Prostatitis is considered the most common reason for men to visit a urologist.The problem lies not in the inflammatory process itself, but in the consequences.Men seek help late, as a result the disease goes into the chronic phase and causes complications.Therefore, you should go to a specialist in time, at the first symptoms.The doctor will immediately prescribe medicines, which must be carried out in a course.
What is involved in therapy?
Drug treatment of prostatitis should be carried out in a complex manner.The whole scheme includes several groups of drugs that help cope with the disease, acting on several areas at the same time.The course of treatment consists of 6 types of drugs:
- Antibacterial agents.
- Hormonal drugs.
- Alpha adrenergic blockers.
- Muscle relaxants.
- Rectal suppositories.
- Products that strengthen the immune system.
However, it is worth knowing that drug treatment for prostatitis is different for every man.Each procedure is selected individually by a urologist.Self-medication is strictly prohibited, as ignorance of medicines can cause serious health problems.
Treatment with medications
If prostatitis in men occurs without symptoms, then antibacterial therapy will be questionable.The duration of the therapy should be at least one month, after which it should be extended for another month.If there is no effect, then the doctor can change the regimen and remove antibiotics from it.They are replaced with herbal 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 advantage of being active against gram-negative organisms, chlamydia.Indications after treatment for chronic prostatitis do not differ if we are talking about a specific drug.Positive results can be observed only after an integrated approach to the disease.
It is recommended to take antibacterial drugs as prevention and treatment of bacterial inflammation.
If there is a repeated relapse, the doctor can prescribe the previous treatment of prostatitis with drugs that have the ability to destroy bacteria, but the doses are usually lower.If antibacterial drugs have no effect, it means that they were chosen incorrectly or there are bacteria in the male body 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, an interruption of blood flow to the pelvic organs.Antibiotics for an inflamed prostate are especially helpful if the disease is caused by bacteria.If there are no antibacterial drugs in the complex regimen, the inflammatory process will not decrease 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 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 spread to third-party 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 for inflammation of the prostate gland 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 experiences irritations and does not turn to a specialist, then 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 is especially true for the acute phase of the inflammatory process.This means that the doctor will not wait for the tests and will immediately prescribe the necessary treatment regimen.For the first days, the following scheme is chosen:
- drugs from the group of macrolides;
- aminoglycosides;
- fluoroquinolones.
The most effective drug therapy is chosen after receiving the test results
Erythromycin is prescribed less often, because they cannot destroy bacteria en masse.After receiving the tests, it takes several days before the results are brought to a specialist.After studying them, the doctor chooses the treatment or prescribes a more modern and unique drug.This applies only to inflammation, which appears in a mild form.
Age in men should also be considered.His diseases at the time of examination and allergies will be an indicator for adjusting the course of treatment.On the other hand, the man should tell the doctor about the medications he has taken recently or is currently using.It is worth noting that if a man took 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 from 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.Repeated tests usually show zero 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.To be treated at home, antibiotic capsules are chosen for men, the dose and time of which is carefully determined by the doctor.Of course, drug treatment of prostatitis requires compliance with some recommendations.Medicines must be taken for a certain number of days, usually about 2 weeks.Then the antibiotics are stopped or extended a little.
The entire scheme described must be followed to the end.When the treatment is stopped, a positive "stain" begins to form, through which the infection will pass into the chronic phase.3 days should pass from the beginning of therapy to the elimination of symptoms.If the signs of prostatitis do not go away within the specified time, you should immediately go to the doctor and review the treatment regimen.
After adequate treatment, men's quality of life is significantly normalized.Pain and discomfort during urination go away.With universal therapy, the symptoms practically do not go away.As a rule, painful spasms (75%) and difficulty emptying the bladder (70%) remain.Ejaculation is unpleasant for 40% of men.If there is no immunomodulator in the regimen, prostatitis will return again, so its presence in therapy is mandatory.Without it, the signs of the disease practically remain.