Prostatitis is an inflammatory disease.It is accompanied by unpleasant symptoms and has various complications, therefore requiring mandatory treatment.It can be conservative or surgical.In each case, an integrated approach is needed.
Treatment of prostatitis in most cases is carried out using conservative methods.These include drug treatment, physical therapy, diet and lifestyle changes, gymnastics, and traditional medicine.In some cases, surgery may be required.
Medicines to treat prostatitis
The main direction in conservative treatment of prostatitis is the use of many different drugs.They are used to eliminate the underlying cause of the pathology, as well as accompanying symptoms.Drug treatment of prostatitis involves the use of various dosage forms: tablets, injections, rectal suppositories, microenemas.
Pills to treat prostatitis
Drugs for the treatment of prostatitis in tablet form are etiotropic drugs, which cause disease and symptoms.The first type is used in cases where the disease is of infectious origin, the second type is necessary to eliminate blockages, and the third type relieves the main manifestations of pathology.
Etiotropic drugs are used for antibacterial treatment.They destroy pathogenic microorganisms that cause inflammatory processes in prostate tissue.In the acute form of the disease, antibiotics in pill form are used for 3-4 days - before that, injection is preferred to quickly achieve the effect.
To choose a drug, it is first necessary to determine the pathogen and its sensitivity to the drug.To treat prostatitis, antibiotics from the following groups can be prescribed:
- fluoroquinolone;
- penicillin;
- macrolides;
- tetracycline;
- sulfonamide.
Antibacterial therapy is usually continued for 1-1.5 weeks.At the same time, probiotics are prescribed to normalize intestinal microflora.
α-blockers are also prescribed to treat prostatitis.They relax muscles and reduce spasms.This makes urination easier - difficulty is one of the main signs of the disease.The therapy course usually lasts at least six months.
Another group of drugs to treat prostatitis are nonsteroidal anti-inflammatory drugs.They are used to reduce inflammation and pain.
For psycho-emotional disorders, which often accompany prostatitis, sedatives and antidepressants are prescribed.Herbal-based products are effective.
To treat prostatitis, specific drugs with a prostatic effect are also used.They reduce inflammation and pain, improve microcirculation and metabolism.
Injectable drugs
The main advantage of the drug in injectable form is its rapid delivery to the center of the pathology.Most often, injection therapy is prescribed to alleviate acute diseases, after which they turn to other medicinal pathologies.
Common injectable medications for prostatitis are nonsteroidal anti-inflammatory drugs that help reduce inflammation and pain.
For chronic prostatitis, immunomodulating drugs are often used.These drugs increase the body's resistance and reduce the risk of exacerbations and relapses of the disease.
If the disease is of bacterial origin, treatment with antibiotics is required.This treatment is continued for an average of 1-1.5 weeks.
Rectal suppositories
The use of such a dosage form is attractive due to its rapid absorption into the local bloodstream, delivering the drug directly to the pathological site and minimizing the risk of adverse reactions, especially related to the gastrointestinal tract.
The following rectal suppositories may be prescribed to treat prostatitis:
- With antibacterial effect.
- Anti-inflammatory drugs.
- Immunomodulators.
- Antispasmodic drugs.
microparticles
This treatment option is commonly used to fight inflammation, provide antibacterial treatment, and reduce pain and swelling.For prostatitis, the following microsurgical methods can be used:
- propolis – reduces inflammation, stimulates blood supply;
- iodine – antiseptic effect;
- sea buckthorn, fir, eucalyptus, peach oil.
Folk remedies
Alternative medicine is effective in treating prostatitis.You can use the following recipes:
- Put 0.5 kg of peeled raw pumpkin seeds in a meat grinder, add 0.2 kg of honey and mix well.Form small balls from the resulting mass and store in a cold place.Eat such a ball half an hour before meals twice a day.Be sure to chew it for two minutes.
- Mix 1 tbsp.I.Crush witch hazel bark or leaves with a cup of boiling water and cover for half an hour.Then filter and take a quarter cup four times a day.
- Mix 1 liter of boiling water with 1 teaspoon.Dried wormwood.When the infusion has cooled to 40 degrees, strain and filter.Use for microenemas - 100 ml of solution per procedure.Repeat for a week.
- Prepare juice from fresh parsley and drink 1 tablespoon three times a day.I.half an hour before meals.
