Exercises for the prostate and potency. Why does prostatitis appear, how to quickly get rid of it? Drugs for blood circulation in the prostate

The prostate is mainly composed of glandular tissue that produces a secretion that, together with the contents of the seminal vesicles and sperm produced in the testicles, constitutes sperm. Under certain conditions, secretions may accumulate excessively in the ducts of the gland, which in medicine is called congestion in the prostate.

Congestion in the prostate gland manifests itself in pain and difficulty urinating

The vascular network is located in the immediate vicinity and around the gland, and with a number of pathologies, stagnation of blood (especially venous) can occur in it. With such phenomena, nutrition and metabolic processes in the gland deteriorate, and conditions arise for stagnation of its secretion. Therefore, often these two processes exist simultaneously, supporting and reinforcing each other.

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The prostate gland is part of the small pelvis and congestion in its vascular system is most often a manifestation of general stagnation of blood in its organs.

The most common causes:

Any inflammatory processes (in the digestive system or genitourinary organs) are accompanied by tissue swelling, accumulation of blood and exudate (liquid released from small vessels in the cavity or tissue during inflammation). In this case, compression of the smallest arteries and veins occurs, which further prevents the removal of excess fluid and increases stagnation.

With congenital dilatation or other anomalies in the structure of the vessels of the testicles, stagnation develops in both the arterial and venous networks of the small pelvis. Most often, disturbances in the functioning of the valvular apparatus of the veins are detected, resulting in oscillatory movements and the exchange of venous blood between the vessels of the scrotum and internal genital organs. Thus, the amount of blood in the pelvis increases, metabolic processes worsen, and congestion develops.

The severity of clinical manifestations (pain, swelling, visually visible veins of the scrotum) is associated with the degree of circulatory impairment. Timely correction (mostly surgical) helps preserve fertility (the ability to have children) and also prevents the development of stagnant pelvic inflammatory processes (including prostatitis).

With inguinal hernias, the movement of individual parts of the abdominal organs into the hernial sac disrupts the relative position of the pelvic organs and impairs their blood supply.

Consequences

Basic consequences of blood stagnation:

• dysfunction of the scrotal organs;
• gradual compression of the testicles and appendages;
• increase in local temperature.

As a result, spermatogenesis disorders occur, as well as pain during sexual activity. These factors force a man to abstain from sexual activity, which only increases congestion in the prostate.

Insufficient physical activity, hypothermia and irregular sex life weaken the activity of blood exchange between tissues. The small vasculature remains unused as it exists to adapt to the increasing demand for blood supply. In this case, not only stagnation occurs, but also an accumulation of metabolic products that must be excreted occurs. If such conditions persist for a long time, prerequisites arise for the development of inflammation (including non-infectious nature). First of all, congestive (stagnant) prostatitis.

Stagnation of the secret

Factors leading to stagnation of secretions in the prostate, in most cases, relate to the functioning of the reproductive system.

Basic causes:

• accumulation of seminal fluid due to irregular ejaculations;
• incomplete emptying of the vas deferens (with frequent masturbation, interrupted sexual intercourse);
• (inability to experience orgasm, small amount of sperm during ejaculation);
• prolonged abstinence, as well as frequent arousal without the possibility of subsequent sexual activity (see);
• the presence of fibrous strands or microconcretions in the prostate.

In chronic, long-term prostatitis, growth of connective tissue, development, as well as calcification (deposition of calcium salts) are observed. This leads to a decrease in the lumen and deformation of the tubules of the gland through which secretions are released, and thus increases congestion inside the prostate.

Clinical signs and treatment tactics

Congestion in the prostate in the initial stages does not affect a man’s well-being. As the process progresses and the functioning of the genitourinary system deteriorates, symptoms.

Basic:

• discomfort, pain in the lower abdomen during sexual arousal, physical stress, lifting heavy objects;
• During the day, the scrotum may increase slightly in size, which is accompanied by unpleasant sensations in it;
• with the addition of inflammatory phenomena - general and local signs of inflammation (prostatitis).

The choice of treatment tactics depends on the cause of impaired blood circulation and the accumulation of secretions in the prostate gland. Antibacterial agents are used for infectious processes.

If necessary, additionally apply:

• phlebotonics (increase tone and normalize the structure of venous vessels);
• anti-inflammatory drugs (reduce tissue swelling, reduce pain);
• agents affecting blood flow: anticoagulants and antiplatelet drugs (improve blood flow).

How to avoid the problem

Maintaining a healthy lifestyle and regular medical examinations, in themselves, are the prevention of congestion in the prostate

To prevent congestion in the prostate, you need to adhere to a number of recommendations, both general and aimed at ensuring sexual health.

