The most effective treatment for chronic prostatitis

Urologist

Inflammation of the prostate, or prostate, regardless of the cause of the disease, usually takes a chronic course. In order to achieve effective treatment of chronic prostatitis, it is necessary to know the reasons for its occurrence.

Good health, dear readers. We still understand the problem of chronic prostatitis, its causes, symptoms and treatment options.

In this article we will try to understand why it is better to treat this terrible disease, what options are available to us. Let’s start with an analysis of the most modern and effective methods of treating prostatitis in men.

Causes and worsening of the disease

Inflammatory diseases of the genitourinary system, rectum, close contact with the prostate, lead to the creation of an inflammatory focus in it. The vessels that supply the prostate are the branches of the arteries of the bladder, rectum, posterior sacral artery and deep artery of the thigh. Any infectious focus present in these organs can enter the gland.

The presence of a chronic infection of any localization, for example the paranasal sinuses, leads to a weakening of immunity, and conditionally pathogenic microorganisms present on the skin, intestines and urethra become pathogenic. This leads to the development of a chronic process.

Impaired blood circulation in the prostate due to blood stagnation on the background of reduced physical activity leads to a deterioration in the supply of prostate drugs and complicates the treatment of chronic prostatitis in men.

Increased blood flow in 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;
  • termination of relationship;
  • smoking, drinking alcohol;
  • varicose veins of the lower extremities;
  • paraproctitis and proctitis;
  • thrombophlebitis of hemorrhoidal veins in the background of chronic hemorrhoids;
  • cracks and fistulas of the anus;
  • the tone of the vascular wall is regulated by the sympathetic and parasympathetic nervous systems, in case the inflow and outflow of blood from the organs is disturbed;
  • perineal trauma in drivers, cyclists, motorcyclists.

In the case of urogenital sexually transmitted 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;
  • gardnerele;
  • 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 disappear. It is initially asymptomatic.

Reducing testosterone production over and over again leads to a slight stagnation of prostate secretion in its granules. Slowly this stagnation is increasing. The substances contained in the secretion of the prostate are not completely removed. The secretory, motor, barrier function of prostate secretion begins to suffer.

Citric acid in prostate juice performs a bactericidal function and 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.

Clinical picture of the disease

Symptoms of chronic prostatitis in men:

  • feelings of discomfort, pain above the pubic bone;
  • pain occasionally shooting into the rectum and sacrum;
  • increased urination and pain, especially after hypothermia, stress;
  • uncharacteristic discharge;
  • ejaculation disorders, erections;
  • premature ejaculation;
  • excessive sweating;
  • sleep disorder;
  • periodic increase in body temperature no more than 37, 2-37, 3 in the evening.

The predominant symptoms: pain, urination disorder or sexual dysfunction - depend on the treatment of chronic prostatitis in men.

Main components of disease therapy

Is chronic prostatitis treatable?

The main areas of treatment should be highlighted:

  • medicines;
  • normalization of work and rest regimes;
  • rational diet;
  • abandoning bad habits;
  • physiotherapy, massage;
  • folk remedies.

It is necessary to treat not only with drugs, but it is necessary to use all methods in a complex way. It is impossible to give preference to any direction of prostatitis therapy.

Medications

Effective treatment of prostatitis should be aimed at eliminating the cause of prostatitis. The drug is selected by the doctor individually after performing the necessary diagnostic tests. Let's take a lookhow and how to treat prostatitis, if it has already acquired a chronic form. Main directions of drug therapy:

  • antibiotics;
  • anti-inflammatory drugs;
  • antispasmodics to improve urine flow;
  • uroantiseptics to remove urinary tract infections;
  • drugs that improve arterial and venous blood flow;
  • drugs that improve fluidity, reduce blood viscosity;
  • vitamins;
  • enzymes;
  • sedatives, psychotherapeutic effects;
  • correction of immune disorders;
  • treatment of metabolic diseases and hormonal dysfunction.

Antibiotic therapy

Whether chronic prostatitis will be cured will depend on appropriate 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 is properly determined.

Antibiotics that penetrate the prostate well and work effectively on the cause of the infection have been selected. Some pathogens of chronic prostatitis, such as ureaplasma, are not sensitive to strong drugs such as:

  • tetracyclines;
  • some cephalosporins;
  • some fluoroquinolones;
  • some macrolides.
How to treat chronic prostatitis with antibiotics?

Groups of antibacterial drugs used to treatbacterial prostatitis:

  1. Fluoroquinolones.
  2. Macrolides.
  3. Tetracyclines.
  4. 5-Nitroimidzole derivatives.
  5. Cephalosporins 3-5 generations.
  6. Lincosamine. Sulfonamides.

