The most effective treatment for chronic prostatitis


Inflammation of the prostate gland, that is, the prostate, regardless of the cause of the disease, as a rule, becomes chronic. To get effective treatment of chronic prostatitis, you need to know for what reasons it occurs.

Good health, dear readers. We continue to understand the problem of chronic prostatitis, its causes, symptoms and treatment options.

In this article we will try to understand what is the best way to cure this terrible disease, what options are available to us. Let's start by analyzing the most modern and effective methods of treating prostatitis in men.

Causes of the onset and exacerbation of the disease

Inflammatory diseases of the genitourinary system, rectum, due to close contact with the prostate gland, lead to the formation of an inflammatory focus in it. The vessels that supply the prostate are branches of the arteries of the bladder, rectum, posterior sacral artery, and deep thigh artery. Any infectious foci present in these organs can enter the gland.

The presence of a chronic infection of any localization, for example, the paranasal sinuses, leads to a weakening of the immune system, and conditionally pathogenic microorganisms present on the skin, intestines and urethra become pathogenic. This leads to the development of a chronic process.

Disruption of blood circulation in the prostate gland due to stagnation of blood against the background of reduced physical activity leads to a deterioration in the supply of drugs to the prostate gland and complicates the treatment of chronic prostatitis in men.

An increase in blood flow to the organs located in the pelvis occurs not only due to poor physical activity, but also from a number of factors:

  • irregular sex life;
  • termination of the relationship;
  • smoking, drinking alcohol;
  • varicose veins of the lower limbs;
  • paraproctitis and proctitis;
  • thrombophlebitis of hemorrhoidal veins against the background of chronic hemorrhoids;
  • fissures and fistulas of the anus;
  • the tone of the vascular wall is regulated by the sympathetic and parasympathetic nervous system, in case of a disease whose inflow and outflow of blood from the organ is disturbed;
  • perineal trauma in motorcyclists, cyclists, motorcyclists.

With sexually transmitted urogenital infections, the disease can not always be completely cured - this is the reason for the development of chronic prostatitis. The most common pathogens are:

  • Trichomonas;
  • mycoplasma;
  • gonococci;
  • gardnerellas;
  • ureaplasma;
  • chlamydia;
  • mushrooms;
  • virus;
  • Escherichia coli;
  • streptococci;
  • enterococci;
  • staphylococci.

These microorganisms are difficult to cure.

Hormonal activity after 40 years in a man gradually begins to wane. At first it is asymptomatic.

A continuous decrease in testosterone production leads to a slight stagnation of the secretion of the prostate gland in its granules. Gradually, this stagnation increases. The substances contained in the secretions of the prostate are not completely removed. The secretory, motor, barrier function of the secretion of the prostate gland begins to suffer.

Citric acid in prostate juice performs a bactericidal function, dilutes it. When there isn't enough citric acid, a bacterial infection starts to develop. The level of citric acid in the prostate juice is directly related to the amount of testosterone in the blood.

The clinical picture of the disease

Symptoms of chronic prostatitis in men:

  • feelings of discomfort, pain above the pubis;
  • pain periodically affects the rectum and sacrum;
  • increased urination and pain, especially after hypothermia, stress;
  • unusual download;
  • ejaculation disorders, erection;
  • premature ejaculation;
  • excessive sweating;
  • sleep disturbances;
  • periodic increase in body temperature no more than 37, 2-37, 3 in the evening.

Prevailing symptoms: pain, urinary disorders or sexual dysfunction - depend on the treatment of chronic prostatitis in men.

The main components of disease therapy

Is chronic prostatitis treated?

It is necessary to highlight the main treatment areas:

  • medicines;
  • normalization of the regime of work and rest;
  • rational nutrition;
  • giving up bad habits;
  • physiotherapy, massage;
  • folk remedies.

It is necessary to deal not only with drugs, but it is necessary to use all methods in a complex way. It is impossible to give preference to any direction of prostatitis therapy.


Effective prostatitis treatment should aim at eliminating the cause of prostatitis. Drugs are selected individually by a doctor after carrying out the necessary diagnostic tests. Let's take a lookhow and how to treat prostatitis, if it has already acquired a chronic form. The main directions of drug therapy:

  • antibiotics;
  • anti-inflammatory drugs;
  • antispasmodics to improve urine flow;
  • uroantiseptics for the elimination of urinary tract infections;
  • drugs that improve arterial and venous blood flow;
  • medicines that improve fluidity, reduce blood viscosity;
  • vitamins;
  • enzymes;
  • sedatives, psychotherapeutic effects;
  • correction of immune disorders;
  • treatment of metabolic diseases and hormonal dysfunctions.

Antibacterial therapy

Treatment of chronic prostatitis will depend on appropriate antibiotic therapy. It is important to note that the therapy and treatment of prostatitis will only be more effective if the type and stage of the disease are correctly determined.

The selected antibiotics are those that penetrate well into the prostate, effectively act on the causative agent of the infection. Some chronic prostatitis pathogens, such as ureaplasma, are not sensitive to powerful drugs such as:

  • tetracyclines;
  • some cephalosporins;
  • some fluoroquinolones;
  • some macrolides.
How to treat chronic prostatitis with antibiotics?

