The prostate, 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 prevalence of the disease, treating chronic prostatitis is a rather difficult task.
Varieties of prostatitis and reasons for its development
Prostatitis is a disease of the prostate, accompanied by an inflammatory process of its tissues. Prostatitis is classified according to the following data:
- acute bacterial prostatitis caused by infectious agents;
- chronic bacterial (infectious) prostatitis;
- chronic abacterial (non-infectious) prostatitis;
- asymptomatic inflammatory prostatitis.
Chronic bacterial prostatitis - the nature of this species is not completely understood, despite many studies. This type occurs in the male body as a result of a prostate infection, which is possible for several reasons:
- severe hypothermia;
- difficulty emptying the bladder;
- unstable sex life (irregularity or lack thereof);
- concomitant chronic diseases of the genitourinary system;
- leading an unhealthy lifestyle;
- lack of mobility.
Most often the disease passes without obvious symptoms, which is felt only during the period of exacerbation, which is accompanied by signs such as:
- feeling of discomfort and incomplete emptying during urination;
- decreased sexual activity;
- pain in the lower abdomen.
Moreover, chronic prostatitis can cause various diseases of the bladder, passing into the phase of acute manifestation of the disease, and then the treatment of exacerbation of chronic prostatitis is already provided.
Chronic abacterial prostatitis - the incidence is 92-95% of all types of prostatitis, according to these data can be judged on the prevalence. This disease has no age limit, so it affects men of any age, but the peak falls on average to thirty years. The disease is diagnosed based on the following symptoms:
- presence of painful discomfort (more than 3 months) in the pelvic organs;
- has no signs of an infectious environment;
- increased dysfunction of sexual activity and urination process.
Chronic calculous prostatitis can also differ in urology, which in turn is a consequence of chronic prostatitis and worries older men.
Can chronic prostatitis be cured?
Every patient is tormented by the question of the effectiveness of the treatment of chronic prostatitis, because this disease not only brings a lot of inconveniences of a special specific nature, but also carries a certain psychological trauma for a man.
Taking into account the different directions in the application of the methods, we note that this meeting is performed by a specialist based on diagnostic measures. The urologist individually develops a comprehensive program for the treatment of prostatitis, which includes a range of therapeutic procedures. Thus, a comprehensive conservative approach includes:
- drug treatment of chronic prostatitis;
- physiotherapy;
- manual therapy.
As noted, the specialist selects an individual program to be adjusted from the general scheme, and each individual patient represents a separate course of treatment for chronic prostatitis, calculated by his physician.
Effective treatment of chronic prostatitis primarily involves the following additional research:
- consultations with neuropsychiatrists, endocrinologists, cardiologists;
- performing computer or magnetic resonance imaging of the brain, to examine the functions of its performance and structure;
- hormonal status research;
- 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, includes an immediate visit to a specialist who will perform all the necessary procedures. The duration of treatment for chronic prostatitis usually ranges 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, which combine with the disease a reduction in arterial blood flow to the penis. And in order to increase blood flow and cause an erection, a constant intake of vasodilating drugs is needed.
Treatment of chronic prostatitis at home
In case of exacerbation of chronic prostatitis, all the recommendations described below are followed. This is a few days of bed rest, exclusion of physical activity, refusal of alcohol. After eliminating the worsening of chronic prostatitis, it is necessary to decide on your regime of work and rest for many years.
To prevent further deterioration, the following basic guidelines must be followed at all times:
- Avoid hypothermia - above all, exclude sitting on cold terrain, concrete curbs, rocks, even in warm weather. 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. You can use tempering with water, air baths, staying outdoors for at least 1-2 hours every day.
- It is very important to empty the bladder regularly, to avoid overflow and prolonged retention of urine ("I can not stand", go to the toilet every 3-4 hours).
- If you have an inactive job, you need to pause for 3-5 minutes every hour or two and walk around, warm up. If this is not possible, you should perform at least an anus retraction 40-50 times in one approach, repeating such exercises 4-6 times a day.
- Regular moderate physical activity is one of the most important factors in preventing the worsening of chronic prostatitis, removing congestion in the prostate and pelvic organs. The minimum of such activities are daily morning exercises, walking at a moderate or fast pace continuously for 30-40 minutes (i. e. , without stopping, going to the store, etc. ). In addition, you need a weekly trip to nature with feasible work in the country, picking berries, mushrooms or long walks on weekends for 2-3 hours, a visit to the pool or, in extreme cases, exercise at home on home simulators (treadmill, rowing machine, stepper).
- If possible, exclude perineal trauma (refusal of regular professional cycling, equestrian sports, from motocross).
- Regular sexual activity is the most important factor in removing prostate congestion. Moreover, moderation is important here, the correspondence of sexual relations with the sexual constitution of a man. It is important to avoid long-term and interrupted sexual relations, to have a permanent sexual partner.
- Fight against prison.
- Complete refusal to drink 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.
- If possible, exclude work associated with constant nervous tension, frequent stressful situations, or even if you learn to resist stress through self-training, meditation.
- Preventive visit to the urologist twice a year for clinical examination, TRUS, laboratory tests of urine and prostate secretions, and after 40 years - and PSA. The implementation of these simple measures will prevent possible exacerbations of chronic prostatitis, will help strengthen the body and its defenses.
How to treat chronic prostatitis with drugs?
The main causes of prostatitis are primarily various infections and sexually transmitted viruses, which in turn affect the urethra, revealing themselves in the tissues of the prostate. It should be noted that treatment, when chronic bacterial prostatitis is diagnosed, consists of several stages.
Treating bacterial prostatitis is one of the most difficult tasks of modern urology. Despite progress in diagnosis and timely detection of the disease, complete cure can be achieved in only 30% of cases. Modern therapy for bacterial prostatitis consists of several stages and can clearly answer the question, “Is chronic prostatitis treated and how exactly? ” Success also largely depends on patient-physician chain coordination. So, the main stages of treatment:
- pain relief - use of nonsteroidal anti-inflammatory drugs;
- reduction of anxiety - taking antidepressants;
- resumption of the urination process;
- local treatment - showering;
- physiotherapy treatment;
- targeted therapy - it is recommended to take medication prescribed by a doctor for chronic bacterial prostatitis, as well as antibiotics;
- surgical treatment of chronic prostatitis - the use of this method is necessary in cases of urethral narrowing and prostate abscess.
It should be noted that nowadays the treatment of chronic prostatitis with antibiotics is quite justified, but only after the completion of the entire course, which takes on average about 2 weeks. After graduation, which, the doctor evaluates the results, and more often there is a positive trend. Antibiotics for chronic prostatitis are used because this disease is contagious, caused mainly by pathogenic bacteria, and which necessarily requires antibiotic therapy. The key is to choose the right medicine according to a clearly chosen scheme of use by the doctor.
It should be especially noted that when taking medication for chronic prostatitis, the time of the prescribed treatment regimen should be strictly adhered to, as well as the frequency of dosing.
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 the regulations of specialists. Self-medication is especially harmful for this disease, due to its specificity and severity.