Modern treatment of prostatitis – one of the most urgent problems in urology, depending on the reasons that support the inflammation of the prostate depends on the scheme of the therapy. Patients with chronic prostatitis, in general, is not required hospitalization. In severe cases, comprehensive treatment in the hospital more efficiently. Let's see in detail what are the pharmacological and non-pharmacological methods to solve this problem.
Non-drug treatment of prostatitis
Thermal treatments and physiotherapeutic effect
In modern urology is of great importance of physical methods, which allow to reduce the dose and the duration of the antibiotic therapy.
Physical therapy for prostatitis includes the following objectives:
- improvement of the microcirculation in the tissues of the prostate;
- to enhance the accumulation of drugs in the body;
- to reduce the pain;
- the improvement of the quality of urination;
- mild inflammation;
- the increase of power.
The most effective methods include transrectal microwave hyperthermia and the therapy (mud treatment, laser therapy, Phono - electrophoresis). Depending on the severity of changes in the tissues of the prostate, the presence or absence of signs of stagnation, and comorbidities, using different regimes of temperature and type of procedures.
Electromagnetic interference, at a temperature of about 40 degrees Celsius has anticongestive, immunostimulating and bacteriostatic effect. With further increase of temperature to 45 degrees from the brand, and sclerosing analgesic effect due to inhibition of the nerve endings and reducing the size of the gland.
Important! Before the prescription of physical therapy for prostatitis is necessary to assess the level of prostate antigen specific (PSA) levels in men over the age of 40 and perform an ultrasound transrectal prostate (TRUS). This will help you to eliminate the cancer in the gland of the prostate. In cases doubtful, with high levels of PSA, justified the recourse to magnetic resonance imaging.
Physiotherapy in calcifications of the prostate (calculous prostatitis), as a general rule, is not carried out. This is due to the fact that the stones and fabric are heated unevenly in a microwave field, which can result in acute retention, urinary and the appearance of blood in the ejaculate.
Treatment of prostatitis with laser
-Low navitas laser affects the gland of the prostate effect similar to microwave hyperthermia with a temperature of 40 degrees Celsius. This method is more justified to apply in cases of congestive-infiltrative changes in the organs of the treatment of urogenital, for example, for the treatment of acute and chronic prostatitis with a background vesiculitis, orchitis, orchiepididymitis'.
Prostate massage is used less and less as there are more effective measures and modern instruments for physical therapy. The procedure of prostate massage is not performed in the acute phase, the indications are also BPH, stones, prostate cancer, tuberculosis.
Devices for the treatment of prostatitis at home
Therapeutic properties based on heat, massage and magnetic effects on the prostate tissue. The procedure is absolutely painless and does not require special skills. In the rectum is introduced the tip of the condom, before that, you can apply the gel with anti-inflammatory substance. After use, the device should not boil, enough to clean the work surface with alcohol.
The course of treatment is 15 procedures, the duration is 10 – 12 minutes.
Contraindications to physical therapy:
- the acute phase of the inflammation;
- the stones of the prostate;
- genitourinary tuberculosis;
- malignant neoplasms;
- the crack of the rectum, and hemorrhoids in the acute phase;
- diarrhea;
- bleeding from the rectum;
- fever.
There are devices for prostate massage in the home environment of batteries, they are less convenient to use, and the action is vibration. The positive aspects include the price, which is in the range of up to 2000 rubles.
Health-resort treatment of prostatitis
In the sanatorium can only be sent in remission after filling of sanatorium-resort card. There are many places in Russia and abroad treatments to cure prostatitis, improve erectile function and improve overall health.
Will help in the treatment of the following activities:
- physiotherapy;
- drinking treatment of mineral waters;
- all kinds of hardware physiotherapy impact, in particular, for the normalization of the nervous system;
- hirudotherapy (treatment with leeches);
- balneotherapy (bath with bromine, iodine, etc.);
- mud therapy (mud baths, and tampons).
After treatment in sanatorium many patients forget about the symptoms of prostatitis.
Medical therapy of prostatitis
In the treatment of chronic prostatitis significant complexity of the scheme, which will cover all stages of pathogenesis. This makes it quicker to remove the causative agent from tissues, normalizes blood circulation and nutrition of the organism, facilitates the drainage of suitable acini (excretory ducts), normalizes hormonal balance and activates local immunity.
For these purposes, used drugs from the following groups:
- antibiotics;
- anticholinergic medications;
- nonsteroidal anti-inflammatory drugs (Nsaids);
- immunomodulatory agent;
- angioprotectors;
- herbs;
- alpha-blockers;
- inhibitors of 5-alpha-reductase;
- inhibitors of cytokines;
- medications that affect urate metabolism, and citrate.
Important! Not necessarily that your treatment plan will include all of the above, the doctor focuses on your complaints and symptoms in prostatitis, the results of the survey, provoking factor, the effect of the previous treatment, stage of the inflammatory process and associated with the disease.
