Signs and methods of treatment of prostatitis in men

Prostatitis is an inflammation of one of the organs of the male reproductive system - the prostate gland. The prostate is located just below the neck of the bladder and wraps around the urethra like a bracelet. Violation of the work of this small gland is associated with painful sensations, causes a decrease in sexual abilities, and becomes the cause of infertility. The question of how to cure the prostate in men worries not only the representatives of the stronger sex, but also their partners.

The manifestation of the disease and the choice of a therapeutic regimen depend on the form and cause of the pathological process. Inflammation of the prostate happens:

• Acute - characterized by the maximum severity of painful symptoms, caused by pathogenic microorganisms. The patient is sent to the hospital, where he is prescribed antibiotic therapy, which is subsequently connected to drugs to restore the affected tissues, improve blood circulation.
• Chronic - painful signs are weakly expressed, during the period of remission they may practically not appear. It develops as a result of an untimely start of treatment of an acute form or the use of an incorrect therapeutic regimen. In some cases, a chronic inflammatory process occurs without the participation of pathogenic microflora. The pathological process develops due to circulatory disorders in the pelvis, resulting from chronic diseases, physical inactivity, sedentary work. This form is characterized by pronounced stagnation.

In order to choose the right treatment regimen, it is necessary to accurately find out the cause of the disease, its form, each of which is characterized by certain symptoms of inflammation of the prostate in men. If prostatitis is of a bacterial nature, antibiotics are the main method of treatment, and congestive one requires normalization of blood circulation and elimination of congestion.

Main symptoms

Signs of the disease are conditionally divided into three large groups:

• Urination disorders (dysuria) - are expressed in frequent urination, accompanied by a burning sensation and pain, the absence of a feeling of complete emptying of the urea. Especially often you want to go to the toilet at night, because of which the patient's sleep is disturbed. The process of excretion of urine is difficult, requires effort, the stream is sluggish and intermittent. In the acute form, swelling of the prostate develops, which compresses the urethra and causes urinary retention.
• Sexual disorders - with chronic inflammation of the gland, erectile dysfunction develops, premature ejaculation occurs, libido weakens, and the brightness of sensations is lost.
• Psycho-emotional disorders - constant discomfort, pain, problems in intimate relationships cause a stressful state, as a result of which a man becomes irritable, aggressive, quick-tempered.

Chronic prostatitis most often does not manifest itself with painful symptoms, without causing noticeable discomfort to a man. With hypothermia, excessive physical stress, or the action of other negative factors, there is a high probability of exacerbation.

What is the difference between acute and chronic forms

What symptoms of prostatitis in men make it possible to distinguish between forms of the disorder?

In an acute process, the following are noted:

• Severe pain in the inguinal and perineal region, in the lower abdomen, which radiate to the lumbar zone.
• Pain with frequent urination.
• High temperature reaching 38-39C.
• Weakened erection.
• Discharge from the urethral canal.
• Signs of intoxication.
• Weakness, fatigue.

In chronic pathology, the following are noted:

• Mild, drawing pains in the perineal region, lower abdomen, rectum, testicles, aggravated by erection.
• Frequent urge to urinate, painful process.
• Weakened sexual desire.
• Difficult ejaculation.
• Reducing the time of intimate contact.
• Yellowish discharge during urination and defecation.

Features of congestive inflammation

We examined how prostatitis manifests itself in acute and chronic forms. Congestive inflammation of the prostate is somewhat different, which is characterized by the following symptoms:

• Mild pains that last up to six months.
• Of the clinical symptoms, dysuria and sexual disorders are the most pronounced.
• Laboratory tests show no changes in urine or prostatic fluid.
• A man is constantly under the influence of factors that contribute to circulatory disorders and the occurrence of congestion.

Principles of therapy

The symptoms of prostatitis in men and its treatment depend on the form and stage of the disease. Complex drug therapy includes:

• Antibacterial agents - used to eliminate pathogenic pathogens.
• Non-steroidal anti-inflammatory drugs - weaken the signs of the inflammatory process, relieve pain, eliminate swelling.
• Hormonal agents - inhibit the synthesis of testosterone, as a result of which the size of the prostate gland decreases, the outflow of urine normalizes, and blood circulation is stimulated.
• a-blockers are drugs that stimulate receptors on the muscle cells of the gland and bladder, thereby normalizing urine excretion.
• Anspasmodics - relieve spasms, relieve pain.
• Phytopreparations are herbal remedies aimed at reducing inflammation and relieving swelling.

