Treatment of cervical cystitis

Consider the algorithm for treating cervical inflammation of the urinary bladder:

• Bed rest (with an acute form of the disease).
• Dietary diet (it is necessary to exclude all foods that irritate the mucous membrane of the affected organ) and compliance with water balance.
• Wearing comfortable underwear made of natural fabrics.
• Drug therapy (antibiotics, anti-inflammatory and analgesics, immunomodulators and vitamins).
• Physiotherapy and therapeutic gymnastics.

If the disease was diagnosed in a patient with anatomical disorders of the structure of the urogenital system (for example, the bend of the uterus), then the complex of medicines is supplemented with biologically active additives and vitamin complexes that enhance blood circulation in the pelvic area.

Medicinal treatment of cervical cystitis

Particular attention in the treatment of pathologies on the part of the genitourinary system is given to drug therapy. Medicines for cervical cystitis are selected by the attending physician, based on the results of the tests, the type of disease, its stage, the characteristics of the patient's body and a number of other factors.

Read also:

• Antibiotics for cystitis
• Diet for cystitis

Most often, patients are prescribed such drugs:

1. Amoxiclav

Combined action antibiotic. Contains amoxicillin (a broad-spectrum penicillin) and clavulanic acid (an inhibitor of beta-lactamase microorganisms).

• Indications for use: urinary tract infections, sinusitis, bronchitis, odontogenic and gynecological infections, pneumonia, retropharyngeal abscess, gonorrhea, skin and soft tissue infections, prevention of purulent-septic complications after surgery, infection of bones and joints, chancroid.
• Usage: tablets are taken orally before meals with 1 capsule every 8-12 hours. Dosage Amoxiclav for parenteral use is determined by the physician, individually for each patient. Duration of treatment is 7-14 days.
• Side effects: nausea, vomiting, diarrhea, dyspeptic disorders, stomatitis, discoloration of the tongue, skin allergic reactions, headaches and dizziness, disorders of the blood system and urinary system.
• Contraindications: hypersensitivity to the components of the drug, hepatitis or cholestatic jaundice caused by the use of antibiotics from the penicillin group.
• Overdose: insomnia, headaches and dizziness, paresthesia and seizures. Treatment is symptomatic, hemodialysis is possible.

Amoxiclav has several forms of release: tablets of 250 mg of amoxicillin / 125 mg of clavulanic acid, tablets of 500 mg / 125 mg; 875 mg / 125 mg of active ingredients. Powder for the preparation of suspension and a substance for parenteral administration.

2. Detruzitol

A drug that improves urodynamics. Contains tolterodine - a specific blocker of muscarinic receptors, has a high selectivity for muscarinic receptors of the bladder. Reduces the frequency of urge to urinate, reduces the average volume of secreted fluid, eliminates incontinence.

• Indications for use: increased activity of the bladder, frequent mandatory urge to urinate, urinary incontinence.
• Method of administration: The drug is taken orally at 2 mg twice a day. The course of treatment is determined by the attending physician.
• Side effects: increased dryness of the oral cavity, dyspeptic phenomena, decreased teardrop, decreased visual acuity, confusion, headaches, hallucinations, increased fatigue. Also, constipation, hyperemia of the face, palpitations, skin allergic reactions are possible.
• Contraindications: intolerance of drug components, angle-closure glaucoma, severe form of ulcerative colitis, pediatric practice. With special care, the drug is prescribed for patients with impaired renal and hepatic function, neuropathy, a risk of decreased intestinal peristalsis.
• Overdose: a violation of accommodation, painful urge to urinate, increased excitement, headaches, cramps, tachycardia. There is no specific antidote, gastric lavage and further symptomatic therapy are performed for treatment.

The drug is available in the form of tablets with an enteric coating.

3. Kinefron

Drug with antispasmodic and anti-inflammatory properties. It is used in urology. Contains active components of plant origin, which do not have a complex effect, but reduce the intensity of the inflammatory process, spasms of the urinary tract.

• Indications for use: monotherapy and complex treatment of infectious diseases of the kidneys and bladder, condition after removal of urinary stones, glomerulonephritis and interstitial nephritis.
• Method of administration: Orally, two tablets per day. The course of treatment is individual for each patient and is established by the attending physician.
• Side effects: skin allergic reactions, hyperemia of the skin, nausea, vomiting, stool disorders. Treatment is symptomatic.
• Contraindications: intolerance of active and auxiliary components of the drug, peptic ulcer, cardiac or renal insufficiency, patients younger than 12 years, impaired renal function.
• Overdose when taking higher doses of the drug is not manifested by adverse symptoms or the development of intoxication.

