Treatment regimen for prostatitis: general principles and drugs used

For treatment to be productive and successful, it is necessary to approach this problem in a comprehensive manner. Comprehensive treatment of prostatitis includes:

• eliminating the causes of the disease;
• elimination of harmful bacteria;
• strengthening the immune system;
• saturating the body with a vitamin complex.

What actions are included in comprehensive treatment to combat the disease?

The following methods of combating the inflammatory process in the body are necessary:

Prostatitis - inflammation of the prostate gland in men

Effective preparations based on natural ingredients

The best medicines are:

• Prostamol Uno. The product contains sabal palm. It cures chronic prostatitis and hyperplasia well. Take 1 capsule after meals with a glass of water. Side effects may include signs of gastralgia, but they are rare.
• Prostatilen. According to the release form, the drug is available in the form of suppositories or injections. Its action is based on the fact that it normalizes the muscles of the bladder and improves spermatogenesis. Side effects include an allergic reaction. The drug perfectly removes the signs of the disease and is quite an effective remedy.
• Prostan. The drug is available in tablets. It is a prophylactic against prostatitis.
• Vitaprost. Normalizes prostate function. Available in tablets and suppositories.
• Pumpkin seed oil. The composition includes zinc, which is unique for the health of the strong half of humanity. The oil increases potency, cholesterol in the blood and relieves pain.
• Likolam. The main component of this medicine is algae. They are excellent pain relievers and remove inflammation in the body. However, this remedy only works with complex treatment.

Treatment of prostatitis with herbal preparations

There are times when surgical treatment is necessary to treat a disease. It is needed when complex treatment of prostatitis and the drugs used in its treatment no longer help. This manipulation is necessary in case of acute abscess or during narrowing of the urethral canal.

What treatment is needed for chronic prostatitis?

With chronic prostatitis, the symptoms are not pronounced, so the patient does not always understand that he is sick. The pathology is characterized by the following symptoms:

• urinating too frequently;
• nagging pain in the lower abdomen;
• problems with ejaculation.

Therefore, complex treatment of chronic prostatitis is carried out with drugs that:

• reduce prostate stimulation;
• restore tissue;
• reduce inflammation in the problem area.

How is chronic nonbacterial prostatitis treated?

The treatment complex includes the following means and methods:

• preparations based on antibacterial components;
• physiotherapy;
• herbal medicines;
• therapy aimed at eliminating inflammation.

Chronic inflammation of the prostate

The course of the chronic form of prostatitis is similar to ordinary prostatitis, only in a sluggish form. Injections that have a beneficial effect on the vascular and immune systems are very helpful.

Thanks to a procedure called instillation, the medication is administered through the opening of the urethra. In this case, the bladder must be empty.

What is the essence of antibacterial therapy?

Therapy includes the use of antibiotics. They are prescribed mainly for acute prostatitis.

The essence of therapy is that it is necessary to choose the right treatment regimen. It is necessary to take into account that microorganisms must be sensitive to the drug, and the patient’s body must also perceive the drug positively.

Particularly popular are drugs that are able to pass through tissue barriers and go directly to the site of inflammation. Treatment, for example, of chronic prostatitis lasts for two weeks. If the drugs do not help, stop using the drug. If treatment with drugs gives a positive result, then the course of therapy is continued until the symptoms are completely removed.

Treatment of bacterial prostatitis with antibiotics

Antibacterial therapy methods

• A trial course lasts 2 weeks;
• if the drug has a positive effect, the course is continued.

You can use specialized drugs:

• Omnic. Reduces spasms in the smooth muscles of the prostate gland;
• Diclofenac, Ibuprofen. Used in cases of obvious inflammatory diseases.

What is the essence of anti-inflammatory therapy?

The complex treatment of this therapy includes special anti-inflammatory drugs:

• Thiatriazoline suppositories. Their task is to increase the regenerative function of the cellular structure and relieve inflamed areas;
• suppositories with propolis. The main task is this. To increase the body’s protective function and stop the inflammatory process;
• Ichthyol based candles. They are used when the pathology is sluggish. They increase blood circulation in the problem area, thereby relieving inflammation;
• the drugs Diclofenac and Ibuprofen reduce fever and inflammation.

What is the essence of immunostimulating therapy?

Therapy aimed at stimulating the immune system helps to increase the protective properties of the patient’s body, which contribute to a speedy recovery. The drugs are prescribed as part of complex therapy for various forms of pathology.

Preparations based on zinc and echinacea can strengthen the immune system and destroy harmful microorganisms.

For chronic prostatitis, Pyrogenal is a good antibacterial drug, which can eliminate the disease in a short time and prevent relapse.

The body's protective properties increase

What is the essence of physiotherapy?

Physiological procedures also help to effectively combat the signs of prostatitis. Therapy will speed up the process of drugs influencing the body, which is favorable for the successful treatment of prostatitis.

