Treatment of prostatitis, etiology and symptoms of the disease

13 September 2020

Inflammation of the prostate is a common reason why a man goes to a urology clinic.

Treatment of prostatitis consists of identifying the cause of the disease and prescribing special drugs to improve prostate function.

In addition, an active lifestyle, regular exercise and physiotherapy play an important role in treatment.

Also, urologists have no objection to treating prostatitis using traditional prescriptions. To prevent the disease from getting worse, it is best to use them at the same time as medication.

The causes of prostate inflammation are:

pelvic congestion due to sedentary lifestyle.
sexually transmitted diseases.
urinary tract infections?
prolonged abstinence from sex.
cessation of sexual intercourse?
complications after urethral catheterization.
continuous hypothermia?
alcohol abuse, spicy and spicy foods?
infections of other organs (for example, tonsillitis, sinusitis, pneumonia, caries) on a background of weakened immunity.

Acute and chronic prostatitis are distinguished by the form of flow.

Depending on the causative agent, the following forms of the disease can be distinguished:

Acute bacterial prostatitisis mainly caused by gram-negative pathogenic microflora. These are E. coli (Escherichia coli), gonococcus (Neisseria gonorrhaeae), Trichomonas (Trichomonas vaginalis).
Chronic bacterial prostatitisis diagnosed in almost 30% of cases. The main cause is infection with chlamydia (Chlamydia trichomonas), ureaplasma (Ureaplasma urealyticum), mycoplasma (Mycoplasma). The disease can occur both independently and as a complication of the acute form of the inflammatory process of the prostate.
Granulomatous prostatitisis relatively rare. It is caused by syphilis, genital tuberculosis, fungal infections.
Chronic non-bacterial prostatitisoccurs in the vast majority of cases in men over 50 years of age. The main cause is age-related circulatory disorders.

Prostate secretion has a specific antimicrobial action and effectively treats infection.

Therefore, the development of bacterial pathology usually occurs in the presence of congestion in the genital area. For this reason, some experts believe that bacterial prostatitis is the initial stage of non-infectious chronic inflammation.

The acute form of the disease is usually accompanied by the following symptoms:

feeling of heaviness in the perineum, especially when sitting.
increased urge to urinate is sometimes false due to compression of the urethra by an enlarged gland.
difficult, painful urine flow.
pain in the perineum radiating to the penis and anus.
sense of the presence of a foreign body in the rectum.
pain during bowel movements.
temperature rise to 38 - 40 degrees.

If treatment of acute prostatitis starts quickly, then the patient's condition improves in just 3-4 days. However, in the absence of appropriate treatment, there is a risk of developing a purulent abscess of the prostate. This requires immediate medical attention in a hospital. Below are the signs of chronic prostatitis.

Pain. It is varied and can occur when urinating, ejaculating or at rest. The intensity depends on many factors. Sometimes a man only complains of a feeling of heaviness and in some cases pain medication is required. The location of the pain is also different - in the perineum, penis, testicles or rectum.

Urinary disorders.It is a common urge to use the toilet, especially at night, a slow intermittent flow of urine, a feeling of insufficient emptying of the bladder. Sexual dysfunction manifests itself in the form of premature ejaculation or erectile dysfunction.

Psychological symptoms.Patients complain of insomnia, increased sweating, irritability, rapid fatigue. These points enter the recession phase and worsen upon activation of the process. Experts stress that it is necessary to distinguish between prostate adenoma and its inflammation.

Adenoma is a benign hyperplasia (enlargement) of an organ. This disease is associated with age-related changes in the hormonal background of men and requires consultation with an andrologist. The doctor treats prostatitis by prescribing medications for topical (suppositories) and systemic use (pills and injections during the acute course of the disease).

Treatment focuses on:

cessation of bacterial activity.
improving microcirculation and blood circulation.
elimination of edema?
cessation of the inflammatory process?
normalize the outflow of secretions from the prostate
Improving the immune system.
if necessary - correction of hormonal disorders.

According to patient reviews, the effectiveness of prostatitis medication increases with the simultaneous consumption of decoctions and infusions of various herbs:

pumpkin seed oils?
parsley leaves, roots and fruits?
beekeeping products (honey, propolis, bee bread, zambros);
aspen bark;
selandine juice?
chestnut peel?
hemlock tinctures.

