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What to do with exacerbation of prostatitis? Symptoms, Causes, and Treatment

Chronic prostatitis has a cyclical course. Periods of remission are replaced by periods of exacerbation. Symptoms of the disease begin to manifest brighter in the autumn-spring time, as with many other diseases of a chronic nature. Also, symptoms often appear in winter, when lower temperatures and a weakening of the body's immune system are observed.

Exacerbation of chronic prostatitis has its causes and is manifested in the form of various manifestations.

To reduce the likelihood of acute signs of the disease, it is necessary to conduct treatment on time and follow the rules for the prevention of the disease.

Why are exacerbations observed?

The causes of exacerbation of chronic prostatitis can be very different. There are several main factors that most often lead to it:

  1. Prostatitis may worsen due to a decrease in the protective functions of the body during hypothermia. Due to the suppression of immune defense, the body is unable to cope with harmful microorganisms, so the disease goes into the acute phase. Subcooling can also be obtained when in cold water in the summer. But especially often, the process is observed in autumn and winter.
  2. Symptoms are aggravated by a sedentary (sedentary) lifestyle. In this case, stagnation appears in the pelvic area. In addition, with impaired blood circulation, the body's resistance to various pathogenic viruses, bacteria, and fungi decreases.
  3. Prostatitis may worsen with the penetration of urogenital infection. Often this situation is observed in case of unprotected sexual intercourse.
  4. An inflammatory process in the prostate gland can occur if there is an activation of any other chronic disease.
  5. Exacerbated prostatitis is very often manifested with excessive alcohol consumption. Smoking also contributes to this.
  6. Improper nutrition can cause an exacerbation of the disease.
  7. The likelihood of an exacerbation increases dramatically during a stressful situation in a man’s life.


Symptoms of exacerbation of chronic prostatitis in men are similar to signs of an acute form of the disease. They are divided into two large groups: specific and non-specific.

Specific signs that exacerbated prostatitis are as follows:

  1. At the initial stage, painful sensations appear in the groin, perineum and genitals due to the fact that the prostate begins to become inflamed. At the same time, the man notes that the entire urethra is sore. Discomfort and tension are also observed in the lumbar region and rectum.
  2. The color and smell of urine changes. This is immediately noticeable.
  3. The urethra becomes painful. In addition, mucous discharge from the urethra appears.
  4. Defecation is accompanied by severe pain.
  5. There are frequent calls for urination. In this case, a minimum amount of urine is allocated.
  6. Sexual function is impaired. Weakened erection, pain in the penis, premature ejaculation are noted.

Non-specific symptoms of exacerbation are also distinguished. They are expressed in the deterioration of the general condition of the body of a man. The patient may notice the appearance of:

  • weaknesses
  • fatigue and loss of strength,
  • irritability and nervousness,
  • insomnia
  • fever
  • psychological disorders,
  • increased sweating, which is accompanied by an unpleasant odor,
  • apathy and muscle weakness.

Symptoms of exacerbation of chronic prostatitis may be different, but there is one that is uniquely associated with the disease. This is pain immediately after ejaculation. After ejaculation, the prostate contracts, and since it is inflamed, it causes pain.

If there is an exacerbation of prostatitis, then the specialist should decide how to treat it. He evaluates the clinical picture of the disease and prescribes symptomatic and general therapy.


Sick men often wonder how to relieve and how to treat exacerbation of prostatitis. Self-prescribing medications is strictly unacceptable, as this can exacerbate the situation. The attending physician should do this after examining the patient.

First of all, the use of antibacterial agents is required to eliminate inflammation. They are prescribed only with a confirmed inflammatory process. The following classes of antibiotics are used:

  • fluoroquinolones,
  • nitromidazoles,
  • macrolides
  • tetracyclines.

If the inflammation is caused by fungi or viruses, it is necessary to supplement the antibacterial treatment with the corresponding groups of drugs.

With swelling of the tissues, it is important to take antihistamines. It is better to use a new generation of drugs. The effective effect is Primalan, Ketotifen.

To increase microcirculation, a reception is required:

These drugs are prescribed if the exacerbation is caused not by bacteria and not by the inflammatory process.

Also, the patient may be prescribed such alpha-blockers as Nicergoline, Prazosin.

If there is an active proliferation of the prostate gland, then the doctor can prescribe treatment with:

To reduce pain in the pelvis, Diclofenac, Iburofen and other non-steroidal anti-inflammatory drugs are indicated.

In case of impaired potency and negative changes in the genital area, blood circulation and erection stimulants can be prescribed. Among them are Viagra and Sealex.


What to do with exacerbation of prostatitis in addition to drug exposure? Of course, restorative therapy is needed. Physiotherapy can be attributed to it.

Physiotherapy is an additional method of combating prostatitis. It helps to improve blood circulation in the vessels of the pelvic organs and enhances the effect of antibiotics.

