The prostate is one of the main organs of the male urogenital system. It produces a secret that is part of the sperm and provides conditions for the "life activity" of the sperm. Inflammation and swelling of the prostate is considered the most common health problem in men, especially in adulthood and old age.
Methods of treating prostatitis are constantly being improved, 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.
Particular difficulties are associated with the treatment of chronic prostatitis. Frequent relapses 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 can 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 associated with dysfunction of the gland at all. Pain in the perineum and lower abdomen due to urinary problems 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 an andrologist-urologist and other specialists. And if the therapy lasts several weeks with an acute course of the disease and a timely visit to the doctor, then with chronic inflammation the patient must be patient in order to achieve not only temporary, but complete relief of symptoms and recovery.
Basic principles of prostatitis treatment:
- timeliness. The sooner the patient consults 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. They cannot trust the methods that have failed clinical tests and the advice of traditional healers.
- Complexity. Treatment should include multiple scientifically proven therapies for maximum effect.
- Both partners should be treated, since 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 with a different spectrum of action. The treatment regimen is determined individually in each individual case, taking into account the results of examinations and the nature of the disease.
The main components of the complex drug treatment of prostatitis:
- Antibacterial agents.In acute prostatitis, antibiotics are prescribed when the presence of pathogenic microflora is determined by Bakposev's results. The choice of a particular drug depends on tests on 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 non-infectious prostatitis, 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 at self-medication 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 carried out with the help of nonsteroidal anti-inflammatory drugs, a short course of 5-7 days. These drugs can both stop the inflammatory process and relieve or completely eliminate the pain of prostatitis.
- adrenoblockers.They are prescribed to relax the smooth muscles of the prostate and bladder neck and relieve pain when urinating.
- other directions.Other groups of drugs can also be used to restore urine outflow, eliminate spasms and relieve pain.
With accumulation of purulent exudate in the prostate, surgical treatment is indicated.
Auxiliary methods of treating prostatitis
For effective treatment of prostatitis, it is important to remove congestion in the pelvic organs, restore blood flow 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 medicines;
- rectal diathermy;
- Mud therapy (rectal swabs, mud pants).
These methods are especially important in chronic prostatitis, which is characterized by a relapsing course. Physiotherapeutic guidance in combination with the drug will help in the treatment of prostatitis and eliminate the negative impact of the pathology on the general state of health. In some cases, the help of a psychotherapist is also required when erectile dysfunction and other functional disorders or complications of a psychogenic nature are observed against the background of prostatitis.
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 flow to the pelvic organs. Therefore, men suffering from prostatitis are recommended to walk, swim, exercise regularly, do yoga and other possible activities. This will help improve the results of treatment and prevent 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 gas formation 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 relieve the symptoms of prostatitis caused by intestinal pressure on the prostate. It is also recommended to exclude from the menu spicy, sweet foods and pickles, which can change the pH of urine and increase the manifestations of dysuria.
- Normalization of sex life.With prostatitis, you can not practice coitus interruptus, forced abstinence and delayed ejaculation. In the treatment of this disease, it is not the actual intimate contacts that play an important role, but rather the ejaculation and the increased blood flow to the prostate caused by it. The only condition under which sex life should be interrupted is painful ejaculation or other discomfort during arousal.
When prescribing a course of treatment, the doctor gives detailed recommendations relevant to a particular clinical case. You should not self-medicate: prostatitis is a disease that can lead to serious complications if not stopped in time.