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Basic methods of treatment for prostatitis


Basic Methods Of Treatment For Prostatitis

Prostatitis is a disease characterized by the development of an inflammatory process in the tissues of the prostate. Inflammation of the prostate gland develops as a result of hemodynamic disturbances in the pelvic floor and an infectious process of bacterial etiology. The symptoms of the disease are very unpleasant for a man and lead to a disruption in their social life. The peculiarities of symptoms in prostatitis are disorders of the outflow of urine, painful urination and during intercourse.


Treatment of prostatitis is a very difficult and lengthy process that should be carried out as a complex therapy. The main point in the treatment is considered to be the use of medications for the restoration of glandular tissue. As an auxiliary therapy, patients are advised to lead a healthy lifestyle and correctly calculate their diet. It is also important to keep your own body in good physical condition with daily adherence to an active lifestyle.


Treatment of the disease in the early stages is very fast and guarantees a complete recovery from the disease. If the treatment was not carried out in a timely manner, patients gradually develop a chronic course of prostatitis. In the chronic course of the disease, the prostate tissue is gradually replaced by connective tissue.


For the treatment of prostatitis with medication, the following groups of drugs are used:



  • broad spectrum antibiotics;
  • alpha receptor blockers;
  • hormonal medicines;
  • local muscle relaxants;
  • immunostimulants;
  • suppositories for rectal use.

It should be noted that the treatment of prostatitis should be strictly individual, taking into account the presence of individual intolerance to certain groups and the state of the body as a whole. Self-administration of medication is strictly prohibited as it can lead to serious health consequences.



Use of antibacterial agents as etiotropic therapy


Etiotropic treatment of prostatitis with antibiotics is considered the initial stage, since the main cause of the development of the disease is a bacterial infection. Antibiotics are prescribed only after the necessary laboratory tests and bacterial cultures have been carried out in order to clarify the type of pathogen and prescribe the correct medicine. If the cause of the inflammatory process was congestion in the small pelvis, then the use of antibiotics for the treatment of prostatitis is impractical and may even harm the patient.


According to evidence-based medicine, among the whole variety of antibacterial agents, fluoroquinolones are used to treat inflammation of the prostate gland.


Fluoroquinolones include the following drugs:



  • ciprofloxacin;
  • lomefloxacin;
  • gatiloxacin;
  • moxifloxacin;
  • ofloxacin.

The above mentioned drugs are broad-spectrum antibiotics, they penetrate well through glandular tissues and completely destroy pathogenic bacteria. Antibacterial agents from the group of fluoroquinolones are most effective for inflammation of the prostate in an acute course.


If the patient's prostate tissue begins to be replaced by connective tissue, this indicates the development of a chronic course. In the chronic course of the disease, antibiotics from the macrolide or tetracyclines group are the drugs of choice.



Alpha blockers


Treatment of prostatitis with drug therapy can be carried out using alpha receptor blockers. The mechanism of the pharmacological action of these drugs is based on the effect of the substance on the receptor cells, which are located on the surface of the muscle cells of the prostate gland and bladder. After blocking the receptors, muscle cells stop contracting as a result of the spasm stops and the pain subsides.


Under the influence of these drugs, the prostate gland does not fully resume its function and the cause of the disease is not eliminated, they are intended for symptomatic therapy.



Hormonal drugs


As a rule, the development of prostatitis is associated with hormonal imbalance, which is why patients are treated with hormone replacement therapy. Medicines containing hormones have not only a stimulating effect, but also have an anti-inflammatory mechanism of action. Under the influence of hormones, the glandular tissue begins to gradually resume its function and the erectile feeling in men increases.


In case of bacterial and congestive prostatitis, treatment with hormones should be extremely careful, it is strictly forbidden to use self-treatment, this leads to dire consequences. Hycocorticosteroids are used as hormone therapy, they increase the regenerative properties.



Preparations from the group of muscle relaxants


Muscle relaxants of the local mechanism of pharmacological action are used in the treatment of prostatitis to relieve pain. Their main action is aimed at reducing spasmodic contractions of smooth muscles and improving hemodynamics in the pelvic cavity. Under their influence, the signs of stagnation are reduced and signs of the inflammatory process are eliminated. Under the influence of a relaxing effect, excess accumulation of mucous secretion is removed from the tissues of the gland, this resumes its function.


