Prostatitis is an unpleasant urological disease, the probability of which in men increases in direct proportion to their age.
According to medical statistics, almost half of the male population after 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 and very specific glandular organ located next to the urethra and the bladder.The main functions of the prostate are to control a man's urination and to produce a secret that is part of semen. The problems of prostatitis and its treatment have been discussed in past centuries.
Depending on the causes of the disease, acute prostatitis, nonbacterial chronic prostatitis and infectious chronic prostatitis are distinguished. According to the different forms of the disease, various methods of treatment will be prescribed for various types of prostatitis.
Acute prostatitis usually occurs in young men and is most often infectious. From the urethra, the infection enters the prostate of a man through blood vessels or the lymphatic system, where an acute inflammatory process develops. If at this time you do not consult a doctor and do not treat the disease, then in 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 may have irreversible consequences.
Inflammatory processes of the prostate can cause and maintain long-term and non-infectious factors. The main place among them is occupied by chronic spasm of the urethra, which causes an involuntary backflow of urine into the prostate, which leads to inflammation of the latter.
There are many reasons for this disease, some of them should be mentioned:
- all kinds of infections transmitted through sexual intercourse: ureaplasma, herpes, E. coli, chlamydia, cytomegalovirus, Trichomonas, etc. ;
- poor-quality sexual life: insufficient and artificial prolongation of sexual intercourse, etc. ;
- congestion in the pelvic organs and in the prostate of a man;
- overweight, inactive lifestyle;
- stressful situations, various overloads;
- immune system failure;
- general hypothermia of the body;
- hormonal imbalance;
- lack of trace elements and essential vitamins in the body of a man;
- drinking and smoking etc.
Quick and effective treatment for prostatitis can only be provided by an experienced urologist. Strictly speaking, chronic and acute prostatitis can appear at any age. In older men, inflammation of the prostate gland in a chronic form is more common.
Symptoms in the treatment of prostatitis in men, diagnostic methods.
Symptoms of acute and chronic inflammation of the prostate gland in men manifest themselves somewhat differently. The acute stage of the disease is characterized by local and general symptoms:
- General discomfort.
- 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, tk. the prostate can compress the urethra.
- Acute pain in the perineum of varying intensity, in the inguinal regions, in the lower abdomen, depending on the location of the focus of inflammation in the prostate relative to the rectum, bladder neck and urethra.
- The erection mechanism is temporarily disturbed, the general decrease in potency.
- There is a complex mental state of a man.
Only after the symptoms of acute prostatitis are accurately established, the urologist will be able to prescribe the correct treatment for prostatitis.
Chronic prostatitis is not as serious a symptom as its acute form. In most cases, it is characterized by the absence of obvious symptoms or has a mild course, mostly local in nature. This may include:
- Tightness, slight pain in the perineum and adjacent areas.
- The pain can be aggravated by sexual intercourse, urination, and defecation.
- Frequent urge to go to the bathroom, a constant feeling of incomplete emptying of the bladder.
- Some discomfort during intercourse.
- Decreased sexual function and, as a consequence, impotence.
In case of adverse factors, an exacerbation of the disease can occur with all the ensuing consequences. With the spread of the inflammatory process in amplitude, other organs adjacent to the prostate are also involved: the epididymis, the seminal vesicles, the urethra, etc. , the clinical picture of the disease becomes diverse.
In order to choose the correct course and method of treatment for prostatitis of various etiologies, it is necessary to conduct a detailed diagnosis of the disease and make a correct diagnosis. Currently, in the arsenal of doctors there are several methods of detecting this disease. These mainly include:
- digital prostate exam;
- prostate secretion analysis;
- bacteriological analysis of urine;
- general blood tests;
- Ultrasound of the 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 establish the cause of the appearance and its form.
General postulates of the treatment of prostatitis
After establishing an accurate diagnosis, the urologist draws up an individual comprehensive program for the treatment of each patient's disease, using modern methods of treating prostatitis. It should be noted that chronic chronic prostatitis cannot be completely cured, but everything can be done to prolong the remission state of the disease for many years. Treatment of prostatitis in acute form, if all the doctor's recommendations are followed, leads to the complete recovery of the patient.
Comprehensive treatment for various types of prostatitis may include different combinations of the following methods:
- immunocorrective therapy;
- antibiotic therapy;
- Hormone therapy;
- various physical therapy;
- prostate massage;
- Changes in lifestyle;
- surgery, etc.
