Medicine for cystitis in men. Medicine for the genitourinary system Urological drugs for women

Anti-inflammatory drugs are one of the most popular areas in the pharmaceutical industry.

Anti-inflammatory drugs with similar drug indicators differ in the way they affect the human body.

There are two main groups of PVA:

• non-steroidal (non-hormonal) anti-inflammatory drugs (NSAIDs);
• non-hormonal, having anti-inflammatory, analgesic, antipyretic properties;
• steroidal (hormonal) anti-inflammatory drugs (SPVS).

Hormonal drugs are much more effective than NSAIDs, but their use can contribute to addiction. Use only as prescribed by a doctor and under his supervision.

This task is achieved by blocking the enzymes cyclooxygenase types 1 and 2 (COX-1 and COX-2). It is with their help that prostaglandin is produced.

NSAIDs are safer and more versatile than NSAIDs, but they have one drawback - they block COX 1, with the help of which substances are formed that prevent the destruction of the gastric mucosa, which is affected by hydrochloric acid present in the gastric juice.

Due to the development of modern pharmacology, selective NSAIDs have been improved. Modern NSAIDs block only COX-2. And, unlike SPVA, they do not have a hormonal effect. Thus, NSAIDs began to be divided into two categories: non-selective and selective.

NSAIDs are widely used in the treatment of many diseases, the main of which are:

• arthrosis;
• rheumatoid arthritis;
• osteochondrosis;
• lower back pain;
• headache;
• migraine;
• acute gout;
• dysmenorrhea (menstrual pain);
• bone pain caused by metastases;
• moderate pain due to inflammation or soft tissue injury;
• postoperative pain;
• pain in Parkinson's disease;
• fever (increased body temperature);
• intestinal obstruction;
• renal colic;
• prostatitis.

Non-steroidal drugs, just like NSAIDs, have a list of contraindications, including:

• stomach ulcer;
• duodenal ulcer;
• kidney disease (in some cases, limited use of NSAIDs is allowed);
• increased or decreased blood clotting;
• pregnancy period;
• period of breastfeeding;
• allergic reactions of the patient's body to this group drugs.

In addition, side effects are possible, expressed in the form of changes in blood flow and inflammation or irritation of the stomach walls.

Due to the presence of side effects and a list of contraindications, the use of NSAIDs is allowed only as prescribed by a doctor.

Non-selective

Non-selective NSAIDs are outdated drugs that have a harmful effect on gastrointestinal tract, neutralizing COX-1.

Non-selective NSAIDs are derivatives of acids:

• acetylsalicylic– Aspirin and its varieties, Diflunisal, Salasat;
• arylpropionic– Ibuprofen, Flurbiprofen, Naproxen, Ketoprofen, Tiaprofenic acid;
• anthranilic acid– Flufenamic and Mefenamic acids;
• arylacetic– Diclofenac, Fenclofenac, Fentiazac;
• heteroarylacetic– Ketorolac, Amtolmetin;
• methanesulfonic– Analgin;
• indole/indene acetic acid – Indomethacin, Sulindac;
• enolic acid, in particular oxicam– Piroxicam, Tenoxicam, Meloxicam, Lornoxicam.

Selective NSAIDs are modern medical drugs that act only on COX-2, allowing COX-1 to release substances that prevent the destruction of the gastric mucosa.

Selective NSAIDs are:

• lumiracoxib– Prexage;
• parecoxib– Dynastat;
• rofecoxib– Denebol;
• celecoxib– Celebrex;
• etoricoxib- Arkosia.

Drugs with anti-inflammatory effects in the treatment of urological diseases in men are used in the following cases:

• urethritis;
• prostatitis;
• cystitis;
• urolithiasis;
• balanoposthitis.

One of the common diseases that requires the use of NSAIDs is prostatitis. This disease is caused by inflammation of the prostate gland due to infection, hypothermia, stress, sedentary lifestyle and decreased immunity.

Non-steroidal anti-inflammatory drugs are widely used in tandem with antibiotics for prostatitis. NSAIDs for prostatitis are used to weaken the body’s reverse reaction to the onset of pathological process, as well as to combat chronic inflammation characteristic of this disease.

Using anti-inflammatory drugs for prostatitis, it is possible to achieve positive results within a few hours, namely:

• mitigation or complete relief of pain;
• normalization of body temperature;
• restoration of normal urination;
• improving the general well-being of the patient.

Solution for injection Diclofenac

Anti-inflammatory drugs for prostatitis, which are most often used as primary treatment:

• Diclofenac;
• Ibuprofen;
• Ketoprofen.

It is preferable to use Diclofenac-based NSAIDs, since they have less pronounced side effects.

Additionally, auxiliary medications are used:

• Thiotriazolin;
• propolis;
• Ichthyol;
• Prostatilen;
• sea ​​buckthorn oil.

Suppositories and solution for injection Prostatilen

The above anti-inflammatory drugs for prostatitis most effectively affect the body when taken in the form of suppositories. But in some cases, oral administration is allowed.

IN mandatory Anti-inflammatory drugs are used for chronic prostatitis. In addition to all the above drugs, Indomethacin is used for the chronic nature of the disease. It effectively copes with the symptoms of the disease, but has a large amount various contraindications. Therefore, Indomethacin is prescribed only in emergency situations.

Suppositories Indomethacin

In addition to drugs from the NSAID group, other drugs are also prescribed for the effective treatment of chronic prostatitis:

• antibiotics: Moxifloxacin, Gemifloxacin, Levofloxacin;
• alpha blockers: Alfuzosin, Finasteride, Artesin;
• vitamins.

Ketorol (ketorelacotromitamine) shows good results in the treatment of prostatitis. But it contains potent substances and has a very intense effect on the body, so it cannot be used without a doctor’s recommendation.

