Prostatitis is considered the most common reason for men to see a urologist.The problem is not the inflammatory process itself, but its consequences.Men seek help later, allowing the disease to enter a chronic stage and develop complications.Therefore, you need to see a specialist as soon as symptoms appear.The doctor will prescribe medication immediately, which should be done in one course of treatment.
What does treatment include?
Medical treatment of prostatitis should be comprehensive.The entire program includes several groups of drugs that help cope with the disease, acting on multiple areas at once.The treatment course consists of 6 medicines:
- Antibacterial agents.
- Hormone drugs.
- Alpha adrenergic blockers.
- Muscle relaxants.
- Rectal suppository.
- Products to strengthen the immune system.
It is important to note, however, that medical treatment for prostatitis varies from person to person.Each procedure is individually selected by the urologist.Self-medication is strictly prohibited as ignorance of medications can cause serious health problems.
drug treatment
If men with prostatitis are asymptomatic, then antimicrobial treatment is questionable.The duration of treatment should be at least one month and should be extended by an additional month.If it doesn't work, your doctor may change your treatment plan and eliminate the antibiotics.They are replaced by plant extracts or alpha-blockers.
During empiric treatment, doctors prescribe fluoroquinolones.They are highly bioavailable and rapidly penetrate into the prostate mucosa.They also have advantages against the Gram-negative organism Chlamydia.If we are talking about specific drugs, the indicators do not change after treatment of chronic prostatitis.Positive results can only be observed after taking a comprehensive approach to treating the disease.
Antimicrobial medications are recommended to prevent and treat bacterial inflammation.
If recurrences occur, your doctor may prescribe drugs that have the ability to destroy bacteria when previously treating prostatitis, but usually at lower doses.If antibacterial drugs are ineffective, it indicates that they were not chosen correctly, or that there are bacteria in the man's body that are immune to these 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, it is the interruption of blood flow in the pelvic organs.If the inflammation of the prostate is caused by bacteria, antibiotics may be particularly helpful in treating the disease.If antimicrobials are not included in a complex treatment regimen, the inflammatory process will not be reduced and symptoms will remain.
Each person's course of tablets is selected individually and a general specific regimen is calculated.During the acute phase of prostatitis, neglecting antibiotics may lead to complications.Typically, we're talking about adenomas and impotence.If the disturbed flora is not restored to normal, it may spread to third organs and cause pyelonephritis or cystitis.It turns out that undertreated prostatitis in men can lead not only to kidney problems but also to urolithiasis.
It is worth noting that drugs for the treatment of prostate inflammation are necessary; without them, treatment will not bring any results.In addition, this disease triggers pathological processes in the pelvis.If one of these men experiences frequent exacerbations and does not see a specialist, he risks facing negative consequences in the future.
Drug prescription rules
After the man came to the urologist and explained his problem, medication was immediately prescribed.This is especially true for the acute phase of the inflammatory process.This means that the doctor does not wait for a test but immediately prescribes the necessary treatment.For the first few days, choose from the following options:
- Macrolides;
- Aminoglycosides;
- Fluoroquinolones.
Choose the most effective medical treatment after receiving test results
Erythromycins are used less frequently because they do not destroy bacteria in large quantities.After you get tested, it takes a few days for the results to be brought to a specialist.After research, the doctor will choose a treatment or prescribe a more modern and unique drug.This only applies to mild inflammation.
The man's age should also be taken into consideration.Your condition and allergies at the time of the examination will serve as indicators for adjusting your treatment plan.In turn, the man must tell the doctor about any medications he has recently taken or is currently taking.It's worth noting that if a man takes a course of antibiotics in the days before prostatitis, there's a good chance that similar drugs won't help him in treating an inflamed prostate.
In addition to the universal plan, doctors also have a "rainy day plan."Used when prescribed treatment has not been effective.Such a program has a strong impact on the body.These drugs are only prescribed when conservative treatments don't help at all.Repeated testing often shows zero effect.
If strong antibiotics are found, it is recommended to use them by injection, and it is best to go to the hospital at this time.For home treatment, men choose antibiotic capsules, the dosage and duration of which are carefully prescribed by the doctor.Of course, medical treatment of prostatitis requires compliance with several recommendations.The medication needs to be taken for a certain number of days, usually about two weeks.Then stop or slightly extend the antibiotic.
The entire prescribed plan must be followed to the end.When treatment is interrupted, an aggressive "point" begins to form, through which the infection will enter the chronic phase.Three days should pass from the start of treatment to the resolution of symptoms.If the symptoms of prostatitis do not go away within the prescribed time, you should see your doctor immediately and review your treatment options.
After adequate treatment, the man's quality of life returned significantly to normal.The pain and discomfort during urination disappeared.With universal treatment, symptoms do not actually go away.Typically, painful cramps (75%) and difficulty emptying the bladder (70%) remain.40% of men find ejaculation uncomfortable.If immunomodulators are not included in the treatment regimen, prostatitis will recur, so immunomodulators must be present in the treatment.Without it, signs of disease virtually stagnate.