Prostatitis is an inflammatory disease.It is accompanied by unpleasant symptoms, is fraught with various complications and therefore requires mandatory treatment.It can be conservative or surgical.In any case, an integrated approach is required.
In most cases, prostatitis is treated using conservative methods.This includes drug therapy, physiotherapy, diet and lifestyle changes, gymnastics and conventional medicine.In some cases, surgery may be necessary.
Drug treatment of prostatitis
The main direction in the 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.In the drug therapy of prostatitis, various dosage forms are used: tablets, injections, rectal suppositories, microenemas.
Tablets for prostatitis
Drugs for the treatment of prostatitis in tablet form are etiotropic, pathogenetic and symptomatic.The first are used when the disease has an infectious origin, the second are needed to eliminate congestion, and the third relieve the main manifestations of the pathology.
Etiotropic drugs are used for antibacterial therapy.They destroy pathogenic microorganisms that trigger an inflammatory process in prostate tissue.In the acute form of the disease, antibiotics are used in tablet form from 3-4 days onwards - parenteral administration is preferred beforehand in order to achieve a quick effect.
To choose a drug, it is first necessary to determine the pathogen and its sensitivity to the drug.To treat prostatitis, antibiotics of the following groups can be prescribed:
- fluoroquinolones;
- penicillins;
- macrolides;
- tetracyclines;
- Sulfonamides.
Antibacterial therapy is usually continued for 1-1.5 weeks.At the same time, probiotics are prescribed to normalize the intestinal flora.
α-blockers are also prescribed to treat prostatitis.They relax muscles and relieve cramps.This makes urination easier - difficulty is one of the main symptoms of the disease.The course of therapy usually lasts at least six months.
Another group of drugs used to treat prostatitis are nonsteroidal anti-inflammatory drugs.They are used to relieve inflammation and pain.
For psycho-emotional disorders, which are often accompanied by prostatitis, sedatives and antidepressants are prescribed.Plant-based products are effective.
To treat prostatitis, special 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.To relieve an acute disease, injection therapy is often prescribed and then switched to other drug pathologies.
Popular injections for prostatitis are nonsteroidal anti-inflammatory drugs that relieve inflammation and pain.
Immunomodulators are often used for chronic prostatitis.Such 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 therapy is necessary.This treatment is continued for an average of 1-1.5 weeks.
Rectal suppositories
The use of such a dosage form is attractive due to its rapid absorption into the local bloodstream, direct delivery of the drug to the pathological focus and minimization of the risk of side effects, especially in the gastrointestinal tract.
To treat prostatitis, the following rectal suppositories may be prescribed:
- With antibacterial effect.
- Anti-inflammatory drugs.
- Immunomodulators.
- Antispasmodics.
Microclysters
This treatment option is commonly used to combat inflammation, provide antibacterial treatment, and relieve pain and swelling.The following microenemas can be used for prostatitis:
- Propolis – relieves inflammation, stimulates blood supply;
- Iodine – antiseptic effect;
- Sea buckthorn, fir, eucalyptus, peach oil.
Folk remedies
Alternative medicine is effective in treating 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 thoroughly.Form small balls from the resulting mixture and store in a cold place.Eat such a ball twice a day half an hour before meals.Be sure to chew it for two minutes.
- Brew 1 tbsp.l.Pour a glass of boiling water over the chopped hazelnut bark or leaves and cover and let it steep for half an hour.Then filter and take a quarter glass four times a day.
- 1 liter of boiling water brew 1 tsp.dry vermouth.When the infusion has cooled to 40 degrees, filter and strain.Application for microenemas: 100 ml solution per procedure.Repeat this for a week.
- Prepare juice from fresh parsley and take 1 tbsp three times a day.l.half an hour before meals.
- Mix hazelnut leaves, cinquefoil root and cornflower flowers in equal proportions.Brew 3 tbsp.l.Collect three glasses of boiling water and leave it overnight, filter it in the morning and take a glass three times a day before meals.