Kanefron has a tablet form of release.

4. Levofloxacin

Antibiotic from the group of fluoroquinolones. It has a wide range of action and bactericidal properties. The active component is the left-handed active isomer of ofloxacin-levofloxacin hemihydrate.

• Indications for use: infectious and inflammatory diseases caused by microorganisms sensitive to the preparation, uncomplicated urinary tract infections, abdominal cavity infections, chronic bronchitis, community-acquired pneumonia, prostatic inflammation, bacteremia, septicemia, infectious soft tissue and skin lesions, acute sinusitis.
• How to use: tablets are taken orally before meals or between meals. In uncomplicated urinary tract infections - 3 days 250 mg once a day or divided into two doses. Infusion is carried out intravenously drip, the dosage depends on the severity of the symptoms and is 50 mg twice a day.
• Side effects: diarrhea, nausea, changes in blood picture, hepatitis, a sharp decrease in blood pressure, vasculitis, swelling of the face and throat, various skin allergic reactions, eating disorders, headaches and dizziness. Also, tachycardia, muscle and joint pain, general weakness are possible.
• Contraindications: pregnancy and lactation, the age of patients under 18, epilepsy, hypersensitivity to the components of the drug. With special care is prescribed at a risk of liver failure and a deficiency of glucose-6-phosphate dehydrogenase.
• Overdose: nausea and vomiting, confusion, headaches and dizziness, seizures, erosion of the mucous membranes. Treatment is symptomatic, hemodialysis is ineffective.

Levofloxacin has a tablet form of release of 250 and 500 mg. And also it is issued in the form of infusion in vials of 100 mg with 50 mg of active substance.

5. Monural

Antibacterial agent of a wide spectrum of action. Contains the active substance phosphomycin. The active component is a derivative of phosphonic acid and has a bactericidal effect on most gram-positive and gram-negative microorganisms.

• Indications for use: bacterial acute cystitis, recurrent bacterial cystitis, nonspecific bacterial urethritis, massive asymptomatic bacteriuria during pregnancy, infections of the urinary system of bacterial genesis in the postoperative period and their prevention.
• Method of use: before taking the sachet of the drug should be dissolved in 1/3 cup of water. The drug is taken on an empty stomach 1 time per day, before reception it is necessary to empty the bladder. Adult patients are prescribed 3 g per day, the duration of treatment is 1 day.
• Side effects: heartburn, nausea, diarrhea, skin allergic reactions. Overdose manifests more pronounced adverse reactions. Diuresis is indicated for treatment.
• Contraindications: patients under 5 years of age, intolerance to phosphomycin and other components of the drug, severe hepatic impairment with creatinine clearance less than 10 ml / min.

The medicine is available in the form of a sachet with granules for the preparation of an oral solution.

6. Phytolysin

Diuretic, bacteriostatic and anti-inflammatory. It facilitates loosening and removal of urinary stones.

• Indications for use: inflammatory damage to the urinary tract, loosening of urinary calculi and facilitating their excretion during urination, inflammation of the renal pelvis.
• Directions for use: a teaspoon of the paste should be dissolved in ½ cup of warm, sweetened water. The drug is taken 3-4 times a day after meals, long-term therapy.
• Contraindications: acute kidney diseases, phosphate stones in the kidneys.

Phytolysin is available in the form of a paste in tubes of 100 g.

7. Furagin

Antimicrobial agent from the group of nitrofuran. It has bacteriostatic properties, acts against a wide range of gram-positive and gram-negative microorganisms.