Groups of antibacterial drugs used to treatbacterial prostatitis:

  1. Fluoroquinolones.
  2. Macrolides.
  3. Tetracyclines.
  4. 5-nitroimidzole derivatives.
  5. Cephalosporins 3-5 generations.
  6. Lincosamines.
  7. Sulfonamides.

The course of treatment with an antibiotic is 7-10 days, depending on the test results. Surely, during treatment with antibacterial agents, antifungal drugs are prescribed, agents that normalize the microflora of the gastrointestinal tract.

In total, the course of antibiotic therapy lasts from 2 to 4 weeks.

Routes of administration of antibiotics:
  • orally in tablets;
  • intramuscularly;
  • intravenously;
  • inside the prostate;
  • endolymphatic.

How to treat and which specific antibiotic to use, the doctor will tell you, based on the examination data, examination:

  • ultrasound;
  • complete blood count;
  • study of prostatic secretion;
  • PCR;
  • TRUSI;
  • uroflowmetry.

Non-steroidal anti-inflammatory drugs

The effect of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with the normalization of the permeability of the vascular wall, restoration of microcirculation. They reduce education and prevent the absorption of existing inflammatory mediators. It is necessary to remember the property of NSAIDs to form ulcers in the stomach and duodenum.

How to cure chronic prostatitis without getting stomach ulcers? It is necessary to take with a prophylactic purpose 1 capsule of a proton pump inhibitor in the evening.

It is considered the most rational to use rectal suppositories with LPS.


Immunomodulators are used to correct immune disorders.

Medicines are prescribed by a doctor, dosages are selected individually.

The non-specific resistance of the organism is normalized by vitamins and microelements.


Enzyme preparations improve the access of antibiotics and NSAIDs to the prostate, destroying the adhesions that are always present in a chronic inflammatory process.

Furthermore, enzymes have a moderately pronounced function of stimulating immunity.

How to treat chronic prostatitis with alpha-adrenergic blockers?

These drugs are prescribed by a doctor at:

  1. Eliminates spasm from the bladder neck, developing against the background of edema and inflammation.
  2. Improves urine flow, normalizes physiological urination.
  3. To coordinate the muscles and sphincters of the bladder.

Normalization of blood flow with drugs

Normal blood flow is achieved with an adequate diameter of the arteries that carry blood to the veins involved in the outflow of oxygen-depleted blood. It is also necessary to reduce the viscosity of the blood and achieve its good fluidity in the capillary bed.

To achieve good results in the treatment of chronic prostate diseases, it is necessary to treatinflammatory diseases of the urethra, bladder and kidneys.

Prostatitis inevitably reduces potency, weakens libido and interrupts erection. These phenomena are always accompanied by symptoms of dysphoria, low background mood, mood swings. With these symptoms, they are prescribedsedatives, anxiolytics, antidepressants.

Methods of influence of physiotherapy

The following methods of treating a chronic process are used to target the prostate:

  • ultrasound
  • electrophoresis;
  • baths with hot water with decoctions of chamomile, lime, sage, thyme;
  • warm enemas
  • massage of the prostate gland through the rectum;
  • hirudotherapy
  • UHF;
  • inductothermic;
  • microwave resonance therapy.

Physiotherapy is contraindicated in patients with concomitant prostate adenoma.

The severity of psychological abnormalities and depressive manifestations depends on the amount of treatment of chronic prostatitis. To speed up the process, in the absence of contraindications, it is necessary to add physiotherapeutic methods of influence to the treatment.

Dietary recommendations

Standard recommendations for all chronic diseases in the form of refusal of frying, salt, peppercorns, smoked in this situation are insufficient. Effective treatment of prostatitis depends on a rational and balanced diet. It is necessary to add foods such as celery, ginger, turmeric, apiproducts to the food.


  • silicon, which normalizes the formation of hormones in the body;
  • B vitamins, removes toxins and restores redox processes;
  • chromium, germanium, selenium, zinc normalize the work of the sympathetic and parasympathetic systems;
  • vitamins C, A normalize the permeability of the cell membrane, have antioxidant properties;
  • essential amino acids, omega 3, which rejuvenate sexual function.

Forapitherapywe use: natural honey, bee bread, podmore, royal jelly, dead bees, bee pollen.

Beekeeping products have the following effects:

  • bactericidal;
  • fungicide;
  • bacteriostatic;
  • tonic;
  • antiviral;
  • immunomodulatory effect.

Alternative treatment

The course of treatment of chronic prostatitis is necessarily supplemented with medicinal herbs, which should take into account all the listed mechanisms of the development of the disease. Then the effect of the therapy will be achieved in full.

The following medicinal herbs can be used:

  • nettle, sage, bearberry;
  • mint, plantain, hernia;
  • rose hips, yarrow, wormwood;
  • thyme, birch buds, lime blossom;
  • dry marsh grass, chamomile, motherwort.

Treatment of chronic prostatitis depends on the long-term use of medicinal herbs according to the scheme in combination with courses of anti-relapse drug therapy.

We use decoctions, infusions for ingestion, for baths, for microclittics. It is not recommended to use tinctures, that is, medicines containing alcohol. This prevents the effective treatment of chronic urogenital diseases.

All these drugs have a good effect in the treatment of prostatitis with inflammatory, congestive and hormonal etiology.