The latest and most effective treatments for prostatitis
Every year, more and more men are faced with a common disease - prostatitis. Until recently, it was believed that this problem occurs only in elderly people, but over the past decade, the number of very young men who have signs of inflammatory lesions of the prostate gland has increased significantly. We will try to figure out what kind of disease it is, what are its symptoms, methods of diagnosis, methods of effective treatment.
What is prostatitis?
Prostatitis - a disease of the prostate or prostate gland - a very common disease of the male genitourinary system. Its causes can be both infectious and caused by other factors. For example, weakened immunity, hypothermia, a sedentary lifestyle, an irregular or excessively saturated sex life, nervous overload, various infections, the use of alcohol, spices and fatty foods.
The prostate gland - one of the organs of the male reproductive system - is about the size of a walnut and is located at the beginning of the urethra. Its function is to produce a secret that is responsible for the viability of sperm.
As a rule, four types of prostatitis are distinguished: acute, chronic abacterial, chronic bacterial and asymptomatic chronic. The first type is the most rare and severe inflammation of the prostate gland that occurs due to infection. It has pronounced symptoms: high fever, fever, acute pain in the pelvic area, blood in the urine, painful ejaculation, and others. When a disease is identified, urgent medical attention is required, often hospitalization.
The remaining forms are chronic and have less severe symptoms, but are more common and more difficult to diagnose. Signs of chronic prostatitis are: pain in the lower abdomen and back, dysuria, sexual disorders, purulent or transparent discharge from the urethra. With an asymptomatic course of the disease, there may not be any noticeable manifestations of it, diagnosis is possible only according to the results of analyzes.
Prostatitis in men occurs, as a rule, after 25 years, and representatives of the “strong half” who have reached 30–35 years are most at risk. With every decade lived, the risk of getting sick increases. After forty-five, according to statistics, almost 50% of males are susceptible to the disease, therefore, at this age, it is recommended to be regularly examined to detect prostatitis at an early stage.
When contacting a medical institution, the first thing to do is to undergo an examination by a urologist who can either accurately diagnose the disease or prescribe additional studies. The following diagnostic methods can accurately identify the presence of inflammation of the prostate gland:
- physical examination, including palpation of the gland by a doctor to determine its size and condition,
- transrectal ultrasound examination of the prostate - in other words, an ultrasound scan performed by a special probe through the rectum,
- investigation of prostate secretion, smear from urethra for leukocytes and the presence of pathogenic bacteria in the microflora,
- ejaculate examination
- general urine analysis - first of all, for white blood cells, protein and contained bacteria,
- cytological and bacteriological examination of urine,
- detection of PSA levels - a special protein produced by prostate cells,
- urodynamic examination - in difficult cases, for a more accurate diagnosis,
- cystoscopy - is used according to strict indications, mainly for injuries and before surgery.
The need to use specific diagnostic methods is determined by the doctor, and the list can significantly decrease or, conversely, increase. The most important thing is to accurately and timely detect the presence of the disease and determine how to cure prostatitis.
The first signs of prostatitis
What symptoms will occur with prostatitis depends on its shape. The disease can be triggered by age-related changes, or infection, in particular, bacterial, viral or fungal. Symptoms in one case or another may vary. The severity of the manifestations of prostatitis depends on the stage of the disease.
The first signs of inflammation of the prostate are:
- Various types of problems with urination: difficulty urinating, frequent urination, dropping urine, burning and pain.
- Pain in the groin of varying intensity.
- Pain during bowel movements.
- Pain during ejaculation.
- Erectile dysfunction to varying degrees: rapid ejaculation, insufficient penile tension, weakening of erection during intercourse.
Often, patients do not bother at all, and they turn to the doctor for examination because of infertility. Prostatitis affects the quality of sperm, so a man with such a disease is likely to conceive a child. Thus, male infertility can also be attributed to one of the symptoms of prostatitis.
