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Treatment, etiology and symptoms of prostatitis

inflammation of the prostate

Inflammation of the prostate gland is a common reason a man goes to a urology clinic.

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

In addition, an active lifestyle, regular exercise and physiotherapy play an important role in therapy.

Urologists have nothing against treating prostatitis with traditional medicine prescriptions either. To avoid aggravation of the disease, it is better to use them at the same time as drug therapy.

Causes of prostate inflammation include:

  • congestion in the pelvic area due to a sedentary lifestyle;
  • sexually transmitted diseases;
  • urinary tract infections;
  • prolonged sexual residence;
  • interruption of intercourse;
  • complications after urethral catheterization;
  • persistent hypothermia;
  • abuse of alcohol, spicy and spicy foods;
  • Infections of other organs (such as tonsillitis, sinusitis, pneumonia, caries) in the background of weakened immunity.

Acute and chronic prostatitis are distinguished by their form of flow.

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

  • Acute bacterial prostatitisis ​​primarily caused by the 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. The main cause is infection by chlamydia (Chlamydia trichomonas), ureaplasma (Ureaplasma urealyticum), mycoplasma (Mycoplasma). The disease can occur both on its own and as a complication of an acute form of the inflammatory process of the prostate gland.
  • Granulomatous prostatitisis ​​relatively rare. It is caused by syphilis, genital tuberculosis, fungal infections.
  • Chronic, non-bacterial prostatitisoccurs in the vast majority of cases in men over 50 years of age. The main cause is age-related circulatory disorders.

The secret of the prostate gland has some antimicrobial activity and is effective in coping with infection.

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

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

  • feeling of heaviness in the perineal region, especially when sitting;
  • increased urination stimulus, sometimes false due to compression of the urethra by the enlarged gland;
  • heavy, painful urine flow;
  • pain in the perineum, radiating to the penis and anus;
  • presence of foreign body in the rectum;
  • pain during bowel movements;
  • the temperature rises to 38 to 40 degrees.

If treatment for acute prostatitis is started quickly, the patient's condition will improve within 3-4 days. However, in the absence of proper therapy, there is a risk of developing purulent abscesses in the prostate. This requires immediate medical attention in a hospital setting. Signs of chronic prostatitis are shown below.

symptoms of prostatitis in men

Pain. Varied, it can occur when urinating, ejaculating or at rest. The intensity depends on many factors. Sometimes a man just complains of a feeling of difficulty, and in some cases painkillers are needed. The localization of pain also differs - in the perineum, glans of the penis, testicles, or rectum.

Urinary disorders.This is a common urge to use the toilet, especially at night, with a slow, intermittent flow of urine, a feeling of an insufficiently emptying bladder. Sexual dysfunction manifests itself in the form of premature ejaculation or weakened erections.

Psychological symptoms.Patients complain of insomnia, increased sweating, irritability, and rapid fatigue. These signals disappear during the remission phase and worsen during activation of the process. Experts stress the need to differentiate 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. Your doctor treats inflammation of the prostate by prescribing topical (suppositories) and systemic medications (tablets and injections during the acute course of the disease).

Therapy focuses on:

  • stops the activity of bacteria;
  • improving microcirculation and blood circulation;
    • Elimination of
  • edema;
  • stopping the inflammatory process;
  • to normalize the outflow of secretions from the prostate gland;
  • improve the immune system;
  • if necessary - correction of hormonal disorders.

Patients have reported that the effectiveness of pharmacological treatment of prostatitis increases with the concomitant use of infusions and infusions of various herbs:

  • pumpkin seed oils;
  • parsley leaf, root and fruit;
  • apiculture products (honey, propolis, bee bread, zabrus);
  • poplar bark;
    • celandine juice;
  • chestnut peel;
  • bloodweed tinctures.

Wet therapy has recently become popular. 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, juice therapy helps cope with many other chronic diseases. You can read about the details of the method in special forums.