Among physiotherapeutic methods, the following procedures are most widely used:

  • electrophoresis
  • magnetotherapy
  • Microwave currents
  • laser treatment
  • ultrasound exposure.

Very useful is prostate massage, which can be manual and hardware.

Microclysters with medicinal solutions are widely used. The solution can be prepared based on:

  • mineral water
  • sea ​​buckthorn, peach, castor oils, cocoa butter and rose hips,
  • decoctions of medicinal plants,
  • infusions of herbs.

So that the exacerbation does not occur again, and the disease is steadily in remission, it is necessary to adhere to preventive measures.

Exacerbation of prostatitis: symptoms and causes

Types of prostatitis due to the development of the disease are divided into several groups (bacterial, abacterial, stagnant), if no treatment is used, the disease flows into the chronic stage.

With chronic prostatitis, there is no unbearable pain in the perineum, fever, most often men with such a disease do not seek medical help until a severe deterioration occurs - aggravation.

The acute form develops only with chronic prostatitis due to some factors several times a year.

Any disease is exacerbated due to a decrease in the level of the immune system.

Causes of exacerbation of prostatitis:

  • hypothermia
  • SARS disease, other infections,
  • stressful situations
  • improper diet (spicy, fried foods predominate, irregular meals on the run take place),
  • abstinence, especially when excited,
  • sexual intercourse with infected partners,
  • sedentary lifestyle (stagnation of blood and gland secretion),
  • alcohol abuse, smoking,
  • frequent constipation.

Symptoms of exacerbation of prostatitis:

  • acute pain in the perineum, scrotum, penis, lower abdomen, lower back,
  • high temperature (sometimes drops sharply)
  • painful urination or inability to urinate with a sensation of an overflowing bladder,
  • discoloration of the urine, sometimes the presence of a nasty smell,
  • burning in the urethra,
  • mucus secretion during bowel movements,
  • the impossibility of sexual life (pain during intercourse, premature ejaculation, impaired potency).

Also, against the background of such symptoms, work is disturbed nervous system, which means:

  • insomnia,
  • irritability, unreasonable anger,
  • fear,
  • sweating.

Causes of exacerbation of prostatitis

The problem arises for a variety of reasons. First of all, the man’s lifestyle affects. If the patient drinks alcohol, smokes and does not eat well, the likelihood of relapse increases significantly. This lifestyle leads to a decrease in immunity, impaired circulation in the genitals and exacerbates the situation.

Another reason is hypothermia. It is very important to dress warmly in the cold season, to keep your legs and genitals warm. Men with prostatitis should not dive into the hole and go out in the cold after a bath. In the warm season, you need to be careful, you can not sit on the cold. After swimming in a pond, you should not go in wet swimming trunks, all this can provoke an exacerbation.

The cause of pain in the prostate can be a sedentary lifestyle. Patients with prostatitis are shown daily exercise therapy, as well as regular sex life. The lack of movement leads not only to exacerbation of chronic prostatitis, but also to the formation of stones in the prostate.

Another reason is infection. These can be urogenital infections, including sexually transmitted infections, as well as chronic diseases of the upper respiratory tract, and other infectious and inflammatory pathologies. Even if prostatitis has arisen against the background of degenerative changes, an infection may join the pathology, which will entail an exacerbation of the disease.

Symptoms of exacerbation of chronic prostatitis

Chronic prostatitis is characterized by a blurred clinical picture. Patients are concerned about aching pain in the groin, difficulty urinating, infertility and manifestations of erectile dysfunction. Exacerbation of chronic prostatitis is accompanied by the following symptoms:

  • Painful urination, frequent urination, acute urinary retention.
  • Pain during ejaculation and bowel movements.
  • Constantly disturbing pain in the groin, which is given to the lower back.
  • Violation of the quality of sexual life due to pain and manifestations of erectile dysfunction.
  • When infection occurs, relevant signs appear, such as high body temperature, intoxication of the body, discharge from the urethra.

Reidivism with the disease can manifest itself without severe symptoms. In this case, patients are only concerned about weakness, overall poor health.

How to relieve exacerbation of prostatitis

Measures to combat the problem are carried out on an outpatient basis. The patient is recommended to observe bed rest, adhere to proper nutrition and drinking regimen.

With the resumption of the clinical picture of prostatitis, it is strictly forbidden:

  • prostate massage,
  • alcohol and smoking
  • active physical activity.

Sex is also contraindicated during this period, as it hurts the patient. In addition, the ingress of infected sperm into the genital tract of a woman can cause inflammation of the genital organs and in her.

The basis of therapy is medication, physiotherapy. After eliminating the problem, a man needs to engage in physical therapy, strengthen immunity and lead a healthy lifestyle.

