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 system of care. Patients with chronic prostatitis generally do not need hospital treatment. In severe cases, comprehensive treatment in the hospital more efficiently. Let's see in detail what are the pharmacological and non-pharmacological methods to solve this problem.
Non-drug treatment of prostatitis
Heat treatments and physical therapy effect
Modern urology is of great importance of physical methods, which allow to reduce the dosage and duration of antibiotic therapy.
Physical therapy for prostatitis includes the following objectives:
- improves microcirculation in the tissues of the prostate;
- to improve the accumulation of drugs in the body;
- to reduce the pain;
- improving the quality of urination;
- mild inflammation;
- the increased power.
The most effective methods are the rectum of the microwave hyperthermia treatment and care (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, the use of different temperature regimes and different procedures.
Electromagnetic interference at a temperature of about 40 degrees is an anti congestive, immunostimulating and bacteriostatic effect. Further temperature rise to 45 degree mark and sclerosing analgesic effect is due to blocking nerve endings and reduces the size of the glands.
Important! Before prescribing physical treatment of prostatitis is necessary to assess the level of prostate specific antigen (PSA) levels in men over the age of 40 and perform a transrectal ultrasound of the prostate (TRUS). This helps to eliminate the cancer of the prostate gland. In doubtful cases, elevated PSA levels, it is justified to resort to magnetic resonance imaging.
Physical therapy calcifications in the prostate (calculous prostatitis), as a rule, is not implemented. This is due to the fact that the stones and the fabric is heated unevenly in the microwave field, which can cause acute urinary retention and the appearance of blood in semen.
Treatment of prostatitis with laser
-Low navitas laser affect the prostate gland effect similar to microwave hyperthermia, where the temperature is 40 degrees. This method is justified in cases where congestive-infiltrative changes in the organs of the urogenital gastrointestinal tract, for example, for the treatment of acute and of chronic prostatitis on the background of vesiculitis, orchitis, orchiepididymitis'.
Prostate massage has been used less and less, because there are more effective measures and modern equipment for physiotherapy. The procedure of prostate massage is not done in the acute phase, the indications are also BPH, stones, prostate cancer, tuberculosis.
Devices for the treatment of prostatitis at home
Of therapeutic properties based on heat, massage and magnetic effects on the prostate. The procedure is completely painless and does not require special skills. The rectum is introduced the tip of the condom before you can apply a gel anti-inflammatory agent. After use, the device does not need to boil, enough to wipe the countertop with alcohol.
The course of treatment is 15 procedures, the duration is 10 – 12 minutes.
Contraindications to physical therapy:
- the acute phase of inflammation;
- stones in the prostate;
- genitourinary tuberculosis;
- malignant tumors;
- the crack of the rectum and hemorrhoids in the acute stage;
- diarrhea;
- bleeding from the rectum;
- fever.
There are devices for prostate massage in the home environment battery powered, they are less convenient to use, and the operation is vibration. The positive aspects are the price, it is in the range up to 2000 rubles.
Health-resort treatment of prostatitis
The sanatorium can only be sent in remission when filling a sanatorium card. There are many places in Russia and abroad treatments to cure prostate inflammation, improve erectile function and improve overall health.
Help addressing the following actions:
- physical therapy;
- drinking treatment of mineral waters;
- all kinds of hardware physiotherapy impact, in particular the normalization of the nervous system;
- hirudotherapy (treatment with leeches);
- balneotherapy (bath bromine, iodine, etc.);
- mud therapy (baths, mud tampons).
After treatment in a sanatorium many patients forget about the symptoms of prostatitis.
Medical treatment of prostatitis
Chronic prostatitis most important of the complex system, which covers all stages of pathogenesis. This makes it faster to cancel the causative agent of tissues, normalizes blood circulation and nutrition of the body, facilitate proper drainage, and spices (excretory ducts), normalizes hormonal balance and to activate local immunity.
For these purposes, the use of drugs in the following categories:
- antibiotics;
- anticholinergic drugs;
- non-steroidal anti-inflammatory drugs (nsaids);
- immunomodulatory agent;
- angioprotectors;
- herbal;
- alpha-blockers;
- inhibitors of 5-alpha-reductase;
- inhibitors of cytokines;
- medications that affect urate metabolism, and citrate.
Important! Not necessarily that the treatment plan includes all of the above, the doctor is focused on complaints and symptoms of prostatitis, the survey results, the provoking factor, the effect of the previous treatment phase of the inflammatory process and associated disease.