The advantages of this treatment method are:

• physiotherapy that improves the circulation abilities of lymph and blood. Thanks to the procedure, medicinal substances freely reach the site of inflammation;
• metabolism improves, which has a positive effect on eliminating the disease;
• Due to the permeability of cell membranes, drugs freely enter the center of inflammation.

Physiotherapeutic procedures for prostatitis

The most famous methods are:

• procedures based on electrical stimulation of muscle contractions;
• UHF procedures;
• procedures using ultrashort wave radiation;
• procedures with low-frequency current of a constant magnetic field;
• prostate massage procedures.

There are several types of prostate massage procedures, and only a doctor after an examination can determine its type. Massage improves the process of removing prostate secretions. However, there are contraindications that you need to pay attention to:

• in case of acute bacterial prostatitis, it is forbidden to perform massage, since the disease is widespread;
• Pathologies are observed in the anus.

Massage is performed only by a specialist urologist or andrologist. In order not to harm the prostate, it is necessary to know the precise location of the prostate gland. Thanks to massage:

• the penetration of drugs into the prostate tissue is accelerated;
• the ability of blood outflow increases;
• there is a positive effect on the muscle tissue of the gland.

What is the essence of herbal medicine?

Herbal medicine is inherently effective and efficient and rarely causes complications.

Parsley comes to the rescue, pour it with 1 liter of boiling water, then put it on the fire and cook for 20 minutes. The seeds can be used as a tincture. However, it must be remembered that traditional treatment is not the main medicine, but is an addition to the main drugs.

In the treatment of prostatitis, it is recommended to drink teas brewed from chamomile, sage, motherwort, and calendula. Herbal infusions are also administered as an enema through the rectum.

Treatment of prostatitis with decoctions and teas from medicinal herbs

When is surgery necessary?

Surgical intervention is necessary in the following cases:

• the formation of abscesses that can only be removed surgically;
• a sharp narrowing of the urethral canal, which does not allow urine to pass through;
• when prostate hyperplasia develops.

Preventive measures for prostatitis

In order to avoid getting sick, you must:

• strengthen the immune system through hardening, sports, walks in the fresh air, and good nutrition;
• avoid hypothermia;
• avoid constipation;
• have regular sex life;
• treat sexually transmitted diseases;
• frequent changes of partners require regular testing to monitor your health;
• Having contracted prostatitis at least once, you need to be seen by a specialist about twice a year and visit sanatorium and resort hospitals.

An integrated approach to the treatment of prostatitis

The complex of measures that weaken the effect or eliminate the causes of the disease includes the following drugs:

• antibiotics;
• alpha-blockers. Drugs reduce bladder tone;
• hormonal drugs. Prostatitis is treated when the cause lies in hormonal imbalance.

Complex therapy should be carried out under the supervision of the attending physician

For the prevention of prostatitis, as well as for its treatment, the following types of drugs are distinguished:

• Afalou;
• I'll stop;
• Uroreku;
• Permixon;
• Likolamu.

As for drugs from Israel, these are drugs that deserve special attention and are quite effective. Among them, one can highlight Sulfa-P. Positive reviews of this drug prove its effectiveness in the fight against pathology. The course of treatment is about 9 weeks.

What do you need to know to undergo comprehensive treatment?

Quality treatment and diagnosis includes:

• examination and treatment must be carried out by a qualified specialist;
• It is necessary to strictly follow the treatment regimen prescribed by the doctor.

The following medications are not recommended for use without consulting a doctor:

• if the etiology of the disease is unclear, serious illnesses may develop;
• taking a single drug will not give the desired result in treating the disease;
• treatment may be expensive and ineffective.

Only with comprehensive treatment of prostatitis will you be able to completely get rid of the symptoms of the disease and feel excellent for a long time.

Originally posted 2016-12-20 11:18:24.

Source: https://tutux.ru/prostatit/kompleksnoe-lechenie-prostatita/

Prostatitis: treatment regimen, general principle of therapy, prescribed drugs, rules for their use, traditional methods of therapy and doctor’s recommendations

• In this article we will consider a treatment regimen for prostatitis.
• The main criterion for prescribing a specific treatment regimen is the classification of prostatitis and the degree of neglect of the pathological process.
• Only a small proportion of men suffer from prostatitis of a bacterial nature, the rest have non-bacterial prostatitis.

Chronic form

If the pathology does not have pronounced clinical symptoms, then this indicates that prostatitis occurs in a chronic form or is an inflammatory disease determined by leukocytes in semen or after prostatic massage. Asymptomatic inflammatory prostatitis is determined by sperm abnormalities in laboratory tests and high prostate-specific antigen. What medications are included in the treatment regimen for prostatitis?

