Prostatitis is commonly referred to as inflammation that causes tissue swelling and covers the male prostate, which is just below the bladder. Treatment of prostatitis today is carried out by many modern methods, including antibiotic therapy, physiotherapy, hirudotherapy, herbal medicine, immunocorrective therapy, prostate massage, lifestyle correction.
When a patient enters a medical facility, the doctor examines the patient for the presence of the causes that caused prostatitis. Treatment of the disease is prescribed depending on what factors contributed to the onset of the disease.
Treatment of prostatitis begins with diagnosis of the disease, which initially includes a survey of a urologist. Then the doctor examines the patient's abdomen and genitals, palpates the prostate with a finger and inserts it into the rectum. During this examination, the doctor can detect enlargement, swelling and tenderness of the prostate.
After a rectal examination, the urologist directs the patient to donate sperm, urine, and prostatic fluid. These analyzes make it possible to assess the presence or absence of signs of infection in them. Seed culture is sometimes required.
The appointment of urodynamic studies allows the doctor to understand how strong the impact of the disease on the process of urination.
Transrectal ultrasound, as well as ultrasound of the kidneys and bladder, allow the urologist to assess the volume and structure of the prostate, the volume of residual urine, the presence of a tumor or stones in the bladder and the presence of a blood clot or stones in the lower onethird of the ureter.
Based on the above analyzes and studies, the urologist prescribes therapy for such an insidious and difficult-to-treat disease as prostatitis. Treatment of prostatitis will give positive results only if it is comprehensive and selected by a competent doctor.
Antibacterial treatment of prostatitis
Due to the fact that inflammation of the prostate is often of an infectious nature, doctors prescribe the treatment of prostatitis as antibiotic therapy. The result of treatment is positive only if the urologist chooses the right therapy, and the patient strictly adheres to the prescribed therapy. It should be borne in mind that the initiated course of antibiotic therapy cannot be stopped - in this way it is possible to damage not only the diseased organ, but the organism as a whole.
The patient must inform the doctor of any, sometimes not even significant, changes in his body. If during 2-3 days of treatment the patient does not feel any changes, the doctor should replace the antibiotic with another, but not cancel it.
Most often, broad-spectrum drugs - penicillins - are prescribed for treatment.
Also, modern medicine widely uses the means of the fluoroquinolone group. Microbes do not develop resistance to these drugs - this is one of the most important properties of these antibiotics.
In addition, for treatment, many doctors prescribe drugs from the tetracycline group.
In some cases, highly effective drugs of the new generation are used.
Antibacterial treatment of prostatitis in patients with chronic prostatitis lasts about a month and a half. In advanced cases, treatment of prostatitis is extended up to 16 weeks. Occasionally, during antibiotic therapy, the patient develops intestinal dysbacteriosis. In this regard, the patient is prescribed the use of drugs that restore the intestinal microflora.
The dosage and therapy of the medication is prescribed individually by the urologist.
Physiotherapeutic activities
Treatment of prostatitis with physiotherapy consists in the use of various methods, the main of which are ultrasound, laser therapy, electrical stimulation, magnetotherapy, microwave therapy, UHF, galvanization, drug electrophoresis, Darsonvalization, therapeutic microclysters, baths, mud treatments.
Ultrasound is used as high-frequency waves that a person cannot hear.
Laser therapy is a fairly common, almost painless method. It is the effect of laser beams on the tissues of a diseased organ or on reflexogenic zones.
Treatment of prostatitis with the help of electrical stimulation is the action of an electrical impulse current, which causes contractions of the muscles of the organ. Electrical stimulation is divided into rectal, perineal and urethral.
Magnetotherapy is the treatment of prostatitis by exposure to a constant magnetic and low-frequency alternating field on the tissues of the affected organ.
Microwave therapy consists of exposing the affected tissue to a high-frequency electromagnetic field.
UHF is a complex of therapeutic measures with the help of capacitor plates connected to tissues.
Electroplating is a treatment method that uses a low continuous current and low voltage.
