Because of the long and problematic treatment process and the high likelihood of recurrence, there is reason to doubt whether chronic prostatitis can be cured. There is no clear answer to this question.
The disease detected in the early stages is completely cured in 90% of cases, but as irreversible pathological changes develop, the prognosis for treatment becomes worse. With progressive prostatitis, stable remission can be achieved.
What treatment is used - outpatient or inpatient?
The treatment algorithm for chronic prostatitis includes the appointment of physiotherapy and continuous use of medication for 2-3 months. Inpatient treatment is prescribed for the following indications:
- An acute form of the disease, manifested by a high temperature above 38°.
- The appearance of complications due to severe illness.
- Lack of results from home therapy.
If the disease becomes latent, the patient is usually discharged and continues outpatient treatment. Advantages of hospitalization:
- Continuous supervision of treatment staff.
- Ability to provide emergency care and pain relief.
- There is no temptation to violate recommendations regarding diet and bad habits.
- The treatment course is continuously adjusted, depending on its effectiveness.
Hospitalization has a number of disadvantages: high cost of treatment (at paid clinics), stress for a man when hospitalized.
Outpatient clinics allow patients to stay away from their usual environment, participate in daily activities and carry out work (without leaving home, of course). Another advantage of home therapy is that it is relatively inexpensive.
The decision on how treatment will be carried out depends on the attending physician. Based on individual indications, you can start treatment at home. In this case, the patient needs detailed step-by-step treatment, which indicates the need to visit the doctor regularly and undergo physical procedures.
How long does it take to treat chronic prostatitis?
The duration of treatment is individual. Some patients recover within months, others require treatment for years.
Several factors affect recovery speed:
- Disease stage— Chronic prostatitis in the early stages of development is often discovered incidentally during an annual medical examination. At this stage, the body has serious pathological changes that require long-term treatment.
- The role of the patient- desire to recover, carefully follow treatment advice, give up bad habits (smoking and drinking alcohol), shorten treatment time and improve prognosis.
- Personal characteristics- statistics show that 80-90% of patients who were helped in the early stages of chronic diseases were able to completely recover from the disease. After converting from the latent form to the acute form, with obvious symptoms, the successful treatment rate drops sharply to 65-70%.
The longer you wait to see a doctor, the more likely it is that conventional complex treatment will not have the desired effect and will require surgical intervention.
Chronic prostatitis in some forms can develop into prostate cancer. Early diagnosis and proper treatment are essential to prevent cancer.
Can it be completely cured?
You can completely get rid of prostatitis in the early stages of the disease. If the inflammatory process becomes acute, characteristic irreversible changes in the vas deferens and the structure of the tissues are often observed.
Once clinical symptoms appear, complete cure of chronic inflammation in the prostate is impossible. Therapy aims to achieve stable remission.
After the acute inflammation subsides, preventive measures are prescribed. If medical treatment does not produce results, surgery to remove part or all of the prostate will be performed.
Through many years of research, international general recommendations for the treatment of chronic prostatitis have been developed, which significantly increase the rate of recovery in patients. The ability to completely recover from the disease is in the range of 50-65%, reaching a stable remission level of 65-80%, depending on the severity of the disease.
Treatment methods for chronic prostatitis
Many Internet articles and medical reference books are devoted to the treatment of chronic prostatitis. Most sources agree that there is no single effective remedy to combat this disease; Complex therapy is required, including:
- A course of medication.
- Non-drug treatment.
- Physical therapy.
- Surgery.
- Massage.
Clinically proven treatment regimen for chronic prostatitis aims to overcome some negative manifestations of the disease:
- Eliminates the inflammatory process.
- Eliminates congestion and normalizes blood circulation in the pelvic organs.
- Eliminates catalysts of the inflammatory process.
- Fights the consequences of prostatitis.
- Prevent recurrence of the disease.