Transurethral Resection of the Prostate (TUR)
It consists in removing part of the tissue of the prostate gland or the entire prostate in order to relieve pressure on the urethra. The result of the operation is to get rid of the symptoms of inflammation - nocturia and pain. It is produced by the so-called “closed” method - with the help of a resectoscope, which reduces the risk of complications.
Prostatitis treatment methods
Based on symptoms alone, prostatitis treatment is not prescribed, because it is very important to understand what caused the inflammatory process and eliminate it. If you do not do this and start the therapy blindly, then it will most likely be ineffective.
The treatment of prostatitis is complex. During the period of exacerbation, the patient is recommended to abandon sex, heavy physical exertion. It is necessary to observe bed rest, eat healthy and easily digestible food and follow all the recommendations of the attending physician.
Drug treatment of prostatitis
Drug treatment of prostatitis is the basis of the therapeutic course. Consider which drugs are prescribed for inflammation of the prostate.
Anti-inflammatory drugs relieve inflammation, pain and fever:
Antispasmodics eliminate spasm of smooth muscles and normalize the outflow of urine:
Antibiotics are prescribed for bacterial infections. There are several groups of such drugs:
- Penicillins - Amoxiclav, Augmentin, Clavomed, Flemoklav Solutab, etc.
- Fluoroquinolones - Tavanic, Cifran, Tsiprobay, Zanocin, Ofloxacin, Ciprinol, Eleflox.
- Macrolides - Sumamed, Rulid.
- Tetracyclines - Doxycycline, Unidox Solutab.
- Cephalosporins - Suprax, Ceftriaxone, Cefotaxime, Claforan.
- Aminoglycosides - Gentamicin.
Which antibiotic will be prescribed depends on the bacterium that provoked the inflammation. You can detect it by analyzing the tank sowing prostate juice.
Alpha-adrenergic blockers normalize urine outflow and help eliminate prostatitis symptoms. Examples of such drugs:
Drugs are prescribed not only in the form of tablets and injections, often patients are recommended suppositories from prostatitis. They are anti-inflammatory, analgesic, antitumor, etc. The advantage of suppositories from prostatitis is that they act locally directly on the site of inflammation, which helps to quickly eliminate the manifestations of pathology.
In the complex treatment of the disease, vitamins and immunostimulating agents are indicated. They help strengthen the immune system and speed up the recovery of the patient.
Where can I go to treat prostatitis?
Many men are delayed with the treatment of prostatitis due to fear of pain. Although you need to be afraid of just the consequences of a running illness: pain during urination, erectile dysfunction, and even the risk of oncology. But the discomfort during prostatitis therapy may be minimal or even completely absent. For example, such a “comfortable” treatment is practiced in clinics of traditional Chinese medicine. About what medical services are provided by Chinese experts, says the leading physician of the TAO clinic Zhang Zitsian:
“To begin with, Chinese medicine does not contradict European medicine and in some cases can replace or supplement the“ usual ”treatment. So, in our clinic, a patient can be prescribed a type of common medical reflexology service - acupuncture. Setting needles, as a rule, does not cause discomfort. The needles are used sterile disposable, so that you can not be afraid of infection. Also, therapy may include acupressure and other types of massage, manual therapy, exposure to acupuncture points with heat (wormwood cigars). In addition, Chinese specialists use herbal medicine to treat prostatitis, selecting medicinal plants that relieve inflammation, normalize blood circulation in the pelvic and prostate glands, restore the balance of hormones and strengthen the protective properties of the body. The doctor determines the composition of the herbal collection individually for each patient, taking into account the characteristics of his body. In any case, the course of therapy depends on the results of the examination. The policy of "TAO" - treatment is strictly diagnosed, without imposing unnecessary procedures.
I want to add a few words about the TAO team of specialists. The doctors and professors of the clinic studied directly in China and came to work on the recommendation of the Henan Medical University, with which TAO has been working with for many years. "
License for medical activity No. LO-77-01-000911 dated December 30, 2008 was issued by the Moscow Department of Health.