Medications for exacerbation of prostatitis

How to treat an exacerbation of prostatitis should be prompted by a doctor, since therapy is selected individually. Usually, doctors prescribe the following groups of drugs:

  • Antibiotics, for example, Ofloxacin, Amoxiclav, Ceftriaxone, etc.
  • Nonsteroidal anti-inflammatory drugs, in particular, Naproxen, Ibuprofen.
  • Specific drugs for prostatitis, for example, Prostamol, Prostatilen, Prostan, etc.
  • Alpha-adrenergic blockers, in particular, Omnik, Uroxatral, Flomax, etc.

In complex treatment, prostatitis preparations based on plant components, homeopathic and folk remedies can also be used. Also, such drugs can be used as preventive measures.


Relapse of prostatitis is a very unpleasant phenomenon that violates the quality of life of the patient. Therefore, it is best not to aggravate, but to engage in the prevention of prostatitis. It is worth noting that such measures are indicated not only for patients with chronic prostatitis, but also for all men after 50 years, since they are at risk.

Prevention of exacerbations of prostatitis consists in the following measures:

  • Regular sex - does not allow the prostatic secret to stagnate, prevents the formation of stones.
  • Healthy lifestyle, proper nutrition.
  • Daily physical education, an active lifestyle.
  • It is very important to dress according to the weather, do not overcool and do not overheat.
  • It is recommended to avoid indiscriminate sexual relations and protect yourself with a condom if you are not sure about your partner’s health.
  • It is necessary to be regularly examined by an andrologist.

The right attitude to your health is the basis for the prevention of exacerbation of prostatitis.

Causes of exacerbations

Exacerbation of chronic prostatitis usually occurs due to a decrease in the body's immune defense. Main reasons:

  • Hypothermia. Decreased local immunity leads to the activation of conditionally pathogenic microflora,
  • Long sexual abstinence on the background of a sedentary lifestyle (plethora, venous congestion in the pelvic organs),
  • Infection through unprotected sex or from other organs,
  • Severe stress
  • Obesity,
  • Physical stress
  • Abuse of alcohol (the effect of alcohol on prostatitis) and hot spices.

Most often, the cause of exacerbations of prostatitis is Escherichia coli and enterococcus fecal. It is quite difficult to remove them from the prostate gland. Doctors believe that the activation of these pathogens occurs against the background of colitis, enterocolitis, any intestinal dysbiosis. Simultaneous treatment with a gastroenterologist at times increases the effectiveness of therapy with a urologist.

An exacerbation can also occur against the background of a cold, hypovitaminosis, during the off-season. Even systemic patients who comply with all the doctor’s prescriptions and avoid provoking factors are not safe from attacks. Once every 3-4 years, prostatitis and it makes itself felt. In some men, frequent exacerbations are associated with constitutional features: low blood circulation, weak immunity. It is more difficult to deal with such factors; additional support of the body is required.

Symptoms of exacerbation of prostatitis

In men with a chronic form of prostatitis, immunity is significantly reduced. Manifestations of relapse are not significantly different from the course of the acute form of the disease. Often, doctors divide symptoms into two forms: specific and non-specific.

Specific symptoms of exacerbation of chronic prostatitis are:

  • Constant urination. A man in the normal state of the genitourinary system can go to the toilet up to 8 times a day. But the inflammatory process significantly irritates the bladder, so there is a constant feeling of a full bladder.Sometimes a man cannot go to the toilet at all, he is hampered by a sharp pain in the groin during urination.
  • Blood in urine. This happens in rare cases. Such bleeding is quite difficult to stop, it requires professional medical attention.
  • Pain during ejaculation.
  • Accelerated ejaculation.

Nonspecific signs of exacerbation of chronic prostatitis:

  • constant feeling of weakness
  • depressive state
  • fever.

What is the danger of exacerbations

Frequent exacerbations of the chronic form of prostatitis not only exhaust the man morally and physically, depriving him of the opportunity to lead a full life, but also are dangerous by complications. The tissues of the prostate gland against the background of constant inflammation cease to function normally. As a result, their proliferation (hyperplasia) or abscess may begin.

With an exacerbation of inflammation, pathogens from the prostate can move to neighboring organs, leading to urethritis, cystitis, inflammation of the intestinal walls. If untreated, pyelonephritis and renal failure are likely to develop.. Infection can sink into the testes, provoking orchitis and epididymitis.

Epididymitis (lat.epididymitis) - inflammation of the epididymis, characterized by inflammation, hyperemia, swelling and swelling in the scrotum. There are acute and chronic forms.

Periodic exacerbations lead to impaired potency and infertility. The secret of the prostate is a significant proportion of the ejaculate, therefore, with dysfunction of the organ, spermogram indicators worsen.

The most terrible complication is oncology. There is no direct connection between chronic prostatitis and prostate cancer, but many doctors believe that frequent exacerbations significantly increase the risk of developing malignant processes.