Antibiotics

Adequate selection of antibacterial medication for the treatment of prostatitis is of primary importance in terms of its effectiveness, since the prostate is covered on the outside with a protective epithelial membrane and has a certain pH level, which prevents the penetration of antimicrobial substances into its cells. Medications that can reach the required concentration in prostate cells include: macrolides, fluoroquinolones, Trimethoprim and tetracyclines.

The choice of antibacterial agents for inclusion in the treatment regimen for chronic prostatitis should also be based on a bacterial study of urine and the sensitivity of the pathogen. It is important to use broad-spectrum antibiotics because the prostate tends to harbor many different bacteria, although the most common are the gram-negative Enterobacteriaceae.

Therapy of bacterial prostatitis is often hampered by the lack of an active mechanism for the transport of antibiotics through tissues and the insignificant penetration of most medications into the infected tissue and fluid of the prostate gland. Only a highly qualified specialist can select an effective treatment regimen for prostatitis.

Right choice

The correct choice of antibiotic plays an important role in terms of its effectiveness. Most of them are either weak acids or bases and ionize in natural fluids, which prevent them from penetrating into the prostate epithelium.

Only free molecules of these drugs bound to proteins penetrate infected tissues. Therapy for chronic prostatitis of a bacterial nature requires long-term treatment with antibiotics that can penetrate the prostate.

They must have high lipid solubility, low degree of ionization, low protein binding and small molecular size.

Duration of therapy

Treatment begins with a 6-week course. The second course can be prescribed to the patient if the bacterial nature of prostatitis is confirmed or the first course led to an insignificant reduction in symptoms.

If pathogenic bacteria are detected in semen, longer therapy is necessary. The best results are observed with a 12-week course of treatment for this disease.

The antibiotic treatment regimen for prostatitis is selected for each man individually.

Fluoroquinolones

The preferred antibacterial agents for prostatitis are fluoroquinolones (for example, Moxifloxacin, Levofloxacin, Ciprofloxacin, Ofloxacin) due to their pharmacokinetic properties and wide range of effects.

Fluoroquinolones have high bactericidal activity against Enterobacteriaceae and Pseudomonasaeruginosa. They are very effective against gonococcal and chlamydial infections.

However, it is better not to use fluoroquinolones for prostatitis caused by enterococci, streptococci and anaerobes. Contraindications to the use of drugs in this category are tendonitis and a long QT interval on the ECG.

Resistance to fluoroquinolones in Enterobacteriaceae, which causes inflammatory reactions in the bladder, as well as intra-abdominal infections, has also been recorded.

What other drugs are included in the treatment regimen for prostatitis?

"Azithromycin"

This medication is a macrolide antibiotic. It penetrates quickly into the prostate and has activity against chlamydia and gram-positive bacteria. It is, as a rule, not used as a first-line medication, but can be prescribed when microbiological studies have identified microflora that are sensitive to the drug.

Azithromycin is preferable to Ciprofloxacin for chlamydial prostatitis. Clarithromycin is another macrolide that has common properties with Azithromycin and identical clinical significance.

Treatment regimen

Treatment regimen for prostatitis with the antibiotic Azithromycin:

• three days - 1000 mg;
• three days - 500 mg.

This medicine is taken on an empty stomach.

The drug Amoxiclav is often included in the treatment regimen for chronic prostatitis.

"Amoxiclav"

Treatment of infectious forms of prostatitis is carried out with the help of antibacterial medications prescribed over a long course. For these purposes, the combined drug “Amoxiclav” is successfully used.

The treatment regimen for prostatitis is presented below.

The drug contains amoxicillin and clavulanic acid, which helps optimize the properties of amoxicillin and prevents its destruction.

Thanks to this, the medicine has a pronounced therapeutic effect compared to other antibiotics, which contain only elements of the penicillin series.

However, it is prescribed, just like other antibiotics, only after a bacterial examination of the prostate secretion in order to determine the causative agent of the pathological process. The medicine is also effective if inflammation of the prostate gland is caused by mixed infections or gonorrhea. The dosage of this remedy also depends on the type of pathogen.

What does it cure?

The use of this antibiotic for prostatitis eliminates the following pathological phenomena:

• pain in the perineum;
• burning in the urethra during urination;
• prostration;
• intoxication of the body.

The medicine should be used with caution and only as prescribed by a specialist, since the medicine has a number of contraindications.

Treatment regimen for prostatitis in men with Amoxiclav:

• taken over a long period of time;
• therapy ranges from 3 weeks to 1.5 months, depending on the type of inflammatory process;
• In most cases, patients are prescribed medication in a dosage of 500 mg per tablet;
• The medication must be taken 2 times a day.

The drug acts very quickly thanks to clavulanic acid, so the elimination of the symptoms of the inflammatory process is observed approximately 2-3 days after the start of treatment. The treatment regimen for prostatitis in men and medications can be adjusted if side effects occur.

