Treatment of prostatitis, etiology and symptoms of the disease.

inflammation of the prostate

Inflammation of the prostate gland is a common reason why a man visits a urological clinic.

The treatment of prostatitis consists of identifying the cause of the disease and prescribing special medications to improve the functioning of the prostate.

In addition, an active lifestyle, regular exercise, and physical therapy play an important role in therapy.

Furthermore, urologists have nothing against treating prostatitis with recipes from traditional medicine. To avoid an exacerbation of the disease, it is better to use them simultaneously with drug therapy.

Inflammation of the prostate is caused by:

  • congestion in the pelvic area due to a sedentary lifestyle;
  • sexually transmitted diseases;
  • urinary tract infections;
  • prolonged abstinence from sexual intercourse;
  • interruption of intercourse;
  • complications after urethral catheterization;
  • constant hypothermia;
  • alcohol abuse, spicy and spicy foods;
  • infections of other organs (for example, tonsillitis, sinusitis, pneumonia, tooth decay) against the background of weakened immunity.

Acute and chronic prostatitis are distinguished according to the form of discharge.

Depending on the etiological factor, the following forms of the disease are distinguished:

  • Acute bacterial prostatitisis ​​caused mainly by pathogenic gram-negative microflora. These are E. coli (Escherichia coli), gonococcus (Neisseria gonorrhaeae), Trichomonas vaginalis.
  • Chronic bacterial prostatitisis ​​diagnosed in almost 30% of cases. Its main cause is infection with chlamydia (Chlamydia trichomonas), ureaplasma (Ureaplasma urealyticum), mycoplasma (Mycoplasma). The disease can occur independently and as a complication of the acute form of the inflammatory process of the prostate gland.
  • Granulomatous prostatitisis ​​relatively rare. It is caused by syphilis, genital tuberculosis, fungal infections.
  • Chronic non-bacterial prostatitisoccurs in the vast majority of cases in men over 50 years of age. Its main cause is age-related circulatory disorders.

The secret of the prostate gland has some antimicrobial activity and copes with infection effectively.

Therefore, generally the development of a bacterial type pathology occurs in the presence of engorgement in the genital area. For this reason, some experts consider bacterial prostatitis to be the initial stage of chronic non-infectious inflammation.

The acute form of the disease is usually accompanied by the following symptoms:

  • a feeling of heaviness in the perineal region, especially when sitting;
  • increased urge to urinate, sometimes false due to compression of the urethra by an enlarged gland;
  • difficult and painful urine flow;
  • pain in the perineum that radiates to the penis and anus;
  • sensation of presence of a foreign body in the rectum;
  • pain when defecating;
  • temperature rise from 38 to 40 degrees.

If acute prostatitis treatment is started quickly, the patient's condition improves within 3-4 days. However, in the absence of adequate therapy, there is a risk of developing a purulent abscess of the prostate gland. This requires immediate medical attention in a hospital. Below are the signs of chronic prostatitis.

symptoms of prostatitis in men

Pain. It is varied and can occur during urination, ejaculation, or at rest. The intensity depends on many factors. Sometimes a man simply complains of a feeling of heaviness, and in some cases pain relievers are required. The location of the pain is also different: in the perineum, glans, testicles or rectum.

Urinary disorders.This is a frequent need to go to the bathroom, especially at night, a slow and intermittent stream of urine, a feeling of insufficiently empty bladder. Sexual dysfunction manifests itself in the form of premature ejaculation or weakening of the erection.

Psychological symptoms.Patients complain of insomnia, increased sweating, irritability, rapid fatigue. These signs pass in the remission phase and are aggravated during the activation of the process. Experts emphasize that it is necessary to distinguish between prostate adenoma and its inflammation.

Adenoma is benign hyperplasia (enlargement) of an organ. This disease is associated with age-related changes in the hormonal background of men and requires consultation with an andrologist. The doctor treats prostatitis by prescribing drugs for local use (suppositories) and systemic (pills and injections for the acute course of the disease).

Therapy focuses on:

  • stop bacterial activity;
  • improvement of microcirculation and blood circulation;
  • removal of edema;
  • cessation of the inflammatory process;
  • normalization of secretion outflow from the prostate gland;
  • improve the immune system;
  • if necessary - correction of hormonal disorders.

According to patient reviews, the effectiveness of drug treatment for prostatitis increases with the simultaneous consumption of decoctions and tinctures of various medicinal plants:

  • pumpkin seed oils;
  • leaves, roots and fruits of parsley;
  • bee products (honey, propolis, bee bread, zabrus);
  • aspen bark;
  • celandine juice;
  • chestnut skin;
  • tinctures of hemlock.