Juice therapy has recently gained popularity. This technique helps cleanse the body of toxins, strengthens the immune system, normalizes the intestines, liver and kidneys and stabilizes weight. In addition to treating prostatitis, juice therapy helps treat many other chronic conditions. You can read the details of this method in specialized forums.

Treatment of prostatitis in men: drugs and the principle of their action

In addition to physical therapy procedures such as structural prostate massage, microwave heat therapy, the following groups of drugs are prescribed to treat prostatitis in men:

antibiotics?
non-steroidal anti-inflammatory drugs?
herbal and organic preparations?
vasoprotective and vasodilator drugs?
α-blockers?
antispasmodics?
5-α reductase inhibitors;
immunomodulators.

Antibacterial drugs for the treatment of prostatitis in men are almost always prescribed, regardless of the form of the disease. This is not entirely correct.

The appropriateness of using antibiotics must be confirmed by laboratory tests.Do the so-called bacterial culture of prostate secretions. The study shows not only the presence or absence of pathogenic microflora, but also its sensitivity to certain antibacterial drugs.

The duration of treatment is from 2 to 4 weeks, if necessary, it is continued for another month.When prescribing a drug, consider its ability to accumulate in prostate tissue. This property is possessed by fluoroquinolones, antibiotics of the penicillin group, lincosamides, tetracyclines, macrolides. Antimicrobial therapy is sometimes indicated when there is a risk of complication of non-infectious prostatitis by a bacterial infection. Dosage of drugs is calculated individually based on the age, condition of the patient and the presence of concomitant diseases of the kidneys, liver and digestive system.

To treat acute prostatitis in men, doctors prefer injections and then switch to pills. Non-steroidal anti-inflammatory drugs (NSAIDs) are used to relieve pain and swelling.The action of the drugs is based on the inhibition of prostaglandin synthesis and platelet aggregation - the main factors in the development of the inflammatory process and the accompanying pain, fever and edema.

In the treatment of prostatitis in men, the drug is suitable for topical application in the form of suppositories. This ensures fast intake and maximum concentration of the active substance in the organ. Anticonvulsants and α-blockers facilitate urination with inflammation of the prostate. Experts associate difficulties with emptying the bladder not only with the mechanical compression of the urethra by an enlarged prostate.

The cause of this symptom is also a reflex spasm of the smooth muscles of the urinary system. Difficulty urinating or incomplete bladder drainage can cause secondary bacterial infections, accumulation of sand and stone formation. The action of adrenergic blockers develops gradually. Almost 90% of patients notice improvement after 1-2 weeks after starting treatment. Anticonvulsants "work" a little faster, in addition, they relieve pain.

Herbal preparations and treatments based on bovine prostate gland secretion in the form of tablets or suppositories have a complex effect. They do not have as strong an effect as synthetic drugs.

For the treatment of prostatitis in men, herbal preparations are used either as part of a combination therapy or in remission to prevent the disease from getting worse.Vascular preservatives can be used in the form of capsules or ointments for external use. Their action aims to normalize blood circulation to the prostate. Improving venous outflow contributes to the early elimination of inflammatory exudate and the elimination of swelling.

Immunomodulators in the treatment of prostatitis in men are used to strengthen the body's defenses. The fact is that the weakening of the immune system plays an important role in the development of inflammation; in this condition, the risk of various bacterial complications increases. Thymus preparations, interferons, stimulants of their immunity are widely used.

In addition, multivitamin complexes are used to treat prostatitis in men(which drug the patient decides on depending on price and manufacturer). With intense nervous tension, insomnia, mild sedatives and antidepressants are indicated. If an ultrasound examination of the urinary tract organs has shown accumulation of sand in the kidneys, appropriate drugs are selected to prevent stone formation.

How to treat prostatitis at home: diet, exercise, traditional medicine recipes

The prostate gland is the main organ of the male reproductive system, so many are interested in the issue of the need for hormone therapy in the development of the inflammatory process. Experts agree that such drugs are necessary only if there is no effect from the main treatment of advanced prostatitis. Specifically, the following apply:

Preparations of the glucocorticoid group. To reduce side effects and systemic exposure, they are prescribed topically using electrophoresis.

Inhibitors5-αreductase. Drugs in this group are not hormones. Their mechanism of action is based on reducing the effect of androgens on the prostate. This ensures the reduction of the size of the organs and the relief of the symptoms of prostatitis.