Steroids (SPVA, SPVP)on

Steroid PVAs are hormonal drugs that are superior to NSAIDs in terms of their effect on the body, but with prolonged use they are addictive. In addition, NSAIDs have a list of contraindications and strong side effects, therefore they are prescribed by doctors only in cases of special need.

The most common drugs:

• Cortisone;
• Maxidex;
• Dexamethasone Syn;
• Oftan-Dexamethasone;
• Prednisolone;
• Sinalar Sin;
• Berlicourt;
• Kenalog;
• Nazacort;
• Polcortolon;
• Triamsinolone;
• Flucinar;
• Fluorocort;
• Betamethasone.

The use of SPVA is effective in the treatment systemic diseases and relief of symptoms in connective tissues and joints:

• arthritis;
• arthrosis;
• sarcoidosis;
• alveolitis

SPVA can also be used to treat the nose and throat and other non-infectious inflammatory processes in tandem with antibiotics.

Side effects caused by drugs of the SPVA group may depend on several factors: dosage, methods of administration and properties of the drug. With topical use of SPVA, a weakening of resistance to diseases may occur.

With systemic, constant use of the drug there is a risk of manifestation of the list of diseases:

• arterial hypertension;
• steroid gastric ulcer;
• steroid vasculitis;
• hypertrichosis;
• Cushing's syndrome;
• steroid diabetes;
• psychosis;
• potassium loss;
• myocardial dystrophy;
• osteoporosis;
• tuberculosis;
• water and sodium retention.

Contraindications for the use of SPVA are determined by the presence the following symptoms and diseases:

• tuberculosis and other infectious diseases;
• osteoporosis, including during the postmenopausal period;
• tendency to thrombosis;
• diabetes mellitus;
• peptic ulcer of the duodenum and stomach;
• mental disorders;
• arterial hypertension;
• pregnancy period;
• availability in respiratory tract, as well as in the joints of the infectious process.

SPVA are medical supplies, affecting hormonal level, and have many side effects, as well as a list of contraindications. SPVA drugs can only be used as prescribed by a doctor and under the supervision of specialists.

Video on the topic

About anti-inflammatory suppositories for the treatment of prostatitis:

Anti-inflammatory drugs are effective drugs needed in modern medicine. They are able to improve the condition of the patient’s body in the shortest possible time. Like all medications, anti-inflammatory drugs have a list of limitations. The main problem with the use of anti-inflammatory drugs is that often drugs of this type are perceived as a panacea for all diseases and are used without a doctor’s prescription. This is dangerous because after eliminating the symptoms of the disease, a pseudo-sensation of recovery is created. But the cause of the symptoms is very likely not eliminated, and it may begin to progress, with serious consequences. In addition, when NSAIDs and NSAIDs are abused, all sorts of side effects and negative reactions associated with contraindications for drugs in this group may occur.

Modern urology allows you to get rid of many health problems that arise in this field of medicine. And first of all, the success of treatment depends on the correct choice of medications. As diverse as the diseases of this delicate area are, there are just as many remedies that can help in the treatment of a particular disease. Sometimes not only the health, but also the life of the patient depends on them. For example, like this diuretic, like Furosemide (or Lasix), gives the desired effect so quickly that it is used not only for acute renal failure, but also for pulmonary and cerebral edema.

Depending on the nature of the disease and the cause of the health problem, urologists use drugs from various medicinal groups. These include diuretics, antibiotics, antispasmodics, and homeopathic remedies. Each of the drugs used in modern urology has indications and a number of contraindications for use, so in no case should you self-medicate without consulting a qualified urologist.

For cardiac and renal edema and hypertension, Dichlorothiazide and Cyclomethiazide are often prescribed - drugs that greatly increase the excretion of potassium into the urine, as well as sodium and chlorine from the body. Moreover, both drugs are equally effective for alkalosis and acidosis. Side effects are quite serious: hypokalemia, increased levels of residual nitrogen, secondary diabetes mellitus. People try not to use drugs for gout, diabetes mellitus, severe kidney and liver failure.
What sets Mannitol dry powder apart from other diuretics is its ability to be used in acute renal failure. The drug has pronounced diuretic properties, enhances renal blood circulation, and removes nephrotoxic substances in the urine. Such qualities make it possible to treat swelling with this remedy of various origins and poisoning.
Diacarb differs from its analogues in its low toxicity. This diuretic is effective for liver cirrhosis, glaucoma, cardiac edema and toxicosis in pregnant women. Contraindications for taking the drug are acute failure kidneys and liver, Addison's disease. Side effects include paresthesia in the limbs and drowsiness, which disappear almost immediately when the drug is discontinued.

5-nock is one of the most famous drugs of the antibacterial and antimicrobial group. The product is active against both gram-negative and gram-positive bacteria. Used in the treatment of urethritis, cystitis, epididymitis and pyelonephritis. 5-nock is effective against certain types of fungi and other microorganisms. Contraindications are cataracts, renal and liver failure, hypersensitivity to nitroxoline, pregnancy and breastfeeding. The list of side effects includes disturbances in work digestive tract, allergic reactions in the form of rash or hives.
The herbal medicine Canephron-N also has a wide spectrum of action, in lately has gained truly popular popularity. It effectively eliminates inflammatory diseases genitourinary system, such as acute and chronic cystitis, urethritis, pyelonephritis, interstitial nephritis, glomerulonephritis. In addition, the product is also known for its preventive properties against the tendency to form stones and sand in the bladder and kidneys. Canephron-N eliminates spasms in the urinary tract. The drug should be used with caution in case of liver problems and during pregnancy.
Levofloxacin is an antimicrobial drug belonging to the group of broad-spectrum quinolones. The product is intended for the treatment of infectious and inflammatory processes caused by microorganisms sensitive to it. One of the advantages of treatment with Levofloxacin is ease of use (once a day) and practically complete absence contraindications. Side effects may include nausea, diarrhea, dizziness and insomnia.