Necessary:

• avoid hypothermia;
• protect yourself from sexually transmitted infections (condoms), and if you suspect a sexually transmitted disease, consult a doctor as quickly as possible;
• refrain from drinking large doses of alcohol;
• quit smoking;
• follow a diet with limited salt and protein-rich foods, as well as a sufficient supply of zinc and selenium (eat seafood, bran bread, pumpkin, rabbit meat);
• actively engage in physical exercises with targeted development of the muscles of the pelvis, lower back, hips, as well as light jogging and walking;
• have regular sexual activity (according to the recommendations of leading urologists - at least 2 (and preferably 3-4 times a week));
• After the age of 40, undergo an annual preventive examination.

Thus, congestion in the prostate gland is the result of many pathological processes, including those not related to the genitourinary system. At the same time, they themselves can be a prerequisite for development. A timely visit to a urologist in the presence of even minor manifestations will help to diagnose the pathology in time, carry out treatment and prevent the development of complications.

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Effective treatment of prostatitis, in any form of its manifestation, is the main means of combating the disease. Today, the treatment of this disease remains so difficult that no treatment method can be neglected.

It is in their complex and systematic use that effective treatment of prostatitis lies, the duration of the course of which can take from several weeks to several months.

The main methods of effective treatment of prostatitis are as follows::

• Drug treatment.

It includes antibacterial therapy, that is, the use of antibiotics that help eliminate causative agents of inflammatory processes in the prostate and other harmful microorganisms. Also the use of immunostimulating drugs that restore the body’s natural defenses and prevent relapses of the disease.

• Prostate massage.

Recognized as a necessary procedure in the treatment of prostatitis, it is contraindicated in its acute form; it removes inflammatory products and pustular formations from the body. By improving blood circulation in the prostate, it enhances the effect of antibacterial therapy.

• Baths, warm herbal enemas, electrophoresis.

The procedures have a relaxing effect, relieve painful symptoms, and partially relieve inflammation. Improves blood supply to the male genitourinary organs, including blood supply to the prostate.

• Physical exercises, physical therapy, gymnastics for the prostate.

They prevent the formation of stagnant processes in the body, including in the pelvic area, saturate the blood with oxygen, and revitalize the blood supply process.

• Lifestyle correction.

A balanced diet, a noticeable reduction in alcohol consumption, adequate sleep, streamlining of sex life, attempts to avoid stressful situations - all this helps restore and strengthen a man’s immunity and calms his nervous system.

Features of the treatment of congestive and acute prostatitis

Treatment of congestive prostatitis is the easiest and fastest, although its symptoms and most of the causes are similar. The structural features of the plexus of veins in the pelvis contribute to venous stagnation in the prostate gland. Diseases of the rectum, such as hemorrhoids, also contribute to the development of congestive prostatitis.

An important role in the development of this form of prostatitis is played by abnormal sexual contacts: interrupted or prolonged sexual intercourse, sexual perversion, frequent masturbation.

At the initial stage, treatment of congestive prostatitis is simple, local, aimed at eliminating stagnation. The main method is prostate massage, which is performed by a qualified specialist, but not independently using a prostate massager. Along with massage, physiotherapeutic procedures are used to improve blood circulation in the diseased organ. Laser therapy also has a stimulating effect on the smooth muscle tissue of the prostate gland.

Additionally, during the treatment of congestive prostatitis, drugs may be prescribed to improve blood circulation and metabolic processes in the prostate.

It is worth noting

Mud therapy in the form of mud baths and local applications, during which mud is applied to the “panties” area, has a good effect in the fight against congestion in the veins of the small pelvis and prostate. The course of mud therapy lasts no more than a month; in the treatment of this form of prostatitis, silt or peat mud is used.

Treatment of acute prostatitis is most often carried out in a hospital setting, since this form of the disease is severe and is dangerous for the development of severe complications and the presence of an abscess. The main treatment for acute prostatitis is the use of antibacterial therapy for a long time - from a month to three; in a shorter period, medications will not be able to completely destroy the infection in the prostate gland, and this ultimately threatens the development of chronic prostatitis.

To reduce pain and spasms, antispasmodic and anti-inflammatory drugs are prescribed, and rectal suppositories or thermal microenemas can also be prescribed. If a prostate abscess develops, surgical intervention is necessary - opening the abscess, removing pus and rinsing with an antiseptic solution.

When the functions and tissues of the prostate gland are completely restored, the composition of prostatic juice is normalized, test results show the absence of infection, treatment of acute prostatitis is considered complete.

Antibacterial therapy for prostatitis is not the only one method of treatment. Antibacterial drugs are prescribed only if there are appropriate indications, mainly for periodic exacerbations and increased severity of the manifestations of the disease.

