Prostatitis is commonly referred to as inflammation that causes the tissues to swell and cover the male prostate, located immediately below the bladder. Treatment of prostatitis today is carried out by many modern methods, including antibiotic therapy, physiotherapy, hirudotherapy, herbal medicine, immunocorrective therapy, prostate massage, lifestyle correction.
When a patient enters a medical institution, the doctor examines the patient for the presence of the causes that caused prostatitis. Treatment of the disease will be prescribed depending on the factors that contributed to the onset of the disease.
Treatment of prostatitis begins with the diagnosis of the disease, which first of all includes a survey of a urologist. Then the doctor proceeds to examine the patient's abdomen and genitals, palpates the prostate with a finger and inserts it into the rectum. During this examination, the doctor can diagnose an enlarged, swollen, and tender prostate.
After a digital rectal examination, the urologist asks the patient to donate semen, urine and prostatic secretions. These analyzes make it possible to judge the presence or absence of signs of infections in them. Sometimes a semen culture is necessary.
The appointment of urodynamic studies will allow the doctor to understand how strong the impact of the disease is on the process of urination.
Transrectal ultrasound, as well as ultrasound of the kidneys and bladder, allows the urologist to judge the volume and structure of the prostate, the volume of residual urine, the presence of a tumor orstones in the bladder, the presence of a blood clot or stones in the lower third of the ureter.
Based on the above analyzes and studies, the urologist prescribes treatment for such an insidious and difficult-to-treat disease as prostatitis. Treatment of prostatitis will bring positive results only if it is comprehensive and selected by a competent doctor.
Antibacterial treatment of prostatitis
Due to the fact that inflammation of the prostate gland is often infectious in nature, doctors prescribe treatment for prostatitis in the form of antibiotic therapy. The result of the treatment will be positive only if the urologist chooses the right treatment and the patient strictly adheres to the prescribed treatment. It should be remembered that the initiated antibiotic treatment cannot be stopped - in this way it is possible to harm not only the diseased organ, but the whole organism as a whole.
The patient should tell the doctor about any, sometimes even insignificant changes in his body. If the patient did not feel any changes for 2-3 days of treatment, the doctor should replace the antibiotic with another, but not cancel it.
Most often, broad-spectrum drugs - penicillins - are prescribed for treatment.
In addition, modern medicine widely uses means from the group of fluoroquinolones. Microbes do not develop resistance to these drugs - this is one of the most important qualities of these antibiotics.
Also, for treatment, many doctors prescribe drugs from the group of tetracyclines.
Sometimes very effective drugs of the new generation are used.
Antibacterial treatment of prostatitis in patients with chronic prostatitis lasts about one and a half months. In advanced cases, treatment for prostatitis is extended for up to 16 weeks. Sometimes, during antibiotic therapy, the patient develops intestinal dysbacteriosis. In this regard, the patient is prescribed the use of drugs that restore the intestinal microflora.
The dosage and treatment regimen of drugs is prescribed by the urologist in each case individually.
Physiotherapy activities
Physiotherapy treatment of prostatitis consists of using various methods, the main of which are ultrasound, laser therapy, electrical stimulation, magnetotherapy, microwave therapy, UHF, galvanization, drug electrophoresis, darsonvalization, therapeutic microclysters, baths, mud procedures.
Ultrasound is used as high frequency waves that a person cannot hear.
Laser therapy is a fairly common, almost painless method. This is the effect of laser rays on the tissues of a diseased organ or on reflexogenic zones.
The treatment of prostatitis using electrical stimulation is the effect of an electrical impulse current that causes contractions of the muscles of the organ. Electrical stimulation is divided into rectal, perineal and urethral.
Magnetic therapy is the treatment of prostatitis by exposure to a constant low-frequency magnetic and alternating field on the tissues of the affected organ.
Microwave therapy involves exposing affected tissue to a high frequency electromagnetic field.
UHF is a set of therapeutic measures using capacitor plates connected to tissues.
Galvanizing is a method of treatment by applying low direct current and low voltage.
