Prostatitis is one of the most common male diseases, characterized by acute or chronic inflammation of the prostate tissue. Most often, this pathology is faced by men aged 25 to 50 years. If you delay seeking medical help, such a disease can lead to the development of a number of adverse complications, up to infertility. In this article, we will talk about whether prostatitis is treated and what treatments are used.
General recommendations for the treatment of prostatitis
One of the most important recommendations is to see a doctor as soon as possible if you have complaints about:
- Frequent and painful urination;
- Difficulty micturition;
- Pain in the perineum;
- Discharge from the urethra;
- Sexual dysfunction and so on.
In the event that a man received medical care in a timely manner and the treatment was chosen correctly, prostatitis passes quickly enough without leaving any consequences. However, self-medication of this disease is not worth it. Any medications can be taken only as prescribed by a doctor.
The basis of the treatment of both acute and chronic prostatitis is antibiotic therapy. The choice of antibiotic depends on the sensitivity of the isolated flora. The duration of taking antibacterial drugs, as a rule, is at least 2 weeks.
Non-steroidal anti-inflammatory drugs, antispasmodics are indicated for the relief of pain.
It is possible to restore urodynamics and outflow of prostatic secretion in a chronic inflammatory process with the help of alpha-blockers.
In addition, the treatment plan is supplemented with vitamin complexes, immunomodulators.
After the main course of treatment of chronic prostatitis, PDE-5 inhibitors, for example, sildenafil, may be prescribed. In 2014, scientists from the Moscow Regional Research Clinical Institute. M.F. Vladimirsky published a work, according to the results of which it was found that due to the intake of sildenafil, a pronounced relaxation of the excretory ducts of the prostate occurs, the drainage of this organ improves, and the manifestations of anxiety and depression associated with chronic prostatitis are stopped.
In addition to drugs, various non-drug methods are widely used to treat prostatitis.
Examples include physiotherapy, such as magnetotherapy, electrophoresis, laser therapy, and so on.
In a chronic inflammatory process, a course of prostate massage is prescribed as part of complex therapy. It is important to remember that in acute, as well as in calculous prostatitis, this procedure is strictly contraindicated.
In the event that any complications develop, the issue of surgical intervention may be decided. So, for example, when abscessing the prostate gland, opening and drainage of the purulent focus is shown.
Published on 23.11.2021 12:48
Sildenafil and chronic prostatitis / Molochkov V. A. // Almanac of Clinical Medicine — 2014 — #34
Urology. From symptoms to diagnosis and treatment / Glybochko P.V., Alyaev Yu.G., Grigoryeva N.A. // Moscow: GEOTAR-Media — 2014