Treatment of chronic prostatitis. How to treat chronic prostatitis

The prostate gland, also known as the prostate, is a fairly vulnerable male organ that is exposed to various urological diseases, especially prostatitis. And despite the prevalence of the disease, treating chronic prostatitis is a rather difficult task.

Types and causes of prostatitis

Prostatitis is a disease of the prostate gland, accompanied by an inflammatory process in the tissues. Prostatitis is classified according to the following data:

  1. Acute bacterial prostatitis caused by infectious agents;
  2. chronic bacterial (infectious) prostatitis;
  3. chronic abacterial (non-infectious) prostatitis;
  4. asymptomatic inflammatory prostatitis.

Chronic bacterial prostatitis - the nature of this species is not fully known despite many studies. This type occurs in the male body as a result of an infection of the prostate gland, which is possible for a number of reasons:

symptoms and treatment of chronic prostatitis
  • severe hypothermia;
  • trouble emptying your bladder;
  • unstable sex (irregularity or lack thereof);
  • concomitant chronic diseases of the urogenital system;
  • leading an unhealthy lifestyle;
  • lack of mobility.

Most often, the disease occurs without obvious symptoms, only during the period of exacerbation, which is accompanied by signs such as:

  • feeling of discomfort and incomplete emptying while urinating;
  • decreased sexual activity;
  • pain in the lower abdomen.

In addition, chronic prostatitis can trigger various diseases of the bladder, progressing to the stage of acute manifestation of the disease, and then treatment of exacerbation of chronic prostatitis is already provided.

Chronic abacterial prostatitis - the incidence is 92-95% of all types of prostatitis, the prevalence can be judged from these data. This disease has no age limit, so it affects men of any age, but the peak falls to an average of thirty years. The disease is diagnosed on the basis of the following symptoms:

  1. Presence of painful discomfort (more than 3 months) in pelvic organs;
  2. no sign of an infectious environment;
  3. Increased dysfunction of sexual activity and urination.

Chronic calculus prostatitis can also be distinguished in urology, which in turn is a consequence of chronic prostatitis and is more worrying for older men.

Can Chronic Prostatitis Be Cured?

Every patient suffers from the effectiveness of treating chronic prostatitis because this disease not only brings a lot of specific discomfort, but also carries a psychological trauma in a man.

Given the different directions of application of the methods, it is noted that this appointment is made by a specialist based on diagnostic procedures. The urologist individually develops a comprehensive program for the treatment of prostatitis that includes a full range of therapeutic procedures. So a comprehensive conservative approach involves:

  1. drug treatment of chronic prostatitis;
  2. physiotherapy;
  3. manual therapy.

As noted, the practitioner selects an individual program that undergoes an adjustment based on the general regimen, and each patient presents a separate treatment for chronic prostatitis calculated by their treating physician.

Effective treatment of chronic prostatitis primarily involves the following additional research:

how and how to treat chronic prostatitis
  • consultation of neuropsychiatrist, endocrinologist, cardiologist;
  • performing computed or magnetic resonance imaging of the brain to examine its performance and structural functions;
  • hormonal status research;
  • Ultrasound of the urogenital system.

How to treat chronic prostatitis if the patient does not see any symptoms? This case means that the patient is in remission or the disease is asymptomatic, in the latter case, of course, a specialist should be contacted immediately to perform all the necessary procedures. The conditions for treating chronic prostatitis are usually 2 weeks or longer, depending on the condition of the prostate and the extent of the disease.

For example, medications for the treatment of chronic prostatitis require a constant intake in men, which, along with the disease, reduces arterial blood flow to the penis. And in order to increase this blood flow and cause an erection, it is necessary to continuously take vasodilators.

Treatment of chronic prostatitis at home

In case of exacerbation of chronic prostatitis, all recommendations below are followed. This is several days of bed rest, exclusion of physical activity, refusal to drink alcohol. After removing the exacerbation of chronic prostatitis, you will have to decide for many years how to work and rest.