- Mix witch hazel leaves, coniferous roots and cornflowers in equal proportions.Mix 3 tbsp.I.Take three glasses of boiling water and leave overnight, filter in the morning and drink one glass three times a day before meals.
Physical therapy, massage
One of the effective areas in the treatment of prostatitis is physical therapy procedures.The following methods are commonly used:
- cryotherapy;
- ultrasound therapy;
- electrophoresis or phonophoresis with drugs (anti-inflammatory drugs, anesthetics, antibiotics);
- hardware electrical stimulation;
- magnetic therapy;
- laser therapy;
- Darson valuation;
- electroplate;
- microwave therapy;
- healing bath;
- mud therapy;
- UHF therapy.
Physical therapy treatments also include massage.It can be done by hand or using an electric massager.In any case, such treatment must be performed by a specialist, since without appropriate experience, the procedure may be ineffective and may even be harmful.
Diet, lifestyle
A conservative approach to the treatment of prostatitis also implies certain changes in lifestyle.The following rules must be followed:
- Quit smoking and alcohol.
- Normalize your weight if necessary.This is achieved by gradually reducing daily calorie intake and exercising.
- Moderate physical activity.You definitely need to walk - take at least 10 thousand steps a day.This is important to remove and prevent blockages.
- Regular sex life.It is important to limit yourself to one sexual partner and use condoms.
- Strengthens the immune system.This is achieved by moderate physical activity, a balanced diet, giving up bad habits and exercising.Periodically, you should take a course of vitamin-mineral complexes - your treating doctor should choose the appropriate option.
You should also pay attention to your diet.It must meet the following requirements:
- Avoid fatty foods and highly extractive foods - spices, hot spices, pickles, marinades, smoked meats.
- Avoid products that increase gas formation.This applies to beans, cabbage, confectionery, carbonated drinks, kvass and black bread.
- Enrich your diet with fermented dairy products, fresh vegetables, fruits and herbs.
- It is necessary to regularly consume fish and seafood.
- Follow the optimal drinking regimen.Unless otherwise directed by your doctor, 2-2.5 liters of fluids per day are required.It can be plain or mineral water (still), green or herbal tea, freshly prepared juices, compotes, juices.Strong tea and coffee should be avoided.
- For cooking, you should limit boiling, stewing, baking, and simmering.
Exercise
Physical therapy is very helpful for prostatitis.It can also be done at home.
Useful exercises:
- In a standing position, tighten your muscles, simulating the cessation of urination.Hold this position for five counts, then relax.Do 10 repetitions.
- Lie down on the floor.At the same time, lift your legs and pelvis straight up, performing the "birch tree" pose.At the extreme point, you need to stay still and hold out as long as possible.
- Lie on your back, raise your legs a few centimeters off the floor and make crossed movements, imitating scissors.After resting for a while, repeat the exercise but lying on your stomach.
- Lie on your back, raise your legs and imitate riding a bicycle.Increase speed gradually.Make movements first forward, then in the opposite direction.
- Lie on your stomach.Raise your straight legs 5 cm off the floor and hold for a few seconds.Return to starting position and perform a few repetitions.Repeat the exercise, lifting each leg one time.
- Perform shallow squats, while spreading your knees out to the sides.Feet should not be lifted off the floor, back should be straight.
- Stand up for support and swing your legs - each leg 15 times.
- Walk on your butt.You need to sit on the floor and alternately move your buttocks forward.You need to come back the same way.
- Sit on the floor and straighten your legs, slightly apart.Bend down, trying to reach your sock.
Exercises should be performed smoothly, monitoring your breathing.Increase load gradually.The acceptability of such exercises should be discussed with your doctor.
Surgical treatment
In most cases, prostate treatment is performed using conservative methods, but sometimes the only solution is surgery.The following methods can be performed:
- Prostatectomy – removal of all or part of the prostate.The operation may be laparoscopic or abdominal.
- Prostatectomy – removal of part of the gland.There are suprapubic, laparoscopic, and transurethral resections.
- Circumcision (circumcision) – circular cutting of the foreskin.Taken for chronic prostatitis and for prevention.
- Abscess drainage.This surgical intervention is minimally invasive and involves aspiration of purulent material through puncture with a needle, followed by flushing the cavity with an antiseptic.
Prostatitis is a fairly common disease.Various methods are used in treatment: drug therapy, physiotherapy, physiotherapy, special diets, surgery.In any case, the specialist must choose the appropriate tactic and monitor its effectiveness.