Treatment of prostatitis, etiology and symptoms of the disease

Inflammation of the prostate is a common reason for a man to go to a urology clinic.

Treatment of prostatitis consists in identifying the cause of the disease and prescribing special drugs to improve prostate function.

In addition, an active lifestyle, regular exercise and physiotherapy play an important role in therapy.

Also, urologists do not mind the treatment of prostatitis, using prescriptions from traditional medicine. To avoid exacerbation of the disease, it is better to use simultaneously with drug therapy.

Inflammation of the prostate is caused by:

• pelvic congestion due to sedentary lifestyle;
• sexually transmitted diseases;
• urinary tract infections;
• prolonged abstinence from sex;
• interruption of sexual intercourse;
• complications after urethral catheterization;
• persistent hypothermia;
• abuse of alcohol, spicy and spicy foods;
• infections of other organs (eg tonsillitis, sinusitis, pneumonia, caries) on the background of weakened immunity.

Acute and chronic prostatitis differ in the form of the flow.

Depending on the etiological factor, the following forms of the disease differ:

• Acute bacterial prostatitisis ​​mainly caused by gram-negative pathogenic microflora. These are E. coli (Escherichia coli), gonococci (Neisseria gonorrhaeae), Trichomonas vaginalis.
• Chronic bacterial prostatitisis ​​diagnosed in almost 30% of cases. Its main cause is infection with chlamydia (Chlamydia trichomonas), ureaplasma (Ureaplasma urealyticum), mycoplasma (Mycoplasma). The disease can occur both on its own and as a complication of the acute form of the inflammatory process of the prostate gland.
• Granulomatous prostatitisis ​​relatively rare. It is caused by syphilis, genital tuberculosis, fungal infections.
• Chronic nonbacterial prostatitisoccurs in the vast majority of cases in men over the age of 50. Its main cause is age-related circulatory disorders.

The secretion of the prostate gland has a certain antimicrobial activity and effectively copes with the infection.

Therefore, the development of a bacterial type of pathology usually occurs in the presence of congestion in the genital area. For this reason, some experts consider bacterial prostatitis to be the initial stage of non-infectious chronic inflammation.

The acute form of the disease is usually accompanied by the following symptoms:

• feeling of heaviness in the perineal area, especially when sitting;
• increased desire to urinate, sometimes they are false due to compression of the urethra by an enlarged gland;
• difficult, painful flow of urine;
• pain in the perineum radiating to the penis and anus;
• sensation of a foreign body in the rectum;
• pain during defecation;
• increase in temperature to 38 - 40 degrees.

If the treatment of acute prostatitis begins quickly, then the patient's condition improves for another 3-4 days. However, in the absence of adequate therapy, there is a risk of developing a purulent prostate abscess. This requires immediate medical attention in a hospital setting. Below are the signs of chronic prostatitis.

Pain. It is varied and can occur during urination, ejaculation or at rest. The intensity depends on many factors. Sometimes a man simply complains of a feeling of heaviness, and in some cases pain medication is required. The location of the pain is also different - in the perineum, glans penis, testicles or rectum.

Urinary disorders.This is a frequent urge to use the toilet, especially at night, a slow periodic stream of urine, a feeling of insufficiently emptied bladder. Sexual dysfunction manifests itself in the form of premature ejaculation or weakening of the erection.

Psychological symptoms.Patients complain of insomnia, increased sweating, irritability, rapid fatigue. These symptoms go into remission and worsen during the activation of the process. Experts emphasize the need to distinguish between prostate adenoma and its inflammation.

Adenoma is a benign hyperplasia (enlargement) of an organ. This disease is associated with age-related changes in the hormonal background of men and requires consultation with an andrologist. The doctor treats prostatitis by prescribing topical medications (suppositories) and systemic use (pills and injections in the acute course of the disease).

Therapy focuses on:

• cessation of bacterial activity;
• improving microcirculation and blood circulation;
• elimination of edema;
• stopping the inflammatory process;
• normalize the flow of secretions from the prostate gland;
• improving the immune system;
• if necessary - correction of hormonal disorders.

According to patient reviews, the effectiveness of drug treatment of prostatitis increases with the simultaneous consumption of decoctions and infusions of various medicinal plants:

• pumpkin seed oils;
• parsley leaves, roots and fruits;
• bee products (honey, propolis, bee bread, zabrus);
• aspen bark;
• celandine juice;
• chestnut peel;
• tinctures of hemlock.

