How to treat prostatitis with drugs?

Antibacterial therapy for prostatitis is not the only treatment. Antibacterial drugs are prescribed only if there are appropriate indications, mainly with periodic exacerbations and an increase in the severity of the manifestations of the disease.

medicines for prostatitis

The effectiveness of drugs for the treatment of prostatitis

It is known that various antibiotics can overcome the prostatic barrier to an unequal degree, and therefore their concentration in the prostate gland, and, consequently, their effectiveness in the treatment of prostatitis are different. Therefore, from the medicines to which the greatest sensitivity of the flora is established, those with the maximum ability to penetrate into the prostate are selected. Such an approach in the treatment of prostate adenoma can seriously speed up recovery.

Preparations for the treatment of prostatitis of a wide spectrum of action

Another condition for the effectiveness of the drug used to treat prostatitis is that it has a wide spectrum of antibacterial action. This is due to the fact that it is quite difficult to reliably determine the flora that lives in the prostate. Those with a wide spectrum of antibacterial activity primarily include drugs of the penicillin group. Valuable properties in terms of penetration through the prostatic barrier and the breadth of antibacterial action have drugs of the tetracycline series.

Modern preparations of the fluoroquinol group

New antibacterial agents that have a significant advantage over others are drugs of the fluoroquinolone group. These drugs have a broader spectrum of antimicrobial activity and the ability to accumulate in the prostate in high concentrations when taken orally. In addition to the direct antibacterial action, fluoroquinolones almost never cause immunodeficiency in the patient and, most importantly, they do not develop resistance of microorganisms.

Tetracycline preparations are also widely used as antibacterial therapy.

A young patient who is prescribed a course of antibiotic therapy should be aware that the drugs used can have a spermotoxic effect. Therefore, between the use of these drugs and the intended conception, it is necessary to have a gap of at least 4 months, exceeding the full cycle of spermatogenesis.

Antibacterial drugs are prescribed, as a rule, for chronic bacterial prostatitis or for infectious chronic prostatitis. In non-infectious chronic prostatitis, treatment tactics remain controversial and controversial. Antibacterial drugs are prescribed to such patients in the hope of a cure for latent infection.

Antibacterial drugs for suspected chronic prostatitis are not prescribed immediately, that is, not from the first visit. As a rule, within no more than a few days, the doctor examines the patient for infection. During this period, symptomatic therapy is recommended, usually anti-inflammatory action in the form of 50 mg of diclofenac or 100 mg in suppositories, which has anti-edematous and analgesic effects.

After establishing the type of bacteria and their sensitivity, antibacterial drugs are prescribed, of which fluoroquinolones are the most effective. Treatment is carried out for 4 or more weeks (minimum 28 days) under clinical and bacteriological control.

With a positive effect in patients with recurrent chronic prostatitis, the use of an antibacterial drug is recommended to be extended up to 6-8 weeks. Sometimes prolong antibiotic therapy up to 16 weeks with a practical cure after that. In the absence of a positive result, the antibacterial drug used is refused, but not earlier than after 2 weeks of treatment. The ideal antibacterial drug should be fat-soluble, not bound to serum proteins, slightly alkaline, so that it is maximally concentrated in the prostate gland itself, and not in plasma. The best in terms of these requirements are fluoroquinolones, which have the best pharmacological properties in the treatment of chronic prostatitis; they create a sufficient concentration in the prostate gland, in its secret and semen, are active against most of the bacteria found in chronic prostatitis.

So, a necessary condition for the maximum effectiveness of antibiotic therapy in chronic prostatitis is the observance of the following general principles:

  • isolation and determination of the microflora that causes prostatitis, and the identification of its sensitivity to antimicrobial agents;
  • selection of the most effective drugs that do not cause side effects;
  • determination of effective doses, methods and frequency of administration, taking into account the characteristics of the impact of the selected drug;
  • timely initiation of treatment and a course of antimicrobial therapy sufficient in duration to ensure the maximum possible effect;
  • a combination of antibacterial drugs both among themselves and with drugs and procedures that enhance the antimicrobial effect, reduce the incidence of complications, improve microcirculation in the prostate;
  • conducting complex therapy, taking into account the characteristics of the general state of health of the patient.

Sometimes, with prolonged or overly active antibiotic therapy, intestinal dysbacteriosis develops (a decrease in the number and activity of normal intestinal microflora). In these cases, it is recommended to use drugs that contribute to its recovery.

