Prostatitis, which is considered one of the most common, but at the same time conservative correction, is a severe urodynamic disorder, poorly studied and poorly studied at the same time.In recent decades, prostatitis has been higher in men in the stage of active reproduction (age group) in recent decades (age group from 20 to 45 years) and those who are sexually active, although the maximum risk of inflammatory processes in the prostate gland exists only in older and older men.
In most cases, acute inflammation of the prostatic glands develops against the background of massive contamination of the mucous membranes of the prostate with pathogenic and opportunistic microorganisms: gonococci, staphylococci, E. coli, etc.
In addition to antibiotics used in the acute stage of the disease, as well as recurrent forms of infectious prostatitis (including CPPS - Chronic pelvic pain syndrome), complex therapy for inflammatory changes in the interstitial and parenchymal tissue of the gland, for example, laser therapy, cryodestruction or pulsed microcurrents is also included.In order for the treatment to be effective and to achieve stable remission, the man will also need to adjust his regimen, diet and lifestyle.
Basic therapy for infectious inflammation
In the treatment of any form of prostatitis, the main goal of therapy is to stop inflammation and eliminate inflammatory changes, relieve pain, their spread, according to various sources, every second person complains from 35% to 67% as the dominant symptom).In acute cases, the use of mass antibacterial therapy allows to show a clinically significant effect that occurs within 4-5 days.Despite the rapid relief of conditions with infectious inflammation of the prostate, it is impossible to stop treatment with antibiotics, because the typical infection pathogens against drugs of this group very quickly stop the treatment and will cause chronicity of the disease.
Some of the main causes of prostatitis - faecal staphylococcus and Escherichia coli (Escherichia coli) - the conditions of administration and continuous use of antibiotics are able to create a thick film capsule around the bioavailability of the drugs used and increase the resistance of bacteria to the selected group of antibiotics. For this reason, it is recommended to continue antibiotic therapy, even if a positive result is quickly achieved for at least 4 weeks.
You cannot choose an antibiotic for yourself
Antibiotics are the basis for the treatment of acute infectious prostatitis, but they should be determined by taking into account several factors, after laboratory examination of prostatic secretions, degree of contamination of mucous membranes and resistance to certain groups of a certain microorganism.Specialists in the field of practical urology have also seen a steady increase in mixed genitourinary infections in recent years, so a combination of several antibacterial and antimicrobial agents is often used to treat acute prostatitis.
In almost 60-70% of acute prostatitis, self-medication leads to infection, which is very high and confirms the inadmissibility of choosing drugs independently and ignoring medical prescriptions.Transport laboratory and physical diagnostics, as well as consultation with a specialist, are related to the following points before using antibiotics.
- Bioavailability indicators.Some antibacterial drugs (for example, the most popular and prescribed antibiotics - drugs of the penicillin group) have a low degree of penetration into prostate tissue, so their use for prostatitis is ineffective and ineffective.Almost all aminoglycosides also have poor bioavailability.
- Degree of bactericidal effect.In case of acute damage to the prostatic glands, antibiotics with a bactericidal effect should be selected, which leads to the death of the infectious pathogen.In chronic cases, it is more recommended to prescribe drugs with a bacteriostatic effect, to stop the growth of pathogenic flora and prevent reproduction.
- General condition of the patient.Patients with severe immunosuppression, as well as severe manifestations of febrile and intoxication syndrome, should be treated in hospital.Antibiotics are administered to such patients intravenously (oral dosage forms are ineffective in severe clinical cases).
Pay attention!Failure to have a positive effect during the use of antibacterial therapy may indicate the development of a prostate abscess.This was followed by an acute pathology, drainage of the cavity and antiseptic treatment, which required the hospital and the abscess to be removed to the emergency hospital in the hospital and surgical opening.
Modern methods of treatment of chronic inflammation
Physiotherapy is a branch of medicine that applies and applies various natural factors (including artificially created ones) that have a positive effect on the human body.In the complex treatment of pathologies of the genitourinary system, physiotherapy is used in the recovery phase after relieving acute symptoms.
The main goal of physiotherapy is to eliminate residual inflammatory effects and stimulate the regeneration of damaged tissues.Physiotherapy treatment course usually consists of 5-10 procedures lasting 10-15 minutes.Achieving a positive result (reducing the frequency and intensity of chronic pelvic pain, normalizing urine, improving the revelic properties of prostatic secretion, etc.) may require several courses.
Low level laser therapy
Laser therapy is one of the most effective and popular methods of chronic inflammation of the prostate, which is used most often as an adjunct after initial drug therapy to treat chronic inflammation in men.The basis of laser therapy is the use of an optical range emitted by a special device - a laser.The laser can operate in pulsed and continuous pulse mode and the wavelength can reach 904 Nm. Rarely used in urology by many specialists for the most effective and universal treatment of complex treatment of many urological diseases is the method of laser illumination.
The main advantages of laser therapy are its fairly high efficiency, painlessness and stimulation of not only undamaged but also nearby tissues.Physiotherapy method, as laser radiation has a positive effect on microcirculation in pelvic vessels and normalizes secretions from prostatic glands.
