Inflammation of the prostate causes pain, problems urinating, and erectile dysfunction. In the presence of complications, prostatitis becomes a cause of impotence and infertility. Treatment of the disease is aimed at eliminating unpleasant symptoms and restoring the functioning of the gland. In cases where the cause of the inflammatory process is pathogenic microorganisms, the treatment regimen for prostatitis necessarily includes taking one or more antibacterial drugs. What antibiotics are considered the best for the treatment of prostatitis and how to take them correctly?
Basic principles and benefits of treatment.
Very often, men have questions: "What are antibiotics? ", "Why is it necessary to take antibacterial agents for inflammation of the prostate? "
The main difference between antibiotics and other drugs is their ability to suppress the growth of bacteria that cause infectious diseases. At the same time, the active substances of the drug inhibit only the pathogenic microflora, with practically no effect on normal cells of the body.
The need for antibiotic therapy is established at the diagnostic stage. If the patient has characteristic symptoms of prostatitis, the doctor prescribes a series of diagnostic tests to identify the causes of the pathology. At the initial stage, an analysis of urine, seminal fluid and scrapings of the epithelium of the urethra are performed. If pathogenic microflora is detected, the patient is diagnosed with "bacterial prostatitis. "Next, a test is performed to determine the sensitivity of the pathogen to the main types of antimicrobial drugs. This establishes which antibacterial drugs will be effective for a particular patient.
Treating prostatitis with antibiotics has several important advantages:
- There is a rapid elimination of pathogenic microbes that cause the inflammatory process.
- The body begins to produce substances that prevent further proliferation of pathogenic bacteria. In this way, it is possible to avoid complications and reduce the likelihood of exacerbations in the chronic form of the pathology.
- The availability of various forms of medications (injectable solutions, tablets, suppositories) makes it possible to select the appropriate medications for each patient.
- Complex antibacterial therapy allows you to get rid of all types of pathogens and ensure complete recovery. In this case, several different types of drugs can be used, as well as new generation broad-spectrum antibiotics, developed for use in urology.
It is important to remember that there is still no universal cure for prostatitis. Self-administration of any medication can cause the condition to worsen and the inflammation to become chronic.
What antibiotics to take for prostatitis?
In modern medicine, several classes of antibacterial agents are used, which differ in their chemical structure and their ability to suppress the growth of certain types of pathogens.
Urological antibiotics for men are used to treat inflammation of the prostate. Let us consider in more detail the groups of urological drugs and their clinical significance.
| CLASSES | POSSIBILITY OF APPLICATION |
| penicillin group | Inexpensive antibacterial agents that are prescribed during initial diagnosis. Amoxicillin and chloramphenicol are ineffective for chronic or acute prostatitis with complications. |
| macrolides | The least toxic products for the body with a broad spectrum of action. |
| tetracyclines | Most often, tetracycline and other similar drugs for prostatitis are prescribed when the inflammation is chronic and caused by the presence of intracellular pathogens (chlamydia, gonococci, mycoplasma). |
| Fluoroquinolones | Medications are included in the course for acute inflammation and the need to quickly relieve symptoms. |
| Cephalosporins | The most powerful drugs that eliminate almost all types of pathogenic microorganisms. Reception of cephalosporins is indicated for acute infectious prostatitis. |
Some of the listed drugs are used as antibiotics for benign prostate adenoma in case of complications of the pathology due to an inflammatory process of infectious etiology.
More effective
The main problem in the presence of any infectious disease is bacterial resistance to first generation antibiotics. In this sense, pharmacologists constantly improve existing drugs, creating more powerful second, third and fourth generation drugs from them.
Performing a bacterial culture and determining the sensitivity of the microorganisms makes it possible to determine the most effective antibiotics for prostatitis.
Currently, many urologists introduce the following:products containing antibiotics:
- Second generation fluoroquinolone with good penetration capacity. Due to the high concentration of the active ingredient in cells, it is active against most intracellular pathogens.
