Prostatitis is an inflammatory disease of the prostate gland. May 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 is 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 is able to 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, lymph flow, or stagnation of prostate secretions. Factors provoking 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 hypodynamia, 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 provokes edema of the organ and the development of inflammation. At the same time, excessive sexual activity (more than 2-3 intercourse per day) leads to the 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 urge 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, which is caused by compression of the urethra by an enlarged prostate.
Acute prostatitis can be treated quite successfully with the timely appointment of adequate drug therapy. In the absence of correct treatment, it becomes chronic. This disease is accompanied by a weakening of the 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 treatment, the patient must undergo all examinations to identify the type of inflammatory process and the type of pathogen. To do this, an analysis of the secretion of the prostate gland is taken, an ultrasound scan and an MRI of the organ are performed.
Comprehensive prostatitis treatment includes:
- drug therapy;
- increased immunity;
- physiotherapy methods;
- diet therapy;
- lifestyle change.
Drug therapy depends on the form of the disease. In infectious inflammation, antibacterial drugs are the main line of treatment. Their selection is based on the results of the analysis of the prostate.
With 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 medications to improve immunity. It can be both topical agents (rectal suppositories) and immunomodulators in tablets. The choice of drugs is carried out only by a doctor.
In case of bacterial prostatitis, the basis of treatment is the fight against infections, in case of congestive prostatitis, it is to improve the functionality of the prostate gland.
Comprehensive prostatitis treatment begins with symptom relief drugs that normalize prostate function and improve well-being. With infectious prostatitis, the basis of therapy is antibiotics.
The drugs of the following groups are used for treatment:
Penicillins and tetracyclines are rarely used in urological practice due to the low effectiveness of treatment and a large number of side effects. Pathogenic microorganisms that provoke the inflammatory process quickly develop resistance to the action of drugs in this group, which negatively affects the therapeutic effect of drugs.
Nevertheless, a fairly good result is achieved by taking combination drugs.
In most cases, macrolide drugs are prescribed. Their advantages lie in a wide spectrum of action, good tolerance of organisms and high bioavailability, due to which the components of the drug penetrate into the tissues of the prostate.
Recently, doctors increasingly prefer drugs of the fluoroquinolone group. They are broad-spectrum antimicrobial drugs that have several advantages over conventional antibiotics.
Since fluoroquinolones, unlike antibiotics, are completely synthetic drugs that have no natural analogues, treatment with these drugs is more effective, due to the lack of development of resistance of pathogens.
Fluoroquinolones quickly penetrate the 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 medicine is taken in 1-2 tablets. The exact dosage and dosage regimen is selected by the doctor on an individual basis. In some cases, intramuscular administration of the drug can 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.
Such drugs have a symptomatic effect, eliminating pain and arresting the inflammatory process. It is advisable to prescribe anti-inflammatory drugs in suppositories - thanks to this form of release, the active substance enters directly into the tissues of the prostate gland.
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, since antibiotics are not used for this form of the disease.
For the treatment of congestive prostatitis, bioactive drugs are often used to normalize the functionality of the prostate.
As a rule, 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 course to treat inflammation. In case of bacterial inflammation of the prostate, this drug is indicated for the restoration of 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 aimed at normalizing trophism of the prostate, have an anti-inflammatory effect and increase local immunity.
Preparations for increasing immunity
The prostate gland in the complex treatment of prostatitis is exposed to various drugs. In order to avoid the re-development of the disease after a course of treatment, a set of measures is shown to increase immunity.
For this purpose, appoint:
- zinc preparations;
- tablets with echinacea extract;
- vitamin complex;
- vitamin E.
Zinc, selenium and vitamin E are required for the normal functioning of the prostate. Urologists often prescribe bioactive dietary supplements high in these substances.
It is also recommended to take a course of vitamins specially designed for men. Such preparations contain a complex of substances aimed at normalizing the functioning of the genitourinary system.
To reduce the risk of exacerbations and recover from antibiotic therapy, injections of echinacea extract are prescribed, 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, physiotherapy is prescribed to eliminate congestion. Usually acupuncture, current and magnetic methods of exposure, darsonvalization are used. In case of bacterial inflammation, such methods are not used, since they can provoke the spread of pathogenic agents throughout the body with the blood flow.
Rectal massage is indicated for prostate trophism disorders. Such procedures are carried out by a qualified specialist - urologist or proctologist. The massage course ranges from 10 to 15 procedures.
Physiotherapy stimulates blood circulation in the pelvic organs, eliminates lymph congestion and normalizes the outflow 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 may form. This requires immediate hospitalization of the patient and manipulation, during which the abscess is opened and its contents removed.
In chronic prostatitis, a 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. In addition, with a severe course of the disease, fibrosis may 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 & Nutrition
Comprehensive treatment of prostatitis includes lifestyle changes, normalization of nutrition and giving up bad habits. The diet for inflammation of the prostate is not strict, but excludes any fast food, semi-finished products, smoked meats. It is necessary to give up alcohol and smoking.
Foods that are good for men's health should be included in the diet:
- pumpkin seed oil and olives;
- nuts and honey;
- pumpkin seeds;
- fermented milk products.
With congestive prostatitis, exercise regularly. Physical activity should be aimed at normalizing blood circulation in the lower body.
An important role is given to the patient's sex life. 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, adequate 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 comprehensive examination of the prostate gland.