Juice therapy has recently gained popularity. This technique helps cleanse the body of toxins, strengthen the immune system, normalize the intestines, liver, and kidneys, and stabilize weight. In addition to treating prostatitis, juice therapy helps to cope with many other chronic diseases. You can read about the details of this method in specialized forums.

Treatment of prostatitis in men: drugs and their principle of action

In addition to physiotherapy procedures such as transrectal massage of the prostate gland, microwave thermal therapy, the following groups of drugs are prescribed for the treatment of prostatitis in men:

  • antibiotics;
  • non-steroidal anti-inflammatory drugs;
  • herbal and biological preparations;
  • angioprotectors and vasodilator drugs;
  • α-blockers;
  • antispasmodics;
  • 5-α reductase inhibitors;
  • immunomodulators.

Antibacterial drugs are almost always prescribed for the treatment of prostatitis in men, regardless of the form of the disease. This is not entirely correct.

The suitability of using antibiotics must be confirmed by laboratory results.Perform a so-called bacterial culture of prostate secretions. The study shows not only the presence or absence of pathogenic microflora, but also their sensitivity to certain antibacterial drugs.

The duration of therapy is 2 to 4 weeks, if necessary, it is continued for another month.When prescribing a drug, take into account its ability to accumulate in the tissues of the prostate gland. This property is possessed by fluoroquinolones, antibiotics from the group of penicillins, lincosamides, tetracyclines, and macrolides. Sometimes antimicrobial therapy is also indicated because of the risk of complications from non-infectious prostatitis with a bacterial infection. The dose of drugs is calculated individually based on the age, the patient's condition and the presence of concomitant diseases of the kidneys, liver and digestive tract.

For the treatment of acute prostatitis in men, doctors prefer injections and then pills. Non-steroidal anti-inflammatory drugs (NSAIDs) are used to relieve pain and edema.The action of medications is based on the inhibition of prostaglandin synthesis and platelet aggregation, the main factors in the development of the inflammatory process and the pain, fever and swelling that accompany it.

In the treatment of prostatitis in men, the drug is suitable for topical application in the form of suppositories. This ensures a quick intake and a maximum concentration of the active ingredient in the organ. Antispasmodics and α-blockers facilitate urination with inflammation of the prostate gland. Experts associate difficulties with emptying the bladder not only with mechanical compression of the urethra from an enlarged prostate.

The cause of this symptom is also a reflex spasm of the smooth muscles of the urinary tract. Difficulty urinating or an incompletely draining bladder can cause secondary bacterial infections, sand buildup, and stone formation. The action of adrenergic blockers develops gradually. Almost 90% of patients notice an improvement after 1 to 2 weeks after starting treatment. Antispasmodics "work" a little faster, plus they relieve pain.

treatment of prostatitis in men

Herbal remedies and remedies based on the secretion of the prostate of cattle in the form of tablets or suppositories have a complex effect. They do not have as pronounced an effect as synthetic drugs.

For the treatment of prostatitis in men, phytopreparations are used as part of complex therapy or in remission to prevent exacerbation of the disease.Angioprotectants can be used in the form of capsules or ointments for external use. Its action is aimed at normalizing blood circulation in the prostate gland. The improvement of venous flow contributes to the early elimination of inflammatory exudate and the elimination of swelling.

Immunomodulators in the treatment of prostatitis in men are used to strengthen the body's defenses. The fact is that the weakening of immunity plays an important role in the development of inflammation; in this state, the risk of various bacterial complications increases. Thymus preparations, interferons, stimulants of your own immunity are widely used.

In addition, multivitamin complexes are used to treat prostatitis in men(which drug the patient decides to choose based on price and manufacturer). With strong nervous tension, insomnia, mild tranquilizers and antidepressants are indicated. If an ultrasound examination of the organs of the urinary system has shown an accumulation of sand in the kidneys, the appropriate drugs are selected to prevent stone formation.

How to treat prostatitis at home: diet, exercise, traditional medicine recipes

The prostate gland is the main organ of the male reproductive system, so many are interested in the question of the need for hormone therapy in the development of the inflammatory process. Experts agree that such drugs are necessary only in the absence of an effect of the main therapy of advanced prostatitis. In particular, they apply:

medicines to treat prostatitis

Glucocorticoid group preparations. To reduce side effects and systemic exposure, they are prescribed topically using electrophoresis.