Basics of therapy for fungal prostatitis

If candida fungi are detected in the prostate, fungal prostatitis is diagnosed. When the gland is affected by fungi at the initial stage, the disease proceeds latently and most often does not manifest noticeable symptoms. This is the most dangerous stage, since the patient is unaware of the development of a pathological process in his body. The first signs of fungal prostatitis are:

• pain in the pelvic organs;
• temperature increase;
• burning and itching;
• discomfort during erection and during sexual intercourse;
• false urge to urinate without the required volume of urine;
• pain during bowel movements and urination;
• mucous or purulent discharge, in some cases with bloody spots.

The signs that are indicated by candidiasis of the prostate cannot be distinguished, so patients are often diagnosed with other pathologies similar in symptoms (urethritis, cystitis). Such errors allow fungi to develop, and the disease becomes chronic.

Therapy for fungal prostatitis is very complex and lengthy. The risk is that insufficient treatment effectiveness leads to a chronic form of the disease or regular relapses. To achieve the best result, comprehensive treatment is necessary.

An important step in this is taking medications that eliminate the fungus.

Medicines and treatment regimen for fungal prostatitis

The most commonly prescribed medications are:

• "Fluconazole";
• "Amphotericin";
• "Ketoconazole";
• "Itraconazole"

Absolute recovery is possible only if you follow all the specialist’s recommendations. In complex forms of the disease, several medications and additional treatment procedures may be prescribed at once.

Not only drugs are included in the treatment regimen for prostatitis.

Traditional methods of treatment

For decades, people have been treating prostatitis using traditional medicine methods, which are based on the use of infusions and decoctions of medicinal herbs, vegetables, and bee products. The most common and effective recipes for prostatitis are:

1. Pumpkin seeds contain a large amount of zinc, an element essential for men. At the first signs of prostatitis, it is recommended to eat 30 of these seeds daily. They are used not only for prostatitis and the development of impotence, but also when signs of prostatic hyperplasia occur.
2. Aspen bark, which must be collected in early spring, before the first leaves appear on the tree. The thickness of the bark should be approximately 3-5 mm. The raw materials are dried and crushed, after which it is necessary to put the bark in a jar so that it is one third full. Pour water to the top and leave for 2 weeks in a dark and cool place. After this, the infusion should be filtered and taken 1 tablespoon before meals. This folk remedy is not suitable for men who suffer from constipation and intestinal dysbiosis.
3. Pumpkin with honey. To make this product you need 500 g of raw pumpkin seeds. They need to be crushed using a meat grinder and mixed with 200 g of honey. It is necessary to roll small balls from the mixture and dissolve 1 ball several times a day before meals. From this amount of raw materials, the number of balls for the entire course of therapy is obtained. The medicine should be stored in the refrigerator.
4. Hazel. One of the most effective folk medicines for the treatment of prostatitis is prepared from this plant. For this, hazel leaves and bark are used. It is very important that the raw materials are fresh. The ingredients are crushed, after which one tablespoon of the mixture is brewed in boiling water and left for 30 minutes in a thermos. After this, the infusion is filtered, divided into 4 parts and taken throughout the day.
5. Chestnut shells. This decoction can be used for adenoma and prostatitis. The shells must be crushed, brewed with boiling water and drunk instead of tea. The decoction increases appetite, so it is recommended to periodically perform cleansing enemas.
6. Parsley. This plant has an anti-inflammatory effect. To prepare medicines for prostatitis, you can use juice from the roots of the plant or seeds, which are crushed and made into a decoction.
7. Pear. Wild varieties of this tree are used. It is enough to drink compote every day made from pears (dried ones can be used). This relieves prostatitis symptoms well.
8. Garlic. To prepare the folk remedy, you need to chop 5 cloves of garlic and add 500 ml of hot water. The product is infused overnight. In the morning, filter the infusion and take 50 ml on an empty stomach.

Herbal treatment

In folk medicine, various medicinal herbs are also used to treat prostatitis:

1. Radiola pink. To prepare the medicine, you need the root of the plant, which is crushed, poured with boiling water, and then simmered over low heat. After the decoction has cooled, it should be strained and taken 2 times a day.
2. Kalanchoe. The recipe is as follows: crushed leaves of the plant are poured with vodka and kept for 5 days in a cool place. The finished tincture should be taken 1 spoon per day. After the symptoms disappear, it is necessary to repeat the course of treatment for prostatitis for preventive purposes.

We reviewed the most effective medications and treatment regimens.

Source: https://autogear.ru/article/408/268/prostatit-shema-lecheniya-obschiy-printsip-terapii-naznachaemyie-preparatyi-pravila-ih-primeneniya-narodnyie-metodyi-lecheniya-i-rekomendatsii-vrachey/

Treatment regimen for prostatitis in men

Prostatitis is a common male disease that often occurs in adulthood. There are many types of this disease, each of them requires a unique approach. The disease is divided into acute and chronic. A full diagnosis of the disease is required in order to select a treatment regimen for prostatitis.