Surgical treatment of prostatitis
If conservative therapy did not have the desired effect, or if the patient went to the hospital at an advanced stage of the disease, surgical treatment of prostatitis may be necessary. There are two types of surgery: removal of part of the prostate and removal of the gland completely.
Both methods help to eliminate the foci of inflammation, relieve the patient from constant pain and difficulties in the process of urination. Depending on the neglect of the case, the operation can be carried out using an endoscope, or the classic laparotomy method.
The operation is indicated for patients who have prostate stones, benign or malignant tumors. In the latter case, removal of the entire prostate is indicated in order to avoid relapse of oncology and prevent tumor metastasis.
Physiotherapeutic treatment and massage
A great addition to drug therapy is therapeutic treatment, in particular, prostate massage and visits to physiotherapy procedures. Both methods are indicated after the relief of an acute inflammatory process. In the period of exacerbation of prostatitis, it is highly not recommended to influence the prostate by physical methods. Massage will provoke increased pain and swelling of the gland, which will only worsen the patient's condition.
After the removal of acute inflammation in the prostate gland and the elimination of pathogenic microflora, one can proceed to physiotherapy, massage and physiotherapy exercises. These methods will improve the outflow of prostatic fluid, normalize blood circulation in the pelvis, which will reduce the risk of relapse.
With prostatitis, the following physiotherapeutic methods can be used:
- electrical stimulation
- ultrasound treatment
- microwave therapy
- laser therapy
- reflexology, etc.
The andrologist will recommend the necessary method of therapy, depending on the condition of the patient and the need to obtain one or another effect during the treatment.
The method of treatment of chronic prostatitis
Chronic prostatitis is a serious pathology that is difficult to get rid of. The course of treatment of chronic prostatitis is based on the following measures:
- drug treatment
- surgical intervention,
- prostate massage and physiotherapy,
- lifestyle change
- the use of homeopathic medicines in complex treatment.
In the period of exacerbation of the disease, when there is an acute violation of urination, pain and manifestations of infection, the treatment is carried out similarly to acute prostatitis. The patient is prescribed antibiotics, anti-inflammatory drugs, antispasmodics and other necessary drugs.
During remission, it is very important to pay attention to the prevention of exacerbation and complications of prostatitis. To do this, doctors give the following recommendations that must be followed for life:
- Be examined regularly and take a course of antibiotics as directed by a doctor.
- Balanced to eat, avoid vitamin deficiency, obesity, exhaustion.
- Dress warmly, do not stay for a long time in a cold and damp room.
- Every day to engage in physical therapy, making a bias on the muscles of the lower abdomen and pelvic floor.
- Regularly have sex (preferably every 3 days) so that there are no stagnant processes in the prostate gland and testicles.
- Do not smoke or drink alcohol. Bad habits provoke vasospasm, disrupt blood circulation in the tissues of the whole body, which is a provocateur of relapse of prostatitis.
In the treatment of chronic prostatitis, the use of homeopathic remedies is possible. Often patients are recommended to use rectal suppositories with sea buckthorn, propolis, with belladonna and other plant and animal components. A popular pharmacy drug is Prostatilen. In addition to candles, it will be useful to conduct microclysters with decoctions of herbs.
During remission, patients are required to perform prostate massage. This method of therapy helps to improve blood circulation, outflow of prostate juice and prevent relapse of the disease.
Prostatitis is not an inevitable sign of aging men, this pathology is successfully eliminated if the patient immediately underwent examination and adequate therapy. If symptoms of prostatitis appear, treatment should begin immediately, under the supervision of a competent andrologist. The sooner the patient goes to the doctor, the easier it will be to get rid of the inflammatory process.
What is meant by a diagnosis
Usually men are not inclined to listen to their own health, therefore, the inflammatory process in the prostate gland takes a protracted form. The danger of the disease lies in the fact that it can be completely asymptomatic. First, urethritis develops, and if you do not seek medical help, complications can not be avoided. Over time, chronic prostatitis in men forms, the symptoms and treatment of which are individual. Forms of chronic prostatitis:
Many men are diagnosed with congestive chronic prostatitis (non-infectious etiology). Inflammation in this case affects the secretion of the prostate gland and veins.