Electrical stimulation
Electrical stimulation with currents is indicated for the treatment of any prostatitis with erectile dysfunction and a general decrease in potency.Endonulation is performed using the endourethral method, that is, a catheter with an electrode located in the projection is inserted directly behind the urethra, where the prostate is located.In some cases, rectal electrodes may be used for treatment, which involves electrical stimulation of the prostate gland where the rectum is adjacent to the anterior bulb.In both cases, it is important that the bowels and bladder are empty.
Treatment with electric currents has a complex positive effect on the prostate glands, namely:
- removes stagnation of fluids (blood and lymph) in pelvic organs;
- ensures normal flow of prostatic secretions;
- Increases the permeability of the parenchymal tissue and cell membranes of the parenchymal tissue, which promotes faster drug delivery to the inflamed prostate tissue;
- reduces swelling;
- normalization of muscle tone of pelvic muscles;
- Increasing the regenerative capacity of cells and local immunity (especially in chronic bacterial prostatitis).
After electrical stimulation of the prostate, the therapeutic effect occurs after 2-3 procedures, but it is important not to stop the treatment in order to minimize the risks of a possible relapse.A full course usually consists of 5-7 procedures.
Pay attention!Prostate stimulation with electrical currents is especially effective for prostatitis with severe erectile dysfunction.
Thermotherapy
Thermotherapy is also a type of physiotherapy and can be used to treat prostatitis itself or used in specialized physiotherapy rooms.Heat sources to warm the prostate gland:
- mineral applications (bischofit, paraffin, ozokerite);
- Special electric lamps;
- heating pads (water, electricity);
- Infrared radiation devices.
In everyday hospitals and physiotherapy rooms, reflectors are often used to heat the prostate with a focused lamp (an incandescent lamp with a "blue lamp"). The procedure has certain contraindications, for example, active forms of the autonomic nervous system, malignant tumors, acute infectious-inflammatory and mass infectious processes, tuberculosis. In the acute period of the disease, the use of heating procedures is unacceptable, because it can cause hematogenous infection of neighboring organs and tissues.can (due to a sharp increase in blood circulation) and the development of serious complications, including septic blood poisoning.
It is important!If a person is prescribed hormonal or immunomodulatory therapy, it is necessary to consult with a doctor about the possibility of using heat procedures (especially if the patient is being treated at home).It is unacceptable to prescribe heat procedures with cytostatics and hemostatic drugs.
Ozone therapy
This is a fairly effective modern method of prostatitis treatment, which is mainly applied in paid medical centers.Medical Ozone is produced by special medical devices called Ozonizers.The gas in its pure form is highly toxic and can cause acute chemical poisoning and death if inhaled.To introduce ozone into the patient's blood, the gas is mixed with blood or saline (salt concentration 0.9%).
The main indication for the use of ozone therapy for inflammation of the prostate gland is chronic infectious prostatitis with frequent relapse (more than 2-3 times a year).Ozone has strong antiseptic and bactericidal properties, so it is often used to disinfect buildings, including industrial buildings.It destroys almost all strains of pathogenic and opportunistic bacteria that cause inflammation of the prostate and are highly resistant to antibacterial drugs.The feasibility of using this method is considered justified if the patient does not experience stable positive dynamics after changing three antibiotics.
The ozone solution is injected into the prostatic part of the urethra or rectum using a special catheter.The course consists of 5-10 procedures.
Devices for the treatment of prostatitis
Hardware treatment of prostatitis can be carried out both in the physiotherapy room and at home (strictly after consultation with the attending physician).Many of them are devices for rectal use, therefore, in addition to the main contraindications directly related to the disease, it is important to take into account local restrictions: the acute stage of hemorrhoids, anal bleeding of unknown origin, violation of the epithelial lining of rectitis, proctitis and parapoctititis.
In the case of rectal prolapse, pelvic abscess, thrombosis of hemorrhoidal vessels and congenital absence of the innervation apparatus of the large intestine, it is unacceptable to introduce any external object (electrodes, sensors) into the rectum.
It is important!Before using any device for the treatment of prostatitis and prostate adenoma, you should consult your doctor, because some of these devices can be not only useless, but can significantly harm your health.Hardware effects on prostate tissue are unacceptable in the acute period of the disease, as well as in the presence of any possible contraindications (listed above).
Prostatitis is a serious disease that requires an integrated approach to treatment.For the treatment of prostatitis, in addition to drugs and physiotherapeutic methods, in some cases, it is necessary to use psychocorley, as well as to correct lifestyle, eating habits, work and rest patterns.During the period of recovery and rehabilitation, the main therapy should be supplemented with auxiliary treatment methods: hirudotherapy (leakage treatment), balneotherapy (mineral water therapy), mud therapy, exercise therapy.A man should also exercise enough, give up bad habits and control his psycho-emotional state.In addition to ecrancation, annual sanatorium-spa treatment is shown to consolidate the obtained result.