Testosterones to improve sexual function. They are extremely rarely prescribed for medical reasons and after blood tests for the content of the main hormones. Doctors advise to increase the effectiveness of drug treatment and reduce its duration by using through the arsenal of traditional medicine.

How to treat prostatitis using folk remedies:

Peel the chestnuts and finely chop the skin and cover with a glass of vodka. Insist in a cool and dry place for 14 - 20 days. Then drain and add 100 - 150 ml of clean water at room temperature. Take 10 drops twice a day on an empty stomach for 2 weeks. Then you should take a break of seven days and repeat the course of treatment.

Pumpkin oil is recommended to drink a tablespoon before each meal.

Heat a glass of vegetable oil in a water bath and add 2 tbsp. crushed propolis and continue heating until completely dissolved. Use the resulting mixture as an ointment once a day before bedtime. The duration of treatment is 28 - 30 days.

Regular prostate massage works well. You can do it yourself, ask for help from a loved one or use one of the special devices in many of the modern markets. Contraindication for massage is the formation of stones in the prostate gland (computer prostatitis).

Also, such a procedure is not recommended in case of worsening of the disease, which is accompanied by pain and fever. In addition, exercise helps when deciding how to treat prostatitis. Moderate sports activity is an excellent prevention of pelvic congestion, helping to fight obesity.

Urologists recommend performing the following exercise items:

Kegel exercises consist of rhythmic tension and relaxation of the perineal muscles. They should be performed at least 30 times 3-4 times a day.
Walking up stairs or lifting your knees to your chest while standing.
Occupations.
"Birch".
Lifting your legs in line.

You can also watch a video yoga class.Inverted asanas and breathing exercises will help treat prostatitis. However, this does not mean that after exercise you can continue to lead a sedentary lifestyle. To effectively prevent prostatitis and impotence, experts recommend that the stronger sex move as much as possible.

Hirudotherapy is a good addition to traditional treatments for ailments. The course is 8-9 procedures, it is better to start in the early stages of an acute inflammatory process.

The effectiveness of the manipulation is due to the following factors:

During the process, the leeches release the substance hirudin, which dilutes the blood and facilitates its circulation.
the swelling disappears due to the excretion of the inflammatory exudate.
reflex action on the active points of the pelvis and genitals.

Treatment of prostatitis is almost impossible without proper diet. It is necessary to stop alcohol, spicy, smoked, spicy and salty foods. Prefer green vegetable juices (especially spinach, herbs), lean meat and fish, drink plenty of fluids (water, compotes, fruit drinks).

Zinc is good for any age. This metal stimulates spermatogenesis, improves the quality of male sperm. It is found in large quantities in beef, pine nuts, peanuts and legumes.

However, despite all the efforts of doctors, it is impossible to treat advanced forms of non-bacterial or infectious prostatitis with severe swelling and pain with the help of drugs and physiotherapy. In such cases, only surgery will help. To avoid this, you need to monitor your weight, engage in sports appropriate for your age and health. It is also necessary to avoid hypothermia, to avoid the development of chronic infections.

Drugs for the treatment of prostatitis

The choice of drugs for the treatment of prostate inflammation requires an individual approach. When prescribing drugs, the doctor should take into account the presence of contraindications, the characteristics of the course of the disease and the cost of drugs for the treatment of prostatitis.

As you can see, the range of agents for treating prostate inflammation is wide. However, high costs do not always mean efficiency. Only a doctor should choose drugs for the treatment of prostatitis and their dosage. Special consultation is also required before using traditional medicines with honey or medicinal herbs.

Drawing conclusions

Prostatitis is one of the most common male diseases in the world. But few people know that seven out of ten men with prostatitis die from prostate cancer.

Particularly frightening is the fact that most men are completely unaware of the symptoms of prostatitis and when they turn to doctors, they can no longer help.

Symptoms of prostatitis:

Drawing or cutting pain in the lower abdomen, scrotum or perineum
Feeling "not emptying your bladder completely"
Difficulty urinating (poor flow)
Deterioration in erection duration and quality
Premature ejaculation or difficulty getting it
Increased physical fatigue and irritability

Even one of these symptoms will make you wonder. And if there are two of them, then do not doubt - you have prostatitis.