One of the most effective antispasmodics used in urology is Spazmex. This drug is used in the treatment of dysuria, enuresis, urinary incontinence, and neuromuscular dysfunction. bladder. The drug has many contraindications. These are urinary retention, myasthenia gravis, tachyarrhythmia, glaucoma, reflux esophagitis, gastrointestinal diseases, intestinal atony, renal failure, cerebral palsy and many others.
No-spa, known for its unique ability to relieve spasms of various types, is also used in urology. The drug reduces the increased tone of the bladder, relieves pain and reduces the urge to urinate.
Alpha blockers, such as Alfuzosin, help relax the smooth muscles of the bladder neck. It is especially effective for pain arising from cystitis or urethritis. The drug helps even with severe pain. In this case, it is best to supplement the antispasmodic intake with some antihistamine. This will help eliminate tissue swelling.

Vitaprost belongs to a group of drugs used in urology for prostatitis. The product helps with both acute and chronic form diseases, and is also used to stabilize the condition after surgical intervention on the prostate gland.
Prostatilen also treats prostatitis. The product is a natural enzyme isolated from the prostate of cattle and has complex action. The drug helps restore prostate function, despite what exactly led to the disturbances - a pathological process or natural aging. As an additional benefit, one can note the increased immunity as a result of treatment with Prostatilen.

I present a video on the topic of urology. This video is made in the form of a slightly tedious lecture, but there is quite a lot of food for thought.

This is a lecture by Dr. Pavlov on the topic of urology.

Read more:

• itching in groin area symptoms
• fungus in groin treatment
• how to treat Epididymitis

After forty years, many representatives of the stronger sex are faced with prostate diseases, so the treatment of prostatitis in men occupies an important place in urology. Treatment of acute prostatitis and exacerbation of the chronic form of this disease is carried out according to similar schemes.

How to treat prostatitis in men is decided depending on the symptoms and type of pathology. If prostatitis is of an infectious nature and was caused by bacteria, viruses or fungi, then antibiotics, antiviral and antimycotic agents cannot be avoided. And if congestive (non-infectious) prostatitis is diagnosed, then it will be enough to take anti-inflammatory drugs, as well as those that improve microcirculation in the pelvic organs and blood thinning drugs. In addition, in all cases, immune correction and vitamin therapy are extremely important.

There is no one universal antibiotic that would help all men equally well with prostatitis. When selecting an antibacterial drug in each specific clinical case, the identified sensitivity of the microorganisms that caused the pathology is decisive. Most often during therapy, urologists prescribe fluoroquinolones to their patients, since they best accumulate in the required concentration in prostate tissue. The most effective antibiotics:

• Tavanik. Antibacterial drug based on levofloxacin. After oral administration, the active substance is almost completely absorbed from the gastrointestinal tract. Eating practically does not slow down this process. The same amount appears in the systemic circulation active substance, how much would be with parenteral administration. If you take Tavanic 500 mg once a day for 3 days in a row, the average concentration of levofloxacin in prostate tissue will be 8.7 mcg/g.
• Digital A chemotherapy agent that has a broad effect on various types microorganisms based on ciprofloxacin. The drug is quickly absorbed from the digestive tract, and food intake practically does not slow down this process. The volume of the drug that has reached the main site of its action is 70%. Well distributed in tissues and body fluids. The dosage regimen of the drug is individual, but on average, Cifran is taken at a dose of 250-750 mg 2 times a day for 1 to 4 weeks.
• Zanotsin. The active substance in this antimicrobial agent is ofloxacin. After oral administration, it is quickly and completely absorbed from the digestive tract. Eating in in this case may slightly slow down the rate of absorption, so Zanocin is recommended to be taken 1 hour after meals. The maximum concentration of the substance in the blood plasma is reached after 120 minutes. Ofloxacin is widely distributed in body tissues and fluids, including prostate gland.

Since the causative agent of the inflammatory process in the prostate gland can also be a fungal agent or the infection is combined, then effective treatment prostatitis may include antimicrobial combination remedy- Safocid. This is a set of tablets: 1 tablet of fluconazole (antifungal), 1 tablet of azithromycin (antibacterial), 2 tablets of secnidazole (antiprotozoal). Take all 4 tablets at the same time.

To eliminate all the symptoms of prostatitis in men, it may take a long period of time. antibacterial therapy(up to 28 days). In addition, the dose can be reduced or discontinued only under the guidance of the attending physician, otherwise all therapy will go down the drain.

Anti-inflammatory

In addition to destroying the pathogen, there are other tasks in the treatment of prostatitis. Since signs of prostatitis in men include severe pain in the perineum and groin area, non-steroidal anti-inflammatory drugs cannot be avoided. NSAIDs are available in tablet form or rectal suppositories. Quite often they resort to the use of such drugs:

• Voltaren (diclofenac);
• Movalis (meloxicam);
• Ketonal (ketoprofen).

In the treatment of prostatitis, much attention is paid to rectal suppositories with various active ingredients, which slowly, smoothly, in a safe concentration and bypassing passage through the liver, deliver the medicine to the pathological focus. In urology, the following drugs are often used:

• Prostatilen. A drug of animal origin that is capable of correcting impaired functions of prostate tissue. It is recommended to place 1 rectal suppository in the morning and evening. The therapeutic course is usually 10 days. After the administration of Prostatilen, it is not recommended to move for half an hour. Before placing the suppository, be sure to cleanse the intestines and moisten the suppository itself with water.
• Vitaprost. Another drug of animal origin that can normalize prostate function. Vitaprost helps reduce swelling, reduces pain and discomfort, normalizes secretory function epithelial cells, exhibits an indirect bacteriostatic effect on the microflora of prostate secretions, normalizes spermatogenesis and ejaculate parameters. With the use of Vitaprost, cured chronic prostatitis is less likely to cause exacerbations.
• Prostopin. Combination drug, which is able to relieve inflammation and heal wounds. It contains the following components: royal jelly, honey, beebread, propolis, pollen. It is recommended to administer Prostopin once a day at night, after a natural bowel movement or a cleansing enema. The therapeutic course can last from 2 to 4 weeks. If necessary, it can be repeated after 2-3 months.

