Prostatitis is an inflammatory disease.It is accompanied by unpleasant symptoms and is fraught with various complications, and therefore requires mandatory treatment.It can be conservative or surgical.In either case, an integrated approach is required.
Treatment of prostatitis in most cases is carried out using conservative methods.They include drug therapy, physiotherapy, diet and lifestyle changes, exercise and traditional medicine.In some cases, surgery may be required.
Drug treatment of prostatitis
The main direction in the conservative treatment of prostatitis is the use of various medications.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, microclyse.
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 eliminate congestion and the third to relieve the main manifestations of the pathology.
Etiotropic drugs are used for antibacterial therapy.They destroy pathogenic microorganisms that provoke 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 to quickly achieve an effect.
To choose a drug, it is first necessary to determine the pathogen and its sensitivity to the drug.For the treatment of prostatitis, antibiotics of the following groups can be prescribed:
- fluoroquinolones;
- penicillins;
- macrolides;
- tetracycline;
- sulfonamides.
Antibacterial therapy usually continues for 1-1.5 weeks.At the same time, probiotics are prescribed to normalize the intestinal microflora.
α-blockers are also prescribed for the treatment of prostatitis.They relax muscles and relieve spasms.This 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, tranquilizers and antidepressants are prescribed.Herbal products are effective.
Specific drugs with a prostatotropic effect 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 distribution of the drug in the pathological focus.Often, injection therapy is prescribed to alleviate an acute illness, and then they move on to other medicinal pathologies.
Popular injections for prostatitis are non-steroidal anti-inflammatory drugs that relieve inflammation and pain.
For chronic prostatitis, immunomodulators are often used.Such drugs increase the body's resistance and reduce the risk of exacerbations and relapse of the disease.
If the disease is of bacterial origin, antibacterial therapy is necessary.This treatment lasts 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 circulation, the delivery of the drug directly to the pathological focus and the minimization of the risk of side reactions, especially in relation to the gastrointestinal tract.
The following rectal suppositories can be prescribed for the treatment of prostatitis:
- With antibacterial effect.
- Anti-inflammatory medications.
- Immunomodulators.
- Antispasmodics.
Microclysters
This treatment option is usually used to fight inflammation, provide antibacterial treatment, and relieve pain and swelling.For prostatitis, the following microenemas can be used:
- propolis - relieves inflammation, stimulates blood supply;
- 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:
- Pass 0.5 kg of peeled raw pumpkin seeds in a meat grinder, add 0.2 kg of honey and mix thoroughly.Form small balls from the obtained mass and store in the cold.Eat such a ball half an hour before meals twice a day.Make sure you chew it for two minutes.
- Make 1 tbsp.l.crushed 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.
- Make 1 liter of boiling water 1 tbsp.dry wormwood.When the infusion has cooled to 40 degrees, filter and strain.Use for micro enemas - 100 ml of solution per procedure.Repeat for a week.
- Prepare juice from fresh parsley and take 1 tablespoon three times a day.l.half an hour before meals.
- Mix hazel leaves, lethargy root and cornflowers in equal proportions.Make 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 medications (anti-inflammatory drugs, anesthetics, antibiotics);
- hardware electrical stimulation;
- magnetic therapy;
- laser therapy;
- darsonvalization;
- galvanizing;
- microwave therapy;
- healing baths;
- mud therapy;
- UHF therapy.
Physiotherapy methods of treatment also include massage.It can be done by hand or using an electric massager.In any case, such treatment must be carried out by a specialist, since in the absence of proper experience, the procedure may be ineffective and may even cause harm.
Diet, lifestyle
A conservative approach to the treatment of prostatitis also implies certain lifestyle changes.The following rules must be observed:
- Quit smoking and alcohol.
- Normalize your weight if necessary.This is achieved by gradually reducing daily calories and exercising.
- Moderate physical activity.You should definitely walk - take at least 10 thousand steps a day.This is very important for eliminating and preventing blockages.
- Regular sex life.It is important to limit yourself to one sexual partner and use condoms.
- Strengthening the immune system.This is achieved with moderate physical activity, a balanced diet, giving up bad habits and strengthening.Periodically, you should take a course of a vitamin-mineral complex - the right option should be chosen by your attending physician.
You should also pay attention to your diet.It must meet the following requirements:
- Avoid fatty foods and highly extractive foods - spices, hot spices, pickles, marinades, smoked meats.
- Avoid products that increase gas formation.This applies to legumes, cabbage, sweets, carbonated drinks, kvass and black bread.
- Enrich your diet with fermented milk products, fresh vegetables, fruits and herbs.
- It is necessary to regularly consume fish and seafood.
- Follow the optimal drinking regimen.If there are no other doctor's instructions, then 2-2.5 liters of fluid per day are needed.It can be plain or mineral (still) water, green or herbal tea, freshly prepared fruit drinks, compote, juice.Strong tea and coffee should be avoided.
- For cooking, you should limit yourself to boiling, stewing, baking and stewing.
exercising
Physical therapy is helpful for prostatitis.It can also be done at home.
Useful exercises:
- In a standing position, squeeze the muscle, simulating stopping urination.Hold this position for five counts, then relax.Do 10 repetitions.
- Lie down on the floor.Raise your legs and pelvis straight at the same time, performing the "birch tree" pose.At the extreme point you need to fixate and stay as long as possible.
- Lying on your back, raise your legs a few centimeters from the floor and perform transverse 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.Increase the pace gradually.Perform the movements first forward, then in the opposite direction.
- Lie on your stomach.Raise your legs straight 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 the legs one at a time.
- Perform shallow squats, extending the knees to the sides.The legs should not leave the floor, the back should be straight.
- Stand up and swing your legs – 15 times each.
- Walking on your butt.You need to sit on the floor and alternately move your buttocks forward.You should return the same way.
- Sit on the floor and straighten your legs, slightly apart.Bend over, trying to reach your socks.
Exercises should be performed smoothly, monitoring your breathing.Increase loads gradually.The acceptability of such exercises should be discussed with your doctor.
Surgical treatment
In most cases, prostate treatment is carried out using conservative methods, but sometimes the only option is surgery.The following methods are possible:
- Prostatectomy - removal of the prostate gland 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 (circumcision) - circular cutting of the foreskin.It is performed for chronic prostatitis and its prevention.
- Drainage of the abscess.This surgical intervention is minimally invasive and involves aspiration of purulent contents through a needle puncture, followed by washing the cavity with antiseptics.
Prostatitis is a very common pathology.Different methods are used in its treatment: drug therapy, physiotherapy, special diet, surgery.In any case, a specialist must choose the right tactics and monitor their effectiveness.