Treatment of prostatitis, etiology and symptoms of the disease

13 September 2020

Inflammation of the prostate is a common reason for a man to go to a urology clinic.

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

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

Also urologists have nothing against treating prostatitis using prescriptions of traditional medicine. To avoid a worsening of the disease, it is better to use them simultaneously with medication therapy.

Causes of prostate inflammation are:

overload in the pelvic area due to a sedentary lifestyle;
sexually transmitted diseases;
urinary tract infections;
prolonged abstinence from sex;
cessation of sexual intercourse;
complications after urethral catheterization;
persistent hypothermia;
alcohol abuse, spicy and spicy foods;
infections of other organs (for example, tonsils, sinusitis, pneumonia, caries) against the background of weakened immunity.

Acute and chronic prostatitis are distinguished by the shape of the flow.

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

Acute bacterial prostatitisis mainly caused by gram-negative pathogenic 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 with chlamydia (Chlamydia trichomonas), ureaplasma (Ureaplasma urealyticum), mycoplasma (Mycoplasma). The disease can occur both independently and as a complication of the acute form of the inflammatory process of the prostate gland.
Granulomatous prostatitisis relatively rare. 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 secretion of the prostate gland has a certain antimicrobial activity and effectively fights infection.

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

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

a heavy sensation in the perineum, especially when sitting;
increased desire to urinate, sometimes they are false due to compression of the urethra by an enlarged gland;
hard, painful urine flow;
pain in the perineum radiating to the penis and anus;
sensation of the presence of a foreign body in the rectum;
pain during bowel movements;
temperature rise up to 38 - 40 degrees.

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

Pain. It is varied and can occur during urination, ejaculation or at rest. Intensity depends on many factors. Sometimes a man simply complains of a severe feeling, and in some cases, pain medication is sought. The location of the pain is also different - in the perineum, penis glans, testicles or rectum.

Urinary disorders.This is a frequent request to go to the toilet, especially at night, a slow interrupted flow of urine, a feeling of insufficiently emptied bladder. Sexual dysfunction manifests itself in the form of premature ejaculation or weakening of the erection.

Psychological symptoms. Patients complain of insomnia, increased sweating, irritability and rapid fatigue. These signs pass into the remission phase and worsen during the activation of the process. Experts point out that it is necessary to distinguish between prostate adenoma and its inflammation.

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

Therapy focuses on:

inhibition of bacterial activity;
improving microcirculation and blood circulation;
elimination of edema;
interruption of the inflammatory process;
normalization of the outflow of secretions from the prostate gland;
improving the immune system;
if necessary - correction of hormonal disorders.

According to patient reviews, the effectiveness of prostate medicine treatment increases with the simultaneous consumption of decoctions and tinctures of various medicinal plants:

pumpkin seed oils;
parsley leaves, roots and fruits;
beekeeping products (honey, propolis, bee bread, zabrus);
aspen bark;
celandine juice;
chestnut peel;
mushroom tinctures.

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

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

In addition to such physiotherapy procedures as transrectal massage of the prostate gland, 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 vasodilator drugs;
α-blockers;
antispasmodics;
5-α reductase inhibitors;
.

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.

Advisability of antibiotic use 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 therapy is from 2 to 4 weeks, if necessary, extended for another month.When prescribing a drug, consider its ability to accumulate in prostate gland tissue. This property is possessed by fluoroquinolones, antibiotics of the penicillin group, linkosamides, tetracyclines, macrolides. Sometimes antimicrobial therapy is also indicated in the risk of complications of non-infectious prostatitis with a bacterial infection. Dosage of drugs is calculated individually based on age, condition of the patient and the presence of concomitant diseases of the kidneys, liver and digestive tract.

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

In the treatment of prostatitis in men, the drugs are suitable for topical application in the form of suppositories. This ensures a rapid uptake and maximum concentration of the active substance in the body. Antispasmodics and α-blockers facilitate urination with inflammation of the prostate gland. Experts link the difficulties to emptying the bladder, not just to the 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 urinating or incompletely drained bladder can cause secondary bacterial infections, sand accumulation and stone formation. The action of adrenergic blockers develops gradually. Almost 90% of patients notice improvement after 1-2 weeks after starting treatment. Antispasmodics "work" a little faster, in addition, they relieve pain.

