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 each 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, gymnastics and traditional medicine.In some cases, surgery may be necessary.
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 the accompanying symptoms.Drug therapy for prostatitis involves the use of various dosage forms: tablets, injections, rectal suppositories, microenemas.
Prostatitis pills
Medicines for the treatment of prostatitis in tablets are etiotropic, pathogenetic and symptomatic.The first are used in cases of infectious origin of the disease, the second are necessary to eliminate congestion, and the third alleviate 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, antibiotic tablets are used for 3-4 days - before that, parenteral administration is preferable to quickly obtain an effect.
To select a drug, it is necessary to first determine the pathogen and its sensitivity to the drug.To treat prostatitis, antibiotics from the following groups may be prescribed:
- fluoroquinolones;
- penicillins;
- macrolides;
- tetracyclines;
- sulfonamides.
Antibacterial therapy is usually continued for 1 to 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 nonsteroidal 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 medications with prostatotropic effects are also used to treat prostatitis.They relieve inflammation and pain, improve microcirculation and metabolic processes.
Injections
The main advantage of medicines in the form of injections is the rapid delivery of the medicine to the pathological focus.Often, injection therapy is prescribed to alleviate an acute illness, and then they switch to other medicinal pathologies.
Popular injections for prostatitis are nonsteroidal anti-inflammatory medications that relieve inflammation and pain.
For chronic prostatitis, immunomodulators are often used.These medications 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 required.This treatment is continued for an average of 1-1.5 weeks.
Rectal suppositories
The use of this pharmaceutical form is attractive due to its rapid absorption into the local bloodstream, delivery of the medication directly to the pathological focus and minimization of the risk of adverse reactions, especially in relation to the gastrointestinal tract.
The following rectal suppositories may be prescribed for the treatment of prostatitis:
- With antibacterial effect.
- Anti-inflammatory medications.
- Immunomodulators.
- Antispasmodics.
Microclysters
This treatment option is generally used to combat 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 and peach oils.
Folk remedies
Alternative medicine is effective in treating 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.Form the resulting dough into balls and store in the cold.Eat one of these balls half an hour before meals, twice a day.Be sure to chew for two minutes.
- Prepare 1 tbsp.I.Crushed hazelnut bark or leaves with a glass of boiling water and leave covered for half an hour.Then filter and take a quarter cup four times a day.
- Prepare 1 liter of boiling water 1 tsp.dry wormwood.When the infusion cools to 40 degrees, filter and strain.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.I.half an hour before meals.
- Mix hazelnut leaves, cinquefoil root and cornflower flowers in equal proportions.Prepare 3 tbsp.I.collect three glasses of boiling water and leave overnight, filter in the morning and take a 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-inflammatories, anesthetics, antibiotics);
- hardware electrical stimulation;
- magnetic therapy;
- laser therapy;
- darsonvalization;
- galvanizing;
- microwave therapy;
- healing baths;
- mud therapy;
- UHF therapy.
Physiotherapeutic methods of treatment also include massage.It can be done manually or with an electric massager.In any case, such treatment must be carried out by a specialist, as in the absence of adequate experience, the procedure may be ineffective and even cause harm.
Diet, lifestyle
A conservative approach to treating 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 definitely need to 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 a condom.
- Strengthening the immune system.This is achieved through moderate physical activity, a balanced diet, giving up bad habits and hardening.Periodically, you should take a course of vitamin-mineral complex - the appropriate option should be selected by your attending physician.
You should also pay attention to your diet.It must meet the following requirements:
- Avoid fatty and highly extractive foods – spices, hot seasonings, pickles, marinades, smoked meats.
- Avoid products that increase gas formation.This applies to vegetables, cabbage, confectionery, soft 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 the ideal drinking regime.If there are no instructions from another doctor, 2 to 2.5 liters of fluid per day will be needed.It can be plain or mineral water (without gas), 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, roasting and boiling.
Exercise
Physiotherapy is helpful for prostatitis.It can also be done at home.
Useful exercises:
- While standing, contract the muscle, simulating stopping urination.Hold this position for five counts and then relax.Do 10 repetitions.
- Lie down on the floor.Raise your straight legs and pelvis at the same time, performing the “birch” pose.At the extreme point you need to fix and hold on for as long as possible.
- Lying on your back, lift your legs a few centimeters off the floor and make crossed movements, imitating scissors.After a short rest, repeat the exercise, but lying face down.
- Lying on your back, raise your legs and imitate riding a bicycle.Increase the pace gradually.Perform movements first forward and then in the opposite direction.
- Lie face down.Raise your straight legs 5 cm off the floor and hold for a few seconds.Return to the starting position and do several repetitions.Repeat the exercise, lifting your legs one at a time.
- Do shallow squats while moving your knees out to the sides.The feet should not leave the floor, the back should be straight.
- Stand on the support and swing your legs – 15 times each.
- Walking on your buttocks.You need to sit on the floor and alternately move your buttocks forward.You need to go back the same way.
- Sit on the floor and stretch your legs slightly apart.Bend over, trying to reach your socks.
Exercises should be performed gently, monitoring your breathing.Increase loads 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 solution is surgery.The following methods are possible:
- Prostatectomy – total or partial removal of the prostate.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) – cutting the foreskin in a circular fashion.Carried out for chronic prostatitis and for its prevention.
- Abscess drainage.This surgical intervention is minimally invasive and involves aspiration of the purulent contents through needle puncture, followed by washing the cavity with antiseptics.
Prostatitis is a very common pathology.Various methods are used in its treatment: drug therapy, physiotherapy, physiotherapy, special diet, surgery.In any case, the specialist must select appropriate tactics and monitor their effectiveness.