Prostatitis is a complicated and very delicate issue for any man, without more, many are shy and are afraid of this diagnosis, so we postpone the visit to a doctor. But you have to remember that before you start the treatment, the greater the chances of achieving positive results and the long years of living a full life. The treatment of prostatitis require an integrated approach to get rid of the symptoms of this disease and to avoid complications, it is necessary to go to the doctor and do not self-medicate.
The diagnosis of prostatitis
Before you begin to treat prostatitis, all men should undergo a review. This is necessary to establish the cause and the form of the disease. Normally, diagnosis does not present problems with the urologist, therefore, the probability of safeguarding the errors of diagnosis and target of inappropriate treatment insignificant.
The diagnostic procedures necessary for prostatitis, take a little of discomfort and discomfort to the patient, but without them, unfortunately, is impossible.
After the collection of the clinical history and the physical examination, the urologist performs a digital rectal exam of the prostate and the outlet of the secretion of the gland in the analysis. The severe form of the disease, this procedure can cause the patient to not only discomfort, but and the pain. The secret of the prostate is sent to the laboratory for analysis, which allows to establish the form of the disease (infection of the prostatitis or nonbacterial). If the biological material is revealed the causative agent of the disease, is defined by its sensitivity to antibiotics, which significantly increases the effectiveness of treatment and reduce its duration.
If necessary, digital the study is complemented with ultrasound to the inspection of the prostate, which helps to visualize and determine its state. Ultrasound of the prostate can be performed in two ways: transabdominal (through the anterior abdominal wall) and transrectal (through the rectum).
Transabdominal method does not cause any discomfort to the patient, but the information content of its very lower than the second mode. When such access, the doctor can determine the configuration of the breast, but to obtain data on the state of the tissues of the prostate is not possible. However, the Transabdominal method is used to protegendo of diagnosis.
The transrectal ultrasound (TRUS) of the prostate is very informative to the method of the survey, since the ultrasonic sensor is separated from the tissues of the prostate only rectal ampulla. Thanks to the modern equipment this procedure delivers the minimum of discomfort to the patient and the use of sensors of high frequency allows the physician to see even the smallest changes in the structure of the tissues of the prostate.
A blood test for PSA (prostatespecific antigen)
Prostatespecific antigen is a substance that produces the prostate, with an increase of its level in the blood, the doctor may suspect the disease of the prostate, including prostatitis. The normal value of PSA is considered to be 4 ng/ml, for An analysis of blood is not only a screening diagnostic method (recommended every year to do this analysis to men over the age of 50 years), but it also helps your doctor to evaluate the effectiveness of the treatment of the diseases of the prostate.
The treatment of prostatitis
The treatment of prostatitis and acute exacerbation of a chronic form of this disease is performed in connection with this scheme. With the right therapy, there is a complete cure of the acute prostatitis or accomplished remission prolonged, chronic form of the disease.
Therapy antibacterial
The selection of a drug designated for the treatment of prostatitis, is carried out only by the doctor, taking into account the results of the analysis. Incorrectly assigned to the therapy antibacterial can lead to the appearance of resistance of the pathogen causing prostatitis, to medications, which will complicate considerably more processing and may contribute to the transition of acute of chronic prostatitis. If the patient just before starting the treatment of prostatitis, taken any of the antibacterial drugs on other medical problem, you should inform your doctor.
The course of treatment with antibiotics if your prostatitis can last more than 2-3 weeks, but is interrupted when the relief of the symptoms of the disease can not, like reduce scheduled dose of the drug and modify the schema of their reception.
Dezintoksikatsionnaya therapy and receive pain medication may be necessary when serious current of the acute prostatitis. In such cases, the treatment is carried out in the hospital.
Local therapy
Physiotherapy
Physiotherapy contributes to the improvement of trophism of the prostate tissue and accelerate the healing process. It is possible to apply the following physiotherapy techniques: transrectal microwave hyperthermia, diadynamophoresis, laser therapy, ultrasound, phonophoresis.
Candles when the prostatitis
Rectal suppositories for the treatment of prostatitis are very efficient, as they contain the active substances contained in the focus of inflammation in greater concentration. Candles can contain antispasmodic agents, antibiotics, analgesics and anti-inflammatory substance. Its application is often recommended by the doctor and for the prevention of acute episodes of chronic prostatitis.
The most popular are rectal suppositories with propolis, Ichthyol and buckthorn of the candle, as well as suppositories, which include peptides, extracts of the prostate gland.
Prostate massage
This procedure is one of the most effective methods of treatment of prostatitis. Thanks to her, accumulated in the prostate, the secret of the strength of it, and then already by itself is shown through the urethra. In addition to this the massage of the prostate contributes to the improvement of the vascularization of the tissues of the gland, which increases the effectiveness of antibacterial therapy and local.
Performing prostate massage in the acute phase of inflammation is contraindicated, as it may lead to the spread of the infection. The procedure is carried out, soothing acute inflammatory phenomena. Unfortunately, this method of treatment leads to many patients, the physical and the moral discomfort, but to renounce it, however, it is not worth.
The correction of the immunity
Reinforcement of immunity it is necessary for every patient suffering from inflammatory diseases of the prostate. A good immunological state of the body will help to avoid the development of the exacerbation of a chronic form of the disease. The patients are recommended for strengthening the body's resistance to diseases with the help of natural methods (quenching, physical activity, outdoor), natural immune modulators (lemongrass, echinacea, Eleutherococcus, ginseng), and synthetic multivitamin complexes.
The surgical treatment of the prostatitis may be necessary in rare cases, when there is abscess of the prostate or stricture (narrowing) of the urethra.
In addition to pharmacological therapy to men who suffer from this disease, you should change your lifestyle and eliminate the factors that contribute to the development of acute or exacerbation of chronic prostatitis. You should avoid hypothermia, leave the alcohol consumption and lead a way of life. The young men who are sexually active, you should avoid the spread of sexually-transmitted infections, through the use of barrier contraceptives (condoms).
To what doctor to go to
Prostatitis cure the urologist. To identify the infectious agent causing the inflammation, it is possible to query venereologist'. For more help in the combined treatment of the disease may have a doctor, a physical therapist and immunologist.