The prostate, or as it is called the prostate, is a very vulnerable male organ that is exposed to various urological diseases, in particular prostatitis. And despite the prevalence of the disease, the treatment of chronic prostatitis is a very difficult task.
Varieties of prostatitis and the reasons for their development
Prostatitis is a disease of the prostate, accompanied by an inflammatory process in its tissues. Prostatitis is classified according to the following data:
- acute bacterial prostatitis caused by infectious agents;
- chronic (infectious) bacterial prostatitis;
- chronic abacterial (non-infectious) prostatitis;
- asymptomatic inflammatory prostatitis.
Chronic bacterial prostatitis - the nature of this species is not fully understood, despite many studies. This type occurs in the male body as a result of prostate infection, which is possible for several reasons:
- severe hypothermia;
- problems with emptying the bladder;
- unstable sex life (irregularity or lack thereof);
- concomitant chronic diseases of the genitourinary system;
- leading an unhealthy lifestyle;
- lack of mobility.
Most of the time, the disease goes on without obvious symptoms, making itself felt only during periods of exacerbation, which are accompanied by signs such as:
- feeling of discomfort and incomplete emptying when urinating;
- decreased sexual activity;
- pain in the lower abdomen.
In addition, chronic prostatitis can cause various bladder diseases, passing to the stage of acute manifestation of the disease, and then treatment of exacerbation of chronic prostatitis is already provided.
Chronic bacterial prostatitis - the incidence is 92-95% of all types of prostatitis, according to these data, the prevalence can be assessed. This disease has no age limit, as it affects men of any age, but the peak falls on average at the age of thirty. The disease is diagnosed based on the following symptoms:
- presence of painful discomfort (more than 3 months) in Organs pelvic organs;
- without signs of infectious environment;
- increasing the dysfunction of sexual activity and urination.
It is also possible to distinguish chronic calculous prostatitis in urology, which in turn is a consequence of chronic prostatitis and is of more concern for elderly men.
Can chronic prostatitis be cured?
Each patient is tormented by the question of the effectiveness of the treatment of chronic prostatitis, as this disease not only brings many inconveniences of a particular nature, but also brings some psychological trauma to the man.
Considering the various directions in the application of the methods, we note that this consultation is made by a specialist based on diagnostic measures. The urologist individually develops a comprehensive program for the treatment of prostatitis, which includes a whole range of therapeutic procedures. Therefore, a comprehensive conservative approach includes:
- drug treatment of chronic prostatitis;
- physiotherapy;
- manual therapy.
As noted, a specialist selects an individual program that undergoes adjustments to the general scheme, and each individual patient is a separate course of treatment for chronic prostatitis, calculated by their attending physician.
Effective treatment of chronic prostatitis mainly involves the following additional research:
- consultation with neuropsychiatrist, endocrinologist, cardiologist;
- performing MRI or computerized images of the brain in order to examine the functions of its performance and structure;
- hormonal status research;
- Ultrasound of the genitourinary system.
How to treat chronic prostatitis if the patient does not see any symptoms? This case means that the patient is in remission or that the disease is asymptomatic, the latter case, of course, involves an immediate visit to a specialist who will do all the necessary procedures. The terms of treatment for chronic prostatitis usually range from 2 weeks or more, depending on the condition of the prostate and the degree of the disease.
For example, drugs for the treatment of chronic prostatitis require constant administration in men, which combine with the disease to decrease the arterial blood flow in the penis. And to increase this blood flow and cause an erection, a constant intake of vasodilator drugs is necessary.
Treatment of chronic prostatitis at home
In case of exacerbation of chronic prostatitis, all the recommendations described below are followed. This is bed rest for several days, exclusion from physical activity, refusal of alcohol. After eliminating the exacerbation of chronic prostatitis, it is necessary to decide on your work and rest regime for many years.
To avoid recurring exacerbations, the following basic guidelines must be followed at all times:
- Avoid hypothermia - first of all, exclude sitting on the cold floor, concrete curb, stones, even in the hot season. Clothes should be baggy, light enough, but suitable for the season. An excellent way to get rid of exacerbations of chronic prostatitis is to harden your body. You can use water hardening, air baths, being outdoors daily for at least 1-2 hours.
