Prostatitis pain in men - how to relieve symptoms - Smart-Prost physiotherapy device

October 14, 2020

Exercise for prostate adenoma is important to eliminate the cause of the unpleasant condition, reverse it and avoid the need for surgery.

Weakening of the pelvic muscles, stagnation of lymph flow, slowing of blood circulation in the pelvis are the main culprits of such male ailments as prostate hyperplasia, prostatitis, and erectile dysfunction. With a sedentary lifestyle, these diseases begin to develop at a young age. Our urologists have selected the most effective exercises that do not require special equipment. It is imperative to start doing them both for prevention and in cases where an adenoma is diagnosed and problems with urination appear.

How does prostatitis hurt?

The mechanism of pain is simple:

The inflammatory process causes swelling in the area of the excretory ducts.
The secretion is not removed from the body in the required quantity.
Its accumulation leads to spread to nerve fibers.
Nerve fibers are located in the prostate gland.
They transmit signals to the brain and provoke unpleasant sensations.

The disease goes through 4 stages, each of them is characterized by different sensations. The pain syndrome develops slowly - at the stage of chronic prostatitis, negative symptoms may be absent and not cause concern.

However, as the disease progresses, the pain is localized in the groin area and intensifies day by day. It can spread to the stomach, leg, lower thigh, genital organs (penis, egg). Less commonly, spasms are localized between the anus and scrotum. There is also lower back pain with prostatitis. It worsens during intimacy, physical activity, and prolonged stay in one position.

Urination becomes difficult and is accompanied by a burning sensation. Ejaculation takes a long time, and there is blood in the semen. Increased spasms may indicate that stones have formed in the organ. The consequence of the pain syndrome is cystitis, attacks of fever, and increased body temperature. The patient's general condition worsens, weakness and loss of strength occur.

Exercises at home for prostatitis and prostate adenoma

Start with 4 approaches per day, gradually increase to 10–15 approaches.

“Bicycle” - performed for 30 seconds from a lying position or sitting on a chair, legs should be raised 25 degrees.
Lie on your stomach, place your hands on the floor, raise your clenched legs up for 3-4 seconds, at an angle of 90 degrees, slowly lower them 10 times.
Lie on your back, bend your knees, heels pressed to the floor, raise your pelvis for 3-4 seconds as you inhale, slowly lower as you exhale - 10 lifts.
Squats - with the pelvis lowered below the knee line, arms raised up, start with 3 reps.

In the picture: exercises No. 2, No. 3

Gymnastics will strengthen the main pelvic muscles and improve blood circulation. Intensive exercises will help you do without pills or reduce their dosage, and will complement drug treatment for prostatitis.

Prostate pain: what to do

If you find discomfort in the prostate area, you should not resort to self-medication. Contact a competent specialist - a urologist treats prostatitis. Only he will be able to identify the root cause of the problem, ensure complete elimination and minimize the risk that it will arise in the future. In emergency cases, the urologist prescribes blood and urine tests, microscopy and culture of gland secretions, as well as CR, ultrasound and TRUS on the genitals. Sometimes the indication for performance is a spermogram and palpation of the prostate.

You can learn more about the characteristics of pain syndrome with prostatitis by clicking on our link. Dr. Alexander Leonidovich Myasnikov, visiting the “About the Most Important” program, will answer the main questions regarding the symptoms of the disease.

Kegel exercises for prostate adenoma - for men

Gymnastics are successfully used in the complex treatment of prostate adenoma, to get rid of prostatitis, hemorrhoids, and erection problems.

Alternately squeeze and relax your buttocks at a fast pace; when squeezing, you need to tense the muscles in the anus and pelvic floor as much as possible; the greatest effect is achieved if you perform it while squatting, but you can start standing or sitting on a chair.
The same actions, but when squeezing, a delay is made for 10 seconds, then relaxation for 4 seconds.
Lie on your back, legs bent at the knees, feet together; alternately spread your knees apart and bring them together; During mixing, tense the muscles of the pelvis and buttocks.

You can start with 10 repetitions of each group of movements, 4 sets per day.

How to relieve prostate pain

Pain relief is carried out within the framework of conservative therapy, the purpose of which is:

elimination of symptoms of infection in the body;
restoration of prostate function;
normalization of the immune system.