The effectiveness of drugs for the treatment of prostatitis

It is known that various antibiotics can overcome the prostatic barrier to varying degrees, and therefore their concentration in the prostate gland, and therefore their effectiveness in the treatment of prostatitis, is different. Therefore, from the medications to which the greatest sensitivity of the flora has been established, those with maximum ability to penetrate the prostate. A similar approach to the treatment of prostate adenoma can significantly speed up recovery.

Broad-spectrum drugs for the treatment of prostatitis

Another condition for the effectiveness of a drug used to treat prostatitis is that it has a wide spectrum of antibacterial action. This is due to the fact that it is quite difficult to reliably determine the flora living in the prostate. Those with a wide spectrum of antibacterial activity include primarily drugs of the penicillin group - benzylpenicillin, oxacillin, ampicillin, ampiox and carbenicillin. Tetracycline drugs have valuable properties in terms of penetration through the prostatic barrier and breadth of antibacterial action.

Modern drugs of the fluoroquinol group

New antibacterial agents that have a significant advantage over others are drugs from the group fluoroquinolones- levofloxacin (lefoxin), pefloxacin (abactal), ciprofloxacin (tsiprinol), ofloxacin (tarivid, ofloxin), norfloxacin (nolitsin), sparfloxacin (sparflo), etc. These drugs have a wider spectrum of antimicrobial action and the ability to accumulate in the prostate at high concentrations when taken orally. In addition to the direct antibacterial effect, fluoroquinolones almost never cause immunodeficiency in the patient and, what is especially important, microorganisms do not develop resistance to them.

Also widely used as antibacterial therapy are tetracycline drugs - doxycycline (Unidox Solutab), etc., macrolides - azithromycin (azithral, ​​sumamed), josamycin (vilprafen), etc. Less commonly used are 3-4 generation cephalosporins - cefotaxime (claforan), ceftriaxone, cefixime (suprax).

A young patient who is prescribed a course of antibacterial therapy should be aware that the drugs used may have spermotoxic effect. Therefore, between the use of these drugs and the intended conception, it is necessary to have a gap of at least 4 months, exceeding the full cycle of spermatogenesis.

Antibacterial drugs are prescribed, as a rule, for chronic bacterial prostatitis or infectious chronic prostatitis. For non-infectious chronic prostatitis, treatment tactics remain controversial and controversial. Antibacterial drugs are prescribed to such patients in the hope of curing a latent infection.

If chronic prostatitis is suspected, antibacterial drugs are not prescribed immediately, that is, not from the first visit. As a rule, within no more than a few days, the doctor examines the patient to detect infection. During this period, symptomatic therapy is recommended, usually with an anti-inflammatory effect in the form of 50 mg of diclofenac or 100 mg in suppositories, which has anti-edematous and analgesic effects.

After establishing the type of bacteria and their sensitivity, antibacterial drugs are prescribed, of which fluoroquinolones are the most effective. Treatment is carried out for 4 or more weeks (minimum 28 days) under clinical and bacteriological control.

If the effect is positive in patients with recurrent chronic prostatitis, it is recommended to extend the use of the antibacterial drug up to 6-8 weeks. Sometimes antibiotic therapy is extended to 16 weeks with practical cure after that. If there is no positive result, the antibacterial drug used is abandoned, but not earlier than after 2 weeks of treatment. An ideal antibacterial drug should be fat-soluble, not bind to serum proteins, and weakly alkaline, so that it is maximally concentrated in the prostate gland itself, and not in the plasma. The best in terms of these requirements are fluoroquinolones, which have the best pharmacological properties in the treatment of chronic prostatitis; they create a sufficient concentration in the prostate gland, in its secretions and sperm, and are active against most bacteria found in chronic prostatitis.

So, a necessary condition for maximum effectiveness of antibacterial therapy for chronic prostatitis is compliance with the following general principles:

• isolation and determination of microflora that causes Prostatitis, and identification of its sensitivity to antimicrobial agents;
• choosing the most effective drugs that do not cause side effects;
• determination of effective doses, methods and frequency of administration, taking into account the characteristics of the effect of the selected drug;
• timely initiation of treatment and a sufficiently long course of antimicrobial therapy to ensure the maximum possible effect;
• a combination of antibacterial drugs, both with each other and with drugs and procedures that enhance the antimicrobial effect, reduce the incidence of complications, and improve microcirculation in the prostate;
• carrying out complex therapy taking into account the characteristics of the patient’s general health.

Sometimes, with long-term or overly active antibacterial therapy, intestinal dysbiosis develops (a decrease in the number and activity of normal intestinal microflora). In these cases, it is recommended to use drugs that promote its restoration (bion-3, bificol, hilak-forte, etc.)

Results of treatment of prostatitis with drugs

The strategy and tactics of antibacterial therapy are complex and varied, but its use can improve the effectiveness of treatment.

