Inflammation of the prostate, that is, the prostate, usually becomes chronic, regardless of the cause of the disease. To achieve effective treatment of chronic prostatitis, you need to know the reasons why it occurs.
Good health, dear readers. We continue to understand the problem of chronic prostatitis, its causes, symptoms, and treatment options.
In this article, we will try to figure out what is the best way to treat this terrible disease, what options are available to us. We begin to analyze the most modern and effective methods of prostatitis in men.
Causes of disease development and exacerbation
Inflammatory diseases of the urogenital system lead to inflammatory focus due to close contact with the rectum and prostate gland. The blood vessels that supply the prostate are the branches of the arteries of the bladder, rectum, posterior sacral artery, and deep artery. Any infectious focus that occurs in these organs can enter the gland.
Chronic infection of any localization, such as the paranasal sinuses, leads to a weakening of immunity and conditionally pathogenic microorganisms are present on the skin, intestines, and urethra. This leads to the development of a chronic process.
Disruption of the blood flow to the prostate gland due to stagnation of blood leads to a deterioration in the supply of drugs to the prostate gland in the background of decreased physical activity and complicates the treatment of chronic prostatitis in men.
The increase in blood flow to the organs in the pelvis is due not only to low physical activity, but also to a number of factors:
- irregular sex life;
- interruption of intercourse;
- smoking, alcohol consumption;
- varicose veins of the lower limbs;
- paraproctitis and proctitis;
- hemorrhoidal veins thrombophlebitis in the background of chronic hemorrhoids; anus fissures and fistulas;
- vascular wall tone is regulated by the sympathetic and parasympathetic nervous systems, in which case the inflow and outflow of the organ causes disturbance;
- Perineal trauma in riders, cyclists, motorcyclists.
In urogenital sexually transmitted infections, the disease is not always completely curable - this is the cause of the development of chronic prostatitis. The most common pathogens are:
- Trichomonas;
- mycoplasma;
- gonococcus;
- gardnerellas;
- ureaplasma;
- chlamydia;
- mushrooms;
- viruses;
- Escherichia coli;
- streptococci;
- enterococci;
- staphylococci.
These microorganisms are difficult to cure.
After 40 years, hormonal activity in a man gradually begins to fade. Asymptomatic at first.
Decreased testosterone production leads again and again to a slight stagnation of prostate secretion in its granules. This stagnation is gradually increasing. The substances in the secretion of the prostate are not completely removed. The secretory, motor, inhibitory function of prostate secretions begins to suffer.
Citric acid in prostate juice has a bactericidal and diluting function. If there is not enough citric acid, a bacterial infection will begin to develop. The level of citric acid in the prostate juice is directly related to the amount of testosterone in the blood.
Clinical picture of the disease
Symptoms of chronic prostatitis in men:
- discomfort, pain over my pubic area;
- pain shoots periodically in the rectum and sacrum;
- increased urination and pain, especially hypothermia, after stress;
- uncharacteristic discharge;
- ejaculation, erectile dysfunction;
- premature ejaculation;
- excessive sweating;
- sleep disorder;
- periodic rise in body temperature up to 37, 2-37, 3 in the evening.
The predominant symptoms are pain, urinary incontinence or sexual dysfunction - it depends on the treatment of chronic prostatitis in men.
The main components of disease therapy
Is chronic prostatitis treated?
The main areas of treatment should be highlighted:
- drugs;
- normalization of work and rest system;
- rational nutrition;
- gives up bad habits;
- physiotherapy, massage;
- folk remedies.
It is necessary not only with medication, but with the complex application of all methods. It is impossible to favor any direction of therapy for prostatitis.
Medication
Effective treatment of prostatitis should seek to eliminate the cause of prostatitis. Medicines are selected individually by your doctor after performing the necessary diagnostic tests. Let’s seehow and how to treat prostatitisif it has already taken chronic form. The main directions of drug therapy are:
- antibiotics;
- anti-inflammatory drugs;
- antispasmodics to improve urine flow;
- uroantiseptics to eliminate urinary tract infections;
- drugs that improve arterial and venous blood flow;
- drugs that improve fluidity, reduce blood viscosity;
- vitamins;
- enzymes;
- sedatives, psychotherapeutic effects;
- correction of immune disorders;
- Treatment of metabolic diseases and hormonal dysfunctions.
Antibiotic therapy
Whether chronic prostatitis can be cured depends on the appropriate antibiotic therapy. It is important to note that the therapy and treatment of prostatitis will only be most effective if the type and stage of the disease are correctly defined.
Antibiotics are chosen as those that penetrate the prostate well and are effective in causing the infection. Some pathogens of chronic prostatitis, such as ureaplasma, are not sensitive to strong drugs such as:
- tetracyclines;
- some cephalosporins;
- some fluoroquinolones;
- some macrolides.
How can we treat chronic prostatitis with antibiotics?
Groups of antibacterial drugs used for treatmentBacterial prostatitis:
- Fluoroquinolones.
- Macrolides.
