Prostatitis is commonly referred to as inflammation which causes tissue edema and covers the male prostate, located just below the bladder. Treatment of prostatitis today is done by many modern methods, including antibiotic therapy, physiotherapy, hirudotherapy, herbal medicine, immunocorrective therapy, prostate massage, lifestyle correction.
When a patient is admitted to a medical facility, the doctor examines the patient for the reasons that caused the prostatitis. Treatment of the disease will be prescribed precisely based on the factors that contributed to the onset of the disease.
Treatment for prostatitis begins with the diagnosis of the disease, which first includes an interview with a urologist. Next, the doctor examines the patient's abdomen and genitals, palpating the prostate with his finger, inserting it into the rectum. During this test, the doctor can diagnose an enlarged, swollen, and tender prostate.
After the rectal examination, the urologist asks the patient to donate semen, urine and prostatic secretions. These tests allow you to judge the presence or absence of signs of infection in them. Sometimes semen culture is necessary.
The appointment of urodynamic studies will allow the doctor to understand the severity of the effect of the disease on the process of urination.
Transrectal ultrasound and ultrasound of the kidneys and bladder allow the urologist to judge the volume and structure of the prostate, the volume of residual urine, the presence of a tumor orstones in the bladder, a blood clot, or stones in the lower third of the ureter.
Based on the above analyzes and studies, the urologist prescribes treatment for such an insidious and difficult to cure disease as prostatitis. Treatment of prostatitis will give positive results only if it is complex and selected by a competent doctor.
Antibacterial treatment for prostatitis
Due to the fact that inflammation of the prostate is often infectious, doctors prescribe the treatment for prostatitis as antibiotic therapy. The result of treatment will be positive only if the urologist chooses the right treatment and the patient strictly adheres to the prescribed treatment. It should be remembered that the started antibiotic treatment can not be stopped - in this way it is possible to harm not only the diseased organ, but also the whole body as a whole.
The patient should inform the physician of any changes, sometimes not even significant, in their body. If the patient feels absolutely no change for 2-3 days of treatment, the doctor should replace the antibiotic with another, but not cancel it.
The most commonly prescribed drugs for treatment are broad spectrum drugs - penicillins.
In addition, modern medicine makes extensive use of agents from the fluoroquinolone group. Microbes do not develop resistance to these drugs - this is one of the most important qualities of the group of these antibiotics.
In addition, many doctors prescribe drugs from the tetracycline group for treatment.
These highly effective new generation drugs are sometimes used. They should only be used after consultation with a doctor.
Antibacterial treatment for prostatitis in patients with chronic prostatitis lasts about a month and a half. In advanced cases, the treatment of prostatitis is extended up to 16 weeks. Sometimes, during antibiotic treatment, the patient develops intestinal dysbiosis. In this regard, the patient is prescribed the intake of drugs that restore the intestinal microflora.
The dosage and dosage schedule are prescribed individually by the urologist in each case.
Physiotherapy activities
Treatment of prostatitis with physiotherapy consists of using various methods, the main ones of which are ultrasound, laser therapy, electrical stimulation, magnetotherapy, microwave therapy, UHF, galvanization, medicinal electrophoresis, darsonvalization, therapeutic microclysters, baths, mud procedures.
Ultrasound is used as high frequency waves that a person cannot hear.
Laser therapy is a fairly common, almost painless method. This is the effect of laser beams on the tissues of a diseased organ or on the reflexogenic zones.
Electrical stimulation treatment for prostatitis is the effect of an electrical pulse current that causes muscle contractions in an organ. Electrical stimulation is subdivided into rectal, perineal and urethral.
Magnetotherapy is a treatment for prostatitis by exposure to a constant and alternating magnetic field at low frequency on the tissues of the affected organ.
Microwave therapy is the effect of a high frequency electromagnetic field on affected tissue.
UHF is a complex of therapeutic measurements using capacitor plates connected to tissue.