• Indications for use: infectious and inflammatory diseases of the urinary system and the prostate gland in acute or chronic form. Recurrent inflammatory pathologies, prolonged catheterization of the bladder, congenital anomalies of the urinary tract.
• Directions for use: tablets should be taken orally at meal time. Patients are prescribed 100 mg (2 tablets) 4 times the first day, and 2 tablets 3 times a day for the second day. The course of treatment is 7-8 days, after 2 weeks the course can be repeated.
• Side effects: increased drowsiness, dizziness, blurred vision, skin allergic reactions, fever, diarrhea, constipation, abdominal pain, nausea and vomiting.
• Contraindications: allergic reactions in the history of nitrofuran group preparations, patients younger than 7 days of life, pregnancy and lactation, renal failure, polyneuropathy of any origin, congenital insufficiency of glucose-6-phosphate dehydrogenase enzyme.
• Overdose: headaches and dizziness, psychosis, nausea, impaired hepatic function, skin allergic reactions. To eliminate the above reactions, gastric lavage and infusion therapy should be performed. In particularly severe cases, hemodialysis is possible.

The drug has a tablet form of release, each capsule contains 50 mg of active substance.

In addition to the above drugs, for the treatment of cervical cystitis can be used Furadonin, Furazidin, Cefixim, Ciprobai, Ciprofloxacin.

Instillations for cervical cystitis

The introduction of liquid medicinal substances into the bladder or urethra for the purpose of therapy is an installation. With cervical cystitis, they are prescribed for both acute and chronic conditions. The need for such a procedure for cervical inflammation is due to the fact that with conventional methods of administering an antibiotic to the body, its concentration in urine does not reach the level necessary to suppress pathogenic microflora. This is also due to the fact that the penetration of antibacterial components into the thickness of the walls of the bladder is difficult.

For installations use antiseptics, antibiotics and other medications that ensure the penetration of active components into the deep layers of the walls of the affected organ.

Let's consider the basic advantages of installation at a cystic cystitis:

• High concentration of drug substance - during the procedure, the medication acts locally, that is, it has no effect on the body.
• Penetration of drugs into the deep layers of the bladder - this provides a pronounced anti-inflammatory effect, even with a chronic pathological process.
• Long exposure - the time the drug is in the body cavity can reach 2-3 hours. During this time, active components have time to show their effect. Medicines are removed after the bladder has been emptied.

As a rule, installations are prescribed for the chronic form of cystitis. The procedure is contraindicated in acute inflammatory processes in the vagina and vulva, as well as with tuberculosis of the bladder.

For the treatment of cervical and cervical cystitis, local administration of such drugs is recommended:

1. Voltaren

Anti-inflammatory, analgesic and antipyretic. Contains diclofenac, belongs to the group of non-steroidal anti-inflammatory drugs, inhibitors of cyclooxygenase.

• Indications for use: inflammatory diseases of the genitourinary system, osteoarthritis, spondyloarthritis, pain in the spine, pathologies of extraarticular soft tissues of rheumatic nature, gout, migraine attacks, gynecological diseases, primary dysmenorrhea.
• Dosing: The initial dosage is three tablets per day, that is, 150 mg. If necessary, increase the dosage. The dosage of rectal suppositories and solution for injection is determined by the attending physician.
• Side effects: pain in the stomach, nausea and vomiting, stool disorders, flatulence, gastrointestinal bleeding, ulcerous lesions of the stomach and duodenum, impaired appetite. It is also possible to increase the level of hepatic enzymes, hepatitis, stomatitis, glossitis. Headaches and dizziness, tachycardia, a sharp change of mood. Vision and hearing impairment, skin allergic reactions.
• Contraindications: individual sensitivity to the components of the drug, stomach ulcers, gastritis, hemopoiesis, pregnancy (last trimester), patients under 6 years of age. The drug is not prescribed for violations of the liver, kidneys, cardiovascular system.
• Overdose: nausea, vomiting, pain in the epigastric region, coma, convulsions. For treatment, gastric lavage and enterosorbents are indicated.

Voltaren is available in the form of a solution for injection for intramuscular injection, oral tablets and rectal suppositories.

2. Kollargol

Antiseptic with disinfecting properties. It is used to treat purulent and inflammatory diseases. For external washing, 0.2-1% solution is used, for installations with cystitis or urethritis - 1-2% solution. The drug has no contraindications and does not cause adverse reactions. It is available in the form of a powder for the preparation of a solution.

3. Sea buckthorn oil

A herbal remedy is applied either externally or orally. Used for inflammation of the vagina, inflammation of the cervical canal, erosion, inflammatory damage to the bladder and its neck.

For the installation, the oil is diluted with warm, purified water and injected into the urethra. In other cases, use tampons, richly moistened with oil. The course of treatment is 8-15 procedures. The drug is contraindicated in inflammation of the gallbladder, liver, pancreas, as well as in cholelithiasis.

