Treatment of prostatitis is one of the most difficult tasks of modern urology. Despite the advances in diagnosis and timely detection of the disease, only 30% of cases can be completely cured. In most cases, the goal is to achieve a stable long-term remission. Moreover, chronic prostatitis is difficult to treat with drug therapy alone.
Not receiving satisfactory results from the prescribed drugs, patients change doctors, try new antibiotics, carry out multiple courses of massage, spend a lot of time and money on treatment. Many develop impotence, which sometimes destroys the family. Some patients completely “go into their illness”, they are no longer interested in work, family, children. Sometimes you are convinced that the expression of some jokers: “The prostate gland is the second heart of a man” – has serious grounds. A paradox arises – a physically healthy young man loses interest in life, and sometimes becomes disabled.
Types of prostatitis
According to the severity of the inflammatory process and the duration of the course of the disease, prostatitis is divided into two types: acute (the duration of which is no more than 3 months) and chronic. The causes of acute prostatitis, the features of changes in the gland at different stages, the symptoms are well studied, quite effective methods of treatment have been developed. As for chronic prostatitis, today there are more questions than answers – this applies to both the diagnosis and treatment of the disease.
Treatment of prostatitis with drugs
Drug therapy is most effective in treating acute prostatitis and typically includes:
- Antibiotics and other medicines to fight infection. Since analyzes to determine the type of microbes that caused acute inflammation take more than a week, and the patient’s acute condition does not allow long waiting, treatment is often started “blindly”. Initially, broad-spectrum antibiotics are prescribed, and according to the results of bacteriological research, the treatment can be adjusted.
- Antipyretic and pain relievers to relieve the patient’s condition.
- Alpha blockers and related drugs. They reduce muscle tone, forcibly relieve swelling in the prostate gland, and thereby facilitate the process of urination.
- Drinking large amounts of fluids (saline) to cleanse the body of toxins that poison the entire body.
- The antibiotic purposefully destroys the infection, the reproduction of which causes an acute reaction of the body, and the patient’s condition improves. However, in the absence of sufficient lymph flow, the cleaning of tissues from dead cells and toxins in the pelvic organs does not occur, and therefore there is a risk of subsequently developing chronic prostatitis.
The effectiveness of drug therapy in the treatment of prostatitis can be reduced due to the blood-prostatic barrier. This is a special protective wall that prevents the penetration of unwanted substances from the blood into the prostate tissue. Not all drugs are able to penetrate this barrier. In the acute phase of prostatitis, when almost the entire prostate is already affected, this barrier, as a rule, is also damaged and drugs freely penetrate. However, in the initial stages of acute prostatitis and with sluggish chronic inflammation, the blood-prostatic barrier serves as an obstacle.