The results of the treatment of prostatitis with drugs

The strategy and tactics of antibiotic therapy are complex and diverse, but its use can improve the effectiveness of treatment.

After successful antibiotic treatment of prostatitis, a more or less long period of well-being may occur. But, as a rule, sooner or later, the painful sensations that caused anxiety return. Therefore, the use of antibacterial drugs in itself is not considered sufficient. Good results are obtained by a therapeutic program aimed at increasing local and general resistance. In this case, you can count on the success of antibiotic therapy or a long-term remission.

Improving microcirculation in the prostate

In all forms of chronic prostatitis, in addition to affecting the microflora, they seek to restore microcirculation in the prostate, improve the outflow of secretions from the ducts of the gland, increase the intensity of metabolic processes in the focus of inflammation and local and general resistance.

Non-steroidal anti-inflammatory drugs are regarded as an important step in the treatment of chronic prostatitis. Their positive effect on microcirculation has been proven.

Decongestant treatment includes measures aimed at reducing venous stasis in the small pelvis: stopping interrupted sexual intercourse, sedentary lifestyle, frequent alcohol intake, etc. With varicose veins of the lower extremities and hemorrhoidal veins, which can also be the cause of prostatitis, surgical treatment is performedthese diseases. With congestive non-infectious prostatitis, only decongestant therapy is performed.

The complex of treatment of chronic prostatitis includes special preparations with a highly effective effect. In some cases of exacerbation of chronic prostatitis in the presence of dysuric phenomena caused by venous congestion, drugs are used to reduce the urge to urinate, which reduce the tone of the smooth muscles of the prostate. But only a doctor can recommend them.

Elimination of pain in prostatitis

Since the presence and severity of pain in prostatitis serve as the main indicator for the patient, which determines his attitude to the disease and affects the manifestation of depression, analgesic therapy in the treatment of chronic prostatitis is one of the most important components of the general therapy of the disease. Observed in chronic prostatitis pain syndromes are very diverse in their localization, duration and intensity. In this regard, the method of using analgesic drugs is of great importance.

Oral (through the mouth) reception is quite effective and relieves pain for a while. Even more effective is the rectal use of painkillers in suppositories and microclysters, since they use the combined action of analgesics and anti-inflammatory drugs, as well as temperature effects. To change the tone of the gland, belladonna extract can be introduced into the candles.

We strengthen immunity

In the treatment of chronic prostatitis, it is very important to increase the body's reactivity, its defenses, which usually help to cope with any disease. In chronic prostatitis, the body's defenses are reduced. In this regard, without the use of general immunological treatment for chronic prostatitis, it is very difficult to achieve success.

Sometimes a drug is used to treat chronic prostatitis, which increases the reactivity of the body. Possessing a pyrogenic (increasing body temperature) effect, the drug exacerbates chronic inflammation in the prostate gland and turns it into an acute one, which contributes to recovery, since it is easier to treat inflammatory diseases in the acute stage. The drug works when it quickly enters the bloodstream. Therefore, it is administered intravenously, starting with small doses, daily, gradually and carefully increasing the dose. According to this method of intravenous administration, patients with chronic prostatitis should be treated in a hospital, so that they are under observation. The medicine is administered daily for 9-10 days in a row. At the height of an artificially induced exacerbation of chronic inflammation in the prostate gland, from about the 4th day, administration of 1-2 antibiotics and a sulfanilamide or other drug in sufficiently high doses begins. To improve the blood filling of the prostate, physiotherapy is carried out at the same time, and to improve the outflow of prostate secretion - its daily massage. The therapeutic effect in the form of improvement or recovery is obtained to varying degrees in almost every patient.

hormone therapy

It is necessary to use drugs of sex hormones for prostatitis very carefully. In patients suffering from chronic prostatitis for years and decades, such a need may arise. However, it is better to use them after determining the content of sex hormones in the blood serum (testosterone, estradiol, prolactin, FSH, LH). More simple tests can also be performed, such as cytological studies of scrapings from the scaphoid fossa of the urethra. With an imbalance of sex hormones, hormonal drugs can be included in the treatment regimen.

For resorption of scar tissue in the prostate gland with a long course of the disease, enzymes can also be prescribed.

In men suffering from chronic prostatitis for a long time, as we already know, there are violations of sexual function. The latter is subdivided into copulative, reproductive and hormonal. In the vast majority of patients with prostatitis, fortunately, hormonal does not suffer significantly.

