The modern treatment of prostatitis – one of the most urgent problems in urology, depending on the reasons that support the inflammation of the prostate will depend on the scheme of therapy. Patients with chronic prostatitis generally do not need hospitalization. In severe cases, comprehensive treatment in the hospital more efficient. Let's look in details what are the pharmacological and non-pharmacological methods to solve this problem.
Non-drug treatment of prostatitis
Thermal treatments and physiotherapeutic effect
In modern urology is of great importance of physical methods, which allow to reduce the dose and duration of antibiotic therapy.
Physical therapy for prostatitis includes the following objectives:
- improvement of the microcirculation in the tissues of the prostate;
- improvement of the accumulation of drugs in the body;
- to reduce the pain;
- the improvement of the quality of urination;
- mild inflammation;
- the increased potency.
The most effective methods include transrectal microwave hyperthermia and the therapy (mud treatment, laser therapy, Phono - electrophoresis). Depending on the severity of the changes in the tissues of the prostate, the presence or absence of signs of stagnation, and comorbidities, using various temperature regimes and types of procedures.
Electromagnetic interference at a temperature of around 40 degrees celsius has anticongestive, immunostimulating and bacteriostatic effect. With the further increase of temperature up to 45 degrees. mark and sclerosing analgesic effect due to inhibition of nerve endings and reducing the size of the gland.
Important! Prior to the issuance of a physical therapy for prostatitis is necessary to assess the level of prostate specific antigen (PSA) levels in men over the age of 40 and to perform a transrectal ultrasound of prostate (TRUS). This will help to eliminate prostate cancer. In doubtful cases, elevated PSA levels, it is justifiable to resort to magnetic resonance imaging.
Physiotherapy in calcifications of the prostate (calculous prostatitis), as a rule, is not carried out. This is due to the fact that the stones and fabric are heated unevenly in a microwave field, which can cause acute urinary retention and the appearance of blood in the ejaculate.
Treatment of prostatitis with laser
-Low navitas laser affects the prostate effect are similar to those in microwave hyperthermia with a temperature of 40 degrees celsius. This method is more justified to apply in cases of congestive-infiltrative changes in the organs of the urogenital tract, for example, for the treatment of acute and chronic prostatitis with a background vesiculitis, orchitis, orchiepididymitis'.
Prostate massage is used less and less as there are more effective measures and modern devices for physical therapy. The procedure of prostate massage is not performed in the acute phase, the indications, also, BPH, stones, prostate cancer, tuberculosis.
Devices for the treatment of prostatitis at home
Therapeutic properties based on heat, massage and magnetic effects of the prostate tissue. The procedure is absolutely painless and does not require special skills. In the rectum is introduced at the top of the condom, before that, you can apply the gel with anti-inflammatory substances. After use, the device does not need to boil, enough to wipe the working surface with alcohol.
The course of treatment is 15 procedures, the duration is 10 – 12 minutes.
Contraindications for physical therapy:
- the acute phase of inflammation;
- the stones of the prostate;
- genitourinary tuberculosis;
- malignant neoplasms;
- the crack of the rectum, and hemorrhoids in the acute stage;
- bleeding from the rectum;
There are devices for prostate massage in the home environment powered battery, they are less suitable for use, and the action is the vibration. The positive aspects include the price, it is in the range of up to 2000 rubles.
Sanitary-center for treatment of prostatitis
In the sanatorium can only be sent in remission after the filling of sanatorium-resort card. There are many places in Russia and abroad, and treatments for the treatment of prostatitis, improvement of erectile function and improve overall health.
Will help in the solution of the following activities:
- drinking treatment of mineral waters;
- all kinds of hardware physiotherapy impact, especially for the normalization of the nervous system;
- hirudotherapy (treatment with leeches);
- balneotherapy (bath with bromine, iodine, etc.);
- mud therapy (baths, mud tampons).
After treatment in sanatorium many patients forget about the symptoms of prostatitis.
Medical therapy of prostatitis
In the treatment of chronic prostatitis important the complexity of the scheme, which will cover all stages of the pathogenesis. This makes it faster to pull the causative agent from tissues, normalizes blood circulation and nutrition of the organism, facilitates adequate drainage acini (excretory ducts), normalizes hormonal balance and activates local immunity.
For these purposes, used drugs from the following groups:
- anticholinergic medications;
- nonsteroidal anti-inflammatory drugs (Nsaids);
- immunomodulatory agent;
- inhibitors of 5-alpha-reductase;
- inhibitors of cytokines;
- medications that affect urate metabolism, and citrate.
Important! Does not have to mean that your treatment plan will include all of the above, the doctor focuses on your complaints and symptoms in prostatitis, the results of the research, the causing factor, the influence of previous therapy, the stage of inflammatory processes and associated disease.
