The prostate gland is one of the main organs of the male genitourinary system. It produces a secret that is part of the spermatozoa and provides conditions for the "vital activity" of the spermatozoa. Inflammation and swelling of the prostate is considered the most common health problem in men, especially in adulthood and old age.
Prostatitis treatment methods are constantly improving, the attention of the entire world medical community is focused on this problem. Therapeutic tactics depend on the type of pathology, the cause of its occurrence, the individual characteristics of the patient's body and the degree of spread of the inflammatory process.
Special difficulties are associated with the treatment of chronic prostatitis. The frequent relapses of the disease and the low effectiveness of the therapy are due to the many causes of the pathology and the variety of symptoms. Inflammation of the prostate gland may not be accompanied by pain and other clinical signs of prostatitis, and in many cases the symptoms characteristic of inflammation of the prostate are not related to gland dysfunctions at all. Pain in the perineum and lower abdomen due to problems urinating can be caused by a urinary tract infection.
Treatment of prostatitis is a task that requires a comprehensive and sometimes interdisciplinary approach, with the participation of an andrologist-urologist and other specialists. And if with an acute course of the disease and a timely visit to the doctor, therapy will take several weeks, then with chronic inflammation, the patient must be patient in order to achieve not only temporary relief of symptoms, but also full recovery.
Basic principles of prostatitis treatment:
- Timeliness. The sooner the patient goes to the doctor, the greater his chances of a full recovery and the lower the risk of complications.
- Professionalism. Prostatitis is a disease with a complex pathogenesis, and treatment can be carried out only by a highly qualified doctor based on the data of a comprehensive examination. You cannot trust methods that have not passed clinical tests and the advice of traditional healers.
- Complexity. Treatment should include several scientifically proven therapies to achieve maximum effect.
- Both partners should be treated, as prostatitis is often caused by infectious agents.
- The patient must be responsible for the treatment and strictly follow all the recommendations of the attending physician.
Drug treatment of prostatitis
Drug therapy is the main treatment for prostatitis. Its complex includes drugs with a different spectrum of action. The treatment regimen is determined individually in each individual case, taking into account the results of the examination and the nature of the disease.
The main components of the complex drug treatment of prostatitis:
- Antibacterial agents.Antibiotics are prescribed for acute prostatitis if the presence of pathogenic microflora is determined by the results of bakposev. The choice of a specific drug depends on the sensitivity tests of microorganisms to a specific active substance.
Antibiotics are used to suppress the activity of pathogenic microorganisms in prostatitis of bacterial origin. In prostatitis of a non-infectious nature, these groups of drugs are also prescribed to prevent or eliminate bacterial complications. The duration of antibiotic therapy can be several weeks.
Antibiotics should only be taken as directed by your doctor. Only he can determine the necessary dosage and duration of the drug. Attempts to self-medicate will lead to an imbalance of the microflora and the death of beneficial bacteria, as well as the development of resistance to antibacterial agents in pathogens.
- Anti-inflammatory therapy.It is carried out with the help of non-steroidal anti-inflammatory drugs, a short course of 5-7 days. These drugs can both stop the inflammatory process and relieve or completely eliminate the pain of prostatitis.
- Adrenoblockers.They are prescribed to relax the smooth muscles of the prostate and bladder neck, relieve pain during urination.
- Other directions.Other groups of drugs can also be used to restore the flow of urine, eliminate spasms and relieve pain.
In case of accumulation of purulent exudate in the prostate gland, surgical treatment is indicated.
Auxiliary methods for the treatment of prostatitis
For effective treatment of prostatitis, it is important to remove congestion in the pelvic organs, restore blood circulation in them and improve microcirculation. For this, they are used:
- acupuncture;
- magnetic laser therapy;
- shock wave therapy;
- prostate massage;
- microenemas with decoctions of medicinal herbs or solutions of medicinal substances;
- rectal diathermy;
- mud therapy (rectal tampons, mud panties).
These methods are especially important in chronic prostatitis, which is characterized by a recurrent course. Physiotherapy in combination with medication helps in the treatment of prostatitis and eliminating the negative impact of the pathology on the general state of health. In some cases, the help of a psychotherapist is also necessary if erectile dysfunction and other functional disorders or complications of a psychogenic nature are observed against the background of inflammation of the prostate gland.
Implementation of medical recommendations
The patient must take an active part in the treatment of prostatitis, which consists in the implementation of the following recommendations.
- Normalization of physical activity.It plays an important role in restoring blood circulation in the pelvic organs. That is why men suffering from prostatitis are advised to walk, swim, do regular exercise, yoga and other possible activities. This helps to improve the results of the treatment and acts as a prevention of one of the most common provocateurs of chronic prostatitis – insufficient blood supply to the prostate gland.
- Diet correction. You should limit the consumption of foods that contribute to the development of constipation and increase the formation of gases in the intestines. These are white flour products, sweets, legumes, raw cabbage, excess animal protein, etc. Although dietary changes have no real therapeutic value, they can significantly relieve the symptoms of prostatitis caused by intestinal pressure on the prostate gland. It is also recommended to exclude from the menu spicy, sweet foods, pickles, which change the pH of urine and can increase the manifestations of dysuria.
- Normalization of sex life.With prostatitis, you cannot practice interrupted coitus, forced abstinence, delayed ejaculation. In the treatment of this disease, an important role is not played by real intimate contacts, but by ejaculation and the increased blood circulation in the prostate gland caused by it. The only condition in which sexual life should be stopped is painful ejaculation or other discomfort during arousal.
When prescribing a course of treatment, the doctor gives detailed recommendations that are relevant to a specific clinical case. You should not self-medicate: prostatitis is a disease that can lead to serious complications if it is not stopped in time.