Medicinal electrophoresis is a simultaneous effect on the tissues of a low-power direct current and special drugs introduced with its help into the tissues. The current increases the ion activity in the tissues, while the pharmacological effect of drugs occurs.
Darsonvalization is a method of treatment by means of a high frequency, low power and high voltage pulsed current with rapid extinction.
Therapeutic microclysters are enemas for which various herbal infusions and decoctions are used.
The baths used to treat the disease are prescribed in a general or local session. During baths, various medicinal liquids of different temperatures are used.
Mud procedures - the use of therapeutic mud. Therapeutic measures may include the use of external mud applications or the introduction of mud swabs into the anus.
Hirudotherapy
Leeches are nature's wonderful gift to mankind. With the help of these living creatures, many diseases can be cured, including prostatitis. Treatment of prostatitis with leeches is carried out according to the following scheme: leeches are placed on points 3 cm from the anus (anus), and the setting should resemble the letter "X". The center of the letter is the anus, the ends of the letter are the leech location points.
A slightly different method of treatment is also widely used: having retreated from the middle suture of the perineum by about 2 cm in each direction, leeches are installed. It is not recommended to install leeches directly on the seam of the perineum. The course is about 4-5 treatments. 4 leeches are used in one session. After each session, take a break for 5-6 days.
Phytotherapy
Phytotherapy is a complex of therapeutic measures with medicinal tinctures, decoctions, juices, infusions prepared from medicinal plants. Some of these drugs must be taken internally, while others are used externally, injected into the urethra. Phytotherapy is an additional treatment method that helps the body cope with the disease faster.
For the manufacture of decoctions, the bark, seeds, roots, buds and rhizomes of plants are usually used, for infusions - flowers, leaves, grass and stems. There are a huge number of recipes for the preparation of medicines.
One of the most popular recipes is an infusion of birch buds and oats mixed with an infusion of rose hips (1: 1), which is taken in half a glass 1 or 2 times a day.
Tincture of horse chestnut bark (pour 250 ml of 25 g of finely chopped bark, insist in the dark for 10 days, shaking occasionally). After that, strain the tincture, take 30 drops 3 times a day.
Squeeze the juice from parsley and mix it with any honey (1: 1), use 3 times a day for 2 tables. spoons.
Immunocorrective treatment of prostatitis
The treatment of prostatitis also consists of increasing immunity and activating the body's defenses. Doctors in this case prescribe immunocorrective therapy. It includes the patient's intake of various vitamins, immunomodulators, biostimulants, herbal remedies and other means.
The use of funds by patients with chronic prostatitis, whose treatment was carried out in a complex way, increases the effectiveness of therapy and contributes to longer preservation of the achieved results. The drug is well tolerated, has no contraindications. It can be combined with any other therapy.
prostate massage
Treatment of prostatitis with prostate massage is an unpleasant, but very effective way to cure the disease. The massage is performed by an experienced doctor. First, with the help of a gloved index finger, he palpates the prostate, trying to fix its parameters, the degree of pain, the ratio of the right and left lobes of the gland, and also to examine the quality of themucus in the rectum. After that, the doctor begins the actual massage procedure.
Lifestyle fix
In order to avoid stagnation of blood in the prostate, the patient needs to move a lot, walk around, play sports, etc.
The appearance of prostatitis is often provoked by a sedentary lifestyle, sedentary work, rare sexual intercourse. They cause stagnation of blood in the prostate. In this situation, for therapeutic purposes, the patient is prescribed physical activity (feasible), therapeutic exercises, walking in the fresh air, a special diet, etc.
Thus, the complex treatment of patients with chronic prostatitis should include:
- antibacterial therapy (only in patients with chronic prostatitis of an infectious nature, including latent);
- symptomatic treatment to eliminate the main manifestations of the disease;
- pathogenetic therapy aimed at restoring microcirculation in the prostate, restoring drainage of the prostate glands through the excretory ducts, normalizing urination, stabilizing the immune and hormonal systems, and preventing the excessive formation of fibrous tissue.
There are many signs that tell the patient that prostatitis has "settled" in his body. The treatment of this disease is very complex and long, giving positive results only if the patient strictly follows all the instructions of the urologist.