The treatment of chronic prostatitis is a difficult problem for modern medicine, often, despite all the measures taken, the chronic process cannot be completely eliminated.It is believed that a decrease in the intensity of features is already an effective result.It is worth considering that the clinical picture of the tumors (cancer) of the prostate has a similar picture with the latent course of chronic prostatitis.For differentiation, the PSA is determined, the concentration of which is much higher for malignant neoplasms than with a classic inflammatory process.
Treatment of chronic prostatitis is a complex and prolonged procedure that does not always lead to complete cure.
Classics of appointments
Is there an effective treatment for a chronic form of the disease, and is it possible to get rid of it quickly?This question is almost always asked by patients to doctors at the appointment, and if the first part can be answered in the affirmative, then getting rid of the problem “quickly” will not work.Treatment of prostatitis takes exactly as much time as it developed, namely: the rest of his life.It is impossible to eliminate chronic prostatitis at all and it is impossible to make the prostate gland “new” in principle.The only thing that is within the power is to stop all unpleasant symptoms and delay the appearance of relapses, but only on condition that the man himself will strictly fulfill all the doctor's instructions.
A classic example: a course of drugs, rectal massage and some other methods are prescribed, a plus is a normalization of lifestyle, rejection of alcohol.As a rule, medicines are taken, but with the rejection of alcohol -containing drinks, it is much worse for proper nutrition.And many men take massage in hostility, considering it shameful manipulation.As a result, the treatment that the doctor prescribed is ineffectively due to non -compliance with all conditions of therapy and the chronic process smoothly flows into impotence and other health problems.
It is important to remember that chronic prostatitis requires deeper attention than acute.The course of therapy is multicomponent; for a specialist with many years of experience and with the development of modern medicine, the disease is not a problem.
The following methods are used in the exacerbation phase:
- Antibiotic therapy.The choice of medicine determines the result of sowing (for sterility) or based on the assumption of the cause of the disease.With severe fever and pain, the drugs are administered intravenously.Important: the entire course should be passed until the last day, even if the patient's condition has improved the very next day.
- Alpha-blockers.The drugs are necessary to alleviate the symptoms, as they relax the neck of the bladder and muscle fibers where the prostate gland adjoins the bladder.
- NSAIDs and painkillers- help to treat chronic prostatitis and have an anti -inflammatory effect.
- Rectal (direct) massage.The recommended course is 10-12 procedures, professionally executed, it helps alleviate the symptoms and accelerate recovery.
These are the main methods that are always used, it is also recommended to additionally carry out physio -treatment using electrical stimulation, laserodya, electrophoresis.
What will happen if you do not treat?
If the treatment of prostatitis is constantly ignored, then in very advanced cases it will cause a lot of troubles that will spoil the life of a man completely:
- The abscess of the prostate.
- Vesiculite (inflammatory process in seed bubbles).
- Cysts, stones in the prostate.
- Prostate sclerosis.
- Impotence, infertility.
Each of these pathologies requires special attention, and the treatment period will be much more than with chronic prostatitis.In addition to physical ailment, men develop psycho -emotional instability in men, they become irritable, gloomy, suppressed.
A complete picture of therapy
Currently, the treatment regimen of prostatitis includes the following methods and methods:
- Effective treatment aimed at eliminating the infectious factor (drugs).
- The course of restoration of blood microcirculation in the pelvis and prostate.
- Increasing the immune status of the body.
- Spasmolytic drugs.
- Painkillers and anti -inflammatory drugs.
- General strengthening drugs and vitamin therapy.
- Local painkillers.
- Physiotherapy and hormone therapy.
- Massage and taking tranquilizers (soothing drugs).
- General methods (normalization of sleep, food and rest).
- Sanatorium-resort treatment.
It should be emphasized that although the announced course of therapy is quite complete, the doctor can recommend the patient to use additional methods, including the use of folk remedies (herbal medicine).In addition, to men whose lifestyle is “quite slow” or is associated with a long finding in an uncomfortable pose that causes blood stagnation in a small pelvis and prostate (office workers, guards, drivers), it is recommended to eliminate the hypodynamy, and conduct a course of gymnastics.This is an effective way to accelerate recovery in chronic prostatitis and prevent impotence.
Individually, the doctor can recommend the use of folk remedies - herbal medicine.
Medication
Treatment of chronic prostatitis is not complete without taking drugs.The appointment should always be carried out by the doctor, the period of admission is strictly individual and should not be interrupted earlier than the course of therapy will end.Consider the drugs used.
To restore blood circulation
To restore good blood circulation in the prostate gland, drugs are prescribed to restore blood circulation.Ignoring these funds will not allow completely and as soon as possible to eliminate the inflammatory process.
Immunomodulators
In the chronic form of the disease, a decrease in immunity is a common thing, so one of the primary tasks when choosing a course of therapy is to increase the body's resistance to any disease.Preparations are prescribed according to the immunogram: interferons, piles of the thymus gland, synthetic immunomodulators.
Antibiotics
These include drugs of several groups:
- Fluoroquinols.
- Penicillins.
- Macrolides.
- Cephalosporins 3 generations.
- Tetracyclines.
It should be remembered that treatment with antibiotics in chronic prostatitis is long, the course of administration is 4-8 weeks.
Alpha-blockers
Assign to normalize the work of smooth muscles in the urinary tract.The course of treatment is 4-8 weeks.
Hormone therapy
Any hormonal drug is prescribed only by a physician in strict necessity, the drugs help reduce the intensity of the inflammatory process in the gland.
Muscle relaxants
Provide relaxation of the cross-striped muscles, relieve pain and discomfort.
Phytotherapeutic agents
They are used only as additional treatment, but in no case is in any case.Phytopreparations help relieve edema from the gland, reduce the pain syndrome, and give less load on the human organs.
Additional methods
Some methods are prescribed as an addition to prolonged drug therapy to alleviate the patient's condition and prevent the return of the disease.
Physiotherapeutic methods are direct massage, microclisms with medicinal solutions, sitting baths, low -intensity laser radiation, electrical stimulation, magnetotherapy, acupuncture.
In particular, massage, so unloved by men due to banal bashfulness, is indicated for the treatment of chronic prostatitis in almost all cases.Massage allows you to clean the ducts of the prostate, remove stagnant phenomena and inflammatory process and normalize the functioning of the genital gland.They massage the house or in a medical institution 2-3 times a week.
Indications for the use of surgical methods are acute conditions that pose a threat to a man’s life.
Surgeful testimonies
With complete inefficiency of conservative treatment, surgical intervention, however, is not carried out in all cases.Indications for the use of operational methods are acute states that are a direct threat to a man’s life:
- Urethra obstruction.With severe narrowing of the urethra and termination of urine current, an urgent operation is indicated.Often, phimosis is added to obstruction, then circumcision of the foreskin is also carried out.
- Draining during the abscessing of the prostate.A large accumulation of pus in the gland poses a direct threat to the patient’s life (sepsis), because the task of the surgeon is his rapid extraction and drainage.
- Restoration of seed bubbles.It is necessary with a strong lesion as a result of inflammation.The operation is carried out to improve the function of output of the prostate gland.
- Complete or partial removal.It is necessary with severe sclerosis of tissues.
Very often, men suffering from chronic prostatitis make the same mistake: they use one method or drug as a treatment, despite the fact that complex therapy is prescribed.There are a lot of arguments, but as a result, the disease remains unfinished and manifests itself once with renewed vigor.Therefore, it is important to remember: not one of the treatment methods prescribed by a doctor should be ignored, then the pathology will retreat and the man will be able to live a full life.