Inhibitors5-αreductase. The drugs in this group are not hormones. Its mechanism of action is based on reducing the effect of androgens on the prostate gland. Thus, the reduction of the size of the organ and the relief of the symptoms of prostatitis is ensured.

Testosterones to improve sexual function. They are very rarely prescribed for medical reasons and after blood tests to determine the content of the main hormones. Doctors advise to increase the effectiveness of drug therapy and reduce its duration using means from the arsenal of traditional medicine.

How to treat prostatitis with popular recipes:

  1. Peel the chestnuts and finely chop the skin and cover with a glass of vodka. Insist in a cool and dry place for 14 to 20 days. Then strain and add 100 - 150 ml of clean water at room temperature. Take 10 drops twice a day on an empty stomach for 2 weeks. Then you need to take a seven day break and repeat the treatment.
  2. It is recommended to drink a tablespoon of pumpkin seed oil before each meal.
  3. Heat a glass of vegetable oil in a water bath and add 2 tablespoons. crushed propolis and continue heating until completely dissolved. Use the resulting mixture as an ointment once a day before going to bed. The duration of treatment is 28 to 30 days.

Regular prostate massage has a good effect. You can do it yourself, ask for the help of a loved one, or use one of the special devices in the variety presented on the modern market. A contraindication to massage is stone formation in the prostate gland (prostatitis calculosa).

Also, this procedure is not recommended in case of an exacerbation of the disease, which is accompanied by pain and fever. Also, when deciding how to cure prostatitis, exercise helps. Moderate sports activity is an excellent prevention of congestion in the pelvic region, helping to fight obesity.

Urologists recommend performing the following gymnastic elements:

  1. Kegel exercises consist of rhythmic tension and relaxation of the perineal muscles. They should be done at least 30 times 3 to 4 times a day.
  2. Walking stairs or raising your knees to your chest while standing.
  3. Squats down.
  4. "Birch".
  5. Raising the legs over the bar.

You can also take video yoga lessons.Inverted asanas and breathing exercises will help cure prostatitis. However, this does not mean that after exercising you can continue leading a sedentary lifestyle. For effective prevention of prostatitis and impotence, experts recommend that the stronger sex move as much as possible.

Hirudotherapy is a good addition to traditional methods of treating ailments. The course is from 8 to 9 procedures, it is better to start them in the early stages of an acute inflammatory process.

The effectiveness of the manipulation is due to the following factors:

  • During the procedure, leeches release the substance hirudin, which thins the blood and facilitates its circulation;
  • the edema disappears due to the excretion of inflammatory exudate;
  • reflex action on active points in the pelvic and genital area.

It is almost impossible to treat prostatitis without following a proper diet. It is necessary to give up alcohol, spicy, smoked, spicy and salty foods. Preference should be given to green vegetable juices (especially spinach, vegetables), lean meats and fish, drink plenty of fluids (water, compotes, fruit drinks).

Zinc is good for any age. This mineral stimulates spermatogenesis, improves the quality of male semen. It is found in large quantities in beef, pine nuts, peanuts, and legumes.

However, despite all the efforts of doctors, it is impossible to cure advanced forms of non-bacterial or infectious prostatitis with edema and severe pain with the help of medications and physical therapy. In such cases, only surgery will help. To avoid it, you need to monitor your weight, play sports appropriate for age and health. It is also necessary to avoid hypothermia, to prevent the development of chronic infections.

Medicines for the treatment of prostatitis

The selection of drugs for the treatment of inflammation of the prostate requires an individual approach. When prescribing drugs, the doctor should take into account the presence of contraindications, the characteristics of the course of the disease and the cost of drugs for the treatment of prostatitis.

As you can see, the range of drugs for treating inflammation of the prostate is wide. However, high cost does not always mean efficiency. Only a doctor should select drugs for the treatment of prostatitis and their dosage. Consultation with a specialist is also necessary before using traditional medicine with honey or herbs.

Draw conclusions

Prostatitis is one of the most common male diseases in the world. But few people know that seven out of ten men with prostatitis die from prostate cancer.

Especially frightening is the fact that most men are completely ignorant of the symptoms of prostatitis, and when they go to doctors, they can no longer help.

Prostatitis symptoms:

  • Drawing or cutting pains in the lower abdomen, scrotum or perineum
  • Frequent urination, burning sensation in the urethra
  • Sensation of "bladder not completely empty
  • Difficulty urinating (weak stream)
  • Deterioration of the duration and quality of the erection
  • Premature ejaculation or problems getting it
  • Increased fatigue and body irritability

Even one of these symptoms should make you wonder. And if there are two of them, don't hesitate: you have prostatitis.