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Chronic prostatitis therapy methods


Chronic Prostatitis Therapy Methods

If after the initial onset of symptoms of prostatitis there was no treatment, then the disease becomes chronic. In this case, the prostate gland suffers from a persistent, sluggish inflammatory process, which can lead to infertility and impotence. Therapy of Chronic prostatitis requires more time, effort and financial costs for the acquisition of pharmacological agents than the disease at the initial stage of development.



Traditional treatments


How to treat chronic inflammation of the prostate gland?


Specialists treat chronic prostatitis with the following traditional therapeutic methods:



  • the use of antibacterial, anti-inflammatory, immunomodulatory and hormonal drugs (the need to use certain drugs is determined by the urologist based on the results of tests and examinations);
  • physiotherapy (used as an independent method of therapy, and as part of a complex treatment);
  • laser therapy;
  • visit to the sanatorium (referral for spa treatment can be obtained from the attending physician);
  • surgical intervention (used in case of ineffectiveness of previous methods, or in case of a severe form of the disease).

To relieve acute symptomatic manifestations, the use of pain medications and the use of warm baths followed by massage of the prostate are recommended. These procedures can eliminate pain and facilitate the release of accumulated secretions in the prostate gland.



Medication therapy


Thanks to drug therapy, it is possible to normalize the condition of the prostate gland in the chronic course of prostatitis for no more than 3 years. In the future, as a rule, the disease returns and the course of treatment with pharmacological agents has to be repeated. Each subsequent course of medication is less effective than the previous one.


The duration of drug therapy is 30 days. A visit to the hospital is necessary only for patients with a severe form of the disease.


The first thing that needs to be done in the treatment of chronic prostatitis is to eliminate infectious processes in the prostate gland. For this, experts prescribe a course of medications with antibacterial action. Antibiotics should be consumed within 2 weeks. Dosage and administration of the drug is carried out by a specialist.


The most effective antibacterial agents for chronic prostatitis:



  • "Erythromycin";
  • "Oleandomycin";
  • "Tetracyclin";
  • "Monomycin";
  • "Kanamycin";
  • "Levofloxacin";
  • "Ciprofloxacin";
  • "Gentamicin".

An antibiotic will work best if it is prescribed based on antibiotic susceptibility tests. Otherwise, a replacement of the pharmacological agent and a repeated course of antibiotic therapy may be required.


Antibiotics enter the body by intravenous or intramuscular injection.


This allows them to quickly and effectively penetrate the walls of the prostate gland


If the presented medicines were not effective, then after the expiration of their use, experts recommend taking such medicines as "Azithromycin" or "Sumamed". The correction of the therapy method can be carried out several times. It should be noted that if the examination does not reveal the bacterial nature of the disease, the use of antibacterial agents is not advisable.


Alpha-blockers are also used for the treatment of chronic prostatitis. These pharmacological substances help relieve spasm of the muscle tissue of the urethra, which in turn facilitates the outflow of the contents of the bladder. Alpha-blockers are a means for relieving symptomatic manifestations of the inflammatory process of the prostate gland and are used as part of a comprehensive treatment.


The most effective alpha blockers are medications:



  • Omnic;
  • "Tamsulosin";
  • Dalfaz;
  • Alfuzosin.

To relieve inflammation and eliminate pain in chronic prostatitis, non-steroidal anti-inflammatory drugs with analgesic effects are used, such as:



  • "Nimesil";
  • "Meloxicam";
  • Diclofenac;
  • "Ketones";
  • Tempalgin.

Steroid-based agents such as Dexamethasone or Prednisalone are also used to treat chronic inflammation of the prostate gland. In case of a severe course of the disease, intravenous administration of the means "Gemodez" or "Disol" is prescribed in a hospital setting.


To eliminate the unpleasant manifestations of chronic inflammation of the prostate gland, it is recommended to use rectal suppositories containing propolis or the medication "Prostatilen".It is recommended to use Prostatilen for 10 days in addition to Vitoprost.