Exacerbation of chronic prostatitis requires empirical (without determination of the agent) to antibacterial therapy, the appointment of broad-spectrum antibiotics. Of course, it is better to choose an antibiotic according to the results of bacterial analysis, but to get it you need time. An acute inflammatory process in the prostate is left without treatment, lead to complications, such as apostema or bacteriotoxic shock. Often swelling of the glands on the background of inflammation provoked by acute urinary retention.
In these cases, perform a suprapubic puncture of the bladder with the installation of Foley catheter and prevent exacerbation of prostatitis with antibiotics, anti-inflammatory drugs, local use of candles, etc.
So not to be in the hospital for the treatment of inflammation is necessary the first symptoms of the disease and to implement all the recommendations of the urologist.
Treatment of prostatitis is determined individually, but are recommendations for the antibiotics (levofloxacin better novum) for a maximum of 28 days.
This system complies with the European Association of urology, antibiotics and sulfonamides are considered the primary drugs for acute /exacerbation of prostatitis.
What means are used to remove pain of chronic pelvic pain syndrome (CPPS)
CPPS does not mean the common symptoms with the pathogen (specific or nonspecific). The diagnosis is established by exclusion, the results of complete clinical and laboratory studies.
A good effect is achieved when using the following drugs:
- Tricyclic antidepressants. Use of the drug in this group contribute to cupping pain blocker of H1-histamine receptors, and anticholinesterase effect effect. Often prescribed Amitriptyline, and Imipramine. Some patients in the form of side effects to develop drowsiness, fatigue and thirst.
- Inhibitors of 5-alpha-reductase inhibitors reduce prostate volume and to remove the swelling of the tissues. In addition, slow down the conversion of testosterone to dihydrotestosterone to reduce the pain and symptoms of dysuria.
- Pain-relieving drugs. In severe cases, the use of painkillers, if the pain is not amenable to drugs than other groups.
- Drugs that affect the metabolism of urate.
Treatment persistent symptoms of dysuria in prostatitis
Sometimes, even with the advent of anti-bacterial and anti-inflammatory treatment, the patient still has difficulty in urination.
After the studies – uroflowmetries or bibendum sem research – prescribe medications, depending on the identified pathology. If hypersensitivity of the bladder neck care system resembles that of interstitial cystitis:
- antidepressants;
- antihistamines;
- introduction into the bladder with solutions of antiseptics.
If dysuric disorders supports the detrusor muscle hyperreflexia (overactive bladder background of the prostatitis) – used anticholinesterase drugs. Hypertonicity of the bladder to shoot benzodiazepines and use of physiotherapeutic effect, neuromodulation sacralis.
Surgery for prostatitis
The indication for surgery in the long term, current prostatitis and severe symptoms are the following complications:
- Disease of the bladder neck.
- Disease of the prostate.
- Ms-a disease of seed tubercle.
- Stones in the prostate.
Performed transurethral resection (TUR), 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 just lazy not tell you how to cure prostatitis permanently. Some of the ways that you can strengthen, Complement to the basic treatment, others can worsen and lead to unfavorable outcome.
Prevention you can use bee products (honey, Royal jelly, pollen, propolis, etc.), a sensible approach would have 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 even antitumor preventive effect.
Recipe ointment of prostatitis based on propolis
In a water bath to melt a 100 mg animal fat, add bees:
- 90 grams of propolis,
- 7 grams of bee pollen and royal jelly
- 20 grams of honey.
Boil the cream 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 difficulty in cooking, you can use the finished pharmaceutical form in the form of candles propolis. Write one candle at night to the anus daily, treatment duration is 15 to 30 days.
Note that pollen is produced in the form of capsules for use inside and containing 0.4 grams of active ingredient. Can be used at the same time suppositories. Course reception – 1 month.
A decoction and compress the branch the bees mortuus monkeys
Podmore – is dead bees, prepare the broth to use the substance exclusively in a dry form.
Method of preparation: pour 2 tablespoons of mortuus monkeys 800 ml of water, simmer on low heat for about an hour. Cool, strain and take 5 tablespoon 3 times a day for a month. Pack 150 mg mortuus monkeys take over the steam, until soft consistency. Put the tool in the folded in several layers of gauze, put on top of the mass in several layers of gauze. Several squeeze, applied to the perineum and hold for 45 – 60 minutes. The best procedure to do at night and in the morning you can take a shower.