Chronic prostatitis: Symptoms and Treatment in men. list of drugs

Chronic prostatitis refers to one of the most common diseases among men, is still little studied, certain effective strategy for its treatment has not yet been worked out.

Diagnosed predominantly in male patients of reproductive age, in most cases followed by the copulatory disorders (frustration, impotence) and a violation of generative function. Older men are prone to chronic prostatitis, combined with benign prostate tumors.

Physicians treat prostatitis primarily as an inflammatory disease of infectious origin, sometimes occurring together with autoimmune disorders. As the disease affected parenchymal and interstitial tissue of the organ.

The causes of the chronic form

The main cause of prostatitis penetration into the prostate is considered to be various bacteria. Pathogenic microorganisms can penetrate into the glandular prostate tissue from infected urine or climb up the urethra. In chronic prostatitis infection is a trigger for the disease, which can subsequently develop even after the complete destruction of the infectious agent.

This happens because the primary infectious inflammation of the prostate gland provokes violation Prostate innervation and leads to the top of the autoimmune process, when the immune system "attacks" on prostate. This fact explains the presence of many patients nonbacterial prostatitis when at obvious signs of the disease, the infection is not detected.

The main symptoms

Chronic prostatitis is expressed by the following symptoms:

• frequent urination;
• a sharp pain at the end of Urinating;
• pain and discomfort in the pelvic area, groin, inner side of thighs, a duration of three months or more;
• working capacity decrease;
• pruritus, feeling of cold or excessive sweating crotch;
• discoloration of the skin in the groin;
• painful erection;
• sometimes complete absence of ejaculation;
• sleep disorders;
• decreased appetite;
• irritability;
• constant feeling of fatigue;
• decrease in sexual drive;
• nocturnal erections;
• a slight increase in body temperature.

Chronic prostatitis occurs predominantly in men aged 25-40 years. With age, the risk of disease increases. In old age, the prostate inflammation is often combined with adenoma - a benign tumor of the prostate.

complications

Launched prostatitis causes the development of these states:

• abscess of the prostate;
• cystitis and pyelonephritis (Inflammation of the bladder and kidney);
• vesiculitis (Inflammation of the seminal vesicles);
• erectile dysfunction;
• infertility.

The earlier the disease and treatment is started is detected, the greater the chances of a favorable outcome of the disease.

Diagnostics

Diagnosis of this disease is not complicated for the urologist. A doctor holds:

• digital examination of the prostate (through the rectal orifice);
• questioning the patient about pain or discomfort;
• general inspection of the groin for rash, irritation or discharge;
• collection of prostate secretion.

These procedures are quite unpleasant and sometimes painful, but they are the most appropriate for the diagnosis of such diseases.

In addition, the patient will have to pass:

• urine for bacterial research;
• trehstakannaya urine sample;
• general urine analysis;
• a swab from the urethra;
• scraping to determine the causative agent of the disease.

Hardware diagnostics consists of:

• CT;
• biopsy;
• Ultrasound Prostate - to determine the volume of the prostate, the presence of tumor or cyst;
• uroflowmetry - to determine the speed of the flow of urine. In a healthy state of motion is - Fifteen milliliters per second at a chronic prostatitis - less than ten.

Without carrying out all the above methods of diagnosis, the doctor will not be able to determine how to treat chronic prostatitis.

How to treat a chronic prostatitis: a list of drugs

Experts recommend to treat chronic prostatitis in men with medication using drugs complexes. This can be done at home, hospitalization is not required.

Here is a list of drugs that may be given in chronic prostatitis:

1. Antibiotics - to relieve inflammatory focus, when applied improvement of the patient is observed.
2. Hormones - reduces inflammation, stimulates erectile function. Used glucocorticosteroids administered into the body by electrophoresis. Formulations promote rapid healing of the prostate tissues.
3. Alpha-blockers - relaxes the smooth muscles, improves the excretion of urine, relieve spasm. Appointed by Gentamicin, Amikacin, phentolamine, Prazonin.
4. Drugs for increase of immunity - are needed to stimulate the body protective properties, strengthen the work of the bodies and the general condition. Prescribe dietary supplements, vitamins, trace elements.
5. Rectal suppositories - become an alternative to oral medications, because it reduces the harmful effects on the liver and kidneys. Applied means with antibiotics, antispasmodics, natural ingredients (propolis). Candles relieve pain, swelling, inflammation, a beneficial effect on prostate condition. Assigned may Viferon, Bioprost, Prostopin, Olestezin, Prostatilen.
6. Medication relaxes muscles - muscle relaxants. Anesthetize, reduce smooth muscle tone member, increase the rate of blood circulation in problem areas, stimulates outflow of prostate secretion. Baclofen is used, Mydocalm, methocarbamol.

In this way if prostatitis is caused by an infection, an antibiotic is prescribed. Their use can reduce the inflammatory focus, eliminate pathogens.

The most popular use of antibiotics are used:

• tetracyclines - doxycycline, methacycline;
• macrolides - oleandomycin, erythromycin;
• fluoroquinolones - ciprofloxacin, lomefloxacin, Gatiloksatsin, moxifloxacin, ofloxacin - quickly penetrate the prostate, inhibit bacterial activity, relieve the aggravation.

Prostatitis is well treated at home, if properly comply with all recommendations of the doctor and on time to attend counseling, follow the course of the disease. The main task - to achieve long-term remission, preferably a lifetime. There is a list of recommendations for this.

