Prostatitis causes pain, difficulty urinating and erectile dysfunction. When complications arise, prostatitis becomes a cause of impotence and infertility. Treatment of the disease is aimed at eliminating unpleasant symptoms and restoring gland function. In cases where the cause of the inflammatory process is pathogenic microorganisms, the treatment regimen for prostatitis must necessarily include the use of one or more antibacterial drugs. Which antibiotics are considered best to treat prostatitis and how to use them correctly?
Basic principles and benefits of treatment
Quite often, men have questions: "What are antibiotics? ", "Why do you need to take antibacterial drugs when you have prostatitis? "
The main difference between antibiotics and other drugs is their ability to prevent the growth of bacteria that cause infectious diseases. At the same time, the active ingredients of the drug only inhibit the pathogenic microflora, and have almost no effect on normal cells of the body.
The need for antibiotic treatment is established at the diagnostic stage. If the patient has symptoms characteristic of prostatitis, the doctor will prescribe a series of diagnostic tests to determine the cause of the disease. At the initial stage, analysis of urine, seminal fluid and epithelial fragments from the urethra is performed. If pathogenic microorganisms are detected, the patient is diagnosed with bacterial prostatitis. Next, a test is performed to determine the sensitivity of the pathogen to the main antibacterial drugs. In this way, it is determined which antibacterial drug will be effective for a particular patient.
Treatment of prostatitis with antibiotics has several important advantages:
- There is a rapid elimination of pathogenic bacteria that cause the inflammatory process.
- The body begins to produce substances that prevent the further growth of pathogenic bacteria. In this way, complications can be avoided and the likelihood of exacerbations in the chronic form of the disease reduced.
- The availability of various forms of the drug (solution for injection, tablets, suppositories) makes it possible to choose the right drug for each patient.
- Complex antibacterial therapy allows you to eliminate all types of pathogens and ensure complete recovery. In this case, several different drugs can be used, as well as new generation broad-spectrum antibiotics, developed for use in urology.
It's important to remember that there is no universal cure for prostatitis. Self-medication of any medication can cause the condition to worsen and the inflammation to become chronic.
What antibiotics should I use for prostatitis?
In modern medicine, several types of antibacterial agents are used, differing in their chemical structure and ability to prevent the growth of certain types of pathogens.
Urinary antibiotics for men are used to treat prostatitis. Let's consider in more detail the groups of urological drugs and their clinical significance.
| CLASSES | APPLICABILITY |
| Penicillin group | Inexpensive antibacterial agents are prescribed during the initial diagnosis. Amoxicillin and chloramphenicol are not effective in chronic or acute prostatitis with complications. |
| Macrolides | The product is least toxic to the body with a wide spectrum of effects. |
| Tetracycline | Usually, 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). |
| Fluoroquinolone | Medications are included in the treatment of acute inflammation and the need for rapid symptomatic relief. |
| Cephalosporins | The strongest drugs help eliminate most types of pathogenic microorganisms. Cephalosporin administration is indicated for acute infectious prostatitis. |
Some of the listed drugs are used as antibiotics for benign prostate tumors in case of pathological complications due to the etiological inflammatory process.
The most effective
The main problem when having any infectious disease is bacterial resistance to first generation antibiotics. In this regard, pharmacologists are constantly improving existing drugs, on their basis creating more powerful drugs of the second, third and fourth generations.
Conducting bacterial cultures and determining the sensitivity of microorganisms helps determine the most effective antibiotic for prostatitis.
Currently, many urologists recommend the following:Products containing antibiotics:
- Second generation fluoroquinolone has good permeability. Due to the high concentration of active ingredients in cells, it is effective against most intracellular pathogens.
- A product belonging to the tetracycline group with a broad spectrum of action. The maximum concentration of the drug in the prostate is observed within 30 minutes after administration, which is important if a rapid therapeutic effect is required during exacerbations. These antibiotics for prostatitis, which are relatively inexpensive and effective, have minimal negative effects on the patient's body.
- Third generation cephalosporins have high antibacterial activity against bacteria such as Escherichia coli, gonococcus, Proteus, Enterobacter.
- Effective in the presence of most types of pathogens. The inclusion of clavulanic acid in the composition of the drug ensures bacterial enzyme resistance.
- 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 within 50-60 minutes, relieving the main symptoms in the acute stage of the disease.
- A drug of the lincosamide group for the elimination of gram-positive bacteria and parasitic protozoa.
Each of the listed drugs has its own advantages, so only a urologist can determine the best antibiotic for prostatitis.
Features of treatment of acute and chronic forms
Prostatitis may be acute or indolent with alternating periods of exacerbation and remission. When prescribing medication, the type of disease must be taken into account.
Therefore, with the rapid development of the inflammatory process and a significant deterioration in the patient's health, hospitalization is necessary. To quickly deliver active substances to inflamed tissues, antibiotics are administered by intravenous infusion or injection. To ensure effective treatment of acute prostatitis in men, drugs from the cephalosporin group are selected. Once your condition improves, your doctor may replace the medications with gentler ones.
Antibiotics for chronic infectious prostatitis should be taken for longer periods of time. The general course is divided into several cycles with the possibility of replacing the drug in the absence of positive dynamics. Patients are prescribed injections or pills. Antibiotics for asymptomatic prostatitis are also used as suppositories. A man may be prescribed anti-inflammatory and antipyretic suppositories.
In what cases is treatment contraindicated?
When choosing a drug to treat prostatitis, the doctor must take into account the patient's body characteristics, the presence of allergies and related diagnoses.
In some cases, the use of antibacterial drugs is contraindicated due to individual intolerance to their components. Antibiotics are also not prescribed to patients with severe abnormalities of kidney function. They are used with caution in the presence of certain diseases of the gastrointestinal tract.
When choosing a medication, the patient's age must be taken into account. So, an antibiotic for prostatitis is prescribed to an adult man without any age restrictions; in adolescence, natural analogues of synthetic drugsselected.
Can prostatitis be cured without antibiotics?
Although antibacterial drugs are highly effective, their use has certain negative effects on the body.
Is it possible to do without synthetic biocides or replace them with safer natural analogues?
Unfortunately, with 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 on antibacterial therapy
The success of treatment depends not only on choosing the right medication. An important factor is the patient's compliance with a number of basic rules during treatment and during the rehabilitation period.
- Antibiotics to treat prostatitis should only be used as prescribed by a specialist.
- The duration of treatment 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 full recommended course of treatment of prostatitis. Stopping the drug prematurely will result in the need for stronger antibiotics in the future.
- During antibacterial treatment, a diet is required, with the exception of spices, fatty foods, pickles and sweets.
- For certain reactions of the body to antibiotics, the list of drugs is supplemented with hepatoprotectors, probiotics and antiallergic drugs. Since the beneficial microflora is partially damaged when using antibacterial drugs, the use of antifungal drugs (Nystatin) is indicated during antibacterial treatment.
Antibiotics affect the number and activity of sperm, so the ability to conceive is restored no earlier than 3-4 months after recovery.
Currently, antibiotics are the only effective method in treating infectious prostatitis. The correct combination of drugs and compliance with the recommendations of the attending physician are the main conditions for restoring prostate function.