Prostatitis is an inflammatory disease.It is accompanied by unpleasant symptoms and is full of various complications, therefore it requires mandatory treatment.It can be conservative or surgical.In any case, an integrated approach is needed.
Treatment of prostatitis in most cases is carried out by conservative methods.They include drug therapy, physiotherapy, diet and lifestyle changes, exercise and traditional medicine.In some cases, surgery may be required.
Treatment of prostatitis with drugs
The main direction in the conservative treatment of prostatitis is the use of various drugs.They are used to eliminate the underlying cause of the pathology, as well as accompanying symptoms.Drug therapy for prostatitis includes the use of various dosage forms: tablets, injections, rectal suppositories, microenemas.
Tablets for prostatitis
Medicines for the treatment of prostatitis in the form of tablets are etiotropic, pathogenetic and symptomatic.The first are used in cases of infectious origin of the disease, the second are needed to remove congestion, and the third to alleviate the main manifestations of the pathology.
Etiotropic drugs are used for antibacterial therapy.They destroy pathogenic microorganisms that cause an inflammatory process in the prostate tissue.In the acute form of the disease, antibiotics in the form of tablets are used for 3-4 days - before that, parenteral administration is preferred in order to achieve a quick effect.
To select a drug, it is necessary to first determine the pathogen and its sensitivity to the drug.Antibiotics of the following groups can be prescribed for the treatment of prostatitis:
- fluoroquinolones;
- penicillins;
- macrolides;
- tetracyclines;
- sulfonamides.
Antibacterial therapy is usually continued for 1-1.5 weeks.At the same time, probiotics are prescribed to normalize the intestinal microflora.
α-Blockers are also prescribed to treat prostatitis.They relax muscles and relieve spasms.It makes urination easier - difficulty is one of the main signs of the disease.The therapeutic course usually lasts at least six months.
Another group of drugs for the treatment of prostatitis are non-steroidal anti-inflammatory drugs.They are used to relieve inflammation and pain.
For psycho-emotional disorders, which often accompany prostatitis, sedatives and antidepressants are prescribed.Herbal products are effective.
Specific drugs with prostatotropic effects are also used for the treatment of prostatitis.They relieve inflammation and pain, improve microcirculation and metabolic processes.
Injections
The main advantage of drugs in the form of injections is the rapid delivery of the drug to the pathological focus.Often, injection therapy is prescribed to relieve an acute disease, and then they move on to other medical pathologies.
Popular injections for prostatitis are nonsteroidal anti-inflammatory drugs that relieve inflammation and pain.
Immunomodulators are often used in chronic prostatitis.Such drugs increase the body's resistance and reduce the risk of exacerbation and recurrence of the disease.
If the disease is of bacterial origin, antibacterial therapy is necessary.This treatment continues for an average of 1-1.5 weeks.
Rectal suppositories
The use of such a dosage form is attractive due to its rapid absorption into the local blood stream, the delivery of the drug directly to the pathological focus and the minimization of the risk of adverse reactions, especially in relation to the gastrointestinal tract.
The following rectal suppositories can be prescribed for the treatment of prostatitis:
- With an antibacterial effect.
- Anti-inflammatory drugs.
- Immunomodulators.
- Antispasmodics.
microclysters
This treatment option is usually used to fight inflammation, provide antibacterial treatment, and relieve pain and swelling.The following microenemas can be used for prostatitis:
- propolis – relieves inflammation, stimulates blood flow;
- iodine – antiseptic effect;
- sea buckthorn, fir, eucalyptus, peach oils.
Folk remedies
Alternative medicine is effective in the treatment of prostatitis.You can use the following recipes:
- Grind 0.5 kg of peeled raw pumpkin seeds through a meat grinder, add 0.2 kg of honey and mix well.Form balls from the obtained mass and store in the cold.Eat one such ball twice a day half an hour before meals.Be sure to chew it for two minutes.
- Boil 1 tbsp.l.crumbled hazelnut bark or leaves with a glass of boiling water and leave covered for half an hour.Then filter and take a quarter of a glass four times a day.
- Boil 1 liter of boiling water with 1 tsp.dry wormwood.When the infusion cools down to 40 degrees, filter it and strain it.Use for microenemas - 100 ml of solution per procedure.Repeat for a week.
- Prepare fresh parsley juice and take 1 tablespoon three times a day.l.half an hour before eating.