Exacerbation of prostatitis chronic requires empirical (without determination of the agent) to antibacterial therapy, with the appointment of broad-spectrum antibiotic. Of course, it is best to choose an antibiotic according to the results of the bacterial analysis, but to achieve it you need time. Acute inflammatory process in the prostate is left without treatment, will lead to complications, such as apostema or bacteriotoxic shock. Often swelling of the glands in the background of the acute inflammation causes the retention urinary.
In these cases, perform a suprapubic puncture of the bladder with the installation of a catheter of the Foley and avoid the aggravation of prostatitis with antibiotics, anti-inflammatory, local use of candles, etc.
Therefore, in not being in the hospital to treat the inflammation it is necessary in the first symptoms of the disease and to implement all the recommendations of the urologist.
Treatment of prostatitis is determined individually, but what are the recommendations for antibiotics (levofloxacin preferable novum) for 28 days.
This scheme adheres to the European Association of urology, antibiotics, and sulfa drugs are considered priority drugs in the treatment of acute illness /exacerbation of the prostatitis.
What methods are used to remove the pain in the chronic pelvic pain syndrome (CPPS)
CPPS does not imply a connection of the symptoms with the agent infectious (specific or nonspecific). The diagnosis is established by exclusion, the results of complete clinical and laboratory examination.
A good effect is achieved when using the following drugs:
- Tricyclic antidepressants. The use of drugs of this group contribute to cupping pain by blocking H1-histamine receptors, and anticholinesterase effect. Often prescribed for Amitriptyline and Imipramine. Some patients in the form of side effects develops drowsiness, lethargy, and thirst.
- Inhibitors of 5-alpha-reductase inhibitors reduce the volume of the prostate and eliminate the inflammation of the tissues. In addition, the slowing of the conversion of testosterone to dihydrotestosterone, reduces the pain and symptoms of dysuria.
- Pain-relief medicines. In severe cases, use analgesics if the pain is not amenable to drugs from other groups.
- Drugs that affect the metabolism of urate.
Treatment of symptoms persistent dysuria in prostatitis
Sometimes, despite the arrival of the anti-bacterial and anti-inflammatory therapy, the patient continues to have difficulty in urination.
After the studies – uroflowmetries or bibendum sem research – prescribe medications depending on the identified pathology. In case of hypersensitivity of the bladder neck treatment scheme similar to that of cystitis interstitial:
- antidepressants,
- antihistamines;
- introduction to the bladder of solutions with an antiseptic.
If dysuric disorders supports of detrusor hyperreflexia (overactive bladder on the background of prostatitis) – the use of anticholinesterase drugs. Hypertonicity of the detrusor shoot benzodiazepines and use of physiotherapeutic effect, the neuromodulation sacralis.
Surgery for prostatitis
The indication of surgery in the long-term current prostatitis and severe symptoms are the following complications:
- Sclerosis of the bladder neck.
- Sclerosis of the prostate.
- Multiple sclerosis seed tuber.
- The stones of the prostate.
Perform transurethral resection (TUR), which improves the patient's quality of life.
Other means and methods for the treatment of prostatitis: harm or benefit
On the Internet and questionable tabloid publications only lazy did not tell you how to cure prostatitis permanently. Some ways that you can adopt, as a Complement to the basic treatment, others can worsen the condition and lead to a result unfavorable.
As a prevention you can use bee products (honey, Royal jelly, pollen, propolis, etc.), a reasonable approach would be a positive effect.
It is believed that propolis contains useful components such as:
- vitamins;
- aromatic oils;
- amino acids and proteins;
- esters and flavonoids, etc.
This ensures antimicrobial, anti-inflammatory, and even anti-tumour preventive effect.
Recipe ointment of prostatitis based on propolis
In a water bath for the casting of 100 mg of animal fat, add the products of bees:
- 90 grams of propolis,
- 7 grams of bee pollen and Royal jelly
- 20 grams of honey.
Boil ointment possible, the optimum temperature for the preparation of 40 – 42 C. Stir with a wooden stick, remove and leave to cool in a place that cold. Applied to the perineum, 2 times a day, until completely absorbed cream. Duration of treatment – 3 weeks. If necessary – repeat.
If you have difficulty in the kitchen, you can use the finished pharmaceutical form in the form of candles with propolis. Enter a candle for the night in the anus daily, the duration of therapy is from 15 to 30 days.
Keep in mind that the pollen is produced in the form of capsules for use inside and contains 0.4 grams of active ingredient. Can be used simultaneously with the suppositories. Course reception – 1 month.
A decoction and compress the crotch of bee mortuus apes
Podmore – is dead bees, to prepare the broth use of the substance exclusively in dry form.
Method of preparation: pour 2 tablespoons mortuus apes 800 ml of water, simmer at low heat for an hour. Cool, strain and take 5 tablespoons 3 times a day for a month. To compress 150 mg mortuus apes to withstand more steam until mushy consistency. Put the tool in folded in several layers of gauze, put on the paste in several layers of gauze. Several squeeze, applied to the perineum, and maintain 45 – 60 minutes. The best procedure to carry out the night and in the morning, you can take a shower.