Modern treatment of prostatitis – one of the urgent problems in urology, depending on the cause, supporting the inflammation in the prostate, will depend on schema therapy. Patients with chronic prostatitis do not usually need hospital admission. In more severe cases, a complete treatment in the hospital in the most efficient way. We consider in detail, what are the medications and non-drug ways to solve this problem.
Non-drug treatment of prostatitis
Spa treatments and physiotherapy impact
In modern urology, of great importance are the physical methods, which allow to reduce the dosage and the duration of the course of antibiotic therapy.
Physiotherapy with prostatitis involves the following objectives:
- improvement of the microcirculation in the tissues of the prostate gland;
- the increase of the accumulation of medicinal substances in the organ;
- reduction of the pain;
- improvement in the quality of urination;
- relief of the inflammatory process;
- the gain of power.
The most effective ways to relate transrectal oven hyperthermia and physical therapy (mud therapy, laser therapy, phono -, and electrophoresis). Depending on the severity of the changes in the tissues of the prostate, the presence or absence of the phenomena of stagnation, and also comorbidity, apply a variety of temperatures and types of procedures.
Electromagnetic effect at a temperature of about 40 degrees Celsius has anticongestive, immune-stimulating activity, and bacteriostatic effect. With a further increase of temperature up to 45 degrees emphasize analgesic and sclerosing effect, as well as the oppression of nerve endings and the size reduction of the gland.
Important! Prior to the appointment of physiotherapy, with prostatitis it is necessary to give an evaluation of the level of prostate-specific antigen (PSA) in the blood in men over the age of 40 years and perform transrectal ultrasound of the prostate (transrectal ultrasound). This will allow you to delete the process in the prostate gland. In case of doubt, to a high level of PSA, justified resort to magnetic resonance imaging.
Physiotherapy in calcifications of the prostate (calculous prostatitis), it usually does not take place. This is due to the fact that the stones and the irregular fabric to heat in the MICROWAVE – field, which can cause acute urinary retention and the presence of blood in the seminal fluid.
Prostatitis laser treatment
-Cheap navitas laser impact on prostate action, similar to those of a microwave hyperthermia with a temperature of 40 degrees Celsius. In this way it is more justified to apply in cases with 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'.
Massage of the prostate is used less and less, as they are the most effective measures and the most modern instruments for physical therapy. The procedure of massage of the prostate does not take place in a period of acute, a contraindication also serve as a adenoma of prostate, kidney, prostate, the process, the tuberculosis.
Devices for the treatment of prostatitis in the home
Therapeutic properties are based on heat, massage and magnetic impact on the tissue of the prostate. The procedure is painless and requires no special skills. In the rectum introduced the tip in a condom, before this, it is possible to apply the gel with anti-inflammatory substance. After use, the appliance should not boil, it is sufficient to clean the surface with alcohol.
The course of treatment 15 procedures, for a duration of 10 – 12 minutes.
Contraindications to physiotherapy:
- the acute phase of the inflammation;
- the stones of the prostate gland;
- tuberculosis, urogenital;
- malignant neoplasms;
- the crack of the rectum, and hemorrhoids in the acute phase;
- diarrhea;
- bleeding from the rectum;
- fever.
There are services for the prostate massage in the home environment battery powered, are less easy to use, and the effect is that of vibration. The positive aspects can be attributed to the price, is in a range of up to 2000 rubles.
Health-spa treatment of prostatitis
In the sanatorium you can only go into remission after you have completed the sanatorium credit. There are many places in Russia and abroad, where treatments to cure prostatitis, improve erectile function and improve overall health.
Help solve the problem the following activities:
- therapeutic exercise;
- drinking treatment of mineral waters;
- all types of hardware draining impact, including, and for the normalization of the nervous system;
- hirudotherapy (treatment of leech);
- balneotherapy (bath tub with bromine, iodine, etc);
- the mud (and mud tampons).
After treatment in a nursing home, many patients forget the symptoms of prostatitis.
Medical therapy of prostatitis
In the treatment of chronic prostatitis, it is important to the multicomponent scheme, which will cover all aspects of the pathogenesis. In this way it will be possible to withdraw the causative agent of tissues, normalizes blood circulation and the nutrition of the body, promotes proper drainage acini (endocrine), normalize hormones, and activates the local immune system.
For these objectives apply to the preparations of the following groups:
- antibiotics;
- anticholinergic medicinal products;
- non-steroidal anti-inflammatory drugs (NSAIDS);
- immunomodulatory funds;
- angioprotectors;
- natural medicine;
- alpha-blockers;
- inhibitors of 5-alpha-reductase;
- inhibitors of cytokines;
- drugs that influence the metabolism of urate, and citrates.
Important! It is not told that your treatment regimen will include all of the above, the doctor focuses on your complaints and symptoms in the case of prostatitis, the results of the survey, resulting in a factor, the effect of a previous treatment, the phase of the inflammatory process, and co-morbidities.
