Treatment of prostatitis, etiology and symptoms of the disease

inflammation of the prostate

Inflammation of the prostate gland is a common reason for a man to go to a urological clinic.

Treatment of prostatitis consists in identifying the cause of the disease and prescribing special drugs to improve the functioning of the prostate.

In addition, an active lifestyle, regular exercise and physiotherapy play an important role in the therapy.

Urologists also have nothing against the treatment of prostatitis using the recipes of traditional medicine. To avoid an exacerbation of the disease, it is better to use them simultaneously with drug therapy.

The causes of inflammation of the prostate are:

  • congestion in the pelvic area due to a sedentary lifestyle;
  • sexually transmitted diseases;
  • urinary tract infections;
  • prolonged abstinence from sex;
  • termination of the relationship;
  • complications after urethral catheterization;
  • constant hypothermia;
  • alcohol abuse, spicy and spicy foods;
  • infections of other organs (for example, tonsillitis, sinusitis, pneumonia, caries) against a background of weakened immunity.

Acute and chronic prostatitis are distinguished according to the shape of the flow.

Depending on the etiological factor, the following forms of the disease are distinguished:

  • Acute bacterial prostatitisis ​​mainly caused by gram-negative pathogenic microflora. These are E. coli (Escherichia coli), gonococcus (Neisseria gonorrhaeae), Trichomonas (Trichomonas vaginalis).
  • Chronic bacterial prostatitisis ​​diagnosed in nearly 30% of cases. Its main cause is infection with chlamydia (Chlamydia trichomonas), ureaplasma (Ureaplasma urealyticum), mycoplasma (Mycoplasma). The disease can occur both independently and as a complication of the acute form of the inflammatory process of the prostate gland.
  • Granulomatous prostatitisis ​​relatively rare. It is caused by syphilis, genital tuberculosis, fungal infections.
  • Chronic non-bacterial prostatitisoccurs in the vast majority of cases in men over the age of 50. Its main cause is age-related circulatory disorders.

The secret of the prostate gland has a certain antimicrobial activity and effectively copes with the infection.

Therefore, usually the development of a pathology of a bacterial type occurs in the presence of congestion in the genital area. For this reason, some experts consider bacterial prostatitis to be the initial stage of chronic non-infectious inflammation.

The acute form of the disease is usually accompanied by the following symptoms:

  • a feeling of heaviness in the perineal region, especially when seated;
  • increased urge to urinate, sometimes false due to compression of the urethra by an enlarged gland;
  • difficult and painful urinary flow;
  • pain in the perineum that radiates to the penis and anus;
  • sensation of the presence of a foreign body in the rectum;
  • pain during bowel movements;
  • temperature rise up to 38-40 degrees.

If the treatment of acute prostatitis is started quickly, the patient's condition improves already 3-4 days. However, in the absence of adequate therapy, there is a risk of developing a purulent abscess of the prostate gland. This requires immediate medical attention in a hospital setting. The following are the signs of chronic prostatitis.

symptoms of prostatitis in men

Pain. It is varied and can occur during urination, ejaculation or at rest. The intensity depends on many factors. Sometimes a man only complains of a feeling of heaviness, and in some cases pain medication is needed. The localization of pain is also different: in the perineum, glans penis, testicles or rectum.

Urinary disorders.It is a frequent need to use the toilet, especially at night, a slow and intermittent flow of urine, a feeling of insufficiently emptied bladder. Sexual dysfunction manifests itself in the form of premature ejaculation or weakening of the erection.

Psychological symptoms.Patients complain of insomnia, increased sweating, irritability, rapid fatigue. These signs pass into the remission phase and worsen as the process is activated. Experts point out that it is necessary to distinguish between prostate adenoma and its inflammation.

Adenoma is benign hyperplasia (enlargement) of an organ. This disease is associated with age-related changes in the hormonal background of men and requires consultation with an andrologist. The doctor treats prostatitis by prescribing drugs for local (suppositories) and systemic (pills and injections in the acute course of the disease) use.

Therapy focuses on:

  • stop bacterial activity;
  • improvement of microcirculation and blood circulation;
  • elimination of edema;
  • cessation of the inflammatory process;
  • normalization of the outflow of secretions from the prostate gland;
  • improve the immune system;
  • if necessary - correction of hormonal disorders.

According to patient reviews, the effectiveness of drug treatment of prostatitis increases with the simultaneous consumption of decoctions and tinctures of various medicinal plants:

  • pumpkin seed oils;
  • leaves, roots and fruits of parsley;
  • beekeeping products (honey, propolis, bee bread, zabrus);
  • aspen bark;
  • celandine juice;
  • chestnut peel;
  • hemlock tinctures.

