The current treatment of prostatitis – one of the most urgent problems in urology, as a function of causes that promote inflammation of the prostate, will depend on the treatment regimen. Patients with chronic prostatitis usually do not require hospitalization. In severe cases, a complete treatment in the hospital more efficient. Examine in detail, what are drug-drug and non-drug ways to solve this problem.
Non-drug treatment of prostatitis
Spa treatments and physiotherapy of the impact
Modern urology of the importance of physical methods, which allow to reduce the dosage and duration of antibiotic treatment.
The physiotherapy in of prostatitis involves the following objectives:
- an improvement of the microcirculation in the tissues of the prostate;
- the increase in the accumulation of medicinal substances of the body;
- the decrease the pain;
- the improvement of the quality of urination;
- the cutting of the inflammatory process;
- the strengthening of the power.
The most effective means of bear transrectal a microwave hyperthermia and the therapy (mud, laser therapy, phono -, and electrophoresis). Depending on the degree of severity of changes in the tissues of the prostate, the presence or absence of phenomena of stagnation, as well as the co-morbid conditions, apply to different temperature regimes and types of procedures.
Electromagnetic effects at a temperature of about 40 degrees Celsius has anticongestive, immunostimulating and bacteriostatic effect. With the further elevation of the temperature to 45 degrees marked analgesic and sclerosing of the effect, as has the oppression of nerve endings and reducing the size of the breast.
It is important! Prior to the appointment of physiotherapy at the prostatitis, you need to assess the level of prostate-specific antigen (PSA) in the blood of men over 40 years and run the study transrectal ultrasound of the prostate (TRUS). This will avoid the process of fight against prostate cancer. In doubtful cases, with the increase in the level of PSA, justification for using magnetic resonance imaging.
Physiotherapy in calcifications of the prostate (calculous prostatitis), is not commonly carried out. This is due to the fact that the stones and the tissue unevenly heated in a MICROWAVE field, which can cause acute urinary retention and the presence of blood in the ejaculate.
Treatment of prostatitis laser
-Low navitas laser, with effects on the prostate action, similar to those in a microwave-hyperthermia with temperatures of 40 degrees Celsius. This method is more justified to apply in cases of congestive heart failure-infiltrative changes in the organs of genito-urinary gastro-intestinal tract, for example, for the treatment of acute and chronic prostatitis with a background of vesiculitis, orchitis, orchiepididymitis'.
The prostate massage is used more and more rare, because there are more effective and modern equipment for the holding of the physiotherapy. The procedure of prostate massage has not performed in the acute period, a counter-indication are also an adenoma of the prostate, stones in the prostate, the cancer process, the disease.
Apparatus for treatment of prostatitis at home
The therapeutic properties are based on the thermal, massage centre and a magnetic impact on the tissue of the prostate. The procedure is painless and does not require special skills. The rectum is introduced to the tip in a condom, before that, you can apply the gel with an anti-inflammatory substance. After the use of the device should not boil, simply wipe the surface with alcohol.
The course of treatment of 15 sessions, lasting 10 to 12 minutes.
Contra-indications of physiotherapy:
- the acute phase of the inflammation;
- the stones of the prostate;
- the tuberculosis of the genito-urinary tract;
- malignant tumors;
- a crack in the rectum, and hemorrhoids in the acute phase;
- diarrhea;
- bleeding from the rectum;
- fever.
A special tool for prostate massage in the home battery, they are less practical to use, and the action is in the vibration. Positive aspects can be attributed to the price, it is located in a range up to 2000 rubles.
Sanitation-station of treatment of prostatitis
In a sanatorium, you can go only in the phase of remission after the filling of the medical card. There are many places in Russia and abroad, offering treatments to cure prostatitis, improve erectile function and enhance the general health.
Help to solve problems of the following activities:
- physiotherapy;
- of thermal cures;
- all kinds of hardware physiotherapy impact, including, and normalize the functioning of the nervous system;
- girudoterapiya (treatment by);
- balneotherapy (baths with bromine, iodine, etc);
- the mud (and mud tampons).
After treatment in a sanatorium many patients forget about the symptoms of prostatitis.
The medical treatment of prostatitis
In the treatment of chronic prostatitis is important the multicomponent scheme, which will cover all aspects of the pathogenesis. This enables you to launch more quickly the pathogen in the tissues, normalizes blood circulation and the nutrition of the authority, contributes to the adequate drainage performed in the acinus (lead-ductal), to regulate hormones and the strengthening of local immunity.
For these objectives, to apply the drugs of the following groups:
- antibiotics;
- anticholinergic medications;
- nonsteroidal anti-inflammatory drugs (NSAIDS);
- autoimmune;
- angioprotectors;
- herbal;
- alpha-blockers;
- inhibitors of 5-alpha-reductase;
- cytokine inhibitors;
- the medicines that have an impact on the metabolism of urate and citrate.
It is important! Optional, your treatment plan will include all of the above, the doctor focuses on your complaints and the symptoms of prostatitis, the results of the survey, provocative factor, the effect of the previous treatment, a step of a inflammatory process and pathology.