Treating prostatitis in men: drugs and how they work

In addition to physiotherapy procedures such as transrectal massage of the prostate gland, thermal microwave therapy, the following groups of drugs are prescribed to treat the following prostatitis in men:

  • antibiotics;
  • non-steroidal anti-inflammatory drugs;
  • herbal and biological preparations;
  • angioprotectors and vasodilators;
  • α-blockers;
  • antispasmodics;
  • 5-a reductase inhibitors;
  • Immunomodulators.

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.

The appropriateness of the use of antibiotics should be confirmed by laboratory tests.Perform a so-called bacterial culture of prostate secretion. The study shows not only the presence or absence of the pathogenic microflora, but also its susceptibility to certain antibacterial drugs.

The duration of therapy is 2 to 4 weeks, if necessary, for another month.When prescribing the drug, consider its ability to accumulate in the tissues of the prostate gland. This property is possessed by fluoroquinolones, antibiotics belonging to the group of penicillins, lincosamides, tetracyclines, macrolides. Antimicrobial therapy is sometimes indicated when there is a risk of complication of non-infectious prostatitis with a bacterial infection. The dose of drugs is calculated individually based on the patient's age, condition, and the presence of concomitant diseases of the kidneys, liver, and digestive system.

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

In the treatment of prostatitis in men, the drug is suitable for topical application in the form of suppositories. This ensures rapid ingestion and maximum concentration of the active ingredient in the body. Anticonvulsants and α-blockers facilitate urination by inflaming the prostate gland. Experts associate the difficulty of emptying the bladder with more than just compressing the urethra by an enlarged prostate.

This symptom is also caused by reflex cramps in the urinary tract smooth muscles. Difficulty urinating or an incompletely emptied bladder can cause secondary bacterial infections, sand buildup, and stone formation. The effect of adrenergic blockers develops gradually. Almost 90% of patients experience improvement 1-2 weeks after starting treatment. Anticonvulsants "work" a little faster, in addition to relieving pain.

treatment of prostatitis in men

Herbal preparations and drugs based on the secretion of the prostate gland in the form of tablets or suppositories for cattle have a complex effect. It does not have as pronounced an effect as synthetic drugs.

For the treatment of prostatitis in men, phytopreparations are used either as part of a complex therapy or in remission to prevent the disease from getting worse.Angioprotectors can be used in capsules or ointments for external use. Their activity is aimed at normalizing the blood circulation in the prostate gland. Improving venous outflow contributes to the early elimination of inflammatory secretions and the elimination of swellings.

Immunomodulators used to treat prostatitis in men are used to strengthen the body's defenses. The fact that a weakened immunity plays an important role in the development of inflammation increases the risk of various bacterial complications in this condition. Thyroid preparations, interferons, and stimulants of their own immunity are widely used.

In addition, multivitamin complexes are used to treat prostatitis in men(which drug the patient chooses depending on the price and manufacturer). In case of strong nervous tension, insomnia, mild sedatives and antidepressants appear. If ultrasound examination of the organs of the urinary system has shown an accumulation of sand in the kidneys, appropriate medications are chosen to prevent stone formation.

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

The prostate gland is a major organ of the male reproductive system, so many are interested in the need for hormonal therapy in the development of the inflammatory process. Experts agree that such drugs are only needed without the effect of the main therapy for advanced prostatitis. In particular, the following shall apply:

drugs to treat prostatitis

Glucocorticoid preparations. They are prescribed topically by electrophoresis to reduce side effects and systemic exposure.

Inhibitors5-αreductase. Drugs in this group are not hormones. Their mechanism of action is based on reducing the effect of androgens on the prostate gland. This ensures a reduction in organ size and relief of the symptoms of prostatitis.

Testosterones to improve sexual function. They are extremely rarely prescribed for medical reasons and after a blood test for the main hormones. Physicians advise to increase the effectiveness and reduce the duration of medication with the tools of the arsenal of traditional medicine.