Where it all begins

Up to a certain point, the disease is asymptomatic. After this, it can make itself felt with a variety of symptoms or gradually worsen and disappear. Many experts believe that the treatment of chronic prostatitis is a more complex process.

The acute form, if treated incorrectly, becomes chronic, so it is necessary to choose the right treatment.
As soon as a person discovers the first symptoms (pain in the perineum, problems with urination), he should consult a specialist.

Based on individual characteristics, as well as the severity of the lesion, a specialized scheme will be selected. Complex therapy is usually used to end the disease once and for all.

Diagnostic methods

Diagnosis is an important process on which further success depends. A correct diagnosis makes it possible to prescribe effective treatment. Diagnostics includes collection of tests and visual inspection. To do this, use the following procedures:

Laboratory research

• culture of prostate secretion;
• ultrasound examination of the perineum;
• extended blood test.

A rectal examination can also be performed, during which it is possible to determine the size of the prostate, this will help to understand the severity of the lesion, and will also help to exclude similar dangerous diseases.

What does therapy include?

Therapy begins with diagnosis. It allows you to determine the type of disease. There are two types of prostatitis:

Depending on the type of infection or the cause of stagnant processes, appropriate techniques are used.
During the diagnostic procedure, it is determined how the therapy will be carried out. It is at this moment that a treatment regimen for prostatitis in men is selected. Most experts divide it into many small parts; the following elements can be distinguished:

Taking immunostimulating substances

It is used for almost any type of prostate inflammation, therefore it is an integral part of any treatment. Both pharmaceutical and folk remedies can be used.

Physiotherapy

Another important part of the treatment of any prostatitis is the use of physiotherapeutic techniques. The most popular remedy is prostate massage. Physiotherapeutic techniques have contraindications; they are not used during an exacerbation of the disease.

Anesthesia

An integral part of any treatment is pain relief. This is done first of all, since some symptoms significantly reduce the quality of life. Due to pain, a person loses working capacity and cannot perform usual activities. Conventional analgesics and non-steroidal anti-inflammatory drugs are used as painkillers. The best option is rectal suppositories.

Basic therapy

If prostatitis is caused by an infection, then taking medications orally and rectally is the basis of all treatment. The prostate can become inflamed due to bacteria, viruses and even fungi. Antibiotics, antiviral or antifungal drugs are used. It all depends on the specific infectious agent. Most often the disease is caused by bacteria, so antibiotics are prescribed.

healthy lifestyle

A healthy lifestyle is an important part of achieving complete recovery.
Healthy lifestyle means: proper nutrition, physical activity, avoidance of bad habits. All actions are applied during the period of remission. During an exacerbation of the disease, it is important to maintain bed rest. Physical activity becomes the basis of a healthy lifestyle. It is very important to avoid sitting for a long time, as this leads to the formation of stagnant processes. Any treatment regimen for prostate inflammation consists of at least the three listed parts. It is not recommended to self-medicate; only a qualified doctor can correctly formulate a technique taking into account the individual characteristics of a person.

Antibiotic regimen

Taking antibiotics is an important part of treating the disease, since bacteria are the most common cause of inflammation. It is important to take the right antibiotics in order to get rid of the disease forever. The problem is that strong antibacterial substances cause a lot of side effects and cannot be used for a long time.

It is important to accurately determine the pathogen in order to select the appropriate drug. Without antibiotics it is impossible to get rid of acute prostatitis or another exacerbation. For the final victory over a chronic lesion, they are also necessary, but are used in reduced dosages.

If a person’s condition is extremely serious, and the test results are not yet ready, broad-spectrum antibiotics are prescribed. With their help, it is possible to have a primary impact on the infection. The important point is that treatment should not be interrupted until an intermediate result is achieved.

If the infection is left untreated, it will become resistant to antibacterial agents, making it more difficult to get rid of.

Pill therapy should be properly combined with other methods of getting rid of the disease. General therapy continues after antibiotics are discontinued. Typically, tablets or injections are used for 2–6 weeks, the specific duration depends on the severity of the disease.

Using additional funds

The important point is to eliminate pain so that a person can live a normal life. For this purpose, physiotherapy, painkillers and anti-inflammatory drugs are used. All symptoms of the disease must be relieved as quickly as possible. The acute form of the disease can be alleviated by rectal anti-inflammatory suppositories.

Once remission is achieved, you can begin to use the entire range of additional actions. Antibacterial therapy is usually interrupted at this point. It is being replaced by physiotherapy. At this moment, a person’s recovery depends on himself.

You will need to follow all the rules outlined by the doctor. During remission, you can use prostate massage. It can only be performed in a hospital setting; performing it on your own or getting a massage from an unqualified person leads to complications and the introduction of additional infections.

Typically, a person receives a full list of recommendations from their attending physician. It contains do's and don'ts.

