Modern treatment of prostatitis – one of the most urgent problems in urology, depending on the reasons that support inflammation in the prostate will depend on the scheme of therapy. Patients with chronic prostatitis generally do not need hospitalization. In severe cases, comprehensive treatment in the hospital more efficiently. Let's look in details what are the pharmacological and non-pharmacological methods to solve this problem.
In modern urology is of great importance of physical methods, which allow to reduce the dosage and duration of antibiotic therapy.
Physical therapy for prostatitis includes the following objectives:
The most effective methods include transrectal microwave hyperthermia and the therapy (mud treatment, laser therapy, Phono - electrophoresis). Depending on the severity of changes in the tissues of the prostate, the presence or absence of signs of stagnation, and comorbidities, using various temperature regimes and types of procedures.
Electromagnetic interference at a temperature of about 40 degrees Celsius has anticongestive, immunostimulating and bacteriostatic effect. With further increase in temperature to 45 degree mark and sclerosing analgesic effect due to inhibition of nerve endings and reducing the size of the gland.
Important! Before prescribing physical therapy for prostatitis is necessary to assess the level of prostate specific antigen (PSA) levels in men over the age of 40 and to perform a transrectal ultrasound of the prostate (TRUS). This will help to eliminate cancer in the prostate gland. In doubtful cases, elevated PSA levels, is justified to resort to magnetic resonance imaging.
Physiotherapy in calcifications of the prostate (calculous prostatitis), as a rule, is not carried out. This is due to the fact that the stones and fabric are heated unevenly in a microwave field, which may provoke acute urinary retention and the appearance of blood in the ejaculate.
-Low navitas laser affect the prostate gland effect similar to those in microwave hyperthermia with a temperature of 40 degrees Celsius. This method is more justified to apply in cases of congestive-infiltrative changes in the organs of the urogenital tract, for example, for the treatment of acute and chronic prostatitis with a background vesiculitis, orchitis, orchiepididymitis'.
Prostate massage is used less and less as there are more effective measures and modern devices for physical therapy. The procedure of prostate massage is not performed in the acute phase, the indications are also BPH, stones, prostate cancer, tuberculosis.
Therapeutic properties based on heat, massage and magnetic effects on prostate tissue. The procedure is absolutely painless and requires no special skills. Into the rectum is introduced the tip in the condom, before that, you can apply the gel with anti-inflammatory substance. After use, the device does not need to boil, enough to wipe the working surface with alcohol.
The course of treatment is 15 procedures, the duration is 10 – 12 minutes.
Contraindications to physical therapy:
There are devices for prostate massage in the home environment battery powered, they are less convenient to use, and the action is vibration. The positive aspects include the price, it is in the range of up to 2000 rubles.
In the sanatorium can only be sent in remission after filling of sanatorium-resort card. There are many places in Russia and abroad treatments to cure prostatitis, improve erectile function and enhance overall health.
Will help in addressing the following activities:
After treatment in sanatorium many patients forget about the symptoms of prostatitis.
In the treatment of chronic prostatitis important complexity of the scheme, which will cover all stages of pathogenesis. This makes it quicker to withdraw the causative agent from tissues, normalizes blood circulation and nutrition of the body, facilitates adequate drainage acini (excretory ducts), normalizes hormonal balance and activates local immunity.
For these purposes, used drugs from the following groups:
Important! Not necessarily that your treatment plan will include all of the above, the doctor focuses on your complaints and symptoms in prostatitis, the results of the survey, provoking factor, the effect of previous treatment, stage of the inflammatory process and associated disease.
Exacerbation of chronic prostatitis requires empirical (without determination of the agent) to antibacterial therapy, with the appointment of broad-spectrum antibiotic. Of course, it is better to choose an antibiotic according to the results of bacterial analysis, but to obtain it you need time. Acute inflammatory process in the prostate is left without treatment, will lead to complications, such as apostema or bacteriotoxic shock. Often swelling of the glands on the background of inflammation provokes acute urinary retention.
In these cases, perform a suprapubic puncture of the bladder with the installation of a Foley catheter and prevent the aggravation of prostatitis with antibiotics, anti-inflammatory drugs, local use of candles, etc.
So not to be in hospital to treat inflammation is necessary at the first symptoms of the disease and to implement all recommendations of the urologist.
Treatment of prostatitis is determined individually, but are the recommendations for antibiotics (levofloxacin preferable novum) for up to 28 days.
This scheme adheres to the European Association of urology, antibiotics and sulfonamides are considered priority drugs in the treatment of acute /exacerbation of prostatitis.
CPPS does not imply a connection of the symptoms with the infectious agent (specific or nonspecific). The diagnosis is established by exclusion, the results of complete clinical and laboratory examination.
A good effect is achieved when using the following drugs:
Sometimes, despite the advent of anti-bacterial and anti-inflammatory therapy, the patient continues to have difficulty in urination.
After the studies – uroflowmetries or bibendum sem research – prescribe drugs depending on the identified pathology. In case of hypersensitivity of the bladder neck treatment scheme similar to that in interstitial cystitis:
If dysuric disorders supports of detrusor hyperreflexia (overactive bladder on the background of prostatitis) – used anticholinesterase drugs. Hypertonicity of the detrusor shoot benzodiazepines and use of physiotherapeutic effect, the neuromodulation sacralis.
The indication for surgery in the long-term current prostatitis and severe symptoms are the following complications:
Performed transurethral resection (TUR), which improves the patient's quality of life.
On the Internet and questionable tabloid publications only lazy did not tell you how to cure prostatitis permanently. Some ways you can adopt, as a Supplement to the basic treatment, others can worsen the condition and lead to an unfavorable outcome.
As prevention you can use bee products (honey, Royal jelly, pollen, propolis, etc.), a reasonable approach would be a positive effect.
It is believed that propolis contains such useful components as:
This ensures antimicrobial, anti-inflammatory and even antitumor preventive effect.
In a water bath to melt 100 mg of animal fat, add bee products:
Boil ointment possible, the optimum temperature for the preparation of 40 – 42 C. Stir with a wooden stick, remove and cool in a cold place. Applied to the perineum, 2 times a day, until completely absorbed cream. Duration of treatment – 3 weeks. If necessary – repeat.
If you have difficulty in cooking, you can use the finished pharmaceutical form in the form of candles with propolis. Enter one candle for the night in the anus daily, the duration of therapy is from 15 to 30 days.
Note that pollen is produced in the form of capsules for use inside and contains 0.4 grams of active ingredient. Can be used concurrently with the suppositories. Course reception – 1 month.
Podmore – is dead bees, to prepare the broth use the substance exclusively in a dry form.
Method of preparation: pour 2 tablespoons mortuus apes 800 ml of water, simmer on low heat for about an hour. Cool, strain and take 5 tablespoons 3 times a day for a month. To compress 150 mg mortuus apes to withstand over steam until mushy consistency. Put the tool on folded in several layers of gauze, put on top the pulp in several layers of gauze. Several squeeze, applied to the perineum and hold 45 – 60 minutes. The best procedure to perform on the night and in the morning you can take a shower.