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 each case, an integrated approach is required.
Treatment of prostatitis in most cases is carried out using conservative methods.They include pharmacotherapy, physiotherapy, diet and lifestyle changes, gymnastics and traditional medicine.In some cases, surgery may be required.
Pharmacological treatment of prostatitis.
The main direction in the conservative treatment of prostatitis is the use of various medications.They are used to eliminate the underlying cause of the pathology, as well as the accompanying symptoms.Drug therapy for prostatitis involves the use of various dosage forms: tablets, injections, rectal suppositories, microenemas.
Pills for prostatitis
Medicines for the treatment of prostatitis in tablet form are etiotropic, pathogenic and symptomatic.The first are used in cases of infectious origin of the disease, the second are necessary to eliminate congestion, and the third relieve the main manifestations of the pathology.
Etiotropic drugs are used for antibacterial therapy.They destroy pathogenic microorganisms that cause an inflammatory process in the prostate tissue.In the acute form of the disease, antibiotics in the form of tablets are used for 3-4 days;Before this, parenteral administration is preferred to achieve an effect quickly.
To select a drug, it is first necessary to determine the pathogen and its sensitivity to the drug.To treat prostatitis, antibiotics from the following groups can be prescribed:
- fluoroquinolones;
- penicillins;
- macrolides;
- tetracyclines;
- sulfonamides.
Antibiotic therapy is usually continued for 1 to 1.5 weeks.At the same time, probiotics are prescribed to normalize the intestinal microflora.
Alpha blockers are also prescribed for the treatment of 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 psychoemotional disorders that often accompany prostatitis, sedatives and antidepressants are prescribed.Herbal products are effective.
Specific drugs with prostatotropic effects are also used for the treatment of 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.Often, injection therapy is prescribed to alleviate an acute illness and then switch to other medicinal pathologies.
Popular injections for prostatitis are non-steroidal anti-inflammatory drugs that relieve inflammation and pain.
For chronic prostatitis, immunomodulators are often used.These medications increase the body's resistance and reduce the risk of exacerbations and relapses of the disease.
If the disease is of bacterial origin, antibiotic therapy is necessary.This treatment is continued for an average of 1 to 1.5 weeks.
rectal suppositories
The use of this dosage form is attractive due to its rapid absorption into the local bloodstream, the administration of the drug directly to the pathological focus and the minimization of the risk of adverse reactions, especially in relation to the gastrointestinal tract.
The following rectal suppositories may be prescribed for the treatment of prostatitis:
- With antibacterial effect.
- Anti-inflammatory medications.
- Immunomodulators.
- Antispasmodics.
Microclysters
This treatment option is typically used to combat 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 the treatment of prostatitis.You can use the following recipes:
- Pass 0.5 kg of raw peeled pumpkin seeds through a meat grinder, add 0.2 kg of honey and mix well.Form the resulting dough into balls and store in the cold.Eat one such ball half an hour before meals twice a day.Make sure to chew it for two minutes.
- Prepare 1 tbsp.l.crushed hazelnut bark or leaves with a glass of boiling water and leave covered for half an hour.Then filter and take a quarter glass four times a day.
- Prepare 1 liter of boiling water 1 tsp.dried wormwood.When the infusion has cooled to 40 degrees, filter it and strain.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.l.half an hour before meals.
- Mix hazelnut leaves, cinquefoil root and cornflower flowers in equal proportions.Prepare 3 tbsp.l.Collect three glasses of boiling water and leave 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 physiotherapy procedures.The following methods are often used:
- cryotherapy;
- ultrasound therapy;
- electrophoresis or phonophoresis with medications (anti-inflammatories, anesthetics, antibiotics);
- hardware electrical stimulation;
- magnetic therapy;
- laser therapy;
- darsonvalization;
- galvanization;
- microwave therapy;
- healing baths;
- mud therapy;
- UHF therapy.
Physiotherapeutic treatment methods also include massage.It can be done manually or using an electric massager.In any case, such treatment must be carried out by a specialist, since in the absence of appropriate experience, the procedure may be ineffective and even cause harm.
Diet, lifestyle
A conservative approach to prostatitis treatment also involves certain lifestyle changes.The following rules must be observed:
- Stop smoking and drinking alcohol.
- Normalize your weight if necessary.This is achieved by gradually reducing daily calories and exercising.
- Moderate physical activity.You definitely need to walk: take at least 10 thousand steps a day.This is very important to eliminate and prevent congestion.
- Normal sexual life.It is important to limit yourself to one sexual partner and use condoms.
- Strengthening the immune system.This is achieved through moderate physical activity, a balanced diet, abandoning bad habits and toughening up.Periodically, you should take treatment with a vitamin and mineral complex;Your doctor must select the appropriate option.
You should also pay attention to your diet.You must meet the following requirements:
- Avoid fatty foods and highly extractive foods: spices, hot seasonings, pickles, marinades, smoked meats.
- Avoid products that increase gas formation.This applies to legumes, cabbage, confectionery, carbonated drinks, kvass and black bread.
- Enrich your diet with fermented dairy products, vegetables, fruits and fresh herbs.
- It is necessary to regularly consume fish and seafood.
- Follow the optimal drinking regimen.If there are no other medical instructions, 2 to 2.5 liters of fluid per day are needed.It can be plain or mineral water (still), green or herbal tea, freshly prepared fruit drink, compote or juice.Strong tea and coffee should be avoided.
- For cooking, you should limit yourself to boiling, stewing, baking and simmering.
Exercise
Physiotherapy is useful for prostatitis.It can also be done at home.
Useful exercises:
- In a standing position, squeeze the muscle, simulating stopping urination.Hold this position for a count of five and then relax.Do 10 repetitions.
- Lie down on the floor.Raise your legs and pelvis straight at the same time, performing the “birch” pose.At the extreme point you have to focus and hold on as long as possible.
- Lying on your back, raise your legs a few centimeters off the ground and perform crossed movements imitating scissors.After a short rest, repeat the exercise, but lying face down.
- Lying on your back, raise your legs and imitate riding a bicycle.Increase the pace gradually.Perform the movements first forward and then in the opposite direction.
- Lie face down.Raise your straight legs 5 cm off the floor and hold them there for several seconds.Return to the starting position and do several repetitions.Repeat the exercise, lifting your legs one at a time.
- Perform shallow squats, while spreading your knees to the sides.The feet should not leave the ground, the back should be straight.
- Stand on the support and swing your legs, 15 times each.
- Walk on your buttocks.You must sit on the floor and alternately move your glutes forward.You have to come back the same way.
- Sit on the floor and stretch your legs, slightly apart.Bend over, trying to reach your socks.
The exercises should be performed without problems, controlling your breathing.Increase loads gradually.The admissibility of such exercises should be consulted with your doctor.
Surgical treatment
In most cases, prostate treatment is done using conservative methods, but sometimes the only solution 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 fragment of the gland.There are suprapubic, laparoscopic and transurethral resection.
- Circumcision (circumcision): cutting the foreskin in a circular fashion.Made for chronic prostatitis and its prevention.
- Drainage of abscesses.This surgical intervention is minimally invasive and consists of aspiration of the purulent contents through a needle puncture, followed by washing the cavity with antiseptics.
Prostatitis is a fairly common pathology.Various methods are used in its treatment: pharmacotherapy, physiotherapy, physiotherapy, special diet, surgery.In any case, a specialist must select the appropriate tactic and monitor its effectiveness.