Treatment of prostatitis, etiology and symptoms of the disease

Inflammation of the prostate is a common reason for men to go to a urological clinic.

Treatment of prostatitis consists of identifying the cause of the disease and prescribing special medications to improve the functioning of the prostate.

In addition, an active lifestyle, regular exercise and physical therapy play an important role in therapy.

In addition, urologists have nothing against treating prostatitis using traditional medicine recipes. To avoid exacerbating the disease, it is best to use them simultaneously with drug therapy.

The causes of prostate inflammation are:

• congestion in the pelvic region due to a sedentary lifestyle;
• sexually transmitted diseases;
• urinary tract infections;
• prolonged abstinence from sex;
• interruption of sexual intercourse;
• complications after urethral catheterization;
• constant hypothermia;
• abuse of alcohol, spicy and spicy food;
• infections of other organs (for example, tonsillitis, sinusitis, pneumonia, caries) in a context of weakened immunity.

Acute and chronic prostatitis are differentiated according to the flow form.

Depending on the aetiological factor, the following forms of the disease are distinguished:

• Acute bacterial prostatitisis ​​mainly caused by pathogenic gram-negative microflora. These are E. coli (Escherichia coli), gonococcus (Neisseria gonorrhaeae), Trichomonas (Trichomonas vaginalis).
• Chronic bacterial prostatitisis ​​diagnosed in almost 30% of cases. Its main cause is infection by chlamydia (Chlamydia trichomonas), ureaplasma (Ureaplasma urealyticum), mycoplasma (Mycoplasma). The disease can occur both independently and as a complication of the acute form of the prostate inflammatory process.
• Granulomatous prostatitisis ​​relatively rare. It is caused by syphilis, genital tuberculosis, fungal infections.
• Chronic non-bacterial prostatitisoccurs in the vast majority of cases in men over 50 years of age. Its main cause is age-related circulatory disorders.

The prostate secret has a certain antimicrobial activity and tackles infection effectively.

Therefore, usually the development of a type of bacterial pathology occurs in the presence of congestion in the genital area. For this reason, some experts consider bacterial prostatitis to be the initial stage of chronic non-infectious inflammation.

The acute form of the disease is usually accompanied by the following symptoms:

• a feeling of heaviness in the perineal region, especially when sitting;
• increased need to urinate, sometimes false due to compression of the urethra by an enlarged gland;
• difficult and painful urine flow;
• pain in the perineum radiating to the penis and anus;
• foreign body sensation in the rectum;
• pain during bowel movements;
• temperature rise up to 38-40 degrees.

If treatment of acute prostatitis is started quickly, the patient's condition improves in 3 to 4 days. However, in the absence of adequate therapy, there is a risk of developing a purulent abscess of the prostate. This requires immediate medical attention in a hospital setting. Below are signs of chronic prostatitis.

Pain. It is varied and can occur during urination, ejaculation or at rest. The intensity depends on many factors. Sometimes a man complains only of a feeling of heaviness, and in some cases, pain medications are needed. The location of the pain is also different - in the perineum, in the glans of the penis, in the testicles or in the rectum.

Urinary diseases.This is a frequent need to use the bathroom, especially at night, a slow, intermittent stream of urine, a feeling of insufficiently emptied bladder. Sexual dysfunction manifests itself in the form of premature ejaculation or weakened erection.

Psychological symptoms.Patients complain of insomnia, increased sweating, irritability and rapid fatigue. These signals pass through the remission phase and worsen with the activation of the process. Experts emphasize that it is necessary to distinguish between prostate adenoma and its inflammation.

Adenoma is a benign hyperplasia (enlargement) of an organ. This disease is associated with age-related changes in the hormonal origin of men and requires consultation with an andrologist. The doctor treats prostatitis by prescribing medications for local use (suppositories) and systemic (pills and injections in the acute course of the disease).

Therapy focuses on:

• interrupt bacterial activity;
• improved microcirculation and blood circulation;
• elimination of edema;
• cessation of the inflammatory process;
• normalization of the flow of secretions from the prostate;
• improving the immune system;
• if necessary - correction of hormonal disorders.

According to patient analyzes, the effectiveness of drug treatment of prostatitis increases with the simultaneous consumption of decoctions and tinctures of various medicinal plants:

• pumpkin seed oils;
• leaves, roots and fruits of parsley;
• bee products (honey, propolis, bee bread, zabrus);
aspen bark;
• celandine juice;
• chestnut shell;
• hemlock tinctures.

