Prostatitis is an inflammatory disease of the prostate. It can be of an infectious and non-infectious nature. Regardless of the form of the disease, complex treatment of prostatitis is necessary, including drug and non-drug therapy.
Types of prostatitis and treatment
Due to development, infectious and non-infectious prostatitis is differentiated.
An infectious disease is caused by the activity of disease-causing agents that cause inflammation of the prostate. By the type of pathogen, bacterial or fungal inflammation is differentiated. The disease can be triggered both by the activity of opportunistic microorganisms, which are always present in the man's body, and by sexually transmitted infections, for example, chlamydia or Trichomonas.
The disease develops in a context of decreased immunity. In most cases, this type of prostatitis is caused by opportunistic microorganisms, for example, Pseudomonas aeruginosa, staphylococci. A healthy body is able to suppress infection, but inflammation develops in the context of decreased immunity.
Non-infectious prostatitis is a consequence of a sedentary lifestyle. Its development is due to congestion in Organs pelvic organs - impaired blood circulation, lymphatic flow or stagnation of prostate secretions. Factors that cause the development of this form of inflammation:
- decreased immunity; hypodynamic
- irregular sex life.
Congestive prostatitis is believed to be a disease of office workers. The disease develops in a context of hypodynamics, as a result of which the metabolism slows down and the prostate trophism is disturbed.
A man's sex life plays an important role in the development of congestive prostatitis. Lack of sexual activity leads to decreased prostate tone and stagnation of secretions. This causes edema of the organ and the development of inflammation. At the same time, excessive sexual activity (more than 2-3 sexual intercourse a day) leads to organ depletion and can also cause the disease to develop.
Due to the nature of the course, prostatitis is divided into acute and chronic. The acute form is characterized by an exacerbation of specific symptoms, including:
- frequent need to urinate;
- pain and burning in the urethra;
- bladder spasms;
- pain in the perineum;
- erectile dysfunction.
The urination process is accompanied by severe pain in the urethra, which is caused by the compression of the urethra by an enlarged prostate.
Acute prostatitis can be successfully treated with the appropriate indication of appropriate drug therapy. In the absence of correct treatment, it becomes chronic. This disease is accompanied by a weakening of male sexual function and various disorders of the urinary system.
Chronic prostatitis can be infectious or non-infectious. And in fact, and in another case, it is characterized by periodic exacerbations, during which the symptoms are acute. Exacerbations of the disease are associated, first of all, with a decrease in immunity.
A comprehensive approach to treatment
Before starting treatment, the patient must undergo all tests to identify the type of inflammatory process and the type of pathogen. For this, an analysis of the prostate secretion is made, an ultrasound and magnetic resonance of the organ are performed.
Comprehensive treatment of prostatitis includes:
- drug therapy;
- increased immunity;
- physiotherapy methods;
- diet therapy;
- lifestyle change.
Drug therapy depends on the form of the disease. In infectious inflammation, antibacterial drugs are the main line of treatment. Your selection is based on the results of the prostate analysis.
For non-infectious prostatitis in the acute phase, anti-inflammatory drugs are used for symptomatic treatment. The main part of the therapy is done with drugs that normalize the organ's functionality.
The complex treatment of prostatitis necessarily includes the use of medications to improve immunity. They can be topical agents (rectal suppositories) and immunomodulatory tablets. The choice of medicines is made only by the doctor.
In bacterial prostatitis, the basis of treatment is to fight infections, in congestive prostatitis - to improve the functionality of the prostate.
Comprehensive treatment of prostatitis begins with symptom-relieving drugs that normalize prostate function and improve well-being. In infectious prostatitis, the basis of therapy is antibiotics.
The drugs in the following groups are used for treatment:
Penicillins and tetracyclines are rarely used in urological practice due to the low effectiveness of the treatment and the large number of side effects. The pathogenic microorganisms that cause the inflammatory process quickly develop resistance to the action of drugs in this group, which negatively affects the therapeutic effect of drugs.
However, a very good result is achieved with the use of combined medications.
In most cases, macrolide drugs are prescribed. Its advantages lie in a broad spectrum of action, good tolerance to organisms and high bioavailability, due to which the components of the drug penetrate the tissues of the prostate.
Recently, doctors increasingly prefer drugs in the fluoroquinolone group. They are broad-spectrum antimicrobial drugs that have several advantages over conventional antibiotics.
As fluoroquinolones, unlike antibiotics, are completely synthetic drugs and do not have natural analogues, treatment with these drugs is more effective, due to the lack of resistance development of pathogens.
