The prostate gland, or how else it is called the prostate, is a rather vulnerable male organ that is exposed to various urological diseases, in particular prostatitis. And, despite the prevalence of the disease, the treatment of chronic prostatitis is a rather difficult task.
Varieties of prostatitis and the reasons for its development
Prostatitis is a disease of the prostate gland, accompanied by an inflammatory process of its tissues. Prostatitis is classified according to the following data:
- acute bacterial prostatitis caused by infectious agents;
- chronic bacterial (infectious) prostatitis;
- chronic abacterial (non-infectious) prostatitis;
- asymptomatic inflammatory prostatitis.
Chronic bacterial prostatitis - the nature of this species is not fully understood, despite many studies. This type occurs in the male body as a result of infection of the prostate gland, which is possible for a number of reasons:
- severe hypothermia;
- trouble emptying your bladder;
- unstable sex life (irregularity or lack thereof);
- concomitant chronic diseases of the genitourinary system;
- leading an unhealthy lifestyle;
- lack of mobility.
Most often, the disease proceeds without obvious symptoms, making itself felt only during periods of exacerbation, which are accompanied by such signs as:
- feeling of discomfort and incomplete emptying during urination;
- decreased sexual activity;
- soreness in the lower abdomen.
Moreover, chronic prostatitis can provoke various diseases of the bladder, transferring to the stage of acute manifestation of the disease, and then treatment of exacerbation of chronic prostatitis is already provided.
Chronic abacterial prostatitis - the incidence is 92-95% of all types of prostatitis, according to these data, one can judge the prevalence. This disease has no age restrictions, therefore it affects men of any age, but the peak falls on average at the age of thirty. The disease is diagnosed based on the following symptoms:
- the presence of painful discomfort (more than 3 months) in the pelvic organs;
- no signs of an infectious environment;
- increasing dysfunction of sexual activity and urination.
It is also possible to distinguish chronic calculous prostatitis in urology, which in turn is a consequence of chronic prostatitis and is more troubling for elderly men.
Can chronic prostatitis be cured?
Each patient is tormented by the question of the effectiveness of the treatment of chronic prostatitis, because this disease not only brings a lot of inconveniences of a special specific nature, but also carries some psychological trauma for a man.
Considering the various directions in the application of methods, we note that this appointment is made by a specialist on the basis of diagnostic measures. The urologist individually draws up a comprehensive prostatitis treatment program, which includes a whole range of therapeutic procedures. So, a comprehensive conservative approach includes:
- drug treatment of chronic prostatitis;
- manual therapy.
As noted, a specialist selects an individual program that undergoes adjustments from the general scheme, and each individual patient is a separate course of treatment for chronic prostatitis, calculated by his attending physician.
Effective treatment of chronic type prostatitis primarily involves the following additional research:
- consultation of a neuropsychiatrist, endocrinologist, cardiologist;
- carrying out computed or magnetic resonance imaging of the brain, in order to examine the functions of its performance and structure;
- hormonal state research;
- Ultrasound of the genitourinary system.
How to treat chronic prostatitis if the patient does not see any symptoms? This case means that the patient is in remission or the disease is asymptomatic, the latter case, of course, involves an immediate visit to a specialist who will carry out all the necessary procedures. The terms of treatment for chronic prostatitis usually range from 2 weeks or more, it depends on the condition of the prostate and the degree of the disease.
For example, drugs for the treatment of chronic prostatitis require constant administration in men, which combine with the disease a decrease in arterial blood flow in the penis. And in order to increase this blood flow and cause an erection, a constant intake of vasodilating drugs is required.
Treatment of chronic prostatitis at home
In case of exacerbation of chronic prostatitis, all the recommendations described below are followed. This is bed rest for several days, exclusion of physical activity, refusal of alcohol. After removing the exacerbation of chronic prostatitis, it is necessary to decide on your work and rest regime for many years.
