Prostatitis is an inflammatory disease.It has unpleasant symptoms and is full of various complications, therefore it requires mandatory treatment.It can be conservative or surgical.In all cases, an integrated approach is required.
In most cases, prostatitis is treated with conservative methods.These include drug therapy, physical therapy, diet and lifestyle changes, exercise, and traditional medicine.In some cases, surgery may be necessary.
Drug treatment of prostatitis
The main direction of conservative treatment of prostatitis is the use of different drugs.They are used to eliminate the root cause of the pathology as well as the accompanying symptoms.Drug therapy of prostatitis involves the use of various dosage forms: tablets, injections, rectal suppositories, microenema.
Tablets for prostatitis
Medicines for the treatment of prostatitis in the form of tablets are etiotropic, pathogenetic and symptomatic.The first is used in cases of infectious origin of the disease, the second is used to eliminate congestion, and the third is used to alleviate the main manifestations of the pathology.
Etiotropic drugs are used for antibacterial therapy.They destroy pathogenic microorganisms that trigger an inflammatory process in the prostate tissue.In the acute form of the disease, antibiotics in the form of tablets are used starting from 3-4 days - prior to this, parenteral administration is beneficial in order to achieve the effect quickly.
To select a drug, you must first determine the pathogen and its sensitivity to the drug.Antibiotics from the following groups can be prescribed for the treatment of prostatitis:
- fluoroquinolones;
- penicillins;
- macrolides;
- tetracyclines;
- sulfonamides.
Antibacterial treatment is usually continued for 1-1.5 weeks.At the same time, probiotics are prescribed to normalize the intestinal microflora.
α-blockers are also prescribed to treat prostatitis.They relax the muscles and relieve cramps.This makes it easier to urinate - difficulty is one of the main symptoms of the disease.The therapeutic course usually lasts at least six months.
Another group of drugs used to treat prostatitis is non-steroidal anti-inflammatory drugs.It is used to relieve inflammation and pain.
For psycho-emotional disorders, which often accompany prostatitis, sedatives and antidepressants are prescribed.Herbal products are effective.
Specific prostatotropic drugs are also used to treat prostatitis.They relieve inflammation and pain, improve microcirculation and metabolic processes.
Injections
The main advantage of drugs used in the form of injections is the rapid delivery of the drug to the pathological focus.Often, injection therapy is prescribed to alleviate the acute disease, and then they switch to other medicinal pathologies.
Popular injections for prostatitis are nonsteroidal anti-inflammatory drugs that relieve inflammation and pain.
Immunomodulators are often used in chronic prostatitis.Such drugs increase the body's resistance and reduce the risk of aggravation and relapse of the disease.
If the disease is of bacterial origin, antibacterial therapy is required.This treatment is continued for an average of 1-1.5 weeks.
Rectal suppositories
The use of such a dosage form is attractive due to its rapid absorption into the local blood stream, the delivery of the drug directly to the pathological focus and the minimization of the risk of side effects, especially regarding the gastrointestinal tract.
The following rectal suppositories can be prescribed to treat prostatitis:
- With antibacterial effect.
- Anti-inflammatory drugs.
- Immunomodulators.
- Anticonvulsants.
Microclysters
This treatment option is usually used to control inflammation, provide antibacterial treatment, and relieve pain and swelling.In case of prostatitis, the following microenema can be used:
- propolis - relieves inflammation, stimulates blood supply;
- iodine – antiseptic effect;
- sea buckthorn, pine, eucalyptus, peach oils.
Folk remedies
Alternative medicine is effective in the treatment of prostatitis.You can use the following recipes:
- Put 0.5 kg of peeled raw pumpkin seeds through a meat grinder, add 0.2 kg of honey and mix thoroughly.Form small balls from the resulting mass and store in a cold place.Eat such a ball half an hour before meals twice a day.Make sure you chew for two minutes.
- Brew 1 tbsp.l.crushed hazelnut bark or leaves with a glass of boiling water and let stand covered for half an hour.Then filter it and take a quarter of a glass four times a day.
- Boil 1 liter of boiling water with 1 tsp.dry wormwood.When the infusion has cooled to 40 degrees, strain and strain.Use in case of microenjection - 100 ml of solution per procedure.Repeat for a week.
- Make juice from fresh parsley and take 1 tablespoon three times a day.l.half an hour before meals.
