Prostatitis is an inflammatory disease.It is accompanied by unpleasant symptoms and is fraught with various complications and therefore requires compulsory treatment.It can be conservative or surgical.In each case, an integrated approach is necessary.
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 of 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 treatment of prostatitis involves the use of various dosage forms: tablets, injections, rectal suppositories, microenemas.
Tablets for prostatitis
Medicines intended for the treatment of prostatitis in the form of 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 relieve the main manifestations of pathology.
Etiotropic drugs are used for antibacterial therapy.They destroy pathogenic microorganisms that cause an inflammatory process in the prostate tissue.In the acute form of the disease, antibiotics in tablet form are used for 3-4 days.Before that, parenteral administration is preferable to quickly achieve an effect.
To select a drug, one must 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 treatment is usually continued for 1-1.5 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 that often accompany prostatitis, sedatives and antidepressants are prescribed.Herbal products are effective.
For the treatment of prostatitis, specific drugs with prostatotropic effects are also used.They relieve inflammation and pain, improve microcirculation and metabolic processes.
Injections
The main advantage of drugs in the form of injections is the rapid delivery of the drug to the pathological focus.Often, injection treatment is prescribed to relieve an acute illness, and then they move on to other medicinal pathologies.
Popular injections for prostatitis are nonsteroidal anti-inflammatory drugs that relieve inflammation and pain.
For chronic prostatitis, immunomodulators are often used.These drugs increase the body's resistance and reduce the risk of exacerbations and relapses of the disease.
If the disease is of bacterial origin, antibacterial treatment is necessary.This treatment is continued for 1 to 1.5 weeks on average.
Rectal suppositories
The use of such a dosage form is attractive due to its rapid absorption into the local blood circulation, delivery of the drug directly to the pathological focus and minimizing the risk of adverse effects, especially with regard to the gastrointestinal tract.
The following rectal suppositories may be prescribed for the treatment of prostatitis:
- With antibacterial effect.
- Anti-inflammatory drugs.
- Immunomodulators.
- Antispasmodics.
Microclysters
This treatment option is typically 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, peach oils.
Folk remedies
Alternative medicine is effective in the treatment of 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 small balls from the resulting mass and store in the cold.Eat one of these balls half an hour before meals twice a day.Make sure you chew it for two minutes.
- Infuse 1 tbsp.L.crushed hazel bark or leaves with a glass of boiling water and leave covered for half an hour.Then filter and take a quarter of a glass four times a day.
- Infuse 1 liter of boiling water 1 tbsp.dry wormwood.When the infusion has cooled to 40 degrees, strain it and filter.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.L.half an hour before meals.
- Mix the hazel leaves, cinquefoil root and cornflower flowers in equal proportions.Infuse 3 tbsp.L.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 drugs (anti-inflammatories, anesthetics, antibiotics);
- hardware electrical stimulation;
- magnetic therapy;
- laser therapy;
- darsonvalization;
- galvanizing;
- microwave therapy;
- healing baths;
- mud therapy;
- UHF therapy.
Physiotherapeutic treatment methods also include massage.This can be done manually or using an electric massager.In any case, such treatment should be carried out by a specialist, because in the absence of appropriate experience, the procedure may turn out to be ineffective and even cause harm.
Food, lifestyle
A conservative approach to the treatment of prostatitis also involves certain lifestyle changes.The following rules must be respected:
- Stop smoking and drinking 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 10,000 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 to use condoms.
- Strengthen the immune system.This is achieved through moderate physical activity, a balanced diet, giving up bad habits and hardening.Periodically you need to take a course of a vitamin and mineral complex - the appropriate option should be selected by your attending physician.
You also need to pay attention to your diet.It must meet the following requirements:
- Avoid fatty foods and highly extractive foods - spices, hot seasonings, pickles, marinades, smoked meats.
- Avoid products that increase gas formation.This applies to legumes, cabbage, confectionery, carbonated drinks, kvass and black bread.
- Enrich your diet with fermented milk products, fresh vegetables, fruits and herbs.
- It is necessary to eat fish and seafood regularly.
- Adhere to the optimal drinking regime.If there are no other instructions from a doctor, 2-2.5 liters of fluid are needed per day.It can be still or mineral (still) water, green or herbal herbal tea, freshly prepared fruit drink, compote, juice.Strong tea and coffee should be avoided.
- To cook, you should limit yourself to boiling, simmering, baking and simmering.
Exercise
Physiotherapy is useful for prostatitis.It can also be done at home.
Useful exercises:
- While standing, tighten the muscle, simulating stopping urination.Hold this position for five counts, then relax.Do 10 repetitions.
- Lie down on the floor.Raise your legs and right pelvis at the same time, performing the “birch” position.In the extreme, you have to settle in and hold on as long as possible.
- Lying on your back, raise your legs a few centimeters from the floor and perform crossover movements imitating scissors.After a short rest, repeat the exercise, but lying on your stomach.
- Lying on your back, raise your legs and imitate riding a bicycle.Gradually increase the pace.Perform the movements first forward, then in the opposite direction.
- Lie on your stomach.Raise your straight legs 5 cm from the floor and hold for several seconds.Return to the starting position and do several repetitions.Repeat the exercise, lifting your legs one at a time.
- Perform shallow squats while spreading your knees out to the sides.The feet should not come off the ground, the back should be straight.
- Stand and swing your legs – 15 times each.
- Walk on your butt.You need to sit on the floor and alternately move your buttocks forward.You have to come back the same way.
- Sit on the floor and straighten your legs slightly apart.Bend over to try to reach your socks.
Exercises should be performed gently, monitoring your breathing.Increase the 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 option is surgery.The following methods are possible:
- Prostatectomy – removal of the prostate in whole or in part.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 manner.Performed for chronic prostatitis and for its prevention.
- Drainage of abscesses.This surgical procedure is minimally invasive and involves aspiration of purulent contents through a puncture with a needle, followed by washing the cavity with antiseptics.
Prostatitis is a fairly common pathology.Different methods are used for its treatment: drug therapy, physiotherapy, physiotherapy, special diet, surgery.In any case, a specialist must select the appropriate tactic and monitor its effectiveness.