Prostatitis is an inflammatory disease.It is accompanied by unpleasant symptoms and is fraught with various complications and therefore requires mandatory treatment.It can be conservative or surgical.In any case, an integrated approach is necessary.
Treatment of prostatitis in most cases is carried out using conservative methods.They include drug therapy, physiotherapy, changes in diet and lifestyle, gymnastics and traditional medicine.In some cases, surgery may be necessary.
Pharmacological treatment of prostatitis
The main direction in the conservative treatment of prostatitis is the use of various drugs.They are used to eliminate the underlying cause of the pathology, as well as the associated symptoms.Drug therapy for prostatitis involves the use of various dosage forms: tablets, injections, rectal suppositories, microenemas.
Tablets for prostatitis
Drugs for the treatment of prostatitis in the form of tablets are etiotropic, pathogenetic and symptomatic.The former are used in cases of infectious origin of the disease, the latter are necessary to eliminate congestion and the third relieves the main manifestations of the pathology.
For antibacterial therapy, etiotropic drugs are used.They destroy pathogenic microorganisms that cause an inflammatory process in the prostate tissue.In the acute form of the disease, antibiotics in tablets are used from 3-4 days - earlier parenteral administration is preferable to quickly achieve an effect.
To select a drug you must first determine the pathogen and its sensitivity to the drug.To treat prostatitis, antibiotics from the following groups can be prescribed:
- fluoroquinolones;
- penicillins;
- macrolides;
- tetracyclines;
- sulphonamides.
Antibacterial therapy is usually continued for 1-1.5 weeks.At the same time, probiotics are prescribed to normalize the intestinal microflora.
α-Blockers are also prescribed to treat prostatitis.They relax muscles and relieve spasms.This makes urination easier: difficulty is one of the main signs of the disease.The therapeutic course usually lasts at least six months.
Another group of drugs for the treatment of prostatitis are non-steroidal anti-inflammatory drugs.They are used to relieve inflammation and pain.
For psycho-emotional disorders, which often accompany prostatitis, sedatives and antidepressants are prescribed.Herbal products are effective.
Specific drugs with a prostatotropic effect are also used to treat prostatitis.They relieve inflammation and pain, improve microcirculation and metabolic processes.
Injections
The main advantage of drugs in the form of injections is the rapid administration of the drug to the pathological focus.Injection therapy is often prescribed to relieve an acute disease and then move on to other medicinal pathologies.
Popular injections for prostatitis are nonsteroidal anti-inflammatory drugs that relieve inflammation and pain.
For chronic prostatitis, immunomodulators are often used.Such drugs increase the body's resistance and reduce the risk of exacerbations and relapses of the disease.
If the disease is of bacterial origin, antibacterial therapy is necessary.This treatment is continued for an average of 1-1.5 weeks.
Rectal suppositories
The use of such a dosage form is interesting due to its rapid absorption into the local bloodstream, administration of the drug directly to the pathological focus and minimization of the risk of adverse reactions, especially in relation to the gastrointestinal tract.
For the treatment of prostatitis the following rectal suppositories can be prescribed:
- With antibacterial effect.
- Anti-inflammatory drugs.
- Immunomodulators.
- Antispasmodics.
Microclyctors
This treatment option is usually used to fight inflammation, provide antibacterial treatment, and relieve pain and swelling.For prostatitis the following microenemas can be used:
- propolis – relieves inflammation, stimulates blood supply;
- iodine – antiseptic effect;
- sea buckthorn, fir, eucalyptus, peach oils.
Folk remedies
Alternative medicine is effective in treating prostatitis.You can use the following recipes:
- Pass 0.5 kg of peeled raw pumpkin seeds through a meat grinder, add 0.2 kg of honey and mix thoroughly.Form small balls from the resulting mass and store them in the cold.Eat one of these balls half an hour before meals twice a day.Make sure you chew it for two minutes.
- Prepare 1 tbsp.the.mash the bark or leaves of the hazelnut with a glass of boiling water and leave covered for half an hour.Then filter and take a quarter of a glass four times a day.
- Prepare 1 liter of boiling water 1 tsp.dry absinthe.When the infusion has cooled to 40 degrees, strain and filter it.Use for microenemas: 100 ml of solution per procedure.Repeat for a week.
- Prepare fresh parsley juice and take 1 tablespoon three times a day.the.half an hour before meals.