If inflammation of the prostate gland is infectious in nature, then this greatly depletes the body and reduces its protective properties, therefore therapeutic complex must include immunomodulators. In view of this, along with other drugs, prostatitis is often treated with suppositories with methyluracil and Genferon.

There are many variants of the course of prostatitis, and its treatment can vary significantly. In some cases, it will be possible to achieve the maximum effect from a therapeutic drug regimen if alpha-blockers are included in it. Urologists most often prescribe the following drugs:

• Tamsulosin;
• Terazosin;
• Doxazosin;
• Alfuzosin.

Long-term use of these medications is expected - for 7-8 months. The most popular is Tamsulosin, which is a uroselective drug. A noticeable result in the treatment of prostatitis from the use of Tamsulosin can be achieved within 14 days from the start of treatment. This alpha-blocker acts specifically on the nerve endings of the smooth muscles of the prostate gland, urethra and urethral bladder, causing them to relax. This normalizes the outflow of urine, relieves acute symptoms of compression of the urethra by the prostate, and also eliminates inflammation in the prostate and reduces its swelling.

Alpha adrenergic blockers are very valuable in urology because they eliminate congestion in the genitourinary system and a purulent inflammatory process by ensuring normal urine outflow.

Physiotherapy

Treatment methods for prostatitis in men are varied. Physiotherapeutic procedures occupy a special place in the treatment of urological patients. For prostatitis in men, to eliminate symptoms, treatment may include the following physical therapy methods:

• Galvanization. This physiotherapeutic procedure involves exposing the body to a constant, continuous electric current, which has low voltage and strength. Each session takes from 10 to 20 minutes, and the total therapeutic course is 15 visits to the treatment room.
• Medicinal electrophoresis. A method based on the combined effect on the body of alternating currents and medicines. In chronic forms of prostatitis, electrophoresis with 1-5% calcium chloride solution and 2-5% sodium bromide solution is often prescribed. These medicinal substances not only effectively relieve inflammation in the prostate gland, but also eliminate pain. In addition, analgesics, Lidaza, Trypsin, Aloe can be used.
• Electrical stimulation. During the manipulation process, under the direct influence of electric current, tissue and muscle fibers contract, which significantly accelerates metabolic processes, activates the immune system, and also effectively increases blood circulation. The procedure can be performed transurethral, ​​transrectal and externally.
• UHF therapy. This method of physiotherapy is based on the impact on the affected tissues electromagnetic field with ultra-high frequency. For prostatitis, the transverse method is mainly used. In this case, the electromagnetic field affects not only the prostate tissue, but also neighboring organs.
• Ultrasound therapy. The access in this case is the anus, into which the wave emitter is inserted. The vibrations created during the procedure have an antimicrobial and immunomodulatory effect. Its bactericidal effect is caused by damage to the cell membranes of microorganisms.

In addition, baths using various liquids at different temperature conditions, microenemas with infusions medicinal plants, as well as mud therapy. Which of the listed methods of physiotherapy will be the most relevant in each clinical case is decided by the attending physician. It is he who evaluates the symptoms and selects treatment.

A type of physiotherapeutic treatment is prostate massage. This procedure should be performed by a certified urologist or andrologist. Before the procedure, the patient is required to clean the rectum and thoroughly clean the external genitalia and anus. And immediately 60 minutes before the planned procedure, drink 2-3 glasses of water so that the bladder presses the prostate to the rectum, and it is easier to massage it.

The massage procedure is very effective procedures, without which it is not possible to cure prostatitis. Massage allows you to squeeze out the accumulated secretion from the prostate, which is then independently released through urethra. In addition, this procedure helps improve blood microcirculation in the prostate tissues.

Massage during an exacerbation is contraindicated, as this may contribute to the spread of the infectious process. Usually the procedure is carried out when the acute inflammatory process subsides.

Traditional methods

When symptoms appear and treatment is selected using traditional medicine, some patients still want to know how traditional methods treat prostatitis in men. The following are the most popular traditional methods treatment:

• Pumpkin. As a medicine, you can use either freshly squeezed juice (250 ml of fresh pumpkin juice with 20 g of natural honey once a day) or seeds (100 g per day). Male prostatitis is treated using these methods for 3-4 weeks.
• Onion. The medicine is prepared by chopping 2 medium-sized onions and pouring the resulting mass with 600 ml of boiled water. The container must be closed with a lid and wrapped in a warm scarf. Leave for 3-4 hours. The infusion should be taken every 60 minutes, 50 ml.
• Walnuts. To prepare the infusion, boil 2 tablespoons of nut membranes in 300 ml of water over low heat and leave for 120 minutes. After straining, the infusion should be taken 3 times a day, 100 ml.
• Celandine. To prepare the infusion, you need to pour 2 tablespoons of dried celandine herb into 200 ml of boiling water and leave for 120 minutes in a dark place. Then the product should be strained and taken 1 tablespoon 3 times a day half an hour before meals or 1 hour after.
• Parsley. Both juice and seeds are used for medicinal purposes. The juice should be drunk 15 ml 3 times a day 30 minutes before meals. And a decoction is prepared from the seeds. Boil 2 tablespoons of seeds in 200 ml of water for 15 minutes. After cooling, the broth must be filtered and taken 1 tablespoon 4-6 times a day.

In folk medicine, prostatitis is fought not only with the help of means for internal use, but they also suggest treating it with the help of suppositories with propolis prepared at home.

Propolis extract is pre-prepared by evaporating it in 200 ml ethyl alcohol. The resulting extract is mixed with cocoa butter in a ratio of 0.1:2. From the resulting mixture, cone-shaped candles are formed, which should be stored in the refrigerator. Place 1 candle before bed for 30 days. Then they take a break for 1-2 months and repeat the course again.

