How to treat prostatitis

The treatment for prostatitis, which is the infection of the prostate, is done according to its cause, being most often recommended the use of antibiotics, such as Ciprofloxacin, Levofloxacin, Doxycycline or Azithromycin, for example, since the main cause of prostatitis is infection by bacteria, mainly.

Depending on the person's general condition, the treatment indicated by the doctor can be done orally or parenterally, in which case the person must be hospitalized during treatment. In more severe cases, a surgical procedure to remove part or the complete prostate may be recommended.

In cases where it is not possible to relieve pain and other symptoms of prostatitis with antibiotics and daily care, such as a sitz bath and exercises to strengthen the pelvic muscles, the doctor may also prescribe analgesic remedies, such as Paracetamol or Ibuprofen, which help to reduce inflammation and relieve pain. Know the main symptoms of prostatitis.

How the treatment is done

The treatment of prostatitis is done according to the type of inflammation, being recommended by the urologist at home if:

• In the case of acute bacterial prostatitis, the use of antibiotics is recommended parenterally or orally, and the use of fluoroquinolone, such as Levofloxacin, second and third generation cephalosporins, or erythromycin-associated penicillin, for example, is usually recommended. This treatment should be done according to the doctor's guidance, and in most cases it is recommended that antibiotics be used for about 14 days. However, some doctors may choose to extend the treatment for 4 to 6 weeks. In addition, the use of anti-inflammatory drugs to relieve the symptoms of prostatitis may be indicated; in the case of chronic bacterial prostatitis, the urologist usually recommends the use of oral antibiotics, such as Sulfametoxazol-Trimetoprim, Levofloxacin or Ofloxacin for about 90 days. The use of anti-inflammatory drugs may also be indicated in order to reduce inflammatory signs, such as Paracetamol or Ibuprofen, for example; In case of chronic inflammatory and non-inflammatory prostatitis, it is recommended to use antibiotics, pelvic physiotherapy and sitz baths, which should be done with warm water, every day for 15 minutes. Understand how the sitz bath is done.

In addition, to relieve the symptoms of prostatitis, such as pain or difficulty urinating, the use of alpha-blockers, such as Doxazosin, may be recommended, and it may be recommended to avoid doing activities that put pressure on the genital region, such as cycling, for example, sit comfortably, preferably using a soft pillow, and do exercises to strengthen the pelvic muscles, Kegel exercises, as they help to relieve urinary symptoms. Learn how to do Kegel exercises for men.

Signs of improvement in prostatitis

The main symptoms of improvement in prostatitis appear around 3 to 4 days after the start of antibiotic treatment and include pain relief, decreased fever and disappearance of the difficulty to urinate.

Although these symptoms appear in the first week of treatment, it is important to keep using antibiotics until the end of the package or until the doctor's recommendation, to prevent inflammation of the prostate from happening again and the appearance of bacteria resistant to the antibiotics used.

Signs of worsening prostatitis

Signs of worsening prostatitis are rare and usually only appear when treatment is not started or when it is being done wrong, including increased pain, chills, increased fever or blood in the semen. In these cases, it is advisable to consult a urologist quickly or go to the emergency room.

Complications of prostatitis

If prostatitis is not treated, even after the appearance of signs of worsening, some serious complications can arise, such as generalized infection, urinary tract infection or urinary retention that can endanger the patient's life and should be treated at the hospital.

Watch the following video and find out which tests can be performed when you have prostate problems: