The modern treatment of prostatitis is one of the most pressing issues in urology, depending on the cause, compatible with the inflammation in the prostate, will depend on the scheme of the therapy. Patients with chronic prostatitis, as a general rule, do not require hospitalization. In severe cases the treatment comprehensive in the hospital more efficiently. We will examine in detail, what are the pro and non-drug based methods to solve this problem.
Non-drug treatment of prostatitis
Spa treatments and physiotherapy impact
In the modern urology of the importance of physical methods, which allow to reduce the dose and duration of the course of antibiotics.
The physical therapy when the prostatitis involves the following objectives:
- improves microcirculation in the tissues of the prostate;
- the increase of the accumulation of medicinal substances in the authority;
- the reduction of the painful sensations;
- the improvement of the quality of urination;
- the outrage of the inflammatory process;
- the gain of power.
The most effective ways lead transrectal hyperthermia and physical therapy (mud treatment, laser therapy, phono -, and electrophoresis). Depending on the severity of the changes in the tissues of the prostate, the presence or absence of phenomena of stagnation, as well as comorbidities, apply to different temperature conditions and types of procedures.
Electromagnetic exposure to a temperature of around 40 degrees celsius has anticongestive, immunostimuliruyushchim and bacteriostatic effect. With a further increase of the temperature up to 45 degrees pointing to the anaesthetic and the effect, as well as occurs the oppression of the nerve endings and the reduction in size of the gland.
Important! Before prescribing physiotherapy when the prostatitis is necessary to assess the level of prostate-specific antigen (PSA) in the blood of men over the age of 40 years and perform transrectal ultrasound of prostate (TRUS). This will prevent the process of cancer in the prostate. In case of doubt, in the event of increase the level of PSA, justified resort to the magnetic resonance.
The physical therapy when calcifications of the prostate (calculous prostatitis), as a general rule, is not carried out. This is because the stones and tissues unevenly heated in a microwave field, which can lead to acute urinary retention and the presence of blood in the ejaculate.
The treatment of prostatitis laser
-Low navitas laser impacts on the prostate, the action, similar to that at microwave hyperthermia with a temperature of 40 degrees celsius. This method is more justified to apply in cases of congestive-infiltrative changes in the organs of urogenitalnogo of the road, for example, for the treatment of acute prostatitis and chronic with the bottom of the vesiculitis, orchitis, orchiepididymitis'.
Prostate massage is used increasingly less because there are more effective measures and instruments of last generation for the realization of the physiotherapy. The procedure of the prostate massage is not performed in the acute period is contraindicated also serve of the adenoma of the prostate, stones in the prostate, oncology, process, tuberculosis.
Apparatus for the treatment of prostatitis in the home
Medicinal properties are based on heat, massage and magnetic effects in the tissue of the prostate. The procedure is absolutely painless and does not require special skills. In the rectum is introduced the tip in the condom itself have, before this, you can apply the gel with anti-inflammatory properties of the substance. After use the appliance should not boil, simply rub the surface with alcohol.
The course of treatment of 15 procedures, the time duration of 10 – 12 minutes.
The contraindications to physical therapy:
- the acute phase of the inflammation;
- the stones of the prostate;
- tuberculosis, urogenital;
- malignant tumors;
- the crack of the colon and hemorrhoids in the period of acute;
- diarrhea;
- rectal bleeding;
- fever.
There are accessories for prostate massage in the home battery, they are less easy to use, and the action is the vibration. The positive aspects can be attributed to the price, is in the range of up to 2000 rubles.
Sanitary-resort treatment of prostatitis
In the sanatorium can be sent only in remission after filling the prescription card. There are a lot of places in russia and abroad, where treatments are performed to cure the prostatitis, improve erectile function and improve overall health.
Will help in the solution of problems the following activities:
- therapeutic exercise;
- domestic treatment of mineral waters;
- all kinds of hardware physiotherapy impact, in particular, and for the normalization of the functioning of the nervous system;
- hirudotherapy (treatment with leeches);
- balneotherapy (baths with bromine, iodine, etc);
- mud (puddle and mud tampons).
After treatment in sanatorium many patients forget about the symptoms of prostatitis.
Medical therapy of prostatitis
In the treatment of chronic prostatitis, it is important for the multicomponent scheme covering all the links of the pathogenesis of the infection. This will help you get the causal agent of tissues, normalizes blood circulation and the nutrition of the authority, promotes the proper drainage of the acini (output duct), normalizes hormonal status, and activates the immunity local.
For these objectives apply to the medicines of the following groups:
- antibiotics;
- anticholinergic medications;
- nonsteroidal anti-inflammatory agents (nsaids);
- immunomodulatory means;
- angioprotectors;
- herbal;
- the alpha-adrenoblockers;
- inhibitors of 5-alpha-reductase;
- inhibitors of cytokine
- drugs that affect the metabolism of urate and citrate.
Important! Does not necessarily mean that your treatment plan will include all of the above, the doctor focuses on your complaints and symptoms of prostatitis, the results of the survey, to generate a factor, the effect of pre-treatment, the phase of the inflammatory process and all the pathology.
The exacerbation of the chronic prostatitis requires an empirical assessment (with no definition of excitation) of therapy with antibiotics, with the appointment of a broad-spectrum antibiotic. Of course, it is better to choose the antibiotic according to the results of the bacterial inoculation of the test, but to get the necessary time. It is an acute inflammatory process in the prostate, left without treatment, will lead to complications, for example to the boil or bacteriotoxic shock. Often, swelling of the breast in the bottom of the inflammation causes acute urinary retention.
In these cases, performed suprapubic puncture of the bladder with the installation of a Foley catheter and stop the exacerbation of the prostatitis antibiotics, anti-local media the application of the candles, etc
Therefore, in order to not end up in the hospital, to treat the inflammation of first symptoms of the disease and to implement all the recommendations of the urologist.
Course of treatment of prostatitis is defined individually, but there are recommendations for the reception of the antibiotics (it is preferable to levofloxacin novum of the series) to 28 days.
This scheme adheres to the association of urologists, the antibiotics and sulfa drugs are considered priority drugs in the acute treatment of prostatitis.
What are the tools used for the relief of pain in the syndrome of chronic pelvic pain (CPPS)
CPPS does not imply a relationship of the symptoms with the infectious agent (specific or nonspecific). This diagnosis establishes the process of elimination of the results of the complete of the clinical and laboratory characteristics of the survey.
Good effect is achieved with the use of the following medications:
- The tricyclic antidepressants. The use of drugs of this group contribute to cupping pain through the blockade of n1-histamine receptors, and anticholinesterase effect. Is prescribed more frequently in the Amitriptyline and Imipramine. Some patients as a side effect develops drowsiness, the fatigue and the thirst.
- Inhibitors of 5-alpha-reductase that contribute to the reduction of the volume of the prostate and of the solution of the swelling of the tissues. In addition, the deceleration of the conversion of testosterone in digidrotestosteron reduces the pain and symptoms of dysuria.
- Pain relievers and medications. In severe cases use pain relievers if the pain does not yield to the medicines of other groups.
- The medications that influence the change of urate.
The treatment of the symptoms of dysuria when the prostatitis
Sometimes, in spite of the celebration for antibacterial and anti-inflammatory therapy, the patient continues to experience difficulties in the act of urination.
After the study – uroflowmetries or bibendum sem of the research – medicines are prescribed in function of the determination of the pathology. With the increased sensitivity of the neck of the bladder, the scheme of treatment is similar as when interstitial cystitis:
- antidepressants;
- antihistamines;
- introduction in the bladder solutions antisptica.
If dysuric disorder supports hyperreflexia detrusor (overactive bladder in the bottom of the prostatitis) – used anticholinesterase drugs. Hypertonus detrusor removed from benzodiazepines and use of physiotherapeutic impact, sacralis neuromodulation.
The surgery when the prostatitis
Indication for performing the operations in the long current of prostatitis and the strong symptoms di i serve the following complications:
- The sclerosis of the neck of the bladder.
- The sclerosis of the prostate.
- Sclerosis hillock espermtico.
- The stones of the prostate.
We performed transurethral resection of the (TOUR), which improves the quality of life of the patient.
Other means and forms of treatment of prostatitis: the damage or the use of
In the field of internet and in the case of tabloid publications is not only lazy spoke of how to cure prostatitis for always. Some methods can take in her arms, as a complement to the treatment, while others may worsen and cause a severe danger of death.
As prevention you can use the products of beekeeping (honey, royal jelly, ambrosia, propolis, etc), with a reasonable approach, the positive effect will be.
It is considered that the propolis contains useful components, such as:
- vitamins;
- the aromatic oils;
- amino acids and proteins;
- the esters and flavonoids etc
This has an antimicrobial effect, anti-inflammatory and even preventive antitumor effect.
The recipe ointment of prostatitis on the basis of propolis
In A double boiler melt 100 mg of animal fat, add the products of beekeeping:
- 90 grams of propolis,
- 7 grams of ambrosia and royal jelly,
- 20 grams of honey.
Boil ointment the tool may not be, the optimum temperature for the preparation of 40 – 42 C. Shake a wooden stick, cool and store in a cool place. Apply in the area of the crotch 2 times a day, to dissolve the ointment. The duration of treatment is 3 weeks. If it is necessary to repeat.
If there are difficulties in the kitchen, you can use the completed form in the shape of candles with propolis. Introduce a candle in the night in the year all days, the duration of the therapy – from 15 to 30 days.
Please note that the ambrosia is available in the form of capsules for internal consumption and contains 0.4 grams of the active substance. Can be used concurrently with the suppositories. Course of reception is 1 month.
The cooking and the sanitary napkin in the crotch of the mortuus apes
A sample is the loss of the bee, for the preparation of the cooking use the substance exclusively in the dry.
Method of preparation: pour 2 tablespoons of mortuus apes 800 ml of water, consume to simmer for approximately an hour. Cool, strain and take 5 tablespoons 3 times a day for a month. For the compress 150 mg mortuus apes stand on the steam before a soft consistency. Place the tool in the folded in several layers of gauze, up to close the slurry even with several layers of gauze. Several overcome, apply to the crotch and to maintain 45 – 60 minutes. The best procedure to perform on the night and in the morning you can take a shower.