The prostate is one of the main organs of the male genitourinary system. It produces a secret that is part of the sperm and provides the conditions for the "life activity" of the spermatozoa. Inflammation and swelling of the prostate is considered the most common health problem for men, especially in adulthood and old age.
Treatment methods for prostatitis are constantly improving, the attention of the entire world medical community is focused on 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.
Special difficulties are associated with the treatment of chronic prostatitis. Frequent relapses of the disease and low efficiency of therapy are caused by numerous causes of pathology and variety of symptoms. Inflammation of the prostate does not have to be accompanied by pain and other clinical signs of prostatitis, and in many cases the symptoms characteristic of inflammation of the prostate are not related to gland dysfunction at all. Pain in the perineum and lower abdomen due to problems urinating can be caused by a urinary tract infection.
Treatment of prostatitis is a task that requires a comprehensive and sometimes interdisciplinary approach, with the participation of andrologists-urologists and other specialists. And if with an acute course of the disease and a timely visit to the doctor, the therapy will last several weeks, then with chronic inflammation, the patient should be patient in order to achieve not only a temporary relief of symptoms, but a complete recovery.
Basic principles of prostatitis treatment:
- Timeliness. The sooner the patient consults a doctor, the greater the chances of a full recovery and the lower the risk of complications.
- Professionalism. Prostatitis is a disease of complex pathogenesis, and therapy can be carried out only by a highly qualified doctor, based on the data of a comprehensive examination. You cannot trust methods that have not passed clinical trials and the advice of traditional healers.
- Complexity. Treatment should include several scientifically proven therapies to achieve maximum effect.
- Both partners should be treated, because prostatitis is often caused by infectious agents.
- The patient must be responsible for the treatment and strictly follow all the doctor's recommendations.
Medical treatment of prostatitis
Drug therapy is the main treatment for prostatitis. Its complex includes drugs with a different spectrum of action. The treatment regimen is determined individually for each individual case, taking into account the results of the examination and the nature of the disease.
The main components of the complex treatment of prostatitis with drugs:
- Antibacterial agents.Antibiotics are prescribed for acute prostatitis, if the presence of pathogenic microflora is determined on the basis of swabs. The choice of a specific drug depends on tests on the sensitivity of microorganisms to a specific active substance.
Antibiotics are used to suppress the activity of pathogenic microorganisms in prostatitis of bacterial origin. In addition to prostatitis 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 necessary dose and duration of the medicine. Attempts to self-medicate will lead to an imbalance in the microflora and the death of beneficial bacteria, as well as the development of resistance to antibacterial agents in pathogens.
- Anti-inflammatory therapy. It is performed with the help of non-steroidal anti-inflammatory drugs, with 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 for relaxing the smooth muscles of the prostate and bladder neck, relieving pain during urination.
- Other directions.Other groups of drugs can also be used to restore urine flow, relieve spasms, and relieve pain.
In case of accumulation of purulent exudate in the prostate, 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. They are used for this:
- acupuncture;
- magnetic laser therapy;
- shock wave therapy;
- prostate massage;
- microclysters with decoctions of medicinal plants 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. Physiotherapy in combination with medication helps in treating prostatitis and 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 prostate inflammation, erectile dysfunction and other functional disorders or complications of a psychogenic nature are observed.
Implementation of medical recommendations
The patient should actively participate in the treatment of prostatitis, which consists in implementing the following recommendations.
- Normalization of physical activity.It has an important role in restoring blood circulation in the pelvic organs. Therefore, walking, swimming, regular exercise, yoga and other feasible activities are recommended for men suffering from prostatitis. This helps to improve the results of the treatment and acts as a prevention of one of the most common provocateurs of chronic prostatitis - insufficient blood supply to the prostate.
- Diet correction. You should limit the consumption of foods that contribute to the development of constipation and increase the formation of gases in the intestines. These are products made from white flour, sweets, legumes, raw cabbage, excess animal protein, etc. Although dietary changes have no real therapeutic value, they can significantly alleviate the symptoms of prostatitis caused by intestinal pressure on the prostate. It is also recommended to exclude from the menu spicy, sweet food, pickles, which change the pH of urine and can increase the manifestations of dysuria.
- Normalization of sexual life.With prostatitis, you cannot practice coitus interruptus, forced abstinence, delayed ejaculation. In the treatment of this disease, an important role is played not by actual intimate contacts, but by ejaculation and the increased blood circulation caused by it in the prostate. The only condition under which sexual life should be paused is painful ejaculation or other discomfort during arousal.
When prescribing the course of treatment, the doctor gives detailed recommendations that are relevant to a specific clinical case. You should not self-medicate: prostatitis is a disease that can lead to serious complications if not stopped in time.