Fruit juice therapy has recently gained popularity. This technique helps cleanse the body of toxins, strengthen the immune system, normalize the intestines, liver and kidneys, and stabilize weight. In addition to treating prostatitis, juice therapy helps to cope with many other chronic diseases. You can read the details of this method on specialized forums.

Treatment of prostatitis in men: drugs and their principle of action

In addition to physiotherapy procedures such as transrectal massage of the prostate gland, microwave heat therapy, the following groups of drugs are prescribed for the treatment of prostatitis in men:

  • antibiotics;
  • non-steroidal anti-inflammatory drugs;
  • herbal and organic preparations;
  • angioprotectors and vasodilator drugs;
  • α-blockers;
  • antispasmodics;
  • 5-α reductase inhibitors;
  • immunomodulators.

Antibacterial drugs for the treatment of prostatitis in men are almost always prescribed, regardless of the form of the disease. This is not entirely correct.

The advisability of using antibiotics must be confirmed by laboratory results.Perform the so-called bacterial culture of prostatic secretions. The study shows not only the presence or absence of pathogenic microflora, but also its sensitivity to certain antibacterial drugs.

The duration of therapy is from 2 to 4 weeks, if necessary, continued for another month.When prescribing a drug, take into account its ability to accumulate in the tissues of the prostate gland. This property is possessed by fluoroquinolones, antibiotics of the penicillin group, lincosamides, tetracyclines, macrolides. Antimicrobial therapy is sometimes indicated when there is a risk of complications of non-infectious prostatitis due to a bacterial infection. The dosage of drugs is calculated individually based on the age, condition of the patient and the presence of concomitant diseases of the kidneys, liver and digestive tract.

For the treatment of acute prostatitis in men, doctors prefer injections and then switch to pills. Non-steroidal anti-inflammatory drugs (NSAIDs) are used to relieve pain and edema.The action of the drugs is based on the inhibition of prostaglandin synthesis and platelet aggregation - the main factors in the development of the inflammatory process and associated pain, fever and swelling.

In the treatment of prostatitis in men, the drug is suitable for topical application in the form of suppositories. This ensures a quick supply and maximum concentration of the active substance in the organ. Antispasmodics and α-blockers facilitate urination with inflammation of the prostate gland. Experts associate the difficulty with emptying the bladder not just with mechanical compression of the urethra by an enlarged prostate.

The cause of this symptom is also a reflex spasm of the smooth muscle of the urinary tract. Difficulty urinating or an incompletely drained bladder can cause secondary bacterial infections, sand buildup, and stone formation. The action of adrenergic blockers develops gradually. Almost 90% of patients notice an improvement 1-2 weeks after starting treatment. Antispasmodics "work" a little faster and also relieve pain.

treatment of prostatitis in men

Phytopreparations and remedies based on the secretion of the prostate gland of cattle in the form of tablets or suppositories have a complex effect. They do not have such a pronounced effect as synthetic medicines.

For the treatment of prostatitis in men, phytopreparations are used as part of complex therapy or in remission to prevent an exacerbation of the disease.Angioprotectors can be used in the form of capsules or ointments for external use. Their action is aimed at normalizing blood circulation in the prostate gland. Improved venous outflow contributes to the early elimination of inflammatory exudate and the elimination of swelling.

Immunomodulators in the treatment of prostatitis in men are used to strengthen the body's defenses. The fact is that the weakening of immunity plays an important role in the development of inflammation, in this state the risk of various bacterial complications increases. Thyme preparations, interferons and stimulants of their own immunity are widely used.

In addition, multivitamin complexes are used to treat prostatitis in men(which drug the patient decides to choose depending on the price and manufacturer). With strong nervous tension, insomnia, mild tranquilizers and antidepressants are indicated. If an ultrasound examination of the organs of the urinary system showed an accumulation of sand in the kidneys, appropriate drugs are selected to prevent stone formation.

How to treat prostatitis at home: diet, exercise, traditional medicine recipes

The prostate gland is the main organ of the male reproductive system, so many are interested in the question of the need for hormone therapy in the development of the inflammatory process. Experts agree that such drugs are needed only in the absence of an effect from the main therapy of advanced prostatitis. In particular, the following apply:

drugs for the treatment of prostatitis

Preparations of the glucocorticoid group. To reduce side effects and systemic exposure, they are prescribed topically using electrophoresis.

