Prostatitis is a complicated and very delicate problem for any man, especially a shy and I was afraid of this diagnosis, therefore, to postpone the visit to the doctor. But we have to remember that the treatment as soon as it starts, the more chances of getting positive results and many years to live a full life. Treatment of prostatitis requires an overall approach to get rid of the symptoms of this disease and prevent complications, you should consult a doctor and do not self-medicate.
Diagnosis of prostatitis
Before you start to treat prostatitis that every man must be projected. This is necessary in order to determine the cause and the form of the disease. The diagnosis usually does not cause difficulties for the urologist, so that the possibility of setting the diagnosis wrong and the prescription of incorrect treatment is insignificant.
Diagnostic procedures for prostatitis, take a little of discomfort and discomfort for the patient, but without them, unfortunately, impossible.
After collecting the anamnesis and General examination, the urologist performs a digital rectal examination of the prostate and the taking of the secret of the gland for analysis. In the acute form of the disease, this procedure can cause not only patient discomfort, but also pain. The prostate secretion is sent to the laboratory for analysis, which allows to establish a form of the disease (infectious prostatitis or abacterial). If the biological material is detected the causative agent of the disease, define its sensitivity to antibiotics, which significantly increases the effectiveness of treatment and can shorten its duration.
If necessary, the said examination supplemented by ultrasound examination of the gland of the prostate that allows to visualize and accurately determine its condition. Ultrasound of the prostate can be done in two ways: transabdominal (through the abdominal wall) and transrectal (through the rectum).
Transabdominal method does not cause the patient any discomfort, but informative and is very inferior to the second method. With this access, the physician can determine the parameters of the glands, but to the obtaining of data on the state of the prostate is impossible. However, the Transabdominal method is used for protegendo diagnosis.
The ultrasound Transrectal (TRUS) of the prostate is a very informative method of examination, because the transducer of the ultrasonic is separated from the tissue of the gland of the prostate only, the bottle of the rectum. Thanks to modern devices, this procedure is of minimal discomfort for the patient, and the use of high-frequency transducers allows the physician to see even very subtle changes in the structure of the tissue of the prostate.
A blood test for PSA (prostatic specific antigen)
Prostatic specific antigen: substance that is produced by the gland of the prostate, while the increase in blood levels, the doctor may suspect the disease of the prostate, including prostatitis. Normal value of PSA is 4 ng/ml. a blood test is not only diagnostic screening method (recommended every year to take a test to men over 50), but also helps the doctor to evaluate the effectiveness of treatment of diseases of the prostate.
Treatment of prostatitis
Treatment of prostatitis acute and acute exacerbation of chronic forms of this disease is carried out according to schemes similar. With adequate therapy leads to complete cure of prostatitis acute or achieve long-term remission in the chronic form of the disease.
Antibiotic therapy
The selection of drugs approved for the treatment of prostatitis, must be made by the doctor based on the results of the tests. Incorrectly prescribed antibiotic therapy can lead to the appearance of resistance of the pathogen causing prostatitis, to medications, which will greatly complicate the treatment and may contribute to the transition of prostatitis acute into the chronic form. If the patient shortly before the start of treatment of prostatitis have to take any antibiotics for about another disease, it is necessary to inform the doctor.
A course of antibiotics for prostatitis can last more than 2-3 weeks, but cut short when relief of symptoms is impossible, and to reduce the dose of the assigned drug, and to change the scheme of their reception.
Therapy detoxification and receive analgesics may be necessary in the prostatitis severe acute. In these cases, the treatment is carried out in a hospital.
Local therapy
Physical therapy
Physiotherapy improves trophic prostate tissue and accelerate the healing process. Is it Possible to use the following methods of physiotherapy: transrectal microwave hyperthermia, diadynamophoresis, laser therapy, ultrasound, phonophoresis.
Candles for prostatitis
Rectal suppositories for the treatment of prostatitis are highly effective because they contain active ingredients to enter into the focus of inflammation in the highest concentrations. Candles may contain antispasmodic, antibacterial, analgesic and anti-inflammatory agents. Its use is often recommended by the doctor and for the prevention of exacerbations of prostatitis chronic.
Most popular rectal suppositories with propolis, and buckthorn Ichthyol candles and suppositories, which include the peptides extracted from the prostate.
Prostate massage
This procedure is one of the most effective methods of treatment of prostatitis. Thanks to her, has accumulated in the gland of the prostate, the secret squeezed out of her, and then independently discharged through the urethra. In addition prostate massage improves the blood supply to the tissues of the glands that increases the effectiveness of antibiotics and local therapy.
Conducting a prostate massage in the acute phase of inflammation is contraindicated as it can lead to the spread of the infection. The procedure is performed with the subsidence of the acute phenomena inflammatory. Unfortunately, this treatment gives many patients the physical and moral discomfort, but to reject is not so not worth it.
Correction of immunity
The strengthening of the immunity is necessary for every patient suffering from inflammatory diseases of the prostate. The good immune status of the body will help to prevent the development of chronic diseases forms of the disease. Patients are advised to strengthen the body's resistance to disease using natural methods (hardening, physical activity in the outdoors), natural immunomodulators (lemon grass, Echinacea, Eleutherococcus, ginseng), and synthetic multivitamin complexes.
Surgical treatment of prostatitis is necessary in exceptional cases, when an abscess of the prostate, or strictures (narrowing) of the urethra.
In addition to the drug therapy of men who suffer from this disease, you will need to change your lifestyle and eliminate the factors that contribute to the development of acute or exacerbation of chronic prostatitis. It is necessary to avoid hypothermia, rejection of the alcohol and lead a sedentary life. The young who lead active sexual life, avoid infections that are transmitted sexually, by means of barrier contraception (condoms).
To what doctor to address
Prostatitis cure urologist. The detection of the agent infectious cause of the inflammation, the possible consultation of the venereologist'. Additional help in the treatment of the disease can have a physical therapist and immunologist.