Treatment of exacerbations of chronic prostatitis requires careful diagnosis and an individual approach. You can not take antibiotics yourself - the substance may be inactive against the pathogen, which will provoke its activation and blurring of the clinical picture. Self-treatment with herbs and dietary supplements will not bring much harm, but time will be lost in which it would be possible to more effectively stop the relapse. If the patient was already at the doctor's office and was treated for exacerbations, then you should not focus on previous appointments - the reason for the next relapse may already be different.

For the diagnosis of exacerbation of prostatitis the following studies are needed:

  2. General analysis of blood and urine.
  3. Scraping for genital infections and bacterial inoculation of prostatic juice.

The doctor may prescribe additional tests (for example, a spermogram) or instrumental types of examinations.


Before receiving test results severe pain during exacerbation is stopped by non-steroidal anti-inflammatory drugs (Nurofen, Ibuprofen). Both candles and tablets are used. The appointment can be supplemented with antispasmodics to relieve spasms of smooth muscle tissue. For the same purpose, you can take alpha-blockers. If the inflammation is accompanied by very severe pain, then intramuscular administration of novocaine is possible.

Inflammation with exacerbation of prostatitis causes severe swelling of the tissues of the gland, which complicates the outflow of urine and provokes severe pain. To stop the symptom, antihistamines are prescribed. Representatives of the latest generation are Ketotifen, Primalan.

Improving blood microcirculation helps relieve swelling and accelerate tissue regeneration, therefore exacerbation therapy includes blood-thinning agents (Eskusan, Trental). With bacterial prostatitis, these drugs are not used, so as not to provoke the spread of pathogens. To eliminate edema and reduce the concentration of pathogens, diuretics are prescribed.

In the first 2 weeks of relapse treatment, the patient receives detoxification and antibacterial therapy. Antibiotics prescribed for exacerbation of chronic prostatitis are selected on the basis of test results. It can be fluoroquinolones, macrolides, nitromidazoles, tetracyclines, protected penicillins. If necessary, antifungal or antiviral drugs are prescribed.

Your doctor may recommend microclysters with the following agents:

  • Antiseptic herbs (chamomile, St. John's wort, calendula),
  • Medicines ("Dimexide", iodine solution),
  • Vegetable oils (castor, sea buckthorn).

After removing the main symptoms of exacerbation, it is necessary to restore prostate tissue. For this, bioadditives (“Prostamol”, “Prostatilen”, “Prostanorm”), rectal suppositories (“Viferon”) and a course of physiotherapy are used.

Surgical treatment is resorted to with extensive hyperplasia or abscesses. In severe cases, the prostate gland is completely removed.

During therapy, it is important to ensure timely bowel movement.. If necessary, prescribe laxatives, probiotics. The diet should include a sufficient amount of fiber (cereals, vegetables). Useful pumpkin oil and seeds, as well as honey. During an exacerbation, it is recommended to follow a diet: exclude spicy, roasted, coffee, alcohol, pickles and marinades, fewer simple carbohydrates (more on nutrition with prostatitis).


Physiotherapy (does physiotherapy help with prostatitis) is used as an additional rehabilitation treatment during remission. The following procedures help eliminate the effects of exacerbation of chronic prostatitis.:

  1. Electrophonophoresis and electrophoresis. In the first case, drug delivery to tissues is stimulated by electric current, in the second - by ultrasound.
  2. Magnetotherapy using a rectal emitter.
  3. Massage the prostate manually or with an electric stimulator.

  1. Mud baths.
  2. Laser therapy (a painless method of enhancing blood microcirculation).

Regular performance of Kegel exercises (after removing the edema and stopping the infection process) helps to improve the functioning of the prostate.

Folk remedies

Alternative methods for exacerbation of prostatitis can only be used as an auxiliary line of therapy and after consultation with a doctor.

The following remedies can be tried to relieve symptoms:

  • Onion infusion. Grate 3 onions, pour 600 ml of boiling water, leave for a day. Drink 50 ml hourly,
  • Parsley. A tablespoon of a mixture of seeds, roots and leaves pour 100 ml of boiling water, leave for 24 hours. Drink 4-5 times before meals. With prostatitis, parsley juice is also useful,
  • Sagebrush. During the first 3 days of exacerbation, it is recommended to swallow a tablespoon of dry grass powder every 2-3 hours (drink with warm water), including at night. The next 4 days, the powder is taken only during the day, but at least 5 times,
  • Garlic. 5 crushed cloves pour 500 ml of boiling water, leave for 12 hours. Drink 100 ml three times a day before meals.

With exacerbation of prostatitis, wormwood can be used for douching: 50 ml of infusion is injected into the urethra and rectum. Recipe for infusion: a teaspoon of raw materials is poured into a glass of boiling water, aged 1-2 hours. At about 3-4 days of douching from the urethra, a purulent discharge of the prostate (if any) may appear.

With exacerbation, rectal administration of tampons soaked with propolis helps well (read also about suppositories with propolis for prostatitis). To prepare a solution, 30 g of a solid are melted in a glass of vegetable oil in a steam bath.

