Inflammation of the prostate gland is a complex but curable disease. When the first symptoms appear, you should immediately consult a doctor, as self-medication leads to serious complications - infertility, impotence, oncological complications and can cause death. Modern drugs for the treatment of prostatitis quickly and efficiently fight the disease. The drug method is the main one in therapy and is widely used in different stages of the disease.
Medical treatment of prostatitis
The use of certain drugs, as well as their effectiveness, depends on the pathogen, the form and the degree of the course of the disease. Antibiotics are widely used for the treatment of bacterial prostatitis in acute and chronic forms. Medicines are also effective against bacterial prostatitis, when the disease is permanent.
For the treatment of the prostate gland, a complex technique is used and several drugs belonging to different groups according to the method of exposure and therapeutic effect are prescribed:
- antibiotics or other antibacterial drugs;
- spasms and sedatives;
- adrenaline blockers that reduce the tone of muscle tissue;
- immunomodulators that stimulate the activity of the immune system;
- hormonal and antihistamines;
- vitamin and mineral complexes;
- anticholinergic drugs.
All appointments are made by a urologist based on the results of tests and examinations. Treatment includes:
- cessation of inflammatory processes;
- facilitating the patient's well-being;
- elimination of the causes due to which the disease developed.
As a rule, complex drug therapy is used, including several types of drugs, the details of which are presented in the table.
| Varieties of drugs | Description | Purpose |
|---|---|---|
| Antibiotics | Kill the gram-negative and gram-positive bacteria that cause disease. The main drug. | Effective in case of detection of a bacterial infection. They are prescribed based on the analysis of the secretion and the antibiogram, which determines the sensitivity of the microbe to the drug. |
| Immunomodulators | Restore the protective functions of the body, activate immunocompetent cells. | Recommended when immunity decreases, they are almost always used to treat severe forms of prostatitis. Effective for viral, helminthic, allergic prostate inflammation. |
| Alpha blockers | Block the possibility of interaction of adrenoreceptors with adrenaline and norepinephrine. They belong to the second line of therapy. | They are prescribed to reduce the tone of the prostate, blood vessels and bladder, as a result of an imbalance between the sympathetic and parasympathetic nervous systems. |
| Non-steroidal anti-inflammatory drugs | Anti-inflammatory medications. They block the formation of prostaglandins, which provoke fever, convulsions and muscle pain, causing dysfunction of the genitourinary system. | They are used as an additional drug for symptomatic treatment in complex drug therapy for acute and chronic diseases. |
| Painkillers | Analgesics that relieve pain syndromes cause relief. The pain subsides for a while. | It is discharged to relieve pain, in various places, characterized as unbearable. |
| Herbal tablets | They are made from natural substances of plant or animal origin. | They are used as additional medicines and for prophylactic purposes. |
Each group of drugs is described in detail below, however, it should be noted that this information is for informational purposes only, each appointment is made by a urologist and treatment is carried out under his supervision.
Antibiotics in the treatment of prostatitis
Antibiotics are the mainstay of medical treatment for bacterial prostatitis. Depending on the pathogen, the presence or absence of concomitant infectious diseases, as well as with a certain course of bacterial inflammation of the prostate, the attending physician may decide on their appointment. Broad-spectrum drugs are mainly used. Taking into account the severity of the course of the disease, drugs are prescribed in the form of tablets, intramuscular or intravenous injections, drips.
Treatment of acute prostatitis without the use of antibiotics is ineffective, since this disease is most often caused by bacterial infections. The use of this group of drugs allows you to control the disease. The duration of the course is about two weeks, the relief is already felt in the first days.
The situation with the treatment of chronic prostatitis is much more complicated. In this case, an antibiotic is prescribed depending on the indication of CFU in the gonadal extracts, against the background of an increase in leukocytes in the secretion. The course of treatment is longer, it can be 6-8 weeks. The choice of drug should be based on the indications of the antibiogram.
With asymptomatic prostatitis, antibiotics are prescribed only according to indications:
- infertility;
- before surgery;
- before taking prostate tissue for biopsy;
- when pathogens such as gonorrhea or chlamydia are identified.
It is also necessary to use antibiotics if non-bacterial prostatitis is caused by parasitic or fungal infections, appears against the background of other bacterial diseases, etc.
Important! Treatment with antibiotics should be accompanied by antifungal and eubiotic drugs necessary to restore the intestinal microflora.
Why are immunomodulators prescribed for the treatment of prostatitis?
Inflammation of the prostate is a serious disease, as a result of which the protective functions of the body weaken significantly. Especially in the case of chronic prostatitis, when the immune system works at its limit. Preparations that stimulate its work significantly accelerate the healing process, regardless of the type and form of prostatitis. They work efficiently in cases of viral damage, when antibiotics are powerless.
The wrong prescription of immunostimulants can negatively affect the patient's health, so it is necessary to consult an experienced immunologist.
Important! To get accurate information about the state of the immune system, an immunogram is recommended.
The course of treatment cannot last more than two weeks. You cannot simultaneously take two types of immunomodulators that have a similar effect.
For categories such as viral and allergic prostatitis, as well as diseases resulting from an attack on the body by protozoa and helminths, accompanied by a sharp and inevitable decrease in immunity, the choice and use of immunostimulating drugs is essential for a treatment ofsuccessful.
Alpha-blockers and features of their use in the treatment of prostatitis
In the process of developing inflammation of the prostate gland, problems with urination inevitably arise, this is due to the high tone of the muscle tissues of the genitourinary system. To remove this problem, you need to relax the muscles. For these purposes, alpha-adrenergic blockers are used, which block the release of adrenaline, soften muscle tissue by acting on bladder and prostate receptors.
