Treatment of chronic prostatitis. How to treat chronic prostatitis

The prostate gland, or as it is otherwise called the prostate, is a rather vulnerable male organ that is exposed to various urological diseases, especially prostatitis. And despite the spread of the disease, the treatment of chronic prostatitis is quite a difficult task.

Varieties of prostatitis and the reasons for its development

Prostatitis is a disease of the prostate gland, accompanied by an inflammatory process in its tissues. Prostatitis is classified according to the following data:

  1. acute bacterial prostatitis caused by infectious agents;
  2. chronic bacterial (infectious) prostatitis;
  3. chronic abacterial (non-infectious) prostatitis;
  4. asymptomatic inflammatory prostatitis.

Chronic bacterial prostatitis - the nature of this type is not fully understood, despite many studies. This type occurs in the male body as a result of a prostate infection, which is possible for a number of reasons:

symptoms and treatment of chronic prostatitis
  • severe hypothermia;
  • bladder emptying problems;
  • unstable sex life (irregularities or lack thereof);
  • concomitant chronic diseases of the genitourinary system;
  • leading an unhealthy lifestyle;
  • lack of mobility.

Most often the disease proceeds without obvious symptoms, being felt only during periods of exacerbation, which are accompanied by such signs as:

  • feeling of discomfort and incomplete emptying during urination;
  • decreased sexual activity;
  • soreness in the lower abdomen.

In addition, chronic prostatitis can provoke various diseases of the bladder, passing into the stage of acute manifestation of the disease and then treatment of exacerbation of chronic prostatitis is already provided.

Chronic abacterial prostatitis - the frequency is 92-95% of all types of prostatitis, according to these data the prevalence can be estimated. This disease has no age restrictions, so it affects men of all ages, but the peak falls on average at the age of thirty. The disease is diagnosed based on the following symptoms:

  1. the presence of painful discomfort (more than 3 months) in the pelvic organs;
  2. shows no signs of infection;
  3. increasing dysfunction of sexual activity and urination.

Chronic calculous prostatitis can also be distinguished in urology, which in turn is a consequence of chronic prostatitis and is more worrying for older men.

Can chronic prostatitis be cured?

Every patient is tormented by the question of the effectiveness of the treatment of chronic prostatitis, as this disease not only brings many inconveniences of a particularly specific nature, but also brings some psychological trauma to the man.

Given the different guidelines in the application of the methods, we note that this appointment is made by a specialist on the basis of diagnostic measures. The urologist individually compiles a comprehensive program for the treatment of prostatitis, which includes a range of therapeutic procedures. So, a holistic conservative approach includes:

  1. drug treatment of chronic prostatitis;
  2. physiotherapy;
  3. manual therapy.

As noted, the specialist chooses an individual program that undergoes adjustments to the general scheme, and each individual patient has a separate course of treatment for chronic prostatitis, calculated by his doctor.

Effective treatment of chronic prostatitis mainly includes the following additional studies:

how and how to treat chronic prostatitis
  • consultation with a neuropsychiatrist, endocrinologist, cardiologist;
  • performing computed tomography or magnetic resonance imaging of the brain to examine the functions of its presentation and structure;
  • hormonal examination;
  • Ultrasound of the genitourinary system.

How to treat chronic prostatitis if the patient does not see any symptoms? This case means that the patient is in remission or the disease is asymptomatic, the latter case, of course, requires an immediate visit to a specialist who will perform all necessary procedures. Conditions for the treatment of chronic prostatitis usually vary from 2 weeks or more, it depends on the condition of the prostate and the degree of the disease.

For example, medications to treat chronic prostatitis require constant intake in men who combine the disease with a reduction in arterial blood flow to the penis. And to increase this blood flow and cause an erection, you need to constantly take vasodilators.

Treatment of chronic prostatitis at home

In case of exacerbation of chronic prostatitis, all the recommendations described below are followed. This is a break in bed for a few days, exclusion of physical activity, abstinence from alcohol. After eliminating the exacerbation of chronic prostatitis, it is necessary to decide on the regime of work and rest for many years.