- Mix hazel leaves, cinquefoil root and cornflower flowers in equal proportions.Prepare 3 tbsp.the.collect three glasses of boiling water and leave them overnight, filter in the morning and take a glass three times a day before meals.
Physiotherapy, massages
One of the effective areas in the treatment of prostatitis is physiotherapeutic procedures.The following methods are often used:
- cryotherapy;
- ultrasound therapy;
- electrophoresis or phonophoresis with drugs (anti-inflammatories, anesthetics, antibiotics);
- electrical stimulation of hardware;
- magnetotherapy;
- laser therapy;
- darsonevaluation;
- galvanizing;
- microwave therapy;
- healing baths;
- mud therapy;
- UHF therapy.
Physiotherapy treatment methods also include massage.It can be done manually or using an electric massager.In any case, such treatment should be carried out by a specialist, since in the absence of adequate experience the procedure may be ineffective and even cause harm.
Diet, lifestyle
A conservative approach to treating prostatitis also involves some lifestyle changes.The following rules must be observed:
- Stop smoking and alcohol.
- Normalize your weight if necessary.This is achieved by gradually reducing daily calories and doing physical activity.
- Moderate physical activity.You absolutely must walk: take at least 10 thousand steps a day.This is very important to eliminate and prevent congestion.
- Regular sex life.It is important to limit yourself to one sexual partner and use a condom.
- Strengthen the immune system.This is achieved with moderate physical activity, a balanced diet, abandonment of bad habits and hardening.Periodically you should take a course of a vitamin-mineral complex - the appropriate option should be selected by your attending physician.
You should also pay attention to your diet.Must meet the following requirements:
- Avoid fatty foods and highly extractive foods: spices, spicy seasonings, pickles, marinades, smoked meat.
- Avoid products that increase gas formation.This applies to legumes, cabbage, confectionery, carbonated drinks, kvass and black bread.
- Enrich your diet with fermented milk products, fresh vegetables, fruits and herbs.
- It is necessary to consume fish and seafood regularly.
- Stick to the optimal drinking regime.If there is no other doctor's instructions, 2-2.5 liters of fluid per day is needed.It can be still or mineral (non-carbonated) water, green or herbal tea, freshly brewed fruit drink, compote, juice.Strong tea and coffee should be avoided.
- For cooking, you should limit yourself to boiling, stewing, baking and simmering.
Exercise
Physical therapy is helpful for prostatitis.It can also be done at home.
Useful exercises:
- In a standing position, contract the muscle, simulating stopping urination.Hold this position for a count of five, then relax.Do 10 repetitions.
- Lie on the floor.Raise your legs and pelvis at the same time, performing the “birch” position.At the extreme point it is necessary to fixate and resist as long as possible.
- Lying on your back, lift your legs a few centimeters off the floor and perform crossed movements, imitating scissors.After a short rest, repeat the exercise, but lying on your stomach.
- Lying on your back, raise your legs and imitate riding a bicycle.Gradually increase the pace.Perform the movements first forward, then in the opposite direction.
- Lie on your stomach.Raise your straight legs 5cm off the floor and hold the position for a few seconds.Return to the starting position and perform several repetitions.Repeat the exercise by lifting your legs one at a time.
- Perform shallow squats, spreading your knees to the sides.Feet should not leave the floor, back should be straight.
- Stand on the stand and swing your legs – 15 times each.
- Walking on the buttocks.You need to sit on the floor and alternately move your buttocks forward.You have to go back the same way.
- Sit on the floor and straighten your legs, slightly apart.Bend over, trying to reach your socks.
Exercises should be performed smoothly, monitoring breathing.Gradually increase the loads.The admissibility of such exercises should be discussed with your doctor.
Surgical treatment
In most cases, prostate treatment is carried out using conservative methods, but sometimes the only option is surgery.The following methods are possible:
- Prostatectomy – total or partial removal of the prostate gland.The operation can be endoscopic or abdominal.
- Prostate resection – removal of a piece of the gland.There are suprapubic, laparoscopic and transurethral resections.
- Circumcision (circumcision) – cutting the foreskin in a circular fashion.Performed for chronic prostatitis and its prevention.
- Drainage of abscesses.This surgery is minimally invasive and involves aspiration of the purulent contents through a puncture with a needle, followed by washing the cavity with antiseptics.
Prostatitis is a fairly common pathology.Various methods are used in its treatment: drug therapy, physiotherapy, physical therapy, special diet, surgery.In any case, a specialist must select the appropriate tactic and monitor its effectiveness.