- Mix equal parts hazel leaf, cinquefoil root and cornflower flowers.Brew 3 tbsp.l.collect three glasses of boiling water and leave overnight, filter in the morning and take one glass three times a day before meals.
Physiotherapy, massage
Physiotherapy procedures are one of the effective areas of prostatitis treatment.The following methods are often used:
- cryotherapy;
- ultrasound therapy;
- electrophoresis or phonophoresis with medication (anti-inflammatory drugs, anesthetics, antibiotics);
- hardware electrical stimulation;
- magnet therapy;
- laser therapy;
- darsonvalization;
- plating;
- microwave therapy;
- healing baths;
- mud therapy;
- UHF therapy.
Physiotherapy treatment methods include massage.It can be done by hand or with an electric massager.In any case, such treatment should be carried out by a professional, since without adequate experience, the procedure may be ineffective and may even cause damage.
Diet, lifestyle
A conservative approach to the treatment of prostatitis also means certain lifestyle changes.The following rules must be observed:
- Stop smoking and alcohol.
- If necessary, normalize your weight.This is achieved by gradually reducing daily calorie intake and exercising.
- Moderate physical activity.You absolutely need to walk - take at least 10,000 steps a day.This is very important to eliminate and prevent congestion.
- Regular sex life.It is important to limit yourself to one sexual partner and use a condom.
- Strengthening the immune system.This is achieved with moderate physical activity, a balanced diet, giving up bad habits, and hardening.Take a vitamin-mineral complex regularly - the right option should be chosen by the attending physician.
You also have to pay attention to your diet.You must meet the following requirements:
- Avoid fatty foods and highly extractive foods - spices, hot spices, pickles, marinades, smoked meats.
- Avoid products that increase gas formation.This applies to legumes, cabbage, sweets, carbonated drinks, kvass and black bread.
- Enrich your diet with fermented milk products, fresh vegetables, fruits and herbs.
- Regular consumption of fish and seafood is necessary.
- Follow the optimal drinking regime.If there are no other medical instructions, 2-2.5 liters of fluid per day is required.It can be plain or mineral water, green or herbal tea, freshly prepared fruit drink, compote, fruit juice.Strong tea and coffee should be avoided.
- For cooking, limit yourself to boiling, steaming, baking and steaming.
Exercise
Physical therapy is useful for prostatitis.It can also be done at home.
Useful exercises:
- In a standing position, squeeze the muscle, simulating stopping urination.Hold this position for a count of five and then relax.Do 10 repetitions.
- Lie down on the ground.Lift your legs and pelvis straight up at the same time, perform the "birch tree" pose.At the extreme point, it should be fixed and held as long as possible.
- Lying on your back, raise your legs a few centimeters from the floor and make transverse movements, imitating scissors.After a short rest, repeat the exercise, but lying on your stomach.
- Lying on your back, raise your legs and imitate cycling.Gradually increase the pace.Perform the movements first forward and then in the opposite direction.
- Lie on your stomach.Raise your straightened legs 5 cm from the floor and hold for a few seconds.Return to the starting position and perform several repetitions.Repeat the exercise, lifting one leg at a time.
- Perform shallow squats while spreading your knees out to the sides.The legs should not come off the floor, the back should be straight.
- Stand up on the support and swing your legs - 15 times each.
- Walk on his butt.You need to sit on the floor and alternately move your buttocks forward.You have to go back the same way.
- Sit on the floor and move your legs slightly apart.Bend down, try to reach your socks.
Exercises should be performed smoothly, paying attention to breathing.Gradually increase the load.The permissibility of such exercises should be discussed with your doctor.
Surgical treatment
In most cases, the prostate is treated with conservative methods, but sometimes surgery is the only option.The following methods are possible:
- Prostatectomy - complete or partial removal of the prostate.The surgery can be endoscopic or abdominal.
- Resection of the prostate – removal of a fragment of the gland.There is suprapubic, laparoscopic and transurethral resection.
- Circumcision (circumcision) - circular cutting of the foreskin.It is used to treat and prevent chronic prostatitis.
- Drainage of the abscess.This surgical procedure is minimally invasive and involves suctioning the purulent contents with a needle, followed by washing the cavity with antiseptics.
Prostatitis is a fairly common pathology.Various methods are used in its treatment: drug therapy, physiotherapy, physical therapy, special diet, surgery.In any case, a specialist must choose the right tactics and monitor its effectiveness.