The 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 treatment. In patients with chronic prostatitis generally do not need treatment in the hospital. In severe cases, comprehensive treatment in the hospital more efficient. Let's see in details what are the pharmacological and non-pharmacological methods to solve this problem.
Non-drug treatment of prostatitis
Heat treatment and physiotherapeutic effect
In modern urology is a great importance of physical methods, which allow to reduce the dose and duration of antibiotic therapy.
Physical therapy for prostatitis includes the following objectives:
- to improve the microcirculation in the tissues of the prostate;
- enhancing accumulation of drugs in the body;
- to reduce the pain;
- improve the quality of urination;
- mild inflammation;
- the greater the power.
The most effective methods include transrectal microwave affordable by means of and therapy (mud treatment, laser therapy, Phono - electrophoresis). Depending on the severity of the changes in the tissues of the prostate, the presence or absence of signs of stagnation, and comorbidities, using various temperature regimes and types of procedures.
Electromagnetic interference at a temperature of over 40 degrees Celsius, anticongestive, immunostimulating and bacteriostatic effect. With further increase of temperature up to 45 degrees mark and sclerosing analgesic effect due to inhibition of nerve endings and reducing the size of the gland.
Important! Before prescribing physical therapy for prostatitis is necessary to assess the level of prostate specific antigen (PSA) levels in men over the age of 40 and implementation of a transrectal ultrasound of the prostate (a CONSCIENCE). This will help to eliminate prostate cancer. In doubtful cases, elevated PSA level, is entitled to the use of magnetic resonance imaging.
Physiotherapy in calcifications of the prostate (calculous prostatitis), as a rule, is not carried out. This is due to the fact that the stones and fabric are unevenly heated in a microwave field, which can cause acute retention of urine and the occurrence of blood in the ejaculate.
Treatment with laser prostatitis
-Low navitas laser affect the prostate gland effect similar to those in the microwave affordable by means of with a temperature of 40 degrees Celsius. This method is more justified to be used in cases of congestive-infiltrative changes in the organs of the urogenital tract, for example, for the treatment of acute and chronic prostatitis with a background vesiculitis, orchitis, orchiepididymitis'.
Massage of the Prostate is used less and less, as there are several effective measures and modern devices for physical therapy. The process of massage of the prostate is not performed in the acute phase, the indications are also of BPH, stones, prostate cancer, tuberculosis.
Device for the treatment of prostatitis at home
Medicinal properties, which is based on heat, massage and magnetic effects on the tissues of the prostate. The procedure is completely painless and does not require special knowledge. Into the rectum is introduced the tip in the condom, before doing this, you can use the gel with anti-inflammatory substances. After using the device, which is not necessarily to the boil, enough to wipe the working surfaces with alcohol.
The course of treatment is 15 procedures, the duration is 10 – 12 minutes.
Contra-indications for physical therapy:
- in the acute stage of the inflammation;
- stones prostate;
- genitourinary tuberculosis;
- of malignant neoplasms;
- the crack of the rectum, and hemorrhoids in the acute stage;
- diarrhea;
- bleeding from the rectum;
- fever.
There are devices for the massage of the prostate in the home environment battery powered, they are less suitable for use, and the action is the vibration. Positive aspects include the price, this is in the range of up to 2000 rubles.
Sanitary-resort treatment of prostatitis
In the sanatorium can be sent in remission after the filling of sanatorium-resort card. There are many places in Russia and abroad of treatment to treat prostatitis, improve erectile function and improve overall health.
It will aid in the solution 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 (baths, mud tampons).
After treatment in sanatorium many patients forget about the symptoms of prostatitis.
Medical therapy of prostatitis
In the treatment of chronic prostatitis significant of the complexity of the system, which will cover all stages of the pathogenesis. It is faster to remove the causative agent from tissues, normalizes blood circulation and nutrition of the body, allows proper drainage acini (excretory ducts), normalizes hormonal balance and activates local immunity.
For this purpose, the use of medications from the following groups:
- antibiotics;
- anticholinergic medications;
- nonsteroidal anti-inflammatory drugs (nsaids);
- immunomodulatory agent;
- angioprotectors;
- herbal;
- alpha blockers;
- serotonin 5--alpha reduktaze;
- inhibitors of cytokines;
- medications that affect urate metabolism, and citrate.
Important! It is not necessary that your plan of treatment, which 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 disease.
Exacerbation of chronic prostatitis requires empirically (without determination of the agent) to antibacterial treatment, with the appointment of broad-spectrum antibiotic. Of course, it is better to choose an antibiotic according to the results of the bacterial analysis, but to obtain it, you need time. The 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 on the background of provoking inflammation of the urinary tract, acute retention.