To relieve inflammation of the prostate, the following groups of antibacterial drugs are used:

Augmentin

Flemoklav They are used for acute process and infrequent exacerbations of Chronic prostatitis caused by exclusively typical microflora. Inactive against atypical pathogens. Fluoroquinolones Avelox

Gatifloxacin

Levofloxacin

Ofloxacin

Ciprinol

Ciprofloxacin (Ciprobay, Ciprobel) They have a pronounced antibacterial effect against most typical and atypical microorganisms. Perfectly penetrate and concentrate in the tissues of the prostate. They have a prolonged action, so they are prescribed once a day. Cephalosporins Bactylem

Kefzol

Cefazolin

Cephalexin

Cefotaxime

Cefpir

Cefepim

Ceftriaxone

Tsufuroxime They have a wide spectrum and short duration of antibacterial action. They can constitute a shock group of antibiotics in the treatment of any form of prostatitis. Macrolides Azithromycin

Clarithromycin

Klacid

Sumamed Antibacterial agents with prolonged daily action and cumulative ability. They penetrate well into the prostate tissue. They show the greatest activity against atypical pathogens. All this allows the use of this group of antibiotics for the treatment of any type of prostatitis. Other antibacterial agents Amikacin

Biseptol

Metronidazole

Ornidazole

Tetracycline They form an additional group of drugs used as an addition to the main drugs in complex treatment regimens. The main drugs used to eliminate the disease, the mechanism of their action and the features of the reception are indicated in the table:

Levofloxacin

Moxifloxacin

Norfloxacin

Ofloxacin

Sparfloxacin

Ciprofloxacin Antibacterial action prevents the reproduction of pathogenic microorganisms 1/2 tablet per day, the dose should be divided into two doses. The duration of the course is up to two weeks. After a two-week break, the course is repeated. Normalization of urination, pain relief Macrolide group:

Oleandomycin

Tetracycline

Erythromycin They inhibit the reproduction of bacterial pathogens, are not effective against viruses and fungi. 1 tablet every 4-6 hours. Duration of the course - up to 14 days Relief of pain in the perineum and lower abdomen, increased urine flow. Sulfanilamide preparations Dihydro-folate reductase inhibitors:

Biseptol

Trimethoprim

Nitroxoline Wide antibacterial and antifungal action inhibits the growth and reproduction of fungi of the genus Candida and microorganisms resistant to other drugs 2-4 tablets 4 times a day. The duration of the course is 2-3 weeks, then a break for 14 days, after which the course is repeated Normalization of urination, pain relief a-blockers Dalfaz

Doxazoline

Omnic

Prazosin

Tamsulosin

Terazolin Acts on the receptors of the bladder, prostate and back of the urethra, reducing their tone 1 tablet at bedtime for the first 2-3 days, then 1 tablet three times a day Normalization of urination and reduction of inflammation of the prostate. Gently reduce blood pressure to normal levels Inhibitors of 5-a-reductase Finesteride Converts the hormone testosterone into a more active substance - dihydro-testosterone. As a result, the urine flow rate is normalized, the intensity of prostate inflammation is reduced. 1 tablet per day for 6-7 months. Reducing the size of the prostate gland, restoring the rate of urine flow. Relieving the symptoms of prostatitis To know how to get rid of prostatitis once and for all, you must carefully follow all doctor's prescriptions, do not interrupt treatment, and follow proper nutrition.

Treatment of acute and chronic forms

Now let's look at the general principles of therapy for various forms of the disease.

Treatment of acute prostatitis is necessarily carried out in the urological or surgical department of the hospital. The patient is shown:

• Bed rest.
• Antibacterial drugs.
• Non-steroidal anti-inflammatory drugs - Ibuprofen, Indomethacin, Ketoprofen, Piroxicam.
• Medicines that normalize blood circulation, increase blood viscosity - Detralex, Cavinton, Pentoxifylline, Trental.
• Drugs that relieve inflammation and relieve pain - Nise, Nimesil, Ketanov, Tempalgin, suppositories with propolis.
• Rheological solutions and means for removing intoxication - Disol, Laktosol, Trisol.

In a chronic course, the following therapeutic regimen is selected:

• Antibiotic therapy only if pathogens are isolated.
• Nonsteroidal anti-inflammatory drugs.
• Medications to improve blood circulation and normalize microcirculation.
• Immunomodulators - Vitaprost, T-activin, Thymosin, Timolin. Prostatilen and Vitaprost not only have an immunomodulatory effect, but also reduce the risk of thrombosis, stimulate blood circulation.
• Means with sedative and antidepressant action - aimed at combating erectile dysfunction.
• Physiotherapy - electrophoresis, UHF, magnetic and laser therapy.

Today, for the treatment of pathology, the following agents are most often used: