Treatment of prostatitis one of the urgent problems in urology, depending on the cause, support the inflammation in the prostate, will depend on the scheme of therapy. Patients with chronic prostatitis do not usually require hospitalization. In severe cases, the complete treatment in the hospital more efficiently. Let us look in details what are the medical and non-drug ways to resolve this problem.
Non-drug treatment of prostatitis
Thermal and physical therapy impact
The modern urology of great importance are the physical methods, that allow to reduce the dose and the duration of the course of antibiotic therapy.
Physical therapy when the prostatitis implies the following objectives:
- improve the microcirculation of the tissues of the prostate gland;
- the increase in the accumulation of medicinal substances in the body;
- decrease the pain;
- the improvement of the quality of urination;
- proof of the inflammatory process;
- the gain of power.
For the most effective ways to relate to ultra micro hyperthermia, and physical therapy (mud therapy, laser therapy, phono and electrophoresis). Depending on the intensity of changes in the tissues of the prostate, the presence or absence of the phenomena of stagnation, as well as co-morbidities, use a variety of temperature settings and types of procedures.
Electromagnetic with a temperature of about 40 degrees Celsius has anticongestive, immunostimulating and bacteriostatic effect. With the increase of temperature up to 45 degrees point anaesthetic and sclerosing effect, as well as the oppression of the nerve endings and reducing the size of the gland.
Important! Before you assign the physical therapy when the prostatitis the need to estimate the level of prostate-specific specific antigen (PSA) in the blood in men with more than 40 years and perform ultra sonogram of the prostate (TRUS). This will avoid the process in the prostate. In case of doubt, an increase in the PSA level, the argument of resorting to magnetic resonance imaging.
Physical therapy when calcifications of the prostate (calculous prostatitis), it is generally not done. This is due to the fact that the stones and tissues unevenly heated in the MICROWAVE – field, which can cause acute urinary retention and the presence of blood in the ejaculate.
The treatment of prostatitis laser
-Low navitas laser impact it has on the prostate action similar to that of such a micro hyperthermia with a temperature of 40 degrees Celsius. This method is more justified to apply in cases of congestive-infiltrative changes in the organs urogenital tract, for example, for the treatment of acute and chronic prostatitis with a background vesiculitis, orchitis, orchiepididymitis'.
Prostate massage is used less frequently, as there are more measurement results, and modern appliances for carrying out physiotherapy. The procedure of the prostate massage does not make it sharp period, contra-indication also serve the adenoma of the prostate, stones in the prostate, the process, the tb.
Instruments for the treatment of prostatitis at home
Therapeutic properties are based on the spa, massage and magnetic impact on the tissue of the prostate. The procedure is absolutely painless and does not require special skills. The rectum is injected into the tip in a condom, before you do this, you can apply the gel with anti-inflammatory substance. After using the device does not need to boil, just wipe the work surface with alcohol.
Treatment course of 15 treatments, with a duration of 10 to 12 minutes.
Contraindications to physical therapy:
- the intense phase of inflammation;
- stones prostate;
- tuberculosis genito-urinary;
- malignant neoplasms;
- the crack of the colon and hemorrhoids in the acute period;
- diarrhea;
- rectal bleeding;
- fever.
There are devices for prostate massage in the house battery-powered, they are less easy to use, and the action is the vibration. The positive aspects include the price, it is in the range of up to 2,000 rubles.
Sanitary-treatment of prostatitis
In a sanatorium can be sent only in remission after the completion of the spa-the spa of the map. There are a variety of places and in portugal, and abroad, where they are undertaken procedures to cure the prostatitis, improve erectile function and strengthen the health in general.
Will help you solve the problem with the following activities:
- kinesiotherapy;
- drinking treatment of mineral waters;
- all kinds of hardware physiotherapy impact, including, and to normalize the functioning of the nervous system;
- hirudotherapy (treatment of the infestation of leeches);
- balneotherapy (bathtubs with bromine, iodine, and PR.);
- mud therapy (and appliques mud swabs).
After treatment in sanatorium many patients do not remember the symptoms of prostatitis.
Medical therapy of prostatitis
In the treatment of prostatitis chronic it is important for the multicomponent scheme, which will cover all the links of pathogenesis. This allows you to more rapid to carry the causative agent from tissues, normalizes the blood circulation and the nutrition of the body, contributes to proper drainage acini (hatchers ductal), normalize hormones, and activates local immunity.
For these purposes, use drugs of the following groups:
- antibiotics;
- anticholinergic medications;
- non-steroidal anti-inflammatory drugs (NSAIDS);
- immunomodulatory tools;
- angioprotectors;
- phytoPReparate;
- alpha-blockers;
- inhibitors of 5-alpha-reductase;
- inhibitors of cytokines;
- drugs that affect the metabolism of urate and citrate.
Important! Optional, your treatment regimen will include all of the above, the doctor focuses on your complaints and the symptoms, when the prostatitis, the results of the research, the causing factor, the effect of the previous treatment, the stage of the inflammatory process and, consequently, the pathology.