It may take 1-1.5 months to completely stop all symptoms of exacerbation. Painful sensations with competent therapy go away after 2-3 days. With relief, it is important not to stop taking medications and procedures, otherwise the time interval between relapses will be reduced.

Complications and consequences

With exacerbation of chronic prostatitis, it is necessary to immediately undergo a course of therapy. Otherwise, the risk of developing dangerous complications increases:

  • Pyelonephritis, cystitis,
  • Vesiculitis, epididyimorchitis,
  • Infertility,
  • Acute urinary retention, which increases the risk of rupture of the bladder,
  • Oncological neoplasm.

Surgical intervention

In severe cases, doctors use surgical intervention. This happens infrequently. Usually, doctors resort to surgery in extreme cases, since there is a risk of complications, a long recovery period.

Operations are carried out with an abscess of the prostate gland, purulent tissue abscesses that are located nearby, an acute delay in urine output. At the same time, part of the gland (resection of the organ), all gland (prostatectomy) can be removed or all the foreskin (circumcision) can be cut off. An abscess is also drained to remove pus from it.

Medical advice

When chronic prostatitis worsened, sexual intercourse should be abandoned. You can have sex only in remission. Some urologists even recommend an active sexual life in order to prevent exacerbation of pathology.

You can also engage in power loads, but moderate, lead an active lifestyle, do exercises. Simple exercises, such as a bicycle, will help improve blood circulation in the pelvic organs and eliminate stagnation in the prostate.

Alternative medicine

If there are signs of exacerbation of chronic prostatitis, you can use daily pumpkin seeds in raw form in the amount of thirty pieces. You can also mix beet, carrot, asparagus and cucumber juice in equal proportions.

Some treat exacerbation of the pathology by propolis. To do this, add two hundred grams of alcohol to add forty grams of propolis and evaporate the mixture over a fire. Then add two grams of cocoa butter and mix well. Rectal suppositories are made from this mixture and used as therapy for one month.

What to do to avoid exacerbation?

  1. To reduce the occurrence of inflammatory processes, it is necessary to lead a regular sexual life.
  2. It is necessary to exclude the use of alcohol, salty and spicy foods from the diet. If you combine the consumption of these products, then aggravation will simply be inevitable.
  3. In no case should you be cold at any time of the year.
  4. To prevent exacerbation of prostatitis, you need to constantly be observed by a doctor. An exacerbation of the disease can occur against a background of general malaise. Therefore, a man must adhere to a proper and balanced diet, play sports and pay due attention to his health.
  5. Be sure to monitor sexual contacts to exclude the likelihood of contracting sexually transmitted and infectious diseases.
  6. It is necessary to reduce sitting time to a minimum in order to improve blood flow.

Useful video

Prostatitis goes into chronic formif the cause of inflammation of the prostate gland or factors predisposing to it are not eliminated. In some cases, the disease develops for a long time without obvious signs and appears only during the first exacerbation. Subsequently, seizures occur cyclically and spontaneously, significantly worsening the quality of life of a man and often leading to complications. It is possible to reduce the frequency of relapses if they are correctly stopped and the influence of provoking factors is avoided..

Which doctor should I go to?

At exacerbation of prostatitis what to do? The first thing you need to see a doctor. It is worth contacting specialists in urology and andrology.

These doctors treat diseases of the urinary and reproductive system.

The doctor should give a thorough answer about the condition, do not be shy and underestimate some facts - this may make treatment difficult.

However, not only the urologist (andrologist) will participate in the process of getting rid of prostatitis.

After examination and questioning, a referral to a therapist, endocrinologist, physiotherapist, immunologist, psychologist (psychotherapist) will probably be sent for a more detailed picture of the disease.

How to treat?

Methods of treating exacerbation of prostatitis:

  • drug treatment (each drug is selected on the basis of analyzes),
  • physiotherapy (magnetotherapy, electrophoresis, laser therapy),
  • therapeutic exercises (after removing the main symptoms, light exercises are prescribed to improve blood circulation in the pelvis),
  • dieting (exclusion of harmful products),
  • folk methods (only after consulting a doctor).

Best on time exacerbations of prostatitis lie in a hospital, they use more powerful drugs (intravenously, intramuscularly), an accurate diet and rest. With exacerbation of inflammation of the prostate, bed rest is indicated.

Folk methods

ethnoscience based on the use of natural herbs, trees, oils. Such funds have a significant plus - they do not give any effect on the microflora of the digestive system, like antibiotics.

Best of pain helps:

  • propolis - turundu (tampon) is impregnated with propolis and inserted into the anus,
  • a decoction of aspen bark - boil the crushed bark, take when painful,
  • microclysters with eucalyptus - dilute several ml of eucalyptus oil in 250 g of green tea, add 1 teaspoon of dry wormwood, 3 tablets of mummy.