After successful antibiotic therapy for prostatitis, a more or less long period of well-being may occur. But, as a rule, sooner or later the painful sensations that caused anxiety return. Therefore, the use of antibacterial drugs in itself is not considered sufficient. Good results are achieved by a therapeutic program aimed at increasing local and general resistance. In this case, you can count on the success of antibacterial therapy or long-term remission.

Improving microcirculation in the prostate

In case of erectile dysfunction, after the main treatment, you can use LOD therapy, which consists of creating a vacuum in the vessel in which the penis is placed. Due to the created negative pressure, the cracks in the cavernous bodies of the penis widen, and blood flows to them. The penis enlarges and an erection occurs.

Repeated procedures lead to an increase in the gaps in the cavernous bodies, to a more stable blood supply to the organ and, ultimately, to an improvement in erectile function. A positive effect in chronic prostatitis is also manifested by increased sexual activity, which has a powerful psychotherapeutic effect.

Phallodecompression method (LOD) for prostatitis is performed daily or every other day. The treatment course is 10-15 procedures. It is useful to combine phallodecompression with instillation prostate massage, since this increases the degree of absorption of drugs after completion of the procedure.

Instillations

This type of therapy includes techniques that allow directly and directly deliver the drug to its intended purpose. During instillation therapy with this method, drugs are administered through the external opening of the urethra using a conventional disposable syringe with a conical disposable cannula (soft hollow tube) or syringe. The optimal volume of the administered medicinal mixture is 5 ml. Before the procedure, you should urinate to ensure your bladder is empty.

At the time of administration, it is recommended to imitate urination, that is, relax, then the excess medication will enter the bladder and be expelled with the first portion of urine; the head of the penis must be pressed with your fingers or a special clamp - this will prevent the injected solution from flowing back after removing the cannula or syringe. And in order for the solution to reach the prostate faster, it is recommended that, when introducing it, you carefully stroke the filled urethra with the fingers of your free hand towards the perineum.

After the procedure, you must endure the urge to urinate, otherwise the administered medicinal mixture will immediately flow back out. This mixture consists of the same drugs as for oral administration: antibiotics, analgesics, antispasmodics, anti-inflammatory drugs.

Instillation therapy for prostatitis allows the use of a variety of medications, the choice of which depends on the nature of the disease, as well as the compatibility of the drugs administered. Oil mixtures should not be administered due to the risk of fat embolism (blockage of blood vessels); in no case should you make the mixture yourself, as you can make a mistake in the dosage, which will lead to unpleasant and even dangerous consequences.

Suppositories (candles)

Widely used in the treatment of prostatitis therapy with suppositories (candles). The action of the medicinal drugs included in the suppository is carried out mainly through the general bloodstream, and not through the mucous membrane of the intestinal wall.

Vitaprost - suppositories for the treatment of prostatitis

The use of candles has a pronounced psychotherapeutic effect. Patients usually tend to use any suppositories for self-treatment of prostatitis, regardless of their composition. Patients especially often use suppositories with propolis, as well as with thiotriazoline (0.5 g per suppository), which have a complex anti-inflammatory and membrane-stimulating effect. In addition to medicinal suppositories, in the practice of treating prostatitis they also use magnetic candles.

Microclysters

Usually used to treat prostatitis microenemas, which are often called as a folk treatment for prostatitis. The basis for their use is the simultaneous temperature and medicinal effects. Microenemas are usually used before bedtime.

As medicinal substances, they use aqueous infusions of chamomile, calendula, sage or motherwort, brewed with boiling water before administering a microenema. After the infusion has cooled to a temperature of 40ºC, the medicine is administered into the rectum. A small volume is injected - no more than 100 ml of liquid. Medicines must be absorbed in the rectum, that is, stool immediately after administering a microenema is undesirable.

Water infusions of herbs can be replaced with 1 teaspoon of alcohol infusions (calendula, motherwort or chamomile), which are diluted in 100 ml of warm water before administration. You can add 1.0 g of antipyrine or 10 drops of iodine tincture to the infusion. Efficiency of microenemas with Prostatitis is well known and does not need proof. Microclysters are usually used simultaneously with antibacterial agents as the final stage of more active local procedures or as an independent therapeutic effect for mild pain symptoms.