Reasons for the appearance
The causes of chronic prostatitis are diverse:
- Long abstinence from intimacy or too active sex life,
- The presence of several perineal injuries (when riding a horse or cycling),
- Irrational menu (deficiency of nutrients and excess fried, fatty and smoked foods),
- Repeated infection of the genitals,
- Low immunity
- Diseases of the urogenital organs,
- Inactive and sedentary lifestyle
- Too tight and tight underwear
- Interrupted intercourse
- History of phimosis
- Anal sex without additional protection (condom).
The disease affects both the elderly and middle-aged and even young men:
- With inactive sex life, prostatitis occurs due to stagnation of the secretion of the prostate gland.
- Athletes are at risk because they lift weights and are prone to microtrauma of prostate tissue.
- Long-distance drivers suffer from stagnation of blood in the pelvic organs.
- Winter fishing enthusiasts are at risk due to constant hypothermia of the body.
Among common male diseases, chronic prostatitis is about 20%. Every fifth patient who comes to the doctor suffers from a chronic form of the disease. The disease is “getting younger” because modern guys lead an erratic sex life, without thinking about their own safety. In order not to puzzle over how to get rid of chronic prostatitis, it is enough to take care of the elementary protection against sexually transmitted diseases.
It is worth considering that the chronic form of the disease leads to impaired penile erection and a decrease in sexual satisfaction during ejaculation. On this basis, fear of intimacy begins, irritability, self-doubt. All this in the future leads to sexual neurosis.
Doctors note two methods of infection with an infectious form of prostatitis:
- Urinogenous (ascending). Specific microorganisms enter the prostate through the urethra. The secretion of the prostate gland is normally sterile; no bacteria will be detected during the examination. There are times when microorganisms live in the body of a man, but their concentration is not enough for the development of the disease. With a violation of microflora, infection of the organ begins, which entails the development of inflammation. Do not exclude the risk of infection with damage to neighboring organs, when a man suffers from hemorrhoids or cystitis. In this case, dangerous microorganisms enter the prostate through the lymphogenous pathway.
- Hematogenous. The causative agent of the infection enters the prostate through the blood stream. The diseases that can provoke this type of infection are varied: acute influenza, caries, etc. If in parallel there is venous congestion in the prostate gland, the risk of chronic prostatitis is high, the treatment of which will take a lot of time.
Urologists distinguish two predisposing factors that lead to hematogenous infection:
- Congenital. Anatomical features of the prostate, including changes in the structure of muscle tissue or disorders in the circulatory system.
- Acquired. The causes of chronic prostatitis include genital injuries, craving for alcohol, prolonged smoking, a history of infectious diseases, and frequent hypothermia.
The danger of ignoring the disease lies in the fact that at this stage the symptoms of chronic prostatitis in men are most often absent or insignificant. The patient believes that the disease can be cured with the help of folk remedies, but these methods are ineffective. The treatment regimen is only a specialist after a thorough examination and collection of the necessary information.
Symptoms for chronic prostatitis are different, depending on the stage of the disease and its form:
|Bacterial (Infectious)||Sensation of weakness, chills, fever, muscle pain, pain in the lower abdomen (may intensify during intercourse and prolonged abstinence), pain during urination, weak jet pressure during urination, frequent urination at night. Pain can occur in the thighs, perineum and rectum, which is why signs of chronic prostatitis are mistaken for hemorrhoids.|
|Bacterial specific||All of the above symptoms are observed, to which discharge from the urethra resembling mucus can be added.|
|Bacterial||Symptoms of congestive prostatitis are difficult to ignore due to acute pain. It is localized in the perineum and thighs. Discomfort is felt in the glans penis. The pain increases with interruption of sexual intercourse, as well as with prolonged abstinence from intimacy.|
The consequences of chronic prostatitis depend on the duration of the disease:
- Sclerosis of the prostate and neck of the bladder,
- Erectile disfunction,
- Decreased testosterone levels.
