Prostatitis is an inflammatory disease.It is accompanied by unpleasant symptoms and is fraught with various complications, which is why 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 with conservative methods.These include drug therapy, physical therapy, 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 drugs.They are used to eliminate the main cause of the pathology, as well as its accompanying symptoms.Drug therapy for prostatitis includes the use of various medicinal forms: tablets, injections, rectal suppositories, micro-enemas.
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 necessary to remove congestion, and the third relieve the main manifestations of the pathology.
Etiotropic drugs are used for antibacterial therapy.They destroy the 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 achieve a quick effect.
To choose a drug, it is necessary to first determine the pathogen and its sensitivity to the drug.Antibiotics from the following groups can be prescribed for the treatment of prostatitis:
- fluoroquinolones;
- penicillins;
- macrolides;
- tetracyclines;
- sulfonamides.
Antibacterial therapy usually lasts 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.This facilitates urination - 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 to treat 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.Injection therapy is often prescribed to alleviate an acute illness and then move on to other medicinal 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 exacerbations and relapses 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 stream, delivery of the drug directly to the pathological focus and minimization of the risk of side effects, especially regarding the gastrointestinal tract.
The following rectal suppositories can be prescribed for the treatment of prostatitis:
- With an antibacterial effect.
- Anti-inflammatory drugs.
- Immunomodulators.
- Antispasmodics.
Micro enemas
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 supply;
- iodine – antiseptic effect;
- oils of sea buckthorn, fir, eucalyptus, peach.
People's funds
Alternative medicine is effective in the treatment of prostatitis.You can use the following recipes:
- Pass 0.5 kg of peeled raw pumpkin seeds through a meat grinder, add 0.2 kg of honey and mix well.Small balls are formed from the resulting mass and stored in the cold.Eat one such ball half an hour before meals twice a day.Be sure to chew it for two minutes.
- Steam 1 tbsp.l crushed peels or leaves of hazel with a glass of boiling water and leave covered for half an hour.Then filter and take a quarter cup four times a day.
- Boil 1 liter of boiling water with 1 tsp.dry wormwood.When the infusion cools to 40 degrees, filter it and strain.It is used 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 meals.
- Mix in equal proportions hazel leaves, gentian root and cornflower flowers.Boil 3 tbsp.l. collect three cups of boiling water and leave overnight, filter in the morning and take a cup three times a day before meals.
Physiotherapy, massage
One of the effective areas in the treatment of prostatitis is physiotherapy procedures.The following methods are often used:
- cryotherapy;
- ultrasound therapy;
- electrophoresis or phonophoresis with drugs (anti-inflammatory drugs, anesthetics, antibiotics);
- hardware electrostimulation;
- magnetic therapy;
- laser therapy;
- darsonvalization;
- galvanizing;
- microwave therapy;
- healing 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 must be carried out by a specialist, since in the absence of appropriate experience the procedure can be ineffective and even harmful.
Diet, lifestyle
A conservative approach to the treatment of prostatitis also implies some lifestyle changes.The following rules must be observed:
- Give up 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 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 through moderate physical activity, balanced nutrition, rejection of bad habits and hardening.You should periodically take a course of vitamin-mineral complex - the appropriate option should be chosen by your attending physician.
You should also pay attention to your diet.Must meet the following requirements:
- Avoid fatty foods and highly extractive foods - spices, hot spices, pickles, pickles, smoked meats.
- Avoid products that increase gas production.This applies to legumes, cabbage, confectionery, carbonated drinks, kvass and brown bread.
- Enrich your diet with fermented dairy 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 instructions from the doctor, then 2-2.5 liters of liquid per day are needed.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, steaming, baking and steaming.
Exercise
Physiotherapy is useful 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, then relax.Do 10 reps.
- Lie down on the floor.Simultaneously raise the legs and the pelvis straight, performing the "birch" pose.At the end point you have to fixate and last as long as possible.
- Lie on your back, raise your legs a few centimeters off the floor and make a criss-cross motion, imitating scissors.After a short rest, repeat the exercise, but lying on your stomach.
- Lie 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 straight legs 5 cm off 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 by spreading your knees out to the sides.The legs should not leave the floor, the back should be straight.
- Stand up to the support and swing your legs - 15 times.
- Walking on the buttocks.You need to sit on the floor and alternately move your buttocks forward.You must return the same way.
- Sit on the floor and stretch your legs slightly apart.Bend over trying to reach your socks.
Exercises should be performed smoothly, monitoring your breathing.Increase the load gradually.The admissibility 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.
- Resection of the prostate - removal of a fragment of the gland.There are suprapubic, laparoscopic and transurethral resections.
- Circumcision (circumcision) – cutting of the foreskin in a circular manner.It is performed for chronic prostatitis and for its prevention.
- Abscess drainage.This surgical intervention is minimally invasive and involves aspiration of purulent contents through needle puncture, followed by washing the cavity with antiseptics.
Prostatitis is a fairly common pathology.Various methods are used in its treatment: drug therapy, physiotherapy, physical therapy, special diet, surgery.In any case, the specialist must choose the appropriate tactic and monitor its effectiveness.