To prevent recurring exacerbations, the following basic guidelines should always be followed:

  1. Avoid hypothermia - first, in the warm season, exclude sitting on cold ground, concrete curbs, stones. Clothing should be loose, light enough, but appropriate for the season. An excellent way to get rid of exacerbations of chronic prostatitis is to harden the body. You can use starch with water, air bath, staying outdoors for at least 1-2 hours a day.
  2. It is very important to empty your bladder regularly to avoid overflow and prolonged urinary retention (“do not tolerate”, go to the toilet every 3-4 hours).
  3. If you have a sedentary job, you should take a 3-5 minute break every hour or two and walk, warm up. If this is not possible, you should perform anus retraction at least 40-50 times in one approach, repeating such exercises 4-6 times a day.
  4. Regular moderate physical activity is one of the most important factors in preventing the exacerbation of chronic prostatitis and the congestion of the prostate gland and pelvic organs. The fewest such activities are daily morning exercises, walking at a moderate or fast pace for 30-40 minutes continuously (i. e. without stopping, going to the store, etc. ). In addition, you need a weekly nature trip, feasible work in the country, picking berries, mushrooms or long walks for 2-3 hours on weekends, visiting the pool or, in extreme cases, practicing at home on home simulators (treadmill, rowing machine, stepper)).
  5. If possible, rule out perineum trauma (rejection of regular professional cycling, equestrian sports from motocross).
  6. Regular sexual activity is the most important factor in eliminating prostate congestion. Moreover, it is important here to be moderate, to match sexual relations with the male gender. It is important to avoid prolonged and interrupted sexual intercourse, a permanent sexual partner.
  7. Fight constipation.
  8. Complete rejection of alcohol consumption during exacerbation of prostatitis and maximum reduction in the amount of alcohol consumed during remission. This requires a total rejection of beer and cheap wines.
  9. If possible, rule out work involving constant nervous tension, frequent stressful situations, or even though you are learning to resist stress through car training and meditation.
  10. Preventive visit to a urologist twice a year for clinical examination, laboratory analysis of TRUS, urine and prostate secretions, and after 40 years - and PSA. Implementing these simple measures will prevent the possible worsening of chronic prostatitis, help strengthen the body and its defenses.

How can chronic prostatitis be treated with medication?

The main causes of prostatitis are various infections and sexually transmitted viruses, which in turn affect the urethra, in the tissues of the prostate. It should be noted that in the diagnosis of chronic bacterial prostatitis, treatment consists of several stages.

Treating bacterial prostatitis is one of the most difficult tasks in modern urology. Despite the progress made in diagnosis and early detection of the disease, complete recovery is achieved in only 30% of cases. Modern therapy for bacterial prostatitis consists of several stages and can clearly answer the question, “Is chronic prostatitis treated and how? ” Success also depends heavily on patient-physician chain coordination. So the main stages of treatment are:

  • analgesia - use of non-steroidal anti-inflammatory drugs;
  • anxiety reduction - taking antidepressants;
  • restoring the urination process;
  • topical treatment - douching;
  • physiotherapy treatment;
  • targeted therapy - in case of chronic bacterial prostatitis, prescription drugs as well as antibiotics are recommended;
  • Surgical treatment of chronic prostatitis - this method is required for urethral stricture and prostate abscesses.

It should be noted that nowadays the treatment of chronic prostatitis with antibiotics is quite justified, but only after the completion of the full course of treatment, which lasts on average about 2 weeks. After graduation, the doctor evaluates the results and more often there is a positive trend. Antibiotics used for chronic prostatitis are used because this disease is caused by infectious, primarily pathogenic, bacteria that necessarily require antibiotic therapy. The most important point is to choose the right medicine according to the clearly chosen administration schedule of the doctor.

In particular, the timing of the prescribed treatment regimen and the frequency of administration should be strictly adhered to when taking the drug for the treatment of chronic prostatitis.

It is worth remembering that there is no absolute cure for the treatment of chronic prostatitis, and maximum recovery is only possible with a thorough diagnosis and adherence to all the instructions of a specialist. Due to the nature and severity of self-healing, it is particularly harmful to this disease.