Pumpkin seeds with honey and pumpkin oil are well known in the treatment of honey.

Everything needs to be consumed inside, the doctor will prescribe the time of administration.

Experts recommend consuming more parsley and green onions.

During the period of exacerbation, a decoction of parsley roots is possible.


Do not forget about diet when exacerbation of prostatitis.

Fried, spicy, heavy foods, alcohol-containing, carbonated drinks should be excluded from use.

Include cereals, dairy products, vegetables, fruits (low acidity), fruit drinks, diuretic teas in the diet. You can not eat radish, sorrel.

Drug treatment

For medical treatment, the following are used:

Antibacterial agentsAntibiotics for exacerbation of chronic prostatitis are prescribed from the group of tetracyclines and macrolides. They act specifically on pathogens. The duration of the course of therapy should be at least 2 weeks.
Antifungal and antiviral drugsThey are usually prescribed after antibiotics.
AntihistaminesThey should be taken to relieve inflammation from the tissues of the prostate gland.
Anti-inflammatory drugsFor acute pain, doctors prescribe diclofenac, ibuprofen.
Preparations for normalizing prostate functionAfter the main course of treatment, medications are prescribed to restore the functions of the genitourinary system.

It happens when treatment with these drugs does not bring the desired result. And then what to treat exacerbation of prostatitis? In such cases, the cheapest drug comes to the rescue - Biseptol.

It contains substances that block the reproduction of various bacteria and viruses. Biseptol tablet is removed from human blood within 7 hours. But he, like other medicines, has a number of contraindications:

  • intolerance to components
  • kidney or liver failure,
  • allergic reactions.

The course of therapy with Biseptolum lasts 7-14 days, depending on the stage. Statistics say that cure comes in a few days. The basic rule is not to interrupt the course, which can lead to an exacerbation of the inflammatory process.

Physiotherapeutic procedures and massage

Treatment of exacerbation of chronic prostatitis occurs using physiotherapeutic methods, which include electrophoresis, magnetotherapy, prostate massage, and microwave currents.

Separately, it is worth noting the procedure for massage of the prostate - effective prevention of exacerbation of prostatitis, but without the appointment of a urologist it is forbidden to do it. This can cause significant harm to men's health. Massage should last about 5 minutes, and it is done every other day. The first procedure is the most unpleasant and very painful.

Before massage, you need to undergo appropriate training:

  1. The intestines should be completely cleaned.
  2. The bladder must be full. This will help to more easily determine where the prostate gland is.
  3. Abstinence from food intake, at least 3 hours before the procedure.

To treat chronic prostatitis in the acute stage with the help of massage, you can use several methods: external and internal. The second method is more effective, and usually doctors recommend it. During the massage itself, you must be extremely careful. Each movement should be smooth and soft.

Important: exacerbation of prostate adenoma is the main contraindication for the use of massages.


In order to prepare a solution for microclysters, you need to take chamomile, calendula and St. John's wort and brew strictly according to the instructions. After the broth cools down a bit, add a little dimexide and cool the mixture to 37 ° C. The total amount of solution should not exceed 150 ml. To relieve pain and improve blood circulation, you need to use various oils - sea buckthorn, castor or peach. Before the procedure, you need to put a cleansing enema. After the solution has been introduced, it is advisable to be in a supine position for up to 40 minutes. Experts recommend doing an enema before bedtime, then it will be most effective. Making microclysters with prostatitis at home is very simple.


The use of coniferous baths is very useful. Needles perfectly relieve inflammation, acute pain, and

in addition, it also relaxes. She helps to remove symptoms, and treatment with her infusions is also quite effective. The finished composition can be purchased at the pharmacy or prepared yourself. The water temperature in the bathroom should not exceed 38 degrees. The procedure must be done before bedtime daily for 15-20 minutes.

Causes and consequences of exacerbation of the disease

There are various explanations that help to understand why chronic prostatitis worsens. Most often, the manifestations of pathology are amplified against a background of weakened immunity.

An exacerbation of chronic inflammation of the prostate gland can also be triggered:

  • hypothermia
  • physical overload
  • heavy alcohol,
  • lack of regular intimacy,
  • sexually transmitted diseases
  • sedentary lifestyle
  • constant stress.

The development of the inflammatory process in the prostate can be associated with the presence in the body of untreated infections, an exacerbation of other chronic diseases.

With an exacerbation of the disease, the condition of organs nearby with the prostate often worsens. Patients with infectious chronic prostatitis are susceptible to such disorders as cystitis, urethritis, vesiculitis, pyelonephritis. Frequent relapses of the disease reduce the quality of sexual life, provoke deterioration in sexual function, weakening erection and other manifestations impotence.

Chronic inflammation of the prostate gland is fraught with the development of congestive prostatitis. This type of disease is characterized by the absence of any symptoms for a long time.