Exacerbation of chronic prostatitis requires empirical (without identification of the agent) to antibacterial therapy, with the appointment of broad-spectrum antibiotics. Of course, it is better to choose an antibiotic according to the results of the bacterial analysis, but to get it you need time. Acute inflammatory process in the prostate is left without treatment, will lead to complications, such as apostema or bacteriotoxic shock. Often swelling of the glands on the background of inflammation causing acute urinary retention.
In these cases, perform a suprapubic puncture of the bladder with the installation of a Foley catheter and to prevent the deterioration of prostatitis with antibiotics, anti-inflammatory drugs, local use of candles, etc.
So to not be in the hospital for the treatment of inflammation is necessary the first symptoms of the disease and to implement all recommendations of the urologist.
Treatment of prostatitis is determined individually, but are recommendations for the antibiotics (levofloxacin better novum), for a period of up to 28 days.
This scheme adheres to the European Association of urology, antibiotics, and sulfonamides are considered priority drugs in the treatment of acute /exacerbation of prostatitis.
What means are used to eliminate pain in chronic pelvic pain syndrome (CPPS)
CPPS does not imply the correlation of symptoms with the infectious agent (specific or nonspecific). The diagnosis is established by exclusion, the results of a complete clinical and laboratory investigations.
A good effect is achieved when using the following drugs:
- Tricyclic antidepressants. The use of drugs from this group contribute to cupping pain by blocking H1-histamine receptors, and anticholinesterase effect. Often prescribed to Amitriptyline and Imipramine. Some patients in the form of side effects are developed drowsiness, lethargy and thirst.
- Inhibitors of 5-alpha-reductase inhibitors reduce the volume of the prostate and eliminating the swelling of the tissues. In addition, slowing down the conversion of testosterone to dihydrotestosterone reduces pain and symptoms of dysuria.
- Pain-relieving drugs. In severe cases, use analgesics if the pain is not susceptible to the drug than other groups.
- Drugs that affect the metabolism of urate.
Treatment persistent symptoms of dysuria in prostatitis
Sometimes, despite the advent of anti-bacterial and anti-inflammatory therapy, the patient continues to have difficulties in urination.
After the studies – uroflowmetries or bibendum sem research – prescribe medication depending on the identified pathology. In the case of hypersensitivity of the neck of the bladder treatment scheme similar to that in interstitial cystitis:
- introduction in a bladder of solutions with antiseptic.
If dysuric disorders supports of detrusor hyperreflexia (overactive bladder on the background of the prostatitis) – used anticholinesterase drugs. Hypertonicity of the detrusor shoot benzodiazepines and the use of physiotherapeutic effect, neuromodulation sacralis.
Surgery for prostatitis
The indication for surgery in the long-term current prostatitis and severe symptoms are the following complications:
- Sclerosis of the neck of the bladder.
- Infections of the prostate.
- Sclerosis seed tubercle.
- The stones of the prostate.
Performed transurethral resection (TUR), which improves the patient's quality of life.
Other means and methods for the treatment of prostatitis: harm or benefit
On the Internet and questionable tabloid publications only the lazy did not tell you how to cure prostatitis permanently. Some ways that you can adopt, as a Supplement to the basic therapy, the other can worsen the condition and lead to adverse outcome.
As prevention you can use bee products (honey, royal jelly, pollen, propolis, etc.), a reasonable approach would be a positive effect.
It is believed that contains propolis as useful components, such as:
- aromatic oils;
- amino acids and proteins;
- esters and flavonoids, etc.
This ensures antimicrobial, anti-inflammatory and even antitumor preventive effect.
A recipe ointment of prostatitis on the basis of propolis
In the water bath to melt the 100 mg of animal fat, add the bee products:
- 90 grams of propolis,
- for 7 grams of pollen and royal jelly
- 20 grams of honey.
Digest fat is possible, the optimal temperature for the preparation of 40 – 42 C. Stir with a wooden stick, remove and cool in a cold place. Applied to the perineum, 2 times a day, until completely absorbed cream. Duration of treatment – 3 weeks. If necessary, repeat.
If you have difficulty in cooking, you can use the finished pharmaceutical form, in the form of candles with propolis. Enter a single candle in the night in the anus per day, the duration of therapy is from 15 to 30 days.
Keep in mind that the pollen is produced in the form of capsules for use inside and contains 0.4 grams of active ingredient. Can be used at the same time with the suppositories. Of course reception – 1 month.
The decoction and compress the crotch of bee mortuus monkeys
Podmore – is dead bees, to prepare a soup the use of a substance exclusively in a dry form.
Method of preparation: pour 2 tablespoons of mortuus monkeys 800 ml of water boils on low heat for about an hour. Cool, strain and take 5 tablespoons 3 times a day for one month. To compress 150 mg mortuus monkeys to withstand over steam until mushy consistency. Put this tool to the folded in several layers of gauze, put on top of the pulp in several layers of gauze. A few pressed, is applied to the perineum and hold 45 – 60 minutes. The best procedure to perform on the night and in the morning you can take a shower.