To improve the effectiveness of drug therapy, experts recommend taking immunomodulatory drugs


The most effective are Vitoprost, Timosin and Timolin. These agents prevent the development of blood clots, improve tissue metabolism, optimize blood flow and normalize intracellular fluid circulation.


For the treatment of prostatitis by the oral route, tablets "Wobenzym", "Speman", as well as biological additives to foodstuffs "Stamax" are used. To maintain the normal functioning of the prostate gland, doctors recommend taking an additional course of vitamin E.



Physiotherapy


The use of physiotherapy is effective, both in combination with drug therapy, and as an independent method of therapy.


Physiotherapy for chronic inflammation of the prostate gland allows:



  • improve blood flow in the pelvic organs, which improves the effectiveness of medications;
  • improve the elimination of excess fluid from the body;
  • improve the absorption of infiltrates;
  • improve metabolism in pelvic tissues and eliminate congestion;
  • increase the permeability of cells, which allows medication to have a better effect.

Treatment of chronic prostatitis in men is performed by the following procedures:



  • Helvinization (low voltage electric current therapy);
  • electrophoresis (treatment with electric current with the addition of pharmacological drugs);
  • electrical stimulation (directing current to the perineum, which leads to muscle tissue contraction in the urethra);
  • Darsonval (high voltage current);
  • ultra-high frequency inductothermy;
  • ultrasound and phonophoresis (ultrasound with the addition of medicines);
  • laser.

Physiotherapy is an effective method of therapy, but you should pay attention to the fact that this method has some contraindications, for example, cancer, epilepsy, elevated low-grade fever, a predisposition to bleeding or their presence, stage 3 hypertension, violation of the integrity of the skin and mucous membranes shell.



Massage


Massage is an uncomfortable but effective treatment for chronic prostatitis (inflammation of the prostate gland) in men. Treatment consists of inserting a finger into the rectum and massaging the prostate gland until the exudate separates through the urethra.


The considered method of therapy has the following contraindications:



  • inflammatory process caused by a bacterial infection (there is a risk of spreading the infection);
  • oncological neoplasms in the prostate gland;
  • presence of stones or cystic lesions.

Direct prostate massage improves blood circulation and stimulates nerve endings. After the completed course of massage, all medications have the best effect, and the tissues also cease to lack oxygen.


One massage course includes 10 procedures


A noticeable result comes after 4-5 sessions. At the end of the massage, a small amount of discharge is observed from the urethra, which means that the procedure was carried out correctly.


Massage should be performed with medical gloves through the rectum. During the procedure, anesthetic ointments should be applied. The duration of the procedure varies depending on the severity of the congestion.


In addition to eliminating the manifestations of prostatitis, massage leads to an improvement in erectile functions and an improvement in the quality of intimate life.



Surgery


Chronic prostatitis may return after treatment with the methods listed above, which indicates the need for surgery. Also, surgery may be required if the disease progresses over several years.


A procedure in which part or all of the prostate is excised under epidural or intravenous anesthesia is called transurethral resection. The operation is carried out by inserting special equipment into the urethra.


It is also possible to use other surgical methods, but the presented one has a minimum recovery period and a minimum of postoperative complications. The method of surgical procedures is determined by a specialist (urologist). Performing such procedures at home is life-threatening.



Alternative therapies


Non-traditional methods are very popular, but it should be noted that their effectiveness in chronic prostatitis is highly controversial. More than one man has not cured the disease in question with non-standard therapeutic methods. The use of traditional medicine allows you to alleviate the condition and strengthen the body, but complete recovery from a disease that has lasted for years is thus impossible to achieve.


To treat a chronic inflammatory process in the prostate, you can use such unconventional means as:



  • herbal baths;
  • herbal decoctions and infusions;
  • fruit and vegetable juices.

The minimum period of treatment for chronic prostatitis with folk remedies is 1 month. Before using any method, you should talk to your doctor.


The most effective treatments for chronic inflammation of the prostate are:


Also, rectal suppositories can be made to combat unpleasant symptoms at home. The most effective are honey-based candles. To prepare them, you need to mix 5 grams of honey, a chicken egg and 70 g of flour. The resulting medicinal mixture is divided into small pieces from which candles of the required size are formed.