How to treat prostatitis using folk recipes:

  1. Peel the chestnuts, chop the peel and cover with a glass of vodka. Stick to a cool, dry place for 14 to 20 days. Then filter and add 100 to 150 mL of clear water at room temperature. Take 10 drops twice a day on an empty stomach for 2 weeks. You should then take a seven-day break and repeat the course of treatment.
  2. It is recommended to drink pumpkin seed oil with one tablespoon before each meal.
  3. Heat a glass of vegetable oil in a water bath and add 2 tablespoons. crushed propolis and continue heating until complete dissolution. Use the resulting mixture as an ointment once a day before going to bed. The duration of treatment is 28-30 days.

Regular prostate massage has a good effect. You can do it yourself, ask for help from a loved one, or use one of the special tools, many in the modern market. The contraindication to massage is the formation of stones in the prostate (inflammatory prostatitis).

In addition, such a procedure is not recommended in case of exacerbation of the disease accompanied by pain and fever. In addition, exercise helps you decide to cure prostatitis. Moderate sports activity is an excellent way to prevent congestion in the pelvic region, helping to fight obesity.

Urologists recommend performing the following elements of the exercise:

  1. Kegel exercises consist of rhythmic tension and relaxation of the perineum muscles. It should be done at least 30 times 3-4 times a day.
  2. Walking up stairs or kneeling up to your chest.
  3. Squats.
  4. "Birch".
  5. Raise your legs at the bar.

You can also have a video about yoga.Reverse asanas and breathing exercises help cure prostatitis. However, this does not mean that you can continue to lead a sedentary lifestyle after training. To effectively prevent prostatitis and impotence, experts recommend that the stronger not move as much as possible.

Hirudotherapy is a good complement to traditional methods of treating disease. The course is an 8 to 9 procedure, it is better to start them at an early stage of the acute inflammatory process.

The efficiency of manipulation is due to the following factors:

  • during the procedure, leeches release the substance hirudin, which thins the blood and facilitates its circulation;
  • edema resolves due to excretion of inflammatory secretions;
  • reflex effect on pelvic and genital hotspots.

It is almost impossible to treat prostatitis without following a proper diet. Alcohol, spicy, smoked, spicy and salty foods should be given. Preference should be given to the juice of green vegetables (especially spinach, herbs), lean meats and fish, drink plenty of fluids (water, compotes, fruit drinks).

zinc is good for any age. This mineral stimulates spermatogenesis, improving the quality of male sperm. It is found in large quantities in beef, pine nuts, peanuts and legumes.

However, despite all the efforts of doctors, it is impossible to cure advanced forms of non-bacterial or infectious prostatitis with severe edema and pain with medication and physiotherapy. In such cases, only surgery will help. To avoid this, you need to monitor your weight, engage in sports appropriate to your age and health. It is also necessary to avoid hypothermia and prevent the development of chronic infections.

Medications for prostatitis

The selection of drugs for the treatment of inflammation of the prostate requires an individual approach. When prescribing medications, the physician should consider the presence of contraindications, the characteristics of the course of the disease, and the cost of medications to treat prostatitis.

As can be seen, the range of agents used to treat inflammation of the prostate is wide. However, high costs do not always mean efficiency. Only one doctor should select medications to treat prostatitis and their dosage. A specialist should also be consulted before using traditional medicine with honey or herbs.

Draw conclusions

Prostatitis is one of the most common male diseases in the world. But few know that seven out of ten men with prostatitis die from prostate cancer.

It’s especially scary that most men completely ignore the symptoms of prostatitis and when they see a doctor they can’t help anymore.

Prostatitis symptoms:

  • Drawing or cutting pain in the lower abdomen, scrotum, or perineum
  • Frequent urination, burning sensation in the urethra
  • Feels like "the bladder isn't completely empty
  • Difficulty urinating (poor flow)
  • Deterioration of erection duration and quality
  • Premature ejaculation or problem getting it
  • Increased body fatigue and irritability

Even one of these symptoms makes you think. And if you have two of them, don’t doubt - you have prostatitis.