Prostatitis is considered the most common reason for men to visit a urologist. The problem is not the inflammation itself, but the consequences. Men seek help late, as a result, the disease becomes chronic and causes complications. Therefore, you need to see a specialist on time, as soon as the first symptoms appear. The doctor will prescribe the medicine right away, so follow a course.
Treatment of prostatitis is carried out with the use of different drugs.
What is included in the therapy
Drugs for the treatment of prostatitis should be complicated. The whole program includes several classes of drugs that help to cope with the disease, acting on several areas at once. The course of treatment includes 6 drugs:
- Antibacterial agent.
- Hormonal preparations.
- Alpha blockers.
- Muscle relaxants.
- Rectal suppositories.
- Means strengthening the immune system.
However, it is important to know that the treatment for prostatitis is different for each man. Each procedure is selected individually by a urologist. Self-medication is strictly prohibited, as ignorance about the drug can cause serious health problems.
In addition to drugs, rectal suppositories are widely used in the treatment of prostatitis.
Drug treatment
If prostatitis in men occurs without symptoms, then antibiotic therapy will be prescribed. The duration of treatment must last for at least one month, then it must be extended for another month. If that doesn't work, the doctor may change the regimen and remove the antibiotic from it. They are replaced with plant extracts or alpha blockers.
During empiric therapy, fluoroquinolones are prescribed. They are highly bioavailable and penetrate rapidly into the prostate mucosa. They also have dignity of activity against gram-negative microorganisms, chlamydia. Indicators after treatment of chronic prostatitis do not change when it comes to a particular drug. Positive results can only be observed after an integrated approach to the disease.
Antibacterial drugs are desirable for the prevention and treatment of bacterial inflammation.
In cases where the disease recurs many times, the doctor may prescribe the treatment of previous prostatitis with drugs that kill the bacteria, but the dosage is usually lower. If antibacterial drugs don't work, it means they have been chosen the wrong way or have bacteria in the male body that are immune to the drug.
When to take antibiotics?
Prostatitis usually occurs for two reasons. In the first case, this is the penetration of harmful factors, in the second case, a violation of blood flow in the pelvic organs. Antibiotics for an inflamed prostate are especially beneficial if the disease is caused by bacteria. Without antibacterial drugs in the complex scheme, the inflammatory process will not subside, and symptoms will remain.
The course of tablets for each man is selected individually and the general specific scheme is calculated. In the acute stage of prostatitis, skipping antibiotics can lead to complications. As a rule, we are talking about adenomas and impotence. If the disturbed flora is not normalized, it can travel to third-party organs and cause pyelonephritis or cystitis. It turns out that the prostatitis, which the man did not cure, not only caused problems with the kidneys, but also caused urolithiasis.
When developing an antibiotic treatment plan, all individual characteristics of the patient are taken into account.
It should be known that medicine to treat prostatitis is necessary, without medicine, there will be no results. Moreover, the disease can cause pathological processes in the pelvis. If one of the men regularly observes his own exacerbations and does not seek medical attention, then he risks facing negative consequences in the future.
Prescribing rules
The drug was prescribed as soon as the man went to the urologist and explained his problem. This is especially true of the acute phase of the inflammatory process. This means that the doctor will not wait for the tests, but will immediately prescribe the desired treatment regimen. For the first few days, the following scheme is chosen:
- preparations from the macrolide group;
- 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 few days before the results are sent to the specialist. After studying them, the doctor will choose a treatment or prescribe a more modern and unique drug. This only applies to inflammation, which occurs in a mild form.
Men's age also needs to be taken into account. His medical conditions at the time of examination and allergies will be an indicator for adjusting treatment. Conversely, a man should tell his doctor about any medications he has recently taken or is currently taking. It should be noted that if a man takes a course of antibiotics a few days before he develops prostatitis, there is a greater risk that the same drugs will not help him during his prostate treatment. inflamed.
In addition to the universal program, the doctor has a "rainy day program". It is used in the absence of the effect of the prescribed course. Such a plan has a powerful effect on the body. They will be prescribed only when conservative treatment does not help at all. Usually, repeated tests show a disabling effect.
With complications of prostatitis will require inpatient treatment with injections.
If strong antibiotics are identified, they should be administered in an injectable form and at this time hospitalization should be considered. To be treated at home, the antibiotic capsules are selected for men, the dose and duration of use are carefully prescribed by the doctor. Of course, drug treatment of prostatitis requires adherence to some recommendations. The medicine needs to be taken for a certain number of days, usually about 2 weeks. Then the antibiotic is canceled or lasts a little longer.
All prescribed programs must be followed to the end. When the course of treatment is interrupted, an active "locus" begins to form, through which the infection moves into the chronic stage. From the start of treatment to the elimination of symptoms should take 3 days. If the symptoms of prostatitis do not go away within the allotted time, you should immediately go to the doctor and review the treatment regimen.
After adequate treatment, a man's quality of life should return to normal. Relieve pain and discomfort while urinating. With universal therapy, the symptoms practically do not go away. As a rule, there are painful contractions (75%), difficulty emptying the bladder (70%). Ejaculation causes discomfort in 40% of men. If there is no immunomodulator in the program, prostatitis will recur, therefore, its presence in therapy is imperative. Without it, the signs of the disease practically stand still.