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

For the treatment of prostatitis in men, phytopreparations are used either as part of complex therapy or in remission to prevent a worsening of the disease.Angioprotectors can be used in the form of capsules or oils for external use. Their action is aimed at normalizing blood circulation in the prostate gland. Improving venous outflow 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 the weakening of immunity plays an important role in the development of inflammation; in this condition, the risk of various bacterial complications increases. Thymus preparations, interferons and their immune stimulants are widely used.

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

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

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

Glucocorticoid group preparations. To reduce side effects and systemic exposure, they are described locally using electrophoresis.

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

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

How to treat prostatitis using popular recipes:

Peel the chestnuts and finely chop the peel and cover with a glass of vodka. Insist in a cool dry place for 14 - 20 days. Then drain and add 100 - 150 ml of clean water at room temperature. Take 10 drops twice daily on an empty stomach for 2 weeks. Then you should take a seven-day break and repeat the course of treatment.
Pumpkin seed oil is recommended to be drunk one tablespoon before each meal.
Heat a glass of vegetable oil in a water bath and add 2 tbsp. crushed propolis and continue heating until completely dissolved. Use the resulting mixture as an ointment once a day before bedtime. The duration of treatment is 28 - 30 days.

Regular prostate massage has a good effect. You can do it yourself, seek the help of a loved one, or use one of the special devices in the variety presented in the modern market. A contraindication to massage is the formation of stones in the prostate gland (calculated prostatitis).

Also, such a procedure is not recommended in case of worsening of the disease, which is accompanied by pain and fever. In addition, when deciding how to cure prostatitis, exercise helps. Moderate sports activity is an excellent prevention of congestion in the pelvic region, helping to fight overweight.

Urologists recommend performing the following elements of gymnastics:

Kegel exercises consist of rhythmic tension and relaxation of the perineum muscles. They should be performed at least 30 times 3-4 times a day.
Walking up the stairs or raising your knees to your chest while standing.
Squats.
"Thupra".
Raise your legs up on the bar.

You can also take yoga video lessons.Inverted asanas and breathing exercises will 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 the stronger sex move as much as possible.

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

Manipulation efficiency is due to the following factors:

During the procedure, the caterpillars release the substance hirudin, which dilutes the blood and facilitates its circulation;
edema disappears due to secretion of inflammatory exudate;
reflex action on active points in the pelvic area and genitals.

it is almost impossible to treat prostatitis without following a proper diet. It is necessary to give up alcohol, spicy, smoked, spicy and salty foods. Preference should be given to juices from green vegetables (especially spinach, vegetables), lean meats and fish, drink plenty of fluids (water, compote, fruit drinks).

Zinc is good for all ages. This mineral stimulates spermatogenesis, improves the quality of male sperm. It is found in large quantities in beef, pine nuts, peanuts, and legumes.

However, despite 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 medication and physiotherapy. In such cases, surgery alone will help. To avoid it, you need to monitor your weight, engage in age-appropriate sports and health. It is also necessary to avoid hypothermia to prevent the development of chronic infections.

Medications for the treatment of prostatitis

Selection of medications for the treatment of prostate inflammation requires an individual approach. When prescribing medication, the doctor should take into account the presence of contraindications, the characteristics of the course of the disease and the cost of drugs for the treatment of prostatitis.

As you can see, the range of medications for treating prostate inflammation is wide. However, high cost does not always mean efficiency. Only the doctor should choose the drugs for the treatment of prostatitis and their dosage. Consultation with a specialist is also necessary before using traditional medicines 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 suffering from prostatitis die from prostate cancer.

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

Symptoms of prostatitis:

Drawing or cutting pain in lower abdomen, scrotum or perineum
Feeling “not completely empty bladder
Difficulty urinating (poor flow)
Deterioration in duration and quality of erection
Premature ejaculation or problems getting it
Increased body fatigue and nervousness

Even one of these symptoms should make you wonder. And if there are two of them, then do not doubt - you have prostate.