1. Avoid hypothermia. You should not sit on cold surfaces, clothing should be warm enough during the cold season, do not freeze.
2. Not bear to visit the toilet. Constantly full bladder can cause a return of the disease.
3. Regular exercise. To prevent new manifestations of prostatitis need a high level of activity as a whole. Low - charge every morning, better - a few full-fledged sport per week.
4. When sedentary work should always take breaks. Easy workout for 5-10 minutes every 1-2 hours of solid work.
5. This should eliminate sports in which possible perineal trauma. These include the biking and horse riding.
6. It is recommended to enjoy a full sex life, to avoid congestion in the area.
7. For observations have to visit a urologist twice a year, it is important to know whether the disease even during remission does not progress.

During exacerbations of prostatitis have to completely give up alcohol during remission - to minimize its consumption. Also, you should avoid cheap alcohol, especially wine and beer beverages.

Treatment of chronic prostatitis without the use of drugs

Due to non-drug therapies it is possible to increase the concentration of antibacterial drugs in cancer tissues, but do not exceed the recommended dose.

For this purpose can be applied such techniques as:

1. Laser therapy;
2. phonophoresis;
3. electrophoresis;
4. Microwave hyperthermia, transrectal used.

To implement the latter method, the temperature is selected individually. If the instrument is set in a temperature range of from 39 to 40 degrees, it is possible not only to increase the concentration the drug in the body, but also strengthen the immune system at the cellular level, to remove congestion, get rid of bacteria. If the temperature range is increased to 40-45 degrees, it will be possible to achieve an analgesic effect and sclerosing.

Transrectal massage is useful if a man has no contraindications for this, namely The differential diagnosis with BPH and in the body absent concretions.

Magnetic and laser therapy is used in the complex. The effect is similar to the effect of microwave hyperthermia at 39-40 degrees, but joins biostimulation influence at the expense of laser effects on the body. Also, this method helps in the vesicles and epididymo.

Folk remedies

Chronic prostatitis may be treated with such popular folk methods:

1. Honey therapy (in the absence of contraindications) includes use of honey in an amount of 10 kg. That is when it will end, then, the course is passed. 100-200 of eat instead of sugar. Curative action is in the form of disappearance of painful symptoms and discomfort in the groin.
2. Receiving fasting cucumber juice, carrot, beet and pears to 600 mL daily. 10 days can drink elderberry juice 1 tbsp. l. morning after drinking before this glass mineral or purified water.
3. It is recommended to drink plenty of fluids in the form of tea with raspberry, lime, berries, rose hips, with the addition of honey, and yogurt - constipation.
4. Microclysters with wormwood at bedtime for a week - 1 h. l. dry wormwood make 1 liter. boiling water, and to cool, then filter, and in an amount of 100 ml to inject into the anus. The second part of the infusion (50 ml) was poured into the urinary canal by syringe without needle or miniature syringe.
5. It is believed that the increase in the potency of celery helps. You can eat it fresh, add food dried root as a seasoning or drink the infusion.
6. Pumpkin seeds - old facility with a lot of zinc, the desired male body. Every day is recommended to eat a meal of 30 seeds (daily dose of zinc).

In general, herbal medicine and traditional methods to help the body cope with such unpleasant problem as prostatitis. However, some folk remedies and only home treatment is not enough. An integrated approach and mandatory professional advice.

Correction lifestyle

In chronic prostatitis men are strongly encouraged to give up bad habits, dosed to engage in physical exercise and adjust your diet to make it as healthy. So, doctors are advised to make regular walking, doing morning exercises, exercise workout buttocks and perineum (tensing and relaxing).

As for diet, it is very important to try to minimize the intake of foods irritate the prostate. We are talking about smoking, salting, some types of vegetables (radishes, radish, cabbage), strong tea and coffee, soda, etc. In periods of tension all of these products can not be used at all.

Surgery

Operative intervention in chronic prostatitis is performed only when conservative methods to cure the disease is not possible.

There are several types of operations that are performed at this ailment:

1. Resection of the prostate - is carried out in the event that there is a need to remove only a portion of the prostate, such as the appearance of sclerotic changes. The procedure is performed under endoscopic control and transurethral access;
2. Circumcision - This surgery is performed when during prostatitis complicated by phimosis, head inflammation of the penis and the proliferation of ways urogenital infections. During operation dissected foreskin and were under medication;
3. Elimination of adhesions - symptomatic intervention that improves the quality of life of the patient;
4. Drainage of an abscess or cyst - this operation is performed endoscopically. Drainage is performed via a tube introduced into the urethra. At the end of the tube is a chamber that allows to control the process on a monitor in the operating room.
5. Prostatectomy - radical surgery, providing for removal of the prostate gland completely. Appointed such an operation quite rarely, mostly doctors with suspected malignant changes in the prostate. It is best to carry out a laser interference.

Another complication in which surgical intervention is recommended, that seed sclerosis protuberance. Most often, patients come to the doctor with complaints of sexual problems - a weak orgasm, pain during ejaculation, a small amount of sperm. However, the reason lies not so much in sexual dysfunction, as in violation of patency of the prostate, making it difficult to exit prostatic secretions. As a result of this reduced cell protection, reduced local immunity. To resolve the situation is resection of seed tubercle, cut vas deferens, seminal vesicles.

Is it possible to cure chronic prostatitis?

The disease has such ability: once appeared in the body, will remain with a man forever. Therefore it is necessary to take all possible methods - medication, and people do special exercises to support the work of the prostate gland in a normal condition and does not allow recurrence of the disease.

prevention

Doctors have always repeated that the disease is the best prevention is worth a pound of cure. Preventive measures can be divided into two types: primary and secondary.

The first includes all the activities that prevent the development of disease. For example, from the stagnation of blood will save the activity. Equally important is the sexual life of men. If he is sexually indiscriminate life, the risk of infection increases. It is therefore recommended only one regular partner. And, of course, proper nutrition. No overly salted, peppered and fat.

Secondary methods include constant visits to the doctor for an examination. After 38 years, a man recommended annual visit to US.