All known treatments for chronic prostatitis

The treatment of chronic prostatitis is a difficult problem even for modern medicine, often despite all the measures taken, the chronic process cannot be completely eliminated. It is believed that reducing the intensity of the symptoms is already an effective result. It is worth noting that the clinical picture of tumors (prostate cancer) has a similar picture with the latent course of chronic prostatitis. PSA is defined for differentiation, the concentration of which is much higher in malignant neoplasms than in the classical inflammatory process.

pills for the treatment of chronic prostatitis

The treatment of chronic prostatitis is a complex and lengthy procedure that does not always lead to a complete cure.

Classics of meetings

Is there an effective treatment for the chronic form of the disease and can you get rid of it quickly? Such a question is almost always asked by patients to urologists at the reception and if the first part can be answered in the affirmative, then it will not be possible to get rid of the problem "quickly". Treatment of prostatitis takes just as long as it developsnamely: for the rest of your life. Eliminate chronic prostatitis completely and make the prostate "new" is generally impossible. The only thing that can be done is to stop all the unpleasant symptoms and delay the onset of relapses, but only inprovided that the man himself will strictly follow all the prescriptions of the doctor.

A classic example: a course of medication, rectal massage and some other methods are prescribed, plus the normalization of lifestyle, abstinence from alcohol. As a rule, medications are taken, but with the rejection of alcoholic beverages, proper nutrition, the situation is much worse. And many men accept massage with hostility, considering it a shameful manipulation. As a result, the treatment prescribed by the doctor is ineffective due to non-compliance with all conditions of therapy and the chronic process gradually turns into impotence and other health problems.

It is important to remember that chronic prostatitis requires more attention than acute prostatitis. The course of therapy is multicomponent; for a specialist with many years of experience and with the development of modern medicine, the disease is not a problem.

The following methods are used in the exacerbation phase:

  • Antibiotic therapy.The choice of drug determines the outcome of the culture (sterility) or is based on the assumption of the cause of the disease. In case of high temperature and pain, the drugs are given intravenously. Important: the entire course should be completed by the last day, even if the patient's condition has improved the next day.
  • Alpha blockers.Medications are needed to relieve symptoms by relaxing the bladder neck and muscle fibers where the prostate gland is adjacent to the bladder.
  • NSAIDs and painkillers- help treat chronic prostatitis and have anti-inflammatory effect.
  • Rectal (direct) massage.The recommended course is 10-12 procedures, professionally performed helps to relieve symptoms and speed recovery.

These are the basic methods that are always used; it is also recommended to additionally perform physiotherapy with the help of electrical stimulation, laser therapy, electrophoresis.

What will happen if you do not treat?

If the treatment of prostatitis is constantly neglected, then in severely neglected cases it will lead to many troubles that will completely ruin a man's life:

  1. Prostate abscess.
  2. Vesiculitis (inflammation of the seminal vesicles).
  3. Cysts, stones in the prostate.
  4. Prostate sclerosis.
  5. Impotence, infertility.

Each of these pathologies requires special attention and the treatment period will be much longer than in chronic prostatitis. In addition to physical illness, men develop psycho-emotional instability, they become irritable, sullen, depressed.

The complete picture of the therapy

Currently, the treatment regimen for prostatitis includes the following methods and techniques:

  • Effective treatment aimed at eliminating the infectious factor (drugs).
  • The course of restoring the microcirculation of blood in the pelvis and prostate.
  • Increasing the immune status of the body.
  • Antispasmodics.
  • Painkillers and anti-inflammatory drugs.
  • Strengthening drugs and vitamin therapy.
  • Local painkillers.
  • Physiotherapy and hormone therapy.
  • Massage and take tranquilizers (sedatives).
  • General methods (normalization of sleep, nutrition and rest).
  • Spa treatment.