Complex treatment of chronic prostatitis is aimed at overcoming all the listed negative manifestations and is therefore more effective than monotherapy. The effectiveness of the method largely depends on the patient's desire to recover, which is expressed in careful compliance with all the recommendations of the attending physician. Another factor that contributes to the complete healing of the patient is contact with large clinics. Medical centers use modern methods to effectively treat chronic prostatitis, which is carried out under the guidance of experienced medical staff.
The modern standard for combating the inflammatory process is pathogenic therapy. The essence of the principle is to develop an individual course depending on the patient's characteristics.
How to treat with medicine
After a diagnosis of chronic prostatitis, a man needs to be patient because the drug treatment regimen involves taking the medication over a long period of time. Success in the fight against this disease depends on careful adherence to the prescribed treatment schedule.
The duration of treatment for chronic prostatitis ranges from several months to six months. It is forbidden to arbitrarily stop taking the drug when you feel better, as this can cause a stable form of the disease.
Standard treatment includes the prescription of the following drugs:
- Antispasmodics and pain relievers— from the very beginning and almost until the end of treatment, the disease is accompanied by severe pain with swelling of the gland. If symptoms cannot be reduced, additional anesthetics should be injected.
- Anti-inflammatory drugs- You should use suppositories containing phenylacetic acid derivatives. The use of rectal suppositories is effective due to the almost direct effect of the active ingredients on prostate tissue.
Phenylacetic acid derivatives are absorbed into the bloodstream through the rectum and quickly relieve symptoms associated with the disease. Anti-inflammatory therapy includes prescribing corticosteroids and NSAIDs. - Antiviral and antibacterial drugs.Treatment standards prescribe the use of antibiotics in two situations. A course of treatment is required when there is an infectious catalyzing factor causing inflammation, as well as preventive measures before surgical treatment.
To increase the effectiveness of the drug, lymphotropic therapy is performed. Antibiotics are injected into the lymph nodes, blocking venous flow and bladder drainage. Instillation is performed (direct injection of antibiotics into the bladder).
At later stages of the disease, conservative treatment methods are used. Regular use of medications (alpha blockers and NSAIDs) is necessary to slow down prostate growth and relieve unpleasant symptoms. Simultaneously with the course of medication, physiotherapy and non-medication are carried out.
Non-drug therapy
Advanced world experience convincingly proves the effectiveness of the integrated approach in the treatment of chronic prostatitis. At the same time as taking medication, patients are prescribed new non-drug treatment methods. Among them:
- Increase body temperature using microwave oven- Prostate tissue is exposed to high temperatures. Thermal energy is delivered to the prostate by the transrectal method. Microwave therapy promotes better drug effects and preserves prostate growth.
- Shock wave therapy.The consequence of chronic prostatitis is the appearance of abnormalities in the soft tissues of the gland. The seals are destroyed by the shock wave. The result of the procedure is the elimination of the inflammatory process and improvement of blood supply.
The use of shock wave therapy in complex treatment helps shorten the patient's hospital stay and increase the effectiveness of medication. - Laser therapy for chronic prostatitis— the effectiveness is based on treating the gland with narrowly directed light rays. Laser treatment leads to an increase in luminosity in blood vessels, improvement in tissue metabolism and, as a result, tumor resorption. Another positive effect is increased regeneration of damaged tissues.
- Ultrasound applications— the powerful vibration of the emitted waves causes tissues to regenerate, improving nutrition and metabolism. Ultrasound treatment devices are so easy to use that you can buy them for home use. The device destroys parasites and has a bactericidal effect.
Non-drug treatments are prescribed individually, taking into account the presence of contraindications for the patient.
Physical therapy methods
New treatments for chronic prostatitis are often combined with time-tested methods. Physical therapy has a beneficial effect.
The purpose of the procedures serves several purposes:
- Increase blood flow.
- Establishes metabolic processes in the body.
- Reduces inflamed areas.
- Accelerates lymph flow to remove pathogens from the prostate.
- Stimulates the immune system and activates the body's own power to fight disease.