Juice therapy has recently gained popularity. This technique helps to cleanse the body of toxins, strengthen the immune system, normalize the intestines, liver and kidneys and stabilize weight. In addition to treating prostatitis, juice therapy helps to deal with many other chronic diseases. You can read more about the details of this method in specialized forums.

Treatment of prostatitis in men: drugs and their principle of action

In addition to physiotherapy procedures, such as transrectal prostate massage, microwave thermal therapy, the following groups of drugs are prescribed for the treatment of prostatitis in men:

• antibiotics;
• non-steroidal anti-inflammatory drugs;
• herbal and biological preparations;
• angioprotectors and vasodilating drugs;
• α-blockers;
• antispasmodics;
5-α reductase inhibitors
• ;
• immunomodulators.

Antibacterial drugs for the treatment of prostatitis in men are almost always prescribed, regardless of the form of the disease. This is not entirely correct.

The recommendation for the use of antibiotics should be confirmed by laboratory tests.Make the so-called bacterial culture of prostate secretions. The study shows not only the presence or absence of pathogenic microflora, but also its sensitivity to certain antibacterial drugs.

The duration of treatment is 2 to 4 weeks, if necessary, it is continued for another month.When prescribing a drug, take into account its ability to accumulate in the tissues of the prostate. This property is possessed by fluoroquinolones, antibiotics from the group of penicillins, lincosamides, tetracyclines, macrolides. Sometimes, antimicrobial therapy is indicated when there is a risk of complication of non-infectious prostatitis due to bacterial infection. The dosage of medications is calculated individually based on the age, condition of the patient and the presence of concomitant diseases in the kidneys, liver and digestive system.

For the treatment of acute prostatitis in men, doctors prefer injections and then switch to pills. Nonsteroidal anti-inflammatory drugs (NSAIDs) are used to relieve pain and edema.The action of drugs is based on the inhibition of prostaglandin synthesis and platelet aggregation - the main factors in the development of the inflammatory process and the pain, fever and swelling that accompany them.

In the treatment of prostatitis in men, the drug is suitable for topical application in the form of suppositories. This guarantees a rapid intake and maximum concentration of the active substance in the organ. Antispasmodics and α blockers facilitate urination with inflammation of the prostate. Experts associate difficulties with emptying the bladder not only with mechanical compression of the urethra by an enlarged prostate.

The cause of this symptom is also a reflex spasm of the smooth muscles of the urinary tract. Difficulty passing urine or a bladder that is not completely drained can cause secondary bacterial infections, sand build-up and stone formation. The action of adrenergic blockers develops gradually. Almost 90% of patients notice improvement after 1 - 2 weeks after starting treatment. Antispasmodics "act" a little faster, in addition to relieving pain.

Phytopreparations and remedies based on bovine prostate secretion in the form of tablets or suppositories have a complex effect. They do not have as pronounced an effect as synthetic drugs.

For the treatment of prostatitis in men, phytopreparations are used as part of a complex therapy or in remission to prevent the exacerbation of the disease.Angioprotectors can be used in the form of capsules or ointments for external use. Its action aims to normalize blood circulation in the prostate. Improving venous flow contributes to the early elimination of inflammatory exudate and elimination of swelling.

Immunomodulators in the treatment of prostatitis in men are used to strengthen the body's defenses. The fact is that weakened immunity plays an important role in the development of inflammation, in that state it increases the risk of various bacterial complications. Thymus preparations, interferons and stimulants of your own immunity are widely used.

In addition, multivitamin complexes are used to treat prostatitis in men(which drug the patient decides to choose, depending on the price and the manufacturer). With strong nervous tension, insomnia, mild tranquilizers and antidepressants are indicated. If an ultrasound examination of the organs in the urinary system shows an accumulation of sand in the kidneys, appropriate medications are selected to prevent stones from forming.

How to treat prostatitis at home: diet, exercise, traditional medicine recipes

The prostate is the main organ of the male reproductive system, so many are interested in the question of the need for hormone therapy in the development of the inflammatory process. Experts agree that such drugs are needed only in the absence of an effect from the main therapy of advanced prostatitis. In particular, they apply:

Preparations from the glucocorticoid group. To reduce side effects and systemic exposure, they are prescribed topically by electrophoresis.

Inhibitors5-αreductase. The drugs in this group are not hormones. Its mechanism of action is based on reducing the effect of androgens on the prostate. Thus, reducing the size of the organ and relieving the symptoms of prostatitis are guaranteed.

