Prostatitis is commonly known as the inflammation that causes swelling of the tissues and covers the male prostate gland, which is located immediately below the bladder. Today, prostatitis treatment is done through many modern methods, including antibiotic therapy, physical therapy, hirudotherapy, herbal medicine, immunocorrective therapy, prostate massage, and lifestyle correction. .
When a patient enters a medical institution, the doctor examines the patient for the presence of the causes that caused prostatitis. Treatment of the disease will be prescribed depending on the factors that contributed to the onset of the disease.
Treatment of prostatitis begins with the diagnosis of the disease, which, first of all, includes a survey of a urologist. The doctor then proceeds to examine the patient's abdomen and genitals, palpates the prostate with a finger and inserts it into the rectum. During this exam, the doctor can diagnose enlargement, swelling, and tenderness of the prostate gland.
After a rectal exam, the urologist instructs the patient to donate sperm, urine, and prostatic secretions. These analyzes make it possible to judge the presence or absence of signs of infection in them. Sometimes a semen culture is required.
The appointment of urodynamic studies will allow the doctor to understand how strong the impact of the disease is on the process of urination.
Transrectal ultrasound, as well as ultrasound of the kidneys and bladder, allow the urologist to judge the volume and structure of the prostate gland, the volume of residual urine, the presence of a tumor or stones in the bladder, the presence of a blood clot or stones in the lower third of the ureter.
Based on the above analyzes and studies, the urologist prescribes therapy for such an insidious and difficult to treat disease as prostatitis. Treatment of prostatitis will give positive results only if it is comprehensive and is selected by a competent doctor.
Antibacterial treatment of prostatitis
Due to the fact that the inflammation of the prostate gland is usually of an infectious nature, doctors prescribe treatment for prostatitis as antibiotic therapy. The result of treatment will be positive only if the urologist chooses the correct therapy and the patient strictly adheres to the prescribed therapy. It must be remembered that the started course of antibiotic therapy cannot be stopped; in this way, it is possible to damage not only the diseased organ, but the entire organism as a whole.
The patient must inform the doctor about any changes, sometimes not even significant, in her body. If the patient did not feel any changes for 2-3 days of treatment, then the doctor should replace the antibiotic with another, but not cancel it.
In most cases, broad-spectrum drugs (penicillins) are prescribed for treatment.
Also, modern medicine widely uses means from the group of fluoroquinolones. Microbes do not develop resistance to these drugs; this is one of the most important qualities of these antibiotics.
Also, for treatment, many doctors prescribe drugs from the group of tetracyclines.
Sometimes highly effective drugs of the new generation are used.
Antibacterial treatment of prostatitis in patients with chronic prostatitis lasts about one and a half months. In advanced cases, the treatment of prostatitis is prolonged up to 16 weeks. Occasionally, during antibiotic therapy, the patient develops intestinal dysbacteriosis. In this regard, the patient is prescribed the use of drugs that restore the intestinal microflora.
The dosage and medication regimen are prescribed by the urologist in each case individually.
Physiotherapy activities
The treatment of prostatitis through physiotherapy consists in the use of various methods, the main ones being ultrasound, laser therapy, electrical stimulation, magnetotherapy, microwave therapy, UHF, galvanization, electrophoresis with medications, darsonvalization, therapeutic microclysters, baths, mud procedures.
Ultrasound uses high-frequency waves that a person cannot hear.
Laser therapy is a fairly common, almost painless method. It is the effect of laser beams on the tissues of a diseased organ or on reflexogenic areas.
Treatment of prostatitis with the help of electrical stimulation is the effect of an electrical impulse current that causes contractions of the muscles of the organ. Electrical stimulation is divided into rectal, perineal and urethral.
Magnetotherapy is the treatment of prostatitis through exposure to a constant and alternating magnetic field of low frequency on the tissues of the affected organ.
Microwave therapy involves exposing affected tissues to a high-frequency electromagnetic field.
UHF is a complex of therapeutic measures with the help of capacitor plates attached to tissues.
Galvanizing is a treatment method by applying low direct current and low voltage.
