Prostatitisis an inflammatory disease of the prostate.Begins to develop in 80% of young men between 20 and 30 years of age.There is acute and chronic prostatitis.Bacterial prostatitis occurs in 10% of cases.A combination of prostatitis with prostate adenoma and cystitis is often seen.
Prostatitis is usually treated at home, but in severe cases and acute forms, hospitalization may be required.
General information
Bacteria that cause prostatitis:
- Escherichia coli (most common pathogen);
- Klebsiella;
- Staphylococcus;
- streptococcus;
- Pseudomonas aeruginosa;
- chlamydia;
- mycoplasmas;
- gonorrhea;
- Trichomoniasis
Main symptoms:
- burning in the urethra;
- heaviness when urinating;
- frequent urge to urinate, accompanied by a feeling of discomfort;
- sluggish urine stream;
- feeling of full bladder even after urinating;
- decreased potency;
- high temperature (in acute form).
Diagnostic method:
- digital rectal examination of the prostate;
- prostate ultrasound examination;
- microscopic examination of stains;
- bacterial culture of the stain;
- Detection of bacterial DNA by PCR - Androflor.
Antibacterial therapy
The choice of antibiotics to treat prostatitis is quite limited.This is due to the fact that only highly fat-soluble antibiotics can accumulate in sufficiently high concentrations in the prostate.
List of antibacterial drugs for the treatment of acute prostatitis:
- Fluoroquinolone;
- Penicillin;
- Cephalosporins;
- Aminoglycosides.
Antibiotics treat chronic prostatitis:
- Fluoroquinolone;
- Macrolides;
- Tetracycline.
Fluoroquinolone
Fluoroquinolones are the most effective drugs for treating bacterial prostatitis.Broad-spectrum medicine.Active against all pathogens that cause prostatitis.
They are used for both acute and chronic prostatitis.
Side effects:
- photodermatitis - allergic skin irritation under the influence of sunlight;
- tendinitis - inflammation of the tendon;
- arrhythmia - prolongation of the QT interval;
- perturbation;
- sleep disorders.
When fluoroquinolone is used concurrently with nonsteroidal anti-inflammatory drugs, convulsions similar to epileptic seizures may occur.
In each specific case, the dosage and form of use can only be prescribed by a doctor.
Macrolides
The best drugs treat prostatitis caused by intracellular pathogens - chlamydia and mycoplasma.They have anti-inflammatory effects.
The disadvantage is low effectiveness against the main pathogens - Escherichia coli and Klebsiella.
They are used for chronic prostatitis only in tablet or capsule form.
Side effects:
- increased liver enzymes in the blood;
- bile stasis;
- Arrhythmia - Q-T interval prolongation
The course is 8 weeks.
Tetracycline
Active against chlamydia and mycoplasma.Not effective 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 effects:
- peptic ulcer of the esophagus;
- liver and kidney damage;
- teeth staining yellow;
- photodermatitis;
- Coordination of movements is impaired.
Penicillins, cephalosporins and aminoglycosides
They are used as injections in the following cases:
- acute severe prostatitis;
- lack of effect when using fluoroquinolones;
- The main cause of prostatitis is gonococcus.
Nitroimidazole and nitrofurans
These medications are used for prostatitis caused by Trichomonas.
It is strictly forbidden to drink alcohol while taking them.
Side effects:
- metallic taste in mouth;
- impaired ability to coordinate movements;
- increased liver enzyme levels in the blood;
- decreased number of red and white blood cells.
Non-antibacterial therapy
For successful treatment of prostatitis, especially chronic inflammation, in addition to antibiotics, the following treatment methods are used:
- Prostate massage is the best way to improve blood supply and release inflammatory secretions from the prostate;
- physical therapy;
- non-steroidal anti-inflammatory drugs - should not be used in parallel with fluoroquinolones;
- herbal preparations;
- alpha blockers.