It should be emphasized that although the announced course of therapy is completely completed, on a purely individual basis, the doctor may recommend the patient to use additional methods, including the use of folk remedies (herbal medicine). In addition, men whose lifestyle is "quite slow" or associated with a long stay in an awkward position, which causes stagnation of blood in the pelvis and prostate (office workers, security guards, drivers), it is recommended to take a course of gymnastics to eliminateof hypodynamics. This is an effective way to speed up recovery from chronic prostatitis and prevent impotence.

folk remedies for the treatment of chronic prostatitis

Individually, the doctor may recommend the use of folk remedies - herbal medicine.

Drug basis

The treatment of chronic prostatitis is not complete without drugs. The appointment should always be made by a doctor, the period of admission is strictly individual and should not be interrupted earlier than the end of the course of therapy. Think about the medications used.

To restore blood circulation

To restore good blood circulation in the prostate gland, drugs are prescribed to restore blood circulation. Neglecting these funds will not allow to completely and in the shortest possible time to eliminate the inflammatory process.


In the chronic form of the disease, the decrease in immunity is a common thing, which is why one of the main tasks in choosing a course of therapy is to increase the body's resistance to any disease. The drugs are prescribed according to the immunogram: interferons, thymic preparations, synthetic immunomodulators.


These include drugs from several groups:

  1. Fluoroquinols.
  2. Penicillins.
  3. Macrolides.
  4. 3rd generation cephalosporins.
  5. Tetracyclines.

It should be remembered that antibiotic treatment of chronic prostatitis is long, the course of administration is 4-8 weeks.

Alpha blockers

It is prescribed to normalize the work of smooth muscles in the urinary tract. The course of treatment is 4-8 weeks.

Hormone therapy

Each hormonal drug is prescribed only by a doctor if strictly necessary, the funds help to reduce the intensity of the inflammatory process in the gland.

Muscle relaxants

Provides relaxation of the striated muscles, relieves pain and discomfort.

Phytotherapeutic agents

They are used only as an adjunct treatment, but in no case instead. Phytopreparations help to eliminate the swelling of the gland, reduce the pain syndrome and give less stress to the human organs.

Additional techniques

In addition to long-term drug therapy, certain methods are prescribed to alleviate the patient's condition and prevent recurrence of the disease.

Physiotherapeutic methods are direct massage, microclysters with healing solutions, sitting baths, low intensity laser radiation, electrical stimulation, magnetic therapy, acupuncture.

In particular, massage, so unloved by men due to banal modesty, is indicated for the treatment of chronic prostatitis in almost all cases. The massage allows you to clear the prostate ducts, relieve congestion and inflammation and normalize the functioning of the gonads. The massage is performed at home or in a medical institution 2-3 times a week.

surgery for chronic prostatitis

Indications for the use of surgical methods are acute conditions that pose a threat to a man's life.

Indications for surgical methods

However, with the complete ineffectiveness of the performed conservative treatment, the surgical intervention is not performed in all cases. Indications for the use of surgical methods are acute conditions that are a direct threat to a man's life:

  1. Urethral obstruction.In case of severe narrowing of the urethra and cessation of urine flow, emergency surgery is indicated. Phimosis is often added to the obstruction, followed by circumcision of the foreskin.
  2. Drainage to form a prostate abscess.A large accumulation of pus in the gland poses a direct threat to the patient's life (sepsis), so the surgeon's task is to quickly extract and drain it.
  3. Restoration of seminal vesicles.It is necessary when they are severely damaged as a result of inflammation. The operation is performed to improve the function of removing the secretion of the prostate gland.
  4. Complete or partial removal.It is necessary in case of strong hardening of the tissues.

Very often men suffering from chronic prostatitis make the same mistake: they use one method or drug as a treatment, despite the fact that complex therapy is prescribed. There are many arguments, but as a result the disease remains untreated and manifests itself once again with renewed vigor. That is why it is important to remember: none of the treatment methods prescribed by the doctor should be neglected, then the pathology will subside and the man will be able to live a full life.