Treatment of prostatitis: antibiotics, physiotherapy, prostate massage

Prostatitis is an inflammation that causes tissue swelling and affects the prostate gland of a man, located just below the bladder. Treatment of prostatitis today occurs through many modern methods, including antibacterial therapy, physiotherapy, hirudotherapy, herbal medicine, immunocorrective therapy, prostate massage, and lifestyle correction.

When a patient is admitted to a medical institution, the doctor examines the patient for the causes of prostatitis. Treatment for the disease will be prescribed depending on the factors that contributed to the occurrence of the disease.

Treatment of prostatitis begins with diagnosis of the disease, which, first of all, includes a survey of the urologist. Then the doctor moves on to examining the patient's abdomen and genitals, palpating the prostate gland with a finger, inserting it into the rectum. During this examination, the doctor can diagnose enlargement, swelling and soreness of the prostate gland.

After a rectal examination, the urologist sends the patient to give sperm, urine and prostate secretion. These tests allow us to judge the presence or absence of signs of infection. Sometimes it is necessary to do sperm culture.

Ordering urodynamic tests will enable the physician to understand how much of an impact the disease has on the urination process.

Transrectal ultrasound, as well as ultrasound of the kidneys and bladder, allow the urologist to judge the volume and structure of the prostate gland, the volume of residual urine, the presence of a tumor or stones in the bladder, the presence of a blood clot or stones in the lower third of the ureter.

Based on the above-described analyses and studies, the urologist prescribes therapy for such an insidious and difficult to treat disease as prostatitis. Treatment of prostatitis will give positive results only if it is comprehensive and selected by a competent doctor.

Antibacterial treatment of prostatitis

Since inflammation of the prostate gland is often infectious, doctors prescribe treatment for prostatitis as antibacterial therapy. The treatment result will be positive only if the urologist selects the right therapy and the patient strictly adheres to the prescribed therapy. It should be remembered that the course of antibacterial therapy that has been started cannot be stopped - this can harm not only the diseased organ, but the entire body as a whole.

The patient must inform the doctor about any, sometimes even insignificant, changes in his body. If the patient has not felt any changes at all during 2-3 days of treatment, then the doctor must replace the antibiotic with another one, but not cancel it.

Most often, broad-spectrum drugs are prescribed for treatment - penicillins. These include ampicillin, oxacillin, ampiox, benzylpenicillin, carbenicillin.

Modern medicine also widely uses drugs from the fluoroquinolone group - pefloxacin, levofloxacin, ofloxacin, ciprofloxacin, norfloxacin, sparfloxacin, etc. Microbes do not develop resistance to these drugs - this is one of the most important qualities of this group of antibiotics.

In addition, many doctors prescribe tetracycline group drugs for treatment: josamycin, doxycycline, azithromycin, etc.

Sometimes drugs such as cefixime, cefotaxime, ceftriaxone are used - these are highly effective new generation drugs.

Antibacterial treatment of prostatitis in patients with chronic prostatitis lasts approximately one to one and a half months. In advanced cases, treatment of prostatitis is extended for up to 16 weeks. Occasionally, during antibacterial therapy, the patient develops intestinal dysbacteriosis. In this regard, the patient is prescribed medications that restore intestinal microflora: bificol, bion-3, hilak-forte, etc.

The dosage and treatment regimen for taking medications is prescribed by a urologist in each individual case.

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Physiotherapeutic measures

Treatment of prostatitis through physiotherapy involves the use of various methods, the main ones being ultrasound, laser therapy, electrical stimulation, magnetic therapy, microwave therapy, UHF, galvanization, medicinal electrophoresis, darsonvalization, therapeutic microclysters, baths, mud procedures.

Ultrasound is used as high-frequency waves that humans cannot hear.

Laser therapy is a fairly common, almost painless method. It involves the impact of laser beams on the tissues of the diseased organ or on reflexogenic zones.

Treatment of prostatitis with electrical stimulation is the effect of electrical impulse current, causing contractions of the organ muscles. Electrical stimulation is divided into rectal, perineal and urethral.

Magnetic therapy is a treatment for prostatitis using a constant magnetic field and an alternating low-frequency field on the tissues of the affected organ.

Microwave therapy involves exposing affected tissues to a high-frequency electromagnetic field.

UHF is a complex of therapeutic measures using capacitor plates connected to tissues.