4. Miramistine

Antiseptic with hydrophobic action on cytoplasmic membranes of pathogenic microorganisms. It is active against all gram-negative and gram-positive, anaerobic and aerobic, asporogenous and spore-forming bacteria in the form of microbial associations and monocultures, including various strains with resistance to antibiotics.

• Indications for use: prevention and treatment of sexually transmitted diseases (syphilis, gonorrhea, genital candidiasis, trichomoniasis), urethritis, urethroprostatitis, cystitis. Used in dermatology for the treatment of staphyloderma, streptoderma, mycoses of large folds, as well as in surgery, dentistry, otolaryngology, gynecology.
• Method of application: with inflammatory lesion of the neck of the bladder, it is recommended to administer 1 ml of the drug intraurethrally. The course of treatment is determined by the attending physician.
• Side effects: burning, which passes for a short period of time. Cancellation of the drug is not required.
• Contraindications: intolerance of active components of the drug. Cases of an overdose have not been revealed.

The drug is released as a solution for topical application and ointment.

5. Chlorhexidine

Bactericidal and antiseptic, effective for many gram-positive and gram-negative bacteria. Suspends growth and division of parasitic fungi and fungi of candida, dermatophytes, trichophytons.

• Indications for use: treatment of the surgical field and hands of the surgeon, sterilization of surgical instruments, washing of the bladder with cystitis.
• Method of application: 0.2% aqueous solution is used for installation once a day. The course of treatment 4-12 procedures, 300-400 ml of solution per procedure.
• Side effects: passing dryness, itching and inflammation of the skin.
• Contraindications: various allergic diseases, dermatitis.

Form release: the drug is available in bottles of 500, 200 and 100 ml of 20% aqueous solution.

To conduct the installation in the bladder, it is recommended to use a disposable syringe with a volume of 20-50 ml or a disposable Nevlaton catheter No. 8, 10, 12. Before the procedure, you should urinate. The prepared solution is drawn into the syringe, while the liquid must be body temperature. The area of the external opening of the urethra should be treated with an antiseptic and lubricate the tip of the boat with petroleum jelly. The catheter is slowly inserted along the urethra into the inflamed organ and a solution is introduced.

To achieve maximum therapeutic effect, the drug should be kept for 1-3 hours. The procedure is carried out 3-5 times a week, the course of treatment is 7-10 procedures. If necessary, the therapy is repeated after 3-4 weeks.

Hydrocortisone in cervical cystitis

An effective glucocorticosteroid with anti-inflammatory, desensitizing and antiallergic properties is hydrocortisone. With cervical cystitis, it is used for installations, that is, local administration to the affected organ. The drug has anti-shock and antitoxic effect, inhibits the development of connective tissue, promotes the early recovery of damaged tissues, reduces the permeability of capillaries and accelerates the breakdown of the protein.

The use of hydrocortisone in trigonitis is aimed at increasing diuresis and reducing proteinuria. The drug is used in the conduct of physical procedures to eliminate chronic cystitis. For example, during intravesical electrophoresis, a special cutter electrode is introduced into the affected organ, which gradually releases active medicinal substances.

The drug is contraindicated in inflammation of the kidneys, peptic ulcer of the stomach and duodenum, diabetes, during pregnancy and lactation, with systemic fungal diseases and intolerance of its components.

Suprax

Very often with inflammation of the urinary tract, patients are prescribed Suprax. This drug is an antibiotic from the group of cephalosporins of the third generation. It is used parenterally. Has a wide range of action against various aerobic and anaerobic Gram-positive and Gram-negative microorganisms. It is bactericidal.

• Indications for use: infectious and inflammatory diseases caused by microorganisms sensitive to the preparation. The medicine is prescribed for uncomplicated urinary tract infections, pharyngitis, tonsillitis, sinusitis, otitis, bronchitis (acute, chronic), as well as gonococcal infection of the urethra and cervix.
• Method of administration: for patients over 12 years of age and with a body weight of more than 50 kg, a recommended daily dose of 400 mg once a day or divided into two doses. For patients from 6 months to 12 years, the drug is administered in the form of a suspension at a dosage of 8 mg / kg of body once daily or 4 mg / kg every 12 hours. The course of treatment is individual for each patient and depends on the severity of the disease.
• Side effects: various skin allergic reactions (itching, burning, erythema), headaches and dizziness, tinnitus, renal dysfunction, interstitial nephritis, nausea, abdominal pain, bouts of vomiting, changes in blood picture. Overdosing is manifested by increased adverse reactions. Treatment: gastric lavage, hemodialysis and peritoneal dialysis are ineffective.
• Contraindications: individual intolerance to the components of the drug, the age of patients up to 6 months, pregnancy and lactation. With special care is prescribed for the elderly, with colitis and kidney failure.
• Drug interaction: with simultaneous use with carbamazepine, an increase in the concentration of the latter in blood plasma is observed.

