Prostatitis is usually called an inflammation that causes swelling of the tissues and covers the prostate gland of a man 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 a patient is admitted to a medical facility, the doctor examines him for the reasons that caused the prostatitis. Treatment of the disease will be prescribed exactly depending on which factors contributed to the onset of the disease.
Treatment of prostatitis begins with the diagnosis of the disease, which primarily involves an interview with 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 test, your 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 you to assess the presence or absence of signs of infection. Sperm culture is sometimes required.
The appointment of urodynamic tests will allow the doctor to understand how severe the effect of the disease is on the process of urination.
Transrectal ultrasound and 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 abdomen.
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 the competent doctor chooses it.
Antibacterial treatment of prostatitis
Due to the fact that inflammation of the prostate gland is often infectious, doctors prescribe the treatment of 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 whole body as a whole.
The patient should inform the doctor of any, sometimes not even significant changes in his body. If the patient has not felt any changes for 2-3 days of treatment, the doctor should replace the antibiotic with another, but not cancel it.
The most commonly prescribed drugs for treatment are broad-spectrum drugs - penicillins.
Modern medicine also widely uses agents from the fluoroquinolone group. Microbes do not develop resistance to these drugs - this is one of the most important qualities of the group of these antibiotics.
In addition, many physicians prescribe tetracycline drugs for treatment.
Sometimes such highly effective drugs of a new generation are used. They should be used only after consulting a doctor.
Antibacterial treatment of prostatitis in patients with chronic prostatitis lasts about a month and a half. In advanced cases, treatment of prostatitis is extended to 16 weeks. Sometimes, during antibiotic therapy, the patient develops intestinal dysbiosis. In this regard, the patient is prescribed drugs that restore the intestinal microflora.
The dosage and dosing regimen are prescribed by the urologist in each case.
Physiotherapy 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 electrical stimulation is the effect of an electrical pulse current that causes muscle contractions in an 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 is the effect of a high-frequency electromagnetic field on the affected tissues.
UHF is a set of therapeutic measures using capacitor plates connected to tissues.
Galvanizing is a method of treatment by applying low continuous current and low voltage.
Therapeutic electrophoresis is the simultaneous effect on the tissues of low-voltage direct current and special drugs introduced into the tissues with its help. The current increases the ionic activity in the tissues until the pharmacological effect of the drugs occurs.
Darsonvalization is a method of treatment with fast-extinguishing pulse current with high frequency and low power with high voltage.
Medical microenemas - enemas for which various herbal infusions and decoctions are used.
Baths used to treat the disease are prescribed general or locally sedentary. Different medicinal liquids with different temperatures are used during the baths.
Mud procedures - the use of healing mud. Treatment may include the use of external mud applications or the placement of mud swabs in the anus.
Hirudotherapy
Leeches are a wonderful gift from the nature of mankind. 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 ends of the letter are the location of the leeches.
A slightly different method of treatment is also widely used: leeches are mounted, deviating from the middle suture of the perineum by about 2 cm in each direction. It is not recommended to place leeches directly on the perineal suture. The course is about 4-5 healing procedures. 4 leeches are used in one session. After each session, take a break of 5-6 days.
Herbal medicines
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. Herbal medicine is an additional treatment that helps the body deal with the disease faster.
The bark, seeds, roots, buds and rhizomes of plants are usually used to prepare decoctions, for infusions - flowers, leaves, grass and stems. There are a huge number of prescriptions for the preparation of medicines.
One of the most popular recipes is a decoction 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 parsley juice and mix with any honey (1: 1), use 2 tablespoons 3 times a day. spoons.
Immunocorrective treatment of prostatitis
The treatment of prostatitis also consists in increasing immunity and activating the body's defenses. In this case, doctors prescribe immunocorrective therapy. It includes the patient's intake of various vitamins, immunomodulators, biostimulants, herbal medicines and other means.
The use of afala by patients with chronic prostatitis, whose treatment is comprehensive, increases the effectiveness of therapy and contributes to a longer preservation of the results obtained. The drug is well tolerated and has no contraindications. It can be combined with any other therapy. Afala is indicated for patients with chronic prostatitis category II and III A from the first day of treatment.
Prostate massage
Treating prostatitis with prostate massage is an unpleasant but very effective way to treat the disease. The massage is performed by an experienced doctor. First, with the help of a gloved index finger, he senses 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 starts the massage procedure directly.
Lifestyle adjustment
To avoid congestion 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 congestion of blood in the prostate gland. In this situation, for therapeutic purposes, the patient is prescribed physical activity (feasible), therapeutic gymnastics, walking in the fresh air, special diet, etc.
Thus, the overall treatment of patients with chronic prostatitis should include:
- antibiotic 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, 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 difficult and long-term, giving positive results only if the patient strictly follows all the prescriptions of the urologist.