Exacerbation of chronic prostatitis requires experiential (without detection of the pathogen) antibiotic therapy, with the appointment of a broad-spectrum antibiotic. Of course, it is best to choose an antibiotic for the results of bacterial inoculation test, but it needs time. Acute inflammatory process in the prostate, left without treatment, will lead to complications, such as, for example, apostema or bacteriotoxic shock. Often the swelling breast against the background of inflammation causes severe urinary retention.
In these cases, place the suprapubic lumbar bladder with a Foley catheter and cut the aggravation of prostatitis with antibiotics, anti-inflammatory means, the local application of candles etc
So to not end up in the hospital, for the cure of inflammation is necessary when the first symptoms of the disease and perform all of the tips urologist.
Treatment of prostatitis is individually determined, but are the recommendations for you to receive antibiotics (preferably levofloxacin novum series) up to 28 days.
This scheme adheres to the European association of urology, antibiotics and sulfa drugs are considered priority drugs in the treatment of acute /exacerbation of prostatitis.
What tools to use to get rid of the pain in the syndrome of chronic pelvic pain (CPPS)
CPPS does not imply the cause of the symptoms with the infectious agent (specific or non-specific). This is a diagnosis by exclusion, according to the results of a full clinical and laboratory tests.
A good effect is achieved with the use of the following medications:
- Tricyclic antidepressants. The use of medicines in this group help cupping pain due to a block H1-histamine receptors, and anticholinesterase effect. To appoint more often with Amitriptyline and Imipramine. Some patients as a side effect you develop drowsiness, apathy and thirst.
- Inhibitors of 5-alpha-reductase, help to reduce the volume of the prostate and resolution of tissue swelling. In addition to this, slowing down the transformation of testosterone in digidrotestosteron reduces the pain and the symptoms of dysuria.
- Pain-relieving drugs. In more serious cases, use analgesics if the pain does not lend itself to preparations of other groups.
- Medicines that affect the exchange of urate.
Treatment of persistent symptoms dysuria with prostatitis
Sometimes, even though you are turning the antibacterial and anti-inflammatory therapy, the patient continues to have difficulty in the act of urination.
After conducting a further study – uroflowmetries or bibendum sem research – prescribe medications depending on the identified pathology. In the case of hypersensitivity the bladder neck pattern of treatment is similar to that when interstitial cystitis:
- antidepressants;
- antihistamines;
- introduction in a bladder of solutions with antiseptic.
If dysuria disorders supports hyperreflexia, detrusor (overactive bladder on the background of prostatitis) – using drugs, anticholinesterases. Hypertonicity detrusor relieve benzodiazepines, and use physiotherapy impact, sacralis, the neuromodulation.
Surgical operations with prostatitis
The indication for surgical intervention during the long period of current prostatitis and severe symptoms, you need the following complications:
- Sclerosis of the bladder neck.
- Plaques of the prostate.
- Sclerosis, veru montanum.
- The stones of the prostate.
Is performed the transurethral resection (TUR), which improves the quality of life of the patient.
Additional tools and methods for the treatment of prostatitis: the damage or the use
On the internet and in case of doubt, the tabloid publications just lazy, has not said how to cure prostatitis for always. Some of the ways you can adopt, as a complement to the basic treatment, the other can worsen the condition and lead to a result adverse.
As a prevention you can use bee products (honey, royal jelly, pollen, propolis, etc), with a reasonable degree of positive approach, the effect will be.
Considering that the propolis contains useful features, such as:
- vitamins;
- aromatic oil;
- amino acids and proteins;
- esters and flavonoids etc.
In this way, antimicrobial, anti-inflammatory and also preventive anti-tumor effect.
Recipe ointment prostatitis on the basis of propolis
In double boiler melt 100 mg animal fat, add the products of the api:
- 90 grams of propolis,
- 7 grams labial and royal jelly,
- 20 grams of honey.
Boil ointment the instrument is not possible, the optimum temperature for cooking 40 – 42 C. Stir with a wooden stick, let it cool and store in a cool place. Apply on the area and the perineum, 2 times a day until complete absorption of the gel. Duration of treatment – 3 weeks. If necessary, repeat.
If there are difficulties in the preparation, it is possible to use the finished pharmacy-shape candle with propolis. Insert a candle for the night in the anus every day, the duration of therapy – from 15 to 30 days.
Note that the pollen is available in capsule form for internal consumption and contains 0,4 grams of active substance. It is possible to simultaneously use with suppositories. The admission to the course of 1 month.
The decoction and the pack on the horse bee mortuus apes
A sample is a dead bee, to prepare the broth substance exclusively in dry form.
Way of preparation: pour 2 tablespoons of mortuus apes 800 ml of water, simmer on low heat for about an hour. Cool, filter and take 5 tablespoons 3 times a day for a month. For a pack 150 mg mortuus apes resist above the ferry up to a slushy consistency. Put the tool in the folded in several layers of gauze, from the top to close the pulp still several layers of gauze. A couple of overcome, to attach to the perineum and hold 45 – 60 minutes. Best to perform the procedure for the night, and in the morning you can shower.