Inflammatory diseases of the prostate are widespread among the male population aged 20 to 50 years. They have a negative impact on the sexual and reproductive function of the male body, reduce the quality of life of patients and lead to psychoemotional disorders.
Treatment of prostatitis is quite a complex task. The best results can be achieved with an acute process, but most patients go to the doctor already at the stage of chronic inflammation, being shy about their problem or denying its existence for a long time. The course of chronic prostatitis is associated with frequent relapses and insufficient effectiveness of the therapy. To ease the patient's condition, the doctor has to apply a whole arsenal of techniques, including medication, herbal medicine, physiotherapy, massage and spa treatment. In this article, we will look at what methods of physical therapy are used to treat prostatitis and for what purpose.
- Why are physiotherapy procedures prescribed for prostatitis?
- Physiotherapy of acute prostatitis
- Magnetic therapy
- Drug electrophoresis
- Laser therapy
- Physiotherapy of chronic prostatitis
- Electrical stimulation of the prostate gland
- Hydrogen sulfide baths
- Spa treatment
- Which doctor should I contact
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Why are physiotherapy procedures prescribed for prostatitis?Physical therapy techniques help to reduce pain, swelling, and reduce the activity of the inflammatory process in prostatitis
A comprehensive approach is necessary in the treatment of both chronic and acute prostatitis. An important part of it is physical therapy. It complements medical treatment and increases its effectiveness. With its help, you can achieve:
- relief of inflammation and congestion;
- reduced pain;
- reducing the likelihood of sclerotic changes in the gland in the future;
- stimulation of the body's defenses;
- restoration of organ function.
As a result of reducing inflammation, edema and improving the outflow of prostate secretions, the penetration of drugs into the tissues of the gland, where they have their specific effect, is facilitated.
It should be noted that the appointment of a physiotherapist may have certain differences in the acute and chronic process. Some of the procedures that are effective for chronic sluggish inflammation may be contraindicated in acute prostatitis.
Physiotherapy of acute prostatitis
Physiotherapy techniques for acute inflammation of the prostate are prescribed after a decrease in the activity of inflammation and normalization of body temperature. A prerequisite for such exposure is considered to be an adequately selected antibacterial therapy. After all, if you start physiotherapy against the background of rapid development of the infectious process, then it is possible to further spread the latter from the body with the development of complications.
For the treatment of prostatitis in clinical practice, high – and low-frequency magnetic therapy is used, in which an alternating electromagnetic field of a certain frequency acts on the tissue. It promotes changes in the state of liquid crystal structures, increases the activity of metal-containing enzymes, and stimulates the formation of induced electric currents in tissues that have a variety of effects on the body. The main effects are:
- trophic (improves microcirculation and nutrition of tissues);
- activation of the anticoagulant system.
The therapeutic effect is carried out on the perineal area. The average duration of one procedure is 10 minutes. The duration of treatment is 10 sessions.
Magnetic therapy is contraindicated in patients with acute cerebrovascular accident, acute myocardial infarction, or an implanted pacemaker.
It is a method of combined exposure of the patient's body to direct electric current and medicinal substances that dissociate into ions that penetrate deep into the tissues and exert their biological effect. They accumulate in the pathological focus and create quite high concentrations there. When prostatitis is administered in this way:
- analgesics (novocaine, amidopyrine);
- enzymes (lidase, trypsin);
- potassium iodide;
- immunomodulators (prodigiosan).
Electrophoresis of analgesics reduces pain. Enzymes and potassium iodide are used in the presence of infiltrative-sclerotic processes.
Electrodes are applied to the perineum and lower back. Procedures are performed daily for 10-15 minutes and 10 sessions.
In the acute period, patients with prostatitis are often prescribed ultraphonophoresis of antibacterial drugs. This technique provides deeper penetration of the drug into the gland, and also increases the adsorption capacity and permeability of cell membranes. As a result, a high therapeutic concentration of the drug substance is created in the affected organ. With rectal phonophoresis, the content of an antibiotic in the prostate is higher than with parenteral administration. In addition, ultrasound potentiates the effect of the drug.
The effect is carried out in a pulsed mode and lasts about 10 minutes. To achieve a sufficient therapeutic effect, the procedures are performed daily for 10-12 days.
In UHF therapy, an ultra-high frequency electric field is used as a therapeutic physical factor. It causes vibrational movements of ions and molecules in the tissues, which, when in contact with each other and overcoming friction, cause the formation of heat. This affects blood circulation in the capillaries, metabolism, enzyme activity, and other biological reactions. As a result, blood circulation in the focus of inflammation increases, the number of white blood cells and their phagocytic activity increases, which leads to a decrease in inflammation. UHF also stimulates regenerative-trophic processes in the connective tissue around the hearth.
To affect the prostate, the procedure is performed in a lying position on the side with the legs bent at the knee and hip joints. One electrode is placed on the perineum, the second-in the suprapubic area with a gap of about 3 cm. To complete the full course of treatment, you need 5-6 procedures of 10-12 minutes each.
The use of sinusoidal modulated currents in prostatitis provides:
- analgesic effect;
- reducing puffiness;
- normalization of prostate tone;
- sufficient blood flow in its main vessels.
