Inflammation of the prostate gland in a chronic form occurs in every second man after 40 years. In order to get rid of it, patients resort to a variety of methods. But only the treatment of prostatitis with medications is reasonable and appropriate.
The therapy is based on antibiotics and anti-inflammatory drugs. The course is supplemented with immunostimulants, analgesics, bioregulatory peptides, vitamins, herbal remedies, etc. In most cases, prostatitis can be eliminated at home, following the prescription of the attending physician.
Why antibiotics are needed for prostatitis?
There are several forms of prostatitis:
- spicy,
- chronic aseptic,
- chronic bacterial,
- chronic pelvic pain syndrome.
Whether or not bacteria have entered the prostate, the worldwide urological community recommends the use of antibiotics.
The main groups of antibacterial drugs are:
- fluoroquinolones,
- tetracyclines,
- trimethoprim,
- macrolides.
A feature of fluoroquinolones is good permeability in prostate tissue, high bioavailability.
At the same time, there is no difference how to inject the medicine: inside, intramuscularly or intravenously, the effectiveness will be the same. For these properties, fluoroquinolones have become popular among doctors, they are widely used to suppress prostatitis with medication.
Tetracyclines are used when the doctor suspects the presence of atypical forms of bacteria. This can be confirmed by culture of prostate secretions and examination of urethral smears. Tetracyclines are rarely used due to their high specificity.
Macrolides are drugs used for gram-positive flora.
Antibiotics of this group are effective in the presence of pathogens such as:
- mycoplasma,
- ureaplasma,
- chlamydia,
- staphylococci.
To determine how to treat prostatitis, and which of the antibiotics is better to choose, you need to submit the secret of the prostate for research. The analysis will confirm the presence of inflammation. After the liquid is inoculated on nutrient media, it will be clear which antibiotic is active in this case.
The duration of treatment is determined by periodic examination of the juice of the prostate gland. Usually the course is 2-4 weeks, but can be extended based on test results.
Pain relief with NSAIDs
Most of the patients suffering from prostatitis complain of pain.
It can be localized in the following parts of the body:
- groin
- crotch,
- the iliac region (lower abdomen),
- rectum,
- lower back.
This symptom leads men to see a doctor. Therefore, drug treatment of prostatitis is complemented by the use of non-steroidal anti-inflammatory drugs.
NSAIDs locally relieve inflammation, edema, improve blood circulation. As a result, pain syndrome is eliminated. It is possible to achieve a lasting effect from taking NSAIDs only in combination with other medications.
Means that improve the quality of urination
A common complaint of men with prostatitis is dysuric disorders.
During the interview, the following symptoms may be identified:
- frequent trips to the toilet,
- feeling of incomplete emptying of the bladder,
- sluggish stream of urine,
- an admixture of blood in the urine,
- cramps when urinating,
- urge when changing body position,
- nocturnal acts of urination, etc.
All these signs of the disease significantly reduce the quality of life of patients. You can get rid of them by using alpha-blockers.
The effectiveness of the funds is based on the effect on the muscle elements of the bladder, its neck and the initial sections of the urethra.
Using alpha-blockers, you can achieve the following changes:
- shorten the time of urination,
- reduce the number of trips to the toilet,
- get rid of getting up at night,
- improve the pressure of the urine stream, etc.
It is necessary to use the funds of this group for a long time. Urologists recommend a six-month course of therapy. This helps prevent recurrence of the disease.
Herbal medicine is an integral part of treatment
Recently, phytopreparations have begun to be included in the course treatment of prostate inflammation. They have a number of advantages over products of chemical origin, which include:
- relative harmlessness,
- the minimum number of side effects,
- the possibility of use for persons with impaired liver and kidney function,
- availability, etc.
The well-known preparations include herbal extracts. They have anti-inflammatory and anti-edema effects. This helps to relieve swelling, which means eliminating pain and improving urination.
The main advantage of phytopreparations is the possibility of their long-term use. This fact is especially relevant for patients with frequent relapses of the disease.
Using herbal remedies, men carry out the prevention of exacerbations. At home, you can independently prepare fees for the treatment of male pathology.
Other remedies for prostatitis
Complex medical treatment of prostatitis may include the following drugs:
- bioregulatory peptides,
- vitamin complexes,
- enzymes,
- muscle relaxants,
- antidepressants.
The combination of drugs is different. The decision on the appointment of certain funds is made by the attending physician.
The average course of active therapy for an exacerbation episode is 1 month.
Regardless of which drugs were prescribed, it is necessary to strictly follow the doctor's recommendations. You can not quit the course, even if the symptoms of the disease have receded.
Prostatitis often recurs. Its treatment should be carried out under the supervision of laboratory and ultrasound diagnostics. In this case, you can achieve the maximum result.