Symptoms of the disease

When exacerbation of chronic prostatitis occurs, symptoms appear in the form of specific and non-specific signs. In the first case, the manifestations of the disease take the form:

  • soreness in the perineum or intestines that can go to the glans penis,
  • pain in the urethra, separation of mucus from it,
  • rapid urination
  • frequent calls to the restroom,
  • weak stream during urination,
  • backache in the coccyx, lower back,
  • sensations of incomplete emptying of the bladder,
  • discomfort during bowel movements,
  • pain during sexual intercourse,
  • sexual weakness.

Non-specific symptoms include conditions that can develop both with prostatitis and other diseases. Such signs of an exacerbated disease are manifested by increased fatigue, loss of strength, chills, fluctuations in body t, increased sweating, and sleep disturbances. Sometimes with exacerbation of chronic prostatitis, the patient becomes excessively irritable, aggressive towards others.

Diagnosis of the acute stage of the disease

To clarify the existing diagnosis and choose an effective treatment tactic, the urologist prescribes a detailed examination to the patient. Diagnosis of exacerbation of chronic prostatitis will consist of several procedures:

  1. Submission of a general, clinical analysis of biomedia (urine, blood).
  2. Taking a smear that serves to identify a specific antigen.
  3. Microscopy of prostatic secretion.
  4. Testing for sexually transmitted infections (STIs).
  5. Ultrasound of the prostate performed through the intestinal wall.

If pathogenic microflora is detected, a check is made for its resistance to antibiotics. Often t is measured in the rectum, a rectal examination is performed. Sometimes there is a need for endoscopic or urodynamic studies.

Get a full idea of ​​the exacerbation of chronic prostatitis allow additional examinations. In addition to the urologist, andrologist, endocrinologist, immunologist and psychologist can be involved in the diagnosis.

Treatment methods

When exacerbation of chronic prostatitis occurs, treatment often takes place at home. If the patient's condition is assessed as severe, therapy is carried out in the inpatient department, under the constant supervision of medical staff.

The main methods are:

  • taking individually selected medications
  • the appointment of physiotherapeutic procedures,
  • the use of folk recipes.

The duration of treatment may take more than one month. In addition to observing the main points of therapy, the patient will need to follow additional recommendations on nutrition, lifestyle, and sexual relations.

Commonly used drugs

The treatment course for exacerbation of chronic prostatitis is based on the use of several types of drugs. Patients are prescribed:

  • anti-inflammatory drugs
  • antibiotics
  • antifungal agents
  • painkillers
  • antispasmodics
  • diuretics
  • medications that normalize the function of the prostate gland.

The main anti-inflammatory drugs include tablets and rectal suppositories. To relieve acute inflammation, patients are prescribed Dicloberl, Vitaprost, Voltaren.

Antibiotics for exacerbation of chronic prostatitis are often selected from the number of fluoroquinolones. The list of effective drugs includes Norfloxacin, Ciprofloxacin. After antibiotic therapy, a course with antifungal agents is mandatory.

To relieve pain, Ibuprofen, Nimesil is used. With severe pain, Novocaine is indicated intramuscularly. The elimination of spasms is promoted by No-shp tablets.

Diuretics are used in the treatment of patients with frequent relapses. Patients with exacerbation of chronic prostatitis are prescribed a course with Furosemide, Veroshpiron, Spironolactone.

Restoring the normal state of the prostate gland helps drugs in the form of tablets, capsules, suppositories. Therapy is carried out using Prostamol, Prostatilen, Prostan.

Patients with exacerbated chronic prostatitis often show enemas with antibiotics, iodine solution, decoctions of medicinal herbs. Performing microclysters helps relieve soreness, reduce inflammation, and destroy pathogenic microflora.

Pumpkin Oil Enema

Before conducting a treatment session, it is necessary to empty the intestines and perform hygiene procedures. To get the maximum benefit from this method, you need to use only natural pumpkin oil. You can cook it yourself at home.

The algorithm of the procedure:

  1. Combine 10 ml of pumpkin oil with ½ cup warm boiled water.
  2. A sterilized rubber bulb or a disposable syringe with a catheter is filled with the resulting composition.
  3. The therapeutic substance is injected into the rectum.

Then for 15 minutes you need to lie on your side, allowing the components to penetrate through the walls of the intestine. Sessions are carried out before bedtime, 1 time per week (more frequent use of oil can cause dysbiosis). The duration of therapy is 1-1.5 months.

During non-traditional treatment of exacerbated chronic prostatitis, it is necessary to abandon weight lifting, intense sports. During this period, stress should be minimized, alcohol should be avoided.


Exacerbation of chronic prostatitis always begins suddenly, the symptoms increase rapidly. First, painkillers will come to the rescue, but then you need to see a doctor for a diagnosis. The better the relapse will be stopped, the more time will pass until the next.

