The most effective treatment for chronic prostatitis

Urologist

Inflammation of the prostate gland, that is, the prostate, regardless of the cause of the disease, as a rule, becomes chronic. In order for an effective treatment of chronic prostatitis to be achieved, one must know for what reasons it appears.

Good health, dear readers. We continue to understand the problem of chronic prostatitis, its causes, symptoms and treatment options.

In this article we will try to figure out what is the best way to treat this terrible disease, what options are at our disposal. Let's begin to analyze the most modern and most effective methods of treating prostatitis in men.

Causes of the onset and exacerbation of the disease

Inflammatory diseases of the genitourinary system, rectum, due to close contact with the prostate gland, lead to the formation of an inflammatory focus in it. The vessels feeding the prostate are branches of the arteries of the bladder, rectum, posterior sacral artery, and deep thigh artery. Any infectious focus present in these organs can enter the gland.

The presence of a chronic infection of any localization, for example, the paranasal sinuses, leads to a weakening of the immune system, and conditionally pathogenic microorganisms present on the skin, in the intestines, and the urethra become pathogenic. This leads to the development of a chronic process.

Disruption of blood circulation in the prostate gland due to stagnation of blood against the background of reduced physical activity leads to a deterioration in the supply of drugs to the prostate gland and complicates the treatment of chronic prostatitis in men.

An increase in blood flow to the organs located in the small pelvis occurs not only due to low physical activity, but also from a number of factors:

  • irregular sex life;
  • interruption of intercourse;
  • smoking, drinking alcohol;
  • varicose veins of the lower extremities;
  • paraproctitis and proctitis;
  • thrombophlebitis of hemorrhoidal veins against the background of chronic hemorrhoids;
  • fissures and fistulas of the anus;
  • the tone of the vascular wall is regulated by the sympathetic and parasympathetic nervous systems, in case of a disease of which the inflow and outflow of blood from the organ is disturbed;
  • perineal trauma in riders, cyclists, motorcyclists.

With urogenital sexually transmitted infections, the disease cannot always be cured completely - this is the reason for the development of chronic prostatitis. The most common pathogens are:

  • Trichomonas;
  • mycoplasma;
  • gonococci;
  • gardnerellas;
  • ureaplasma;
  • chlamydia;
  • mushrooms;
  • viruses;
  • Escherichia coli;
  • streptococci;
  • enterococci;
  • staphylococci.

These microorganisms are difficult to cure.

Hormonal activity after 40 years in a man gradually begins to fade. At first, it is asymptomatic.

A decrease in testosterone production over and over again leads to a slight stagnation of the secretion of the prostate gland in its granules. Little by little, this stagnation increases. The substances contained in the secretions of the prostate are not completely removed. The secretory, motor, barrier function of the secretion of the prostate gland begins to suffer.

The citric acid in the prostatic juice performs a bactericidal function, dilutes it. When there is not enough citric acid, a bacterial infection begins to develop. The level of citric acid in prostatic juice is directly related to the amount of testosterone in the blood.

The clinical picture of the disease

Symptoms of chronic prostatitis in men:

  • sensations of discomfort, pain above the pubis;
  • pain shoots periodically into the rectum and sacrum;
  • increased urination and soreness, especially after hypothermia, stress;
  • uncharacteristic discharge;
  • disorders of ejaculation, erection;
  • premature ejaculation;
  • excessive sweating;
  • sleep disturbance;
  • periodic increase in body temperature no more than 37. 2-37. 3 in the evening.

The prevailing symptoms: pain, urinary disorders or sexual dysfunction - depends on the treatment of chronic prostatitis in men.

The main components of disease therapy

Is Chronic Prostatitis Treated?

It is necessary to highlight the main areas of treatment:

  • medicines;
  • normalization of work and rest regime;
  • rational nutrition;
  • quitting bad habits;
  • physiotherapy, massage;
  • folk remedies.

It is necessary to treat not only with medication, but it is necessary to use all methods in a complex manner. It is impossible to give preference to any one direction of prostatitis therapy.

Medication

Effective treatment of prostatitis should aim to eliminate the cause of prostatitis. Medicines are selected individually by a doctor after performing the necessary diagnostic tests. Let's take a lookhow and how to treat prostatitis, if it has already acquired a chronic form. The main directions of drug therapy:

  • antibiotics;
  • anti-inflammatory drugs;
  • antispasmodics to improve urine flow;
  • uroantiseptics to eliminate urinary tract infections;
  • drugs that improve arterial and venous blood flow;
  • medicines that improve the fluidity, reduce blood viscosity;
  • vitamins;
  • enzymes;
  • sedatives, psychotherapeutic effects;
  • correction of immune disorders;
  • treatment of metabolic diseases and hormonal dysfunction.

Antibiotic therapy

Whether chronic prostatitis is curable will depend on the appropriate antibiotic therapy. It is important to note that therapy and treatment of prostatitis will be most effective only if the type and stage of the disease is correctly determined.

Antibiotics are selected those that penetrate well into the prostate, effectively act on the causative agent of the infection. Some pathogens of chronic prostatitis, such as ureaplasma, are not sensitive to drugs as strong as:

  • tetracyclines;
  • some cephalosporins;
  • some fluoroquinolones;
  • some macrolides.
How to treat chronic prostatitis with antibiotics?

