Inflammation of the prostate gland causes pain, problems with urination, 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 involves taking one or more antibacterial drugs. Which antibiotics are considered the best for treating prostatitis and how to take them correctly?
Basic principles and benefits of the 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 ingredients of the drug only inhibit pathogenic microflora, practically without any effect on normal cells of the body.
The need for antibacterial therapy is established in the diagnostic phase. If the patient presents 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 scraping of the epithelium from the urethra is performed. 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. This determines which antibacterial drugs will be effective for a particular patient.
Treatment of 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 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 drugs (injectable solutions, tablets, suppositories) allows you to select suitable drugs for each patient.
- Complex antibacterial therapy allows you to eliminate all types of pathogens and ensure complete recovery. In this case, several types of different 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 a worsening of the condition and inflammation becoming chronic.
What antibiotics to take for prostatitis
In modern medicine, several classes of antibacterial agents are used, which differ 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 gland. Let us consider in more detail 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 | Drugs are included in the course 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 acute infectious prostatitis. |
Some of the listed drugs are used as antibiotics for benign prostatic adenoma in case of complications of the pathology by an inflammatory process of infectious etiology.
The most effective
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 second, third and fourth generation drugs.
Performing bacterial culture and determining the sensitivity of microorganisms allows you to determine the most effective antibiotics for prostatitis.
Currently, many urologists introduce the following:products containing antibiotics:
- Second generation fluoroquinolone with good penetrating ability. Thanks to the high concentration of the active ingredient in the cells, it is active against most intracellular pathogens.
- A product of 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 very important if a rapid therapeutic effect is needed during exacerbations. These antibiotics for prostatitis, relatively cheap and effective, have minimal negative effects on the patient's body.
- Third generation cephalosporins 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 guarantees 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 phase of the disease.
- A drug from the lincosamide group to eliminate gram-positive bacteria and parasitic protozoa.
Each of the listed drugs has its 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 drugs, it is necessary to take into account the form of the disease.
Therefore, with the rapid development of the inflammatory process with a significant deterioration in the patient's well-being, hospitalization is necessary. To quickly deliver active ingredients to inflamed tissues, antibiotics are administered via intravenous infusion or injection. To ensure effective treatment of acute prostatitis in men, drugs from the cephalosporin class are selected. After improvement has occurred, the doctor may replace the medications with more gentle 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 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 the treatment contraindicated?
When choosing a medicine 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, taking antibacterial agents is contraindicated due to individual intolerance to their components. Furthermore, antibiotics are not prescribed to patients with severe renal function abnormalities. They are used with caution in the presence of certain diseases of the digestive system.
When choosing drugs it is necessary to take into account the age of the patient. Therefore, an antibiotic for prostatitis is prescribed to an adult man 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, with a 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 drugs. An important factor is the patient's compliance with some 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 fully complete the recommended course of treatment for prostatitis. Premature withdrawal of drugs will lead to the need to use more powerful antibiotics in the future.
- During antibacterial therapy, a diet with the exception of spices, fatty foods, pickles and sweets is necessary.
- For some 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 by the use of bactericides, taking an antifungal drug (Nystatin) is indicated during antibacterial 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 of treating infectious prostatitis. The correct combination of drugs and compliance with the recommendations of the treating doctor are the main conditions for restoring the functioning of the prostate gland.