Fluoroquinolones penetrate the prostate tissue quickly, are well tolerated by the body and rarely cause side effects. Most of the time, doctors prescribe medications with levofloxacin in the composition. Therapy takes at least 28 days, the drug is taken in 1-2 tablets. The exact dosage and dosing regimen are selected by the doctor individually. In some cases, intramuscular administration of the drug may be prescribed, so the course of treatment is shortened.
For the complex treatment of chronic non-infectious prostatitis, anti-inflammatories are used.
These drugs have a symptomatic effect, eliminating pain and interrupting the inflammatory process. It is advisable to prescribe anti-inflammatory drugs in suppositories - thanks to this form of release, the active substance enters the prostate tissues directly.
In infectious inflammation, anti-inflammatory drugs are prescribed in short courses for symptom relief, but in non-infectious prostatitis, they are the main line of treatment, since antibiotics are not used for this form of the disease.
For the treatment of congestive prostatitis, bioactive drugs are often used to normalize the functionality of the prostate.
As a rule, they are preparations based on an extract from the prostate of young bulls. The drug improves prostate trophism, relieves inflammation and reduces edema. In non-infectious prostatitis, it is used for a long time to treat inflammation. In bacterial inflammation of the prostate, this medication is indicated for the restoration of organic function after antibiotic therapy.
For congestive prostatitis, suppositories with propolis and bee products, ichthyol or pumpkin seed oil are often prescribed. These drugs aim to normalize the prostate trophism, have anti-inflammatory effects and increase local immunity.
Preparations to increase immunity
The prostate in the complex treatment of prostatitis is exposed to various medications. In order to prevent the disease from developing again after a course of treatment, a set of measures is shown to increase immunity.
For this purpose, designate:
- zinc preparations;
- tablets with echinacea extract;
- vitamin complex;
- vitamin E.
Zinc, selenium and vitamin E are essential for the normal functioning of the prostate. Urologists often prescribe bioactive dietary supplements with a high content of these substances.
It is also recommended to take a vitamin course specially designed for men. These preparations contain a complex of substances designed to normalize the functioning of the genitourinary system.
Echinacea extract injections are prescribed to reduce the risk of exacerbations and to recover from antibiotic therapy, but this medicine is no less effective in pill form.
In chronic prostatitis, the vitamin complex should be ingested twice a year to reduce the risk of exacerbation.
Physiotherapy and massage
In chronic prostatitis, physiotherapy is prescribed to eliminate congestion. Usually acupuncture, current and magnetic methods of exposure, darsonvalization are used. In the case of bacterial inflammation, such methods are not used, as they can cause the spread of pathogens throughout the body with blood flow.
In case of prostate trophism, rectal massage is indicated. These procedures are performed by a qualified specialist - urologist or proctologist. The massage course ranges from 10 to 15 procedures.
Physiotherapy stimulates blood circulation in Organs pelvic organs, eliminates lymphatic congestion and normalizes the flow of secretions from the prostate. The course of the procedures allows to restore the normal functioning of the organ and has a positive effect on potency.
Surgical treatment of prostatitis is performed only in case of complications.
In infectious prostatitis, an abscess may form in the prostate. This requires immediate hospitalization of the patient and manipulation, during which the abscess is opened and its contents removed.
In chronic prostatitis, a narrowing of the urethra may occur, leading to acute urinary retention. In this case, surgery is performed and a catheter is installed to remove the urine. In addition, with a severe course of the disease, fibrosis can develop, as a result of which scars appear in the prostate tissues. In this case, an operation is performed, during which the sealing areas are removed with the aid of a laser.
Lifestyle and nutrition
Comprehensive treatment for prostatitis includes changes in lifestyle, normalization of nutrition and giving up bad habits. The prostate inflammation diet is not strict, but excludes any fast food, semi-finished products, smoked meats. It is necessary to give up alcohol and smoking.
Foods that are good for men's health should be included in the diet:
- pumpkin seed oil and olives;
- nuts and honey; citrus;
- pumpkin seeds;
- fermented dairy products.
With stagnant prostatitis, exercise regularly. Physical activity should aim to normalize blood circulation in the lower body.
An important role is given to the patient's sex life. With prostatitis, you need regular sex, at least 3 times a week. At the same time, excessive sexual activity is unacceptable as it depletes the prostate.
Otherwise, adequate drug therapy, adequate nutrition and abandoning bad habits will eliminate prostatitis. However, after inflammation, it is recommended that the man visit a urologist annually and have a complete examination of the prostate.