Prostatitis is an infectious and inflammatory disease, which is considered one of the most common, but at the same time, less studied and less favorable for conservative correction, pathology with severe urodynamic disorders.The incidence of prostatitis in recent decades has been higher in men who are in the active reproductive stage (age group from 20 to 45 years) and who are sexually active, although until recently it was believed that the maximum risk of the inflammatory process in the prostate gland exists only in older and older men.
In most cases, acute inflammation of the prostatic gland develops against the background of large contamination of the mucous membrane of the prostate with pathogenic and opportunistic microorganisms: Gonococci, Staphylococci, E. coli, etc.
In addition to antibiotics, which are used in the acute phase of the disease and for the treatment of recurrent forms of infectious prostatitis (including CPP - chronic pelvic pain syndrome), complex therapy for inflammatory changes in interstitial and parenchymal tissue also includes the use of micro, micro.In order for the treatment to be effective and achieve a stable remission, the man also needs to adjust his regimen, diet and lifestyle.
Basic therapy for infectious inflammation
The main goal of therapy in the treatment of any form of prostatitis is to stop inflammation and eliminate inflammatory changes, as well as relieve pain, the prevalence, according to various sources, ranges from 35% to 67% (about every second person suffering from prostatitis complains of pain as a dominant symptom).In acute cases, the use of massive antibacterial therapy allows you to quickly achieve a clinically significant effect, which occurs within 4-5 days.Despite the rapid relief of the condition with infectious inflammation of the prostate, it is impossible to stop treatment with antibiotics, because most pathogens of genitourinary infections very quickly develop resistance to drugs of this group, and stopping therapy will lead to chronic disease.
Some of the main causative agents of prostatitis - fecal staphylococcus and Escherichia coli (Escherichia coli) - even if the conditions of administration and continuous use of antibiotics are met, they are able to create a membrane capsule, which is a membrane membrane.For this reason, it is recommended to continue antibiotic therapy even if a positive result is achieved quickly for at least 4 weeks.
Why you can not choose antibiotics yourself
Antibiotics are the basis for the treatment of acute infectious prostatitis, but they must be prescribed by the attending physician after a laboratory examination of prostatic secretions, taking into account several factors: the type of pathogen identified, the degree of contamination of the mucous membrane, and the resistance of certain microorganisms to certain groups.Experts in the field of practical urology also note that in recent years there has been a steady increase in mixed genitourinary infections, so a combination of several antibacterial and antimicrobial agents is often used to treat acute prostatitis.
Self-transformation of acute prostatitis in almost 60-70% of cases leads to the infection becoming chronic, which is a very high rate and confirms non-compliance with freely choosing medicines and ignoring medical prescriptions.The importance of undergoing laboratory and physical diagnostics, as well as consulting a specialist, before using antibiotics is due to the following points.
- Bioavailability Indicator.Some antibacterial drugs (for example, the most popular and prescribed antibiotics - drugs of the penicillin group) have a low level of penetration into the prostate tissue, so their use for prostatitis is ineffective and impractical.Almost all aminoglycosides also have poor bioavailability.
- Degree of bactericidal effect.In the case of acute damage to the prostate gland, antibiotics with a bactericidal effect should be chosen, which causes the death of infectious pathogens.In chronic cases, it is more advisable to prescribe drugs with a bacteriostatic effect, stopping the growth of pathogenic flora and preventing its reproduction.
- General condition of the patient.Patients with severe immunosuppression, as well as severe manifestations of fever and intoxication syndrome should be treated in a hospital setting.Antibiotics are given intravenously to the patient (the oral dosage form is ineffective in severe clinical cases).
Pay attention!The absence of a positive effect during the use of antibacterial therapy may indicate the development of a prostate abscess.This is an acute pathology that requires emergency hospitalization of a man in the hospital and surgical opening of the abscess, followed by drainage and antiseptic treatment of the cavity.
Modern methods of treating chronic inflammation
Physiotherapy is a branch of medicine that studies and uses for therapeutic purposes various natural factors (including artificial ones) that have a positive effect on the human body.In the complex treatment of pathologies of the genitourinary system, physiotherapy is used at the recovery stage, after relieving acute symptoms.
The main goal of physiotherapy is to eliminate the effects of residual inflammation and stimulate the recovery of damaged tissue.A course of physiotherapy treatment usually consists of 5-10 procedures lasting 10-15 minutes.To achieve positive results (reducing the frequency and intensity of chronic pelvic pain, normalizing urination, improving the rheological properties of prostatic secretions, etc.) several courses may be required.
Low level laser therapy
Laser therapy is one of the most effective and popular methods for treating chronic inflammation of the prostate in men, which is most often used as an adjunct after the main drug correction.The basis of laser therapy is the use of various optics emitted by a special device - a laser.The laser can operate in pulsed and continuous mode, and the wavelength can reach up to 904 nm. Rarely in urology is the method of intravenous laser illumination of blood used, which is considered by many experts to be the most effective and universal method for the complex treatment of urological diseases.