The most detailed list is compiled for the treatment of chronic prostatitis, since in some cases people cannot get rid of it for years, only a detailed treatment regimen for chronic prostatitis can help get rid of this disease.

Immunity restoration

It is very important to restore the body's immune functions. In most cases, prostatitis worsens or occurs for the first time at the time of decreased immunity. It is a person’s protective functions that finally defeat the disease and prevent it from returning, which is why immunostimulation is used both during treatment and after successful recovery from the disease.

Immunostimulation can be understood as a whole complex of actions. This may include taking regular vitamin supplements and proper nutrition. Drugs from the pharmacy, for example, Immunoglobulin, can also be used. Traditional medicines are ideal as stimulants.

Among folk remedies, one can highlight the use of vitamin infusions. It consists of forest berries and herbs. Many people advise increasing the amount of parsley consumed, as it contains anti-inflammatory substances. It also contains a large amount of vitamin A and C, which are important in the treatment of any disease.

Prevention

The final part of any prostatitis treatment regimen is prevention. It begins to be partially implemented during therapy, but is fully used only after stable remission. Prevention includes a large list of actions that must be performed by a person:

• First, you will need to change your lifestyle. It is important to stop constantly being in a sitting position; whenever possible you need to move.
• Secondly, you will need to give up bad habits. The negative impact of bad habits on the body has been proven by many doctors, so it is important to get rid of all or most of them.
• Thirdly, it is necessary to bring the number of sexual intercourse or masturbation to normal. If a person has a predisposition to stagnation of prostate secretions and blood in the pelvic area, then it is important to have sex regularly. At the time of exacerbation of the disease, sexual activity is excluded; it returns only during the period of remission. Too active sex life is contraindicated, as it disturbs the prostate, triggering the process of inflammation.

The disease is considered cured if, after taking tests, the infectious agent is not detected and the person feels well. If prostatitis occurs once, then there is a high probability of its reoccurrence. Therefore, another important part of prevention is examination.

With the help of regular examinations by a urologist, it is possible to avoid the disease, eliminating any prerequisites for its development. The examination should be carried out at least once a year, it is advisable to visit a specialist every six months, while passing a full list of tests.

It is extremely important to get rid of concomitant diseases, as they can become the root cause of the development of prostatitis. A man should take care to ensure that there is no urethritis and cystitis, as well as sexually transmitted diseases. You will need to undergo diagnostics and exclude the listed diseases.

If something is discovered, then appropriate treatment must be carried out. Some diseases may be asymptomatic, so you will need to use modern diagnostic tools.

Forecast

Modern treatment regimens for the disease are highly effective, so the prognosis is favorable. Most people at least get rid of all negative symptoms. The main thing is to contact an experienced urologist who will be able to select the right therapy and will monitor this entire process.

Treatment of chronic prostatitis requires a lot of time. Each person should be committed to long-term use of medications. After recovery, you will always need to use preventive measures, otherwise the disease will return again. Many experts say that any man over 40 should pay attention to prevention.

Doctor of the highest category, Candidate of Medical Sciences, Diploma in General Medicine, Russian State Medical University named after. N. I. Pirogova (2000) Experience 17 years

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Source: https://kisstyle.ru/prostatit/lechenie/shema-lecheniya-prostatita-u-muzhchin/

Treatment regimen for prostatitis: what medications to take in acute cases, how many days and in what dosage

Prostatitis is a common urological disease characterized by the presence of inflammatory changes in the prostate gland resulting from the influence of damaging factors (infectious, professional, household and others). The standard treatment regimen for prostatitis depends on the form, course and causative agent of the disease.

Treatment of prostatitis depending on the type

The disease has a polyetiological nature, but the main factor in its occurrence is considered to be infectious. Therefore, the task of urology is to find rational methods of etiotropic therapy and fight infection.

Treatment for bacterial prostatitis includes antibiotic therapy. The drug is prescribed after laboratory diagnostics to determine the pathogen and sensitivity to antibiotics.

According to the results of statistical studies, drugs from the group of fluoroquinolones (Ciprofloxacin, Ofloxacin), cephalosporins (Ceftriaxone, Cefepime) and tetracyclines (Doxycycline) are most effective in treating the disease.

Since the occurrence of prostatitis is influenced by many factors, therapy is usually comprehensive and includes lifestyle adjustments in general, aimed at increasing immunity and improving blood circulation in the pelvic organs.

The list of events includes:

• dietary nutrition (to prevent constipation);
• regular physical and sexual activity;
• vitamin therapy;
• correct sleep and wakefulness.

If prostatitis is caused by a violation of the pelvic blood supply, then regular physical activity, massage and physical therapy (squats, lunges, walking, running) are indicated to eliminate congestion. If there are sources of hidden infection (caries, sinusitis, tonsillitis), sanitation of pathological foci is necessary.