Commonly used muscle relaxants include:



  • baclofen;
  • midocalm;
  • methocarbamol.


Medicines that stimulate the immune system


Against the background of drug therapy and the inflammatory process in the body, the function of the general and systemic immune response is significantly weakened. To prevent this effect, patients are advised to undergo a course of correction of the immune system.


Immunomodulatory therapy is able to increase the function of general and local immunity, and prevents the development of a relapse of the disease. Polyoxidonium, this drug is widely used as a prophylaxis of infectious diseases, it helps to increase the resistance of the defenses to bacterial and viral infections.



Suppositories for rectal use


Drug therapy of the inflammatory process in the prostate gland, in most cases, is carried out by means for oral administration, for this, large dosages are preferably used. Oral drugs have a negative effect on the mucous membrane of the stomach and intestines, and also suppress the function of the hepatobiliary system.


In order to avoid adverse consequences, patients are advised to use rectal suppositories, they have a local effect, and their effect is directed exclusively to the area of the affected gland. Suppositories affect not only the prostate itself, but also nearby organs, which can also be involved in the inflammatory process.



Additional varieties


After a course of drug therapy, the patient's body weakens and needs to be restored.


The course of maintenance therapy must necessarily include:



  • providing the patient with complete rest;
  • the mode of intake of liquids at least 2 liters throughout the day;
  • warm sitz baths;
  • if the working activity is sedentary, the seat should be soft.

Massage of the prostate gland refers to auxiliary methods of treatment, it is very important for patients with a chronic stage of pathology. Massage with the fingers through the rectum and the anterior abdominal wall. This procedure strengthens the muscular frame of the small pelvis and restores normal blood circulation, which eliminates congestion and promotes a speedy recovery.


An important point in rehabilitation is adherence to proper nutrition and exclusion of excessively spicy and fatty foods from the diet. Under the influence of the inflammatory process, the glandular tissue increases in size and is able to mechanically obturate the lumen of the urethra. The obstructed outflow of urine over time leads to the development of kidney failure or infection of the kidney tissue. To prevent such complications, a urinary catheter is inserted into the patient during treatment.



Treatment of prostatitis with surgery


They tend to the operative type of treatment only if drug therapy has not shown the desired effect, and also if there has been a total compression of the urethra. In the event that the catheter is not able to restore the normal outflow of urine, then surgical intervention is performed in order to resect the inflamed organ. Surgical treatment for young people is carried out only in exceptional cases, this is associated with an increased risk of male infertility.


There are two main types of surgical intervention:



Physiotherapy treatments


Physiotherapy procedures are carried out for a wide variety of organic and functional diseases. The procedures have practically no adverse effects and even turn out to be pleasant for patients. The main disadvantages of physiotherapy are the long period of time for treatment and their high cost. Physiotherapy is not used as an independent type of treatment; it is carried out only in combination with drug therapy.


The main types of physiotherapeutic treatment are proposed for consideration:


After complex treatment, the inflamed prostate quickly restores its functioning and its structural integrity is fully restored.



Traditional medicine in the treatment of prostatitis


From ancient times to the present day, methods of conducting therapeutic measures using traditional, alternative medicine have been preserved.


The benefits of treating inflammatory disease with medicinal plants include:



  • almost complete absence of adverse effects on the body;
  • the human body accepts medicines of natural origin well;
  • no depressing effect on the human immune system;
  • prevents the development of concomitant diseases;
  • favorably interacts with other varieties of medicinal plants.

The main goal of herbal medicine, like traditional medicine, is the complete recovery of the patient from an illness and the restoration of basic vital functions that were impaired in the process of the disease.


The main effects of the herbal medicine:



  • antiviral;
  • anti-inflammatory;
  • eliminating smooth muscle spasm;
  • improvement of hemodynamics and microcirculation;
  • bactericidal;
  • pain reliever.

Unlike drug therapy, herbal medicine does not have side effects on other organs and tissues, but has a general strengthening effect.


Recommendations for the preparation and use of recipes from natural medicinal raw materials:


If the patient decides to use medicines that are obtained from natural medicinal plants, one should not independently prescribe a treatment for oneself and choose the type of herbs that will be used for treatment. For a better result, you should contact a qualified herbalist.


Common recipes from traditional medicine:


There are many recipes from traditional medicine, but the above two are widespread.