Prostatitis is an inflammatory disease of the prostate gland. It can be infectious and non-infectious in nature. Regardless of the form of the disease, complex treatment of prostatitis is necessary, including drug and non-drug therapy.
Types of prostatitis and treatment
Due to development, infectious and non-infectious prostatitis are distinguished.
An infectious disease is caused by the activity of disease-causing agents that cause inflammation of the prostate. By the type of pathogen, bacterial or fungal inflammation is distinguished. The disease can be triggered both by the activity of opportunistic microorganisms, which are always present in the body of a man, and by sexually transmitted infections, for example, chlamydia or Trichomonas.
The disease develops against the background of decreased immunity. In most cases, this type of prostatitis is caused by opportunistic microorganisms, for example, Pseudomonas aeruginosa, staphylococcus. A healthy body can suppress infection, but inflammation develops against the background of a decrease in immunity.
Non-infectious prostatitis is a consequence of a sedentary lifestyle. Its development is due to congestion in the pelvic organs: impaired blood circulation, lymphatic flow or stagnation of prostate secretions. Factors that provoke the development of this form of inflammation:
- decreased immunity;
- irregular sex life.
Congestive prostatitis is believed to be a disease of office workers. The disease develops against the background of hypodynamics, as a result of which the metabolism decreases and the trophism of the prostate is disturbed.
A man's sex life plays an important role in the development of congestive prostatitis. Lack of sexual activity leads to a decrease in the tone of the prostate gland and stagnation of secretions. This causes edema of the organ and development of inflammation. At the same time, excessive sexual activity (more than 2-3 sexual intercourse per day) leads to depletion of the organ, and can also cause the development of the disease.
By the nature of the course, prostatitis is divided into acute and chronic. The acute form is characterized by an exacerbation of specific symptoms, including:
- frequent need to urinate;
- pain and burning in the urethra;
- bladder spasms;
- pain in the perineum;
- erectile dysfunction.
The process of urination is accompanied by severe pain in the urethra, caused by compression of the urethra by an enlarged prostate.
Acute prostatitis can be successfully treated with the timely appointment of appropriate drug therapy. In the absence of correct treatment, it becomes chronic. This disease is accompanied by a weakening of male sexual function and various disorders of the urinary system.
Chronic prostatitis can be infectious or non-infectious. And in fact, and in another case, it is characterized by periodic exacerbations, during which the symptoms are acute. Exacerbations of the disease are associated, first of all, with a decrease in immunity.
A comprehensive approach to treatment
Before starting the treatment, the patient must undergo all examinations to identify the type of inflammatory process and the type of pathogen. For this, an analysis of the secretion of the prostate gland is carried out, an ultrasound and an MRI of the organ is performed.
Comprehensive treatment of prostatitis includes:
- drug therapy;
- increased immunity;
- physiotherapy methods;
- dietary therapy;
- lifestyle change.
Drug therapy depends on the form of the disease. In infectious inflammation, antibacterial drugs are the main line of treatment. Your selection is based on the results of the prostate analysis.
For non-infectious prostatitis in the acute stage, anti-inflammatory drugs are used for symptomatic treatment. The main part of therapy is carried out with drugs that normalize the functionality of the organ.
Complex treatment of prostatitis necessarily includes taking drugs to enhance immunity. They can be both topical (rectal suppositories) and immunomodulatory agents in tablets. The choice of drugs is made only by a doctor.
In bacterial prostatitis, the basis of treatment is to fight infections, in congestive prostatitis, to improve the functionality of the prostate gland.
Comprehensive prostatitis treatment begins with symptom-relieving medications that normalize prostate function and improve well-being. With infectious prostatitis, the basis of therapy is antibiotics.
Drugs from the following groups are used for treatment:
Penicillins and tetracyclines are rarely used in urological practice due to the low efficacy of the treatment and the large number of side effects. Pathogenic microorganisms that provoke the inflammatory process quickly develop resistance to the action of drugs in this group, which adversely affects the therapeutic effect of drugs.
However, a fairly good result is achieved by taking combination drugs.
In most cases, macrolide drugs are prescribed. Its advantages lie in a wide spectrum of action, good tolerance to organisms and high bioavailability, so that the components of the drug penetrate the tissues of the prostate.
Recently, doctors increasingly prefer drugs from the group of fluoroquinolones. They are broad-spectrum antimicrobial drugs that have several advantages over conventional antibiotics.
Since fluoroquinolones, unlike antibiotics, are completely synthetic drugs that do not have natural analogues, treatment with these drugs is more effective, due to the lack of development of resistance from pathogens.
