The fight against prostatitis is a difficult and rather long process that does not allow self-treatment.Since this disease can cause pathologies of the male reproductive function, as well as serious dysfunction of other organs and systems, all measures to establish the diagnosis and determine the necessary treatment strategy should be carried out exclusively by a urologist.How to treat prostatitis so that the disease is cured as quickly as possible and what does the complex of therapeutic measures consist of?
Diagnosis of prostatitis
Identifying the presence of prostatitis in a patient is usually not difficult for a urologist, and the main goal of diagnostic procedures is to determine the cause and form of the disease.Some types of examinations may cause discomfort or pain to patients, but it is necessary to go through certain stages of clinical diagnosis to collect useful information for the attending physician:
- Primary rectal digital examination and collection of prostate secretions for analysis to determine the nature of the disease (bacterial or infectious forms of prostatitis).If an infectious agent is detected in biological material, a test is performed to determine the sensitivity of pathogenic microflora to antibiotics in order to optimize a set of further therapeutic measures.
- Transabdominal or transrectal ultrasound examination.It is prescribed as needed to clarify the characteristics of the prostate gland.Transabdominal ultrasound is performed through the front abdominal wall and does not cause discomfort to the patient.However, transrectal examination of the prostate (through the rectum) is, although moderately painful, a more informative procedure, since it allows you to determine not only the parameters of the gland, but also its structural changes.
- PSA blood test.Exceeding the normal level of prostate-specific antigen (4 ng/ml) in the blood may indicate the presence of pathological processes in the prostate gland.Determination of PSA values should be carried out not only in the process of diagnosing prostatitis, but also during the treatment of the disease, to evaluate the effectiveness of therapy.
Main therapeutic components and methods of prostatitis treatment
According to similar schemes, acute prostatitis and exacerbation of the chronic form of this disease are treated.Correctly selected, rational therapy involves the complete recovery of the patient in the first case and leads to his cure or long-term remission of the disease in the second case.Only a urologist can decide to treat prostatitis without harming the patient's health and achieving the maximum effect of the used means and methods;The role of the patient in this process is to strictly follow all the instructions of the specialist.
drug therapy
Drug treatment is the basis of any therapeutic effect on foci of inflammation in the prostate gland.Necessary drugs are selected by the urologist based on the data of laboratory tests and other preliminary studies.The direction of action of drug therapy includes:
- reducing the patient's pain level;
- normalization of blood circulation in the prostate gland and surrounding organs;
- localization and destruction of the infectious agent;
- elimination of inflammatory reactions and swelling of the prostate;
- Stabilization of immunity, sexual activity and general well-being of the patient
The optimal effectiveness of drug therapy is achieved in a wellness program with a combination of antibiotics, painkillers, anti-inflammatory and hormonal drugs, antidepressants, micronema and suppositories.
Local therapy
A local restorative effect on the prostate gland and its inflamed areas is achieved by using different types of physiotherapy in the treatment program:
- ultrasonic phonophoresis;
- transrectal microwave hyperthermia;
- diadynamophoresis;
- laser therapy;
- Prostate massage.
It should be noted that despite the relative pain, massage is the most effective way to fight prostatitis.Thanks to such procedures, stagnant secretion is removed from the prostate gland, which improves blood circulation in the affected tissues and increases the effectiveness of the medications used by the patient.Massage is prescribed to the patient during the period of remission or deterioration of the acute manifestation of the disease.During an exacerbation of prostatitis, procedures by a doctor are excluded from the list of therapeutic measures, because they can provoke the spread of infection.
Herbal medicine
Treatment with herbal remedies is prescribed to patients with prostatitis as part of complex therapy.Health products of plant origin can be used for a long time due to their harmless effects on the body and low prevalence of side effects.Herbal medicine can be carried out through internal and (or) external use, juices, decoctions or St.In case of chronic form of prostatitis, the doctor may prescribe magnetic, phono- or electrophoresis of herbal remedies.
Medicines for the treatment of prostatitis
The doctor prescribes the course of medicines used by patients individually.The antibiotic program is designed with the following specific criteria in mind:
- form of the disease;
- pathogen type and antimicrobial action of the drug;
- penetration of the drug into the prostate tissue;
- There are no contraindications for taking the drug;
- method of taking medicine;
- Possible side effects
Depending on the effectiveness of treatment of chronic and acute prostatitis, there are three main groups of antibacterial agents:
- fluoroquinolones.Drugs of this group have a wide range of action and have the ability to accumulate in prostate tissue in high concentration;In this case, pathogenic bacteria do not develop resistance to the active substance.The "disadvantage" of fluoroquinolones is their possible negative effect on the central nervous system and the likelihood of allergic reactions in patients.
- Tetracyclines.These drugs are most effective against atypical pathogens, but are not sufficiently active against E. coli and staphylococcus and are completely ineffective against Pseudomonas aeruginosa.
- Macrolides.Macrolide group drugs easily penetrate and actively accumulate in glandular tissues;However, while they are low-toxic and effective in killing gram-positive bacteria, they are weak in suppressing gram-negative bacteria.
In the first days of taking prescribed antibacterial drugs, a patient diagnosed with prostatitis should visit the doctor regularly.This measure is necessary for the urologist to monitor the effectiveness of antibiotics.If after three days of treatment, the specialist does not notice a visible improvement in the patient's condition, he changes the main drug.When prescribing antibiotics, the doctor should take into account the patient's experience of taking similar drugs in order to avoid re-prescribing the same group of drugs.
In addition to antibacterial and painkillers, a patient with prostatitis may be prescribed hormonal therapy and (or) alpha-blockers:
- Hormone therapy.The condition and functions of the prostate directly depend on the amount of androgens and estrogens in the male body.The use of hormonal drugs for the treatment of prostatitis allows you to shift the balance of "female" and "male" hormones in a given direction.Since such drugs contribute to the reduction of prostate gland tissue, we can talk about the indirect role of antiandrogens in the recovery of a patient with prostatitis.
- Alpha adrenergic blockers.Taking such drugs refers to the method of pathogenetic therapy;Its purpose is to relieve the general symptoms of prostate inflammation.The use of alpha-blockers is particularly effective in urinary problems.By removing spasms of the sphincter, urethral walls, smooth muscles of the urinary bladder, as well as the prostate itself, it prevents stagnation or retreat of prostate secretions and relieves swelling from the inflamed organ.
Regardless of the purpose and specificity of the use of drugs, any drug should be taken only on the prescription and under the supervision of a doctor.Self-medication may lead to disease complications or render further therapy ineffective in the clinical setting.
Immunocorrection is the key to successful treatment
The entire complex of treatment procedures for chronic or acute prostatitis must necessarily be accompanied by immunocorrective measures (regular visits to an immunologist, normalization of lifestyle, intake of vitamins, immunomodulators, etc.).A high immune status of the body contributes to the rapid recovery of the patient or prolongation of the remission phase of the chronic form of the disease.
In case of characteristic symptoms of the disease, a timely visit to a specialist, strict adherence to medical recommendations during the diagnosis of prostatitis, prevention of relapses of the existing disease and categorical rejection of self-treatment in favor of professional intervention of a urologist will allow you to avoid long-term treatment and adverse consequences of a serious illness.