Prostatitis is an inflammatory disease of the prostate gland. May be infectious and non-infectious. Regardless of the form of the disease, prostatitis requires complex treatment, including drug and non-drug therapy.
types and treatment of prostatitis
Infectious and non-infectious prostatitis differ in their development.
An infectious disease is caused by the action of disease-causing substances that cause inflammation of the prostate. Bacterial or fungal inflammation differs depending on the type of pathogen. The disease can be caused by both the activity of opportunistic microorganisms that are always present in a person's body, as well as sexually transmitted infections, such as chlamydia or Trichomonas.
The disease develops against the background of decreased immunity. In most cases, this type of prostatitis is caused by opportunistic microorganisms, such as Pseudomonas aeruginosa, staphylococci. A healthy body can suppress the infection, but inflammation develops against the background of decreased immunity.
Non-infectious prostatitis is the result of a sedentary lifestyle. The development is associated with obstruction of the pelvic organs - circulatory disorders, stagnation of lymph flow or prostate secretions. Factors contributing to the development of this form of inflammation:
- decreased immunity;
- irregular sex life.
Congestive prostatitis is believed to be a disease of office workers. The disease develops against the background of hypodynamics, resulting in decreased metabolism and impaired prostate trophism.
A man's sex life plays an important role in the development of congestive prostatitis. Lack of sexual activity leads to a decrease in prostate tone and stagnation of secretions. It stimulates the development of edema and inflammation of the body. At the same time, excessive sexual activity (more than 2-3 contacts a day) leads to depletion of the body and can also lead to the development of the disease.
Depending on the nature of the course, prostatitis is divided into acute and chronic. The acute form is characterized by exacerbation of specific symptoms:
- frequent urination;
- pain and burning in the urethra;
- spasms of the bladder;
- pain in the perineum;
- erectile dysfunction.
The process of urination is accompanied by severe pain in the urethra caused by compression of the urethra by an enlarged prostate.
Acute prostatitis can be successfully treated with timely medication. It becomes chronic if not treated properly. The disease is accompanied by a weakening of male sexual function and various disorders of the urinary system.
Chronic prostatitis can be contagious or contagious. And in fact, and in another situation, it is characterized by periodic exacerbation in which the symptoms are acute. Exacerbation of the disease is primarily associated with a decrease in immunity.
Comprehensive approach to treatment
Before starting treatment, the patient should undergo all examinations to determine the inflammatory process and the type of pathogen. For this, the analysis of prostate secretion is performed, ultrasound and MRI of the body are performed.
Comprehensive treatment of prostatitis includes:
- drug treatment;
- increased immunity;
- physiotherapy methods;
- diet therapy;
- lifestyle change.
Drug treatment depends on the form of the disease. Antibacterial drugs are the mainstay of treatment for infectious inflammation. Their choice is based on the results of prostate analysis.
Anti-inflammatory drugs are used for symptomatic treatment of acute non-infectious prostatitis. The main part of therapy is drugs that normalize the function of the body.
Complex treatment of prostatitis necessarily involves taking medication to improve immunity. Both topical agents (rectal suppositories) and tablets may contain immunomodulators. The choice of medication is made only by a doctor.
The main treatment for bacterial prostatitis is to fight infections, and for congestive prostatitis - to improve the function of the prostate gland.
Comprehensive treatment of prostatitis begins with medications that normalize prostate function and relieve symptoms that improve well-being. Antibiotics are the mainstay of treatment for infectious prostatitis.
The following groups of drugs are used for treatment:
Penicillins and tetracyclines are rarely used in urological practice due to their low efficacy and numerous side effects. Pathogenic microorganisms that provoke the inflammatory process quickly develop resistance to the effects of drugs in this group, which adversely affect the therapeutic effect of drugs.
However, a fairly good result is obtained by taking mixed medications.
In most cases, macrolide drugs are prescribed. Their advantages are a wide range of action, good tolerance of organisms and high bioavailability, so the components of the drug penetrate into the prostate tissue.
Recently, doctors are increasingly preferring drugs from the fluoroquinolone group. These are broad-spectrum antimicrobial drugs that have several advantages over traditional antibiotics.
Because fluoroquinolones, unlike antibiotics, are synthetic drugs that have no completely natural analogue, treatment with these drugs is more effective due to the lack of resistance to pathogens.