- For tetracyclines.
- 5-Nitroimidazole derivatives.
- Cephalosporins 3-5 generations.
- Lincosamines.
- Sulfonamides.
Treatment with one antibiotic is 7-10 days, depending on the results of the test. Although antifungal drugs are prescribed during treatment with antibacterial agents, agents that normalize the microflora of the gastrointestinal tract.
In total, antibiotic therapy lasts for 2 to 4 weeks.
Ways to administer antibiotics:
- orally in tablets;
- intramuscularly;
- intravenously;
- inside the prostate;
- endolymphatic.
How to treat and what antibiotics to use, your doctor will tell you the test, based on the test data:
- ultrasound;
- complete blood count;
- examination of prostate secretion;
- PCR;
- TRUSI;
- uroflometry.
Non-steroidal anti-inflammatory drugs
The effect of non-steroidal anti-inflammatory drugs (NSAIDs) is related to the normalization of vascular wall permeability, the restoration of microcirculation. They reduce the formation of existing inflammatory mediators and prevent their absorption. The property of NSAIDs to form ulcers in the stomach and duodenum should be recalled.
How can chronic prostatitis be cured without a stomach ulcer? In the evening, 1 capsule of a proton pump inhibitor should be taken for prophylaxis.
The use of rectal suppositories with LPS is considered the most rational.
Immunomodulators
Immune modulators are used to correct immune disorders.
Medications are prescribed by a doctor, doses are selected individually.
Non-specific resistance of the body is normalized by vitamins and trace elements.
Enzymes
Enzyme preparations improve access to the prostate for antibiotics and NSAIDs, destroying adhesions that are always present in a chronic inflammatory process.
In addition, enzymes have a moderately pronounced function in stimulating immunity.
How to treat chronic prostatitis with alpha-adrenergic blockers?
These medications are prescribed by a doctor:
- Remove the spasm from the neck of the bladder, which develops against the background of edema and inflammation.
- Improve urine flow, normalize physiological urine.
- Coordinates the work of the bladder muscles and sphincters.
Normalize blood flow with medication
Normal blood flow is achieved by the proper diameter of the arteries, which delivers blood to the veins involved in the outflow of oxygen-deficient blood. It is also necessary to reduce the viscosity of the blood and achieve good fluidity in the capillary bed.
In order to achieve good results in the treatment of chronic prostate diseases, it is necessary to treatinflammatory diseases of the zzus, bladder and kidneys.
Prostatitis inevitably reduces efficiency, weakens libido, interrupts erection. These phenomena are always accompanied by dysphoria, low background mood, mood swings. They are prescribed with these symptomssedatives, anxiolytics, antidepressants.
Physiotherapy methods of the effect
The following methods of treating a chronic process are used to affect the prostate:
- ultrasound
- electrophoresis;
- baths with hot water, chamomile, linden, sage, thyme decoctions;
- hot enema
- massage of the prostate gland through the rectum;
- hirudotherapy
- UHF;
- inductothermia;
- microwave resonance therapy.
Physiotherapy is contraindicated in patients with concomitant prostate adenoma.
The severity of psychological disorders and depressive manifestations depends on how much chronic prostatitis is treated. In order to speed up the process, physiotherapy exposure methods should be added to the treatment in the absence of contraindications.
Dietary recommendations
A standard recommendation for all chronic diseases, in the form of fried, salted, peppered, smoked rejection in this situation, is not enough. Effective treatment of prostatitis depends on a sensible, balanced diet. Foods like celery, ginger, turmeric, apiprot products should be added to the dishes.
Contains:
- silicon, which normalizes the production of hormones in the body;
- B vitamins, remove toxins and restore redox processes;
- chromium, germanium, selenium, zinc normalize the work of sympathetic and parasympathetic systems;
- Vitamin C, A normalizes cell membrane permeability, has antioxidant properties;
- Essential amino acids, omega 3, that rejuvenate sexual function.
Used forapitherapy: natural honey, bee bread, podmore, royal jelly, dead bees, bee pollen.
Beekeeping products have the following effects:
- bactericidal;
- fungicide;
- bacteriostatic;
- tonic;
- antiviral;
- immunomodulatory effect.
Alternative treatment
The treatment of chronic prostatitis is necessarily supplemented with herbs, which must take into account all the listed mechanisms of disease development. Then the effect of the therapy will be fully achieved.
The following herbs can be used:
- nettles, sage, bear grapes;
- mint, plantain, hernia;
- rosehips, yarrow, wormwood;
- thyme, birch buds, linden flowers;
- swamp dry layer, chamomile, uterus.
The treatment of chronic prostatitis depends on the long-term use of herbs, according to the scheme, combined with anti-relapse medications.
Decoctions, infusions are used for ingestion, baths, microclickers. The use of tinctures, ie drugs containing alcohol, is not recommended. This prevents the successful treatment of chronic urogenital diseases.
All of these drugs have a beneficial effect in the treatment of prostatitis with an inflammatory, congestive, hormonal etiology.