The prostate gland, or what else it is called the prostate, is a quite vulnerable male organ that is exposed to various urological diseases, in particular prostatitis. And, despite the prevalence of the disease, the treatment of chronic prostatitis is quite a difficult task.
Types of prostatitis and the reasons for its development
Prostatitis is a disease of the prostate gland, accompanied by an inflammatory process of its tissues. Prostatitis is classified according to the following information:
- Acute bacterial prostatitis caused by infectious agents;
- chronic bacterial prostatitis (infectious);
- abacterial chronic prostatitis (non-infectious);
- Asymptomatic inflammatory prostatitis.
Chronic Bacterial Prostatitis: The nature of this species is not fully understood, despite many studies. This type occurs in the male body as a result of an infection of the prostate gland, which is possible for several reasons:
- severe hypothermia;
- trouble emptying your bladder;
- unstable sexual life (irregularity or lack of it);
- concomitant chronic diseases of the genitourinary system;
- leading an unhealthy lifestyle;
- lack of mobility.
Most of the time, the disease progresses without obvious symptoms, and is felt only during periods of exacerbation, which are accompanied by signs such as:
- feeling sick and incomplete emptying when urinating;
- decreased sexual activity;
- pain in the lower abdomen.
In addition, chronic prostatitis can provoke various diseases of the bladder, moving into the stage of acute manifestation of the disease, and then the treatment of exacerbation of chronic prostatitis is already provided.
Chronic abacterial prostatitis: the incidence is 92-95% of all types of prostatitis, based on these data, the prevalence can be judged. This disease has no age limit, so it affects men of any age, but the peak falls on average at thirty years of age. The disease is diagnosed based on the following symptoms:
- the presence of painful discomfort (more than 3 months) in the pelvic organs;
- no signs of an infectious environment;
- increased dysfunction of sexual activity and urination.
It is also possible to distinguish chronic prostatitis from stones in urology, which in turn is a consequence of chronic prostatitis and is more worrisome for older men.
Can chronic prostatitis be cured?
Every patient is tormented by the question of the effectiveness of the treatment of chronic prostatitis, because this disease not only brings many inconveniences of a special specific nature, but also entails some psychological trauma for a man.
Taking into account the various directions in the application of methods, we note that this appointment is made by a specialist on the basis of diagnostic measures. The urologist individually develops a comprehensive program for the treatment of prostatitis, which includes a whole range of therapeutic procedures. So a comprehensive conservative approach includes:
- pharmacological treatment of chronic prostatitis;
- physiotherapy;
- manual therapy.
As noted, a specialist selects an individual program that undergoes adjustments to the general scheme, and each individual patient is a separate course of treatment for chronic prostatitis, calculated by his treating physician.
Effective treatment of chronic prostatitis mainly involves the following additional research:
- consultation of a neuropsychiatrist, endocrinologist, cardiologist;
- perform a magnetic or computerized resonance imaging of the brain, to examine the functions of its functioning and structure;
- investigation of hormonal status;
- Ultrasound of the genitourinary system.
How to treat chronic prostatitis if the patient does not see any symptoms? This case means that the patient is in remission or the disease is asymptomatic, the latter case, of course, requires an immediate visit to a specialist who will perform all the necessary procedures. Treatment times for chronic prostatitis usually range from 2 weeks or more, depending on the condition of the prostate and the degree of the disease.
For example, drugs for the treatment of chronic prostatitis require a constant intake in men, which combine with the disease a decrease in arterial blood flow in the penis. And to increase this blood flow and cause an erection, a constant intake of vasodilator drugs is required.
Treatment of chronic prostatitis at home
In case of exacerbation of chronic prostatitis, all the recommendations described below are followed. This is bed rest for several days, exclusion from physical activity, refusal of alcohol. After eliminating the exacerbation of chronic prostatitis, it is necessary to decide on your regime of work and rest for many years.