Treatment of bacterial prostatitis will differ from that of nonbacterial prostatitis. In the first case, a course on the use of antibiotics from the fluoroquinolone group is required, and in the second, a course on anti-inflammatory drugs. The treatment of chronic bacterial prostatitis will consist of the use of antibiotic therapy in combination with beta-blockers. Along with the treatment of the underlying disease, the use of symptomatic drugs, for example, antipyretics and analgesics, is often required. Severe forms of prostatitis are treated with the use of hormonal therapy, but under the constant supervision of a doctor, on a stationary basis.
Only an integrated approach to treatment can lead to a good permanent 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 main 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 eliminated and the reflux of secretion in this organ is stopped. As a result, there is a decrease in inflammation in the organ itself. It is important to take medication for a long time - up to 8 months.
At the same time, to improve the patient's well-being, it is necessary to take painkillers and antispasmodics. It is shown as an aid in the treatment of prostatitis with folk remedies: various sedative herbal preparations, dill seeds, motherwort, valerian, etc. Microclysters from a decoction of lemon balm or chamomile are well suited for these purposes.
It is important to undergo antibiotic therapy under the supervision of a specialist, self-medication in this case is unacceptable. It can make the situation worse. Treatment of prostatitis with antibiotics requires the complete exclusion of alcohol.
It is known that the development and function of the prostate depends directly on the hormones: estrogens and androgens. Therefore, the treatment of prostatitis may include the use of hormonal drugs, which 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;
- improves the action of antibiotics;
- restores the function of the ducts, etc.
This procedure should be trusted only by a professional doctor in a specialized clinic.
The essence of the procedure in the treatment of prostatitis is as follows: the patient, with his legs shoulder-width apart, leans forward and tries to relax. The specialist, spreading the patient's buttocks with one hand, gently inserts the index finger of the other hand into the rectum and massages the prostate gland for a minute, exerting pressure and stroking. An effective massage should consist of discharging a few drops of secretion into the ducts. 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 herbal medicine in the treatment of prostatitis is the external and internal use of infusions, juices, decoctions of medicinal plants, for example: calamus, St. John's wort, burdock, etc. This method has no negative side effects or negative effects. on other organs.
Immunocorrection, physiotherapy and other methods of treatment for 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 the intake of multivitamins, minerals and other necessary substances that increase immunity, especially in chronic diseases.
Physiotherapeutic methods for the treatment of prostatitis should include actions aimed at activating blood circulation in the pelvic organs to enhance the effect of antibiotic therapy. These include:
- magnetophoresis;
- electrophoresis;
- laser therapy;
- impulse currents, etc.
At home, you can replace physiotherapy with warm microclysters from decoctions of medicinal herbs.
Currently, many alternative methods for prostatitis and treatment are used, which significantly expand the possibilities of modern medicine and reduce recovery time. For example, hirudotherapy eliminates blood stasis in the pelvic organs, improves blood circulation and tissue nutrition. A course of neuromodulatory therapy will effectively stop the patient's pain syndrome.
In the treatment of prostatitis, a course on a healthy lifestyle should be taken without fail. So that the disease does not return after treatment of the acute form of prostatitis or the remission stage does not end with chronic prostatitis, it is necessary to make significant adjustments in your life in order 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, the exclusion of smoking and alcohol, etc.
One of the methods of treatment is surgery, which includes:
- radical prostatectomy;
- in the seminal vesicles;
- circumcision;
- urethral stricture;
- at the neck of the bladder, etc.
It should be noted right away that this radical method is used very rarely and is ineffective. Surgery is prescribed when prostatitis is treated in an old way, with developed complications. Such treatment for prostatitis is used in the event that conservative therapy has not brought a significant result.
After treatment of prostatitis, the doctor must prescribe control tests, on the basis of 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 basic medical measures. For many years, enough experience has been accumulated in getting rid of this disease, everyone can always choose an option acceptable to themselves. The main conditions for the effective treatment of the disease, especially in its chronic form, is the regular use of high-quality ingredients according to the specified recipe.
You can consider several effective recipes designed to combat prostatitis:
- Propolis (200 g of any sunflower oil and 30 g of propolis are heated in a water bath, then the perineum is lubricated 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 (pumpkin seed powder is taken 2 tablespoons before meals 2 times a day).
Prevention after complex treatment for prostatitis can be considered not only proper nutrition, an active lifestyle, but also regular protected sex.
Therefore, the treatment of prostatitis of various forms is always a whole complex of sequential measures. Only with a clear implementation of all the instructions of a specialist, you can get the desired result and get rid of this unpleasant disease.