Prostatitis is commonly referred to as inflammation that causes tissue swelling and covers the male prostate gland, which is located immediately below the bladder. The treatment of prostatitis today occurs through many modern methods, including antibiotic therapy, physiotherapy, hirudotherapy, phytotherapy, immunocorrective therapy, prostate massage, lifestyle correction.
When a patient enters a medical institution, the doctor examines the patient for the presence of the causes that caused prostatitis. Treatment of the disease will be prescribed based on what factors contributed to the onset of the disease.
Treatment of prostatitis begins with the diagnosis of the disease, which, first of all, includes an investigation by a urologist. Then the doctor proceeds to examine the patient's abdomen and genitals, palpates the prostate gland with a finger, inserting it into the rectum. During this examination, the doctor can diagnose enlargement, swelling, and tenderness of the prostate gland.
After a rectal examination, the urologist orders the patient to donate sperm, urine and prostatic secretions. These analyzes allow you to judge the presence or absence of signs of infection in them. Sometimes a sperm culture is needed.
The appointment of urodynamic studies will allow the doctor to understand how strong the impact of the disease on the urination process is.
Transrectal ultrasound, as well as ultrasound of the kidneys and bladder, allow the urologist to judge the volume and structure of the prostate gland, the volume of residual urine, the presence of a tumor or stones in the bladder, the presence of a blood clot or stones in the lower third of the ureter.
Based on the above analyzes and studies, the urologist prescribes therapy for such an insidious and difficult to treat disease as prostatitis. Treatment of prostatitis will give positive results only if it is comprehensive and selected by a competent doctor.
Antibacterial treatment of prostatitis
Due to the fact that inflammation of the prostate gland is often infectious in nature, doctors prescribe treatment for prostatitis as antibiotic therapy. The result of treatment will be positive only if the urologist chooses the right therapy and the patient strictly adheres to the prescribed therapy. It should be remembered that the started course of antibiotic therapy cannot be stopped - in this way it is possible to damage not only the diseased organ, but the whole organism as a whole.
The patient should inform the doctor of any changes, sometimes not even significant ones, in her body. If the patient has not felt any changes during 2-3 days of treatment, the doctor should replace the antibiotic with another, but not cancel it.
Most often, broad-spectrum drugs are prescribed for treatment - penicillins.
In addition, modern medicine widely uses the means of the fluoroquinolone group. Microbes do not develop resistance to these drugs - this is one of the most important qualities of these antibiotics.
Also, for treatment, many doctors prescribe drugs from the tetracyclines group.
Highly effective new generation drugs are sometimes used.
Antibacterial treatment of prostatitis in patients with chronic prostatitis lasts about one and a half months. In advanced cases, the treatment of prostatitis is extended up to 16 weeks. Occasionally, during antibiotic therapy, the patient develops intestinal dysbacteriosis. In this regard, the patient is prescribed the use of drugs that restore the intestinal microflora.
The dosage and regimen of drugs are prescribed by the urologist in each case individually.
Physiotherapy activities
The treatment of prostatitis through physiotherapy consists in the use of various methods, the main of which are ultrasound, laser therapy, electrical stimulation, magnetotherapy, microwave therapy, UHF, galvanization, drug electrophoresis, darsonvalization, therapeutic microenemas, baths, mud procedures .
Ultrasound is used as high frequency waves that a person cannot hear.
Laser therapy is a fairly common, almost painless method. It is the effect of laser rays on the tissues of a diseased organ or on the reflex zones.
Treatment of prostatitis with the help of electrical stimulation is the effect of an electrical impulse current that causes contractions of the muscles of the organ. Electrical stimulation is divided into rectal, perineal and urethral.
Magnetotherapy is the treatment of prostatitis by exposure to a constant and alternating low-frequency magnetic field on the tissues of the affected organ.
Microwave therapy consists of exposing the affected tissues to a high-frequency electromagnetic field.
UHF is a complex of therapeutic measures with the help of tissue-connected capacitor plates.
Galvanizing is a treatment method by applying low direct current and low voltage.
