Treatment of chronic prostatitis

Treatment of chronic prostatitis is a complex of therapeutic measures aimed at eliminating inflammation of the prostate gland.

According to statistical data, this disease has become significantly "rejuvenated" over the past half century. It affects about 40% of the stronger sex aged 30 to 40 years. In men over 40-45 years old, the inflammatory process of the prostate occurs much more often - up to 55-60% of all cases of appeals with urogenital complaints.

Prostatitis is an inflammation of the prostate gland, located in men just below the bladder. Depending on the causes that contributed to the development of the disease, prostatitis can appear suddenly or exist in a man's body for a long time, having long since become chronic. Treatment for chronic prostatitis is prescribed individually by a urologist-andrologist.

The prostate, attacked by a bacterial infection or hypothermia, initially resists with the help of the immune system. If the immune system is weak, a person continues to hope for self-healing and does not go to a urologist in a timely manner, prostatitis does not give up, it simply turns into a more severe, latent form. Unfortunately, only when really acute symptoms appear - painful sensations when urinating, problems with intimate life, only then the patient begins to sound the alarm and goes to the doctor. At a minimum - this is a long, persistent treatment of chronic prostatitis, sometimes lasting for years, as a negative result - the development of the disease into an oncological process.

Prostatitis can be caused by different reasons and is classified as follows:

• Acute bacterial form;
• Chronic bacterial form;
• Chronic non-bacterial form (chlamydia, staphylococci, trichomonas);
• Asymptomatic (without symptoms).

The chronic form of the disease is usually caused by a bacterial infection, which can signal itself, fade away and return again – relapse. Most often, the acute phase is missed, the symptoms are treated, and the treatment of chronic prostatitis is usually independent, without a doctor's prescription. The erased symptoms and the attenuation of pain do not mean that prostatitis is cured. It simply "hides" its manifestations, and the infection remains in the body.

Reasons why chronic inflammation may develop in the prostate gland:

• Regular hypothermia of the entire body, especially the legs and lower back;
• Unhealthy diet leading to constipation;
• Lack of physical activity – sitting work;
• Promiscuous sex life, lack of protection during sexual intercourse;
• Chronic infectious diseases of organs and systems;
• Venereal diseases, including untreated or latent ones;
• Insufficient immune activity.

Symptoms that may indicate that it is necessary to begin treatment for chronic prostatitis:

• Chronic mild pain in the lower back;
• Periodic aching pain in the groin area;
• Periodic weak pain signals in the testicles or genitals;
• Subfebrile temperature;
• Chronic pain in the joints of the legs;
• Episodic manifestations similar to cystitis;
• Atypical rare discharge from the urethral canal.

In short, any discomfort from the back and below, which, of course, can be a sign of a completely different disease, still requires a visit to the doctor. After collecting anamnesis, visual examination, biochemical tests are prescribed, as well as the main analytical marker - bacterial culture. A portion of urine and secretions from the gland are taken as material for cultural research.

Treatment of chronic prostatitis is more thorough and component-based, unlike treatment of the acute form of the disease. Often, ridding a patient of prostatitis is not as simple and quick as it may seem at first glance. The effectiveness of therapy depends on the equipment of the medical institution where the patient is observed and on the price that the patient is willing to pay for using medical services.

What measures are involved in the treatment of chronic prostatitis?

Treatment of chronic prostatitis has the following goals:

• Neutralization of bacterial infection – a course of antibiotics (at least one month);
• Activation of the immune system – prescription of immunomodulators;
• Prevention of dysbacteriosis – probiotics are prescribed;
• Prevention of allergic reactions – antihistamines may be prescribed;
• Thermal physiotherapy procedures;
• Prescribing drugs to relax the muscles of the gland - alpha blockers;
• Prostate massage;
• Reflexotherapy course;
• Drawing up a diet, a special dietary regimen that excludes the consumption of spicy foods and alcoholic beverages;
• Surgery may be necessary to remove areas of the prostate gland affected by bacteria.