The worsening of prostatitis chronic requires conducting empirical (without identifying the pathogen) antibacterial therapy, with the appointment of a broad-spectrum antibiotic action. Of course, it is best to choose an antibiotic on the results of the inoculation of the bacterial test, but to get it you need time. The sharp inflammatory process in the prostate, left without treatment, will result in complications, for example, the apostema or bacteriotoxic shock. Many times, swelling of the breast in the middle of the inflammation causes acute urinary retention.
In these cases, perform suprapubic puncture of the urinary bladder with the installation of the catheter of the Foley and to stop the worsening of prostatitis antibiotics, anti-inflammatory drugs and means of local application of the candles and PR.
Therefore, not to be in the hospital, to cure the inflammation needs to when the first symptoms of the disease and to comply with all the recommendations of an urologist.
The course of treatment of prostatitis is individually determined, but there are recommendations for the purchase of antibiotics (preferably levofloxacin novum series) up to 28 days.
This scheme adheres to the European association of urologists, the antibiotics and sulfa drugs are considered priority drugs in the acute treatment /worsening of prostatitis.
What are the tools they use to eliminate the pain in the syndrome of chronic pelvic pain (CPPS)
The CPPS does not imply the communication with the symptoms by an infectious agent (specific or non-specific). This diagnosis is defined by the method of exclusion, through results full clinical and laboratory examination.
A good effect is achieved with the use of the following medications:
- The tricyclic antidepressants. The use of drugs of this group contribute to the cupping pain due to blockage N1-histamine receptors, and anticholinesterase effect. Prescribe more Amitriptyline and Imipramine. Some patients as a side effect of the action if you develop drowsiness, apathy and thirst.
- Inhibitors of 5-alpha-reductase activity contribute to the reduction of the volume of the prostate and resolution of swelling of the tissues. In addition, the slowdown in the conversion of testosterone in digidrotestosteron reduces the pain that is caused and symptoms of dysuria.
- Painkillers medicines. In severe cases, use analgesics if the pain does not lend itself to medicines from other groups.
- Drugs that affect the services of urate.
The treatment of persistent symptoms dysuria, when prostatitis
Sometimes, in spite of maintaining the appropriate antibiotic and PRativanexperience therapy, the patient continues to have difficulty in the act of urinating.
After you have carried out the additional research – uroflowmetries or bibendum without search – prescribe medications depending on the knew the of pathology. In the case of the sensitivity of the cervix, the bladder, the treatment scheme is similar to interstitial cystitis:
- antidepressants;
- the antihistamines;
- introduction bladder solutions with anti-septic action.
If dysuric disorder supports hyperreflexia detrusor (hyperactivity of the bladder, at the bottom of the prostatitis) – use anticholinesterase drugs. Hypertonus detrusor relieve the benzodiazepines, and use of the physiotherapeutic impact, sacralis the neuromodulation.
Surgical operations when the prostatitis
Indication for surgery over current prostatitis and acute symptomatology serve the following complications:
- The sclerosis of the bladder neck.
- The sclerosis of the prostate.
- Sclerosis seeds of prominence.
- Stones of the prostate.
Run the transurethral resection (TOUR), which improves the quality of life of the patient.
Other means and forms of treatment of prostatitis: the damage or the use
On the internet and in case of doubt of the tabloids publications are just lazy not said, how to cure a prostatitis to always. Some of the ways that you can take in the arms, as a complement to the main treatment, other can worsen the situation and lead to the failure of the result.
As prevention, it is possible to use bee products (honey, royal jelly, perga, propolis, and PR.), with a approach a positive effect.
It is believed that propolis contains such items as:
- vitamins;
- the aromatic oils;
- amino acids and proteins;
- esters and flavonoids, and PR.
On account of this is provided antimicrobial, anti-inflammatory drugs and even preventive PRtivaouane action.
Recipe ointment of prostatitis on the basis of propolis
Watermark in a bain-marie, melt the 100 mg of animal fat, add bee products:
- 90 grams of propolis,
- 7 grams ambrosia and breeding of milk,
- 20 grams of honey.
Boil ointment tool should not be, in the optimum temperature for the preparation of 40 – 42. Mix the wood stick, cools it and hide in a cold place. Applied in the region of the groin, 2 times per day, until complete absorption of the ointment. The duration of treatment to 3 weeks. If necessary, repeat.
If there are difficulties in cooking, you can take advantage of the finished pharmacy how to candles with PRthe opolis. Insert a candle in the night in the anus daily, the duration of the therapy – from 15 to 30 days.
Note that perga is available in the form of capsules for consumption within and containing 0.4 grams of active ingredient. Can be used simultaneously with suppositories. The course of the reception and 1 month.
The broth and the pad on the crotch began mortuus apes
An example is die bee, to prepare the broth use the substance exclusively for the disposal of waste.
Method of preparation: pour 2 tablespoons of mortuus apes 800 ml of water, the torment on low heat for about an hour. Cool, strain, and take 5 tablespoons, 3 times a day for a month. To compress 150 mg mortuus apes support above a ferry to Pappy consistency. Put the tool in the folded in several layers of gauze, from the top to close the slurry still several layers of gauze. Several overcome, to make the crotch, and keep 45 to 60 minutes. The best procedure for the night, and by morning you can take a shower.