prostatitisIt is an inflammatory disease of the prostate.It begins to appear in 80% of young men between the ages of 20 and 30.Prostatitis can be divided into acute and chronic conditions.Bacterial prostatitis occurs in 10% of cases.Prostatitis often occurs simultaneously with prostate adenoma and cystitis.
Prostatitis is usually treated at home, but in severe cases and acute forms, hospitalization may be required.
General information
Bacteria that cause prostate inflammation:
- E. coli (the most common pathogen);
- Klebsiella;
- staphylococcus;
- Streptococcus;
- Pseudomonas aeruginosa;
- Chlamydia;
- Mycoplasma;
- Neisseria gonorrhoeae;
- Trichomonas
Main symptoms:
- Burning pain in urethra;
- Feeling heavy when urinating;
- Frequent urge to urinate, accompanied by an unpleasant sensation;
- Slow urine flow;
- Feeling of full bladder even after urination;
- decreased effectiveness;
- Hyperthermia (acute form).
Diagnosis method:
- digital rectal examination of the prostate;
- Prostate ultrasound;
- Smear microscopy;
- Bacterial culture of smear;
- Detection of bacterial DNA by PCR - Androflor.
antibacterial treatment
Antibiotic options for treating prostatitis are quite limited.This is because only those antibiotics that are highly soluble in fat can accumulate in high enough concentrations in the prostate.
List of antibacterial drugs for the treatment of acute prostatitis:
- Fluoroquinolones;
- Penicillins;
- Cephalosporins;
- Aminoglycosides.
Antibiotics for treating chronic prostatitis:
- Fluoroquinolones;
- macrolides;
- Tetracyclines.
Fluoroquinolones
Fluoroquinolones are the most effective drugs for treating bacterial prostatitis.Broad spectrum drugs.Active against all pathogens of prostatitis.
They are used to treat acute and chronic prostatitis.
side effect:
- Photodermatitis - allergic skin irritation under the influence of sunlight;
- Tendinitis - inflammation of tendons;
- Heart rhythm disorders - Q-T interval prolongation;
- anxiety;
- Sleep disorders.
When fluoroquinolones are taken with NSAIDs, convulsions similar to those seen during a seizure may occur.
In each specific disease case, the dosage and form of use can only be prescribed by the attending physician.
macrolides
Best medicine for treating prostatitis caused by intracellular pathogens - Chlamydia and Mycoplasma.They have anti-inflammatory properties.
The disadvantage is lower effectiveness against the major pathogens - E. coli and Klebsiella.
They are only used in tablet or capsule form to treat chronic prostatitis.
side effect:
- Increased liver enzymes in the blood;
- stagnation of bile;
- Arrhythmias - Q-T interval prolongation
The course lasts 8 weeks.
Tetracyclines
Active against Chlamydia and Mycoplasma.Ineffective against common prostatitis pathogens.Their main advantage is that they are cheap and effective.
Only for chronic prostatitis.
The course of treatment is 8 weeks.
side effect:
- peptic ulcer of the esophagus;
- liver and kidney damage;
- Teeth turn yellow;
- Photodermatitis;
- Impaired coordination of movements.
Penicillins, cephalosporins and aminoglycosides
They are used in the form of injections in the following cases:
- Severe course of acute prostatitis;
- Lack of effectiveness when taking fluoroquinolones;
- The main causative agent of prostatitis is gonococcus.
Nitroimidazole and Nitrofuran
These drugs are used to treat prostatitis caused by trichomonas.
It is strictly forbidden to drink alcohol while taking this product.
side effect:
- metallic taste in mouth;
- Impaired motor coordination;
- Increased levels of liver enzymes in the blood;
- The number of red blood cells and white blood cells decreases.
non-antibacterial treatment
To successfully treat prostatitis, especially chronic prostatitis, in addition to taking antibiotics, the following types of treatments can be used:
- Prostate massage is the best way to improve blood supply to the prostate and drain inflammatory secretions;
- physiotherapy;
- NSAIDs - Do not use with fluoroquinolones;
- herbal preparations;
- Alpha-blockers.