Activation of the immune system

Activation of the immune system – prescription of immunomodulators. Chronic prostatitis is characterized by a decrease in the protective functions of the immune system, which must be supported and activated. Immunomodulators are designed to normalize the humoral links of immunity and stimulate the local response of the immune system to inflammation. Levamisole, thymalin, prodigiosan, methyluracil have proven themselves to be good in terms of bioavailability. These drugs stimulate the active action of macrophages (their phagocytic, absorbent function), activate the protective mechanism at the level of all cells of the body. The course of treatment depends on the choice of drug, for example, levamisole has a strong effect on the T-link of immunity, and can cause an allergic reaction. It is prescribed for up to 3 days, then a break is taken and the course is repeated. Methyluracil is safer, in addition, it has anabolic properties and significantly accelerates all regenerative processes, it can be used in a course of up to 2 weeks.

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Prevention of dysbacteriosis

Prevention of dysbacteriosis - probiotics are prescribed to restore microflora and normalize the ratio of species of opportunistic bacteria. It is recommended to use a complex of probiotic preparations, since each of them stimulates its own group of bacteria. Bifidumbacterin, lacto-containing gastrofarm or lactobacterin, colibacterin, linex and bifiform have proven themselves well.

Prevention of allergic reactions

Prevention of allergic manifestations - antihistamines may be prescribed. An intensive course of antibiotics can lead not only to dysbacteriosis, but also to an aggressive autoimmune response in the form of allergic reactions. Prescribing antihistamines is not mandatory in the therapeutic scheme. Treatment of chronic prostatitis with the use of additional antihistamine therapy is carried out only when clinical signs of allergy appear. As a rule, third-generation drugs are prescribed - cetirizine and fexofenadine group, that is, drugs that combine well with other drugs and do not cause drowsiness.

Treatment of chronic prostatitis with antibiotics

One of the most common ways to treat the disease is antibiotics. The prescription of certain medications is based on the causes of the disease. Most often, this type of medication is prescribed to people suffering from bacterial chronic prostatitis.

Patients with symptoms such as severe pain or fever may need intravenous antibiotics. Treatment of chronic prostatitis with antibiotics is prescribed for at least a month and a half, but often the courses are longer or the patient is prescribed several courses of therapy with breaks for rest from medications.

Medicines should be taken strictly in accordance with the norms and frequency prescribed by the attending physician. The patient should not refuse further treatment even if his health has significantly improved - this impression can be deceptive and, as soon as the body stops receiving medications, the disease may reappear. If suddenly after the completed course of treatment the condition has not improved, you should inform the doctor about it. Most likely, the patient has not a bacterial, but some other form of the disease.

Macrolides are prescribed - these are effective antibiotics obtained from processed Streptomyces fungi. Macrolides are effective against many bacteria and microorganisms, such as coccal infections, legionella, chlamydia and mycoplasma. In addition, this group of drugs can remain in the prostate gland for a long time and practically does not cause a toxic effect. The most popular drugs in this group include roxithromycin, vilprafen, macropen, azithromycin. Tetracycline (doxycycline) and cephaloporin (ceftriaxone) drugs are also prescribed, which neutralize anaerobic microorganisms well and are active against chlamydia. The penicillin group is used less often in modern clinical practice, mainly for laboratory-proven indications. As a rule, amoxicillin and amoxiclav are used. Fluoroquinolones are also effective due to their ability to penetrate deep tissue layers. Norfloxacin, ofloxacin, and ciprofloxacin have a broad spectrum of action. The choice of a group of antibiotics directly depends on the stage of the inflammatory process, individual tolerance or intolerance to the drugs. Antibacterial therapy can be carried out by injections or prescribed in tablet form. Often, the complex of therapeutic measures includes the introduction of antibacterial solutions, gels, or ointments directly into the inflammation site or anal antibacterial suppositories.

