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.
Non-drug treatment of prostatitis
Thermal treatments and physiotherapeutic effect
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:
- improvement of microcirculation in tissues of the prostate;
- enhancing accumulation of drugs in the body;
- to reduce pain;
- improving the quality of urination;
- mild inflammation;
- the increased potency.
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.
Treatment of prostatitis with laser
-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.
Devices for treatment of prostatitis at home
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:
- the acute phase of inflammation;
- stones prostate;
- genitourinary tuberculosis;
- malignant neoplasms;
- the crack of the rectum and hemorrhoids in the acute phase;
- bleeding from the rectum;
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.
Sanitary-resort treatment of prostatitis
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:
- drinking treatment of mineral waters;
- all kinds of hardware physiotherapy impact, in particular, for the normalization of the nervous system;
- hirudotherapy (treatment with leeches);
- balneotherapy (bath with bromine, iodine, etc.);
- mud therapy (baths, mud tampons).
After treatment in sanatorium many patients forget about the symptoms of prostatitis.
Medical therapy 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:
- anticholinergic medications;
- nonsteroidal anti-inflammatory drugs (NSAIDs);
- immunomodulatory agent;
- inhibitors of 5-alpha-reductase;
- inhibitors of cytokines;
- medications that affect urate metabolism, and citrate.
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.
What means are used to eliminate pain in chronic pelvic pain syndrome (CPPS)
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:
- Tricyclic antidepressants. The use of drugs from this group contribute to cupping pain by blocking H1-histamine receptors, and anticholinesterase effect. Often prescribed to Amitriptyline and Imipramine. Some patients in the form of side effects develops drowsiness, lethargy and thirst.
- Inhibitors of 5-alpha-reductase inhibitors reduce prostate volume and eliminating swelling of tissues. In addition, slowing the conversion of testosterone to dihydrotestosterone reduces pain and symptoms of dysuria.
- Pain-relieving medications. In severe cases, use analgesics if the pain is not amenable to drugs from other groups.
- Drugs affecting the metabolism of urate.
Treatment persistent symptoms of dysuria in prostatitis
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:
- introduction into the bladder of solutions with antiseptic.
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.
Surgery for prostatitis
The indication for surgery in the long-term current prostatitis and severe symptoms are the following complications:
- Sclerosis of the bladder neck.
- Sclerosis of the prostate.
- Sclerosis seed tubercle.
- Stones prostate.
Performed transurethral resection (TUR), which improves the patient's quality of life.
Other means and methods for the treatment of prostatitis: harm or benefit
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:
- aromatic oils;
- amino acids and proteins;
- esters and flavonoids, etc.
This ensures antimicrobial, anti-inflammatory and even antitumor preventive effect.
Recipe ointment of prostatitis based on propolis
In a water bath to melt 100 mg of animal fat, add bee products:
- 90 grams of propolis,
- for 7 grams of pollen and Royal jelly
- 20 grams of honey.
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.
A decoction and compress on the crotch of bee mortuus apes
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.