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 of determining 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 have nothing against treating prostatitis with prescriptions of traditional medicine. To avoid exacerbation of the disease, it is better to use them simultaneously with drug therapy.

Prostate inflammation causes:

• congestion in the pelvic area due to sedentary lifestyle;
• fully communicable diseases;
• urinary tract infections;
• prolonged abstinence from sex;
• termination of relationship;
• complications after ureteral catheterization;
• constant hypothermia;
• abuse of alcohol, spicy and spicy foods;
• infections of other organs (for example, tonsillitis, sinusitis, pneumonia, caries) in the background of weakened immunity.

Acute and chronic prostatitis differ according to the form of flow.

Depending on the etiological factor, the following forms of the disease are distinguished:

• Acute bacterial prostatitisis ​​mainly caused by gram-negative pathogenic microflora. These are E. coli (Escherichia coli), gonococci (Neisseria gonorrhaeae), trichomonas (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 independently and as a complication of the acute form of the inflammatory process of the prostate.
• 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 50 years of age. Its main cause is circulatory disorders associated with age.

The secretion of the prostate 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 believe that bacterial prostatitis is 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 region, especially when sitting;
• increased urge to urinate, sometimes false due to compression of the urethra by an enlarged gland;
• heavy, painful urine flow;
• pain in the perineum radiating to the penis and anus;
• foreign body sensation in the rectum;
• pain during bowel movements;
• temperature rise up to 38 - 40 degrees.

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

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

Urinary disorders.There is a frequent urge to urinate, especially at night, a slow intermittent stream of urine, a feeling of insufficiently emptied bladder. Sexual dysfunction manifests itself in the form of early ejaculation or weakening of the erection.

Psychological symptoms.Patients complain of insomnia, increased sweating, irritability, and rapid fatigue. These signs go through a phase of remission and worsen during the activation of the process. Experts point out that it is necessary to distinguish between prostate adenoma and its inflammation.

Adenoma is a benign organ hyperplasia (enlargement). 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 administration (tablets and injections for the acute course of the disease).

Therapy focuses on:

• stopping bacterial activity;
• improving microcirculation and blood circulation;
• removal of edema;
• cessation of the inflammatory process;
• normalization of secretion from the prostate;
• improving the immune system;
• if necessary - correction of hormonal disorders.

According to patient reviews, the effectiveness of drug treatment of prostatitis is increased by the simultaneous consumption of decoctions and infusions of various herbs:

• pumpkin oil;
• parsley leaves, roots and fruits;
• beekeeping products (honey, propolis, bee bread, zabrus);
• aspen bark;
celandine juice;
• chestnut bark;
• tincture of hemlock.

Juice therapy has recently gained popularity. This technique helps cleanse the body of toxins, strengthens the immune system, normalizes the intestines, liver and kidneys, and stabilizes weight. In addition to treating prostatitis, juice therapy helps to cope with many other chronic diseases. You can read about the details of this method on specialized forums.

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

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

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

Antibacterial drugs for the treatment of prostatitis in men are almost always prescribed, regardless of the form of the disease. That is not entirely true.

The use of antibiotics should be confirmed by laboratory tests.Do a so-called bacterial culture of prostate secretions. 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 from 2 to 4 weeks, if necessary, it is continued for another month.When prescribing drugs, consider its ability to accumulate in prostate tissues. Fluoroquinolones, penicillin antibiotics, lincosamides, tetracyclines, macrolides have this property. Sometimes antimicrobial therapy is also indicated with the risk of complications of non-infectious prostatitis with bacterial infection. The dosage of 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 tablets. Nonsteroidal anti-inflammatory drugs (NSAIDs) are used to relieve pain and edema.The action of drugs is based on the inhibition of prostaglandin synthesis and platelet aggregation - the main factors in the development of the inflammatory process and the accompanying pain, fever and swelling.

When treating 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 organ. Spasmolytics and α-blockers facilitate urination in prostatitis. Experts associate difficulties with emptying the bladder, not only with mechanical compression of the urethra by an enlarged prostate.

The cause of this symptom is also a reflex spasm of the smooth muscles of the urinary tract. Difficulty urinating or an incompletely dried 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 "act" a little faster, in addition to relieving pain.

Herbal medicines and medicines based on the secretion of bovine prostate gland in the form of tablets or suppositories have a complex effect. They do not have such a pronounced 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 the disease from getting worse.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. Improving venous outflow contributes to the early removal of inflammatory exudate and the removal of swelling.

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 one's own immunity are widely used.

In addition, multivitamin complexes are used to treat prostatitis in men(which drug a patient chooses to choose, depending on price and manufacturer). In addition to strong nervous tension, insomnia, mild sedatives and antidepressants are indicated. 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 of traditional medicine

The prostate 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 necessary only in the absence of the effect of the main therapy of advanced prostatitis. In particular, the following shall apply:

Glucocorticoid preparations. To reduce side effects and systemic exposure, they are prescribed locally by electrophoresis.

Inhibitors5-αreductase. Drugs from this group are not hormones. Their mechanism of action is based on reducing the effect of androgens on the prostate. Thus, a reduction in organ size and alleviation of prostatitis symptoms is ensured.

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

How to treat prostatitis folk recipes:

1. Peel the chestnuts and finely chop the rind and pour over 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 have to take a seven-day break and repeat the course of treatment.
2. Pumpkin seed oil is recommended to drink a tablespoon before each meal.
3. Heat a glass of vegetable oil in a water bath and add 2 tbsp. 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 the help of a loved one or use one of the special devices in the variety presented on the modern market. Contraindication for massage is the formation of stones in the prostate (calculous prostatitis).

Also, such a procedure is not recommended in case of worsening of the disease, which is accompanied by pain and fever. In addition, when deciding how to cure prostatitis, exercise helps. Moderate sports activities are an excellent prevention of congestion in the pelvic area, helping to fight obesity.

Urologists recommend performing the following elements of gymnastics:

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

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

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

Manipulation efficiency is due to the following factors:

• During the procedure, leeches release the substance hirudin, which dilutes the blood and facilitates its circulation;
• edema passes due to secretion of inflammatory exudate;
• reflex action on active points in the pelvic and genital area.

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

Zinc is good for any age. This mineral stimulates spermatogenesis, improves the quality of male semen. It is found in large quantities in beef, pine nuts, peanuts and legumes.

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

Drugs for the treatment of prostatitis

The choice of drugs to treat prostate inflammation 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 remedies for prostate inflammation is wide. However, high costs do not always mean efficiency. Only a doctor should choose medications to treat prostatitis and their dose. Consultations with a specialist are also required before using traditional medicine with honey or 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 who suffer from prostatitis die from prostate cancer.

It is a particularly frightening 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 "completely empty bladder
• Difficulty urinating (weak current)
• Deterioration of erection duration and quality
• Premature ejaculation or problems getting
• Increased body fatigue and irritability

Even one of these symptoms should make you wonder. And if there are two of them, then don't doubt - you have prostatitis.