Treatment of chronic prostatitis with other drugs

Treatment of chronic prostatitis may involve taking non-steroidal and pain-relieving anti-inflammatory drugs. Ibuprofen and aspirin, known to everyone, can alleviate the course of the disease. The dosage of drugs must be prescribed by a urologist-andrologist, since improper use of these drugs can not only worsen the patient's condition, but also provoke many other ailments. Occasionally, chronic prostatitis is treated with analgesics.

Treatment of chronic prostatitis with alpha blockers

Chronic prostatitis can be treated with alpha blockers, drugs that have the ability to relax the muscle fibers and the neck of the bladder in the very place where the prostate is attached to the bladder. The use of alpha blockers allows the patient to go to the toilet much less often, and also reduces the pain that occurs during urination.

Prescription of drugs for relaxing the muscles of the gland - alpha blockers. The use of these drugs improves the tone of the muscles of the urethral canal, the epithelium of the seminal vesicles and the capsule of the prostate gland itself. Alpha blockers significantly increase the duration of the remission period, especially in combination with NSAIDs - non-steroidal anti-inflammatory drugs. Omnic, Sonizin, Cardura are prescribed. All these drugs belong to the same group, but the right to choose them belongs to the urologist, who determines the appropriateness of using the drug, dosage and regimen.

Treatment of chronic prostatitis with massage

Finally, there is an unpleasant but very effective procedure for men, which is often prescribed to patients with prostatitis. This procedure is called prostate massage.

The massage is performed with the help of a doctor's hand: the doctor puts a glove on his hand, lubricates the index finger with a special lubricant, then inserts the finger into the man's rectum and conducts an examination of the parameters, the symmetry of both lobes of the prostate gland, as well as the condition of the intestinal mucosa and the degree of pain in the man. After this, the doctor decides on the intensity and duration of the massage. Usually, one lobe of the gland is massaged first, then the other.

Physiotherapy for chronic prostatitis

Thermal physiotherapeutic procedures are designed to restore the tone of the prostate gland muscles and restore the impaired blood circulation in places where pathological scars have formed. Physiotherapy also significantly enhances the effect of antibacterial therapy due to better absorption of drugs into the prepared tissues. Physiotherapeutic procedures include ultrasound heating, thermal action directly on the prostate through the anus, and possibly irrigation using enemas (a solution enriched with antibiotics).

Reflexotherapy for chronic prostatitis

The reflexotherapy course is also aimed at strengthening and improving blood circulation in the prostate, the condition of the muscles of the entire pelvis is also normalized, and painful sensations are reduced. Among the well-proven methods, we can mention magnetic therapy, carried out on biologically active points.

Treatment of chronic prostatitis by surgical methods

Surgical intervention is possible to remove areas of the prostate gland affected by bacteria. Indications for the surgical procedure are sclerotic tissue degeneration, then gentle electroresection is performed (removal of dying tissue). Also, the reason for the operation may be a violation of trophism, the condition of the gland tissue due to the accumulation of calcifications (calculous chronic prostatitis). TUR - transurethral resection - is an operation that is performed under epidural or intravenous barbiturate anesthesia. The postoperative recovery period lasts no more than a week.

The methods that are used to treat chronic prostatitis are determined by a urologist based on diagnostic information and his clinical practical experience. In addition to the use of medication and other therapy, the patient is required to have a responsible attitude to treatment and a certain level of patience.

Diet for chronic prostatitis

Making a diet, a special diet regimen that excludes the use of spicy food and alcoholic beverages. The diet is needed to strengthen the body's defenses, as well as to perform the main task - detoxification and rinsing (removal of urine). Chronic prostatitis dictates adherence to a gentle diet throughout life. During the period of taking antibiotics and undergoing general treatment measures, classic diet No. 7 is prescribed, which is designed to remove excess fluid, nitrogen compounds from the body and relieve swelling. Diet No. 5 is also effective, which is usually prescribed for hepatopathologies and diseases of the bile ducts.

Treatment of chronic prostatitis also requires following the rules of a healthy, rational lifestyle, which includes feasible physical activity, a rest and sleep regimen, and, if possible, giving up bad habits.

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