Eliminating discomfort in the prostate is an individual question. It depends on the patient’s medical history, the degree of organ damage, the state of immunity and other characteristics of the body. If there is a suspicion of an abscess (it is confirmed by a rectal examination), it is necessary to open the purulent focus and install drainage, which involves surgical intervention. In other cases, pain can be relieved with the help of medications, physiotherapy, and traditional medicine.

Painkillers for prostatitis

When treating the disease, pain relief is performed using drugs:

analgesics - give results at the initial stage of the disease, are able to stop the signs of the pathological process (Analgin, Panangin);
antispasmodics - used for severe attacks, they act by relaxing smooth muscles (Drotaverine, Mebeverine);
muscle relaxants – help eliminate discomfort in the perineum, increase the duration of remission (Flupirtine, Tizanidine);
non-steroidal drugs – relieve the inflammatory process, help to obtain results in a complex clinical picture (Ibuprofen, Ketoprofen);
antibacterial agents - intended to relieve symptoms, as well as treat the root cause of the disease (Prostamol Ufo);
Tetracycline drugs - have a complex effect and include macrolides, monocyclines, doxocyclines.

The above drugs are available in different types and forms: tablets, capsules, suppositories, powders for injection. The fastest therapeutic effect can be achieved in the latter case - injections administered intravenously or intramuscularly make it possible to stop the pain almost immediately. The dose is administered again after a few hours.

Tablets for prostatitis

Doctors recommend relieving prostate pain in men with the help of tablets - they have a convenient release form, are safe to take, and the effect occurs in 10-20 minutes. A persistent analgesic effect is observed within 3-7 hours: the patient feels relief, spasms disappear, and he can lead a full life. The dosage and duration of taking the tablets are prescribed by the doctor.

Mebeverine. It is a strong antispasmodic myotropic drug, which is characterized by the absence of anticholinergic action. It is able to anesthetize acute attacks of prostatitis by blocking sodium channels of the cell membrane. The drug promotes contraction of muscle fibers and relaxation of smooth muscles. Method of administration: 1 or 2 tablets per day.
Diclofenac. He is a representative of the NSAID Medical Group. The medicine has analgesic, antibacterial and anti-inflammatory effects. In the body it helps to inhibit the production of elements that cause pain, spasms, and swelling. Eliminates inflammatory fluid in the lesion. The tablets are intended for oral administration, 2-3 times a day, 50 mg.
Ibuprofen. The drug is used when testicles hurt due to prostatitis. It is known for its antipyretic and analgesic effect. Ibuprofen relieves pain by suppressing prostaglandins - elements that are responsible for the inflammatory process in the body. The average dosage is 5 tablets per day, the first result is observed after 15 minutes.

Before taking any of these products, read the instructions from the manufacturer. Do not take tablets for more than the specified period, do not increase the permitted dosage, and do not combine their use with alcohol or other medications. You can find out about drug interactions by visiting your doctor.

Pain-relieving suppositories for prostatitis

Candles help relieve an acute attack of pain. Compared to capsules and tablets, rectal suppositories they have advantages.

Firstly, they directly deliver medicinal components to the tissue of the prostate gland, which is located in close proximity to the intestine.

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Secondly, suppositories bypass the organs of the digestive tract (stomach, liver), and accordingly, they minimize the side effects characteristic of other drugs.

Thirdly, suppositories can be used at home. They act in combination: they relieve pain, accelerate the healing of the source of infection, and produce a preventive effect.

The best rectal suppositories for prostatitis are: Diclofenka, Vitaprost forte, Voltaren, Genferon, Prostopin, Hemo-Pro, Indomethacin, Longidaza. There are also a number of suppositories made naturally: sea buckthorn and ichthyol suppositories, propolis suppositories and others.

Modern methods of treating chronic prostatitis

Chronic prostatitis currently remains a very common, insufficiently studied and difficult to treat disease. It affects predominantly young and middle-aged men, that is, the most sexually active, and is often complicated by impaired copulatory and generative function [1-6]. Therefore, not only the medical, but also the social significance of the problem of increasing the efficiency of diagnosis and treatment of chronic prostatitis is extremely important.

