Prostatitis is an unpleasant urological disease, the likelihood 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 for prostatitis is diagnosed and prescribed, the more complete and rapid 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 secret which is part of semen. Prostatitis problems and treatment have been dealt with over the past centuries.
Depending on the causes of the disease, acute prostatitis, chronic nonbacterial prostatitis and chronic infectious prostatitis are distinguished. In accordance with the different forms of the disease, various methods of treatment for different types of prostatitis will be prescribed.
Acute prostatitis usually occurs in young men and is most often contagious. From the urethra, the infection enters the prostate gland of a man through blood vessels or through the lymphatic system, where an acute inflammatory process develops. If at this time you do not consult a doctor and treat the disease, then in a short time it will already be chronic, in which there is a violation of the structure, functions of tissues and cellsof the prostate, which can lead to irreversible consequences.
Inflammatory processes in the prostate can cause and sustain non-infectious factors for a long time. The first place among them is occupied by the chronic spasm of the urethra, leading to involuntary reflux of urine into the prostate, causing inflammation of the latter.
There are many reasons for this disease, some of them should be mentioned:
- all kinds of sexually transmitted infections: ureaplasma, herpes, E. coli, chlamydia, cytomegalovirus, Trichomonas, etc. ;
- poor quality sexual life: insufficient elongation, artificial sexual intercourse, etc. ;
- congestion in the pelvic organs and in the prostate of a man;
- overweight and inactive lifestyle;
- stressful situations, various overloads;
- immune system failure;
- general hypothermia of the body;
- hormonal imbalance;
- lack of essential trace elements and vitamins in the body of a man;
- drinking and smoking, etc.
Prompt and effective treatment of 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 most common.
Symptoms in the treatment of prostatitis in men, diagnostic methods
Symptoms of acute and chronic inflammation of the prostate gland in men manifest somewhat differently. The acute stage of the disease is characterized by local and general symptoms:
- General malaise.
- High body temperature - up to 40 degrees.
- Chills, fever.
- Frequent urination, 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, urethra.
- The mechanism of erection is temporarily disturbed, the general decrease in potency.
- There is a complex mental state of a man.
Only after the precise establishment of the symptoms of acute prostatitis can the urologist prescribe the correct treatment for prostatitis.
Chronic prostatitis is not such a serious symptom as its acute form. Most often, it is characterized by the absence of any obvious symptoms or has a benign course, most often of a local nature. This may include:
- Pulling, slight pain in the perineum and adjacent areas.
- The pain can be made worse by intercourse, urination, and defecation.
- Frequent need to go to the toilet, constant feeling of incomplete emptying of the bladder.
- Some discomfort during sexual intercourse.
- Decreased sexual function and, consequently, 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 width, other organs adjacent to the prostate are also involved in it: the epididymis, seminal vesicles, urethra, etc. , the clinical picture of the disease becomes more diverse.
To choose the right treatment and method of treating prostatitis of various etiologies, 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. These mainly include:
- digital prostate exam;
- analysis of prostatic secretions;
- bacteriological analysis of urine;
- general blood analysis;
- Ultrasound of the pelvic organs and prostate;
- magnetic nuclear tomography;
- 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
Having established an accurate diagnosis, the urologist draws up an individual comprehensive program for the treatment of the disease for each patient, using modern methods of treating prostatitis. 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 recommendations of the doctor are followed, leads to the full 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 physiotherapy;
- prostate massage;
- lifestyle changes;
- surgery, etc. .
The treatment for bacterial prostatitis will be different from that for non-bacterial prostatitis. In the first case, it is mandatory to take a course on the use of antibiotics from the group of fluoroquinolones, and in the second - a course on anti-inflammatory drugs. The treatment of chronic prostatitis of a bacterial nature will consist in 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 necessary. Severe forms of prostatitis are treated with the use of hormone therapy, but under the constant supervision of a doctor, being on a stationary basis.
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 more specifically.
Antibacterial and hormonal therapy for prostatitis
As mentioned above, most often prostatitis has an infectious character. In this regard, the transition from antibiotic therapy in the treatment of prostatitis is indicated for each patient, with the course of the acute and chronic nature of the disease. Taking antibiotics can eliminate the main cause of inflammation. The following drug groups have been shown to be effective in treatment:
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 gland is eliminated and the reflux of secretion in this organ stops. 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 antispasmodics and painkillers. It is presented as an aid in the treatment of prostatitis with folk remedies: various sedative herbal preparations, dill seeds, motherwort, valerian, etc. Microclysters of a decoction of lemon balm or chamomile are well suited for these purposes.
It is important to undergo antibiotic therapy under the guidance of a specialist, self-medication in this case is unacceptable. This can make the situation worse. Treatment of prostatitis with antibiotics requires the complete exclusion of alcohol.
We know that the development and functioning of the prostate depend directly on hormones: estrogens and androgens. Therefore, the treatment of prostatitis may include the use of hormonal drugs, which will reduce the volume of the prostate and reduce the inflammatory process.
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 prostate muscle tone;
- improves blood supply to the prostate;
- enhances the action of antibiotics;
- restores the function of ducts, etc.
This procedure should only be approved 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 for a minute, applying pressure and stroking. An effective massage should consist of the evacuation of a few drops of secretion in 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;
- prostate stones and some others.
Herbal medicine 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 treating 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 the necessary multivitamins, minerals and other 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:
- laser therapy;
- impulse currents, etc.
At home, you can replace physiotherapy with warm microclysters from decoctions of medicinal herbs.
Currently, many alternative methods are used for prostatitis and treatment, which significantly expands the possibilities of modern medicine and reduces 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 followed without fail. In order for the disease not to reappear after treatment of the acute form of prostatitis or the stage of remission does not end with chronic prostatitis, it is necessary to make significant adjustments in your life, to eliminate all the factors thatcause this unpleasant disease. Particular attention should be paid to regular walks, good sleep, the absence of stressful situations, proper nutrition, the exclusion of tobacco and alcohol, etc.
One of the treatment methods is surgery, which includes:
- Radical prostatectomy;
- on the seminal vesicles;
- 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 the event that conservative treatment did not bring a significant result.
After the treatment of prostatitis, the doctor should 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 be an excellent addition to basic 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, are the regular use of high-quality ingredients according to the specified recipe.
You can consider several effective recipes designed to fight prostatitis:
- Propolis (200 g of 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 (pumpkin seed powder is taken 2 tablespoons before meals 2 times a day).
Prevention after complex treatment of prostatitis can be considered not only proper nutrition, an active lifestyle, but also regular safe sex.
Thus, the treatment of prostatitis of various forms is always a complex set of sequential measures. Only with clear implementation of all the instructions of a specialist can you achieve the desired result and get rid of this unpleasant disease.