If prostatitis persists and treatment does not provide any improvement or inflammation begins to spread sharply, then a decision may be made to surgery. The main methods of radical treatment of prostatitis include the following:

• Prostatectomy. This view surgical intervention implies complete removal prostate. The operation is abdominal and is performed under general anesthesia. In the process, the surgeon cuts off the vessels that supply blood to the prostate gland, the prostate itself, the seminal vesicles located above it, as well as adjacent lymph nodes.
• Endoscopic prostatectomy. A more gentle manipulation, involving 3-4 small punctures in the peritoneum under general anesthesia. These holes are necessary to insert endoscopic equipment and a coagulator used to cut off tissues and vessels. At the end of the manipulation, tissue cauterization occurs, which protects against large blood loss.
• Prostate resection. This operation involves removing a pathological segment of the prostate gland. There are 3 options for performing such an operation, which differ in the method of access: suprapubic (the anterior abdominal wall is cut), laparoscopic (the anterior abdominal wall is pierced in 3-4 places and all the necessary devices and surgical instruments are inserted through them) or TUR (transurethral resection).
• Drainage. When inflammation of the prostate is complicated by purulent melting of prostate tissue, as well as the formation of ulcers in it, surgical intervention with preliminary drainage is prescribed. To perform it, a puncture needle is inserted into the prostate gland through an opening in the lower part of the peritoneum or perineum. Then the pathological area is treated antiseptic to eliminate pus. And after this, complete or partial removal of the prostate can be performed in a standard way.
• Vaporization. This is a modern surgical procedure on the prostate that allows you to remove pathological lesions using a laser. Under the influence of a laser wave, which is directly aimed at the inflamed segment of the prostate, it evaporates (vaporization). The main advantage of laser surgery is that the vascular network is automatically cauterized under the influence of high temperatures, which allows such manipulations to prevent the occurrence of dangerous bleeding.

How to cure prostatitis and which conservative or radical methods to choose is decided by the patient’s attending, a urologist or a whole council of doctors.

Although in a critical case a man has no choice and is forced to agree to the operation, he still needs to be prepared for the fact that, like conservative methods treatment, surgery does not provide a 100% guarantee of complete recovery.

Conclusion

With prostatitis, men develop characteristic features, which go away successfully if you know how to treat them and how to choose the best medications. A cure for acute prostatitis is indicated if a control examination shows that the prostate tissue and its functions have been completely restored, and pathogenic microorganisms are not detected in laboratory tests.
No matter how much a man might not want to visit a urologist, it is definitely worth doing, since self-medication may not only not alleviate the condition, but also aggravate the course of the disease. At the same time, if the treatment regimen is drawn up competently by a person who knows a lot about it, then the patient can count on a favorable prognosis.

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Treatment of prostatitis involves the use of several medications and additional means. Only on condition integrated approach a quick and complete recovery occurs. There are highly specialized groups of drugs and symptomatic medications. Since the disease is inflammatory in nature, the basis of therapy is anti-inflammatory drugs for prostatitis. They help relieve inflammation and associated pain. What medications are we talking about, and how to use them?

Anti-inflammatory drugs for prostatitis

Prostatitis is inflammatory disease prostate gland, which occurs in acute or chronic form. It can be successfully treated conservatively using a special group of drugs. In most cases, it includes anti-inflammatory drugs that eliminate the inflammatory process and relieve pain.

For therapy, non-steroidal anti-inflammatory drugs (NSAIDs, NSAIDs) are usually used - a type of medicine that has an antipyretic, analgesic, and anti-inflammatory effect. The mechanism of action is to suppress the production of prostaglandins in the body, which are involved in the development of inflammation.

At acute prostatitis There is severe pain in the groin, a burning sensation when urinating, an increase in body temperature and poor health due to general intoxication of the body. All these symptoms can occur suddenly and take a man by surprise. Urgent help in this case, NSAIDs will provide:

• will reduce the intensity of the inflammatory process;
• reduce hyperemia of glandular tissue;
• will stop the proliferation of harmful microorganisms;
• normalize temperature;
• relieve fever;
• eliminate pain and spasms.

Funds from this group are issued in various forms. For prostatitis, anti-inflammatory drugs are used in two main dosage forms:

Drugs for the treatment and prevention of prostatitis

• tablets - provide systemic and rapid assistance, absorbed into the blood through the gastrointestinal tract;
• suppositories - act locally and prolonged, penetrating through the walls of the rectum.

Suitable and effective drug should be selected by the attending physician based on the diagnosis and complaints of the patient. An independent single dose is allowed as a emergency assistance. Long-term self-medication is strictly prohibited.

Tablets for prostatitis are easy to use. You only need to drink one pill and in just 20–30 minutes you will experience significant relief. They are very effective as emergency care at high temperature and severe pain. But there is one important nuance: with long-term use there is a negative effect on the gastrointestinal tract and kidneys. Therefore, they are prescribed by a doctor according to a strict dosage regimen.

The most commonly used NSAIDs in urology are ibuprofen, ketoprofen, and diclofenac. They have the least number of side effects and the best anti-inflammatory effect.

1. "Dickloberl."

The active substance is diclofenac sodium in an amount of 50 mg or 100 mg. It relieves heat and body aches well, reduces the intensity of the inflammatory process, and significantly reduces tissue swelling and pain. Take 1 tablet no more than 3 times a day, preferably with meals (to reduce irritation of the gastric mucosa). The maximum dose per day should not exceed 150 mg. Contraindicated in peptic ulcer and hematopoietic problems.

Dicloberl injections for prostatitis

1. "Solpaflex".

Anti-inflammatory capsules based on ibuprofen, contain 300 mg of active ingredient. They have antipyretic, analgesic and anti-inflammatory effects. Dosage for adults: 1-2 capsules twice a day, no more than 4 capsules per day. Should not be taken if you have allergies, gastrointestinal pathologies, hematopoietic disorders, liver or kidney dysfunction.

