Prostatitis is an inflammatory disease of the prostate gland.It can be infectious or non-infectious in nature.Regardless of the form of the disease, complex treatment of prostatitis is necessary, including drug and non-drug therapy.
Types and treatment of prostatitis
Due to the development, infectious and non-infectious prostatitis are distinguished.
An infectious disease is caused by the action of pathogenic agents that cause inflammation of the prostate.Bacterial or fungal inflammation is distinguished according to the type of cause.The disease can be caused both by the activity of opportunistic microorganisms, which are always present in the male body, and by sexually transmitted infections, for example, chlamydia or trichomonas.
The disease develops against the background of reduced immunity.In most cases, this type of prostatitis is caused by opportunistic microorganisms, for example, Pseudomonas aeruginosa, staphylococcus.A healthy body can suppress infection, but inflammation develops against the background of weakened immunity.
Non-infectious prostatitis is the result of a sedentary lifestyle.Its development is caused by swelling of the pelvic organs - blood circulation disorder, lymph flow or stagnation of prostate secretion.Factors that cause the development of this form of inflammation:
- hypothermia;
- reduced immunity;
- physical inactivity;
- obesity;
- Irregular sex life.
Congestive prostatitis is considered to be a disease of office workers.The disease develops against the background of physical inactivity, as a result of which metabolism decreases and prostate trophism is disturbed.
A man's sex life plays an important role in the development of congestive prostatitis.Lack of sexual activity leads to decreased tone of the prostate gland and stagnation of secretion.This causes the organ to swell and develop inflammation.At the same time, excessive sexual activity (more than 2-3 sexual acts per day) causes the organ to decline and can also lead to the development of the disease.
According to the nature of the course, prostatitis is divided into acute and chronic.The acute form is characterized by an exacerbation of specific symptoms, including:
- frequent urge to urinate;
- pain and burning in the urethra;
- bladder spasm;
- pain in the perineum;
- erectile dysfunction.
The process of urination is accompanied by severe pain in the urethra, which is caused by the compression of the urethra by the enlarged prostate.
Acute prostatitis can be treated quite successfully with timely administration of adequate drug therapy.In the absence of proper treatment, it becomes chronic.This disease is accompanied by a weakening of the male sexual function and various disorders of the urogenital system.
Chronic prostatitis can be infectious or non-infectious.Both cases are characterized by periodic exacerbations, during which the symptoms become acute.Aggravation of the disease is primarily related to a decrease in immunity.
An integrated approach to treatment
Before starting treatment, the patient should undergo all examinations to determine the type of inflammatory process and the type of cause.For this, prostate secretion analysis, ultrasound and MRI of the organ are performed.
Comprehensive treatment of prostatitis includes:
- drug therapy;
- increase immunity;
- Physiotherapy methods;
- diet therapy;
- lifestyle change.
Drug therapy depends on the form of the disease.Antibacterial drugs are the main direction of treatment during infectious inflammation.Their selection is based on the results of prostate analysis.
Anti-inflammatory drugs are used for symptomatic treatment of non-infectious prostatitis in the acute stage.The main part of the therapy is carried out with drugs that normalize the functioning of the organ.
Complex treatment of prostatitis necessarily includes taking medication to improve immunity.These can be local agents (rectal suppositories) or immunomodulators in tablets.Medicines are chosen only by the doctor.
The basis of treatment for bacterial prostatitis is to fight infections;In case of stagnant prostatitis, it is an improvement of the functioning of the gland.
Antibacterial therapy
Comprehensive treatment of prostatitis begins with symptom-relieving medications that normalize prostate function and improve well-being.Antibiotics are the basis of therapy for infectious prostatitis.
The following groups of drugs are used for treatment:
- penicillins;
- tetracyclines;
- macrolides;
- fluoroquinolones.
Penicillins and tetracyclines are rarely used in urological practice due to the low effectiveness of treatment and a large number of side effects.Pathogenic microorganisms that provoke the inflammatory process quickly develop resistance to the action of drugs of this group, which negatively affects the therapeutic effect of drugs.
Nevertheless, quite good results can be achieved by taking combined drugs.
In most cases, macrolide drugs are prescribed.Their advantages lie in a wide range of action, good tolerance of organisms and high bioavailability, due to which the components of the drug penetrate the prostate tissue.
Recently, doctors increasingly prefer drugs from the fluoroquinolone group.These are broad-spectrum antimicrobial drugs that have a number of advantages over conventional antibiotics.
Since fluoroquinolones, unlike antibiotics, are completely synthetic drugs that do not have natural analogues, treatment with these drugs is more effective due to the absence of resistance in pathogens.