Juice therapy has recently gained popularity. This technique helps to cleanse the body of toxins, strengthen the immune system, normalize the intestines, liver and kidneys and stabilize weight. In addition to treating prostatitis, juice therapy helps to deal with many other chronic diseases. You can read the details of this method in specialized forums.

Treatment of prostatitis in men: drugs and their principle of action

In addition to such physiotherapeutic procedures as transrectal massage of the prostate gland, thermal microwave therapy, the following groups of drugs are prescribed for the treatment of prostatitis in men:

• antibiotics;
• non-steroidal anti-inflammatory drugs;
• herbal and biological preparations;
angioprotectors and vasodilators;
• α-blockers;
• antispasmodics;
5-α reductase inhibitors;
• immunomodulators.

Antibacterial drugs are almost always prescribed to treat prostatitis in men, regardless of the form of the disease. This is not entirely correct.

The recommendation of the use of antibiotics should be confirmed by laboratory results.Make a so-called bacterial culture of prostate secretion. The study shows not only the presence or absence of pathogenic microflora, but also its sensitivity to certain antibacterial drugs.

The duration of therapy is 2 to 4 weeks, if necessary, it lasts another month.When prescribing a drug, consider its ability to accumulate in the tissues of the prostate gland. Fluoroquinolones, penicillin antibiotics, lincosamides, tetracyclines, macrolides have this property. Antimicrobial therapy is sometimes indicated when there is a risk of complication of non-infectious prostatitis by a bacterial infection. The dosage of the drugs is calculated individually based on the age, condition of the patient and the presence of concomitant diseases of the kidneys, liver and digestive tract.

For the treatment of acute prostatitis in men, doctors prefer injections and then switch to pills. Non-steroidal anti-inflammatory drugs (NSAIDs) are used to relieve pain and swelling.The action of the drugs is based on the inhibition of prostaglandin synthesis and platelet aggregation - the main factors for the development of the inflammatory process and the accompanying pain, fever and swelling.

In the treatment of prostatitis in men, the drug is suitable for topical application in the form of suppositories. This ensures fast intake and maximum concentration of the active substance in the body. Antispasmodics and α-blockers facilitate urination with inflammation of the prostate gland. Experts associate the difficulty of emptying the bladder not only with mechanical compression of the urethra by an enlarged prostate.

The cause of this symptom is also the reflex spasm of the smooth muscles of the urinary tract. Difficulty urinating or an incompletely drained bladder can cause secondary bacterial infections, sand buildup and stone formation. The action of adrenergic blockers develops gradually. Almost 90% of patients notice improvement 1-2 weeks after starting treatment. Antispasmodics "work" a little faster, in addition to relieving pain.

Herbal medicines and medicines based on bovine prostate secretion in the form of tablets or suppositories have a complex effect. They do not have as pronounced an effect as synthetic drugs.

For the treatment of prostatitis in men, phytopreparations are used either as part of a complex therapy or in remission to prevent exacerbation of the disease.Angioprotectors can be used in the form of capsules or ointments for external use. Their action is aimed at normalizing blood circulation in the prostate gland. Improving venous outflow contributes to the early elimination of inflammatory exudate and elimination of puffiness.

Immunomodulators in the treatment of prostatitis in men are used to strengthen the body's defenses. The fact is that the weakening of immunity plays an important role in the development of inflammation, in this condition the risk of various bacterial complications increases. Thymus preparations, interferons and stimulants of their own immunity are widely used.

In addition, multivitamin complexes are used to treat prostatitis in men(which drug the patient chooses to choose depending on the price and manufacturer). Insomnia, mild tranquilizers and antidepressants are indicated for severe nervous tension. If the ultrasound examination of the urinary system showed an accumulation of sand in the kidneys, appropriate drugs are selected to prevent the formation of stones.

How to treat prostatitis at home: diet, exercise, recipes from traditional medicine

The prostate gland is the main organ of the male reproductive system, so many are interested in the need for hormone therapy in the development of the inflammatory process. Experts agree that such drugs are needed only in the absence of effect of the main therapy of advanced prostatitis. In particular, they shall apply:

Glucocorticoid preparations. To reduce side effects and systemic exposure, they are prescribed topically using electrophoresis.

Inhibitors5-αreductase. Drugs in this group are not hormones. Their mechanism of action is based on reducing the effect of androgens on the prostate gland. This ensures a reduction in organ size and relief of prostatitis symptoms.

