Inflammation of the prostate gland, ie the prostate, regardless of the cause of the disease, usually becomes chronic. In order to achieve effective treatment of chronic prostatitis, it is necessary to know the reasons for its occurrence.
Hello, dear readers. We continue to understand the problem of chronic prostatitis, its causes, symptoms and treatment options.
In this article we will try to find out what is the best way to treat this terrible disease, what options are available to us. Let's start by analyzing the most modern and most effective methods of treating prostatitis in men.
Causes and exacerbation of the disease
Inflammatory diseases of the genitourinary system, rectum, due to close contact with the prostate gland, lead to the formation of an inflammatory focus in it. The vessels that supply the prostate are branches of the arteries of the bladder, rectum, posterior sacral artery, and deep femoral artery. Any infectious focus present in these organs can penetrate the gland.
The presence of a chronic infection from any location, such as the paranasal sinuses, leads to a weakening of the immune system and conditionally pathogenic microorganisms present in the skin, intestines and urethra become pathogenic. This leads to the development of a chronic process.
Impaired blood circulation in the prostate gland due to blood stasis on the background of reduced physical activity leads to a deterioration in the supply of drugs to the prostate gland and complicates the treatment of chronic prostatitis in men.
Increased blood flow to the organs located in the pelvis occurs not only due to low physical activity, but also due to a number of factors:
- irregular sex life;
- interruption of sexual intercourse;
- smoking, drinking alcohol;
- varicose veins of the lower extremities;
- paraproctitis and proctitis;
- thrombophlebitis of hemorrhoidal veins on the background of chronic hemorrhoids;
- fissures and fistulas of the anus;
- the tone of the vessel wall is regulated by the sympathetic and parasympathetic nervous systems in case the inflow and outflow of blood from the organ is disturbed;
- trauma to the perineum in motorcyclists, cyclists, motorcyclists.
In the case of sexually transmitted urogenital infections, the disease cannot always be completely cured - this is the reason for the development of chronic prostatitis. The most common pathogens are:
- Trichomonas;
- mycoplasma;
- gonococci;
- gardnerelli;
- ureaplasma;
- chlamydia;
- mushrooms;
- viruses;
- Escherichia coli;
- streptococci;
- enterococci;
- staphylococci.
These microorganisms are difficult to cure.
Hormonal activity after 40 years in men gradually begins to fade. It is asymptomatic at first.
The decrease in testosterone production again and again leads to a slight stagnation of the secretion of the prostate gland in its granules. Gradually this stagnation increases. The substances contained in the secretion of the prostate are not completely removed. The secretory, motor, barrier function of the secretion of the prostate gland begins to suffer.
Citric acid in prostate juice performs a bactericidal function, dilutes it. When there is not enough citric acid, a bacterial infection begins to develop. The level of citric acid in prostate juice is directly related to the amount of testosterone in the blood.
The clinical picture of the disease
Symptoms of chronic prostatitis in men:
- feelings of discomfort, pain over the pubis;
- pain shoots periodically into the rectum and sacrum;
- increased urination and pain, especially after hypothermia, stress;
- uncharacteristic discharge;
- disorders of ejaculation, erection;
- premature ejaculation;
- excessive sweating;
- sleep disturbance;
- periodic increase in body temperature no more than 37, 2-37, 3 in the evening.
The predominant symptoms: pain, urinary incontinence or sexual dysfunction - depend on the treatment of chronic prostatitis in men.
The main components of disease therapy
Is chronic prostatitis treatable?
It is necessary to emphasize the main areas of treatment:
- medicines;
- normalize the mode of work and rest;
- rational nutrition;
- giving up bad habits;
- physiotherapy, massage;
- folk remedies.
It is necessary to treat not only with drugs, but it is necessary to use exhaustively all methods. It is impossible to give preference to any direction of prostatitis therapy.
Medicine
Effective treatment of prostatitis should aim to eliminate the cause of prostatitis. The drugs are selected individually by a doctor after performing the necessary diagnostic tests. Let's take a lookhow and how to treat prostatitisif it has already acquired a chronic form. The main directions of drug therapy:
- antibiotics;
- anti-inflammatory drugs;
- antispasmodics to improve urine flow;
- drugs that improve arterial and venous blood flow;
- drugs that improve fluidity, reduce blood viscosity;
- vitamins;
- enzymes;
- sedative, psychotherapeutic effects;
- correction of immune disorders;
- treatment of metabolic diseases and hormonal dysfunction.
Antibiotic therapy
Whether chronic prostatitis is treatable will depend on well-chosen antibiotic therapy. It is important to note that the therapy and treatment of prostatitis will be most effective only if the type and stage of the disease are correctly determined.
Antibiotics are chosen that penetrate well into the prostate, effectively acting on the cause of the infection. Some pathogens of chronic prostatitis, such as ureaplasma, are not as sensitive to drugs as:
- tetracyclines;
- some cephalosporins;
- some fluoroquinolones;
- some macrolides.
How to treat chronic prostatitis with antibiotics?
Groups of antibacterial drugs used to treatbacterial prostatitis:
- Fluoroquinolones.
