Inflammation of the prostate gland causes pain, problems with urination, and erectile dysfunction. With complications, prostatitis becomes the cause of impotence and infertility. Treatment of this disease aims to eliminate unpleasant symptoms and restore gland function. 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
Often, men have questions: "What is an antibiotic? ", "Why is it necessary to take antibacterial agents for prostate inflammation? "
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 ingredient of the drug inhibits only pathogenic microflora, with almost no effect on normal cells of the body.
The need for antibacterial 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, analysis of urine, seminal fluid and epithelial scraping from the urethra is performed. If pathogenic microflora is detected, the patient is diagnosed with "bacterial prostatitis". Next, tests are carried out to determine the sensitivity of pathogenic agents to the main types of antimicrobial drugs. In this way, it is established antibacterial drugs that will be effective for certain patients.
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 reproduction of pathogenic bacteria. In this way, it is possible to avoid complications and reduce the possibility of exacerbation in the chronic form of the pathology.
- The availability of various forms of medicine (injection solutions, tablets, suppositories) makes it possible to choose the right medicine for each patient.
- Complex antibacterial therapy allows you to get rid of all kinds of pathogenic agents and ensure complete recovery. In this case, several different types of drugs can be used, as well as a new generation of broad-spectrum antibiotics, which were 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 cause the condition to worsen and inflammation to become chronic.
What antibiotics should be taken 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 gland. Let's consider in more detail the group of urological drugs and their clinical significance.
| CLASS | POSSIBILITY OF APPLICATIONS |
| Penicillin group | Inexpensive antibacterial agents prescribed during initial diagnosis. Amoxicillin, chloramphenicol are not effective for chronic or acute prostatitis with complications. |
| Macrolides | The least toxic to the body product with a wide spectrum of action. |
| Tetracycline | 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 drug that eliminates almost all types of pathogenic microorganisms. Taking cephalosporins is indicated for acute infectious prostatitis. |
Some of the drugs listed are used as antibiotics for benign prostate adenoma in cases of pathological complications by inflammatory processes of infectious etiology.
Most effective
The main problem with the presence of any infectious disease is bacterial resistance to first-generation antibiotics. In this regard, pharmacologists are constantly improving existing drugs, creating stronger drugs based on the second, third and fourth generation.
Carrying out bacterial cultures and determining the sensitivity of microorganisms makes it possible to determine the most effective antibiotics for prostatitis.
Currently, many urologists introduce the following:products containing antibiotics:
- A second generation fluoroquinolone with good penetrating ability. Due to the high concentration of the active substance in the cell, it is active against most intracellular pathogens.
- A product from 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 required during an exacerbation. This antibiotic for prostatitis, relatively cheap and effective, has 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 ensures its resistance to bacterial enzymes.
- Contains amoxicillin. Recommended for prostatitis caused by gram-positive and gram-negative bacteria.
- Aminoglycosides to eliminate most gram-negative bacteria. It penetrates into the source of inflammation within 50-60 minutes, relieving the main symptoms in the acute stage of the disease.
- Drugs from the lincosamide group to eliminate gram-positive bacteria and parasitic protozoa.
Each drug listed has its own advantages, so only a urologist can determine the best antibiotic for prostatitis.
Features of treatment of acute and chronic forms
Prostatitis can be acute or indolent with alternating periods of exacerbation and remission. When prescribing medicine, 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 the active ingredient to the inflamed tissue, antibiotics are given by infusion or intravenous injection. To ensure effective treatment of acute prostatitis in men, drugs of the cephalosporin class are chosen. After improvement occurs, the doctor can replace the drugs with milder ones.
Antibiotics for chronic infectious prostatitis should be taken for a longer period. The general course is divided into several cycles with the possibility of replacing drugs in the absence of positive dynamics. Patients are given 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 the 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 related diagnoses.
In some cases, taking antibacterial agents is contraindicated due to individual intolerance to its 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 a drug, the age of the patient must be taken into account. Therefore, antibiotics for prostatitis are prescribed to adult men without any age restrictions; in adolescence, natural analogues of synthetic drugs are chosen.
Is it possible to cure prostatitis without antibiotics?
Despite the high effectiveness of antibacterial drugs, their use has certain negative effects on the body.
Is it possible to do without synthetic bacteria 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 get rid of the infectious pathogen. Treatment of prostatitis without antibiotics is impossible.
General recommendations for antibacterial therapy
The success of treatment depends not only on choosing the right medicine. An important factor is the patient's compliance with some basic rules during the therapeutic course and during the recovery period.
- Antibiotics for prostate inflammation 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 completely. Premature drug withdrawal will lead to the need to use stronger antibiotics in the future.
- During antibacterial therapy, a diet is necessary with the exception of spices, fatty foods, pickles, and sweets.
- For specific body reactions to antibiotics, the list of drugs is supplemented with hepatoprotectors, probiotics and anti-allergic drugs. Since the beneficial microflora is partially damaged when using bacteria, taking antifungal drugs (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 way to treat infectious prostatitis. The correct combination of drugs and compliance with the recommendations of the attending physician are the main conditions for restoring the function of the prostate gland.