1. "Ketonal".

NSAIDs from the group of ketoprofen, a derivative propionic acid. It is quickly absorbed into the gastrointestinal tract and has a long-lasting analgesic effect. Available in tablets and capsules of different concentrations. The recommended dosage regimen involves 1 tablet 2 times a day after meals. For cupping acute attack A single application is sufficient. Long-term use may cause abdominal pain, dyspepsia, nausea, headache, bleeding, hearing and vision impairment.

Anti-inflammatory drugs should not be overused to avoid serious adverse reactions. Long-term therapy for prostatitis should be carried out under the strict supervision of a physician. All recommendations and prescriptions must be followed.

Urologists prefer to prescribe suppositories for rectal administration to men. They have a number of important advantages: they act directly at the injection site, penetrate into the prostate tissue, and do not cause negative influence have a long-lasting effect on the body, including the gastrointestinal tract. At the same time, there is a significant disadvantage - suppositories are not able to quickly relieve inflammation, because they have to overcome many barriers to dissolution. Experts note that this form of anti-inflammatory drugs is effective for long-term and systemic therapy.

Rectal suppositories for prostatitis

Suppositories for prostatitis may contain several components that not only relieve inflammation, but also improve blood circulation, destroy bacteria, promote tissue regeneration, relieve pain, and restore urination. The combination drug may contain:

• antibiotic;
• analgesic;
• thiotriazoline;
• prostapine;
• prostilen;
• sea ​​buckthorn oil;
• propolis.

The most popular drugs are:

1. "Voltaren."

Suppositories for rectal administration based on diclofenac. Absorbed through the intestinal tissue, penetrating directly into the inflamed gland. The analgesic effect occurs approximately an hour after administration. Directions for use: one suppository in the morning and evening is inserted into the anus as deeply as possible until completely dissolved. No more than 150 mg of active substance is allowed per day. It is effective to combine tableted Voltaren with suppositories. In this case, it is recommended to administer the suppository only at night. The rectal form should not be used for proctitis or hemorrhoids.

1. "Prostopin."

Prostopin rectal suppositories, 15 pcs.

Belongs to the group of drugs – phytoprostate protectors. These are candles based on natural ingredients: propolis, bee bread, honey, royal jelly. It has a pronounced anti-inflammatory and antioxidant effect, normalizes the process of urination, destroys pathogenic microflora, prevents prostate hyperplasia. The suppository is administered once a day before going to bed. The duration of the treatment course is at least 2 weeks. Side effects occur rarely, usually in the form skin allergies perianal area.

1. "Vitaprost".

A product containing prostate extract and the antibacterial component lomefloxacin. As a result of use, inflammation and swelling are eliminated, bacteria are destroyed, pain is reduced, and the composition of prostatic secretion improves. Suppositories are placed rectally after cleansing. The procedure is carried out once a day, preferably before bedtime. The duration of therapy is at least 10 days.

Anti-inflammatory suppositories for prostatitis have proven their effectiveness in practice, therefore they are often prescribed as one of the components of the treatment of acute and chronic pathology in men.

NSAIDs alone cannot cure prostatitis. Chronic pathology is often accompanied by a bacterial process, which can be stopped exclusively with the help of antibiotics. A acute form manifests itself with strong and painful symptoms, which must be alleviated with medications. A comprehensive treatment regimen for prostate inflammation may include:

• antibiotics - have a powerful bactericidal effect, destroying the pathogenic microflora of the gland (Ciprofloxacin, Amoxiclav, Levofloxacin);
• analgesics and antispasmodics - relieve pain and eliminate spasms of muscles and sphincter (Nurofen, Drotaverine, Buscopan);
• alpha-blockers – facilitate urination and urine outflow (“Doxazosin”, “Tamsulosin”, “Omnic”);
• muscle relaxants - relieve tension in the gland, reduce pain (Diazepam, Baclofen, Mydocalm);
• hormones - restore hormonal background and the sexual power of a man (“Omnadren”, “Flutamide”);
• herbal medicines – auxiliary natural remedies, so-called dietary supplements (“Prostamol Uno”, “Tandenan”, “Tykveol”).

Successful and quick recovery impossible without additional physical procedures, diet and healthy way life, moderate activity and good mood. Follow all doctor's orders, take prescribed medications correctly and be healthy!

The main drugs for the treatment of the genitourinary system are antibiotics. Before the appointment, you need to submit a urine culture for sterility, and determine the reaction of microorganisms obtained from it to antibacterial drugs. Without sowing, it is better to use broad-spectrum medications. But some are characterized by nephrotoxicity (toxic effects on the kidneys), for example, Gentamicin, Polymyxin, Streptomycin.

Treating infections with antibiotics

For inflammation urinary tract Antibiotics of the cephalosporin group are used - Cephalexin, Cefaclor, Cefepime, Ceftriaxone. For kidney inflammation, semi-synthetic penicillin is also used - Oxacillin and Amoxicillin. But it is better for genitourinary infections to be treated with a fluoroquinolone - Ciprofloxacin, Ofloxacin and Gatifloxacin. The duration of antibiotic use for kidney diseases is up to 7 days. For complex treatment, drugs with sulfenylamide are used - “Biseptol” or “Urosulfan”.

Herbal uroantiseptics

"Canephron" for illness

In urology, herbal uroantiseptics are used both as the main healing substances and as auxiliary ones. « Canephron" - excellent remedy for the treatment of diseases of the genitourinary system. It has anti-inflammatory and antimicrobial effects and causes a diuretic effect. It is used internally in the form of drops or tablets. Canephron contains rose hips, rosemary leaves, centaury and rosemary. For kidney inflammation, 50 drops of medicine or 2 tablets are prescribed 3 times a day. In men it is considered the best remedy in the treatment of genitourinary infections.

Herbal uroantiseptics are an excellent remedy for treating diseases of the genitourinary system.

