Chronic Prostatitis Treatments
December 5, 2009 by Prostate Dr.
Treatment options for chronic prostatitis are quite complex and the patient should be prepared for long term treatment. They include include a combination of medication, surgery, and lifestyle changes.
The treatment of chronic prostatitis is quite complex.
- general treatment recommends that one should have a diet rich in vitamins
- suppress of alcohol and irritating spices (pepper, tabasco, hot pepper, mustard, vinegar). All these produce an irritation of the posterior urethra and prostatic congestion.
- should administer more liquids (water, tea, stew, mineral waters etc.).
- avoid constipation with laxative teas or other laxatives, taken in the evening before going to bed
- moderation in sexual activity is also recommended
- Sexual hygiene must be mentioned: all excesses should be forbidden, since they are sometimes at the root of prostatitis, but under no circumstance should abstinence be advised, when the ill is not contagious. It is useful, for the sick person, to make his prostate work and regularly evacuate it through normal but distant intercourses. Avoid at all cost masturbation, which can only irritate your prostate gland. Marriage can be perfectly accepted in the case of young uncontagious people, this being often the best way to heal a chronic prostatitis, characterized mainly by subjective phenomenons.
Normal urethra = no urinary symptoms
One of the symptoms of Chronic prostatitis is urinary troubles. Swelling of the prostate gland can trigger the shrinkage of the urethra...
The causal germ of the illness is determined through lab exams and also its resistance to antibiotics and chemotherapics is analyzed, with the purpose of administering the most fitted medication. Vaccines (such as antistafilococcus or polivaccine, such as polidine) and diathermy (heat treatment using electricity: the treatment of organs or tissues by passing high-frequency electric currents through them in order to generate heat, thus increasing circulation) are also used with good results.
Also, another action should be that of eliminating the causes producing and maintaining chronic prostatitis: dilatation of urethral strictures, removal of prostatic calculi or cavities into the prostatic urethra, through surgical intervention or transurethral resection, using a special apparatus: the resectoscop.
Chronic prostatitis mainly with antibiotics, lots of them. USed most often are: Trimethoprim-sulfamethoxazole (Bactrim) and ciprofloxacin (Cipro). Others antibiotics that may be used include: Tetracycline, Carbenicillin, Erythromycin, Nitrofurantoin.
The dureation of the antibiotic treatment is quite long -frequently 6 to 8 weeks- but may be needed longer. This is due to the fact that most antibiotics are not able to adequately penetrate the prostate tissue, and despite long periods of treatment, infectious organisms may persist.
Another issue is that even after antibiotic treatment has ended, there is a possiblilty for recurrence of symptoms. If there is discomfort associated with bowel movements, laxatives can be taken to reduce it.
Aside from antibiotics, alpha blockers can also help manage this disorder. Some of them are tamsulosin and alfuzosin. Bee pollen or Cernilton are also considered effective for the condition. The mast cell blocker, Quercetin, is also effective in treating chronic prostatitis. Several studies have shown that this formula reduces inflammation and oxidative stress in the prostate gland.
This should always be the last resort, even though some surgeons may consider it the first. The procedure effective in such cases is Transurethral resection of the prostate , but it should only be accepted by the patient if antibiotic therapy is unsuccessful or recurrence is frequent. Because of the risks involved (of which wou should be informed, such as incontinence, impotence, sterility), this procedure is not performed usually on younger man.
OTHER CLASSICAL THERAPIES
If there is high dfifficulty in draining of bladder because of the swollen prostate, the insertion of a suprapubic catheter may be considered (the bladder will drain through the abdomen). But this is also to avoid for being an invasive method and not a real treatment.
All irritable substances should be eliminated from our diet. Alcohol, caffeinated food and beverages, citrus juices, and hot or spicy foods, they have no place in your diet if you suffer from chronic prosatitis. This may be the greatest change of all, since we all have our habits in this area, but the man with prostatitis should find the strenth inside to fight this disease, and sacrifices have to me made in this process. There's no other way.
Increase the intake of fluids (64 to 128 ounces per day) to encourage frequent urination. This is supposed to help flush the bacteria from the bladder.
Prostatic massage, although not physiological on an inflamed organ, has however proven its value: it drains the prostatic acini of infected material, evacuates pus, microbes and necrosed remainings, which improves the draining of the prostate gland and increases circulation. Let's not forget that it could also spread an infection in the entire body, this being one of the reasons why today prescriptions of prostatic massage are more rare. Old ways are gone, such as irrigations and urethral and vesical instillations (def. "the introduction of a liquid (by pouring or injection) drop by drop").
Heat is used as hot sitz bathings and diathermia (from Greek dia-"across, through" + therme-"heat"). Suppositories favor the resorption of the infusible inflammatory. Periprostatic infiltrations, with antibiotics, are used more and more rarely nowadays. In the case of tuberculous prostatitis the specific antituberculosis treatment should be administered.
Treatment of seminal vesiculitis is similar to that of chronic prostatitis.
But preventive treatment is best. Any urethritis should be treated as closely as possible to its onset, before it progresses into the posterior urethra and from here into the prostate. Also, those with Urethral strictures should regularly perform urethral dilatations. All subjects should avoid an irregular sexual life or sexual excesses and all other causes leading to prostatic congestion, which is a very important factor favoring the infection of this gland.
Other things that need to be minimized or eradicated totally include the use of marijuana, psychological stress, strenuous exercise, too much use of antihistamines and decongestants, sitting for prolonged periods of time etc. Some people consider Tantric sexual practices a danger, but this is wrong. If you do it right, without reaching spasms at all -ever- there can be no dangers into this practice. On the contrary, it represents a normal and the most thorough massage of the prostate you'll ever get.
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