Physiotherapy, massage
One of the most effective areas in the treatment of prostatitis is physiotherapeutic procedures.The following methods are often used:
- cryotherapy;
- ultrasound therapy;
- Electrophoresis or phonophoresis with medications (anti-inflammatory drugs, anesthetics, antibiotics);
- electrical hardware stimulation;
- magnetic field therapy;
- laser therapy;
- Darsonvalization;
- electroplating;
- microwave therapy;
- spas;
- mud therapy;
- UHF therapy.
Physiotherapeutic treatment methods also include massage.This can be done manually or with an electric massager.In any case, such treatment should be carried out by a specialist, since in the absence of appropriate experience, the procedure may be ineffective and even cause harm.
Diet, lifestyle
A conservative approach to treating prostatitis also requires certain lifestyle changes.The following rules must be observed:
- Quit smoking and alcohol.
- Normalize your weight if necessary.This is achieved by gradually reducing daily calories and physical activity.
- Moderate physical activity.You definitely need to walk – take at least 10,000 steps a day.This is very important to eliminate and prevent traffic jams.
- Regular sex life.It is important to limit yourself to one sexual partner and use condoms.
- Strengthening the immune system.This is achieved through moderate physical activity, a balanced diet, giving up bad habits and hardening.Periodically you should take a vitamin-mineral complex - the appropriate option should be selected by your attending physician.
You should also pay attention to your diet.It must meet the following requirements:
- Avoid fatty foods and highly extractive foods – spices, hot spices, 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.
- Regular consumption of fish and seafood is necessary.
- Stick to the optimal drinking regime.Unless otherwise advised by a doctor, 2-2.5 liters of fluid per day are required.It can be pure or mineral (still) water, green or herbal tea, freshly prepared fruit drink, compote or juice.Strong tea and coffee should be avoided.
- When cooking, you should limit yourself to boiling, steaming, baking and simmering.
Exercise
Physiotherapy is useful for prostatitis.It can also be done at home.
Useful exercises:
- While standing, squeeze the muscle to simulate stopping urination.Hold this position five times and then relax.Do 10 reps.
- Lie on the floor.Raise your legs and pelvis straight at the same time and perform the “birch tree” pose.At the extreme point, you need to fixate and hold on for as long as possible.
- Lie on your back, raise your legs a few centimeters above the floor and perform cross movements that imitate scissors.After a short break, repeat the exercise, but lying on your stomach.
- Lie on your back, lift your legs and imitate riding a bike.Increase the pace gradually.Perform the movements first forward, then in the opposite direction.
- Lie on your stomach.Raise your straight legs 5 cm above the floor and hold them for a few seconds.Return to the starting position and do several repetitions.Repeat the exercise, lifting your legs one at a time.
- Perform shallow squats, spreading your knees to the sides.The feet should not be off the floor and the back should be straight.
- Stand for support and swing your legs - 15 times each.
- Walk on your buttocks.You need to sit on the floor and alternately move your buttocks forward.You have to go back the same way.
- Sit on the floor and stretch your legs slightly apart.Bend over and try to reach your socks.
The exercises should be performed smoothly, paying attention to breathing.Increase the load gradually.The permissibility of such exercises should be discussed with your doctor.
Surgical treatment
In most cases, prostate treatment is carried out using conservative methods, but sometimes surgery is the only option.The following methods are possible:
- Prostatectomy – Removal of all or part of the prostate.The operation can be carried out endoscopically or abdominally.
- Resection of the prostate – removal of a fragment of a gland.There are suprapubic, laparoscopic and transurethral resections.
- Circumcision – circular cutting of the foreskin.Carried out for chronic prostatitis and for its prevention.
- Abscess drainage.This surgical procedure is minimally invasive and involves suctioning the purulent contents through a puncture with a needle and then washing the cavity with antiseptics.
Prostatitis is a fairly common pathology.Various methods are used for treatment: drug therapy, physiotherapy, physical therapy, special diet, surgery.In any case, a specialist must select the appropriate tactics and monitor their effectiveness.