The prostate gland is one of the main organs of the male genitourinary system. It produces a secret that is part of the sperm and provides conditions for the "life activity" of spermatozoa. Inflammation and swelling of the prostate is considered the most common men's health problem, especially in adulthood and old age.
Methods for the treatment of prostatitis are constantly being improved, the attention of the entire world medical community is riveted to this problem. Therapeutic tactics depend on the type of pathology, the cause of its occurrence, the individual characteristics of the patient's body and the degree of spread of the inflammatory process.
Particular difficulties are associated with the treatment of chronic prostatitis. Frequent recurrences of the disease and the low effectiveness of therapy are due to the many causes of the pathology and the variety of symptoms. Inflammation of the prostate gland may not be accompanied by pain and other clinical signs of prostatitis, and in many cases the symptoms characteristic of inflammation of the prostate are not at all associated with dysfunctions of the gland. Pain in the perineum and lower abdomen due to problems with urination can be caused by a urinary tract infection.
The treatment of prostatitis is a task that requires a comprehensive and sometimes interdisciplinary approach, with the participation of an andrologist-urologist and other specialists. And if, with an acute course of the disease and a timely visit to a doctor, therapy will take several weeks, then with chronic inflammation, the patient needs to be patient in order to achieve not just a temporary relief of symptoms, but a complete recovery.
Basic principles of prostatitis treatment:
- Timeliness. The sooner the patient sees a doctor, the higher his chances of a full recovery and the lower the risk of complications.
- Professionalism. Prostatitis is a disease with a complex pathogenesis, and therapy can only be carried out by a highly qualified doctor, based on the data of a comprehensive examination. You can not trust the methods that have not passed clinical testing, and the advice of traditional healers.
- Complexity. Treatment should include several scientifically proven therapies to achieve maximum effect.
- Both partners should be treated, as prostatitis is often caused by infectious agents.
- The patient must be responsible for the treatment and strictly follow all the recommendations of the attending physician.
Medical treatment of prostatitis
Drug therapy is the main treatment for prostatitis. Its complex includes drugs of different spectrum of action. The treatment regimen is determined individually in each individual case, taking into account the results of the examination and the nature of the disease.
The main components of the complex drug treatment of prostatitis:
- Antibacterial agents.Antibiotics are prescribed for acute prostatitis, if the presence of pathogenic microflora is determined by the results of bakposev. The choice of a particular drug depends on tests for the sensitivity of microorganisms to a particular active substance.
Antibiotics are used that suppress the activity of pathogenic microorganisms in prostatitis of bacterial origin. With inflammation of the prostate of a non-infectious nature, these groups of drugs are also prescribed to prevent or eliminate bacterial complications. The duration of antibiotic therapy can be several weeks.
Antibiotics should only be taken as directed by your doctor. Only he can determine the required dosage and duration of the drug. Attempts to self-medicate will lead to an imbalance in the microflora and the death of beneficial bacteria, as well as to the development of resistance to antibacterial agents in pathogens.
- Anti-inflammatory therapy.It is carried out with the help of non-steroidal anti-inflammatory drugs, a short course of 5-7 days. These drugs can both stop the inflammatory process and alleviate or completely eliminate the pain of prostatitis.
- Adrenoblockers.They are prescribed to relax the smooth muscles of the prostate and bladder neck, relieve pain when urinating.
- Other directions.Other groups of drugs can also be used to restore the outflow of urine, eliminate spasms, and relieve pain.
With the accumulation of purulent exudate in the prostate gland, surgical treatment is indicated.
Auxiliary methods of treatment of prostatitis
For effective treatment of prostatitis, it is important to eliminate congestion in the pelvic organs, restore blood circulation in them and improve microcirculation. For this are used:
- acupuncture;
- magnetic laser therapy;
- shock wave therapy;
- prostate massage;
- microclysters with decoctions of medicinal herbs or solutions of medicinal substances;
- rectal diathermy;
- mud therapy (rectal swabs, mud panties).
These methods are especially important in chronic prostatitis, which is characterized by a recurrent course. The physiotherapeutic direction in combination with the medication helps in the treatment of prostatitis, and in eliminating the negative impact of the pathology on the general state of health. In some cases, the help of a psychotherapist is also needed if, against the background of inflammation of the prostate gland, erectile dysfunction and other functional disorders or complications of a psychogenic nature are observed.
Implementation of medical recommendations
The patient should take an active part in the treatment of prostatitis, which consists in the implementation of the following recommendations.
- Normalization of physical activity.It plays an important role in restoring blood circulation in the pelvic organs. Therefore, men suffering from prostatitis are recommended to walk, swim, do regular exercise, yoga and other feasible activities. This helps to improve the results of treatment and works as a prevention of one of the most common provocateurs of chronic prostatitis - insufficient blood supply to the prostate gland.
- Diet correction. You should limit the consumption of foods that contribute to the development of constipation and increase gas formation in the intestines. These are products made from white flour, sweets, legumes, raw cabbage, excess animal protein, etc. Although dietary changes do not carry true therapeutic value, they can significantly alleviate the symptoms of prostatitis caused by intestinal pressure on the prostate gland. It is also recommended to exclude from the menu spicy, sweet foods, pickles, which change the pH of the urine and can increase the manifestations of dysuria.
- Normalization of sexual life.With prostatitis, you can not practice coitus interruptus, forced abstinence, delayed ejaculation. In the treatment of this disease, an important role is played not by the actual intimate contacts, but by ejaculation and the increased blood circulation caused by it in the prostate gland. The only condition under which sexual life should be paused is painful ejaculation or other discomfort during arousal.
When prescribing a course of treatment, the doctor gives detailed recommendations that are relevant for a particular clinical case. You should not self-medicate: prostatitis is a disease that can lead to serious complications if it is not stopped in time.