Treatment regimens

The symptoms of chronic and acute forms of prostatitis are similar, but the drug regimens are different. This is due to the fact that in the acute form, treatment is aimed at fighting the infection and relieving unpleasant symptoms, while the chronic form of the disease requires physiotherapeutic methods of influence.

List of medications in the acute stage of prostatitis:

1. NSAIDs (Diclofenac, Nimesulide, Meloxicam) - eliminate discomfort and inhibit the development of the inflammatory process in the gland.
2. Antibiotics. Affects the causative agent of the disease. The most commonly used are protected penicillins (Amoxiclav and Augmentin), macrolides (Azithromycin, Clarithromycin), cephalosporins (Cefotaxime, Ceftriaxone, Cefepime), fluoroquinolones (Ofloxacin, Ciprofloxacin, Levofloxacin).
3. Antispasmodics (Drotaverine, Baralgin). They are used to eliminate pain in the gland, improve the outflow of secretions, relax the vascular walls and enhance microcirculation.
4. Alpha blockers (Silodosin, Tamsulosin). They improve outflow during acute urinary retention by relaxing the smooth muscles of the urethra and bladder neck. Relieves inflammation of the organ and reduces swelling.
5. Phytotherapeutic agents. They are an auxiliary healing agent of natural origin. They have a gentle effect on the prostate gland, reducing swelling of the organ.

Important! In the acute stage of prostatitis, physiotherapeutic measures are contraindicated.

Physiotherapy will promote the spread of infection and aggravate inflammation.

The chronic form of prostatitis, on the contrary, is treated mainly with physiotherapeutic methods:

• Laser therapy.
• Phonophoresis (combination of ultrasound and medication).
• Electrophoresis.
• Exposure to microwaves.

One or several treatment methods are used simultaneously. Surgical intervention (endoscopic method) is used only for the chronic form, complicated by a sclerotic process and congestion in the gland. The operation can significantly improve the patient’s quality of life and restore lost functions.

Principles of treatment of acute prostatitis

Almost always, the cause of acute prostatitis is urogenital infections. These can be both nonspecific (caused by conditionally pathogenic microorganisms) and venereal (gardnerellosis, chlamydia, gonorrhea, trichomoniasis, etc.) infections.

In the first case, pathogenic microflora penetrates through the lymphogenous or hematogenous route from the intestines or urinary tract into the prostate and causes inflammation there.

In the second case, the pathogen is transmitted from an infected sexual partner.

The method of treating acute prostatitis depends on the type of pathogen and always includes antibiotics. After a thorough examination, the doctor identifies the pathogen and prescribes the appropriate remedy.

In case of protozoan infection (trichomoniasis), Metronidazole is usually prescribed. Treatment of intracellular chlamydial infection is carried out with macrolide antibiotics (Azithromycin, Clarithromycin, Erythromycin).

Alternative agents are some other macrolides (Roxithromycin, Josamycin), fluoroquinolones (Ofloxacin, Ciprofloxacin) and the tetracycline antibiotic Doxycycline.

Treatment of gonorrheal lesions includes antibiotics of the penicillin and cephalosporin group (Amoxiclav, Ampicillin, Ceftriaxone) and vaccine therapy. Inflammation of the gland caused by Gardnerella requires the use of antibiotics (the macrolide Azithromycin, the lincosamide Clindamycin, as well as Metronidazole and its analogues are prescribed).

In the treatment of acute prostatitis caused by nonspecific microbial flora, a standard drug regimen is used, which also includes antibiotics.

The standard treatment regimen for prostatitis involves the following measures:

• Bed rest in the acute form, massage and physical therapy in the chronic stage of the disease.
• Diet food.
• Antibiotics to suppress the microbial flora that causes inflammation in the prostate gland.
• NSAIDs (Diclofenac, Meloxicam, Nimesulide) are used as a symptomatic remedy for pain and to combat inflammation.
• Bioregulatory peptides (Prostatilen, Samprost, Vitaprost). These are products from the prostate gland of cattle. Stimulates regeneration processes in the gland.
• Antispasmodics (No-shpa, Baralgin).
• Muscle relaxants (Tolperil, Mydocalm) are used to relax the bladder, urethra and perineal muscles.
• Agents that improve blood circulation and rheological properties of blood, eliminating congestion (for example, Dimephosphone, which improves microcirculation in the gland by blocking receptors located in the wall of blood vessels).
• Hormonal agents (Dexamethasone, Prednisolone).

Depending on the course and characteristics of prostatitis, other measures may be added to the regimen (ultrasound, autohemotransfusion, rectal administration of drugs).

To quickly relieve the symptoms of prostatitis, intravenous infusions are used:

• antibiotic (based on the results of analysis of prostate secretions);
• Troxevasin;
• Contrikal;
• Dimexide;
• FIBS;
• Dimephosphone;
• water for injections.

This treatment is carried out in a hospital setting. To stimulate the immune system, Prodigiozan, Pyrogenal, tissue preparations, and anabolic steroids are prescribed.