Medical electrophoresis is a simultaneous effect on the tissues of a low-power direct current and special drugs that are introduced into the tissues with its help. The current increases ionic activity in the tissues, while the pharmacological effect of drugs occurs.
Darsonvalisation is a treatment method that uses high-voltage, low-power, high-frequency pulsed current that quickly dies out.
Therapeutic microclysters are enemas that use various herbal infusions and decoctions.
Baths to treat the disease are prescribed general or local. Various medicinal liquids of different temperatures are used during the baths.
Mud treatments - the use of medicinal mud. Therapeutic measures can include the use of external mud applications or the insertion of mud swabs into the anus.
hirudotherapy
Leeches are a wonderful gift from nature to mankind. With the help of these creatures, many diseases can be cured, including prostatitis. Treatment of prostatitis with leeches is carried out according to the following scheme: leeches are placed on points located 3 cm from the anus (anus), and the setting should resemble the letter "X". The center of the letter is the anus, the ends of theLetters are the location points of the leeches.
A slightly different method of treatment is also widespread: having retreated from the middle seam of the perineum about 2 cm in each direction, leeches are installed. It is not recommended to attach leeches directly to the perineal seam. The course includes about 4-5 treatments. 4 leeches are used in one session. After each session, take a break of 5-6 days.
phytotherapy
Phytotherapy is a complex of therapeutic measures using medicinal tinctures, decoctions, juices and infusions from medicinal plants. Some of these drugs should be taken internally, while others are injected topically into the urethra. Phytotherapy is an additional method of treatment that helps the body cope with the disease faster.
For the preparation of decoctions, the bark, seeds, roots, buds and rhizomes of plants are usually used, 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 rose hips (1: 1), taken in half a glass 1 or 2 times a day.
Horse chestnut peel tincture (pour 250 ml of 25 g finely chopped peel, leave in the dark for 10 days, shaking occasionally). After that, strain the tincture, take 30 drops 3 times a day.
Squeeze juice from parsley and mix with honey (1: 1), use 3 times a day for 2 tables. Spoon.
Immunocorrective treatment of prostatitis
Treatment of prostatitis also consists in increasing immunity and activating the body's defenses. Doctors in this case prescribe immunocorrective therapy. It includes the patient's intake of various vitamins, immunomodulators, biostimulants, herbal remedies and other means.
The use of funds by patients with chronic prostatitis, the treatment of which was carried out in a complex way, increases the effectiveness of therapy and contributes to longer preservation of the results obtained. The drug is well tolerated, has no contraindications. It can be combined with any other therapy.
prostate massage
Treatment of prostatitis with prostate massage is an unpleasant, but very effective way to cure the disease. The massage is performed by an experienced doctor. First, with the help of a gloved index finger, he palpates the prostate and tries to determine its parameters, the degree of pain, the ratio of the right and left lobes of the gland, and also examine the quality of the mucus in the rectum. After that, the doctor begins the actual massage process.
lifestyle correction
In order to avoid blood congestion in the prostate, the patient needs to move a lot, go for a walk, play sports, etc.
The occurrence of prostatitis is often provoked by a sedentary lifestyle, sedentary work and infrequent sexual intercourse. They cause blood to congest in the prostate. In this situation, for therapeutic purposes, the patient is prescribed physical activity (feasible), therapeutic exercises, walking in the fresh air, a special diet, etc.
Therefore, the complex treatment of patients with chronic prostatitis should include:
- antibacterial therapy (only in patients with chronic prostatitis of an infectious nature, including latent);
- symptomatic treatment aimed at eliminating the leading manifestations of the disease;
- pathogenetic therapy aimed at restoring microcirculation in the prostate, restoring drainage of the prostate glands through the excretory ducts, normalizing urination, stabilizing the immune and endocrine systems, and preventing excessive formation of fibrous tissue.
There are many signs that prostatitis has "taken hold" in his body. The treatment of this disease is very complex and lengthy, and it gives positive results only if the patient strictly follows all the instructions of the urologist.