The course of treatment with one antibiotic is 7-10 days, depending on the test results. Without failure, during treatment with antibacterial agents, antifungal drugs are prescribed, agents that normalize the microflora of the gastrointestinal tract.

In total, the course of antibiotic therapy lasts from 2 to 4 weeks.

Methods of antibiotic administration:
  • orally in tablets;
  • intramuscularly;
  • intravenously;
  • inside the prostate;
  • endolymphatic.

How to treat and which specific antibiotic to use, based on the examination data, your doctor will tell you:

  • ultrasound;
  • complete blood count;
  • study of prostate secretion;
  • PCR; TRUSI;
  • uroflowmetry.

Nonsteroidal anti-inflammatory drugs

The effect of nonsteroidal anti-inflammatory drugs (NSAIDs) is associated with normalization of vascular wall permeability, restoration of microcirculation. They reduce education and prevent the absorption of existing inflammatory mediators. We need to remember the properties of NSAIDs to create ulcers on the stomach and duodenum.

How to cure chronic prostatitis without stomach ulcer? For prophylactic purposes, it is necessary to take 1 capsule of proton pump inhibitor in the evening.

The use of rectal suppositories with LPS is considered the most rational.

Immunomodulators

Immunomodulators are used to correct immune disorders.

Medicines are prescribed by a doctor, doses are selected individually.

Non-specific resistance of the organism is normalized by vitamins and microelements.

Enzymes

Enzyme preparations improve access to antibiotics and NSAIDs of the prostate, destroying the growths that are always present in the chronic inflammatory process.

In addition, enzymes have a moderately pronounced immune-stimulating function.

How to treat chronic prostatitis with alpha-adrenergic blockers?

Your doctor has prescribed these medicines for you:

  1. Eliminate the spasm on the bladder neck, developing in the background of edema and inflammation.
  2. Improve urine flow, normalize physiological urination.
  3. For coordination of bladder muscles and sphincters.

Normalization of blood flow with drugs

Normal blood flow is achieved by the appropriate diameter of the arteries that supply blood to the veins involved in the outflow of oxygen-depleted blood. It is also necessary to reduce the viscosity of the blood and achieve its good fluidity 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 and interrupts erections. These phenomena are always accompanied by symptoms of dysphoria, bad mood, mood swings. They are prescribed with these symptomssedatives, anxiolytics, antidepressants.

Physiotherapeutic methods of influence

The following methods of treating the chronic process are used to affect the prostate:

  • ultrasound
  • electrophoresis;
  • hot water baths with decoctions of chamomile, linden, sage, thyme;
  • warm enemas
  • prostate massage through rectum;
  • hirudotherapy
  • UHF;
  • inductothermy;
  • microwave resonance.

Physiotherapy is contraindicated in patients with concomitant prostate adenoma.

The severity of psychological abnormalities and depressive manifestations depends on how well chronic prostatitis is treated. In order to speed up the process, in the absence of contraindications, it is necessary to add physiotherapeutic methods of influence to the treatment.

Nutrition recommendations

Standard recommendations for all chronic diseases in the form of rejection of fried, salted, paprika, smoked in this situation are not enough. Effective treatment of prostatitis depends on a rational, balanced diet. It is necessary to add foods such as celery, ginger, turmeric, apiproducts to the food.

Contains:

  • silicon, which normalizes hormone production in the body;
  • B vitamins, remove toxins and restore redox processes;
  • chromium, germanium, selenium, zinc normalize the work of the sympathetic and parasympathetic;
  • vitamins C, A normalize cell membrane permeability, have antioxidant properties;
  • essential amino acids, omega 3, that rejuvenate sexual function.

Forapitherapyare used: natural honey, bee bread, podmore, royal jelly, dead bees, bee pollen.

Bee products have the following effects:

  • bactericidal;
  • fungicidal; bacteriostatic;
  • tonic;
  • antivirus;
  • immunomodulatory effect.

Alternative treatment

The course of treatment of chronic prostatitis is necessarily supplemented with herbs, which should take into account all the listed mechanisms of disease development. Then the effect of the therapy will be completely achieved.

The following herbs can be used:

  • nettle, sage, bearberry;
  • mint, plantain, hernia;
  • pomegranate, yarrow, wormwood;
  • thyme, birch buds, linden flowers;
  • swamp mower, chamomile, mother grass.

The treatment of chronic prostatitis depends on long-term use of herbs according to the scheme in combination with antirepsis courses of drug therapy.

Decoctions, infusions for swallowing, for baths and for microclysters are used. The use of tinctures or medicines 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 with inflammatory, congestive, hormonal etiology.