A very important point is that the use of medications alone does not lead to a good and long-lasting effect. It is necessary to perform prostate drainage procedures in combination with drug therapy - only then can the effect be guaranteed

The invention relates to medicine, urology, functional diagnostics. A bipolar electrode is inserted into the rectum. The background rheogram is recorded. Through the same electrode, pulsed fluctuating stimulation (FFS) is performed for 15 minutes. Repeated rheograms are recorded 5, 10 and 15 minutes after its start, as well as 5 minutes after its end. There are phases of the blood flow reaction: “initial”, “compensatory”, “maximum effect” and “decline of effect”. Rheographic indicators are calculated. With a pronounced and gradually increasing improvement in rheographic parameters in all 3 phases of IFS exposure, the absence of circulatory failure of the prostate gland is determined. With a pronounced improvement in rheographic parameters in phases 1 and 3, and their deterioration in phase 2, the 1st degree of circulatory disturbance is determined - hidden insufficiency of prostate blood flow. With a moderate improvement in rheographic parameters in phase 1 and more pronounced in phase 3, as well as their deterioration in phase 2, there is a 2nd degree of circulatory disturbance - severe insufficiency of prostate blood flow. If rheographic indicators deteriorate in all 3 phases - 3rd degree of circulatory disturbance - irreversible insufficiency of prostate blood flow. The method allows to increase the accuracy of assessing circulatory disorders in the prostate.