To prevent recurrent exacerbations, the following basic guidelines must be followed at all times:
- Avoid hypothermia - first of all, exclude sitting on cold ground, concrete curbs, stones, even in the warm season. Clothing should be loose, light enough, but appropriate for the season. An excellent way to get rid of exacerbations of chronic prostatitis is to harden the body. In this case, you can use hardening with water, air baths, daily being in the open air for at least 1-2 hours.
- It is very important to regularly empty the bladder, avoid overflow and prolonged retention of urine ("do not tolerate", go to the toilet every 3-4 hours).
- If you have a sedentary job, you need to take a break for 3-5 minutes every hour or two and walk around, warm up. If this is not possible, you need to perform at least retraction of the anus 40-50 times in one approach, repeating such exercises 4-6 times a day.
- Regular moderate physical activity is one of the most important factors in preventing exacerbations of chronic prostatitis, eliminating congestion in the prostate gland and pelvic organs. The very minimum of such activity is daily morning exercises, walking at a moderate or fast pace for 30-40 minutes continuously (that is, without stopping, going to the store, etc. ). In addition, you need a weekly trip to nature with feasible work in the country, picking berries, mushrooms or long walks on weekends for 2-3 hours, visiting the pool or, in extreme cases, exercising at home on home simulators (treadmill, rowing machine, stepper).
- If possible, exclude trauma to the perineum (refusal of regular professional cycling, equestrian sports, motocross).
- Regular sex life is the most important factor in eliminating congestion in the prostate. Moreover, moderation is important here, the correspondence of sexual relations to the sexual constitution of a man. It is important to avoid prolonged and interrupted sexual intercourse, to have a permanent sexual partner.
- Fight constipation.
- Complete refusal to drink alcohol during the period of exacerbation of prostatitis and the maximum reduction in the amount of alcohol consumed during the period of remission. This requires a complete rejection of beer and cheap wines.
- If possible, exclude work associated with constant nervous tension, frequent stressful situations, or although learn to resist stress through auto-training, meditation.
- Preventive visit to a urologist twice a year for clinical examination, TRUS, laboratory tests of urine and prostate secretions, and after 40 years - and PSA. The implementation of these simple measures will prevent possible exacerbations of chronic prostatitis, will help to strengthen the body, its defenses.
How to cure chronic prostatitis with medication?
The root causes of prostatitis are, first of all, various infections and sexually transmitted viruses, which in turn affect the urethra, being detected in the tissues of the prostate. It should be noted that when diagnosed with chronic bacterial prostatitis, the treatment consists of several stages.
Treatment of bacterial prostatitis is one of the most difficult tasks of modern urology. Despite the advances in diagnosis and timely detection of the disease, only in 30% of cases can a complete cure be achieved. Modern therapy of bacterial prostatitis consists of several stages and can clearly answer the question: "Is chronic prostatitis treated and how exactly? "Success also largely depends on the coordination of the patient-doctor chain. So, the main stages of treatment:
- pain relief - the use of non-steroidal anti-inflammatory drugs;
- reducing anxiety - taking antidepressants;
- restoration of the urination process;
- local treatment - douching;
- physiotherapy treatment;
- targeted therapy - it is recommended to take medications prescribed by a doctor for chronic bacterial prostatitis, as well as antibiotics;
- surgical treatment of chronic prostatitis - the use of this method is necessary in cases of narrowing of the urethra and prostate abscesses.
It should be noted that nowadays the treatment of chronic prostatitis with antibiotics is quite justified, but only after completing the full course, which involves an average of about 2 weeks. After graduation, which, the doctor evaluates the results, and more often there is a positive trend. Antibiotics for chronic prostatitis are used because this disease is infectious, caused mainly by pathogenic bacteria, which necessarily requires antibiotic therapy. The key point is the correct choice of the drug according to a clearly selected scheme of use by the attending physician.
It should be especially noted that when taking medication for chronic prostatitis, you should strictly adhere to the timing of the prescribed treatment regimen, as well as the dosage frequency.
It is worth remembering that there is no absolute cure for the treatment of chronic prostatitis, and the maximum cure is possible only with a thorough diagnosis and compliance with all the prescriptions of a specialist. Self-medication is especially detrimental for this disease, due to its specificity and seriousness.