Galvanization is a method of treatment by applying low-voltage, continuous current.

Medicinal electrophoresis is the simultaneous effect of low-power direct current on tissues and special medicinal products introduced into the tissues with its help. The current increases ionic activity in the tissues, and the pharmacological effect of the drugs occurs simultaneously.

Darsonvalization is a method of treatment using rapidly fading high-frequency, low-power pulsed current with high voltage.

Medicinal microclysters are enemas for which various herbal infusions and decoctions are used.

Baths used to treat the disease are prescribed as general or local sitz baths. During bathing, various medicinal liquids of different temperatures are used.

Mud treatments are the use of therapeutic mud. Treatments may include external mud applications or the insertion of mud tampons into the anus.

Hirudotherapy

Leeches are a wonderful gift of nature to humanity. With the help of these living creatures, many diseases can be cured, including prostatitis. Treatment of prostatitis with leeches occurs according to the following scheme: leeches are placed on points located 3 cm from the anus, and the placement should resemble the letter "X". The center of the letter is the anus, the ends of the letter are the locations of the leeches.

A slightly different method of treatment is also widely used: stepping back from the median perineal suture about 2 cm in each direction, leeches are placed. It is not recommended to place leeches directly on the perineal suture. The course consists of about 4-5 treatment procedures. Four leeches are used per session. After each session, a break of 5-6 days is taken.

Phytotherapy

Phytotherapy is a complex of therapeutic measures with medicinal tinctures, decoctions, juices, infusions prepared from medicinal plants. Some of these remedies should be taken internally, while others are used externally, inserted into the urethra. Phytotherapy is an additional method of treatment that helps the body cope with the disease faster.

To make decoctions, bark, seeds, roots, buds and rhizomes of plants are usually used, for infusions - flowers, leaves, grass and stems. There are a huge number of recipes for making medicines.

One of the most popular recipes is an infusion of birch buds and oats mixed with rosehip infusion (1:1), which is taken half a glass 1 or 2 times a day.

Horse chestnut peel tincture (pour 250 ml over 25 g of finely chopped peel, leave in the dark for 10 days, shaking occasionally). After that, strain the tincture, take 30 drops 3 times a day.

Squeeze the juice from the parsley and mix with any honey (1:1), consume 2 tablespoons 3 times a day.

Immunocorrective treatment of prostatitis

Treatment of prostatitis also involves boosting immunity and activating the body's defenses. In this case, doctors prescribe immunocorrective therapy. It includes the patient taking various vitamins, immunomodulators, biostimulants, herbal remedies, and other medications.

The use of Afala by patients with chronic prostatitis, the treatment of which was carried out in a complex manner, increases the effectiveness of therapy and contributes to a longer preservation of the results obtained. The drug is well tolerated, has no contraindications. It can be combined with any other therapy. Afala is indicated for patients with chronic prostatitis categories II and III A from the 1st day of treatment.

Prostate massage

Treating prostatitis with prostate massage is an unpleasant but very effective way to cure the disease. The massage is performed by an experienced doctor. First, using a gloved index finger, he palpates the prostate gland, trying to record its parameters, the degree of pain, the ratio of the right and left lobes of the gland, and also to examine the quality of the mucus in the rectum. After this, the doctor begins the massage procedure itself.

Lifestyle correction

In order to avoid blood stagnation in the prostate gland, the patient must move a lot, go for walks, play sports, etc.

The appearance of prostatitis is very often provoked by a sedentary lifestyle, sedentary work, rare sexual intercourse. They cause blood stagnation in the prostate gland. In this situation, for therapeutic purposes, the patient is prescribed physical exercise (feasible), therapeutic gymnastics, walking in the fresh air, a special diet, etc.

Thus, complex treatment of patients with chronic prostatitis should include:

• antibacterial therapy (only in patients with chronic prostatitis of infectious origin, including latent);
• symptomatic treatment to eliminate the leading manifestations of the disease;
• pathogenetic therapy aimed at restoring microcirculation in the prostate, restoring drainage of the prostate glands through the excretory ducts, normalizing urination, stabilizing the immune and hormonal systems, and preventing excessive formation of fibrous tissue.

There are many signs that indicate to the patient that prostatitis has "settled" in his body. Treatment of this disease is very complex and lengthy, giving positive results only if the patient strictly follows all the instructions of the urologist.

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