Groups of antibacterial drugs used for treatmentbacterial prostatitis:

  1. Fluoroquinolones.
  2. Macrolides.
  3. Tetracyclines.
  4. 5-nitroimidzole derivatives.
  5. Cephalosporins 3-5 generations.
  6. Lincosamines.
  7. Sulfonamides.

The course of treatment with one antibiotic is 7-10 days, depending on the test results. Without fail, during treatment with antibacterial agents, antifungal drugs are prescribed, agents that normalize the microflora of the gastrointestinal tract.

In total, the course of antibiotic therapy takes from 2 to 4 weeks.

Routes of antibiotic administration:
  • orally in tablets;
  • intramuscularly;
  • intravenously;
  • inside the prostate;
  • endolymphatic.

How to treat and what specific antibiotic to use, the doctor will tell you, based on the data of the examination, examination:

  • ultrasound;
  • complete blood count;
  • study of prostate secretion;
  • PCR;
  • TRUSI;
  • uroflowmetry.

Non-steroidal anti-inflammatory drugs

The effect of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with the normalization of the vascular wall permeability, restoration of microcirculation. They reduce education and prevent the absorption of existing inflammatory mediators. We must remember the property of NSAIDs to form ulcers in the stomach and duodenum.

How to cure chronic prostatitis without getting stomach ulcers? It is necessary to take with a prophylactic purpose 1 capsule of a proton pump inhibitor in the evening.

It is considered the most rational to use rectal suppositories with LPS.

Immunomodulators

Immunomodulators are used to correct immune disorders.

Drugs are prescribed by a doctor, dosages are selected individually.

Nonspecific resistance of the organism is normalized by vitamins and microelements.

Enzymes

Enzyme preparations improve the access of antibiotics and NSAIDs to the prostate, destroying adhesions that are always present in a chronic inflammatory process.

In addition, enzymes have a moderately pronounced function of stimulating immunity.

How to treat chronic prostatitis with alpha-adrenergic blockers?

These drugs are prescribed by a doctor to:

  1. Eliminate spasm from the bladder neck, developing against the background of edema and inflammation.
  2. Improve urine flow, normalize physiological urination.
  3. To coordinate the muscles and sphincters of the bladder.

Normalization of blood flow with drugs

Normal blood flow is achieved with an adequate diameter of the arteries bringing blood to the veins involved in the outflow of oxygen-depleted blood. It is also necessary to reduce the viscosity of the blood and to achieve its good fluidity in the capillary bed.

To achieve a good result in the treatment of chronic prostate diseases, it is necessary to treatinflammatory diseases of the urethra, bladder and kidneys.

Prostatitis inevitably reduces potency, weakens libido, breaks erection. These phenomena are always accompanied by symptoms of dysphoria, low background mood, mood swings. With these symptoms, they are prescribedsedatives, anxiolytics, antidepressants.

Physiotherapy methods of influence

The following methods of treating a chronic process are used to affect the prostate:

  • ultrasound
  • electrophoresis;
  • baths with hot water with decoctions of chamomile, linden, sage, thyme;
  • warm enemas
  • massage of the prostate gland through the rectum;
  • hirudotherapy
  • UHF;
  • inductothermy;
  • microwave resonance therapy.

Physiotherapy is contraindicated in patients with concomitant prostate adenoma.

The severity of psychological abnormalities and depressive manifestations depends on how much chronic prostatitis is treated. To speed up the process, in the absence of contraindications, it is necessary to add physiotherapeutic methods of influence to the treatment.

Diet Recommendations

Standard recommendations for all chronic diseases in the form of refusal to fried, salted, pepper, smoked in this situation are not enough. Effective treatment of prostatitis depends on a rational, balanced diet. It is necessary to add foods such as celery, ginger, turmeric, apiproducts to food.

They contain:

  • silicon, which normalizes the formation of hormones in the body;
  • B vitamins, remove toxins and restore redox processes;
  • chromium, germanium, selenium, zinc normalize the work of the sympathetic and parasympathetic systems;
  • vitamins C, A normalize the permeability of the cell membrane, have antioxidant properties;
  • essential amino acids, omega 3, that rejuvenate sexual function.

Forapitherapyare used: natural honey, bee bread, podmore, royal jelly, dead bees, bee pollen.

Beekeeping products have the following effects:

  • bactericidal;
  • fungicidal;
  • bacteriostatic;
  • tonic;
  • antiviral;
  • immunomodulatory effect.

Alternative Treatment

The course of treatment of chronic prostatitis is necessarily supplemented with medicinal herbs, which should take into account all the listed mechanisms of the development of the disease. Then the effect of therapy will be achieved in full.

The following medicinal herbs can be used:

  • nettle, sage, bearberry;
  • mint, plantain, hernia;
  • rose hips, yarrow, wormwood;
  • thyme, birch buds, linden flowers;
  • swamp dryweed, chamomile, motherwort.

The cure of chronic prostatitis depends on the long-term use of medicinal herbs according to the scheme in combination with anti-relapse courses of drug therapy.

Decoctions, infusions for ingestion, for baths, for microclysters are used. It is not recommended to use tinctures, that is, alcohol-containing medicines. This prevents the successful treatment of chronic urogenital diseases.

All of these drugs have a good effect in the treatment of prostatitis with inflammatory, congestive, hormonal etiology.

13.09.2020