Prostatitis is an inflammatory disease of the prostate.It can be infectious or non-infectious in nature.Regardless of the form of the disease, comprehensive treatment of prostatitis is necessary, including pharmacological and non-pharmacological treatments.
Types and treatment of prostatitis
Depending on the development, prostatitis is divided into infectious and non-infectious prostatitis.
This infectious disease is caused by the activity of pathogens that cause inflammation of the prostate.Depending on the type of pathogen, bacterial or fungal inflammation can be distinguished.The disease can be caused by the activity of opportunistic microorganisms that are always present in the male body, as well as sexually transmitted infections such as chlamydia or trichomoniasis.
The disease occurs against the background of reduced immunity.Most often, this type of prostatitis is caused by opportunistic microorganisms such as Pseudomonas aeruginosa, Staphylococcus aureus.A healthy body can suppress infection, but when immunity is weakened, inflammation can occur.
Non-infectious prostatitis is the result of a sedentary lifestyle.It occurs due to congestion of the pelvic organs - impaired blood circulation, lymph flow or stagnant secretions from the prostate.Factors that trigger this inflammation:
- hypothermia;
- Decreased immunity;
- lack of physical activity;
- obesity;
- Irregular sex life.
Congestive prostatitis is believed to be a disease of office workers.The disease occurs against the background of physical inactivity, as a result of which metabolism decreases and the nutritional role of the prostate is destroyed.
Men's sexual life plays an important role in the occurrence of congestive prostatitis.Lack of sexual activity can lead to decreased prostate tone and stagnant secretions.This can cause swelling of the organ and the development of inflammation.At the same time, excessive sexual activity (more than 2-3 times a day) can lead to organ failure and also contribute to the development of the disease.
According to the nature of the course of the disease, prostatitis is divided into acute and chronic.The acute form is characterized by a worsening of specific symptoms, including:
- Frequent urge to urinate;
- urethral pain and burning;
- Bladder spasms;
- perineal pain;
- Erectile dysfunction.
Severe pain in the urethra may occur during urination, which is caused by the enlarged prostate compressing the urethra.
Acute prostatitis can be treated quite successfully with prompt and adequate medical treatment.Without the right treatment, it can become chronic.This disease is accompanied by weakened male sexual function and various diseases of the urinary system.
Chronic prostatitis can be infectious or non-infectious.In both cases, it is characterized by periodic exacerbations during which symptoms become acute.The exacerbation of the disease is mainly related to weakened immunity.
Comprehensive treatment approach
Before starting treatment, the patient must undergo all tests to determine the type of inflammatory process and the type of pathogen.To do this, prostate secretions are analyzed and the organ is examined with ultrasound and MRI.
Comprehensive treatment for prostatitis includes:
- drug treatment;
- Enhance immunity;
- physical therapy methods;
- diet therapy;
- Lifestyle changes.
Medication depends on the form of the disease.For infectious inflammation, the main line of treatment is antibiotics.Their selection is based on the results of a prostate analysis.
For non-infectious prostatitis in the acute phase, anti-inflammatory drugs are used for symptomatic treatment.The main part of treatment is carried out with drugs that normalize the function of the organ.
Complex treatment of prostatitis necessarily involves taking medications to boost immunity.These can be immunomodulators in the form of topical medications (rectal suppositories) or tablets.The choice of medication is determined solely by your doctor.
For bacterial prostatitis, the basis of treatment is to fight infection; for stagnant prostatitis, it is to improve the function of the gland.
antibacterial treatment
Comprehensive treatment of prostatitis begins with medications that relieve symptoms, normalize prostate function and improve health.For infectious prostatitis, the basis of treatment is antibiotics.
The following groups of drugs are used to treat:
- penicillin;
- Tetracyclines;
- macrolides;
- Fluoroquinolones.
Penicillins and tetracyclines are rarely used in urological practice due to low therapeutic efficacy and side effects.Pathogenic microorganisms that cause inflammatory processes quickly become resistant to the effects of this group of drugs, which negatively affects the therapeutic effect of the drugs.
Despite this, the combination of drugs has achieved quite good results.
In most cases, doctors will prescribe macrolide medications.Their advantages include a broad spectrum of action, good biological tolerance, and high bioavailability, so that the pharmaceutical ingredients can penetrate into the prostate tissue.
Recently, doctors have become increasingly interested in fluoroquinolones.These are broad-spectrum antimicrobials that offer many advantages over traditional antibiotics.
Since fluoroquinolones, unlike antibiotics, are fully synthetic drugs with no natural analogues, treatment with these drugs is more effective as pathogens do not develop resistance.