In case of violation of the copulative function, or the ability to have sexual intercourse, there is a decrease in erection, a "fading" of orgasm and a violation of ejaculation. The elimination of these symptoms and the normalization of sexual life largely depend on the underlying disease - prostatitis. The more successfully it is treated, the faster the symptoms of sexual dysfunction disappear or decrease.

Therapy of sexual disorders in connection with the neurosis that has arisen includes psychotherapy, sedatives (sedatives) and the appointment of other drugs, depending on the symptoms of a sexual disorder. This therapy shows how the symptoms of prostatitis can affect a person's quality of life.

In case of erectile dysfunction after the main treatment, LOD therapy can be applied, which consists in creating a vacuum in the vessel in which the penis is placed. Due to the created negative pressure, the gaps in the cavernous bodies of the penis expand, blood flows to them. The penis enlarges, an erection sets in.

Repeated procedures lead to an increase in the gaps in the cavernous bodies, to a more stable blood supply to the organ, and ultimately to an improvement in erectile function. A positive effect in chronic prostatitis is also manifested due to increased sexual activity, which has a powerful psychotherapeutic effect.

The method of phallodecompression (LOD) for prostatitis is performed daily or every other day. The treatment course is 10-15 procedures. It is useful to combine phallodecompression with instillation prostate massage, as this increases the degree of absorption of drugs after the procedure is completed.


This type of therapy includes techniques that allow you to directly and directly deliver the drug to its destination. With this method of instillation therapy, drugs are administered through the external opening of the urethra with a conventional disposable syringe with a conical disposable cannula (soft hollow tube) or syringe. The optimal volume of the administered drug mixture is 5 ml. Before manipulation, you should urinate so that the bladder is emptied.

At the time of administration, it is recommended to imitate urination, that is, to relax, then the excess drugs will enter the bladder and will be brought out with the first portion of urine; the head of the penis must be pressed with fingers or a special clamp - this will prevent the injected solution from flowing back after removing the cannula or syringe. And in order for the solution to reach the prostate faster, it is recommended, when introducing it, to gently stroke the filled urethra with the fingers of your free hand towards the perineum.

After the procedure, it is necessary to endure the urge to urinate, otherwise the administered medicinal mixture will immediately flow back. This mixture consists of the same drugs as when taken orally: antibiotics, analgesics, antispasmodics, anti-inflammatory drugs.

Instillation therapy for prostatitis allows the use of a variety of drugs, the choice of which depends on the nature of the disease, as well as on the compatibility of the administered drugs. Oil mixtures should not be administered due to the risk of fat embolism (blockage of blood vessels), in no case should you make the mixture yourself, as you can make a mistake in the dosage, which will lead to unpleasant and even dangerous consequences.

Suppositories (candles)

In the treatment of prostatitis, therapy with suppositories (candles) is widely used. The action of the medicinal preparations included in the suppository is carried out mainly through the general bloodstream, and not through the mucous membrane of the intestinal wall.

The use of candles has a pronounced psychotherapeutic effect. Patients usually tend to use any suppositories for self-treatment of prostatitis, regardless of their composition. Especially often, patients use propolis suppositories, as well as thiotriazoline (0. 5 g per suppository), which have a complex anti-inflammatory and membrane-stimulating effect. In addition to medicated suppositories, magnetic suppositories are also used in the practice of treating prostatitis.


Usually, microclysters are used to treat prostatitis, which are often referred to as alternative treatment for prostatitis. The basis for their use is the simultaneous temperature and drug exposure. Usually microclysters are used before going to bed.

As medicinal substances, they use aqueous infusions of chamomile, calendula, sage or motherwort, brewed with boiling water before setting microclysters. After cooling the infusion to a temperature of 40°C, the drug is injected into the rectum. A small volume is introduced - no more than 100 ml of liquid. In the rectum, drugs should be absorbed, that is, stool immediately after microclystering is undesirable.

Water infusions of herbs can be replaced with 1 teaspoon of alcohol tinctures (calendula, motherwort or chamomile), which are diluted in 100 ml of warm water before administration. In the infusion, you can add 1. 0 g of antipyrine or 10 drops of iodine tincture. The effectiveness of microclysters is well known and needs no proof. Microclysters are usually used simultaneously with antibacterial agents as the final stage of more active local procedures or an independent therapeutic effect with mild pain symptoms.

A very important point is that the use of drugs alone does not lead to a good and lasting effect. It is necessary to perform procedures draining the prostate in combination with drug therapy - only then the effect can be guaranteed /