Prostatitis is considered the most common reason why men turn to a urologist.The problem lies not in the inflammatory process itself, but in the consequences.Men seek help late, following which the disease enters the chronic stage and causes complications.Therefore, it is necessary to turn to a specialist in time, at the first symptoms.The doctor will immediately prescribe medications, which should be carried out in one course.
What is included in the therapy
Drug treatment of prostatitis should be carried out in a complex manner.The whole 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 drugs.
- Alpha adrenergic blockers.
- Muscle relaxants.
- Rectal suppositories.
- Products that strengthen the immune system.
However, it is worth knowing that the drug treatment of prostatitis is different for each man.Each procedure is selected individually by a urologist.Self-medication is strictly prohibited, as ignorance of medications can cause serious health problems.
Treatment with drugs
If prostatitis in men occurs without symptoms, antibacterial therapy will be questionable.The duration of therapy should be at least one month, after which it should be extended for another month.If there are no effects, the doctor may change the regimen and remove antibiotics from it.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.Indicators after treatment of chronic prostatitis do not change if it is a specific drug.Positive results can only be observed after an integrated approach to the disease.
It is recommended to take antibacterial drugs as a prevention and treatment of bacterial inflammation.
If repeated relapses occur, the doctor may prescribe the previous treatment for prostatitis with drugs that have the ability to destroy the bacteria, but the dosages are usually lower.If antibacterial drugs have no effect, it means that they have been chosen incorrectly or there are bacteria in the human body that are immune to this type of drug.
When are antibiotics necessary?
Prostatitis usually occurs for two reasons.In the first case it is the penetration of harmful elements, in the second an interruption of blood flow in the pelvic organs.Antibiotics for inflamed prostate are especially useful 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 man has not fully treated, causes not only kidney problems, but also urolithiasis.
It is worth knowing that drugs are needed for inflammation of the prostate;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 flare-ups and does not turn to a specialist, he risks facing negative consequences in the future.
Rules for prescribing drugs
Medicines are prescribed immediately after the man visits 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 tests and will immediately prescribe the necessary treatment regimen.For the first few days the following scheme is selected:
- drugs of the macrolide group;
- aminoglycosides;
- fluoroquinolones.
The most effective drug therapy is selected after receiving the test results
Erythromycins are prescribed less frequently because they cannot destroy bacteria en masse.After testing, it takes a couple of days for the results to be taken to a specialist.After studying them, the doctor selects treatment or prescribes a more modern and unique drug.This only applies to inflammation, which occurs in a mild form.
The age of the men should also be taken into consideration.Your illnesses at the time of examination and allergies will be an indicator for adapting the course of treatment.In turn, the man must inform the doctor of the drugs he has recently taken or is currently using.It is worth noting that if a man took a course of antibiotics several days before prostatitis, then there is a high risk that similar drugs will not help him in the process of treating the 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 through injections and it is advisable to be in the hospital at this time.For home treatment, antibiotic capsules are selected for men, the dosage and timing of which are carefully prescribed by the doctor.Of course, drug treatment of prostatitis requires compliance with numerous recommendations.The medicines must be taken for a certain number of days, usually about 2 weeks.Then antibiotics are stopped or slightly prolonged.
The entire prescribed scheme must be followed to the hilt.When treatment is stopped, a positive “spot” begins to form, through which the infection will pass to the chronic stage.3 days should pass from the start of therapy to the disappearance 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 significantly normalized.Pain and discomfort during urination disappear.With universal therapy, the symptoms practically do not disappear.Usually, painful spasms (75%) and difficulty emptying the bladder (70%) remain.Ejaculation is uncomfortable for 40% of men.If there is no immunomodulator in the regimen, prostatitis will recur, so its presence in therapy is mandatory.Without it, the signs of the disease practically remain.