The information available in the literature on the epidemiology of chronic prostatitis is very contradictory [2-4]. Chronic prostatitis accounts for up to 35% of all visits to the doctor regarding urological problems among the Russian male population of working age [7,8]. However, most urologists, both in our country and abroad, believe that chronic prostatitis is one of the common diseases and occurs in 20-35% of men of reproductive age [2,7,9-13,22,43].

However, the true incidence of chronic prostatitis still remains almost unstudied [12]. Some authors [6,11,1416,29,46] note an increase in the detection rate of chronic prostatitis over the past 20 years, which is associated both with the use of more advanced and effective methods for its recognition, and with the actual increase in incidence. Possibly due to the influence of harmful factors on the body (sedentary lifestyle, non-compliance with the rules of sexual activity, immunodeficiency, etc.). It has been noted that in recent years, erased and latent forms of the disease have become prevalent.

In this regard, to correctly account for the prevalence of chronic prostatitis, a well-founded classification of this disease is of great importance.

Several classifications of chronic prostatitis have been proposed, but according to O.B. Laurent and

A.S. Segala (2002) none of them fully meets the requirements of both practice and scientific research [2,4].

V.N. Tkachuk et al. (1989) proposed dividing chronic prostatitis into bacterial and abacterial, identifying 3 phases of activity of the inflammatory process (active, latent and remission) [13].

In 1998, the Research Institute of Urology of the Ministry of Health of the Russian Federation proposed dividing chronic prostatitis into infectious and non-infectious. At the same time, it was proposed to include all cases of both bacterial and atypical intracellular fungal and viral infections, as well as protozoan infections, as chronic infectious prostatitis [17].

Currently, the most common abroad, and in recent years adopted in Russia, is the classification of prostatitis proposed by the US National Institutes of Health (NIH). [2,4,17-20]. This classification includes:

acute bacterial prostatitis;
chronic bacterial (infectious) prostatitis, which is detected in 5-10% of patients;
chronic abacterial (non-infectious) prostatitis, which is detected in 90-95% of patients. This type of prostatitis, in turn, is divided into two types: 3.1) with an increase in the number of leukocytes in the secretion of the prostate gland and 3.2) without an increase in the number of leukocytes in the secretion of the prostate gland;
asymptomatic prostatitis, the frequency of which is unknown [17,21].

About 100 symptoms of chronic prostatitis are described in the literature [22]. Some authors [9,22] systematize the more frequent symptoms of chronic prostatitis, and many authors note the variety of clinical manifestations of this disease [6,29].

V.N. Tkachuk et al. (1989) consider it appropriate to identify the following symptoms in patients with chronic prostatitis: 1) pain; 2) urinary disorders; 3) sexual function disorders; 4) dysfunction of the kidneys and upper urinary tract; 5) changes in the quantity and quality of ejaculate; 6) neurovegetative and mental disorders [13]. Symptoms of prostate sclerosis are included in a special group. The symptoms noted above in patients with chronic prostatitis can be single or multiple. In one patient, only one symptom predominates, while in another, several symptoms predominate. Then, according to O.L. Tiktinsky and S.N. Kalinina (1994), we can talk about one or another variant of the clinical course of chronic prostatitis [29].

Treatment of patients with chronic prostatitis should be comprehensive and necessarily include an impact on all parts of the etiology and pathogenesis of the disease. It has its own characteristics depending on the age of the patient, the presence and nature of the clinical manifestations of the disease, including changes in mental status, characteristics of the course of the disease, the stage and phase of activity of the inflammatory process in the prostate gland, the degree of involvement of nearby organs in the pathological process, the state of immunity and others factors [6,29,49,50]. Treatment must be strictly individual and long-term; it requires perseverance from both the doctor and the patient [29]. Earlier diagnosis of the disease and medical examination of patients should contribute to increasing the effectiveness of treatment of patients.

Many schemes and methods of treating patients with chronic prostatitis have been proposed, and the authors express opposing points of view on the possibility of a cure for this disease. Thus, some experts note the fairly high effectiveness of the treatment regimens and methods they propose [23,24], while others [25] consider chronic prostatitis an incurable disease.