- It is very important to empty your bladder regularly, to avoid overflow and prolonged urinary retention ("don't tolerate", go to the bathroom every 3-4 hours).
- If you have a sedentary job, you need to take a 3 to 5 minute break every hour or two and walk, get warm. If this is not possible, you need to perform an anus retraction at least 40-50 times in one approach, repeating these exercises 4 to 6 times a day.
- Regular moderate physical activity is one of the most important factors in preventing exacerbations of chronic prostatitis, eliminating congestion of the prostate and pelvic organs. The minimum of such activity is daily morning exercises, walking at a moderate or fast pace for 30-40 minutes continuously (that is, without stopping, going to the supermarket, etc. ). In addition, you need a weekly trip to nature with viable field work, picking fruits, mushrooms or long walks on weekends for 2 to 3 hours, visiting the pool or, in extreme cases, exercising at home on simulators. homemade (treadmill, paddle, stepper)
- If possible, exclude trauma to the perineum (refusal of regular professional cycling, equestrian sports, motocross)
- Regular sexual activity is the most important factor in eliminating prostate congestion. Furthermore, moderation is important here, the correspondence of sexual relations with a man's sexual constitution. It is important to avoid prolonged and interrupted sexual intercourse, to have a permanent sexual partner.
- Fight against constipation.
- Total refusal to drink alcohol during an exacerbation of prostatitis and a maximum reduction in the amount of alcohol consumed during remission. This requires a complete rejection of cheap beer and wine.
- If possible, exclude work associated with constant nervous tension, frequent stressful situations or, although you learn to resist stress through self-training and meditation.
- Preventive visit to a urologist twice a year for clinical examination, TRUS, laboratory analysis of urine and prostate secretions and after 40 years - and PSA. The implementation of these simple measures will prevent possible exacerbations of chronic prostatitis, help to strengthen the body, its defenses.
How to cure chronic prostatitis with drugs?
The root causes of prostatitis are, in the first place, several infections and sexually transmitted viruses, which in turn affect the urethra, being detected in the tissues of the prostate. It should be noted that, when diagnosed with chronic bacterial prostatitis, treatment consists of several stages.
The treatment of bacterial prostatitis is one of the most difficult tasks in modern urology. Despite advances in diagnosis and timely detection of the disease, only in 30% of cases complete cure can be achieved. Modern therapy for bacterial prostatitis consists of several phases and can clearly answer the question: "Is chronic prostatitis treated and how exactly? " Success also depends largely on the coordination of the patient-physician chain. Therefore, the main stages of treatment:
- pain relief - the use of non-steroidal anti-inflammatory drugs;
- reducing anxiety - taking antidepressants;
- restoration of the urination process;
- local treatment - shower;
- physiotherapeutic treatment;
- targeted therapy - it is recommended to take medications prescribed by a doctor for chronic bacterial prostatitis, as well as antibiotics;
- surgical treatment of chronic prostatitis - the use of this method is necessary in cases of narrowing of the urethra and abscesses of the prostate.
It should be noted that nowadays the treatment of chronic prostatitis with antibiotics is quite justified, but only after the completion of the complete course, which requires an average of about 2 weeks. After graduation, that, the doctor assesses the results, and more often there is a positive trend. Antibiotics for chronic prostatitis are used because this disease is infectious, caused mainly by pathogenic bacteria, which without fail requires antibiotic therapy. The main point is the correct choice of the medication according to a schedule of use clearly selected by the attending physician.
It should be especially noted that when taking medicines for chronic prostatitis, strictly observe the time of the prescribed treatment regimen, as well as the frequency of dosing.
Remember that there is no absolute cure for the treatment of chronic prostatitis, and maximum cure is only possible with a thorough diagnosis and compliance with all the prescriptions of a specialist. Self-medication is especially harmful for this disease, due to its specificity and severity.