The treatment for prostatitis, which is the infection of the prostate, is carried out according to the cause, and most of the times it is recommended to use antibiotics, such as Ciprofloxacin, Levofloxacin, Doxycycline or Azithromycin, for example, if the main cause of prostatitis is bacterial infection.
Depending on the general condition of the person, the treatment indicated by the doctor can be performed orally or parenterally, in which case the person must be hospitalized during the treatment. In more severe cases, a surgical procedure may be recommended to remove part or all of the prostate.
In cases where it is not possible to relieve the pain and other symptoms of prostatitis with the use of antibiotics and daily care, such as toileting and exercise to strengthen the pelvic muscles, the doctor may prescribe analgesic medications, such as Paracetamol or Ibuprofen , which helps to reduce inflammation and alleviate pain. Know the main symptoms of prostatitis.
How is the treatment performed?
The treatment of prostatitis is carried out according to the type of inflammation, as recommended by the urologist, according to the case:
In case of acute bacterial prostatitis, the use of antibiotics by parenteral or oral route is recommended, being normally recommended the use of Fluoroquinolones, such as Levofloxacin, second and third generation Cephalosporins, or Penicillin associated with Erythromycin, for example. This treatment must be carried out according to the indication of the doctor, being in most cases recommended the use of antibiotics for about 14 days. However, some doctors may choose to extend the drug from 4 to 6 weeks. In addition to this, the use of anti-inflammatory drugs may be indicated to alleviate the symptoms of prostatitis;
In case of chronic bacterial prostatitis, The urologist usually recommends the use of oral antibiotics, such as Sulfamethoxazole-Trimethoprim, Levofloxacin or Ofloxacin for about 90 days. It could be indicated the use of anti-inflammatory drugs, with the objective of reducing the inflammatory signs, such as Paracetamol or Ibuprofen;
In case of Chronic inflammatory and non-inflammatory prostatitisthe use of antibiotics, pelvic physiotherapy and seat baths are recommended, which must be performed with tibia water every day for 15 minutes.
Also, to relieve the symptoms of prostatitis, such as pain or difficulty in urinating, the use of alpha blockers, such as Doxazosin, can be recommended, and if you can, avoid activities that have pressure in the genital region, such as riding a bicycle, for example. For example, sitting comfortably, preferably using a soft pillow, and doing exercises to strengthen the pelvic muscles, Kegel exercises, can help alleviate urinary symptoms. See how to perform Kegel exercises.
Signs of prostatitis improvement
The main symptoms of prostatitis improvement appear about 3 to 4 days after the beginning of treatment with antibiotics and include relief from pain, decrease in fever and disappearance of difficulty in urinating.
When these symptoms appear in the first week of treatment, it is important to maintain the use of antibiotics until the end of the chest or until the doctor indicates, to prevent the inflammation of the prostate from occurring and bacteria resistant to the antibiotics used.
Signs of Empeoramiento of Prostatitis
Signs of worsening of prostatitis are rare, and usually, they only arise when the treatment is not started or when it is being carried out in the wrong way, including increased pain, chills, increased fever or blood in the semen. In these cases, it is advisable to quickly consult a urologist or go to the hospital.
If the prostatitis is not treated, even after the appearance of the signs of empeoramiento, some serious complications can arise, such as generalized infection, infection or urinary retention that can put the patient’s life at risk, and must be treated in the hospital.
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