To prevent recurrent exacerbations, the following basic guidelines should be followed at all times:
- Avoid hypothermia; First of all, avoid sitting on cold ground, concrete curbs, stones, even in the hot season. Clothing should be loose fitting, light enough, but appropriate for the season. An excellent way to get rid of exacerbations of chronic prostatitis is to harden the body. In this case, you can use water hardening, air baths, be in the fresh air daily for at least 1-2 hours.
- It is very important to empty the bladder regularly, avoid overflowing and prolonged retention of urine ("do not tolerate", go to the bathroom every 3-4 hours).
- If you have a sedentary job, you need to take a 3-5 minute break every hour or two and walk, warm up. If this is not possible, you need to perform at least 40-50 times in one approach, repeating such exercises 4-6 times a day.
- Moderate and regular physical activity is one of the most important factors in preventing exacerbations of chronic prostatitis, eliminating congestion in the prostate gland and pelvic organs. The minimum of such activity is daily morning exercises, walking at a moderate or fast pace for 30-40 minutes continuously (ie without stopping, going to the store, etc. ). In addition, you need a weekly trip to nature with work feasible in the field, picking berries, mushrooms or long walks on weekends for 2-3 hours, visiting the pool or, in extreme cases, exercising at home on home simulators (treadmill, rowing machine, stepper).
- If possible, exclude trauma to the perineum (refusal of usual professional cycling, equestrian sports, motocross).
- Regular sexual activity is the most important factor in eliminating engorgement in the prostate. In addition, moderation is important here, the correspondence of sexual intercourse with a man's sexual constitution. It is important to avoid prolonged and interrupted sexual relations in order to have a permanent sexual partner.
- Fight against constipation.
- Total refusal to drink alcohol during an exacerbation of prostatitis and maximum reduction in the amount of alcohol consumed during remission. This requires a total rejection of cheap beer and wine.
- If possible, exclude work associated with constant nervous tension, frequent stressful situations, or, even if you learn to resist stress through self-training, meditation.
- Preventive visit to a urologist twice a year for clinical examination, TRUS, laboratory analysis of urine and prostate secretions, and after 40 years - and PSA. The implementation of these simple measures will prevent possible exacerbations of chronic prostatitis, help to strengthen the body, its defenses.
How to cure chronic prostatitis with medications?
The fundamental causes of prostatitis are, above all, various sexually transmitted infections and viruses, which in turn affect the urethra, being detected in the tissues of the prostate. It should be noted that when diagnosed with chronic bacterial prostatitis, the treatment consists of several stages.
The treatment of bacterial prostatitis is one of the most difficult tasks in modern urology. Despite advances in diagnosis and early detection of the disease, only in 30% of cases can a complete cure be achieved. Modern therapy for bacterial prostatitis consists of several stages and can clearly answer the question: “Is chronic prostatitis treated and how exactly? ” Success also depends largely on the coordination of the doctor-patient chain. So, the main stages of treatment:
- pain relief: the use of non-steroidal anti-inflammatory drugs;
- reduce anxiety: take antidepressants;
- restoration of the urination process;
- local treatment: douches;
- physiotherapy treatment;
- targeted therapy - it is recommended to take drugs prescribed by a doctor for chronic bacterial prostatitis, as well as antibiotics;
- surgical treatment of chronic prostatitis: the use of this method is necessary in cases of narrowing of the urethra and prostate abscesses.
It should be noted that today the treatment of chronic prostatitis with antibiotics is quite justified, but only after completing the full course, which requires an average of about 2 weeks. After graduation, the results are evaluated by the doctor, and more often there is a positive trend. Antibiotics for chronic prostatitis are used because this disease is infectious, caused mainly by pathogenic bacteria, which without fail requires antibiotic therapy. The key point is the correct choice of the drug according to a clearly selected scheme of use by the attending physician.
It should especially be noted that when taking drugs for chronic prostatitis, you must strictly adhere to the schedule of the prescribed treatment regimen, as well as the frequency of dosing.
It is worth remembering that there is no absolute cure for the treatment of chronic prostatitis, and the maximum cure is possible only with a complete diagnosis and compliance with all the prescriptions of a specialist. Self-medication is especially harmful for this disease, due to its specificity and severity.