Testosterone to improve sexual function. They are prescribed very rarely for medical reasons and after blood tests for the content of essential hormones. Doctors advise to increase the effectiveness of drug therapy and reduce its duration, using funds from the arsenal of traditional medicine.

How to treat prostatitis with the help of folk recipes:

1. Peel the chestnuts and finely chop the peel and cover with a glass of vodka. Insist in a cool, dry place for 14 - 20 days. Then strain and add 100 - 150 ml of clean water at room temperature. Take 10 drops twice a day on an empty stomach for 2 weeks. Then you should take a seven-day break and repeat the course of treatment.
2. Pumpkin oil is recommended to drink a tablespoon before each meal.
3. Heat a glass of vegetable oil in a water bath and add 2 tablespoons of crushed propolis and continue heating until completely dissolved. Use the resulting mixture as an ointment once a day before bedtime. The duration of treatment is 28-30 days.

Regular prostate massage has a good effect. You can do it yourself, ask for help from a loved one or use one of the special devices in many modern markets. Contraindication to massage is the formation of stones in the prostate gland (calculous prostatitis).

Also, such a procedure is not recommended in case of exacerbation of the disease, which is accompanied by pain and fever. In addition, when deciding how to treat prostatitis, exercise helps. Moderate sports activity is an excellent prevention of pelvic congestion, helping to combat obesity.

Urologists recommend performing the following elements of gymnastics:

1. Kegel exercises consist of rhythmic tension and relaxation of the muscles of the perineum. They should be performed at least 30 times 3-4 times a day.
2. Walking up stairs or lifting your knees to your chest while standing.
3. squats.
4. Birch.
5. Lift your legs up on the bar.

You can also take a video yoga lesson.Inverted asanas and breathing exercises will help cure prostatitis. However, this does not mean that after training you can continue to lead a sedentary lifestyle. For effective prevention of prostatitis and impotence, experts recommend the stronger sex to move as much as possible.

Hirudotherapy is a good addition to traditional methods of treating diseases. The course is 8 - 9 procedures, it is better to start them in the early stages of an acute inflammatory process.

The effectiveness of the manipulation is due to the following factors:

• During the procedure, leeches release the substance hirudin, which dilutes the blood and facilitates its blood circulation;
• edema disappears due to the release of inflammatory exudate;
• reflex action on the active points in the pelvis and genitals.

It is almost impossible to treat prostatitis without following a proper diet. You need to give up alcohol, spicy, smoked, spicy and salty foods. Preference should be given to juices of green vegetables (especially spinach, herbs), lean meat and fish, drink plenty of fluids (water, compotes, fruit drinks).

Zinc is good for all ages. This mineral stimulates spermatogenesis, improves the quality of male sperm. It is found in large quantities in beef, cedar nuts, peanuts and legumes.

Despite all the efforts of doctors, it is impossible to cure advanced forms of non-bacterial or infectious prostatitis with severe swelling and pain with the help of drugs and physiotherapy. In such cases, only surgery will help. To avoid it, you need to monitor your weight, do sports that are suitable for age and health. It is also necessary to avoid hypothermia, to prevent the development of chronic infections.

Prostatitis medications

The choice of drugs for the treatment of inflammation of the prostate requires an individual approach. When prescribing drugs, the doctor must take into account the presence of contraindications, the characteristics of the course of the disease and the cost of drugs for the treatment of prostatitis.

As you can see, the range of drugs for the treatment of inflammation of the prostate is wide. However, high cost does not always mean efficiency. Only a doctor should choose drugs to treat prostatitis and their dosage. It is also necessary to consult a specialist before using traditional medicine with honey or medicinal herbs.

Drawing conclusions

Prostatitis is one of the most common male diseases in the world. But few people know that seven out of ten men with prostatitis die from prostate cancer.

Particularly frightening is the fact that most men completely ignore the symptoms of prostatitis and when they turn to doctors, they can no longer help.

Symptoms of prostatitis:

• Drawing or cutting pain in the lower abdomen, scrotum or perineum
• Frequent urination, burning sensation in the urethra
• Feeling of "not completely emptied bladder
• Difficulty urinating (weak stream)
• Deterioration of erection duration and quality
• Premature ejaculation or problems getting it
• Increased body fatigue and irritability

Even one of these symptoms should make you wonder. And if there are two, then do not doubt - you have prostatitis.