Inflammation of the prostate causes pain, problems urinating and erectile dysfunction. In the presence of complications, prostatitis is 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. What antibiotics are considered the best for the treatment of prostatitis and how should they be taken correctly?
Principles and benefits of treatment
Men often have questions: "What is an antibiotic? ", "Why is it necessary to take antibacterial drugs for prostatitis? "
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 the pathogenic microflora, they have practically no effect on the ordinary cells of the body.
The need for antibacterial therapy is established at the diagnostic stage. If the patient has symptoms typical of prostatitis, the doctor prescribes a series of diagnostic tests to identify the causes of the pathology. In the initial stage, urine, seminal fluid and epithelial scrapings from the urethra are analyzed. If a pathogenic microflora is detected, the patient is diagnosed with "bacterial prostatitis". Then a test is performed to determine the sensitivity of the pathogen to the main types of antimicrobial drugs. In this way, it can be determined which antibacterial drugs will be effective for a particular patient.
Treating prostatitis with antibiotics has several important benefits:
- Pathogenic microbes causing the inflammatory process are quickly removed.
- The body begins to produce substances that prevent the further proliferation of pathogenic bacteria. In this way, complications can be avoided and the probability of aggravation in the chronic form of the pathology can be reduced.
- The availability of different 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 types of pathogens and ensure complete recovery. In this case, several drugs can be used, as well as new-generation, broad-spectrum antibiotics developed for use in urology.
It is important to note 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 should be taken for prostatitis
In modern medicine, several classes of antibacterial agents are used, which differ in their chemical structure and in suppressing the growth of certain types of pathogens.
Urological antibiotics for men are used to treat prostatitis. Let's take a closer look at the groups of urological drugs and their clinical significance.
| CLASSES | APPLICATION OPPORTUNITY |
| Penicillin group | Inexpensive antibacterial drugs that are prescribed during 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 are prescribed for prostatitis, if the inflammation is chronic and caused by the presence of intracellular pathogens (chlamydia, gonococci, mycoplasma). |
| Fluoroquinolones | Medicines for acute inflammation and the need for rapid relief of symptoms are included in the course. |
| Cephalosporins | The most powerful drugs that eliminate almost all types of pathogenic microorganisms. Cephalosporins are recommended for acute infectious prostatitis. |
Some of the listed drugs are used as antibiotics in the case of benign prostate adenoma in the case of complications caused by the inflammatory process of infectious etiology of the pathology.
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 and creating stronger, second-, third-, and fourth-generation drugs based on them.
Carrying out bacterial culture and determining the sensitivity of microorganisms allows determining the most effective antibiotics for prostatitis.
Currently, many urologists introduce:products containing antibiotics:
- Second generation fluoroquinolone with good penetration. Due to the high concentration of the active ingredient in the cells, it is effective against most intracellular pathogens.
- A product belonging to the group of tetracyclines, with a broad spectrum of effects. The maximum concentration of the drug in the prostate can be observed within 30 minutes after administration, which is very important if a rapid therapeutic effect is required during exacerbations. These prostatitis antibiotics are relatively cheap and effective, and have minimal negative effects on the patient's body.
- A third-generation cephalosporin with high antibacterial activity against bacteria such as Escherichia coli, gonococcus, Proteus, Enterobacter.
- It is effective against most types of pathogens. The inclusion of clavulanic acid in the composition of the drug ensures resistance to bacterial enzymes.
- Contains amoxicillin. Recommended for prostatitis caused by gram-positive and gram-negative bacteria.
- Aminoglycoside for the elimination of 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 belonging to the lincosamide group for the elimination of gram-positive bacteria and parasitic protozoa.
Each of the listed drugs 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 slow, with alternating periods of exacerbation and remission. When prescribing drugs, the form of the disease must be taken into account.
Thus, with the rapid development of the inflammatory process and the significant deterioration of the patient's well-being, hospitalization is necessary. In order to quickly deliver the active ingredients to the inflamed tissues, antibiotics are administered by intravenous infusion or injection. To ensure effective treatment of acute prostatitis in men, drugs belonging to the cephalosporin class are selected. After the improvement has occurred, the doctor can change the medication to a more gentle one.
Antibiotics for chronic infectious prostatitis must be taken for a longer period of time. The general course is divided into several cycles, and it is possible to replace drugs in the absence of positive dynamics. The patient is prescribed injections or tablets. The antibiotic for asymptomatic prostatitis is 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 drug for prostatitis, 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 of their components. Antibiotics are not prescribed to patients with severe renal dysfunction. They are used with caution in the presence of certain digestive system diseases.
The patient's age should be taken into account when choosing drugs. Thus, antibiotics for prostatitis are prescribed for adult men without age limit, natural analogues of synthetic drugs are chosen for adolescents.
Can prostatitis be cured 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 bactericides or to 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 infectious pathogens. Treatment of prostatitis is impossible without antibiotics.
General recommendations for antibacterial therapy
The success of the treatment depends not only on the correct selection of drugs. It is an important factor that the patient observes a number of basic rules during the therapeutic course and the rehabilitation period.
- Antibiotics against prostatitis should only be taken as prescribed by a specialist.
- The duration of therapy is determined by taking into account the type of pathogen and the stage of the disease, therefore, for a complete recovery, the recommended method of treatment of prostatitis must be completely completed. Premature withdrawal of the drugs entails the need to use stronger antibiotics in the future.
- During antibacterial therapy, a diet excluding spices, fatty foods, pickles, and sweets is necessary.
- In case of certain reactions of the body to antibiotics, the list of drugs is supplemented with hepatoprotectors, probiotics and anti-allergic drugs. Since the beneficial microflora is partially damaged during the use of antibacterial agents, it is recommended to take an antifungal drug (Nystatin) during the antibacterial therapy.
Antibiotics affect the number and activity of sperm, so the ability to conceive is restored 3-4 months after recovery at the earliest.
Currently, antibiotics are the only effective means of treating infectious prostatitis. The correct combination of drugs and compliance with the recommendations of the attending physician are the main conditions for the restoration of prostate function.