The invention relates to medicine, specifically urology and functional diagnostics, and is intended to determine the stage of organ circulatory disorders, select therapy and predict the course of prostate diseases. There is a known method for assessing circulatory disorders of the genitourinary system organ (kidney) by performing rheography - background and in dynamics - every 5 minutes after a “stress” test (administration of drugs), analyzing rheograms according to rheographic indicators: rheographic index (RI), peripheral resistance index blood vessels (IPS), venous outflow coefficient (VOC); identifying the phases of organ blood flow reaction - “initial”, “compensatory”, “maximum effect” and “decline of effect”. Based on the characteristic constellation of changes in rheographic indicators in each phase, one of the three stages of disorders of the organ circulatory system under study is assessed (A.S. 1531994 USSR. Method for assessing circulatory disorders in the kidneys / Yu.M. Esilevsky, M.A. Paltsev. - BI 48, 1989). The disadvantage of this known method is its inapplicability to the study of the prostate gland, since this organ is not tropic in relation to the administration of these drugs, that is, the blood circulation of the prostate gland does not demonstrate the dynamics of significant changes under the influence of these drugs. There is a known method for assessing the blood circulation of the prostate gland by endorectal rheography, recording rheographic curves, obtaining rheographic indicators and their subsequent analysis with a conclusion about the degree of their change in relation to the conventional “norm” (I.V. Karpukhin. Phonophoresis of antibiotics in chronic prostatitis. Abstract of thesis. . Ph.D., 1981). The disadvantage of this known method is the lack of information about the degree of reversibility of changes. The latter method is closest to the claimed object in terms of technical methods and achieved results and therefore was chosen by the applicant as a prototype of the claimed method. The objectives of the proposed method are to increase the accuracy of assessing circulatory disorders of the prostate gland by analyzing the reserve capabilities of organ blood flow, which are revealed through physiotherapeutic load on the vascular bed and muscle tissue of the organ under study. The solution to these problems is achieved by the fact that in the method of assessing circulatory disorders of the prostate gland, including endorectal introduction of a bipolar electrode, performing rheography and analyzing the obtained rheographic indicators, a distinctive feature is that an additional physiotherapeutic stress test is carried out on the same electrode - an IFS session ( pulse fluctuating stimulation - rectangular pulses with an amplitude of 9 V and a duration of 2 ms, the repetition rate of which is changed according to a random law near the average frequency, adjustable from 9 to 30 Hz) and rheograms are recorded during the process (after 5, 10, 15 min) and after the end of the effect (after 5 minutes), the phases of changes in local blood circulation are identified - “initial”, “compensatory”, “maximum effect” and “decay of action” and, based on the constellation of changes in rheographic indicators in each of the phases, one of three stages of organ circulatory disorders of the prostate is established glands. With a pronounced and progressively increasing improvement in rheographic parameters in all 3 phases of IFS exposure, the absence of circulatory failure of the prostate gland is determined. With a pronounced improvement in rheographic parameters in the 1st and 3rd phases, and their deterioration in the 2nd phase, the 1st degree of circulatory impairment is determined, which occurs with hidden insufficiency of prostate blood flow; with a moderate improvement in rheographic parameters in the 1st phase and more pronounced in the 3rd phase, as well as their deterioration in the 2nd phase - 2nd degree of circulatory disturbance, which occurs with severe insufficiency of prostate blood flow; with deterioration of rheographic indicators in all 3 phases - 3rd degree of circulatory impairment, which occurs with irreversible insufficiency of prostate blood flow. The method is carried out as follows. A bipolar electrode is inserted into the rectum, the correct location behind the prostate gland is proven and the background rheogram is recorded, then after switching the electrodes (in the distal, tail parts) pulsed electrical therapeutic signals are supplied to obtain an electrotherapeutic effect (pulse fluctuating stimulation - rectangular pulses with an amplitude of 9 V and lasting 2 ms, the repetition rate of which is changed according to a random law near the average frequency, adjustable from 9 to 30 Hz) for a total of 15 minutes, with every 5 minutes (that is, after 5, 10, 15 minutes) and after 5 min after the end of the exposure, rheograms are recorded again, then rheographic indicators are obtained (RI - rheographic index, IPS - peripheral resistance index, CVO - venous outflow coefficient), the phases of the blood flow reaction are identified: “initial”, “compensatory”, “maximum effect” and “ decline of action" and, based on their constellations, one of three stages of organ circulatory disorders is established. With a pronounced and progressively increasing improvement in rheographic parameters in all 3 phases of IFS exposure, the absence of circulatory failure of the prostate gland is determined. With a pronounced improvement in rheographic parameters in the 1st and 3rd phases, and their deterioration in the 2nd phase, the 1st degree of circulatory impairment is determined, which occurs with hidden insufficiency of prostate blood flow; with a moderate improvement in rheographic parameters in the 1st phase and more pronounced in the 3rd phase, as well as their deterioration in the 2nd phase - 2nd degree of circulatory disturbance, which occurs with severe insufficiency of prostate blood flow; with deterioration of rheographic indicators in all 3 phases - 3rd degree of circulatory impairment, which occurs with irreversible insufficiency of prostate blood flow. An example of a specific implementation of the method. Example 1. Palen-ov, 45 years old. Diagnosis: Asthenic neurosis, functional prostatopathy. Complaints of discomfort in the urethra and erectile dysfunction over the past month. The disease is associated with physical and mental overload. Objectively: the external genitalia are formed and developed correctly. On rectal digital examination: the prostate is slightly enlarged, pasty, painful, the enlargement of the lobes is symmetrical. In the secretion of the prostate after the last massage, there are up to 10 leukocytes in the field of view, there are a lot of lecithin grains. Ultrasound of the suprapubic region revealed a prostate measuring 3.4x3.8 cm, the contours were unclear, diffuse small compactions in both lobes. The seminal vesicles are not dilated. With endorectal bipolar rheography of the prostate, the following rheographic indicators were obtained. The background rheogram shows a decrease in pulse blood filling with normal peripheral resistance and no obstruction of venous outflow. On the rheogram in the 1st “initial” and 2nd “compensatory” phases of prostate blood flow reactions, pulse blood filling progressively increases (the rheographic index reflecting pulse blood filling is 1.5 times higher than the background level), peripheral resistance decreases, against which a transient difficulty of venous outflow. In the 3rd phase of the “maximum effect”, the rheographic index increases by more than 3 times compared to the background indicator, peripheral resistance decreases, but venous outflow is not impeded. Thus, according to a pronounced and gradually increasing improvement in rheographic indicators throughout. 