Treatment of acute bacterial prostatitis

Antibacterial treatment is indicated for acute forms of the disease caused by infection. But in some cases it is also prescribed for chronic prostatitis of abacterial etiology - as an additional measure of influence on possible hidden infections. Preference is given to broad-spectrum antibacterial products.

The course of treatment ranges from 2 weeks to a month. If there is good dynamics of improvement in the condition, then treatment can be extended to 2 months.

The most used groups of antibiotics for the treatment of bacterial prostatitis are:

• Protected penicillins, which are a tandem of amoxicillin and clavulanic acid (Amoxiclav, Augmentin). Medicines are prescribed orally, 1 g 2 times a day. It is important to take the drug regularly at the same time with an interval of 12 hours. The course of medication is from a week to 10 days. Penicillins are usually used until laboratory results are available.
• 2nd generation fluoroquinolones (Norfloxacin, Ciprofloxacin, Ofloxacin) 200 mg 2 times a day for 1-2 weeks. Ciprofloxacin is one of the most used fluoroquinolones in urology, since its level of resistance still allows the widespread use of the antibiotic.
• 3rd generation fluoroquinolones (Levofloxacin) 0.5 g 1 time/day for 5 days.
• 3rd generation cephalosporins (Cefotaxime or Ceftriaxone). The drug is prescribed intramuscularly or intravenously, 1 g 2 times or 2 g 1 time per day for 7-10 days.
• 4th generation cephalosporins (Cefepime) 2 g per day IV or IM for 5-7 days.

• • Aminoglycosides (Amikacin). Administer 1.0 g intramuscularly 1 time/day for 5-7 days.
  • Macrolides. Non-toxic, do not have a negative effect on the intestinal microflora. Azithromycin or Clarithromycin is prescribed orally 500 mg 1-2 times a day. The product must be taken for at least 5-14 days.

When taking antibiotics for prostatitis, patients are not recommended to independently reduce the dosage and duration of treatment. The full course is at least two weeks.

Allergy sufferers should inform the doctor about their existing intolerance to specific drugs before starting treatment. It is possible that if liver or kidney function is impaired, the specialist will need to make adjustments to the treatment regimen or dosage of medications, so it is important to warn him in advance.

Treatment regimen for viral acute prostatitis

Virological diagnostic methods are not included in the examination protocol, so usually the diagnosis of “viral prostatitis” is rarely made by urologists. Herpes infection and HPV are transmitted sexually.

The genital herpes virus enters a man’s body and multiplies, after which it reaches the lymph nodes, from where it spreads through the internal organs by hematogenous and lymphogenous routes.

After drug exposure, the virus persists in the spinal or cranial ganglia and periodically recurs. Typically, exacerbation occurs after hypothermia or decreased immunity.

The causative agent of viral prostatitis can be identified using laboratory analysis. In men, genital herpes takes the form of vesicles and sores localized in the groin, scrotum, perineum or urethra. Basically, the disease occurs with severe itching and burning, but there is also an asymptomatic course.

Treatment for viral inflammation of the prostate includes:

• Taking antiviral drugs Zovirax and Acyclovir. They are effective in treating herpes and HPV. Their mechanism of action is based on suppressing the emergence of new generations of the virus. Specific treatment is carried out for 5 days with the maximum therapeutic dose on the first day.
• Taking immunomodulators (Viferon, Interferon, Grippferon).
• To normalize urination, alpha-blockers (Omnic, Tamsulosin, Flamax) are prescribed to relieve smooth muscle tension and facilitate the outflow of urine.

When affected by HPV or condylomas, it sometimes becomes necessary to remove growths using electrocoagulation, laser or liquid nitrogen. The procedure is carried out in a hospital setting.

Treatment regimen for acute fungal prostatitis

Long-term use of antibiotics leads to the emergence of new varieties of microorganisms that are resistant to many antibacterial agents. The increase in the number of patients with fungal prostatitis is caused by uncontrolled use of antibiotics and gradual addiction to them.

When immunity decreases, the Candida fungus begins to actively multiply in the body, causing candidiasis.

In the treatment of candidal prostatitis the following is used:

• Antimycotic agents (Fluconazole, Ketoconazole, Amphotericin). The most effective of them is Fluconazole, so it is most often used for fungal inflammation of the prostate gland. In addition, drugs are sometimes combined in different proportions.
• Probiotics containing bifidobacteria and lactobacilli. They suppress the growth of pathogenic flora.
• Immunomodulatory agents that increase the body's defenses.

Important! The diet of patients with prostate fungus should include foods with probiotics.

These are kefir, yoghurts, acidophilus milk. In addition, you need to limit the consumption of sweets, baked goods, fresh milk, fruits and juices.

Source: https://prostatu.guru/lechenie/podrobnaya-shema-lecheniya-ostrogo-prostatita.html