Exacerbation of chronic prostatitis is an obvious signal of the body that its defenses have weakened. A disease of this form can be asymptomatic for a long time. Under the influence of negative factors, the period of remission is replaced by a repeated transition to the acute stage and requires immediate medical attention to get rid of unpleasant symptoms.

Prostatitis is an inflammatory process in the prostate gland. You can talk about the transition to a chronic form if the disease lasts for three months or longer. In this case, obvious expressed symptoms may be absent or so weak that the person himself is not aware of the disease.

With low immunity, inflammation progresses rapidly, prostate tissue begins to change. If treatment is not started on time, the process becomes irreversible. According to medical statistics, almost one in five urologist patients suffers from prostatitis in men. Moreover, the disease in most cases is detected by chance during a preventive visit to the doctor.

Possible complications

If treatment of exacerbation of chronic prostatitis is not started in time, the inflammatory process will spread throughout the body. First of all, organs and systems located next to the prostate gland will be affected - this is the rectum and urinary canal. Possible complications depend on the type of disease.

There is a risk of developing:

Any of the diseases can lead to more serious complications. For example, pyelonephritis leads to kidney failure.

A prolonged course of prostatitis in men is fraught with the spread of the process to the appendages and ovaries. The scrotum becomes edematous and constantly hurts, during ejaculation, acute pain also occurs. With an unfavorable outcome, this is fraught with testicular necrosis and physiological infertility.

Necessary diagnostics

When the first symptoms of exacerbation of prostatitis appear, you should consult a urologist or therapist. To select the optimal therapy, it is necessary to confirm the diagnosis and identify the nature of the inflammation. To do this, are assigned:

  • examination of a smear from the urethra,
  • Ultrasound of the prostate through the rectum,
  • rectal temperature measurement,
  • general blood analysis,
  • general urine analysis,
  • analysis of specific prostatic antigen.

The treatment course depends on the presence or absence of infection.


An antibacterial drug based on amoxicillin and clavulanic acid. Tablets are a broad-spectrum antibiotic. Suitable for the treatment of various infectious and inflammatory diseases, relieves inflammation and relieves negative symptoms.

With a mild or moderate form of the course, one tablet is prescribed every 12 hours, with a severe clinical picture, the reception interval is reduced to eight hours. The duration of use of medicines is determined by the attending physician. The course usually takes from five days to two weeks. After that, it is necessary to take tests again.

Using Amoxiclav can lead to poor appetite, diarrhea, nausea, or headaches. The drug is not suitable for people suffering from kidney or liver problems, as well as with individual intolerance to the components.


Rectal suppositories, allowing to normalize the metabolism and resume proper blood circulation in the parenchyma of the prostate gland. Allows you to relieve exacerbation of chronic prostatitis. The basis of the drug is prostate extract.

Suppositories should be administered after emptying or a special cleansing enema. One suppository at night is enough. The course of treatment is 10-14 days. If prostatitis tends to worsen regularly, Vitaprost is used for prevention - one suppository for a week.

The only possible contraindication is intolerance to the components. Mild allergic reactions are possible, which disappear on their own after the cancellation of medicinal suppositories.


Rectal suppositories, which have antipyretic, analgesic and anti-inflammatory effects. A pronounced result appears at the end of the first week of therapy. The drug is absorbed within two hours, excreted in feces and urine.

The dosage of the drug depends on the severity of the inflammatory process. The maximum daily dose is 200 mg of the active substance. In most cases, at the initial stages, 25 mg three times a day is needed, gradually the amount decreases. After entering the candle, the patient must remain in a supine position for 15-20 minutes.

Indomethacin will have to be abandoned in case of impaired renal or hepatic function, impaired blood formation or heart problems.


The drug is based on components of plant origin. The composition includes St. John's wort, licorice root, Canadian goldenrod, the roots of purple coneflower, as well as vegetable oil, talc and beeswax. It fights bacteria, eliminates pain and relieves inflammation, and also normalizes urinary functions.

The exact scheme of how to relieve exacerbation of prostatitis by Prostanorm is determined depending on the severity of the clinical picture. 1-2 tablets are recommended up to three times a day, half an hour before or 40 minutes after a meal. The course is quite long and takes up to seven weeks. It is forbidden to use with acute glomerulonephritis.


Broad-spectrum antibiotic. Available in powder form, which is used for injection. It is prescribed to combat gram-positive and negative bacteria, as well as to eliminate anaerobic and aerobic pathogenic microorganisms.

Treatment of exacerbation of prostatitis is carried out according to an individual scheme. Typically, the solution is administered subcutaneously or intramuscularly once a day. The maximum daily dose is 4 g. substances. Side effects are possible - manifestations of disorders of the digestive system, exacerbation of candidiasis. At the injection site, soreness and redness often appear.

Watch the video: FULL RECOVERY FROM CHRONIC PROSTATITIS & EPIDIDYMITIS. Insights from long-term treatments. (February 2020).

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