Fluoroquinolones quickly penetrate the prostate tissue, are well tolerated by the body and rarely cause side effects.Most often, doctors prescribe drugs containing levofloxacin.Therapy lasts at least 28 days, the medicine is taken 1-2 tablets.The exact dose and dosage regimen are selected by the doctor individually.In some cases, intramuscular administration of the drug may be prescribed, in which case the course of treatment is shortened.
Anti-inflammatory drugs
Anti-inflammatory drugs are used for the complex treatment of non-infectious chronic prostatitis.
Such medicines have a symptomatic effect, relieve pain and stop the inflammatory process.It is advisable to prescribe anti-inflammatory drugs in suppositories - thanks to this form of release, the active substance gets directly into the tissue of the prostate gland.
In infectious inflammation, anti-inflammatory drugs are prescribed in short courses to relieve symptoms, but in non-infectious prostatitis, they are the main line of treatment, as antibiotics are not used for this form of the disease.
In the treatment of congestive prostatitis, bioactive drugs are often used to normalize the functioning of the prostate.
As a rule, these are preparations based on extracts of the prostate gland of young bulls.The drug improves prostate trophism, relieves inflammation and reduces swelling.In case of non-infectious prostatitis, it is used for long-term treatment of inflammation.In case of bacterial inflammation of the prostate, this drug is shown to restore the function of the organ after antibiotic therapy.
Suppositories with propolis and bee products, ichthyol or pumpkin oil are often prescribed for congestive prostatitis.Such drugs are aimed at normalizing prostate trophism, have an anti-inflammatory effect and strengthen local immunity.
Medicines to strengthen immunity
During the complex treatment of prostatitis, the prostate gland is exposed to various medications.To prevent re-development of the disease after the course of treatment, a complex of measures to increase immunity is indicated.
For this purpose, the following is prescribed:
- preparations with zinc;
- tablets with echinacea extract;
- vitamin complex;
- Vitamin E
For the normal functioning of the prostate gland, zinc, selenium and vitamin E are needed. Urologists often prescribe bioactive nutritional supplements with a high content of these substances.
It is also recommended to take a course of vitamins specially designed for men.Such drugs contain a complex of substances aimed at normalizing the functioning of the urogenital system.
Echinacea extract injections are prescribed to reduce the risk of exacerbation and recovery after antibacterial therapy, but this drug is no less effective in tablet form.
In chronic prostatitis, a vitamin complex should be taken twice a year to reduce the risk of exacerbation.
Physiotherapy and massage
In case of chronic prostatitis, physiotherapy is prescribed to eliminate swelling.Acupuncture, current and magnetic methods of impact, darsonvalization are usually used.For bacterial inflammation, such methods are not used, because they can cause the spread of pathogenic agents throughout the body through the bloodstream.
In case of violation of prostate trophism, rectal massage is indicated.Such procedures are performed by a qualified specialist - urologist or proctologist.The massage course is from 10 to 15 procedures.
Physiotherapy stimulates blood circulation in the pelvic organs, eliminates lymph stagnation and normalizes the outflow of prostate secretions.The course of procedures allows you to restore the normal functioning of the organ and has a positive effect on potency.
surgical treatment
Surgical treatment of prostatitis is performed only in case of complications.
During infectious prostatitis, it is possible to develop a prostate abscess.This requires immediate hospitalization and manipulation of the patient, during which the abscess is opened and its contents are removed.
During chronic prostatitis, it is possible to narrow the urethra, which causes acute retention of urine.In this case, an operation is performed and a catheter is installed to remove urine.In addition, in severe cases of the disease, fibrosis may develop, as a result of which scars appear on the prostate tissue.In this case, an operation is performed, during which the compaction areas are removed using a laser.
Lifestyle and nutrition
Comprehensive treatment of prostatitis includes changing lifestyle, normalizing food and giving up bad habits.The diet for prostate inflammation is not strict, but excludes any fast food, semi-finished products and smoked food.Alcohol and smoking should be avoided.
Foods useful for men's health should be included in the diet:
- avocado;
- pumpkin seed oil and olive;
- nuts and honey;
- citrus;
- pumpkin seeds;
- Fermented milk products.
If you have congestive prostatitis, you should exercise regularly.Physical activity should be aimed at normalizing blood circulation in the lower body.
An important role is played by the patient's sexual life.If you have prostatitis, you need regular sex, at least 3 times a week.At the same time, excessive sexual activity is unacceptable because it destroys the prostate.
Otherwise, adequate drug therapy, proper nutrition and abandoning bad habits will help you get rid of prostatitis.However, after inflammation, a man is advised to visit a urologist and have a comprehensive examination of the prostate gland every year.