According to D.V. Kana et al. (1980), the general scheme of means and methods of treating patients with chronic prostatitis should include: 1) adherence to the general regimen, diet, and sexual hygiene; 2) antimicrobial treatment; 3) stimulation of nonspecific reactivity of the body; 4) prescription of general strengthening agents, enzymes and vitamins; 5) hormone therapy; 6) prescription of antispasmodics; 7) prescription of analgesics; taking sedatives; 9) use of local analgesics; 10) prostate massage; 11) physiotherapeutic procedures; 12) sanatorium and resort treatment; 13) psychotherapy [9].

Medicines used to treat patients with chronic prostatitis consist of the following groups [19]:

Antibiotics and antibacterial drugs.
Non-steroidal anti-inflammatory agents.
Muscle relaxants and antispasmodics.
Alpha - 1 - adrenergic blockers.
Plant extracts.
5-alpha reductase inhibitors.
Anticholinergic drugs.
Modulators and stimulants of immunity.
Bioregulatory peptides.
Vitamin complexes and microelements.
Antidepressants and tranquilizers.
Analgesics.
Drugs that improve microcirculation and rheological properties of blood, anticoagulants.
Enzymes.
Antiepileptic drugs.
Xanthine oxygenase inhibitors.
Capsaicin [19].

Numerous works of domestic and foreign researchers are devoted to etiotropic antimicrobial treatment of patients with chronic prostatitis [6,9,17,26-28].

It has been proven that antimicrobial therapy is indicated only for bacterial prostatitis, but it is absolutely not justified for abacterial prostatitis [24,29]. The authors consider it not only unreasonable, but also extremely harmful to prescribe antibacterial drugs to patients with chronic prostatitis based only on clinical signs of the disease, when the pathogenic flora has not been isolated and there is no laboratory confirmation of the disease. Such treatment, in addition to a very negative general effect on the body, is a factor that aggravates the persistent course of the disease process and contributes to the development of an immunodeficiency state [9,11,13,29].

When carrying out antimicrobial treatment for patients with chronic prostatitis, it is necessary to strictly adhere to the general principles of rational antibiotic therapy. It has been proven that antibiotic therapy will be effective only if, in the presence of a pathogen, a sufficient concentration of the drug in the prostate gland is ensured. However, antibiotic therapy in these patients is difficult, because the epithelium of the prostate gland is a barrier to the diffusion of antimicrobial drugs from the blood plasma into the site of inflammation and prostate secretion, which has been confirmed by some researchers both experimentally and in clinical observations [13,29].

It has been proven that the ability of antibacterial drugs to pass through the epithelial barrier is determined by their lipophilicity and low degree of binding to plasma protein. Since most antibacterial drugs are lipid-insoluble, then, according to M. Adjiman (1973) and some other researchers, when treating patients with chronic bacterial prostatitis, it is necessary to use only lipid-soluble antibiotics [30].

It has been established that the concentration of the antibacterial drug in the tissue and secretions of the prostate gland increases with an increase in its dissociation constant. Some antibacterial drugs (tetracyclines, cephalosporins, quinolones, trimethoprim) have a high dissociation constant, and therefore they are recommended for use in chronic prostatitis [6,7,10,28,29].

V.P. Alexandrov et al. (1996), proposed lymphotropic administration of antibiotics for chronic prostatitis. The authors have proven that lymphotropic therapy creates a therapeutic concentration of the drug in the secretion of the prostate gland, which exceeds the concentration with intramuscular administration by 4 times. This allows you to reduce the daily dose of the drug by 2 times. Penetration of the drug into the prostate tissue through the lymphatic tract causes its high concentration in regional lymph nodes and vessels, which simultaneously improves lymphatic drainage and restores microcirculation in the prostate gland [31].

In recent years, works have appeared in the press on the effectiveness of new antibiotics of the quinolone group, ciprofloxacin (tsiprinol, tsifran - od) and ofloxacin (tarivida) and others in patients with chronic prostatitis [25,28,32]. The advantage of these drugs is their high concentration in the tissue and secretions of the prostate gland. Thus, after a single intravenous administration of ciprofloxacin at a dose of 200 mg after 30 minutes, the concentration of the drug in the blood plasma was 0.81 mg/l, in the prostate secretion - 1.87 mg/l, and in the prostate tissue - 2.45 mg/l. l, that is, 3 times higher than in blood plasma. After administration of ofloxacin (Tarivid) at a dose of 200 mg 2 hours after administration, the concentration of the drug in the blood serum was 1.8 mg/l, and in the prostate tissue - 5.1 mg/l, that is, almost 3 times more [33 ].

