How to Treat Prostatitis
The treatment for the prostatitis, which is inflammation of the prostate, is done according to their cause and, in most of the times recommended the use of antibiotics, such as Ciprofloxacin, Kanamycin, Penicillin or Ofloxacino, for example, since the main cause of prostatitis is infection by bacteria, mainly Escherichia coli.
Depending on the general state of the person, the treatment indicated by the doctor can be done via oral or parenteral, being necessary in this case that the person be admitted to the hospital during the treatment. In more severe cases, it can be recommended to perform a surgical procedure to remove part or the prostate complete.
In cases where it is not possible to relieve the pain and other symptoms of prostatitis only with the use of antibiotics and daily care, such as bath seat and exercises to strengthen the pelvic muscles, the doctor may still prescribe painkillers, such as Paracetamol or Ibuprofen, which help reduce inflammation and relieve pain.
How is it treated
The treatment of prostatitis is done according to the type of inflammation, being recommended by the urologist in the house case:
- In the case of prostatitis acute bacterialit is recommended the use of antibiotics by parenteral or oral, and is usually recommended the use of Fluoroquinolone, such as Kanamycin or Ofloxacin, Cephalosporins second and third generation, or Penicillin associated with the Erythromycin, for example. This treatment should be done according to the guidance of the doctor, being in most cases indicated that the use of antibiotics is made by more or less 14 days. However, some doctors may choose to extend the treatment for 4 to 6 weeks when the patient presents clinical improvement with the use of Trimethoprim – Sulfamethoxazole. In addition, it can be indicated the use of anti-inflammatory medications to relieve the symptoms of prostatitis;
- In the case of prostatitis chronic bacterial, the urologist usually recommends the use of oral antibiotics, such as Trimethoprim-Sulfamethoxazole, Kanamycin or Ofloxacin for about 90 days. You can be indicated also the use of anti-inflammatory drugs with the objective of reducing the signs of inammation, such as Acetaminophen or Ibuprofen, for example;
- In the case of chronic prostatitis of inflammatory and non-inflammatory, it is recommended the use of antibiotics, physiotherapy and pelvic sitz baths, which should be done with warm water, every day for 15 minutes.
In the most serious cases, when prostatitis is not remedied within 3 months, and the symptoms remain or progress, the urologist can indicate the performance of a surgical procedure, similar to the procedure for prostate cancer, with the goal of removing a portion or completely, the prostate.
In addition, to relieve the symptoms of prostatitis, such as pain or difficulty urinating, you may still be advised to avoid doing activities that put pressure on the genital region, such as cycling, for example, sit comfortably, preferably using a soft pad, and to do exercises to strengthen the pelvic muscles, Kegel exercises, because it helps to relieve the urinary symptoms.
Signs of improvement of prostatitis
The main symptoms of improvement in the prostatitis come up about 3 to 4 days after the start of antibiotic treatment and include relief of pain, reduction of fever and disappearance of the difficulty to urinate.
Although these symptoms arise in the first week of treatment, it is important to keep the use of antibiotics until the end of the packaging or until the indication of the doctor, to prevent the inflammation of the prostate happen again, and the emergence of bacteria resistant to the antibiotics used.
Signs of worsening of prostatitis
The signs of worsening of prostatitis are rare and usually only arise when treatment is not started, or when it is being done wrong, including increased pain, chills, increasing fever, or blood in the semen. In these cases it is advised quickly consult a urologist or go the emergency room.
Complications of prostatitis
If the prostatitis is not treated, even after the emergence of signs of worsening, it can lead to some serious complications, such as massive infection, urinary tract infection or urinary retention that may put in risk the life of the patient, and should be treated in the hospital.