To perform the procedure, one electrode is inserted into the rectum to a depth of 5-7 cm, the other is placed above the pubis. The therapeutic effect should be carried out daily for 10-15 minutes for 6-7 days.
Decimeter wave therapy of the prostate gland can be performed by contact on the perineum or rectal method.
The method is based on the therapeutic effect of electromagnetic waves in the decimeter range. They penetrate the tissues to a depth of 8-10 cm. The process of absorption is accompanied by the formation of heat and various physical and chemical reactions that lead to increased metabolic processes and the activity of cellular respiration. Water-rich fabrics are more susceptible to heat. Their heating leads to vasodilation, increased blood flow and elimination of stagnant phenomena.
DMV therapy also has a general effect on the patient's body:
- activates the release of sex hormones;
- stimulates the spinal centers of erection and ejaculation;
- improves sexual function.
The duration of such treatment is 5-10 days, 3-6 minutes per procedure.
Laser therapyThe laser beam is applied to the perineum, femoral vessels, and genital area
It is a type of phototherapy based on the effect of low-intensity laser radiation on the body. Its use in prostatitis can quickly suppress inflammation by stimulating the phagocytic activity of neutrophil granulocytes and active reparative processes. Under the action of the laser, pronounced regeneration begins not only in the prostate gland, but also in the urethra.
During the procedure, the perineum, femoral vessels, and genitals are affected. It may be carried out through the rectum. The average therapeutic course consists of 10 short-term (1-2 minutes) daily sessions.
Physiotherapy of chronic prostatitis
Chronic inflammation of the prostate gland is often combined with its hyperplasia. This should be taken into account when prescribing physical therapy. When the disease worsens, all the methods used in the acute process are used in the treatment. As the inflammation subsides, they are joined by other, equally effective procedures.
Electrical stimulation of the prostate gland
The method of electrostimulation is used in patients with prostatitis to restore organ function. The therapeutic effect is provided by pulsed currents. Under their influence, cell membranes depolarize and their permeability changes.
Electrostimulation is usually performed rectally, less often-by an external method. In accordance, the electrodes can be located either in the rectum and suprapubic region, in the perineum and above the pubis. Sometimes a special electrode is inserted into the urinary tract. The duration of one session does not exceed 15 minutes. To complete the full course of treatment, 10 procedures are required.
The course of prostate massage complements the main treatment well. It promotes adequate drainage of its ducts and improves blood supply to both lobules. Sessions are usually held every other day. After 10-12 procedures, their frequency is significantly reduced. 3-6 weeks massage is performed 1 time in 7 days.
Despite its effectiveness, massage is not used in all patients. Some of them do not tolerate the procedure well. But in some cases there are contraindications:
- anal fissures;
- severe hemorrhoids;
- pathological seals and areas of soreness in the gland.
Hydrogen sulfide baths
These physiotherapy procedures can be used in the form of general or local baths, as well as microclysters. They are primarily indicated for patients with severe circulatory disorders in the pelvic region. Due to the release of biologically active substances and mediators, they have a vasodilating effect.
General baths are carried out every other day or two. Basic conditions:
- hydrogen sulfide concentration-50, 100, 150 mg / l;
- water temperature – 35-37 degrees;
- duration-8-12 minutes.
Local baths are prescribed daily or every other day, and their duration can be extended to 20 minutes.
In the rectum, water saturated with hydrogen sulfide is introduced as part of a novocaine-sulfide mixture. This reduces the reaction of the rectal mucosa to irritation.
For the treatment of chronic prostatitis in remission, peat and silt mud therapy is used. When they are applied to the skin, biologically active substances penetrate it, the action of which stimulates microcirculation and tissue regeneration processes. Local hyperthermia leads to vasodilation, acceleration of blood flow and lymph circulation. This contributes to the rapid outflow of interstitial fluid and the entry of oxygen and nutrients into the cells.
They also have anti-inflammatory, decongestant and immunomodulatory effects. Despite this, mud treatment can cause disruption of adaptive capabilities and exacerbation, so it is not used in the acute period.
The course of therapeutic action consists of 18-20 procedures, which are usually prescribed at intervals of 1-2 days. They are performed in the form of applications on the lower abdomen and perineum or rectal mud swabs.
Patients with chronic prostatitis in remission are shown to improve their health in balneo -, climate -, mud-treatment resorts of the Southern coast of the Crimea. Especially useful are air baths and thalassotherapy, which help to mobilize the body's defenses and adaptive capabilities.
However, this treatment may be harmful to some patients. Contraindications to it are:
- prostatitis of a tuberculous nature;
- prostate tumors;
- benign prostatic hyperplasia stage 3.
Which doctor should I contact
To prescribe physiotherapy for prostatitis, you need to consult a physiotherapist. However, this doctor himself will not make a diagnosis, so before visiting him, it is necessary to consult a urologist, check the PSA level and perform an ultrasound of the prostate.
ConclusionTherapeutic mud has an anti-edematous, anti-inflammatory and immunomodulatory effect. With prostatitis, they are used in the form of applications on the lower abdomen or perineum
Physiotherapy is an important component of the treatment of patients suffering from prostatitis. Its use increases the probability of complete recovery of the patient and ensures the achievement of stable remission. Resolution of stagnant phenomena in the pelvic area, stimulation of immunity allow the body to quickly cope with the existing problem.