V.N. Tkachuk et al. (1997) used ofloxacin (Tarivid) in 52 patients with chronic bacterial prostatitis, while 14 patients had chlamydial prostatitis. The daily dose of ofloxacin was 400 mg, and the course of treatment was from 14 to 28 days. Positive results were noted in all 14 patients with chlamydial prostatitis and in 36 (94.7%) of 38 patients with bacterial prostatitis. The authors recommend the duration of treatment for patients with chronic bacterial prostatitis to be at least 4 weeks [32]. ON THE. Lopatkin et al. (1997) used urotractin (pipemidic acid) in 12 patients with chronic prostatitis. After 7 days of treatment, 7 out of 12 men showed a decrease in the activity of dysuria, and in 4 – its disappearance, and only in 1 patient did dysuria remain at the same level. 3 weeks after the end of treatment, culture of prostate secretion was sterile in all 12 patients. V.N. Tkachuk et al. (1998) used urotractin in 92 patients with chronic bacterial prostatitis with very good treatment results. It has been proven that urotractin easily (up to 84%) penetrates the prostate tissue and provides an effective bactericidal concentration in it. The duration of treatment for patients ranged from 28 to 56 days. In all 92 patients, after completion of treatment, all symptoms of chronic prostatitis disappeared or significantly decreased, and the ejaculate culture was sterile in 89 (96.7%) of 92 patients. The authors consider urotractin to be the drug of choice for chronic bacterial prostatitis due to its rapid penetration into the prostate tissue, pronounced bactericidal activity against bacteria that most often cause prostatitis, and the absence of side effects even with long-term (56 days) treatment [4,7,32].

In the urological clinic of St. Petersburg State Medical University named after Acad. I.P. Pavlova studied the effectiveness of the alpha-1 adrenergic receptor blocker tamsulosin, which they received for 3-6 months, in 125 patients with chronic abacterial prostatitis. Taking alpha-1 adrenergic blockers for chronic abacterial prostatitis can improve drainage of the prostate gland, restore the outflow of secretions from the ducts of this organ, and in some patients, identify the causative agent of the disease, which was previously located in poorly drained parts of the prostate gland [34,35,53].

According to the recommendations of the US National Institutes of Health (NIH, 2002), among the 17 most commonly used methods of treatment for chronic prostatitis, prostate massage ranks third after antibiotic therapy and the use of alpha-1-blockers and has a priority of 3.3 out of 5 points.

A.I. Neumark et al. (2004) used nimesulide in 46 patients with chronic abacterial prostatitis. As a result of treatment, patients experienced significant reduction in pain and improved blood flow in the prostate gland. Prescribing non-steroidal anti-inflammatory drugs to patients suffering from chronic bacterial prostatitis can eliminate pain and improve their quality of life [36].

In the treatment of patients with chronic prostatitis, plant extracts obtained from the American fan-leaved palm Serenoa repens (permixon, prostamol - uno), and less often from the bark of the Pygeum afTicanum tree (tadenan, trianol) and the combined herbal preparation gentos began to be used [44,45,51].

S.H. Al-Shukri and Y.A. Bobkov (2004) studied the effectiveness of prostamol-uno in 58 patients with chronic abacterial prostatitis and came to the conclusion that this drug has a corrective effect on pathological changes in the immune system and hemocoagulation. To restore microcirculation in the prostate gland in patients with chronic prostatitis, which is pathogenetically quite justified, various drugs are used: halidor, trental, aescusan, etc. [37,38].

To restore microcirculation in the prostate gland and activate fibrinolytic activity V.A. Savinov (1993), M.I. Kuznetsova (1998) and others recommend using hirudotherapy in patients with chronic prostatitis. When treated with leeches in patients with chronic prostatitis, microcirculation in the prostate gland is restored, swelling of this organ is eliminated, the act of urination is normalized and the concentration of drugs in the inflammation site increases [39,49].

In recent years, immunocorrective treatment has been quite often carried out in patients suffering from chronic prostatitis. Previously, patients were prescribed levamisole [21], but in recent years, thymalin, thymosin, T-activin, and Prostatilen® .