- Product from the group of tetracyclines with a broad spectrum of action. The maximum concentration of the drug in the prostate is observed within 30 minutes after administration, which is very important if a rapid therapeutic effect is needed during exacerbations. These relatively inexpensive and effective antibiotics for prostatitis have minimal negative effects on the patient's body.
- Third generation cephalosporin with high antibacterial activity against bacteria such as Escherichia coli, gonococcus, Proteus, Enterobacter.
- Effective in the presence of most types of pathogens. The introduction of clavulanic acid into the composition of the drug ensures its resistance to bacterial enzymes.
- Contains amoxicillin. Recommended for prostatitis caused by gram-positive and gram-negative bacteria.
- Aminoglycoside to eliminate most gram-negative bacteria. It penetrates the source of inflammation in 50 to 60 minutes, relieving the main symptoms in the acute stage of the disease.
- Medication from the lincosamide group to eliminate gram-positive bacteria and parasitic protozoa.
Each of the listed drugs has its own advantages, so only a urologist can determine the best antibiotics for prostatitis.
Features of the treatment of acute and chronic forms.
Prostatitis can be acute or slow with alternating periods of exacerbation and remission. When prescribing medications, the form of the disease must be taken into account.
Therefore, with the rapid development of the inflammatory process with a significant deterioration in the patient's well-being, hospitalization is required. To quickly deliver active ingredients to inflamed tissues, antibiotics are administered by intravenous infusion or injection. To ensure effective treatment of acute prostatitis in men, drugs from the cephalosporin class are selected. Once improvement occurs, the doctor may replace the medications with milder ones.
Antibiotics for chronic infectious prostatitis should be taken for a longer period of time. The general course is divided into several cycles with possible substitution of drugs in the absence of positive dynamics. The patient is prescribed injections or tablets. Antibiotics for asymptomatic prostatitis are also used in the form of suppositories. A man can be prescribed anti-inflammatory and antipyretic suppositories.
In what cases is treatment contraindicated?
When choosing a drug for inflammation of the prostate, the doctor must take into account the characteristics of the patient's body, the presence of allergies and related diagnoses.
In some cases, the reception of antibacterial agents is contraindicated due to individual intolerance to their components. Antibiotics are also not prescribed for patients with severe abnormalities of kidney function. They are used with caution in the presence of certain diseases of the digestive tract.
When selecting medications, the patient's age must be taken into account. Therefore, an adult man is prescribed an antibiotic for prostatitis without age restrictions, in adolescence natural analogues of synthetic drugs are selected.
Is it possible to cure prostatitis without antibiotics?
Despite the high effectiveness of antibacterial drugs, their use has a certain negative effect on the body.
Is it possible to do without synthetic bactericides or replace them with safer natural analogues?
Unfortunately, in the bacterial form of the disease, this is the only way to quickly improve the patient's condition and completely eliminate infectious pathogens. Treatment of prostatitis without antibiotics is impossible.
General recommendations for antibacterial therapy.
The success of treatment depends not only on the correct selection of medications. An important factor is the patient's compliance with several basic rules during the therapeutic course and during the rehabilitation period.
- Antibiotics for inflammation of the prostate should be taken only as prescribed by a specialist.
- The duration of therapy is determined taking into account the type of pathogen and the stage of the disease, therefore, for complete recovery it is necessary to complete the recommended course of treatment for prostatitis in full. Premature withdrawal of medications will lead to the need to use stronger antibiotics in the future.
- During antibiotic therapy, a diet with the exception of spices, fatty foods, pickles and sweets is necessary.
- For certain reactions of the body to antibiotics, the list of medications is supplemented with hepatoprotectors, probiotics and antiallergics. Since the beneficial microflora is partially damaged when using bactericides, taking an antifungal drug (nystatin) is indicated during antibiotic therapy.
Antibiotics affect the number and activity of sperm, and therefore the ability to conceive is restored no earlier than 3-4 months after recovery.
Currently, antibiotics are the only effective means in the treatment of infectious prostatitis. The correct combination of medications and compliance with the recommendations of the treating doctor are the main conditions for restoring the functioning of the prostate.