Medicinal electrophoresis is a simultaneous effect on the tissues of a low-power direct current and special drugs introduced with its help into the tissues. The current increases the ionic activity in the tissues, while the pharmacological effect of drugs is produced.
Darsonvalization is a method of treatment using a low-power, high-frequency pulsed current of rapid quenching with high voltage.
Therapeutic microclysters are enemas for which various herbal infusions and decoctions are used.
Baths that are used to treat the disease are prescribed to sit generally or locally. Various medicinal liquids of different temperatures are used during baths.
Mud procedures - the use of therapeutic mud. Therapeutic measures may include the use of external applications of mud or the introduction of mud swabs into the anus.
Hirudotherapy
Leeches are a wonderful gift of nature to humanity. With the help of these living beings, many diseases can be cured, including prostatitis. Treatment of prostatitis with leeches occurs according to the following scheme: leeches are placed at points located 3 cm from the anus (anus), and the configuration should resemble the letter "X". The center of the letter is the anus, the ends of the letter are the location points of the leeches.
A slightly different method of treatment is also widely used: after retreating from the median suture of the perineum about 2 cm in each direction, leeches are installed. It is not recommended to install leeches directly on the seam of the perineum. The course is about 4-5 treatments. 4 leeches are used in one session. After each session, take a break for 5-6 days.
Phytotherapy
Phytotherapy is a complex of therapeutic measures with medicinal tinctures, decoctions, juices, infusions prepared from medicinal plants. Some of these medications must be taken internally, while others are used externally, injected into the urethra. Phytotherapy is an additional method of treatment that helps the body to cope with the disease faster.
For the manufacture of decoctions, the bark, seeds, roots, buds and rhizomes of plants are usually used, for infusions - flowers, leaves, grass and stems. There are a huge number of recipes for the preparation of medicines.
One of the most popular recipes is an infusion of birch buds and oatmeal mixed with an infusion of rose hips (1: 1), which is drunk in half a glass 1-2 times a day.
Horse chestnut husk tincture (pour 250 ml of 25 g of finely chopped husk, insist in the dark for 10 days, shaking occasionally). After that, strain the tincture, take 30 drops 3 times a day.
Squeeze the juice from parsley and mix with any honey (1: 1), use 3 times a day for 2 tables. spoons
Immunocorrective treatment of prostatitis
The treatment of prostatitis also consists of increasing immunity and activating the body's defenses. Doctors in this case prescribe immunocorrective therapy. It includes the intake by the patient of various vitamins, immunomodulators, biostimulants, herbal remedies and other means.
The use of funds by patients with chronic prostatitis, whose treatment was carried out in a complex way, increases the effectiveness of therapy and contributes to a longer preservation of the results obtained. The drug is well tolerated, has no contraindications. It can be combined with any other therapy.
prostate massage
Treatment of prostatitis with prostate massage is an unpleasant but very effective way to cure the disease. The massage is performed by an experienced doctor. First, with the help of a gloved index finger, he palpates the prostate gland, trying to fix its parameters, the degree of pain, the ratio of the right and left lobes of the gland, and also to examine the quality of the mucus in the straight. After that, the doctor begins the massage procedure itself.
lifestyle correction
To avoid stagnation of blood in the prostate, the patient must move a lot, walk, play sports, etc.
The appearance of prostatitis is often provoked by a sedentary lifestyle, sedentary work, rare sexual intercourse. They cause stagnation of blood in the prostate gland. In this situation, with a therapeutic purpose, the patient is prescribed physical activity (feasible), therapeutic exercises, walking in the fresh air, a special diet, etc.
Therefore, the complex treatment of patients with chronic prostatitis should include:
- antibacterial therapy (only in patients with chronic prostatitis of an infectious nature, including latent ones);
- symptomatic treatment to eliminate the main manifestations of the disease;
- pathogenetic therapy aimed at restoring microcirculation in the prostate, restoring drainage of the prostate glands through the excretory ducts, normalizing urination, stabilizing the immune and hormonal systems, and preventing the excessive formation of fibrous tissue.
There are many signs that tell the patient that prostatitis has "settled" in her body. Treatment of this disease is very complex and lengthy, giving positive results only if the patient strictly complies with all the instructions of the urologist.