Physiotherapy methods are used in the largest medical centers in the world. In Israeli hospitals, after completing the course of therapy, treatment at a sanatorium on the shores of the Dead Sea is mandatory.
Rapid improvement in health can be achieved by completing the following physiotherapy courses:
- Phonetics— this technique focuses on delivering vitamins and drugs into the tissues of the skin and prostate through the influence of ultrasound. It has a positive effect on the body at the mechanical and chemical level, while enhancing the effects of drugs.
- Acupressure— this term refers to a whole system of practices based on impact on human biological activity points. Other names for the technique: acupuncture, acupuncture.
During exercise, the impact on nerve endings leads to an improvement in the static state of the gland, normalization of blood circulation and pain relief. - Vacuum processing (cans)— many experts agree that disorders in the functioning of internal organs cause spinal diseases. This technique is effective in combating congestion. After 1-2 sessions, prostate activity is significantly improved and urination is normalized.
- Electrical stimulation— this procedure is effective in treating all forms of prostatitis, improving erections and activating the immune system. The use of electrical stimulation lasts 10-15 days.
During the session, a source of electrical current is delivered to the prostate through the prostate. Waves affect the prostate, bones and muscle tissue, stimulating their activity.
Physiotherapy does not replace drug treatment during periods of exacerbation, but only promotes the effectiveness of prescribed drugs, accelerating the man's recovery process.
Surgery for chronic prostatitis
If the treatment of chronic prostatitis does not bring results, the disease will progress steadily and surgery will be indicated. Several methods have been developed:
- Removal of the prostate.
- Removal of the prostate.
- Laser removal.
- Laparoscopy.
The choice of surgical intervention depends on several factors: the patient's age, the degree of invasiveness of the method, the presence of contraindications and the volume of the prostate.
The latest technologies for performing surgeries involve eliminating the need to dissect abdominal tissue. Removal of the prostate occurs through the urethral canal or several small openings in the abdomen.
Laser prostate removal is widely used. The high-intensity light beam vaporizes the glandular tissue, leading to a reduction in the volume of the prostate.
The main feature of modern surgical treatment is minimal harm to the human body, which leads to reduced recovery time and rapid recovery with complete restoration of all basic functions of the reproductive system. sex.
Due to the high risk in old age, after 60-65 years of age, surgical treatment is practically not performed. Therapy is reduced to relieve prostatitis symptoms and improve conditions and quality of life.
Massage therapy
Clinical recommendations for the treatment of prostatitis focus on the need for digital transrectal gland massage. During tactile impact on the tissue, the areas are massaged, which improves blood supply and relieves pain.
The main task of massage is still to squeeze out glandular stones containing inflammatory secretions.
Contraindications to prostate massage:
- Cystitis during exacerbation.
- Hemorrhoids.
- Acute prostatitis.
Reviews of the treatment show that the first prostate massage procedures are quite painful but provide significant pain relief. Massage is performed exclusively by a specialist. Prescribed during the recovery period after drug treatment.
Preventing recurrence of chronic prostatitis
Modern approaches to the treatment of chronic prostatitis include not only the fight against prostatitis, but also the use of effective preventive measures to prevent recurrence of the disease.
Preventing the return of prostatitis includes:
- Transrectal digital massage is performed annually.
- Adjust your diet and lifestyle. As a general recommendation, prepare a diet similar to the Mediterranean diet or treatment chart #5.
- Carry out complex anti-relapse therapy. Treatment includes medications and procedures aimed at eliminating blockages in the pelvic organs, as well as strengthening the immune system. Recommended sports: yoga, calisthenics.
The anti-relapse treatment regimen includes regular doctor visits, mandatory clinical blood and urine tests, and PSA testing at least every 6 months.
A healthy lifestyle, regular sex, giving up alcohol and smoking - all this prevents the recurrence of prostatitis, has a beneficial effect on men's health and allowsyou have a rich and fulfilling life.