Prostatitis is a complicated and very delicate issue for every person, especially shy and are afraid of this diagnosis, therefore, postpone the visit to the doctor. But, we need to remember that the earlier treatment is started, the more chances to achieve positive results and many years to live with full life. Treatment of prostatitis requires a comprehensive approach to get rid of the symptoms of this disease, and to avoid complications, you must consult a doctor and not to self-medicate.
The diagnosis of prostatitis
Before you start to treat prostatitis that every man should be displayed. This is necessary in order to determine the cause and form of the disease. Diagnosis usually does not cause difficulties for the urologist, so the chance of setting the wrong diagnosis and the prescription of the wrong treatment is negligible.
Diagnostic procedures for prostatitis, to take some discomfort and discomfort for the patient, but without them, unfortunately, is impossible.
After the collecting of the anamnesis and General examination, the urologist performs a digital rectal examination of the prostate and the taking of the mystery of the gland for analysis. In the acute form of the disease, this procedure can cause not only patient discomfort, but also pain. The prostate secretion is sent to the laboratory for analysis, which allows to establish a form of the disease (infectious prostatitis or abacterial). If biological material is detected the causative agent of the disease, define its sensitivity to antibiotics, which significantly increases the effectiveness of treatment and can shorten the duration of the same.
If necessary, the finger examination supplemented by ultrasonic examination of the prostate, which allows to visualize and accurately determine its condition. Ultrasound of the prostate can be done in two ways: the transabdominal (through the abdominal wall) and transrectal (through the rectum).
Transabdominal method does not cause the patient discomfort, but informative and it is very inferior to the second method. With this approach, the physician can determine the parameters of the glands, but to obtain data on the condition of the prostate is impossible. However, the Transabdominal method is used for protegendo diagnosis.
Transrectal ultrasound (TRUS) of the prostate is a very informative method of examination, because the ultrasonic transducer is separated from the tissue of the prostate only, the ampoule of the rectum. Thanks to modern devices, this procedure is of minimal discomfort for the patient, as well as the use of high-frequency transducers allows the physician to see even very subtle changes in the structure of prostate tissues.
A blood test for PSA (prostatic specific antigen)
Prostatic specific antigen – substances that are produced by the prostate, and to increase its blood levels, the doctor may suspect disease of the prostate, including prostatitis. Normal value of PSA is 4 ng/ml. a blood test is not only diagnostic screening method (recommended every year to take a test for men over 50), but also helps the doctor to assess the effectiveness of the treatment of diseases of the prostate.
Treatment of prostatitis
Treatment of acute prostatitis and acute exacerbation of chronic forms of this disease are carried out according to similar schemes. With adequate therapy leads to complete treatment of acute prostatitis or achieve long-lasting results in chronic form of the disease.
Antibiotic therapy
The choice of drugs are approved for the treatment of prostatitis, must be made by a physician based on the results of the tests. Wrongly prescribed antibiotic therapy can lead to the occurrence of resistance of pathogen causing prostatitis, to medications, which will greatly complicate the further treatment and can contribute to the transition of acute prostatitis in the chronic form. If the patient just before the start of the treatment of prostatitis have been taking all the antibiotics for another disease it is necessary to inform the doctor.
Course of antibiotics for prostatitis may last for more than 2-3 weeks, but cut it short when relief of symptoms is impossible, and to reduce the dose of the assigned drug, and to change the pattern of its receipt.
Detoxification therapy and receiving analgesics may be necessary in severe acute prostatitis. In such cases, the treatment is carried out in the hospital.
Local therapy
Physical therapy
Physiotherapy improves trophic prostate tissue and accelerate the healing process. Possible to use the following methods of physiotherapy: transrectal microwave hyperthermia, diadynamophoresis, laser therapy, ultrasound phonophoresis.
Candles for prostatitis
Rectal suppositories for treatment of prostatitis are very effective because they contain active ingredients come into the focus of inflammation in the greatest concentration. Candles may contain antispasmodic, antibacterial, analgesic and anti-inflammatory agents. Their use is often recommended by the doctor and for the prevention of exacerbations of chronic prostatitis.
The most popular rectal suppositories with propolis, and buckthorn Ichthyol candles and suppositories, which include peptides extracted from prostate.
Prostate massage
This procedure is one of the most effective methods of treatment of prostatitis. Thanks to her, has accumulated in the prostate, the mystery squeezed out of it, then independently discharged through the urethra. In addition to the prostate massage improves the blood supply to the tissues of the glands that increases the effectiveness of antibiotics and local therapy.
Implementation of the prostate massage in the acute phase of inflammation is contraindicated because it can lead to spreading the infection. The procedure is performed with the subsidence of acute inflammatory phenomena. Unfortunately, this treatment gives many patients the physical and moral discomfort, but to refuse it is not still not worth it.
Correction of immunity
Enhancement of immunity is required for any patient suffering from inflammatory diseases of the prostate. The good immune status of the body will help to avoid the development of chronic forms of the disease. Patients are encouraged to strengthen the body's resistance to disease using natural methods (hardening, physical activity in the fresh air), natural immunomodulators (lemongrass, Echinacea, Eleutherococcus, ginseng), and synthetic multivitamin complexes.
Surgical treatment of a prostatitis it is necessary in rare cases, when an abscess of the prostate, or strictures (narrowing) of the urethra.
In addition to the therapy of men who are suffering from this disease, you will need to change your way of life and to eliminate the factors that contribute to the development of acute or exacerbation of chronic prostatitis. It is necessary to avoid hypothermia, refuse from alcohol and lead a sedentary life. Young men who lead an active sexual life, to avoid the infections that are transmitted sexually, with the use of barrier contraception (condoms).
What doctor to address
Prostatitis cure urologist. The detection of the infectious agent that caused the inflammation, the possible consultation of the venereologist'. Additional assistance in the treatment of the disease can have a physical therapist and immunologist.