Prostatitis is a complicated and very delicate issue for any man, especially a shy and afraid of this diagnosis, therefore, postpone the visit to the doctor. But we should remember that the sooner treatment is started, the more chances to achieve positive results and many years to live a full life. Treatment of prostatitis requires a comprehensive approach to get rid of the symptoms of this disease and avoid complications, you must consult a doctor and not to self-medicate.
Diagnosis of prostatitis
Before you start to treat prostatitis that every man should be screened. This is necessary in order to determine the cause and form of the disease. Diagnosis usually does not cause difficulties for the urologist, so the chance of setting incorrect diagnosis and prescription of incorrect treatment is negligible.
Diagnostic procedures for prostatitis, take some discomfort and discomfort to the patient, but without them, unfortunately, impossible.
After collecting the anamnesis and General examination, the urologist performs a digital rectal examination of the prostate and the taking of the secret of the gland for analysis. In the acute form of the disease, this procedure can cause not only patient discomfort, but also pain. The prostate secretion is sent to the laboratory for analysis, which allows to establish a form of the disease (infectious prostatitis or abacterial). If biological material is detected the causative agent of the disease, define its sensitivity to antibiotics, which significantly increases the effectiveness of treatment and can shorten its duration.
If necessary, the finger examination supplemented by ultrasonic examination of the prostate gland which allows to visualize and accurately determine its condition. Ultrasound of the prostate can be performed in two ways: transabdominal (through the abdominal wall) and transrectal (through the rectum).
Transabdominal method does not cause the patient any discomfort, but informative and it is much inferior to the second method. With this access, the physician can determine the parameters of the glands, but to obtain data on the condition of the prostate is impossible. Nevertheless, the Transabdominal method is used for protegendo diagnosis.
Transrectal ultrasound (TRUS) of the prostate is a very informative method of examination, because the ultrasonic transducer is separated from the tissue of the prostate gland only, the ampoule of the rectum. Thanks to modern devices, this procedure is of minimal discomfort to the patient, and the use of high-frequency transducers allows the physician to see even very subtle changes in the structure of prostate tissues.
A blood test for PSA (prostatic specific antigen)
Prostatic specific antigen – a substance that is produced by prostate gland, while increasing its blood levels, the doctor may suspect disease of the prostate, including prostatitis. Normal value of PSA is 4 ng/ml of This blood test is not only diagnostic screening method (recommended every year to take a test to men over 50), but also helps the doctor to assess the effectiveness of treatment of prostate diseases.
Treatment of prostatitis
Treatment of acute prostatitis and acute exacerbation of chronic forms of this disease is carried out according to similar schemes. With adequate therapy leads to complete cure of acute prostatitis or achieved long-term remission in the chronic form of the disease.
Antibiotic therapy
Selection of drugs approved for treatment of prostatitis, must be made by the physician based on the results of the tests. Incorrectly prescribed antibiotic therapy may lead to emergence of resistance of the pathogen causing prostatitis, to medications, which will greatly complicate further treatment and may contribute to the transition of acute prostatitis in the chronic form. If the patient shortly before the start of treatment of prostatitis have been taking any antibiotics for about another disease, it is necessary to inform the doctor.
A course of antibiotics for prostatitis may last for more than 2-3 weeks, but cut it short when relief of symptoms is impossible, and to reduce the dose of the assigned drug, and to change the scheme of its reception.
Detoxification therapy and receiving analgesics may be necessary in severe acute prostatitis. In such cases, the treatment is carried out in a hospital.
Local therapy
Physical therapy
Physiotherapy improves trophic prostate tissue and accelerate the healing process. Possible to use the following methods of physiotherapy: transrectal microwave hyperthermia, diadynamophoresis, laser therapy, ultrasound phonophoresis.
Candles for prostatitis
Rectal suppositories for treatment of prostatitis are highly effective because they contain active ingredients come into the focus of inflammation is most concentrated. Candles may contain antispasmodic, antibacterial, analgesic and anti-inflammatory agents. Their use is often recommended by the doctor and for the prevention of exacerbations of chronic prostatitis.
Most popular rectal suppositories with propolis, and buckthorn Ichthyol candles and suppositories, which include peptides extracted from prostate.
Prostate massage
This procedure is one of the most effective methods of treatment of prostatitis. Thanks to her, has accumulated in the prostate gland, the secret squeezed out of her, and then independently discharged through the urethra. In addition prostate massage improves blood supply to the tissues of the glands that increases the effectiveness of antibiotic and local therapy.
Conducting a prostate massage in the acute phase of inflammation is contraindicated because it may lead to spread of infection. The procedure is performed with the subsidence of acute inflammatory phenomena. Unfortunately, this treatment gives many patients the physical and moral discomfort, but to refuse it is not still not worth it.
Correction of immunity
Strengthening of immunity is required for each patient suffering from inflammatory diseases of the prostate. The good immune status of the body will help to avoid the development of chronic forms of the disease. Patients are encouraged strengthening the body's resistance to disease using natural methods (hardening, physical activity in the fresh air), natural immunomodulators (lemongrass, Echinacea, Eleutherococcus, ginseng), and synthetic multivitamin complexes.
Surgical treatment of prostatitis it is necessary in rare cases, when an abscess of the prostate or strictures (narrowing) of the urethra.
In addition to drug therapy of men suffering from this disease, you need to change your lifestyle and eliminate the factors contributing to the development of acute or exacerbation of chronic prostatitis. It is necessary to avoid hypothermia, refuse from alcohol and lead a sedentary life. Young men who lead an active sexual life, avoid infections that are transmitted sexually, by using barrier contraception (condoms).
To what doctor to address
Prostatitis cure urologist. The detection of the infectious agent, which caused inflammation, the possible consultation of the venereologist'. Additional help in treatment of the disease can have a physiotherapist and immunologist.