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 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
Quite 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 substances of the drug inhibit only pathogenic microflora, with virtually no effect on ordinary cells of the body.
The need for antibacterial 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 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 pathogenic agent to the main types of antimicrobial drugs. In this way, it is established 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) makes it possible to select suitable medications for each patient.
- Complex antibacterial therapy allows you to get rid of all types of pathogenic agents and ensure complete recovery. In this case, several types of different drugs can be used, as well as broad-spectrum antibiotics of the new generation, developed for use in urology.
It is important to remember that there is no universal cure for prostatitis yet. Self-administration of any medications can lead to a worsening of the condition and the inflammation becoming chronic.
What antibiotics to take 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 us consider in more detail the groups of urological drugs and their clinical significance.
| CLASSES | POSSIBILITY OF APPLICATION |
| Penicillin group | Inexpensive antibacterial agents that are prescribed during the initial diagnosis. Amoxicillin, chloramphenicol are ineffective for chronic or acute prostatitis with complications. |
| Macrolides | The least toxic to the body products with a wide 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 | The drugs are included in the course for 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 for acute infectious prostatitis. |
Some of the listed drugs are used as antibiotics for benign prostate adenoma in case of complications of the pathology by an inflammatory process of infectious etiology.
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 stronger drugs of the second, third and fourth generations.
Carrying out bacterial culture 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:
- Second generation fluoroquinolone with good penetrating ability. Due to the high concentration of the active substance in the cells, it is active against most intracellular pathogens.
- A product from the group of tetracyclines with a wide 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 inexpensive and effective, 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 into the source of inflammation within 50-60 minutes, relieving the main symptoms at the acute stage of the disease.
- A drug 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 treatment of acute and chronic forms
Prostatitis can be acute or sluggish 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 required. 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 of the cephalosporin class are selected. After improvement occurs, the doctor can replace the medications with more gentle ones.
Antibiotics for chronic infectious prostatitis should be taken over a longer period of time. The general course is divided into several cycles with possible replacement of medications 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 may be prescribed 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, taking antibacterial agents is contraindicated due to individual intolerance to their 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 selecting medications, the patient's age must be taken into account. Thus, 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 depends not only 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 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 complete the recommended course of treatment for prostatitis in full. Premature withdrawal of drugs 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 certain 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 when using 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 in the treatment of infectious prostatitis. The correct combination of drugs and compliance with the recommendations of the attending physician are the main conditions for restoring the functioning of the prostate gland.