Inhibitors5-αreductase. Medicines in this group are not hormones. Their mechanism of action is based on the reduction of the effect of androgens on the prostate gland. In this way, the reduction of the size of the organ and the relief of the symptoms of prostatitis are ensured.

Testosterone to improve sexual function. They are prescribed extremely rarely for medical reasons and after blood tests for the content of the main hormones. Doctors advise to increase the effectiveness of drug therapy and reduce its duration using means from the arsenal of traditional medicine.

How to treat prostatitis using folk recipes:

  1. Peel the chestnuts and finely chop the peel and cover with a glass of vodka. Insist in a cool, dry place for 14-20 days. Then filter and add 100-150 ml of clean water at room temperature. Take 10 drops twice a day on an empty stomach for 2 weeks. Then it is necessary to take a seven-day break and repeat the course of treatment.
  2. It is recommended to drink a tablespoon of pumpkin seed oil before each meal.
  3. Heat a glass of vegetable oil in a water bath and add 2 tbsp. crushed propolis and continue heating until completely dissolved. Use the resulting mixture as an ointment once a day before bed. The duration of treatment is 28-30 days.

Regular prostate massage has a good effect. You can do it yourself, ask for help from a loved one or use one of the special devices, many on the modern market. A contraindication for massage is the formation of stones in the prostate gland (calcareous prostatitis).

Also, such a procedure is not recommended in case of exacerbation of the disease, which is accompanied by pain and fever. Also, exercise helps when deciding how to treat prostatitis. Moderate sports activity is an excellent prevention of congestion in the pelvic region, helping to combat obesity.

Urologists recommend performing the following gymnastic elements:

  1. Kegel exercises consist of rhythmic tension and relaxation of the muscles of the perineum. They need to be done at least 30 times 3-4 times a day.
  2. Walking up the stairs or lifting the knees up to the chest while standing.
  3. Squat.
  4. "Birch".
  5. Raise your legs on the bar.

You can also take a video yoga class.Inverted asanas and breathing exercises will help cure prostatitis. However, this does not mean that one can continue to lead a sedentary lifestyle after exercise. For effective prevention of prostatitis and impotence, experts recommend that the stronger sex move as much as possible.

Hirudotherapy is a good addition to traditional methods of treating ailments. The course is 8-9 procedures, it is better to start them in the early stages of an acute inflammatory process.

The effectiveness of the manipulation is due to the following factors:

  • during the procedure, the leeches release the substance hirudin, which thins the blood and facilitates its circulation;
  • edema disappears due to the excretion of inflammatory exudate;
  • reflex action on the active points in the pelvic and genital area.

It is almost impossible to treat prostatitis without following a proper diet. It is necessary to give up alcoholic, spicy, smoked, spicy and salty foods. Preference should be given to vegetable juices (especially spinach, vegetables), lean meats and fish, drink plenty of fluids (water, compotes, fruit drinks).

Zinc is good for any age. This mineral stimulates spermatogenesis, improves the quality of the male semen. It is found in large quantities in beef, pine nuts, peanuts and legumes.

However, despite all the efforts of doctors, it is impossible to cure advanced forms of non-bacterial or infectious prostatitis with severe edema and pain with the help of drugs and physiotherapy. In these cases, only surgery will help. To avoid this, you need to monitor your weight, play sports appropriate to age and health. It is also necessary to avoid hypothermia, to prevent the development of chronic infections.

Drugs for the treatment of prostatitis

The selection of drugs for the treatment of inflammation of the prostate requires an individual approach. When prescribing drugs, the doctor must take into account the presence of contraindications, the features of the course of the disease and the cost of drugs for the treatment of prostatitis.

As you can see, the range of agents for the treatment of inflammation of the prostate is wide. However, high cost doesn't always mean efficiency. Only a doctor should select drugs for the treatment of prostatitis and their dosage. Consultation with a specialist is also required before using traditional medicine with honey or herbs.

Drawing conclusions

Prostatitis is one of the most common male diseases in the world. But few people know that seven out of ten men with prostatitis die from prostate cancer.

Particularly scary is the fact that most men completely ignore the symptoms of prostatitis and when they turn to doctors they can no longer help.

Symptoms of prostatitis:

  • Drawing or cutting pains in the lower abdomen, scrotum or perineum
  • Frequent urination, burning sensation in the urethra
  • Sensation of "bladder not completely emptied
  • Difficulty urinating (weak flow)
  • Deterioration of erection duration and quality
  • Premature ejaculation or problems getting it
  • Increased fatigue and irritability of the body

Even one of these symptoms should make you think. And if there are two, don't doubt: you have prostatitis.