Suprax is available in the form of capsules for oral administration, granules for the preparation of suspension and suspension for children.

Urolesan with cervical cystitis

Particular attention in the treatment of inflammatory pathologies of the urinary system is given to preparations on a plant basis. Urolesan with cervical cystitis has an effect of disinfection and diuresis. The drug acidifies urine, increases the release of urea and chlorides, increases the level of formation and excretion of bile, improves hepatic blood flow.

• Indications for use: urolithic and cholelithiasis, cystitis caused by urinary calculi, acute and chronic pyelonephritis, cholecystitis, biliary tract dyskinesia, cholangiohepatitis.
• How to use: 5-10 drops per piece of sugar under the tongue, take the medicine 3 times a day before meals. The duration of treatment depends on the severity of the disease. The average course of therapy lasts 5-30 days.
• Side effects: headaches and dizziness, nausea. For their elimination, a rest and a hot drink are recommended.

Urolesan is available in the form of a bottle-dropper of 15 ml.

Vitamins

Effective treatment of any disease implies an integrated approach. Vitamins in cervical cystitis are necessary to strengthen the defenses of the body and increase the level of resistance to infectious agents.

In most cases, patients are prescribed:

• Vitamin A - supports the health of the immune system and reduces the risk of bacterial infections.
• Vitamin C - increases immunity, suppresses the growth of E. Coli. This substance is recommended to take in the form of calcium or magnesium ascorbate, since pure ascorbic acid can provoke a significant urine oxidation, which is undesirable in cystitis.
• Zinc is a mineral useful for the immune system. Possesses disinfecting properties. Recommended for use in the presence of infection and for its prevention.

In addition to the above vitamins, with trigonitis is recommended to use cranberries. It is a natural remedy for diseases of the urinary tract. Reduces the number of bacteria that provoke the inflammatory process. A natural antibiotic, which is also necessary for cystitis, is garlic. It is active against many viruses and bacteria (Escherichia coli, Staphylococcus, Proteus, Klebsiella), which cause inflammation. Echinacea has healing properties. It increases the number of leukocytes in the blood and increases their activity to destroy viruses and bacteria.

Physiotherapeutic treatment

To eliminate cervical cystitis, not only drug therapy is used, but also physiotherapy. Physiotherapy is a complex of methods of physiological and therapeutic effects of various factors (natural, artificial) on the human body. For treatment use heat, vibration, ultraviolet. Most often, patients undergo such procedures:

• Electrophoresis.
• Ultrasound treatment.
• Paraffin and ozocerite applications.
• Installation of medicines.
• Inductothermy.
• Dynamic currents.

Such treatment is considered painless and safe, since it has minimal stress on the body. Physiotherapy is aimed at:

• Increased blood flow.
• Acceleration of mucosal regeneration processes.
• Elimination of pain.
• Reduction of inflammatory processes.
• Relaxation of spasmodic muscles.
• Release of the strangulated nerve endings.
• Softening of adhesive structures.

Such treatment can be carried out only after the acute inflammatory process is eliminated, since thermal and other procedures increase the activity of inflammation. The main contraindications of physiotherapy:

• Febrile state.
• Tumor formation.
• Intolerance to current.
• Inflammatory-purulent processes in the body.

Consider the most effective physiotherapy techniques used in cervical cystitis:

Anti-inflammatory procedures

• Magnitophoresis - drugs with the help of a magnetic field are introduced into the mucous membrane of the bladder.
• Electrophoresis - an electric current stimulates ions that deliver the drug to the affected tissue. This procedure relaxes, fights inflammation, stimulates local metabolism and speeds up the regeneration process.
• Pulsed electroanalgesia - various current frequencies are used that have an anti-inflammatory effect and reduce spasms. Impulses dissolve edema, normalize the structure of tissues.
• Inductothermy - on affected tissues are affected by electric current. The procedure improves blood circulation and urinary tract function, promotes vasodilation.
• Ultrasound of different frequencies - with the help of massage of inflamed internal organs, local immunity increases and blood circulation improves. The procedure has an anti-inflammatory effect, since it destroys the causative agents of the disease.

