Prostatitis is usually called an inflammation that causes swelling of the tissues and involves the male prostate gland, which is located just below the bladder. Today, the treatment of prostatitis is carried out by many modern methods, including antibiotic therapy, physiotherapy, hirudotherapy, herbal medicine, immunocorrective therapy, prostate massage, lifestyle adjustments.
When the patient enters a medical facility, the doctor examines the patient for the causes of prostatitis. Treatment of the disease will be prescribed depending on what factors contributed to the onset of the disease.
Treatment of prostatitis begins with the diagnosis of the disease, which primarily involves an examination by a urologist. The doctor then examines the patient's abdomen and genitals, palpates the prostate gland with a finger, and inserts it into the rectum. During this examination, the doctor may diagnose enlargement, swelling and tenderness of the prostate gland.
After a rectal examination, the urologist directs the patient to donate semen, urine and prostate secretions. These tests allow us to assess the presence or absence of signs of infection in them. Sometimes a sperm culture is needed.
The appointment of urodynamic tests will allow 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 gland, the volume of residual urine, the presence of a tumor or stones in the bladder, the presence of a blood clot or stones in the lower third of the bladder.
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 physician.
Antibacterial treatment of prostatitis
Due to the fact that inflammation of the prostate gland is often infectious in nature, doctors prescribe treatment for prostatitis as antibiotic therapy. The result of the treatment will be positive only if the urologist chooses the right therapy and the patient strictly adheres to the prescribed therapy. It should be remembered that the started course of antibiotic therapy can not be stopped - in this way it is possible to harm not only the diseased organ, but the body as a whole.
The patient should inform the doctor of any, sometimes even minor changes in his body. If the patient does not feel any changes within 2-3 days of treatment, then the doctor should replace the antibiotic with another, but not cancel it.
Broad-spectrum drugs are most often prescribed for treatment - penicillins.
Also, modern medicine widely uses drugs from the group of fluoroquinolones. 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 group of tetracycline.
New generation highly effective drugs are sometimes used.
Antibacterial treatment of prostatitis in patients with chronic prostatitis lasts about a month and a half. In advanced cases, the treatment of prostatitis is extended to 16 weeks. Sometimes, 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 treatment regimen are prescribed by the urologist for each case.
Physiotherapeutic activities
The treatment of prostatitis through physiotherapy consists in the use of various methods, the main of which are ultrasound, laser therapy, electrical stimulation, magnetic therapy, microwave therapy, UHF, galvanization, drug electrophoresis, darsonvalization, therapeutic microclysters, baths, mud treatments.
Ultrasound is used as high frequency waves that one cannot hear.
Laser therapy is a fairly common, almost painless method. This is the effect of laser beams on the tissues of a diseased organ or on reflexogenic areas.
The treatment of prostatitis with the help of electrical stimulation is the effect of electrical impulse current, which causes contractions of the muscles of the organ. Electrical stimulation is divided into rectal, perineal and urethral.
Magnetic therapy is the treatment of prostatitis by exposing a permanent magnetic and alternating low-frequency field to the tissues of the affected organ.
Microwave therapy consists of exposing the affected tissues to a high-frequency electromagnetic field.
UHF is a set of therapeutic measures using capacitor plates connected to tissues.
Galvanization is a method of treatment by applying low continuous current and low voltage.
Drug electrophoresis is both the impact on the tissues of low-power direct current and special drugs introduced with its help into the tissues. The current increases the ionic activity in the tissues while the pharmacological effect of the drugs is manifested.
Darsonvalization is a method of treatment using fast-extinguishing high-frequency pulse current with low power and high voltage.
Healing micro-enemas are enemas for which various herbal infusions and decoctions are used.
Baths used to treat the disease are prescribed general or local sitting. Different healing liquids with different temperatures are used during the baths.
Mud procedures - the use of therapeutic mud. Therapeutic measures may include the use of external applications with mud or the introduction of mud swabs into the anus.
Hirudotherapy
Leeches are a wonderful gift of nature to humanity. With the help of these living beings, many diseases can be cured, including prostatitis. Treatment of prostatitis with leeches is carried out according to the following scheme: leeches are placed at 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 edges of the letter are the points availableof leeches.
A slightly different method of treatment is also widely used: after withdrawing from the middle suture of the perineum by about 2 cm in each direction, leeches are installed. It is not recommended to install leeches directly on the perineal suture. The course is about 4-5 procedures. 4 leeches are used in one session. After each session there is a break of 5-6 days.
Phytotherapy
Phytotherapy is a complex of therapeutic measures with medicinal tinctures, decoctions, juices, infusions prepared from medicinal plants. Some of these drugs must be taken internally, while others are used externally, injected into the urethra. Phytotherapy is an additional method of treatment that helps the body cope with the disease faster.
For the production of decoctions are usually used bark, seeds, roots, buds and rhizomes of plants, for infusions - flowers, leaves, grass and stems. There are a huge number of recipes for the preparation of medicines.
One of the most popular recipes is infusion of birch buds and oats, mixed with rose hip tincture (1: 1), which is taken half a cup 1 or 2 times a day.
Tincture of horse chestnut bark (pour 250 ml of 25 g of finely chopped bark, insist in the dark for 10 days, shaking occasionally). Then strain the tincture, take 30 drops 3 times a day.
Squeeze the juice of parsley and mix with any honey (1: 1), use 3 times a day for 2 tablespoons. spoons.
Immunocorrective treatment of prostatitis
The 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 medicines and other means.
The use of funds from patients with chronic prostatitis, whose treatment is performed in a complex way, increases the effectiveness of therapy and contributes to longer preservation of the results obtained. The drug is well tolerated, there are no contraindications. It can be combined with any other therapy.
prostate massage
Treating prostatitis with prostate massage is an unpleasant but very effective way to cure the disease. The massage is performed by an experienced doctor. First, using a gloved index finger, he felt the prostate gland, trying to fix its parameters, the degree of pain, the ratio of the right and left lobes of the gland, as well as to examine the quality of mucus in the rectum. Then the doctor begins the massage procedure itself.
Lifestyle adjustment
To avoid stagnation of blood in the prostate gland, the patient should move a lot, walk, play sports, etc.
The appearance of prostatitis is often provoked by a sedentary lifestyle, sedentary work, infrequent sexual intercourse. They cause blood stasis in the prostate gland. In this situation, for therapeutic purposes, the patient is prescribed physical activity (feasible), therapeutic exercises, walks in the fresh air, special diet and more.
Thus, the comprehensive treatment of patients with chronic prostatitis should include:
- antibacterial therapy (only in patients with chronic prostatitis of infectious nature, including latent);
- symptomatic treatment to eliminate the leading manifestations of the disease;
- pathogenetic therapy aimed at restoring the microcirculation in the prostate, restoring the drainage of the prostate glands through the secretory ducts, normalizing urination, stabilizing the immune and hormonal systems and preventing the excessive formation of fibrous tissue.
There are many signs that show the patient that prostatitis has "settled" in his body. The treatment of this disease is very complex and long, giving positive results only if the patient strictly follows all the instructions of the urologist.