The danger of the disease lies not only in the fact that prostatitis can be confused with another ailment. If the acute phase goes away, the symptoms of chronic prostatitis disappear, and treatment is not carried out. The man is no longer worried about his health and does not go to the doctor. However, there comes a time when the signs begin to seriously annoy and interfere with normal life, but the disease has already passed into a protracted phase. Treatment of congestive prostatitis will take much longer if the diagnosis of the disease was not at the first stage.
Symptoms of other diseases are very similar to manifestations of chronic prostatitis. Is it possible to cure an illness without examinations? It is unlikely, because only an accurate diagnosis will establish the form and stage of development of prostatitis. Discomfort may be caused by:
Only a full examination can confirm or exclude the diagnosis. Two types of research are used:
After talking with the patient and taking an anamnesis, the urologist or andrologist will ask you to take a series of tests:
- General urine analysis,
- General blood analysis,
- Analysis of prostate secretion,
- Blood test for PSA.
A urine sample is given three times to get more accurate data on the change in composition in it:
- Epithelial cells
- White blood cells
- Pathogens of infections,
- Nonspecific bacteria.
Doctors know what chronic prostatitis is and how difficult it is to diagnose. The modern method of transrectal ultrasound (TRUS) allows you to do this without error:
- A device with an ultrasound probe is carefully inserted into the patient's anus.
- Since the prostate is firmly attached to the wall of the rectum, the specialist has a good opportunity to study the prostate gland in detail and make an accurate diagnosis.
Conventional ultrasound allows you to determine the change in the density of the prostate, its size, the presence of fibrous lesions, abscesses and calculi.
Before curing chronic prostatitis, the doctor must double-check the diagnosis. In the case of the slightest doubt, he can refer the patient to an MRI or CT scan to exclude the presence of a tumor focus. If a man has an infravesical obstruction, an X-ray is needed to determine the cause of the disease.
The treatment regimen for chronic prostatitis is prescribed only by a professional urologist and is selected individually. The doctor takes into account the reason why the disease arose, the duration of the ailment and such a factor as aggravating pathology. If congestive or infectious prostatitis is at an early stage, treatment can be medication:
- Antibiotic therapy. Prostatitis can be cured with antibacterial drugs if the bacterial agent is detected in the secretion of the prostate gland or urine. Inflammation should be pronounced. The course lasts no more than 2 months, and the price of treatment of chronic prostatitis depends on the prescribed drugs. The doctor usually prescribes Clarithromycin, Levofloxacin, Azithromycin, Amoxicillin or Ciprofloxacin. The dosage of each drug is prescribed individually, and self-medication is fraught with complications. Reviews after treatment of prostatitis with antibiotics are not always positive, but there are reasons for this. Sometimes the symptoms persist at the end of the course, although the infection was defeated.
- Elimination of symptoms. For the treatment of chronic prostatitis in men, drugs that relieve pain (Ketorolac, Diclofenac) are often used. The course of therapy may also include the use of antidepressants to reduce anxiety (fluoxetine, imipramine).
- Alpha blockers. A course of these medicines is prescribed if the doctor has diagnosed hypertonicity of the muscles of the bladder or increased intraurethral pressure. You can cure a chronic ailment with Alfuzonin, Tramsulosin or Terazonin. However, the drugs are ineffective if the patient has pelvic floor myodystrophy or impaired muscle innervation.
- Hormone therapy. It is carried out on the basis of the results of a hormonal examination. Androgens and antiandrogens are used.
- Vitamin Therapy. With malnutrition, the deficiency of nutrients is compensated for by the vitamin-mineral complex. Experts do not recommend replacing it with popular dietary supplements, since "dummies" will not help.
- Normalization of uric acid levels. Methods of treating chronic prostatitis with the help of regulators (Allopurinol) are effective only in the presence of stones in the prostate gland.
- Immunostimulants. Prostatitis is treated in this way only with laboratory-proven immunodeficiency.