3 phases of exposure to IFS determined the absence of circulatory failure of the prostate gland and a favorable prognosis of treatment, which was proven as a result of the therapy. Example 2. Patient Rodov, 30 years old. Diagnosis: Chronic post-chlamydial urethroprostatitis. Complaints of burning in the posterior urethra, pain. when urinating. Sick for a year after suffering a chlamydial infection of the urethra. Conservative therapy without effect. Objectively: the external opening of the urethra is not hyperemic, there is no discharge. The organs of the scrotum are without pathological changes. On rectal digital examination, the prostate is not enlarged, elastic in consistency, symmetrical, the median groove is pronounced, the examination is painful. Ultrasound of the suprapubic region: the prostate is small, round in shape, not compacted. The seminal vesicles are not dilated. During laboratory examination: in the scraping of the urethra there are no chlamydia, ureaplasmas, mycoplasmas, in the prostate secretion there are up to 20 leukocytes in the field of view, there are a lot of lecithin grains. Results of endorectal bipolar rheography of the prostate gland. On the background rheogram, pulse blood filling is reduced, peripheral vascular resistance is increased, and venous outflow is difficult. After 5 minutes of physiotherapeutic IFS exposure (1st “initial” phase of hemodynamic changes), pulse blood supply increases, peripheral resistance decreases, and venous outflow is facilitated. After 10 minutes of exposure (the 2nd “compensatory” phase of hemodynamic changes), pulse blood filling, peripheral vascular resistance and the coefficient of venous outflow again experience negative trends in changes. After 15 minutes of exposure (3rd phase of the “maximum effect”), pulse blood filling increases, peripheral vascular resistance and venous outflow are normalized. Thus, there is a constellation of rheographic changes, indicating the 1st degree of circulatory impairment in the prostate (pronounced improvement in rheographic indicators in the 1st and 3rd phases, their deterioration in the 2nd phase), which occurs with hidden insufficiency of blood flow in the prostate gland with large reserve opportunities for its improvement. The prognosis for the impact of IFS is favorable. Complex therapy was carried out with the inclusion of IFS to train the reserve capabilities of the prostatic blood flow. The result of treatment is recovery. Example 3. Patient V-g, 58 years old. Diagnosis: chronic congestive prostatitis. Benign prostatic hyperplasia grade 1. Complaints of frequent urination during the day, pollakiuria once at night, weakening of the stream during morning urination, pain in the lower abdomen radiating to the testicles, weakening of erection and loss of orgasm, decreased amount of ejaculate. Dysrhythmia of sexual life. Considers himself sick for several years. On rectal examination: The prostate is moderately enlarged, densely elastic in consistency, the median groove is smoothed, the examination is painful. The prostate secretion contains 50-60 leukocytes, few lecithin grains, and no sexually transmitted infectious agents. An ultrasound examination showed the prostate measuring 4.0x3.4 cm, in the center of which there was an adenoma node measuring 3.5x2.9 cm with a compacted capsule. The contours of the gland are unclear, there are small focal compactions in the parenchyma. The seminal vesicles are dilated to 1.6 cm. The veins of the prostatic plexus are dilated to 0.5 cm. In order to increase the accuracy of assessing circulatory disorders of the prostate gland and determining indications, optimizing physical treatment regimens, the patient underwent a rheographic examination of the prostate according to the claimed method. The patient was placed on his side with his knees pressed to his stomach and his back bent. An electrode was inserted into the rectum, connected by cables through a switch to the input of the rheograph and the output of the device for IFS therapy. We controlled the correct placement of the electrode strictly under the prostate gland after submitting a “test” IFS signal due to the patient’s sensation of the characteristic irradiation of the signal into the head of the penis. A switch was installed at the rheograph input, rheograms were recorded and “background” indicators were recorded. A switch was set to the output of the device for IFS therapy with low frequency currents and the IFS procedure was carried out in the “medium” mode. Every 5 minutes (including after the end of the procedure), the rheogram was re-recorded by switching the toggle switch to the rheographic channel, rheographic indicators were determined, and compared with “background” values. At the same time, a moderate improvement in rheographic parameters was proven in the 1st phase and more pronounced in the 3rd phase, as well as their deterioration in the 2nd phase, that is, a 2nd degree of circulatory impairment was established, which occurs with severe insufficiency of prostate blood flow. On this basis, it was considered indicated that the patient should use IFS therapy in “noise” mode for 10 minutes daily with an approximate number of 20 procedures. Example 4. Patient St., 45 years old. Diagnosis: chronic congestive prostatovesiculitis, prostatodynia, cyst of the left spermatic cord. Complaints of pain in the left groin area. Suffering from chronic prostatitis for several years. Objectively: palpation of the scrotal organs revealed a cyst-like formation in the area of ​​the left spermatic cord. Upon rectal digital examination: the prostate is medium in size, compacted, the lobes are symmetrical, the median groove is pronounced, the examination is painful. Ultrasound of the suprapubic region revealed that the prostate was 3.3x3.6 cm, compacted, and the contour was unclear. The seminal vesicles are not dilated, but the left seminal vesicle is deformed. The testicles and epididymis are normal, the cyst of the left spermatic cord measures 1.5x1.0 cm. In the prostate secretion after its massage there are 10-15 leukocytes in the field of view, there are few lecithin grains. Endorectal rheography of the prostate showed the following: pulse blood filling of the prostate is reduced, peripheral resistance is increased, venous outflow is not impeded. When conducting a physiotherapeutic test (IFS procedure 10 Hz, 9 mV, 2 ms) after 5 minutes of exposure (1st “initial” phase of changes), pulse blood filling is reduced, peripheral resistance is increased, but venous outflow is not impeded. That is, in the 1st phase there is a very moderate improvement in rheographic parameters. After 10 minutes of exposure (2nd “compensatory” phase of changes), pulse blood supply decreases, peripheral resistance increases, and venous outflow becomes more difficult. That is, in the 2nd phase there is a deterioration in rheographic indicators. After 15 minutes of exposure, pulse blood filling increases, peripheral resistance decreases, and venous outflow is facilitated. That is, in the 3rd phase there is a repeated, more pronounced improvement in rheographic parameters than in the 1st phase. Thus, with a moderate improvement in rheographic parameters in the 1st phase and more pronounced in the 3rd phase, as well as their deterioration in the 2nd phase, the 2nd degree of circulatory impairment was revealed, which occurs with severe insufficiency of prostate blood flow. The patient is indicated for conservative therapy for chronic prostatitis, but its effectiveness will be limited due to severe circulatory insufficiency of the prostate gland with limited reserve capacity to reduce it. Example 5. Patient Shi-ov, 73 years old. Diagnosis: benign prostatic hyperplasia. Condition after hyperthermic therapy. Chronic posthyperthermic prostatitis. Prostate sclerosis. Stage 3 prostate circulatory insufficiency. Before thermotherapy - (02/22/99) - rheography of the prostate gland was performed, demonstrating changes in blood flow characteristic of prostate adenoma. A day after thermotherapy of the prostate (02/25/99) acute changes in its blood circulation were observed - venous stagnation and arterio-venous shunting, characteristic of acute inflammation. After 1 and 2 weeks (03/02/99 and 03/10/99), the arterial inflow to the prostate decreased significantly, which reflects the process of hardening of the prostate gland. 1-2 months after thermotherapy, the magnitude of arterial inflow into the prostate is restored, symptoms of arteriovenous shunting reappear, apparently not of a functional (acute inflammation), but of an organic (sclerosing of the vascular bed) nature. 3 months after thermotherapy of the prostate, the circulatory disorders of the prostate gland were assessed using the claimed method. After 5, 10 and 15 minutes of rectal exposure to IFS, that is, in the “initial”, “compensatory” and “phase of maximum effect”, no positive changes in the blood flow of the sclerotic prostate gland occur, therefore, there is a 3rd degree of disturbance of the blood flow of the prostate, according to the put forward in the claimed method, the criteria are typical for the irreversible stage of circulatory failure of the prostate gland and indicate the practical futility of vascular therapy for the identified local changes. The advantage of the proposed method compared to the known one is that it reveals reserve possibilities for changes in prostate blood flow by creating a load on the vascular bed of the prostate using an IFS session. The technical result of the claimed method is to increase the accuracy of the assessment by identifying the stages of circulatory disorders in the prostate by determining the phases of the vascular bed reaction and the characteristic constellation of changes in rheographic indicators in each phase.

