Prostatitis is an unpleasant urological disease, the probability of which in men increases in proportion to their age.
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According to medical statistics, almost half of the male population after the age of 50 suffers from some form of prostatitis.
The sooner the correct treatment of prostatitis is diagnosed and prescribed, the more complete and faster the recovery will be.
Definition and causes of prostatitis
Prostatitis is an inflammatory disease of the male prostate, which is a small, very specific glandular organ located next to the urethra and bladder.The main functions of the prostate are to control a man's urination and to produce a secretion that is part of semen. Prostatitis problems and treatment have been addressed in past centuries.
Depending on the causes of the disease, acute prostatitis, chronic non-bacterial prostatitis and chronic infectious prostatitis are distinguished. Depending on the different forms of the disease, different methods are prescribed for the treatment of different types of prostatitis.
Acute prostatitis usually occurs in young men and is most often infectious. From the urethra, the infection enters the prostate gland of the man through the blood vessels or through the lymphatic system, where an acute inflammatory process develops. If at that time you do not consult a doctor and do not treat the disease, then after a short period of time it will already be chronic, in which there is a violation of the structure, functions of the tissues and cells of the prostate, which can lead to irreversible consequences.
Inflammatory processes of the prostate can cause and maintain for a long time and non-infectious factors. A leading place among them is occupied by chronic spasm of the urethra, leading to the involuntary return of urine into the prostate, causing inflammation of the latter.
There are many causes of this disease, some of them should be mentioned:
- all types of sexually transmitted infections: ureaplasma, herpes, E. coli, chlamydia, cytomegalovirus, trichomonas, etc. ;
- low-quality sexual life: insufficient, artificial prolongation of intercourse, etc. ;
- congestion in the pelvic organs and in the prostate of the man;
- overweight, inactive lifestyle;
- stressful situations, various overloads;
- immune system failure;
- general hypothermia of the body;
- hormonal imbalance;
- lack of basic trace elements and vitamins in the man's body;
- drinking and smoking etc.
Quick and effective treatment of prostatitis can only be provided by an experienced urologist. Strictly speaking, chronic and acute prostatitis can occur at any age. Chronic inflammation of the prostate gland is most common in adult men.
Symptoms in the treatment of prostatitis in men, diagnostic methods
The symptoms of acute and chronic inflammation of the prostate gland in men manifest themselves a little differently. The acute stage of the disease is characterized by local and general symptoms:
- General malaise.
- fatigue.
- High body temperature - up to 40 degrees.
- Chills, fever.
- Weakness.
- Headache.
- Frequent urge to urinate, pain during the process itself.
- A weak stream of urine or its complete absence, becausethe prostate can press on the urethra.
- Sharp pain in the perineum of varying intensity, in the inguinal areas, in the lower abdomen - depending on the location of the focus of inflammation in the prostate in relation to the rectum, bladder neck, urethra.
- The mechanism of erection is temporarily disturbed, the general decrease in potency.
- There is a complex mental state of man.
Only after the symptoms of acute prostatitis are accurately established, the urologist will be able to prescribe the correct course of treatment for prostatitis.
Chronic prostatitis is not as severe as its acute form. It is most often characterized by a lack of obvious symptoms or has a mild course, mostly of a local nature. This may include:
- Drawing, slight pain in perineum and adjacent regions.
- The pain may worsen with intercourse, urination and defecation.
- Frequent urge to go to the toilet, constant feeling of incomplete emptying of the bladder.
- Certain discomfort during intercourse.
- Decreased sexual function and, as a result, impotence.
In case of unfavorable factors, an exacerbation of the disease may occur with all the resulting consequences. With the spread of the inflammatory process in width, it includes other organs adjacent to the prostate: epididymis, seminal vesicles, urethra, etc. , The clinical picture of the disease becomes diverse.
In order to choose the right course and method of treatment of prostatitis of different etiology, it is necessary to carry out a detailed diagnosis of the disease and make a correct diagnosis. Currently in the arsenal of doctors there are various methods for detecting this disease. They mainly include:
- digital prostate examination;
- analysis of prostate secretion;
- bacteriological analysis of urine;
- general blood analysis;
- Ultrasound of pelvic organs and prostate;
- magnetic nuclear tomography;
- urography;
- computed tomography, etc.
Modern diagnostics allow not only to determine the presence of a disease in the male body, but also to determine the cause of its appearance and its form.
General principles of prostatitis treatment
After establishing an accurate diagnosis, the urologist draws up an individual complex program for the treatment of the disease for each patient, using modern methods of prostatitis treatment. It should be noted that chronic chronic prostatitis cannot be completely cured, but every effort can be made to prolong the state of remission of the disease for many years. Treatment of prostatitis in an acute form, if all the doctor's recommendations are followed, leads to a complete recovery of the patient.
The overall treatment of different types of prostatitis may include different combinations of the following methods:
- immunocorrective therapy;
- antibiotic therapy;
- hormone therapy;
- various physiotherapy procedures;
- prostate massage;
- lifestyle changes;
- surgery etc.
Treatment for bacterial prostatitis will differ from non-bacterial prostatitis. In the first case, it is necessary to take a course of antibiotics from the fluoroquinolone group, and in the second - a course of anti-inflammatory drugs. Treatment of chronic bacterial prostatitis will consist of the use of antibiotic therapy together with beta-blockers. Along with the treatment of the underlying disease, the use of symptomatic drugs, for example antipyretics and pain relievers, is often required. Severe forms of prostatitis are treated with the help of hormone therapy, but under the constant supervision of a doctor, being stationary.
Only an integrated approach to treatment can lead to a permanent good result. Now each of these areas of prostatitis treatment should be discussed in more detail and specifically.