- Mix hazel leaves, petrel root and cornflower flowers in equal proportions.Boil 3 tbsp.l.collect three glasses of boiling water and leave overnight, filter in the morning and take one glass three times a day before meals.
Physiotherapy, massage
One of the effective areas in the treatment of prostatitis is physiotherapeutic procedures.The following methods are often used:
- cryotherapy;
- ultrasound therapy;
- electrophoresis or phonophoresis with drugs (anti-inflammatory drugs, anesthetics, antibiotics);
- hardware electrical stimulation;
- magnetic therapy;
- laser therapy;
- darsonvalization;
- electroplating;
- microwave therapy;
- Medicinal baths;
- mud therapy;
- UHF therapy.
Physiotherapy treatment methods include massage.It can be done manually or with an electric massager.In any case, such treatment should be carried out by an expert, because in the absence of appropriate experience, the procedure may be ineffective and even cause damage.
Diet, lifestyle
A conservative approach to the treatment of prostatitis also implies certain lifestyle changes.The following rules must be followed:
- Stop smoking and alcohol.
- If necessary, normalize your weight.This is achieved by gradually reducing daily calories and exercising.
- Moderate physical activity.You must definitely walk - take at least 10,000 steps a day.This is very important to eliminate and prevent congestion.
- Regular sex life.It is important to limit yourself to one sexual partner and use condoms.
- Strengthening the immune system.This is achieved by moderate physical activity, a balanced diet, giving up bad habits and tempering.From time to time, you should take a course of vitamin-mineral complex - the appropriate option should be chosen by your doctor.
You should also pay attention to nutrition.Must meet the following requirements:
- Avoid fatty and highly extractive foods - spices, hot spices, pickles, marinades, smoked meat.
- Avoid products that increase gas formation.This applies to legumes, cabbage, confectionery, carbonated drinks, kvass and black bread.
- Enrich your diet with fermented dairy products, fresh vegetables, fruits and herbs.
- It is necessary to regularly consume fish and seafood.
- Follow an optimal drinking regime.If there are no other medical instructions, 2-2.5 liters of fluid per day is required.It can be plain or mineral (non-carbonated) water, green or herbal tea, freshly prepared fruit drink, compote, juice.Strong tea and coffee should be avoided.
- For cooking, you should limit yourself to boiling, stewing, baking and simmering.
Practice
Physical therapy is beneficial for prostatitis.It can also be performed at home.
Useful exercises:
- In a standing position, squeeze the muscle, simulating stopping urination.Hold this position for five counts and then relax.Do 10 repetitions.
- Lie on the floor.At the same time, raise your legs and pelvis straight, performing the "birch" stance.At the extreme point you have to fixate and hold on as long as possible.
- Lying on your back, raise your legs a few centimeters from the floor and perform cross movements, imitating scissors.After a short rest, repeat the exercise, but lying on your stomach.
- Lying on your back, raise your legs and imitate riding a bicycle.Gradually increase the pace.Perform the movements first forward and then in the opposite direction.
- Lie on your stomach.Raise your straight legs 5 cm from the floor and hold for a few seconds.Return to the starting position and do a few repetitions.Repeat the exercise, lifting your legs one at a time.
- Perform shallow squats, spread your knees to the side.The feet should not leave the floor, the back should be straight.
- Get up on the support and swing your legs - 15 times each.
- Butt walking.You need to sit on the floor and alternately move your buttocks forward.You must return the same way.
- Sit on the floor and straighten your legs, slightly apart.He bent down, trying to reach for his socks.
Exercises should be performed smoothly, following breathing.Gradually increase the load.The acceptability of such exercises should be discussed with your doctor.
Surgical treatment
In most cases, prostate treatment is carried out by conservative methods, but sometimes surgery is the only solution.The following methods are possible:
- Prostatectomy – removal of the prostate in whole or in part.The operation can be endoscopic or abdominal.
- Prostate resection – removal of a fragment of the gland.There are suprapubic, laparoscopic and transurethral resections.
- Circumcision – circular cutting of the foreskin.It is performed for chronic prostatitis and for its prevention.
- Abscess drainage.This surgical intervention is minimally invasive and involves aspiration of purulent content through needle puncture, followed by rinsing the cavity with an antiseptic.
Prostatitis is a fairly common pathology.Different methods are used in treatment: drug therapy, physiotherapy, physical therapy, special diet, surgery.In any case, the expert must choose the appropriate tactics and monitor their effectiveness.