Medicinal electrophoresis is a simultaneous effect on the tissues of a low-power direct current and special medicines introduced with its help into the tissues. The current increases the ionic activity in the tissues, while the pharmacological effect of drugs occurs.
Darsonvalization is a treatment method using a high-frequency, low-power, fast-extinguishing pulsed current with high voltage.
Therapeutic microenemas are enemas for which various herbal infusions and decoctions are used.
Baths used to treat the disease are prescribed general or local sitting. During baths, various medicinal liquids of different temperatures are used.
Procedures with mud: the use of therapeutic mud. Therapeutic measures may include the use of external mud applications or the introduction of mud pads into the anus.
Hirudotherapy
Leeches are a wonderful gift of nature to humanity. With the help of these living creatures, many diseases can be cured, including prostatitis. Treatment of prostatitis with leeches occurs according to the following scheme: leeches are placed on points located 3 cm from the anus (anus), and the setting should resemble the letter "X". The center of the letter is the anus, the ends of the letter are the localization points of the leeches.
A slightly different method of treatment is also widely used: after withdrawing from the median suture of the perineum by about 2 cm in each direction, leeches are installed. It is not recommended to install leeches directly on the seam of the perineum. The course is about 4-5 treatments. 4 leeches are used in one session. After each session, take a 5-6 day break.
Phytotherapy
Phytotherapy is a complex of therapeutic measures with medicinal tinctures, decoctions, juices, infusions prepared from medicinal plants. Some of these drugs should be taken internally, while others are used externally, injected into the urethra. Herbal medicine is an additional method of treatment that helps the body cope with the disease faster.
For the manufacture of decoctions, bark, seeds, roots, shoots and rhizomes of plants are usually used, for infusions: flowers, leaves, grass and stems. There are a huge number of recipes for the preparation of medicines.
One of the most popular recipes is an infusion of birch buds and oats mixed with a rosehip infusion (1: 1), which is taken in half a glass 1 or 2 times a day.
Horse chestnut peel tincture (pour 250 ml of 25 g of finely chopped peel, insist in the dark for 10 days, shaking from time to time). After that, filter the tincture, take 30 drops 3 times a day.
Squeeze the juice from parsley and mix with any honey (1: 1), use 3 times a day for 2 tables. spoons.
Immunocorrective treatment of prostatitis
The treatment of prostatitis also consists in increasing immunity and activating the body's defenses. Doctors in this case prescribe immunocorrective therapy. It includes the patient's intake of various vitamins, immunomodulators, biostimulants, herbal remedies and other means.
The use of funds by patients with chronic prostatitis, the treatment of which was carried out in a complex way, increases the effectiveness of therapy and contributes to a longer preservation of the results obtained. The drug is well tolerated, has no contraindications. It can be combined with any other therapy.
prostatic massage
Treatment of prostatitis with prostate massage is an unpleasant, but very effective way to cure the disease. The massage is performed by an experienced doctor. First, with the help of a gloved index finger, he feels the prostate gland, trying to fix its parameters, the degree of pain, the ratio of the right and left lobes of the gland, and also to examine the quality of the mucus in the rectum . Next, the doctor begins the actual massage procedure.
Lifestyle correction
To avoid stagnation of blood in the prostate gland, the patient has to move a lot, go for walks, play sports, and so on.
The appearance of prostatitis is often provoked by a sedentary lifestyle, sedentary work, rare sexual intercourse. They cause stagnation of blood in the prostate gland. In this situation, with a therapeutic purpose, the patient is prescribed physical activity (feasible), therapeutic exercises, walks in the fresh air, a special diet, etc.
Therefore, the complex treatment of patients with chronic prostatitis should include:
- antibacterial therapy (only in patients with chronic prostatitis of an infectious nature, including latent ones);
- symptomatic treatment to eliminate the main manifestations of the disease;
- pathogenetic therapy aimed at restoring microcirculation in the prostate, restoring drainage of the prostate glands through the excretory ducts, normalizing urination, stabilizing the immune and hormonal systems and preventing excessive formation of fibrous tissue.
There are many signs that indicate to the patient that prostatitis has "settled" in her body. The treatment of this disease is very complex and long, giving positive results only if the patient strictly follows all the instructions of the urologist.