“Fitolysin” is a remedy for infections of the genitourinary system, promotes easier passage of stones and removes pathological agents from the urinary tract. Mint, pine, orange, sage and vanillin oils are added to the preparation. Take an anti-inflammatory after meals 3 times a day, 1 tsp. half a glass of warm water. Kidney disease goes away within a month. It is made in the form of a paste to obtain a solution. Composition of "Phytolysin" - extracts:

• horsetail;
• parsley;
• birch leaves;
• wheatgrass rhizomes;
• fenugreek;
• hernia;
• onion bulbs;
• goldenrod;
• knotweed grass.

Medicines to relieve symptoms of inflammation of the genitourinary system

Inflammation of the urinary tract begins to be treated with medications that stop inflammatory symptoms and restore the functionality of the urinary tract. The main medications for the genitourinary system are “Papaverine” and “No-shpa”. Doctors recommend using antispasmodics after a course antibacterial agents. At the same time, they are treated with tablets that do not have nephrotoxicity.

For diseases of the genitourinary system, paracetamol is used. Daily dose- 4 times 650 mg. When taking paracetamol, drink plenty of water to ensure normal hemodynamics. Instead of paracetamol, Ibuprofen is indicated. Daily dose - 4 times 1200 mg. Other medications for symptom relief: Ketanov, Nimesulide, Cefekon and Baralgin. The decision in therapy with nephrotoxic drugs is justified, and therapy is prescribed only after consulting a doctor.

Antispasmodics

Antispasmodics are removed painful sensations, but do not affect the cause of the disease.

Antispasmodic medications improve urine flow and relieve pain. Popular tablets are the same “Papaverine” with “No-shpa” and “Benziclan” with “Drotaverine”. “No-spa” is available in the form of tablets and solution. Dosage - no more than 240 mg per day. “No-shpu” is strictly prohibited for use in case of heart and liver failure. Additionally, it is allowed to take Canephron - it has both antispasmodic and antiseptic effects.

Diuretics

Diuretics are diuretics. Treatment with diuretics should be treated with caution. They can cause kidney failure and complicate the disease. Therapy is used only after a doctor's prescription. The main medications for urinary tract infections: Diuver, Hypothiazide, Furomesid and Aldactone. Dose - 1 tablet per week. To maintain water balance in the body, calcium, potassium, and saline solutions are taken in combination with diuretics, and hemosorption and hemodialysis are performed. Often, in case of kidney disease, doctors prescribe multivitamin preparations to boost immunity.

When men and women have diseases of the kidneys and urinary tract, you need to drink decoctions that contain vitamins: rose hips, birch tree leaves, rowan, currant leaf, knotweed. Doctors also prescribe multivitamin preparations, which contain a complex of microelements and vitamins. Medicines to increase immunity for kidney diseases - “Alvittil”, “Aerovit”, “Ascorutin”, “Tetrapholevit”, “Milgamma”. Along with vitamins, minerals such as selenium and zinc are taken.

At this point in time, the problem of prostatitis has affected more than one man. Every year more and more people face this unpleasant disease. more people of different ages, and not everyone wants to admit this, which plays into the hands of the successful progression of the disease and the emergence of serious complications. Hesitation makes men turn to a specialist, and self-medication leads to dire consequences.

What is prostatitis?

Prostatitis is a urological disease characterized by inflammation of the prostate gland. The reasons for the development of the disease can be very different, among which the most common are the following factors:

• past infections of various etiologies;
• frequent stress;
• sedentary lifestyle;
• decreased immunity;
• severe hypothermia of the body.

Prostatitis can appear suddenly (acute form) or occur in a chronic form with almost imperceptible symptoms. In the first case, the man’s temperature rises sharply (up to 39˚C), fever begins, and he begins to feel pain in the groin and anus. Urination and defecation also become painful. In the second, only minor discharge from the urethra and pain in the prostate area appear, which are periodic. But the second case is more dangerous, since representatives of the stronger sex do not pay attention to these minor symptoms and prefer to be patient rather than go to an appointment with a urologist. And as a result, it arises inflammatory processes testicles, cystitis, erectile dysfunction and even pyelonephritis.

Diagnosis of prostatitis

First of all, the disease can be diagnosed using prostate ultrasound. It is carried out in one of 4 ways (either externally through the abdominal cavity, or externally through the male perineum, or through the rectum, or through the urethra). In any of these options you will receive accurate information about the condition of the prostate gland. The diagnosis of prostatitis can also be made using laboratory research(analysis of urine, semen and prostate secretions).

Treatment of prostatitis

Treatment of prostatitis should be comprehensive and carried out only under the supervision of a qualified specialist. Self-medication is unacceptable - the price of the issue is too high. Most often, complex therapy for the treatment of prostatitis includes: massage and physiotherapy, the use of antibacterial and anti-inflammatory drugs, as well as correction of the patient’s lifestyle. Also, a lot depends on the form of the disease.

Read also: Prostate massage device: benefit or harm?

Table 1

Form of the disease		Treatment methods
According to the course of the disease	Acute prostatitis	Broad-spectrum antibiotics, anti-inflammatory and painkillers, massage.
	Chronic prostatitis	Anti-inflammatory drugs, massage, physiotherapy, immunostimulants.
Due to the occurrence	Congestive (stagnant) prostatitis	Anti-inflammatory drugs, methods traditional medicine, massage.
	Bacterial prostatitis	Antibacterial, anti-inflammatory drugs, traditional medicine methods, diet.

Also in medical practice a mixed form of prostatitis occurs. In this case, treatment should be purely individual, based on the results of tests and ultrasound.

Anti-inflammatory drugs

Anti-inflammatory drugs for prostatitis are very effective. They are used for any form of disease and always bring a certain result.

