What course of medications and exercises need to go for treatment of prostatitis
Inflammation of the prostate gland or prostate is one of the most common male diseases.
Individually selected course of treatment of this disease at the present level of development of medicine is able to effectively cope with prostatitis of any complexity and at any stage of development.
Factors contributing to the development of prostatitis
To the development of inflammatory processes in tissues of the prostate causes many of the factors adversely affecting the General physical condition of men, as well as many disorders directly and indirectly associated with the genitourinary system:
- General hypothermia.
- Sessile or sedentary lifestyle.
- Frequent constipation.
- Prolonged sexual abstinence or an over-active sexual life.
- Migrated or chronic diseases, sexually transmitted.
- Moved or chronic urological diseases.
- Chronic inflammatory diseases and chronic foci of infection in the body.
- Status and bad habits that suppress the immune system, including Smoking, alcohol abuse.
Classification of prostatitis
The severity of the disease there are two main varieties of inflammation of the prostate gland:
Acute prostatitis
Characterized by the appearance of fever, chills, fever, rise in temperature to 38-390C, sharp pain in the perineum, anus and groin.
Neglect or wrong treatment chosen can lead to an abscess (purulent inflammation) of the prostate.
Chronic prostatitis
The symptoms of chronic form of the disease is expressed not so much – is a recurring pain during urination, pain of moderate and low intensity in the groin, perineum, testicles, and sacrum.
Running prostatitis can cause a number of serious complications: inflammation of the testicles, their appendages, seminal vesicles. Chronic prostatitis treatment is a long process.
The most common cause of chronic bacterial prostatitis becomes its form as a result of untreated or recurrent urethritis.
In international medical practice has the following classification of prostatitis:
Acute bacterial prostatitis
The development of the disease is favored by a variety of microorganisms, including staphylococci and enterococci; some sexually transmitted infections (chlamydia, gonorrhea, ureaplasmosis, trichomoniasis); the procedures associated with invasion of the urethra (cystoscopy, catheterization).
Acute bacterial prostatitis is usually caused by inflammation of the testicles and their appendages, the main symptoms are mild discomfort in the abdomen, burning sensation while urinating and pain in the perineum. Furtherthe development of the disease there is difficulty urinating and a decrease in the urine stream.
Chronic bacterial prostatitis
The cause of prostatitis becomes recurrent infection of the urogenital system. Can often be undertreated complication of prostatitis in the acute form.
Depending on the stage of development of prostatitis, the variety, age and physical characteristics for the patient, an individual treatment plan, which mayinclude:
- antibiotic therapy;
- herbal medicine;
- physical therapy;
- urological massage;
- the immunomodulators;
- gymnastics;
- preventive means to discourage re-development of prostatitis.
- The urological massage or prostate massage is one of the most effective forms of treatment and prevention of prostatitis, restore the prostate functions.
Treatment of inflammation of the prostate gland is primarily determined by the form of the disease.
Treatment of acute prostatitis
The acute form of bacterial prostatitis is treated with antibiotics. Before the course seems seeding prostatic secretions to determine the sensitivity of flora to certain types of antibiotics. For the treatment most often used tetracycline, quinolone or trimethoprim-sulfamethoxazole.
If the inflammation of the prostate caused by the presence of sexually transmitted diseases, prescribers affecting chlamydial infection, and minocycline, carbenicillin and cephalosporin antibiotics.
The duration of treatment can be 3-4 weeks with the aim of preventing a possible remission, and sometimes require a longer course of treatment with drugs in combination with analgesics to relieve discomfort and pain.
During antibiotic therapy consider:
- nature sown microflora and its sensitivity to different antibiotics;
- the spectrum of action of the drugs, their pharmacokinetics and possible side effects;
- antibiotic therapy, a history of the timing of its beginning and duration, doses and combinations of drugs;
- the necessity for additional treatment methods.
Prostate massage in this form of prostatitis is absolutely contraindicated — it spreads the infection develops into a bacteremia (the appearance of bacteria in the blood) or sepsis.
Treatment of chronic prostatitis
Treatment of chronic prostatitis is aimed primarily at eliminating the source of infection and the normalization of the immune system of the patient and regression of the effects of inflammation and restoration of normal function of the prostate gland.
Duration of antibiotic treatment may vary from 4 to 12 weeks. If full recovery does not occur, can be continued drug therapy low doses of antibiotics. In very advanced cases may require surgical intervention for extraction of irreversibly damaged by infection parts of the prostate.
The effectiveness of antibiotic drugs is limited tothe inability of some of them to penetrate the epithelium of the prostate, if it is not inflamed. Most often for the treatment of this form of prostatitis prescribe clindamycin, trimethoprim, erythromycin, ciprofloxacin, trimethoprim-sulfamethoxazole, tetracycline in combination with other anti-inflammatory drugs.
Treatment of chronic non-bacterial prostatitis
Feature of the treatment of this form of prostatitis is that antibiotics if it does not help, however, most professionals do not abandon them, prescribing 2-4-week course of drugs.
The basis for the fall treatment physiotherapy methods (ultrasound, iontophoresis, laser therapy, electromagnetic oscillations, the increase of basal temperature), symptomatic therapy and effects on the immune system of the patient.
In the treatment of inflammation of the prostate gland can include modifying the diet and lifestyle of the patient, a course of warm baths, receiving alpha-blockers to relax the muscular tissue of the prostate for 1-6 months, receiving allopurinol to reduce the content of blood, urine and prostate secretion of urate concentration and improving urodynamics.
Treatment for asymptomatic inflammatory prostatitis
If you are diagnosed with high content of specific antigen of the prostate, patients are assigned a 2-week course of antibiotics.
The normalization of the antigen content observed after 4-6 weeks. After completing the course of antibiotics prescribed individually selected symptomatic treatment.
Prevention of prostatitis
For prevention of prostatitis also:
-
use during the day a large amount of water accelerates the removal of bacteria from the bladder;
- intake of herbal extracts with anti-inflammatory, antibacterial and immunostimulating properties (ginseng, chamomile, Echinacea, etc.);
- daily consumption of supplements with antioxidant properties and a comprehensive vitamin preparations containing vitamins A, C, E, selenium, beta-carotene, zinc picolinate.
In addition, the treatment and prevention of prostatitis is impossible without normalization of the lifestyle of the patient. It is necessary to engage in any sport, to move more and walk in the fresh air, to normalize the correct mode of work, sleep, go on a balanced diet (eliminate alcohol and spicy foods).