Prostatitis is commonly referred to as inflammation that causes tissue swelling and covers the male prostate gland, which is located immediately below the bladder. Treatment of prostatitis today occurs through many modern methods, including antibiotic therapy, physiotherapy, hirudotherapy, herbal medicine, immunocorrective therapy, prostate massage, lifestyle correction.
When a patient enters a medical institution, the doctor examines the patient for the presence of the causes that caused 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, first of all, includes a survey of a urologist. Then the doctor proceeds to examine the patient's abdomen and genitals, palpates the prostate gland with a finger, inserting it into the rectum. During this examination, the doctor can diagnose enlargement, swelling and tenderness of the prostate gland.
After a rectal examination, the urologist directs the patient to donate sperm, urine, and prostate secretions. These analyzes make it possible to judge the presence or absence of signs of infections in them. Sometimes a semen culture is required.
The appointment of urodynamic studies will enable the doctor to understand how strong the impact of the disease is on the process of urination.
Transrectal ultrasound, as well as ultrasound of the kidneys and bladder, allow the urologist to judge 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 ureter.
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 it is selected by a competent doctor.
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 an antibiotic therapy. The result of 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 initiated course of antibiotic therapy cannot be stopped - in this way, it is possible to harm not only the diseased organ, but the whole organism as a whole.
The patient needs to inform the doctor about any, sometimes not even significant changes in his body. If the patient did not feel any changes during 2-3 days of treatment, then the doctor should replace the antibiotic with another one, but not cancel it.
Most often, broad-spectrum drugs - penicillins - are prescribed for treatment.
Also, modern medicine widely uses the means of the fluoroquinolone group. Microbes do not develop resistance to these drugs - this is one of the most important qualities of these antibiotics.
In addition, for treatment, many doctors prescribe drugs of the tetracycline group.
Sometimes highly effective drugs of the new generation are used.
Antibacterial treatment of prostatitis in patients with chronic prostatitis lasts approximately a month and a half. In advanced cases, prostatitis treatment is extended for up to 16 weeks. Occasionally, 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 regimen of medication is prescribed by the urologist in each case individually.
Physiotherapy activities
Treatment of prostatitis through physiotherapy consists in the use of various methods, the main of which are ultrasound, laser therapy, electrical stimulation, magnetotherapy, microwave therapy, UHF, galvanization, drug electrophoresis, darsonvalization, therapeutic microclysters, baths, mud procedures.
Ultrasound is used as high frequency waves that a person cannot hear.
Laser therapy is a fairly common, almost painless method. It is the effect of laser beams on the tissues of a diseased organ or on reflexogenic zones.
Treatment of prostatitis with the help of electrical stimulation is the effect of an electrical impulse current that causes contractions of the muscles of the organ. Electrical stimulation is divided into rectal, perineal and urethral.
Magnetotherapy is the treatment of prostatitis by exposure to a constant magnetic and alternating low-frequency field on the tissues of the affected organ.
Microwave therapy consists in exposing the affected tissues to a high-frequency electromagnetic field.
UHF is a complex of therapeutic measures with the help of capacitor plates connected to the tissues.
Galvanization is a method of treatment by applying low continuous current and low voltage.
Medicinal electrophoresis is a simultaneous effect on tissues of a low-power direct current and special medicines introduced with its help into tissues. The current increases ionic activity in the tissues, while the pharmacological effect of drugs occurs.
Darsonvalization is a method of treatment by means of a fast-extinguishing high-frequency, low-power pulsed current with high voltage.
Therapeutic microclysters are enemas for which various herbal infusions and decoctions are used.
Baths used to treat the disease are prescribed general or local sitting. During the baths, various medicinal liquids of different temperatures are used.
Mud procedures - the use of therapeutic mud. Therapeutic measures may include the use of external mud applications 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 creatures, many diseases can be cured, including prostatitis. Treatment of prostatitis with leeches occurs according to the following scheme: leeches are placed on 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 points of location of the leeches.
A slightly different method of treatment is also widely used: having retreated from the median suture of the perineum about 2 cm in each direction, leeches are installed. It is not recommended to install leeches directly on the seam of the perineum. The course is about 4-5 treatments. 4 leeches are used in one session. After each session, take 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 should 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 manufacture of decoctions, the bark, seeds, roots, buds and rhizomes of plants are usually used, 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 an infusion of birch buds and oats, mixed with an infusion of rose hips (1: 1), which is taken in half a glass 1 or 2 times a day.
Horse chestnut peel tincture (pour 250 ml of 25 g of finely chopped peel, insist in the dark for 10 days, shaking occasionally). After that, strain the tincture, take 30 drops 3 times a day.
Squeeze juice from parsley and mix with any honey (1: 1), use 3 times a day for 2 tables. spoons.
Immunocorrective treatment of prostatitis
Treatment of prostatitis also consists in raising immunity and activating the body's defenses. Doctors in this case prescribe immunocorrective therapy. It includes the patient taking various vitamins, immunomodulators, biostimulants, herbal remedies and other means.
The use of funds by patients with chronic prostatitis, the treatment of which was carried out in a complex manner, increases the effectiveness of therapy and contributes to a longer preservation of the results obtained. The drug is well tolerated, has no contraindications. It can be combined with any other therapy.
prostate massage
Treatment of prostatitis with prostate massage is an unpleasant, but very effective way to cure the disease. The massage is performed by an experienced doctor. First, with the help of a gloved index finger, he feels the prostate gland, trying to fix its parameters, the degree of pain, the ratio of the right and left lobes of the gland, and also to examine the quality of mucus in the rectum. After that, the doctor begins the massage procedure itself.
Lifestyle Correction
In order to avoid stagnation of blood in the prostate gland, the patient must move a lot, take walks, play sports, and so on.
The appearance of prostatitis is often provoked by a sedentary lifestyle, sedentary work, rare sexual intercourse. They cause stagnation of blood in the prostate gland. In this situation, with a therapeutic purpose, the patient is prescribed physical activity (feasible), therapeutic exercises, walking in the fresh air, a special diet, etc.
Thus, the complex treatment of patients with chronic prostatitis should include:
- antibacterial therapy (only in patients with chronic prostatitis of an infectious nature, including latent ones);
- symptomatic treatment to eliminate the leading manifestations of the disease;
- pathogenetic therapy aimed at restoring microcirculation in the prostate, restoring drainage of the prostatic glands through the excretory ducts, normalizing urination, stabilizing the immune and hormonal systems, and preventing excessive formation of fibrous tissue.
There are a lot of signs indicating to the patient that prostatitis has "settled" in his body. The treatment of this disease is very complex and lengthy, giving positive results only if the patient strictly complies with all the instructions of the urologist.