Miorelaxing methods

• Thermotherapy - on the area of the diseased organ is affected with the help of thermal applications. For the procedure, paraffin and ozocerite are used. The session lasts about 25 minutes, the course of treatment is 10 procedures.
• Infrared radiation - increases blood flow and temperature of affected tissues, reduces muscle spasms.

Ultrasound procedures

• Vibrotherapy - the affected part of the body is affected by a low frequency current. Such treatment has an analgesic effect and improves blood circulation.
• Peloid therapy - is a treatment with mud tampons (for women) or the imposition of a layer of dirt on the area of injury (for men). The procedure lasts 30-45 minutes, the course of treatment consists of 10-15 sessions.

Analgesic therapy

• DiaDinamotherapy - used to eliminate acute pain. To achieve a vibrating effect, use a current.
• SUF-irradiation (medium-wave ultraviolet radiation) - is a blockade of nociceptive conductors.

Diuretic methods

• Amplipulse therapy - used to remove pathogenic flora. Increases the tone of the bladder and relaxes the inflamed sphincter.
• Mineral sedentary baths - for treatment use chloride sodium and iodide-bromine baths. This method is recommended to combine with drinking radon water, as well as low-mineral, chloride and sulfate waters, which contain useful substances.

Physiotherapeutic treatment for cystitis is carried out only according to the doctor's prescription. As a rule, such therapy is used in conjunction with other therapeutic methods to achieve a persistent therapeutic effect.

See also:  Physiotherapy with cystitis

Alternative treatment

There are many non-traditional methods of treating cervical cystitis. Alternative treatment is effective in both acute and chronic forms of the disease. Such alternative means are especially popular:

• To prepare a diuretic and anti-inflammatory collection, take in equal proportions (5 g each): shoots of thuja, birch buds and a hernia. Pour all the ingredients 1 liter of boiling water and let it brew until cooling, then strain and take ½ cup 2-3 times a day.
• Take a handful of salt or sand and heat it in a frying pan. Pour into a tissue pouch and attach to the stomach just below the navel.
• Dicarb seeds possess germicidal properties. They minimize pain and inflammation. Thoroughly chop the tablespoon of dried dill seeds and pour them 250 ml of boiling water. Wrap the container with infusion until it cools. Take 2 glasses 1-2 times a day.
• To remove spasms from the sphincter and stop the inflammation, you can use chamomile. Spread a tablespoon of dried flowers with a glass of boiling water and let it brew for 20-30 minutes. Strain and take 50 ml 3-4 times a day. If the infusion add essential oils, then it can be used for sedentary baths.
• A tablespoon of fresh or frozen raspberry berries pour a glass of steep boiling water. Use the drink as tea 4-6 times a day. Treatment should be conducted 1-2 months with a 10-day preventive course every month. This recipe is allowed for pregnant women and during lactation.

Alternative treatment with trigonite can only be used as an additional method to basic therapy.

See also:  Cranberry with cystitis and urethritis

[1], [2], [3], [4], [5], [6], [7], [8]

Treatment of cervical cystitis with herbs

Another popular method of eliminating inflammation of the urinary system is the treatment with herbs. Phytotherapy is used as an adjuvant for acute cystitis or its exacerbations.

The main properties of medicinal herbs:

• Increase the medicinal properties of the main medicines and reduce their side effects.
• Strengthening the protective properties of the immune system, immunomodulating effect.
• Increased diuresis and leaching from the body of pathogenic flora.
• Reduction of the pain syndrome due to relaxation of the smooth muscles of the affected organ.
• Moderate laxative effect and decrease of organism intoxication.
• General strengthening effect on the body.