- Macrolides.
- Tetracyclines.
- 5-nitroimizole derivatives.
- Cephalosporins 3-5 generations.
- Lincosamines.
- sulfonamides.
The course of treatment with one antibiotic is 7-10 days, depending on the test results. During treatment with antibacterial agents are prescribed antifungal drugs that normalize the microflora of the gastrointestinal tract.
In general, the course of antibiotic therapy takes 2 to 4 weeks.
Methods of administration of antibiotics:
- oral tablets;
- intramuscularly;
- intravenously;
- inside the prostate;
- endolymphatic.
How to treat and what specific antibiotic to use, the doctor will tell you, based on the data from the examination, the examination:
- ultrasound;
- complete blood count;
- study of prostate secretion; PCR;
- TRUSI;
- uroflowmetry.
Non-steroidal anti-inflammatory drugs
The effect of nonsteroidal anti-inflammatory drugs (NSAIDs) is associated with normalization of vascular wall permeability, restoration of microcirculation. They reduce the formation and prevent the absorption of existing inflammatory mediators. We must remember the property of NSAIDs to form ulcers in the stomach and duodenum.
How to cure chronic prostatitis without getting a stomach ulcer? It is necessary to take for prophylactic purposes 1 capsule of proton pump inhibitor in the evening.
It is considered most rational to use rectal suppositories with LPS.
Immunomodulators
Immunomodulators are used to correct immune disorders.
Medicines are prescribed by a doctor, the dosages are selected individually.
Non-specific resistance of the body is normalized by vitamins and trace elements.
Enzymes
Enzyme preparations improve the access of antibiotics and NSAIDs to the prostate, destroying the adhesions that are always present in the chronic inflammatory process.
In addition, enzymes have a moderate function to stimulate immunity.
How to treat chronic prostatitis with alpha-adrenergic blockers?
These medicines are prescribed by a doctor to:
- Elimination of spasm of the bladder neck, developing against the background of swelling and inflammation.
- Improve urine flow, normalize physiological urination.
- Coordinate the work of the muscles and sphincters of the bladder.
Normalize blood flow with drugs
Normal blood flow is achieved with an adequate diameter of the arteries, bringing blood to the veins involved in the flow of oxygen-depleted blood. It is also necessary to reduce the viscosity of the blood and to achieve its good flow in the capillary bed.
In order to achieve a good result in the treatment of chronic prostate diseases, it is necessary to treatinflammatory diseases of the urethra, bladder and kidneys.
Prostatitis inevitably reduces potency, weakens libido, impairs erection. These phenomena are always accompanied by symptoms of dysphoria, low mood, mood swings. With these symptoms they are prescribedsedatives, anxiolytics, antidepressants.
Physiotherapeutic methods of influence
The following methods for treating a chronic process are used to affect the prostate:
- ultrasound
- electrophoresis;
- hot water baths with decoctions of chamomile, linden, sage, thyme;
- warm enemas
- massage of the prostate gland through the rectum;
- hirudotherapy UHF;
- inductothermy;
- microwave resonance therapy.
Physiotherapy is contraindicated in patients with concomitant prostate adenoma.
The severity of psychological abnormalities and depressive symptoms depends on how well chronic prostatitis is treated. To speed up the process, in the absence of contraindications, it is necessary to add physiotherapeutic methods of action to the treatment.
Dietary recommendations
The standard recommendations for all chronic diseases in the form of quitting fried, salted, pepper, smoked in this situation are not enough. Effective treatment of prostatitis depends on a rational, balanced diet. To the food it is necessary to add foods such as celery, ginger, turmeric, api products.
They contain:
- silicon, which normalizes the formation of hormones in the body;
- B vitamins, remove toxins and restore redox processes;
- chromium, germanium, selenium, zinc normalize the work of the sympathetic and parasympathetic systems;
- vitamins C, A normalize the permeability of the cell membrane, have antioxidant properties;
- essential amino acids, omega 3, which rejuvenate sexual function.
Forapitherapyare used: natural honey, bee bread, podmor, royal jelly, dead bees, bee pollen.
Beekeeping products have the following effects:
- bactericidal;
- fungicidal;
- bacteriostatic;
- tonic;
- antivirus;
- immunomodulatory effect.
Alternative treatment
The course of treatment of chronic prostatitis must be supplemented with medicinal herbs, which must take into account all the listed mechanisms of disease development. Then the effect of the therapy will be fully achieved.
The following herbs can be used:
- nettle, sage, bearberry;
- mint, plantain, hernia;
- rose hips, yarrow, wormwood;
- thyme, birch buds, linden flowers;
- marsh dry grass, chamomile, motherwort.
The treatment of chronic prostatitis depends on the long-term use of medicinal herbs in combination with antirelapse courses of drug therapy.
Decoctions, infusions for ingestion, for baths, for microenemas are used. The use of tinctures, ie drugs containing alcohol, is not recommended. This prevents the successful treatment of chronic urogenital diseases.
All these drugs have a good effect in the treatment of prostatitis of inflammatory, congestive, hormonal etiology.