Inflammation of the prostate causes pain, problems urinating and erectile dysfunction. In the presence of complications, prostatitis causes 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 prostatitis treatment regimen necessarily includes the use of 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
Often men have questions: "What are antibiotics? ", "Why is it necessary to take antibacterials 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 substances of the drug inhibit only pathogenic microflora, with practically no effect on ordinary cells in the body.
The need for antibiotic therapy 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 from the urethral epithelium are performed. If pathogenic microflora is detected, the patient is diagnosed with "bacterial prostatitis". Next, a test is performed to determine the sensitivity of the pathogen to the main types of antimicrobials. In this way, it is established which antibacterial drugs will be effective for a given 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 likelihood of exacerbations in the chronic form of the pathology.
- The availability of different forms of medicines (injectable solutions, tablets, suppositories) makes it possible to select suitable medicines for each patient.
- Complex antibacterial therapy allows you to eliminate all types of pathogens and ensure complete recovery. In this case, several different types of medications can be used, as well as new generation broad-spectrum antibiotics, developed for use in urology.
It is important to remember that there is still no universal cure for prostatitis. Self-administration of any medication can worsen the condition and make inflammation chronic.
What antibiotics to take for prostatitis
In modern medicine, several classes of antibacterial agents are used, differing in chemical structure and the ability to suppress the growth of certain types of pathogens.
Urological antibiotics for men are used to treat prostate inflammation. 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 for chronic or acute prostatitis with complications. |
| Macrolides | The least toxic products for the body and 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 course for acute inflammation and the need for quick relief of symptoms. |
| Cephalosporins | The most powerful medicines that eliminate almost all types of pathogenic microorganisms. The use of cephalosporins is indicated for acute infectious prostatitis. |
Some of the listed drugs are used as antibiotics for benign prostate adenoma in case of complications of the pathology due to an inflammatory process of infectious etiology.
More 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 medicines, creating stronger drugs of the second, third and fourth generations from them.
Performing bacterial culture and determining the sensitivity of microorganisms makes it possible to determine the most effective antibiotics for prostatitis.
Currently, many urologists present with the following:products containing antibiotics:
- Second generation fluoroquinolone with good penetration capacity. Due to the high concentration of the active substance in cells, it is active against most intracellular pathogens.
- Product from the tetracycline group with a broad spectrum of action. The maximum concentration of the drug in the prostate is observed 30 minutes after administration, which is very important if a quick therapeutic effect is needed during exacerbations. These relatively cheap 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, gonococci, Proteus, Enterobacter.
- Effective in the presence of most types of pathogens. The introduction of clavulanic acid into the composition of the medicine 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. Penetrates the source of inflammation in 50-60 minutes, relieving the main symptoms of the acute phase of the disease.
- Medicine 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 the 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 must be taken into account.
Thus, 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 by infusion or intravenous injection. To ensure effective treatment of acute prostatitis in men, drugs from the cephalosporin class are selected. After improvement, the doctor can replace the medications with milder ones.
Antibiotics for chronic infectious prostatitis must be taken for a longer period. The general course is divided into several cycles with possible replacement of medications in the absence of positive dynamics. The patient is given injections or pills. Antibiotics for asymptomatic prostatitis are also used in the form of suppositories. A man can be given anti-inflammatory and antipyretic suppositories.
In what cases is treatment contraindicated?
When choosing a medicine 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, the use of antibacterial agents is contraindicated due to individual intolerance to their components. Antibiotics are also not prescribed for patients with severe abnormalities in kidney function. They are used with caution in the presence of certain diseases of the digestive tract.
When selecting medications, 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 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 get rid of infectious pathogens. Treatment of prostatitis without antibiotics is impossible.
General recommendations for antibacterial therapy
The success of treatment does not only depend on the correct selection 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 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 a complete recovery, it is necessary to fully complete the recommended treatment for prostatitis. Premature withdrawal of medications will lead to the need for stronger antibiotics in the future.
- During antibacterial therapy, 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 medications is supplemented with hepatoprotectors, probiotics and antiallergics. As the beneficial microflora is partially harmed by the use of bactericides, the use of an antifungal (Nystatin) is indicated during antibiotic 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 main conditions for restoring prostate function.