Inflammation of the prostate causes pain, problems with urination and erectile dysfunction. If complications occur, prostatitis becomes the cause of impotence and infertility. Treatment of the disease is aimed at eliminating unpleasant symptoms and restoring the function 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. Which antibiotics are considered the best for treating 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 prostate inflammation? "
The main difference between antibiotics and other medications 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 and have practically no effect on ordinary cells of the body.
The need for antibacterial therapy is determined 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, semen and scrapings of the epithelium from 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 determined which antibacterial drugs are suitable for a particular patientare effective.
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 reproduction 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 medication (injection solutions, tablets, suppositories) makes it possible to choose the right medication for each patient.
- Complex antibacterial therapy allows you to get rid of all types of pathogens and ensure complete recovery. In this case, several types of various drugs can be used, as well as new generation broad-spectrum antibiotics designed for use in urology.
It is important to remember that there is still no universal cure for prostatitis. Self-administration of any medication can lead to a worsening of the condition and chronicity of inflammation.
What antibiotics to take for prostatitis
Several classes of antibacterial agents are used in modern medicine, differing 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's consider the groups of urological drugs and their clinical significance in more detail.
| CLASSES | APPLICATIONS |
| Penicillin group | Inexpensive antibacterial agents that are prescribed at the initial diagnosis. Amoxicillin and chloramphenicol are ineffective in chronic or acute prostatitis with complications. |
| Macrolides | The least toxic products for the body with a wide spectrum of effects. |
| 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 | In case of acute inflammation and the need for quick relief of symptoms, the drugs are included in the course. |
| Cephalosporins | The most powerful drugs that eliminate almost all types of pathogenic microorganisms. In acute infectious prostatitis, taking cephalosporins is indicated. |
Some of the listed drugs are used as antibiotics for benign prostate adenomas when the pathology is complicated by an inflammatory process of infectious etiology.
Most effective
The main problem with any infectious disease is bacterial resistance to first-generation antibiotics. In this regard, pharmacologists are constantly improving existing drugs and developing stronger drugs of the second, third and fourth generations on their basis.
By conducting a bacterial culture and determining the sensitivity of microorganisms, the most effective antibiotics for prostatitis can be determined.
Currently, many urologists are introducing:Products containing antibiotics:
- Second generation fluoroquinolone with good penetration ability. Due to the high concentration of the active ingredient in the cells, it is effective against most intracellular pathogens.
- A 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 when a rapid therapeutic effect is required 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 within 50-60 minutes and relieves the main symptoms in the acute stage of the disease.
- A drug from the lincosamide group used 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 indolent, with alternating periods of exacerbation and remission. When prescribing medication, the form of the disease must be taken into account.
Therefore, since the inflammatory process develops rapidly and the patient's well-being deteriorates significantly, hospitalization is necessary. In order to quickly deliver the active ingredients to the inflamed tissue, antibiotics are administered by intravenous infusion or injection. To ensure effective treatment of acute prostatitis in men, drugs of the cephalosporin class are selected. As soon as there is improvement, the doctor can replace the medication with gentler ones.
Antibiotics for chronic infectious prostatitis should be taken over a longer period of time. The general course is divided into several cycles, with a possible change of medication 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 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. Antibiotics are also not prescribed to patients with severe kidney dysfunction. They are used with caution in certain diseases of the digestive tract.
When choosing medications, the patient's age must be taken into account. So, 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 certain negative effects on the body.
Is it possible to abandon 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. Prostatitis cannot be treated without antibiotics.
General recommendations for antibacterial therapy
The success of treatment does not only depend on the correct selection of medication. An important factor is the patient's adherence to some basic rules during the course of therapy and during the rehabilitation period.
- Antibiotics for prostate inflammation should only be taken as prescribed by a doctor.
- The duration of therapy depends on the type of pathogen and the stage of the disease. Therefore, for a full recovery, it is necessary to fully complete the recommended treatment of prostatitis. Stopping medication prematurely will mean that stronger antibiotics will have to be used in the future.
- During antibacterial therapy, a diet is required with the exception of spices, fatty foods, pickles and sweets.
- In case of certain reactions of the body to antibiotics, the list of medications is supplemented with hepatoprotectors, probiotics and anti-allergic drugs. Since the beneficial microflora is partially damaged by the use of bactericides, taking an antifungal drug (nystatin) is indicated as part of 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 medications and compliance with the recommendations of the attending physician are the most important conditions for restoring the function of the prostate.