Popular herbal treatment recipes:

• Take 10-20 g of walnut shell and fill them with a liter of water. Boil the medium until the liquid is reduced by half. After cooling, strain. Take 50 ml 3-4 times a day. The course of treatment is 1-2 months.
• Take 50 g of berries or cowberry leaves and pour 500 ml of boiling water. Infusion is best brewed in a thermos bottle or allowed to stand in a well-wrapped container for an hour. Take ½ cup for 20 minutes before meals 2-3 times a day. Duration of therapy is 2 months. This recipe is allowed during pregnancy.
• 200-250 grams of oat straw pour 3 liters of water and cook over medium heat for 30-40 minutes. The resulting product should be filtered. The broth can be taken orally 50 ml 3-4 times a day or used for warm sedentary baths lasting 5-20 minutes.
• 20-30 g of flax seeds and 10 g of fennel leaves (fruit), pour 500 ml of boiling water and let it brew for 2 hours. The drug should be filtered and take ½ cup 2-3 times before meals for 5 days. The course of treatment is 1 month. This recipe is forbidden for cholelithiasis.

Treatment with herbs cervical cystitis is contraindicated in the presence of allergic reactions to components of charges, as a monotherapy in the severe course of the disease. With special care, treatment should be carried out during pregnancy and lactation.

Homeopathy

Treatment of inflammation of the urinary tract can be carried out using homeopathic drugs. Homeopathy is an alternative medicine that uses diluted drugs that cause painful symptoms. The main principle of this method is "like the like."

Choosing a homeopathic remedy for the treatment of cervical cystitis, the doctor is guided by such factors:

• The causes of the pathological process are a weakened immune system, hypothermia, infectious invasions, and more.
• Features of inflammation - the severity of painful symptoms and the frequency of their manifestation.
• The nature of pain is aching, sharp, stitching, cutting, burning.
• Localization of pain - in the lower abdomen, in the lumbar region, in the genital area.
• Time of pain occurrence - during or after urination, constantly, in the morning or in the evening.
• The position of the body in which the pain syndrome is most pronounced - lying down, sitting, with physical activity, while walking.
• Concomitant symptomatology and its character - drowsiness, general weakness, irritability, increased sweating and other.
• Presence of chronic diseases.

For the treatment of trigonitis, there are about 500 homeopathic medicines. Consider the most popular and effective ones:

• Apis - cystitis develops against a background of kidney disease. Cutting and burning pains pass along the entire urinary canal. Urinary incontinence, urine has a specific odor, there are impurities of blood and increased protein content.
• Berberis - frequent urge to urinate, pain in the pelvic region, acute kidney fights that flow into the ureters and bladder. When urinating, there are rezi.
• Cantharis - severe burning and trouble urinating due to fluid retention.
• Dulcamara - the inflammatory process proceeds with suppurative complications. In urine there are impurities of blood, frequent urge to go to the toilet.
• Digitalis - pulsating pain in the bladder and a frequent desire to empty the organ. Relief occurs when lying down.
• Sepia - is prescribed with a weakened sphincter, when urine spontaneously escapes from sneezing, coughing, laughing, or abrupt movements. There are burning and pulling pains in the lower abdomen.
• Equisetum is a constant urge to urinate, with very few fluids released. Urine is dark, possible admixtures of mucus and blood.

The above medicines are prescribed by a homeopath physician, individually for each patient. The doctor selects the necessary dosage and determines the duration of the course of treatment.

Surgery

Surgery intervention for inflammation of the neck of the bladder is performed in very rare cases. Surgical treatment is aimed at correcting anatomical changes and eliminating the causes of abnormal urodynamics.

1. Transurethral resection and internal urethrotomy are indicated for severe hyperplastic changes in the tissues of the neck of the affected organ. The operation allows you to restore normal anatomy.
2. Meatotomy is an operation to eliminate stenosis, that is, narrowing of the outer orifice of the urethra.
3. Transurethral electrovaporization - is performed in chronic form of the disease. Inflammation of the neck of the bladder is accompanied by a lesion of the proximal part of the urethra.
4. Hymenoplasty is a surgical operation to relieve the urethra from adhesions with hymen. During the procedure, the hypermobility of the external opening of the urethra is eliminated by means of suturing.

With gangrenous form of inflammation, necrotic tissue is excised and further organ plasty is performed. The patient is waiting for a long recovery with medication and physiotherapy. With leukoplakas against the background of the inflammatory process, transurethral resection of altered areas of the mucous membrane can be prescribed. If the disease occurs in the interstitial form and drug therapy does not give positive results, then a subtotal resection of the bladder is carried out with further formation of an artificial organ from the isolated segment of the intestine.