Answering the question of whether chronic prostatitis can be cured, we can safely say that recovery occurs quickly with a correctly prescribed complex.
Usually, the disease does not require surgical intervention, unless the complication poses a threat to the health and even life of the patient. Modern surgery practices endoscopic surgery to reduce health risks and damage. An operation cannot be dispensed with:
- Sclerosis of the seed tubercle,
- Stoned prostate
- Sclerosis of the prostate gland.
Effective treatment of chronic prostatitis allows you to do without surgery if a man in time seeks medical advice. Do not forget that at the stage of exacerbation of the disease, surgery can not be performed. The need for such a cardinal method of treatment is determined only by the surgeon after studying the overall clinical picture.
Often men worry whether chronic prostatitis can be cured in a non-drug way. The doctor can really prescribe other methods:
- Massage. Do not forget about contraindications and the fact that only a small area of the prostate is available for massage. If there are hyperplastic changes in the prostate gland, a massage course can lead to acute urinary retention. This, in turn, provokes a further spread of inflammation and the development of sepsis. Massage is also prohibited in the presence of venous stasis, prostate cysts and stones in the prostate gland. If it is necessary to get rid of a stagnant secret, then it is better to free the prostate naturally through ejaculation.
- Special gymnastics. It is used to strengthen the bladder and to extend the intervals between urination. Improving the tone of the sphincter and bladder allows you to set a break between urges to the toilet up to 5 hours. Gymnastics is ineffective with neurodystrophic changes and myofascial syndrome.
- Muscle stimulation. With a reduced tone of the muscles of the pelvic floor, magnetotherapy, phonophoresis, transrectal ultrasound or electrical stimulation are used.
- Instillation. Almost not used in modern medicine, since the injection of drugs into the urethra is accompanied by pain and does not cure prostatitis. The consequences of such treatment can be disastrous.
It is more advisable to ask an andrologist or urologist about how to treat congestive prostatitis with folk remedies. Popular videos on the Internet are full of videos about the quality use of alcohol tinctures and pumpkin seeds, but no way can replace drug therapy. How much the disease is treated is also determined only by the doctor, and not the heroes in YouTube.
A simple set of exercises will improve microcirculation in the pelvic area. They can be performed in the morning instead of the usual charge:
- Fix the legs at shoulder width, raise your hands up and connect on the back of the head. Inhale - slowly sit down and spread your knees to the sides, exhale - return to the starting position.
- To connect legs together, hands freely lower along the body. Bend the left leg at the knee, lifting it as high as possible. Repeat the same with the right foot. Complete 10 sets.
- Squat, palm down. Inhale - slowly rise, spread your arms to the sides. Exhale - return to the starting position.
- Lie on your stomach, after placing a small ball under it (no larger than a tennis one). Focus on the floor and roll the ball on the floor with your stomach. Complete 7 approaches.
- Lie on your back, bending your knees. Hold the ball between them. Inhale - tighten your knees; exhale - relax. Do 3 sets, eventually increasing the number of repetitions to 9 times.
- Sit on the floor, focusing on your hands. Put a ball under the buttocks. Try to roll it on the floor with the buttocks and genitals.
Kegel exercises, which are useful not only for women, but also for men, will also help in the fight against the disease. You can find out what it is by watching a thematic video.
Instead of looking for information on how to live with chronic prostatitis, it’s more useful to make an appointment with a specialist. With timely access to a doctor and a reasonably selected course of therapy, you can improve your health. The question of whether chronic prostatitis can be completely cured cannot be answered unequivocally. It all depends on what methods the doctor prescribed, and how accurately the patient fulfills his recommendations.
Experts are very cautious in making predictions regarding the further course of the disease. Is chronic prostatitis treated with a guarantee? Full recovery was noted only in rare cases, since most often the disease turns into a form of prolonged remission. Normalization of urine and blood counts is noted, symptoms completely disappear. However, without following the advice of a doctor, the disease can again cause discomfort and complications.