Prostatitis is usually called an inflammation that causes tissue edema and covers the man's prostate gland, located just 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 is admitted to a medical institution, the doctor examines the patient for the reasons that caused prostatitis. Treatment of the disease will be prescribed precisely 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 an interview with a urologist. Then the doctor proceeds to examine the patient's abdomen and genitals, palpates the prostate gland with a finger, introducing it into the rectum. During this test, the doctor can diagnose enlargement, swelling and tenderness of the prostate gland.
After rectal examination, the urologist directs the patient to donate semen, urine and prostate secretions. These tests allow you to judge the presence or absence of signs of infection in them. Sometimes semen culture is required.
The appointment of urodynamic studies will enable the doctor to understand how severe the effect of the disease on the urination process is.
Transrectal ultrasound and 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 difficultly curable disease as prostatitis. Treatment of prostatitis will give positive results only if it is complex 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, doctors prescribe the treatment of prostatitis as an antibacterial therapy. The result of treatment will be positive only if the urologist selects the right therapy, and the patient adheres strictly to the prescribed therapy. It should be remembered that the begun course of antibiotic therapy cannot be stopped - in this way, it is possible to harm not only the diseased organ, but also the entire body 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 absolutely any changes during 2-3 days of treatment, then the doctor should replace the antibiotic with another, but not cancel it.
The most commonly prescribed drugs for treatment are broad-spectrum drugs - penicillins.
Also, modern medicine widely uses agents of 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 doctors prescribe drugs of the tetracycline group for treatment.
Such highly effective new generation drugs are sometimes used. They should only be used after consulting a doctor.
Antibacterial treatment of prostatitis in patients with chronic prostatitis lasts about 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 dysbiosis. In this regard, the patient is prescribed the intake of drugs that restore the intestinal microflora.
The dosage and dosage regimen 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, medicinal 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 electrical stimulation is the effect of an electrical impulse current that causes muscle contractions in an organ. Electrical stimulation is subdivided into rectal, perineal and urethral.
Magnetotherapy is a treatment of prostatitis by means of exposure to constant magnetic and alternating low-frequency fields on the tissues of the affected organ.
Microwave therapy is the effect of a high-frequency electromagnetic field on the affected tissues.
UHF is a complex of therapeutic measures using capacitor plates connected to the tissues.
Galvanization is a method of treatment by supplying a low current of continuous current and low voltage.
Medicinal electrophoresis is a simultaneous effect on tissues of a direct current of low strength and special drugs introduced with its help into tissues. The current increases the ionic activity in the tissues, while the pharmacological effect of drugs occurs.
Darsonvalization is a method of treatment using a fast-extinguishing high-frequency, low-power, high-voltage pulse current.
Medical microclysters - enemas, for which various herbal infusions and decoctions are used.
Baths used to treat the disease are prescribed general or local sedentary. During the baths, different medicinal liquids of different temperatures are used.
Mud procedures - the use of healing mud. Treatments may include the use of external mud applications or the insertion of mud swabs into the anus.
Hirudotherapy
Leeches are a wonderful gift from 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 location of the leeches.
A slightly different method of treatment is also widely used: leaving about 2 cm in each direction from the midline seam of the perineum, leeches are installed. It is not recommended to place leeches directly on the crotch seam. The course is about 4-5 treatment procedures. 4 leeches are used in one session. After each session, take a break of 5-6 days.
Herbal medicine
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. Herbal medicine is an additional treatment that helps the body to cope with the disease faster.
Bark, seeds, roots, buds and rhizomes of plants are usually used for making decoctions, 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 a rosehip infusion (1: 1), which is taken half a glass 1 or 2 times a day.
Horse chestnut rind 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 2 tablespoons 3 times a day. spoons.
Immunocorrective treatment of prostatitis
Treatment of prostatitis also consists in raising 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 remedies and other means.
The use of afala by patients with chronic prostatitis, the treatment of which was carried out in a comprehensive manner, 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 of categories II and III A from the 1st day of treatment.
Prostate massage
Treatment of prostatitis with a 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 directly the massage procedure itself.
Lifestyle correction
In order to avoid blood stagnation in the prostate gland, the patient must move a lot, walk, play sports, etc.
The appearance of prostatitis is very often provoked by a sedentary lifestyle, sedentary work, rare sexual intercourse. They cause blood congestion in the prostate gland. In this situation, with a therapeutic purpose, the patient is prescribed physical activity (feasible), therapeutic gymnastics, walking in the fresh air, a special diet, etc.
Thus, the complex treatment of patients with chronic prostatitis should include:
- antibiotic therapy (only in patients with chronic prostatitis of an infectious nature, including latent);
- 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 along the excretory ducts, normalizing urination, stabilizing the immune and hormonal systems, preventing excessive formation of fibrous tissue.
There are many signs that indicate to a patient that prostatitis has "settled" in his body. The treatment of this ailment is very complex and lengthy, giving positive results only if the patient strictly observes all the prescriptions of the urologist.