The main advantage of laser therapy is a fairly high efficiency, pain, and stimulation of not only damaged but also nearby tissues.This physiotherapy method is very useful for congestive (stagnant) prostatitis, because laser radiation has a positive effect on the microcirculation in the pelvic vessels and normalizes the outflow of secretions from the prostatic gland.
Electrical stimulation
Electrical stimulation with current is indicated for the treatment of any form of prostatitis, accompanied by erectile dysfunction and a general decrease in potency.Stimulation is carried out using the endourethral method, that is, a catheter with electrodes attached to it is inserted directly into the back of the urethra, where the prostate is located.In some cases, a rectal electrode can be used for treatment, which provides electrical stimulation of the prostate gland in the place where it borders the anterior ampulla of the rectum.In both cases, it is important that the stomach and bladder are empty.
Treatment with electric current has a complex positive effect on the prostate gland, namely:
- removes fluid stagnation (blood and lymph) in the pelvic organs;
- ensure the normal outflow of prostatic secretions;
- Increases the permeability of the cell membrane of the parenchymal tissue of the gland and its interstitium, which promotes faster absorption of the drug into the inflamed prostate tissue;
- reduce swelling;
- normalization of pelvic muscle tone;
- Increases the regenerative capacity of cells and local immunity (especially in chronic bacterial prostatitis).
The therapeutic effect after electrical stimulation of the prostate occurs after 2-3 procedures, but it is important not to stop the treatment to minimize the risk of possible recurrence.A full course usually consists of 5-7 procedures.
Pay attention!Prostate stimulation with electric current is particularly effective for prostatitis with severe erectile dysfunction.
Thermotherapy
Thermotherapy is also a type of physiotherapy and can be used for self-treatment of prostatitis or used in a special physiotherapy room.Heat sources to heat the prostate gland can be:
- mineral application (bischofite, paraffin, ozokerite);
- special electric lights;
- heating pad (water, electric);
- Device for infrared irradiation.
In day hospitals and physiotherapy rooms, a reflector is often used to heat the prostate, which is an incandescent lamp with a focused lamp ("blue light").This procedure has certain contraindications, for example, disorders of the autonomic nervous system, malignant tumors, acute infectious and purulent inflammatory processes, active forms of tuberculosis.The use of thermal procedures in the acute period of the disease is unacceptable, as this can cause hematogenous infection of neighboring organs and tissues (due to a sudden increase in blood circulation) and the development of serious complications, including septic blood poisoning.
Important!If a man is prescribed hormone therapy or immunomodulators, it is necessary to consult a doctor about the possibility of using thermal procedures (especially if the patient is being treated at home).It is unacceptable to prescribe thermal procedures with cytostatic and hemostatic drugs.
Ozone therapy
This is a relatively effective modern method of treating prostatitis, which is practiced mainly in paid medical centers.Medical ozone is produced by special medical devices called ozonizers.The gas in its pure form is highly toxic and, if inhaled, can cause chemical poisoning and acute death.To introduce ozone into the patient's blood, the gas is mixed with blood or salt (salt concentration 0.9%).
The main indication for the use of ozone therapy for inflammation of the prostate gland is chronic infectious prostatitis with frequent tremors (more than 2-3 times a year).Ozone has strong antiseptic and bactericidal properties, therefore it is often used to disinfect premises, including industrial premises.It destroys almost all strains of pathogenic and opportunistic bacteria, which most often cause prostate inflammation and are highly resistant to antibacterial drugs.The qualification of using this method is considered reasonable if the patient does not experience stable positive dynamics after changing three antibiotics.
The ozone solution is injected using a special catheter into the prostatic part of the urethra or rectum.This course consists of 5-10 procedures.
Devices for the treatment of prostatitis
Hardware treatment of prostatitis can be done in the physiotherapy room and at home (strictly after consultation with the attending physician).Most of them are devices for rectal use, so in addition to the main contraindications directly related to the disease, it is important to take into account local restrictions: acute level of hemorrhoids, rectal bleeding of unknown origin, violation of the integrity of the rectal epithelial layer, proctitis and paraprocitis.
It is not acceptable to introduce any foreign object (electrode, sensor) into the rectum in case of rectal prolapse, pelvic abscess, hemorrhoidal vein thrombosis and congenital inability of the colon conservation apparatus.
Important!Before using any device for the treatment of prostatitis and prostate adenoma, you should consult your doctor, because some of these devices are not only useless, but also significantly harmful to your health.The effect of hardware on prostate tissue is unacceptable in the acute period of the disease, as well as in the presence of any possible contraindications (listed above).
Prostatitis is a serious disease that requires an integrated approach to treatment.In addition to medication and physiotherapy methods for the treatment of prostatitis, in some cases, it is necessary to use psychotherapy, as well as correction of lifestyle, eating habits, work patterns and rest.Basic therapy during the recovery and rehabilitation period should be supplemented with additional treatment methods: Hirudotherapy (leech treatment), balneotherapy (mineral water therapy), mud therapy, exercise therapy.A man should also move enough, give up bad habits, and monitor his psycho-emotional state.Outside the period of severity, annual sanatorium-resort treatment is shown to consolidate the achieved results.