Alpha-blockers belong to the second line of drugs and are used in complex drug therapy as symptomatic treatment. Their action is aimed at normalizing intraurethral pressure, reducing the tone of the bladder and its neck, the smooth muscles of the prostate gland. As a result, the symptoms are reduced, manifested in the form of frequent and painful urination.
The effectiveness of the drug is 48-80%, after taking it:
- the process of urine flow is normalized;
- pain decreases;
- sexual desire returns;
- blood stagnation in the pelvis stops;
- benign hyperplasia reduced.
Medicines of this group are used not only in urology, but are also widely used for the treatment of other diseases. The duration of treatment is determined by the attending physician.
All alpha-blocker drugs are divided into two groups:
- Selective, with a minimal number of side effects. It selectively blocks alpha-1-adrenergic receptors located in the bladder and prostate. They often cause retrograde bleeding.
- Non-selective, affects the sensitivity of all alpha receptors, has a pronounced effect not only on the genitourinary organs, but also on the central nervous system.
The use of alpha-blockers in the treatment of prostatitis significantly increases the effectiveness of antibiotics and anti-inflammatory drugs, allows you to speed up the time for which you can cure the patient. They are especially necessary for patients who suffer along with prostatitis hypertension.
There are contraindications for use, ignoring them can lead to the development of orthostatic collapse and other serious consequences. It is equally important to follow the rules for combining the drug with other drugs.
Careful! The decision to associate alpha-blockers with therapy can only be made by the attending physician.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
These drugs relieve inflammation, lower the temperature and neutralize the pain, they are considered only as auxiliary drugs. As a result of their use, the production of prostaglandins involved in the development of inflammation is suppressed. After taking NSAIDs, the intensity of the inflammatory process decreases significantly, as well as:
- hyperemia decreases and the blood circulation of the glandular tissue is restored;
- relieves pain and stops spasms;
- the temperature decreases, the febrile state stops.
The appointment is made by the attending physician, in urgent cases, for example, a single independent appointment. Without complex drug treatment, these drugs, if used without a prescription, will only worsen the health condition.
Nonsteroidal anti-inflammatory drugs are available in the following dosage forms:
- pills;
- candles;
- injections.
Relief after taking the desired medication occurs within 10-30 minutes. In case of discomfort and discomfort caused by the use of the drug, you should immediately consult a doctor. The most popular in the treatment of urological diseases are drugs based on ibuprofen, ketoprofen, diclofenac, as they have fewer side effects, while their effectiveness is particularly high.
Combined rectal suppositories (candles melted by body temperature), which may include antibacterial, analgesic and anti-inflammatory substances, have a significant impact on the course of the disease.
The first place in the rating of the popularity of drugs based on diclofenac.
Painkillers for prostatitis
The most popular sedatives to use in the treatment of prostatitis are analgesics.
Another dosage form - suppositories, is more effective than tablets, as it has a direct effect on the affected area. Leading positions are occupied by novocaine preparations, however, their independent use is unacceptable, since an accurate calculation of the dose is necessary, otherwise allergic reactions may follow. An overdose is also possible, accompanied by nausea and vomiting, hallucinations, convulsions, fear, panic, etc.
Candles with belladonna not only anesthetize, but also have an antispasmodic and anti-inflammatory effect. Effective means that are available in the form of suppositories, tablets and injections.
Many anti-inflammatory drugs, including rectal suppositories, have an analgesic effect.
Frequent use of painkillers is extremely dangerous, as this can easily lead to complications. The only justified expectation to relieve excruciating pain.
Should I take herbal pills?
Medicines produced on the basis of natural raw materials differ significantly from their "synthetic counterparts". The advantages of herbal drugs are: a unique composition rich in biologically active native drugs (unchanged), high bioavailability of drugs, low allergenicity and environmental friendliness.
Homeopathic and herbal preparations are gaining great popularity, but their use instead of antibiotics and anti-inflammatory drugs is not only ineffective, but also harmful to health.
As part of complex therapy, these drugs are safe and do not harm the body. However, their reception should be coordinated with the attending urologist.
To achieve the effect, herbal preparations must be taken for many months, during which time acute prostatitis can turn into a chronic phase and advanced forms can become complicated and develop into diseases that require surgical treatment and even become a cause of oncology.
Prevention with herbal preparations
The use of herbal preparations in any form is justified if they are used exclusively as additional means. Good results are achieved in cases where homeopathy is used for prevention and as home use after receiving a full course of medical treatment.
Herbal preparations have the following properties:
- Uroseptic effect, have tablets and teas with tansy, centaury, bearberry. Thanks to them, prostate tissues are cleaned of bacteria, viruses and toxins derived from their vital activity.
- Oppressive inflammatory processes in the prostate gland. For the production of the use of calendula, yarrow, bearberry, St. John's wort and sage.
- Improving blood circulation and eliminating congestion in the prostate is achieved with tablets based on chestnut and sweet clover.
- The preservation of the immune system is carried out with the help of ginger, ginseng, mint and lemon.
For men at risk, it is recommended to take specialized preventive drugs: vitamin and mineral complexes, dietary supplements, herbal preparations - tablets, suppositories, herbal preparations. They are also suitable for restoring health and strength after drug treatment.
Preventive agents can be narrowly targeted or have a broad spectrum of action. As with medical purposes, all prescriptions for disease prevention are made by a doctor. Even the most harmless products can harm your health if used incorrectly.
Rehabilitation after an illness does not require hospitalization and the patient stays at home. Depending on the appointment of medical procedures, they can be performed in a clinic or in sanatoriums.