Fluoroquinolones penetrate the prostate tissue rapidly, are well tolerated by the body and rarely cause side effects. Doctors often prescribe drugs that contain levofloxacin. Therapy lasts at least 28 days, the drug is taken in 1-2 tablets. The exact dosage and dosage regimen are chosen individually by the physician. In some cases, intramuscular administration of the drug may be prescribed, then the course of treatment is reduced.
Anti-inflammatory drugs are used for the complex treatment of chronic prostatitis of non-infectious nature.
Such drugs have a symptomatic effect, relieve pain and stop the inflammatory process. It is advisable to prescribe anti-inflammatory drugs in the suppository - due to this form of release, the active substance enters directly into the tissues of the prostate gland.
Anti-inflammatory drugs are prescribed in short courses to relieve the symptoms of infectious inflammation, but are the mainstay of treatment for non-infectious prostatitis because antibiotics are not used for this form of the disease.
Bioactive drugs are often used to normalize prostate function for the treatment of congestive prostatitis.
As a rule, these are drugs based on extracts from the prostate gland of young bulls. The drug improves prostate trophism, eliminates inflammation and reduces edema. It has long been used to treat inflammation with non-infectious prostatitis. With bacterial inflammation of the prostate, this drug is indicated for the restoration of organ function after antibiotic therapy.
For congestive prostatitis, milk, ichthyol or pumpkin seed oil containing propolis and bee products are often prescribed. Such drugs normalize prostate trophism, have anti-inflammatory effects and increase local immunity.
In the complex treatment of prostatitis, the prostate gland is exposed to various drugs. A number of measures have been taken to increase immunity to prevent the disease from recurring after a course of treatment.
Set for this purpose:
- zinc preparations;
- Echinacea extract tablets;
- vitamin complex;
- vitamin E.
Zinc, selenium and vitamin E are essential for normal prostate function. Urologists often prescribe bioactive dietary supplements that are high in these substances.
It is also recommended to take a specially designed vitamin course for men. Such drugs contain a complex substance aimed at normalizing the functioning of the genitourinary system.
Echinacea extract injections are prescribed to reduce the risk of inflammation and get rid of antibiotic therapy, but this drug is less effective in tablet form.
Vitamin complex should be taken twice a year to reduce the risk of exacerbation in chronic prostatitis.
Physiotherapy and massage
In chronic prostatitis, physiotherapy is prescribed to reduce the density. Generally used acupuncture, current and magnetic methods, darsonvalization. In the case of bacterial inflammation, these methods are not used because they can cause the spread of pathogens in the body through the bloodstream.
Rectal massage is indicated if the prostate is trophic. Such procedures are performed by a qualified specialist - a urologist or proctologist. The massage course is between 10-15 procedures.
Physiotherapy stimulates blood circulation in the pelvic organs, eliminates lymph blockage and normalizes the secretion of prostate secretions. The course of the procedure allows you to restore the normal functioning of the body and has a positive effect on the potential.
Surgical treatment of prostatitis is carried out only in case of complications.
Prostate abscess can occur during infectious prostatitis. This requires emergency hospitalization of the patient and manipulation during the opening and removal of the abscess.
Chronic prostatitis can cause narrowing of the urethra, which can lead to acute urinary retention. In this case, surgery is performed and a catheter is inserted to remove the urine. In addition, fibrosis can develop with a severe course of the disease, resulting in scarring of the prostate tissue. In this case, an operation is performed in which the sealing areas are removed with the help of a laser.
Lifestyle and nutrition
Comprehensive treatment for prostatitis includes lifestyle changes, normalization of nutrition and abandonment of bad habits. The diet for prostatitis is not strict, but fast food, semi-finished products, smoked meats are excluded. It is necessary to give up alcohol and smoking.
Foods that are good for men's health should be included in the diet:
- pumpkin seed oil and olive oil;
- nuts and honey;
- pumpkin seeds;
- Fermented dairy products.
Exercise regularly with stagnant prostatitis. Physical activity should be aimed at normalizing blood circulation in the lower body.
An important role is given to the patient's sexual life. With prostatitis, you need regular sex at least 3 times a week. At the same time, excessive sexual activity is unacceptable because it depletes the prostate.Otherwise, adequate medication, proper nutrition and the abandonment of bad habits will get rid of prostatitis. However, after inflammation, it is recommended that a man visit a urologist every year and undergo a thorough examination of the prostate gland.