Prostatitis is an extremely common inflammatory disease among men that affects the tissues of the prostate gland. In the vast majority of cases, this pathology develops under the influence of various representatives of the bacterial flora, for example, Staphylococcus aureus or Escherichia coli, but sometimes other factors can play a role. The danger of this disease lies in the high risk of infertility in the absence of the necessary medical care. In this article, we will talk about how to diagnose and treat prostatitis in men.
The main methods for diagnosing prostatitis
To begin with, prostatitis can be suspected on the basis of accompanying complaints. This disease is accompanied by the following symptoms:
- frequent and painful urination;
- pain localized in the perineum, sacrum, anus;
- difficulty emptying the bladder, up to urinary retention in severe cases;
- violation of the general condition with an increase in body temperature, the appearance of weakness, chills and other things.
To confirm the diagnosis, a digital rectal examination is mandatory. It allows you to evaluate the size, shape, uniformity of the surface of the prostate gland, as well as to identify pain.
The next mandatory step is a bacteriological study aimed at identifying the pathogen for further correct selection of antibiotic therapy. The material for bacteriological examination is the secret of the prostate and urine.
If you suspect the presence of structural changes in the prostate gland, as well as to exclude other diseases, an ultrasound examination is indicated.
If there are problems with conceiving a child, the examination plan can be supplemented by a spermogram.
How is prostatitis treated?
First of all, with a bacterial inflammatory lesion of the prostate, antibacterial drugs are prescribed. A fairly effective remedy is levofloxacin, which was proven by scientists from the Volgograd State Medical University in a paper published in 2018. In addition, other fluoroquinolones, cephalosporins, and others can be used. The duration of antibiotic therapy is selected individually depending on the severity of inflammation and some other factors.
To relieve pain, the use of non-steroidal anti-inflammatory drugs is indicated.
After stopping acute inflammation, various physiotherapeutic procedures are applied, for example, laser or ultrasound therapy.
In chronic prostatitis, an important place in the treatment is occupied by prostate massage, which is strictly contraindicated in acute inflammatory process. The essence of this procedure lies in the finger action on the tissues of the prostate gland, which helps to improve blood circulation, eliminate congestion in the organ.
Note that the treatment of prostatitis should be carried out only under the supervision of a physician. Self-medication is strictly prohibited.
Posted on 04.09.2022 08:56
Urology: National Guide / Lopatkin N.A. — 2009
Chronic prostatitis / Zhuravleva M.S., Skvortsov V.V. // Nurse — 2018 — #6