Galvanizing is a method of treatment by means of the supply of a small direct current and a low voltage.
Medicinal electrophoresis is a simultaneous effect on the tissues of a direct current of low force 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 occurs.
Darsonvalization is a method of treatment using high-frequency, low-power, high-voltage, fast-quenching pulse current.
Medical microclysters - enemas, for which various herbal infusions and decoctions are used.
The baths used to treat the disease are prescribed sedentary general or local. During the baths different medicinal liquids of different temperatures are used.
Mud procedures - the use of healing mud. Treatments may include using external mud applications or inserting mud pads into the anus.
Hirudotherapy
Leeches are a wonderful gift from nature to mankind. With the help of these living creatures, many diseases can be cured, including prostatitis. Treatment of prostatitis with leeches proceeds according to the following scheme: leeches are placed on points located 3 cm from the anus (anus), and the frame should look like the letter "X". The center of the letter is the anus, the ends of the letter are the location of the leeches.
A slightly different method of treatment is also widely used: leeches are installed, starting from the middle seam of the perineum by about 2 cm in each direction. It is not recommended to place the leeches directly on the perineal seam. The course is about 4-5 treatment procedures. 4 leeches are used in one session. After each session, take a break of 5 to 6 days.
Phytotherapy
Herbal medicine is a complex of therapeutic measures with medicinal tinctures, decoctions, juices, infusions prepared from medicinal plants. Some of these drugs need to be taken internally, while others are used externally, injected into the urethra. Herbal medicine is an additional treatment that helps the body cope with the disease faster.
The bark, seeds, roots, buds and rhizomes of plants are generally used for making decoctions, for infusions - flowers, leaves, grass and stems. There are a large number of recipes for the preparation of medicines.
One of the most popular recipes is an infusion of birch buds and oats mixed with an infusion of rosehips (1: 1), which is taken half a glass 1 or 2 times a day.
Horse chestnut bark tincture (pour 250 ml of 25 g finely chopped bark, insist in the dark for 10 days, stirring occasionally). After that, filter the tincture, take 30 drops 3 times a day.
Squeeze parsley juice and mix with honey (1: 1), use 2 tablespoons 3 times a day. spoons.
Immunocorrective treatment for prostatitis
The treatment for prostatitis also involves increasing immunity and activating the body's defenses. In this case, doctors prescribe immunocorrective therapy. It includes the patient's intake of various vitamins, immunomodulators, biostimulants, herbal remedies and other means.
The use of afala by patients with chronic prostatitis, the treatment of which has been carried out in a complex manner, increases the effectiveness of the treatment and contributes to a longer preservation of the results obtained. The drug is well tolerated and has no contraindications. It can be combined with any other therapy. Afala is indicated in patients with chronic prostatitis categories II and III A from the 1st day of treatment.
Prostate massage
Treating prostatitis with prostate massage is an unpleasant but very effective way to cure the disease. Massage is performed by an experienced doctor. First of all, using a gloved index finger, he palpates the prostate, 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 themucus in the rectum. After that, the doctor directly begins the massage procedure itself.
Lifestyle fix
In order to avoid stagnation of blood in the prostate, the patient has to move a lot, walk, play sports, etc.
The appearance of prostatitis is very often provoked by a sedentary lifestyle, sedentary work, infrequent sexual intercourse. They cause blood congestion in the prostate. In this situation, for therapeutic purposes, the patient is prescribed physical activity (doable), therapeutic exercises, walking in the fresh air, a special diet, etc.
Thus, the comprehensive treatment of patients with chronic prostatitis should include:
- antibiotic therapy (only in patients with chronic prostatitis of an infectious nature, including latent);
- 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 along the excretory ducts, normalizing urination, stabilizing the immune and hormonal systems, preventing the excessive formation of fibrous tissue.
There are many signs that tell the patient that prostatitis has "taken hold" in their body. The treatment of this disease is very complex and long-term, giving positive results only if the patient strictly adheres to all the prescriptions of the urologist.