Prostatitis is an inflammatory disease.It is accompanied by unpleasant symptoms and is full of 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 drug therapy, physiotherapy, diet and lifestyle changes, gymnastics and traditional medicine.In some cases, surgery may be necessary.
Drug treatment of prostatitis
The main direction in the conservative treatment of prostatitis is the use of various drugs.They are used to eliminate the 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.
Tablets for prostatitis
Drugs for the treatment of prostatitis in the form of tablets are etiotropic, pathogenetic and symptomatic.The first is used in cases of the origin of the disease, the second is needed to eliminate congestion, and the third relieves the main manifestations of the pathology.
Etiotropic drugs are used for antibacterial therapy.They destroy the pathogenic microorganisms that trigger the inflammatory process in the prostate tissue.In the form of an acute disease, antibiotics in the form of tablets are used from 3-4 days - before that, parenteral administration is preferred to achieve the effect quickly.
To choose a drug, it is necessary to first determine the pathogen and its sensitivity to the drug.To treat prostatitis, antibiotics of the following groups can be prescribed:
- fluoroquinolones;
- penicillin;
- Macrolides;
- Tetracyclines;
- sulfonamides.
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 for the treatment of prostatitis.They relax muscles and relieve spasms.This makes urination easier - difficulty is one of the main signs of this disease.The therapeutic course usually lasts at least six months.
Another group of drugs for the treatment of prostatitis is 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.
For the treatment of prostatitis, certain drugs with a prostatotropic effect are also used.They relieve inflammation and pain, improve microcirculation and metabolic processes.
Injection
The main advantage of drugs in the form of injections is the rapid delivery of drugs to the pathological focus.Often, injection therapy is prescribed to relieve acute diseases, and then they turn to other drug pathologies.
A popular injection for prostatitis is a non-steroidal anti-inflammatory drug that relieves inflammation and pain.
For chronic prostatitis, immunomodulators are often used.Such drugs increase the body's resistance and reduce the risk of disease severity and relapse.
If the disease is of bacterial origin, antibacterial therapy is required.This treatment is continued for an average of 1-1.5 weeks.
Rectal suppositories
The use of such a dosage form is attractive due to its rapid absorption into the local blood stream, the delivery of the drug directly to the pathological focus, and minimizing the risk of adverse reactions, especially in relation to the gastrointestinal tract.
The following rectal suppositories can be prescribed for the treatment of prostatitis:
- With antibacterial effect.
- Anti-inflammatory drugs.
- Immunomodulators.
- Antispasmodics.
Microclysters
These treatment options are usually 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 Oil.
People's recovery
Alternative medicine is effective in treating prostatitis.You can use the following recipe:
- 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 in the cold.Eat one such ball half an hour before meals twice a day.Make sure you chew for two minutes.
- Brew 1 Tbsp.L. Crushed hazel 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.
- Brew 1 liter of boiling water 1 teaspoon.Dry 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 juice from fresh parsley and take 1 tablespoon three times a day.L. Half an hour before eating.
- Mix hazel leaves, cinquefoil root and cornflower flowers in equal proportions.Brew 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, massage
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 drugs (anti-inflammatory drugs, anesthetics, antibiotics);
- Hardware electrical stimulation;
- magnetic therapy;
- laser therapy;
- Darsonvalization;
- galvanization;
- microwave therapy;
- healing bath;
- mud therapy;
- uhf therapy.
Physiotherapy treatment methods also include massage.It can be done manually or using an electric shrimp.In any case, such treatment should be carried out by a specialist, because without the appropriate experience, the procedure may not be effective and may even cause harm.
Diet, lifestyle
A conservative approach to the treatment of prostatitis also implies certain changes in lifestyle.The following rules must be observed:
- Quit smoking and 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 sex life.It is important to limit yourself to one sexual partner and use a condom.
- Strengthens the immune system.This is achieved with moderate physical activity, a balanced diet, giving up bad habits, and hardening.Periodically, you should take a vitamin-mineral complex course - the appropriate option should be chosen by your attending physician.
You should also pay attention to your diet.It 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 beans, cabbage, sweets, carbonated drinks, kvass, and black bread.
- Enrich your diet with fermented milk products, fresh vegetables, fruits, and herbs.
- It is necessary to regularly consume fish and seafood.
- Adhere to an optimal drinking regime.If there is no other doctor's order, then 2-2.5 liters of liquid is needed every day.It can be plain or mineral (still) water, green or herbal tea, freshly prepared fruit drinks, compost, juice.Strong tea and coffee should be avoided.
- For cooking, you should limit yourself to boiling, stewing, baking, and stewing.
Training
Physical therapy is useful for prostatitis.It can also be done at home.
Useful Exercises:
- In a standing position, squeeze the muscles, imitating stopping urination.Hold this position for five counts, then rest.Do 10 repetitions.
- Lying on the floor.Raise your legs and pelvis at the same time, doing a "birch tree" stance.At the extreme point, you need to set and hold on as long as possible.
- Lying on your back, lift your legs a few centimeters off the floor and make a cross movement, imitating scissors.After resting, repeat the exercise, but lie on your stomach.
- Lie on your back, lift your legs and imitate riding a bicycle.Increase the rate gradually.Do the first movement forward, then in the opposite direction.
- Lie on your stomach.Raise your straight leg 5 cm from the floor and hold for a few seconds.Return to the starting position and do a few repetitions.Repeat the exercise, raising your legs one at a time.
- Perform shallow squats, while spreading the knees to the sides.The legs should not come off the floor, the back should be straight.
- Stand with support and swing your legs - 15 times each.
- Walk on your back.You need to sit on the floor and often move your back forward.You have to come back the same way.
- Sit on the floor and straighten your legs, slightly apart.Bend, try to reach your socks.
Exercise should be done smoothly, monitoring your breathing.Increase the load gradually.The acceptability 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 - removal of the prostate gland in whole or in part.The operation can be endoscopic or abdominal.
- Prostate resection - removal of fragments of the gland.There are suprapubic, laparoscopic and transurethral resections.
- Circumcision (circumcision) - cutting the foreskin in a circular manner.Performed for chronic prostatitis and for its prevention.
- Abscess drainage.This surgical intervention is minimally invasive and involves aspiration of purulent contents through puncture with a needle, followed by washing the cavity with an antiseptic.
Prostatitis is a relatively common pathology.Various methods are used in its treatment: drug therapy, physiotherapy, physical therapy, special diet, surgery.In any case, experts must choose appropriate tactics and monitor their effectiveness.