Antibacterial and hormonal therapy for prostatitis
As mentioned above, most often prostatitis has an infectious nature. In this regard, the passage of a course of antibiotic therapy in the treatment of prostatitis is indicated for each patient, with the course of both acute and chronic nature of the disease. Taking antibiotics can eliminate the underlying cause of the inflammation. The following groups of drugs have been shown to be effective in treatment:
- tetracyclines;
- macrolides;
- fluoroquinolones.
Alpha-blockers are actively used in the treatment of prostatitis, aimed at relieving spasms of the pelvic organs, due to which the swelling of the prostate is removed and the backflow of secretion in this organ is stopped. As a result, there is a reduction in inflammation in the organ itself. It is important to take the drugs for a long time - up to 8 months.
At the same time, to improve the patient's well-being, it is necessary to take antispasmodics and pain relievers. It is indicated as an aid in the treatment of prostatitis with folk remedies: various soothing herbal preparations, fennel seeds, lemon balm, valerian, etc. Microclysters of lemon balm or chamomile decoction are suitable for these purposes.
It is important to undergo antibiotic therapy under the guidance of a specialist, self-medication in this case is unacceptable. It can make the situation worse. Treatment of prostatitis with antibiotics requires complete exclusion of alcohol.
It is known that the development and functioning of the prostate depends directly on the hormones: estrogens and androgens. Therefore, the treatment of prostatitis may include the use of hormonal drugs that will reduce the volume of the prostate gland and reduce the inflammatory process in it.
Phytotherapy and prostate massage
An important and integral part of the treatment of prostatitis is the use of direct prostate massage. The therapeutic effect of this massage is as follows:
- normalizes the muscle tone of the prostate;
- improves blood supply to the prostate gland;
- enhances the effect of antibiotics;
- restores the function of the channels, etc.
This procedure should be trusted only to a professional doctor in a specialized clinic.
The essence of the procedure in the treatment of prostatitis is as follows: the patient, with his feet shoulder-width apart, leans forward and tries to relax. The specialist, opening the patient's buttocks with one hand, carefully inserts the index finger of the other hand into the rectum and massages the prostate gland for a minute, applying pressure and stroking. An effective massage should consist of throwing a few drops of secretion into the channels. The prostate massage procedure is painful, but for the treatment of prostatitis it is simply irreplaceable. However, prostate massage has some contraindications:
- prostate cancer;
- cysts;
- prostate stones and some others.
Phytotherapy in the treatment of prostatitis in men is an auxiliary method that has a beneficial effect on the final result. The essence of phytotherapy in the treatment of prostatitis is the external and internal use of infusions, juices, decoctions of medicinal plants, for example: yarrow, St. John's wort, burdock, etc. This method has no negative side effects and negative effects on other organs.
Immunocorrection, physiotherapy and other methods of treatment of prostatitis
Restorative therapy and immunocorrection are aimed at restoring the body as a whole, strengthening the immune system and preventing the manifestation of prostatitis in the future. The doctor prescribes taking the necessary multivitamins, minerals and other substances that increase immunity, especially in chronic diseases.
Physiotherapy methods for the treatment of prostatitis should include actions aimed at activating blood circulation in the pelvic organs in order to improve the effect of antibiotic therapy. They include:
- magnetophoresis;
- electrophoresis;
- laser therapy;
- impulse currents, etc.
At home, you can replace physical therapy with warm micro-enemas from decoctions of medicinal herbs.
Currently, many alternative methods of treatment and treatment of prostatitis are used, which significantly expand the capabilities of modern medicine and reduce recovery time. For example, hirudotherapy removes blood stagnation in the pelvic organs, improves blood circulation and tissue nutrition. A course of neuromodulating therapy will effectively stop the patient's pain syndrome.
In the treatment of prostatitis, a course of healthy lifestyle must be taken. In order for the disease not to return after the treatment of the acute form of prostatitis or the stage of remission not to end with chronic prostatitis, it is necessary to make significant adjustments in your life, to eliminate all the factors that provoke this unpleasant disease. Due attention should be paid to regular walks, good sleep, lack of stressful situations, proper nutrition, exclusion of smoking and alcohol, etc.
One of the treatment methods is surgery, which includes:
- radical prostatectomy;
- on the seminal vesicles;
- circumcision;
- urethral stricture;
- on the neck of the bladder, etc.
It should be noted right away that this radical method is used extremely rarely and is not effective. Surgery is prescribed when prostatitis is treated in an old form, with developed complications. Such treatment of prostatitis is used in cases where conservative therapy did not lead to a significant result.
After the treatment of prostatitis, the doctor should prescribe control tests, based on which appropriate conclusions can be drawn.
Treatment with folk methods and prevention of prostatitis
If symptoms of this disease appear, you should consult a doctor and follow all his recommendations. Treatment of various types of prostatitis with folk methods can only serve as an excellent addition to the main medical measures. For many years, enough experience has been accumulated to get rid of this disease, everyone can always choose an acceptable option for themselves. The main conditions for effective treatment of the disease, especially its chronic form, is the regular use of high-quality ingredients according to the prescribed recipe.
You can look at several effective recipes designed to fight prostatitis:
- Propolis (200 g of each sunflower oil and 30 g of propolis are heated in a water bath, then the perineum is lubricated with it for 2 weeks).
- Honey (as part of the juice of various medicinal plants, it is taken orally 2 times a day, 2 tablespoons).
- Pumpkin seeds (powdered pumpkin seeds are taken 2 tablespoons before meals 2 times a day).
Prevention after complex treatment of prostatitis can be considered not only proper nutrition, active lifestyle, but also regular protected sex.
Thus, the treatment of prostatitis of various forms is always a whole complex of consecutive measures. Only by clearly following all the instructions of a specialist can you get the desired result and get rid of this unpleasant disease.