Fluoroquinolones quickly penetrate prostate tissue, are well tolerated by the body, and rarely cause side effects. Most often, doctors prescribe drugs with levofloxacin in the composition. Therapy takes at least 28 days, the drug is taken in 1-2 tablets. The doctor selects the exact dose and dosage regimen individually. In some cases, intramuscular administration of the drug may be prescribed, then the course of treatment is reduced.
For the complex treatment of chronic prostatitis of a non-infectious nature, anti-inflammatory drugs are used.
These drugs have a symptomatic effect, eliminating pain and stopping the inflammatory process. It is advisable to prescribe anti-inflammatory drugs in suppositories; Thanks to this form of release, the active principle enters the tissues of the prostate gland directly.
In infectious inflammation, anti-inflammatory drugs are prescribed in short courses to relieve symptoms, but in non-infectious prostatitis, they form the main line of treatment, as antibiotics are not used for this form of thedisease.
For the treatment of congestive prostatitis, bioactive drugs are often used to normalize the functionality of the prostate.
In general, these are preparations based on an extract from the prostate gland of young bulls. The drug improves the trophism of the prostate, relieves inflammation and reduces edema. With non-infectious prostatitis, it is used for a long time to treat inflammation. With bacterial inflammation of the prostate, this drug is indicated to restore organ function after antibiotic therapy.
For congestive prostatitis, suppositories with propolis and bee products, ichthyol, or pumpkin seed oil are often prescribed. Such drugs are intended to normalize the trophism of the prostate, have anti-inflammatory effects and increase local immunity.
Preparations to increase immunity
The prostate gland in the complex treatment of prostatitis is exposed to various drugs. To prevent the new development of the disease after a course of treatment, a set of measures to increase immunity is shown.
For this purpose, designate:
- zinc preparations;
- tablets with echinacea extract;
- vitamin complex;
- vitamin E.
Zinc, selenium, and vitamin E are essential for normal prostate function. Urologists often prescribe bioactive dietary supplements rich in these substances.
It is also recommended to take a vitamin course specially designed for men. Such preparations contain a complex of substances aimed at normalizing the functioning of the genitourinary system.
Echinacea extract injections are prescribed to reduce the risk of exacerbations and recover from antibiotic therapy, but this drug is no less effective in tablet form.
In chronic prostatitis, the vitamin complex should be drunk twice a year to reduce the risk of exacerbation.
Physiotherapy and massage
In chronic prostatitis, physical therapy is prescribed to eliminate congestion. Usually acupuncture, current and magnetic exposure methods, darsonvalization are used. In case of bacterial inflammation, such methods are not used, as they can cause the spread of pathogens throughout the body with the bloodstream.
In case of prostate trophism, rectal massage is indicated. Such procedures are carried out by a qualified specialist - urologist or proctologist. The massage course varies from 10 to 15 procedures.
Physiotherapy stimulates blood circulation in the pelvic organs, eliminates lymphatic congestion and normalizes the release of prostate secretions. The course of procedures allows you to restore the normal functioning of the organ and has a positive effect on potency.
Surgical treatment of prostatitis is carried out only in case of complications.
With infectious prostatitis, a prostate abscess can form. This requires immediate patient hospitalization and manipulation, during which the abscess is opened and its contents removed.
In chronic prostatitis, narrowing of the urethra can occur, leading to acute urinary retention. In this case, surgery is performed and a catheter is installed to remove urine. Also, with a severe course of the disease, fibrosis can develop, as a result of which scars appear on the tissues of the prostate. In this case, an operation is performed, during which the sealing areas are removed with the help of a laser.
Lifestyle and nutrition
Comprehensive treatment of prostatitis includes changes in lifestyle, normalization of nutrition and abandonment of bad habits. The diet for inflammation of the prostate is not strict, but excludes any fast food, semi-finished products and smoked meats. It is necessary to stop alcohol and smoking.
Foods that are good for men's health should be included in the diet:
- pumpkin seed oil and olives;
- walnuts and honey;
- pumpkin seeds;
- fermented dairy products.
With stagnant prostatitis, exercise regularly. Physical activity should aim to normalize blood circulation in the lower body.
An important role is given to the sexual life of the patient. With prostatitis, you need regular sex, at least 3 times a week. At the same time, excessive sexual activity is unacceptable, as it depletes the prostate.
Otherwise, proper drug therapy, proper nutrition, and giving up bad habits will get rid of prostatitis. However, after inflammation, a man is recommended to visit a urologist annually and undergo a complete examination of the prostate gland.