The worsening of the chronic prostatitis requires the empirical (without the definition of the pathogen) of the antibiotic therapy, with the appointment of a broad-spectrum antibiotic action. Of course, it is preferable to choose an antibiotic on the results of the bacterial inoculation test, but to get it, it takes time. Acute inflammation of the prostate, it is left without treatment, lead to complications, for example, apostema or bacteriotoxic shock. Often the swelling of the gland on the bottom of the inflammation causes acute urinary retention.
In these cases, perform a suprapubic puncture of the bladder with a catheter Foley catheter and stop the worsening of prostatitis antibiotics, anti-inflammatory means, the local application of candles etc
Therefore, in order not to be in a hospital, treat inflammation need when the first symptoms of the disease and to follow all the recommendations of an urologist.
Treatment of prostatitis is determined individually, but there are recommendations on antibiotics (preferably levofloxacin novum of the range) for up to 28 days.
This scheme adheres to the European association of urologists, the antibiotics and sulfa drugs are considered priority drugs in the treatment of acute /worsening of prostatitis.
What methods can use to eliminate the pain in the syndrome of chronic pelvic pain (CPPS)
CPPS does not involve the communication of symptoms with the infectious agent (specific or non-specific). This diagnosis is defined by the method of exclusion, according to the results of complete clinical and laboratory.
Good effect is obtained when you use the following medications:
- Tricyclic antidepressants (tcas). The application of drugs of this group contribute to the cupping of the pain by preventing the H1-histamine receptors and acetylcholine-like effect. Prescribe most often, Amitriptyline and Imipramine. In some patients, the sub-action develops drowsiness, lethargy and thirst.
- Inhibitors of 5-alpha-reductase activity contribute to the reduction of the volume of the prostate and the elimination of the swelling of tissues. In addition, the slowdown of the transformation of the testosterone in digidrotestosteron reduces the pain and symptoms of dysuria.
- Of analgesic drugs. In severe cases use of painkillers, if the pain does not yield to drugs of other groups.
- Medications that affect the exchange of urate.
The treatment of persistent symptoms dysuria in prostatitis
Sometimes, in spite of its antibacterial and anti-inflammatory therapy, the patient continues to have difficulty with the act of urination.
After a follow-up study – uroflowmetries or bibendum sem research – to prescribe medicines based on identification of the pathology. The sensitivity of the neck of the bladder, the pattern of treatment is similar to that of interstitial cystitis:
- antidepressants;
- antihistamines;
- introduction into the bladder of the solutions with an antiseptic.
If dysuric disorders supports hyperreflexia detrusor (overactive bladder on the bottom of the prostatitis) – use anticholinesterase drugs. Hypertonia detrusor withdraw the benzodiazepines and the use of physiotherapeutic impact sacralis neuromodulation.
A surgical operation when the prostatitis
The indication of surgery in the long course prostatitis and expressed the symptoms are the following complications:
- The sclerosis of the bladder neck.
- The sclerosis of the prostate.
- Multiple sclerosis tuber seed.
- The stones of the prostate.
Is a transurethral resection (ROUND), which improves the quality of life of the patient.
Other means of treatment of prostatitis: the evil or the use
On the internet and the daily publications is not only lazy said how to cure the prostatitis never. Some means may adopt, as a primary treatment, others may worsen and lead to an unfavorable outcome.
In prevention, you can use the products of the hive (honey, royal jelly, pollen, propolis, etc), with a reasonable approach positive, the effect will be.
It is believed that propolis contains ingredients useful, such as:
- vitamins;
- aromatic oils;
- amino acids and proteins;
- the esters and flavonoids etc
This allows antimicrobial, anti-inflammatory and even prophylactic use of the antitumor effect.
The recipe of the ointment of prostatitis at base of propolis
In a bain-marie, melt 100 mg of animal fat, add the products of beekeeping:
- 90 grams of propolis,
- 7 grams of ambrosia and royal jelly,
- 20 grams of honey.
Boil ointment tool should not be the optimum temperature for cooking 40 – 42 C. Mix the wooden stick, let it cool down and put in a cold place. Apply on the perineal area 2 times per day, until complete absorption of the ointment. The duration of treatment is 3 weeks. If necessary, repeat.
If there are difficulties in the preparation, you can use the finished pharmacy the form of candles with propolis. Enter a candle night in the anus every day, the duration of therapy of 15 days to 30 days.
Note that the pollen is available in capsule form for use at the interior and contains 0.4 grams of active substance. You can simultaneously use with suppositories. The cure of 1 month.
The decoction and compress on the crotch of the bee mortuus apes
A sample – of the dead bee, to prepare the broth use the substance exclusively in a dry form.
Preparation: pour 2 tablespoons of mortuus epas 800 ml of water, simmer on low heat for about an hour. Let cool, strain and take 5 tablespoons 3 times a day for a month. To compress 150 mg mortuus apes resist at the top of the steam Pappy consistency. Pay a tool, folded in several layers of gauze, from top to close the dough still several layers of gauze. Several squeeze, put in the crotch and keep for 45 to 60 minutes. Best procedure for the night and in the morning, you can take a shower.