents.
- Hormonal medications.
- Alpha adrenergic blockers.
- Muscle relaxants.
- Rectal suppositories.
- Products that strengthen the immune system.
However, it is worth knowing that the pharmacological treatment of prostatitis is different for each man.Each procedure is individually selected by a urologist.Self-medication is strictly prohibited, as ignorance of medications can lead to serious health problems.
Drug treatment
If prostatitis in men occurs without symptoms, then antibiotic therapy will be questionable.The duration of treatment should be at least one month, after which it should be extended for another month.If no effect occurs, the doctor may change the regimen and eliminate the antibiotics.They are replaced with 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 advantage of being active against gram-negative organisms, chlamydia.The indicators after treatment of chronic prostatitis do not change if we talk about a specific drug.Positive results can only be observed after an integrated approach to the disease.
It is advisable to take antibacterial medications as prevention and treatment of bacterial inflammation.
If there is a repeated relapse, the doctor may prescribe pretreatment for prostatitis with medications that have the ability to destroy bacteria, but the doses are usually lower.If antibacterial drugs do not have any effect, it means that they were chosen incorrectly or there are bacteria in the men's body that are immune to this type of drugs.
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 disruption 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 regimen, the inflammatory process will not subside and the symptoms will remain.
The course of tablets for each man is selected individually and a 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 altered flora is not normalized, it can spread to third organs and cause pyelonephritis or cystitis.It turns out that prostatitis, which a man has not fully treated, causes not only kidney problems, but also urolithiasis.
It is worth knowing that medications are needed for inflammation of the prostate;Without them, the treatment will not give any results.In addition, the disease can provoke pathological processes in the pelvis.If one of the men often experiences exacerbations and does not turn to a specialist, he risks facing negative consequences in the future.
Rules for prescribing medicines.
The medications are prescribed immediately after the man goes 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 tests and will immediately prescribe the necessary treatment regimen.During the first days, the following scheme is selected:
- drugs from the macrolide group;
- aminoglycosides;
- fluoroquinolones.
The most effective drug therapy is selected after receiving test results.
Erythromycins are prescribed less frequently because they cannot destroy bacteria en masse.After the tests are done, it takes a couple of days before the results reach a specialist.After studying them, the doctor selects the treatment or prescribes a more modern and exclusive medicine.This only applies to inflammation, which is mild.
Age should also be taken into account in men.Your illnesses at the time of the examination and allergies will be an indicator to adjust the course of treatment.In turn, the man must 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 prostatitis, there is a high risk that similar medications will not help him in the process of treating an inflamed prostate.
In addition to the universal scheme, the doctor has a “rainy day regimen.”It is used when the prescribed course produces no effect.This scheme has a strong effect on the body.They will be prescribed only when conservative treatment does not help at all.Repeated testing usually shows a null effect.
If strong antibiotics are identified, it is advisable to use them in injections and it is advisable to be in the hospital at this time.For treatment at home, antibiotic capsules for men are selected, the dosage and timing of which are carefully prescribed by the doctor.Of course, drug treatment of prostatitis requires compliance with several recommendations.The medications must be taken for a certain number of days, usually around 2 weeks.Antibiotics are then discontinued or slightly prolonged.
The entire prescribed scheme must be followed until the end.When treatment is stopped, a positive "spot" begins to form through which the infection will progress to the chronic stage.3 days should pass from the start of therapy to the elimination of symptoms.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 adequate treatment, the quality of life of men is noticeably normalized.Pain and discomfort when urinating disappear.With universal therapy, the symptoms practically do not disappear.As a rule, painful spasms persist (75%) and difficulty emptying the bladder (70%).Ejaculation is uncomfortable for 40% of men.If there is no immunomodulator in the regimen, prostatitis will appear again, therefore its presence in therapy is mandatory.Without it, the signs of the disease practically remain motionless.