Testosterones to improve sexual function. They are prescribed very rarely for medical reasons and after blood tests to determine the content of the main hormones. Doctors advise to increase the effectiveness of drug therapy and to reduce its duration with the help of the arsenal of traditional medicine.

How to treat prostatitis using popular recipes:

1. Peel the nuts and chop the shells well and cover with a glass of vodka. Insist on a cool, dry place for 14 - 20 days. Then strain and add 100 - 150 ml of clean water at room temperature. Take 10 drops twice a day on an empty stomach for 2 weeks. Then, you need to take a seven-day break and repeat the treatment.
2. Pumpkin seed oil is recommended for drinking a tablespoon before each meal.
3. Heat a glass of vegetable oil in a double boiler and add 2 tbsp. crushed propolis and continue heating until complete dissolution. Use the resulting mixture as an ointment once a day before bedtime. The duration of treatment is 28 to 30 days.

Regular prostate massage has a good effect. You can do it yourself, ask a loved one for help or use one of the special devices in many of the modern market. A contraindication for massage is the formation of stones in the prostate (calculous prostatitis).

Furthermore, this procedure is not recommended in case of exacerbation of the disease, which is accompanied by pain and fever. In addition, exercises help you decide how to cure prostatitis. Moderate sports activity is an excellent prevention of pelvic congestion, helping to fight obesity.

Urologists recommend performing the following elements of gymnastics:

1. Kegel exercises consist of rhythmic tension and relaxation of the muscles of the perineum. They should be performed at least 30 times, 3 to 4 times a day.
2. Walking stairs or raising your knees to your chest while standing.
3. Squat.
4. "Birch".
5. Raising your legs on the bar.

You can also take a video yoga class.Inverted asanas and breathing exercises help to cure prostatitis. However, this does not mean that after exercise you can continue to lead a sedentary lifestyle. For effective prevention of prostatitis and impotence, experts recommend that strong sex move as much as possible.

Hirudotherapy is a good addition to traditional methods of treating diseases. The course is 8 to 9 procedures, it is best to start them in the early stages of an acute inflammatory process.

The effectiveness of manipulation is due to the following factors:

• During the procedure, the leeches release the substance hirudin, which thins the blood and facilitates its circulation;
• the edema disappears due to excretion of inflammatory exudate;
• reflex action on active points in the pelvic and genital region.

Treatment of prostatitis is almost impossible without a proper diet. It is necessary to give up alcohol, spicy, smoked, spicy and salty foods. Preference should be given to green vegetable juices (especially spinach, greens), lean meats and fish, drinking plenty of fluids (water, jams, fruit juices).

Zinc is good for any age. This mineral stimulates spermatogenesis, improves the quality of male semen. It is found in large quantities in beef, pine nuts, peanuts and vegetables.

However, despite all the efforts of doctors, it is impossible to cure advanced forms of non-bacterial or infectious prostatitis with severe edema and pain with the help of drugs and physical therapy. In such cases, only surgery will help. To avoid it, you need to monitor your weight, play sports that are appropriate for your age and health. It is also necessary to avoid hypothermia, to prevent the development of chronic infections.

Medicines for the treatment of prostatitis

The selection of drugs to treat inflammation of the prostate requires an individual approach. When prescribing drugs, the doctor must take into account the presence of contraindications, the characteristics of the disease course and the cost of drugs for the treatment of prostatitis.

As you can see, the range of agents for treating inflammation of the prostate is wide. However, high cost does not always mean efficiency. Only a doctor should select drugs for the treatment of prostatitis and its dosage. Consultation with a specialist is also necessary before using traditional medicine with honey or herbs.

Drawing conclusions

Prostatitis is one of the most common male diseases in the world. But few people know that seven out of ten men who suffer from prostatitis die from prostate cancer.

Especially frightening is the fact that most men completely ignore the symptoms of prostatitis and, when they go to the doctors, they can no longer help.

Symptoms of prostatitis:

• Pain from stretching or cutting in the lower abdomen, scrotum or perineum
• Frequent urination, burning sensation in the urethra
• Feeling of “bladder not completely emptied
• Difficulty passing urine (weak jet)
• Deterioration in erection duration and quality
• Premature ejaculation or difficulty obtaining it
• Increased body fatigue and irritability

Even one of these symptoms should make you wonder. And if there are two of them, then don't doubt it - you have prostatitis.