In medicine, there are two groups of anti-inflammatory drugs - non-steroidal anti-inflammatory drugs (NSAIDs) and glucocorticosteroids. For the treatment of diseases associated with the prostate gland, only NSAIDs are used, and this is primarily due to the fact that in addition to a pronounced anti-inflammatory effect, drugs in this group also have a strong analgesic effect. They are used in the form of rectal suppositories or tablets. The most effective among NVSPs are medical supplies based on ibuprofen, diclofenac or ketoprofen (Table 2).

Table 2

Active ingredient	Drugs and their forms	Method of treatment
Diclofenac	Rectal suppositories (Diclofenac, Voltaren, Dikloberl)	1 suppository (50 or 100 mg) is injected into the posterior opening of a man daily.
	Tablets (Diclofenac, Voltaren, Dikloberl)	Depending on the form of prostatitis: 75-150 mg/day (3 doses)
	Solution for intramuscular injections(Diclofenac, Voltaren, Dikloberl).	3.0 ml intramuscularly 1 time per day for 5 days.
Ibuprofen	Tablets (Iprene, Solpaflex, Ibusan)	Ingestion. Recommended dosage is 1200-1800 mg/day (3-4 doses).
Ketoprofen	Rectal suppositories (Ketanol, Oruvel)	Insert 1 suppository (100 mg) into the posterior opening daily

As a rule, doctors prescribe drugs based on diclofenac, since the side effects when taking it are the least pronounced. But this does not mean that they do not exist at all. Therefore, before taking this type of medication, it is recommended to carefully read the instructions for contraindications and side effects, and if symptoms occur, immediately contact your doctor to correct the course of treatment.

As you know, phimosis is treated with surgery, but there are non-surgical methods to combat this disease. One of the methods of non-surgical treatment is the use of ointments - topical corticosteroids for local use. Statistics show high rates of their successful use in medicine: in different age groups, results vary from 67 to 95% of cures.

Urological catheters

A urological catheter is medical device in the form of a tube that is inserted into the body to drain and collect urine from the patient's urinary tract. Catheters are needed to treat urological conditions such as urinary incontinence and difficulty urinating. In medicine, there are several types of catheters for individual use.

Therapeutic exercise for urological diseases in men

Since ancient times, physical exercise has been used as an effective therapeutic agent in the treatment of many diseases. A precisely calculated load ensures training of specific muscles and has a general healing effect. Even if the patient is in serious condition, he may be prescribed so-called passive gymnastics.

Treatment of urinary tract infection

The main goal of treating a urinary tract infection is to eliminate the pathogen and suppress infectious inflammation. To solve it, various antibacterial drugs. The question of choosing the optimal medicine difficult. And do right choice Only a doctor can.

Modern methods of treating prostate adenoma

In recent years, there have been significant changes in approaches to the treatment of prostate adenoma. In addition to traditional surgical removal of adenomas, they are widely used alternative methods treatments, such as laser treatment, high and low temperatures, etc.

Thermal therapy - treatment with sand, paraffin and ozokerite

Heat therapy – new method treatment chronic diseases. Sometimes, when traditional medicine offers injections and expensive medications, heat therapy sessions can help cope with chronic prostatitis using wax, sand or ozokerite.

Mud therapy

The mud therapy method involves applying therapeutic mud to various painful areas of the body. In appearance, mud treatment is a fairly simple procedure. But even here it is worth adhering to some rules and following recipes when using mud applications.

Chromotherapy (phototherapy) - treatment using light and color

The science that deals with the study and application of certain colors with therapeutic purpose, called chromotherapy. The influence of color on mood has long been known. All colors are divided into active and passive. Active ones have a stimulating effect - they charge the body with energy and accelerate vital processes. The article talks about the effects of primary colors, and also describes possible light treatment methods.

Currently, there are a huge variety of drugs. And the doctor’s task is to prescribe a medicine taking into account the causative agent of the disease, which tests help identify. Below we will talk separately about beta-lactams.

Drugs in this group are equally effective against several types of bacteria. They are able to overcome staphylococci that other medications could not cope with.

This group includes:

• aminopenicillins;
• antipseudomonas penicillins;
• cephalosporins.

The latest urological tablets are represented by drugs from the first to the fourth generation. Each of them fights a specific type of bacteria. Fourth generation cephalosporins are especially in demand today.

There is another separate group of drugs called fluoroquinolones. They are also very effective if inflammation of the bladder and kidneys is diagnosed. Most often, the doctor chooses these drugs when the patient’s life is at risk. They are indispensable during exacerbation of chronic pathologies of the genitourinary system.

Also, antibiotics of the urological group include:

• microlides, which are effective for urethritis;
• aminoglycosides, which cope with complicated infections;
• tetracyclines prescribed for atypical nephritis.

Urologists often give preference to drugs that have wide range actions. With their help, you can remove the causes of kidney disease.

Urological tablets for women and men are chosen only by the doctor. It takes into account many nuances that the patient may not be aware of.

The most commonly prescribed popular remedies are:

• Palin;
• Furagin;
• Azithromycin;
• Furazolidone;
• Furadonin.

Urological drugs, the list of which is presented above, are considered classic. But there are also medications that are prescribed only in a hospital under the close attention of a doctor. Usually we are talking about aminoglycosides. They have powerful antimicrobial activity, but they have quite serious contraindications. The most popular drug is called Amikacin.

When prescribing urological medications for men and women, the doctor does not limit himself only to antibiotics. You always need funds that will support the body's functioning. We are talking about vitamin-mineral complexes and immunomodulators. Thanks to their action, the body responds more easily to therapy and recovers faster.

When selecting the main drug, the doctor must take into account all contraindications, carefully studying the patient’s medical history.

The drug Ofloxacin is often prescribed. It fights various types of bacteria. Urological antibiotics for men and women are rarely different, although there are some limitations. So, during pregnancy or during the period breastfeeding not all drugs are allowed. Amoxicillin is often prescribed instead of Ofloxacin. In this case, phytotherapeutic agents are needed to enhance the effect of the antibiotic.