Inflammation of the prostate causes pain, urination problems and erectile dysfunction. In the presence of complications, prostatitis becomes the 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
Quite often, men ask themselves questions: "What are antibiotics? "», "Why is it necessary to take antibacterial agents for prostate inflammation?
The main difference between antibiotics and other medications is their ability to suppress the growth of bacteria that causes infectious diseases. At the same time, the active substances of the drug inhibit only pathogenic microflora, with practically no effect on ordinary cells of the body.
The need for antibacterial treatment is established at the diagnostic stage. If the patient has symptoms characteristic 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 is carried out. If pathogenic microflora is detected, the patient is diagnosed with "bacterial prostatitis". Next, a test is carried out to determine the sensitivity of the pathogen to the main types of antimicrobial drugs. In this way, it is established 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 the proliferation of pathogenic bacteria. In this way, it is possible to avoid complications and reduce the risk of exacerbations of the chronic form of the pathology.
- The availability of different 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 no universal cure for prostatitis yet. Self-administration of any medication can lead to worsening of the condition and chronic inflammation.
What antibiotics to take for prostatitis
In modern medicine, several classes of antibacterial agents are used, differing in chemical structure and ability to suppress the growth of certain types of pathogens.
Urological antibiotics for men are used to treat inflammation of the prostate. Let's take a closer look at the groups of urological drugs and their clinical significance.
| CLASSES | POSSIBILITY OF APPLICATION |
| Penicillin group | Inexpensive antibacterial agents prescribed during initial diagnosis. Amoxicillin and chloramphenicol are ineffective in 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 treatment of acute inflammation and the need to quickly relieve symptoms. |
| Cephalosporins | The most powerful drugs that eliminate almost all types of pathogenic microorganisms. Taking cephalosporins is indicated in cases of acute infectious prostatitis. |
Some of the listed drugs are used as antibiotics for benign prostate adenoma in cases of complications of the pathology by an inflammatory process of infectious etiology.
The most efficient
The main problem in the presence of any infectious disease is bacterial resistance to first generation antibiotics. In this regard, pharmacologists are constantly improving existing drugs, creating on their basis more powerful drugs of the second, third and fourth generations.
Performing a bacterial culture and determining the sensitivity of the microorganisms makes it possible to determine the most effective antibiotics against prostatitis.
Currently, many urologists introduce the following:products containing antibiotics:
- Second generation fluoroquinolone with good penetrating power. Due to the high concentration of the active substance in cells, it is active against most intracellular pathogens.
- A product from the tetracycline group with a wide 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 against 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 within 50-60 minutes, relieving the main symptoms in the acute stage of the disease.
- A drug 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 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 should be taken into account.
So, with the rapid development of the inflammatory process with a significant deterioration in the patient's well-being, hospitalization is necessary. To quickly deliver the active ingredients to inflamed tissues, antibiotics are administered by infusion or intravenous injection. To ensure effective treatment of acute prostatitis in men, drugs from the cephalosporin class are selected. Once improvement is noted, the doctor may replace the medications with gentler ones.
Antibiotics for chronic infectious prostatitis need to be taken over a longer period of time. The general course is divided into several cycles with possible replacement 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 which cases is treatment contraindicated?
When choosing a drug for prostate inflammation, the doctor must take into account the characteristics of the patient's body, the presence of allergies and associated diagnoses.
In some cases, taking antibacterial agents is contraindicated due to individual intolerance to their components. Antibiotics are also not prescribed to patients with serious abnormalities in kidney function. They are used with caution in the presence of certain diseases of the digestive tract.
When choosing medications, the patient's age should be taken into account. So, an antibiotic for prostatitis is prescribed to an adult man without any age restrictions, and 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 case of a bacterial form of the disease, this is the only way to quickly improve the patient's condition and completely get rid of infectious pathogens. Treatment of prostatitis without antibiotics is impossible.
General recommendations for antibacterial treatment
The success of treatment does not only depend on the correct choice 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 prostate inflammation should only be taken 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 a complete recovery, it is necessary to fully follow the recommended treatment for prostatitis. Premature discontinuation of medications will lead to the need to use stronger antibiotics in the future.
- During antibacterial treatment, a diet is necessary 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 bactericides, taking an antifungal drug (Nystatin) is indicated during antibacterial treatment.
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 attending physician are the main conditions for restoring the functioning of the prostate.