It's not difficult, just read the instructions. But that's not true. Self-selected drugs are usually ineffective or ineffective at all. This happens because most bacteria eventually become insensitive to the most common antibiotics, and these drugs no longer fight the infection.

To choose the right antibacterial drug, it is necessary to determine the sensitivity of the causative agent of prostatitis. This is done in the laboratory by examining prostate juice or the patient’s urine. Knowing the range of antibiotics to which the isolated microorganism is sensitive, you can proceed to treatment.

Treatment of bacterial prostatitis is usually carried out with antibiotics from the group of tetracyclines - Doxycycline and fluoroquinolones - Ciprofloxacin.

Anti-inflammatory drugs for prostatitis

Anti-inflammatory drugs include non-steroidal anti-inflammatory drugs. They eliminate the symptoms of prostatitis: temperature, pain and swelling of the prostate. Rectal suppositories are effective: Diclofenac, Indomethacin. Patients are prescribed Ibuprofen and Ketorol internally. For severe pain, use Ketorol.

Hormonal agents

For prostatitis, hormonal drugs belonging to the group of estrogens are prescribed - "Estrone", "Microfollin" and - "Flucin", "Androkur". They are able to reduce the symptoms of inflammation, as well as suppress the growth of prostate tissue, which is also used in the treatment of tumors and even prostate cancer. But these hormonal drugs have a number of side effects: they reduce libido, cause impotence and feminization. The dose of drugs is selected individually, taking into account the condition of the diseased organ and blood counts.

Antispasmodics

To treat prostatitis, drugs are used that relieve muscle spasms from the pelvic organs. These include muscle relaxants that relax skeletal muscles - "Baclofen" and antispasmodics that relieve spasms directly from the smooth muscles of the prostate - "No-shpa".

Alpha blockers are drugs that suppress the activity of the sympathetic nervous system, which can cause spasm of the smooth muscles of blood vessels and internal organs. Tamsulosin is the most modern drug from this group, selectively affecting the prostate through the nervous system.

Drugs that improve blood flow to the prostate

Any inflammatory process is characterized by a violation of blood microcirculation. Prostatitis is no exception. Impaired blood supply to the prostate increases inflammatory changes in the tissues of the gland, making the disease protracted. Therefore, in the complex treatment of prostatitis, drugs that improve blood microcirculation - Pentoxifylline and Escusan - are always used.

Herbal remedies

To treat chronic prostatitis, plant-based drugs are used, which are quite effective and have virtually no side effects.

"Prostamol Uno" is a herbal medicine obtained from the fruits of the creeping palm tree. Its long-term use helps reduce the inflammatory process in the tissues of the gland. Prescribe the medicine 1 capsule 1 time per day. Duration of treatment - 3 months.

“Prostanorm” is an extract of medicinal herbs, produced in tablet form. Ingredients: goldenrod, licorice, St. John's wort, echinacea. The extract has a pronounced anti-inflammatory effect. Take it 2 tablets 3 times a day half an hour before meals. The course of treatment is 2 months.