To prevent recurrent exacerbations, the following guidelines should always be followed:

  1. Avoid hypothermia - in the first place, exclude sitting on cold ground, concrete curbs, stones, even in the warm season. Clothing should be loose, light enough, but appropriate for the season. A great way to get rid of exacerbations of chronic prostatitis is to harden the body. In this case you can use water hardening, air baths, and you are outdoors for at least 1-2 hours every day.
  2. It is very important to empty your bladder regularly, to avoid overflow and prolonged retention of urine ("do not tolerate", go to the toilet every 3-4 hours).
  3. If you have a sedentary job, you should take a break for 3-5 minutes every hour or two and walk, warm up. If this is not possible, you should perform at least retraction of the anus 40-50 times in one approach, repeating such exercises 4-6 times a day.
  4. Regular moderate physical activity is one of the most important factors in preventing exacerbations of chronic prostatitis, removing congestion in the prostate and pelvic organs. The very minimum of such activity are daily morning exercises, walking at a moderate or fast pace for 30-40 minutes continuously (ie without stopping, going to the store, etc. ). In addition, you need a weekly trip to nature with feasible work in the country, picking fruit, mushrooms or long walks on weekends for 2-3 hours, visiting the pool or, as a last resort, exercise at home on home simulators (treadmill, rowing machine, stepper)).
  5. If possible, rule out trauma to the perineum (refusal of regular professional cycling, equestrian sports, motocross).
  6. Regular sexual activity is the most important factor in removing prostate congestion. In addition, moderation is important here, the conformity of sexual relations with the sexual constitution of the man. It is important to avoid prolonged and interrupted sexual intercourse, to have a constant sexual partner.
  7. Fighting constipation.
  8. Complete abstinence from alcohol during exacerbation of prostatitis and maximum reduction of the amount of alcohol consumed during remission. This requires a complete rejection of beer and cheap wines.
  9. If possible, turn off work related to constant nervous tension, frequent stressful situations, or still learn to withstand stress through self-training, meditation.
  10. Preventive visit to a urologist twice a year for clinical examination, TRUS, laboratory tests of urine and prostate secretions, and after 40 years - and PSA. The application of these simple measures will prevent possible exacerbations of chronic prostatitis, will help strengthen the body, its defenses.

How to cure chronic prostatitis with drugs?

The main causes of prostatitis are primarily various infections and sexually transmitted viruses, which in turn affect the urethra, being found in the tissues of the prostate. It should be noted that when chronic bacterial prostatitis is diagnosed, treatment consists of several stages.

The treatment of bacterial prostatitis is one of the most difficult tasks in modern urology. Despite advances in diagnosis and timely detection of the disease, complete cure can be achieved in only 30% of cases. Modern treatment of bacterial prostatitis consists of several stages and can clearly answer the question: "Is chronic prostatitis treated and how exactly? " Success depends largely on the coordination of the patient-physician chain. So, the main stages of treatment:

  • pain relief - the use of non-steroidal anti-inflammatory drugs;
  • anxiety reduction - taking antidepressants;
  • restore the process of urination;
  • local treatment - syringes;
  • physiotherapy treatment;
  • targeted therapy - it is recommended to take medications prescribed by a doctor for chronic bacterial prostatitis, as well as antibiotics;
  • surgical treatment of chronic prostatitis - the use of this method is necessary when there is a narrowing of the urethra and prostate abscesses.

It should be noted that nowadays the treatment of chronic prostatitis with antibiotics is completely justified, but only after completing the full course, which includes an average of about 2 weeks. After graduation, the doctor evaluates the results and more often has a positive trend. Antibiotics are used for chronic prostatitis, as this disease is infectious, caused mainly by pathogenic bacteria, which necessarily requires antibiotic therapy. The key point is the correct choice of the drug according to a clearly selected scheme of use by the attending physician.

It should be noted in particular that when taking drugs for chronic prostatitis, you must strictly adhere to the time of the prescribed treatment regimen, as well as the frequency dose.

It is worth remembering that there is no absolute cure for the treatment of chronic prostatitis, and the maximum cure is possible only with a thorough diagnosis and compliance with all prescriptions of a specialist. Self-medication is especially harmful for this disease due to its specificity and severity.

07.11.2020