Treatment of prostatitis in men involves the use of medication and physical therapy. Herbal medicine, glandular massage, acupuncture may be prescribed as additional methods for patients. It is an integrated approach that allows not only to prevent the exacerbation of the disease, but also to get rid of it completely. Drug treatment of prostatitis is always carried out in courses and is prescribed only after a thorough examination of the prostate.
Medications in the treatment of prostatitis will only be effective if properly prescribed by a doctor.
As a rule, urologists prescribe various types of medications to patients who have an inflammatory disease of the prostate. This allows you to deal with disorders that have arisen in the prostate much more quickly. To improve their condition, drugs with antibacterial and immunostimulating effects, muscle relaxants, hormonal agents and alpha-blockers are used.
The attending physician prescribes an individual therapy regimen for each patient after a thorough study of the ultrasound analyzes and results.
It is impossible to choose drugs for prostatitis on your own, as this can provoke a deterioration not only in the condition of the prostate, but also in general well-being.
Drug treatment of chronic prostatitis with antibiotics is not always indicated. If the patient has no symptoms of the disease and, at the same time, feels normal, this group of drugs may not be prescribed. In this case, chronic prostatitis can be treated with herbal medicines and alpha-blockers.
When chlamydia and other infections are detected, fluoroquinolones, which have high bioavailability and can penetrate the prostate mucosa in the shortest possible time, can be used.
After prostatitis is detected, the patient is prescribed medication, including an antibiotic. The regimen is selected by the doctor depending on the patient's condition.
In the absence of the desired effect from the use of fluoroquinolones, the doctor may prescribe a course with other drugs. If during the examination, laboratory tests showed the presence of chlamydia, the patient is recommended tetracyclines. Its effectiveness is associated with its rapid penetration into the prostate of the drug's active components and the drug's inherent property of destroying pathological microorganisms as quickly as possible.
With repeated treatment, before treating a recurrence of prostatitis in men with medication, the doctor devises a new regimen to take an antibacterial medication, which usually includes lower dosages. If the selected drugs were ineffective, it could mean that they are not suitable for the patient or are prescribed incorrectly.
Preparations with an antibacterial effect are indicated only when pathogenic microorganisms have become the causes of prostatitis.
It should be remembered that bacteria are almost always present in one form or another in the human body. During the normal functioning of the immune system, they are inactive and do not pose a specific threat to health. The weakening of the immune system under the influence of other provoking factors leads to the activation of pathogenic microflora, which penetrates the prostate tissue and leads to an acute illness.
The acute phase of bacterial prostatitis requires the use of antibacterial agents. If this treatment is not carried out, inflammatory processes can go to the bladder, urethra and kidneys. There is evidence of a relationship between bacterial prostatitis and urolithiasis. The absence of antibiotic therapy leads to a chronic form of the disease, whose treatment is much more difficult and time-consuming.
In acute prostatitis, drugs are prescribed immediately after a general examination and questioning of the patient. As a rule, the urologist does not wait for the results of the exams and prescribes a regimen that foresees the ingestion of macrolides, fluoroquinolones and aminoglycosides in the first days. Less commonly, patients are given erythromycin antibiotics, as such agents are not capable of leading to the mass destruction of bacterial microorganisms.
After the urologist receives the test results, the doctor may change the regimen or add other medications to it. The use of only one drug is justified in mild prostatitis. When choosing drugs, the age of the man and the presence of other diseases must be taken into account. If the patient suffers from liver or kidney disease, doses can be adjusted according to the degree of organ dysfunction.
The patient should notify the urologist about the medications he is taking or has taken relatively recently.
If for some reason a man drank antibiotics, the doctor should take this fact into account, as these drugs can be ineffective.
If the universal scheme assigned to the patient does not have the desired effect, another that has a more powerful effect can be used. To enhance the effect, antibiotics are prescribed in the form of injections, so that a patient with acute inflammation of the prostate can be hospitalized. Treatment of prostatitis at home is carried out with antibacterial drugs in the form of capsules. In that case, it is extremely important to follow all the rules for receiving such funds. If you deviate from the schema, therapy may be ineffective. The cancellation or extension of the course is carried out only by a doctor.
Typically, properly selected antibacterial drugs give a positive effect on the third day after starting intake. If symptoms persist, it is necessary to visit a urologist to review the treatment regimen.
Hormonal preparations and suppositories
A properly prescribed drug regimen helps to reduce the characteristic symptoms of an inflammatory prostate disease. Firstly, the discomfort that occurs with prostatitis during urination begins to disappear. When using inappropriate medications, pain, bladder emptying problems and erectile dysfunction may persist. In some men, there is a tendency to a gradual deterioration in potency. Often, in the absence of immunomodulatory agents in the treatment regimen, the disease can return.
In the absence of positive results in the treatment of chronic prostatitis, the patient is prescribed hormonal agents. They help to relieve inflammation, restore erection.
Such medications, while effective, can have many side effects, so they should be used with caution, following the exact dosage recommended by the doctor.
With gland inflammation, rectal suppositories can also be used as an adjunct. These suppositories are generally well tolerated by patients because they contain natural ingredients. Means based on honey, propolis, a complex with an extract of anti-inflammatory and antiseptic herbs have a good effect.
Rectal suppositories help relieve gland swelling, reduce pain and normalize blood microcirculation.
Today, in pharmacies, you can buy suppositories or tablet preparations made on the basis of sublimated bovine prostate. They improve the structure of prostate tissues, relieve inflammation and help speed up regenerative processes.
To restore the body and strengthen the immune system, which is often weakened after an inflammatory disease of the prostate, the use of a complex containing vitamins and microelements is shown. Patients may also be given antioxidant medications that help prevent the development of prostate hyperplasia and malignant neoplasms.