Fluoroquinolones rapidly penetrate prostate tissue, are well tolerated by the body, and rarely cause side effects.Most commonly, doctors prescribe medications containing levofloxacin.Treatment requires at least 28 days, taking 1-2 pills.The exact dosage and administration regimen are chosen individually by the physician.In some cases, intramuscular injection of the drug may be required, in which case the course of treatment will be shortened.
anti-inflammatory drugs
For comprehensive treatment of non-infectious chronic prostatitis, anti-inflammatory drugs are used.
Such drugs have a symptomatic effect, relieve pain and stop the inflammatory process.It is recommended to prescribe anti-inflammatory drugs in suppositories - due to this form of release, the active substance directly enters the prostate tissue.
For infectious inflammation, anti-inflammatory drugs can be taken short-term to relieve symptoms, but for non-infectious prostatitis, anti-inflammatory drugs are the main treatment because antibiotics are not used for this disease.
To treat congestive prostatitis, bioactive drugs are often used to normalize prostate function.
Typically, these preparations are based on extracts of the prostate of young bulls.This medication improves prostate nutrition, relieves inflammation, and reduces swelling.For non-infectious prostatitis, long-term use is required to treat inflammation.For bacterial inflammation of the prostate, this drug restores the organ's function after antibiotic treatment.
For congestive prostatitis, suppositories containing propolis and bee products, isitol or pumpkin oil are often prescribed.Such drugs are designed to normalize prostate nutrition, have anti-inflammatory effects and enhance local immunity.
immunity-boosting drugs
During the complex treatment of prostatitis, the prostate is exposed to various drugs.In order to avoid the recurrence of the disease after a course of treatment, a series of immunity-boosting measures need to be taken.
For this purpose, the following is provided:
- Zinc-containing preparations;
- Tablets containing echinacea extract;
- vitamin complex;
- Vitamin E.
For the normal function of the prostate, zinc, selenium and vitamin E are necessary.Urologists often prescribe bioactive dietary supplements rich in these substances.
It is also recommended to take a vitamin course designed specifically for men.This class of drugs contains a variety of substances designed to normalize the functioning of the genitourinary system.
To reduce the risk of exacerbation and recovery after antibacterial treatment, doctors inject echinacea extract, but the drug is equally effective in tablet form.
For chronic prostatitis, a multivitamin should be taken twice a year to reduce the risk of the condition getting worse.
Physical therapy and massage
For chronic prostatitis, physical therapy is needed to eliminate congestion.Acupuncture, electrical and magnetic influence methods, Dalson's method are usually used.For bacterial inflammation, such methods are not used because they can cause the pathogen to spread throughout the body through the blood.
If prostate nutrition is compromised, rectal massage is required.This type of surgery is performed by a qualified specialist (urologist or proctologist).Massage treatments range from 10 to 15 procedures.
Physical therapy stimulates blood circulation in the pelvic organs, eliminates lymphatic stagnation and normalizes the outflow of prostate secretions.A series of surgeries can allow you to restore the normal function of your organs and have a positive impact on performance.
surgical treatment
Surgical treatment of prostatitis is performed only in case of complications.
With infectious prostatitis, a prostate abscess may form.This requires immediate hospitalization and management of the patient, during which the abscess is opened and its contents are removed.
With chronic prostatitis, the urethra may become narrowed, leading to acute urinary retention.In this case, surgery is required and a catheter is installed to drain the urine.Additionally, in severe cases, fibrosis may develop, resulting in scarring of the prostate tissue.In this case, the removal of compacted areas using laser is performed.
lifestyle and nutrition
Comprehensive treatment for prostatitis includes changing lifestyle, regulating nutrition and getting rid of bad habits.The diet for prostatitis is not strict but excludes any fast food, semi-finished products and smoked food.Drinking alcohol and smoking must be avoided.
Your diet should include foods that are good for men's health:
- avocado;
- pumpkin seed oil and olives;
- nuts and honey;
- citrus;
- pumpkin seeds;
- Fermented dairy products.
If you have congestive prostatitis, you should exercise regularly.Physical activity should be aimed at normalizing blood circulation in the lower body.
The patient's sex life plays an important role.If you have prostatitis, you need to have sex regularly, at least 3 times a week.At the same time, excessive sexual activity is not acceptable because it depletes the prostate.
Otherwise, adequate medication, proper nutrition, and giving up bad habits will help you get rid of prostatitis.However, after inflammation develops, it is recommended that men see a urologist annually and have a comprehensive examination of the prostate.