In these cases, perform a suprapubic puncture of the bladder with the installation of the Foley catheter and the prevention of deterioration of the prostatitis with antibiotics, anti-inflammatory drugs, local use of candles, etc
So, that is not in the hospital for the treatment of inflammation is necessary at the first symptoms of the disease and to implement all the recommendations of the urologist.
Treatment of prostatitis to be determined on an individual basis, but are recommendations for the antibiotics (levofloxacin better novum) for up to 28 days.
This scheme respects the European Association of urology, antibiotics, and sulfonamides are considered for priority drugs in the treatment of acute /acute prostatitis.
What means are used to eliminate pain in chronic pelvic pain syndrome (CPPS)
CPPS does not mean the connection of the symptoms with the infectious agent (specific or nonspecific). The diagnosis is established by exclusion, the results of complete clinical and laboratory investigation.
A good effect is achieved when using the following medicines:
- Of tricyclic antidepressants. The use of medications in this group contribute to the cupping of pain by blocking H1-histamine receptors, and anticholinesterase effect. Often prescribed to Amitriptyline and Imipramine. Some patients in the form of side effects develops drowsiness, lethargy and thirst.
- Serotonin 5--alpha reduktaze inhibitors to reduce prostate volume, and eliminates the swelling of the tissues. Furthermore, it slows down the conversion of testosterone into dihydrotestosterone reduces pain and symptoms of dysuria.
- For pain relief medications. In severe cases the use of analgesics if the pain is not access to drugs from other groups.
- Medicines affecting the metabolism of urate.
Treatment persistent symptoms of dysuria in prostatitis
Sometimes, despite the advent of anti-bacterial and anti-inflammatory therapy, the patient continues to have problems in urination.
According to the study – uroflowmetries or bibendum I r & d – the prescription medication depending on the identified pathology. In the case of hypersensitivity of the bladder neck the treatment scheme is similar to those in interstitial cystitis:
- antidepressants;
- antihistamines;
- introduction into the bladder a solution with antiseptic.
If dysuric disorders supports detrusor hyperreflexia (overactive bladder on the background of the prostatitis) – used anticholinesterase drugs. Hypertonicity of the detrusor muscle to shoot benzodiazepines and the use of physiotherapeutic effect, neuromodulation sacralis.
Surgery for prostatitis
The indication for surgery in the long-term short-term prostatitis and severe symptoms are the following complications:
- Sclerosis of the bladder neck.
- Sclerosis of the prostate.
- Sclerosis seed tubercle.
- The stones of the prostate.
Performed transurethral resection (TURKEY), 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 the lazy did not tell you how to cure prostatitis permanently. A few of the ways you can adopt as a Supplement to the basic treatment of others can aggravate the condition and lead to adverse outcome.
As 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 such useful components such as:
- vitamins;
- aromatic oils;
- amino acids and proteins;
- esters and flavonoids, etc ..
This ensures antimicrobial, anti-inflammatory and also antitumor preventive effect.
Prescription ointment for prostatitis, which is based on propolis
In a water bath to melt 100 mg animal fat, add the bee products:
- 90 grams of propolis
- for 7 grams of pollen and royal jelly
- 20 grams of honey.
Boil the ointment is possible, the optimum temperature for the preparation of 40 – 42 C. Stir with a wooden stick, remove and cool in a cold place. Applied to the perineum, 2 times a day, until completely absorbed cream. Duration of treatment – 3 weeks. If necessary, repeat.
If you have problems cooking, you can use the finished pharmaceutical form, in the form of candles with propolis. Enter one candle for the night in the anus daily, the duration of treatment is from 15 to 30 days.
Note that pollen is produced in the form of capsules for use within and contains 0.4 grams of active ingredient. Can be used at the same time with the plugs. Course reception – 1 month.
A decoction and compression on the crotch of bees mortuus monkeys
Podmore – is dead bees, for the preparation of soups the use of the substance exclusively in dry form.
Method of preparation: pour 2 tablespoons of mortuus monkeys 800 ml of water, cook on low flame about one hour. Cool, strain, and take 5 teaspoon 3 times a day for one month. Compression 150 mg mortuus monkeys that passed over the steam until mushy consistency. Put the tool on folded in several layers of gauze, put on top of the pulp in several layers of gauze. More squeeze, which is used for the perineum and hold 45 – 60 minutes. The best procedure for the implementation in the night and in the morning you can take a shower.