According to V.N. Tkachuk et al. (1989), the inclusion of the immunomodulator thymalin in the complex therapy of patients with chronic prostatitis led to increased functional activity and an increase in the content of T-lymphocytes, as well as to the normalization of other immunity parameters [13].

For a number of years, Raveron has been very popular, and in recent years, a new domestic cytomedine - Prostatilen® [11,29,40].

S.H. Al-Shukri et al. (1997) studied the effect of Prostatilen® on hemostasis in experiments and in patients with chronic prostatitis. It turned out that in the experiment prostatilen reduced the first stage of thrombus formation by more than 2 times, and the cross-sectional area of blood clots by 1.5 times [40].

According to V.N. Tkachuk (2006), after treatment with Vitaprost, it was possible to achieve symptomatic improvement in 97% of patients with chronic prostatitis, pain decreased by 3.2 times compared to the initial level, and urination disorders decreased by 3.1 times. In patients after treatment, the parameters of the platelet-vascular hemostasis improved. Vitaprost also had an effect on the immunological status of patients with chronic prostatitis. Bacterial chronic prostatitis should be considered only those cases in which a pathogenic bacterial pathogen is detected in prostate-specific material (prostate secretion, ejaculate), and necessarily different from the pathogens identified during examination of the urethra [12,53].

V.N. Tkachuk et al. (2000, 2006) proved that in patients with chronic bacterial prostatitis, the use of wobenzym in combination with traditional antibacterial therapy significantly increases the effectiveness of treatment [14,41].

V.N. Tkachuk and A.E. Lukyanov (2006) used the broad-spectrum antidepressant trittico (trazodone) 150 mg once a day before bedtime for 6 weeks to treat 135 patients with chronic prostatitis complicated by psychogenic erectile dysfunction. In most cases of chronic prostatitis, attention must be paid to normalizing the patient’s mental status, using both medications and rational psychotherapy [12].

In recent years, in order to increase the effectiveness of treatment of patients with chronic prostatitis, various physiotherapeutic methods (UHF, rectal electrophoresis, local microwave hyperthermia, electrolaser therapy, etc.) have been included in the complex of treatment measures, in addition to antibiotic therapy, immunotherapy, and agents that improve microcirculation in the prostate gland. ).

The positive effects of local microwave therapy in patients with chronic prostatitis were reported by some authors [7,8,12,22,42,47], who used both transrectal and transurethral hyperthermia.

Surgical methods are also used in the treatment of patients with chronic prostatitis. The latter are most often necessary for the third, already irreversible, stage of the disease - prostate sclerosis. In recent years, transurethral resection of the bladder neck, seminal tubercle, and prostate gland has been considered the method of choice for the treatment of such patients.

It should be recognized that at present there are no sufficiently substantiated approaches to the treatment of chronic prostatitis. Obviously, treatment should be aimed at eliminating the infectious agent, normalizing the immune status, regressing inflammatory changes and restoring the functional activity of the prostate. Thus, all aspects of the problem of chronic prostatitis require further in-depth study.

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Shooting in the prostate: how does physiotherapy work?

The effectiveness of treatment is increased through physiotherapeutic methods:

electrophoresis;
ultraphonophoresis;
neurostimulation;
magnetic therapy;
laser therapy;
reflexology;
hirudotherapy;
fluctuating stimulation;
modulation by tkoami.

If your prostate hurts when excited, doctors recommend doing physical therapy. Microenemas and warm baths will help cope with unpleasant symptoms - these procedures can be carried out at home.

Chronic pelvic pain syndrome

If you ask “Can your back hurt with prostatitis and why does this happen?”, we will answer yes. And not only the back, but also the entire pelvic area. This syndrome has been classified in a medical reference book. It is a separate type of disease.

Pelvic pain syndrome is a consequence of infectious prostatitis and can be caused by the action of chlamydia, ureaplasma, and mycoplasma in the human body. Experts call the second obvious cause reflux of urine, which will become regular and occurs from the urethra into the ducts of the prostate gland.

Patients at risk include:

having problems with urination;
with impaired autoimmune processes.

Pain in the testicles with prostatitis fades into the background - the clinical picture is caused by unpleasant sensations in the pelvis, back, and lumbar region. Sometimes she gives it to the perineum. There are problems with urination - it happens often and does not last long. The urge may be imperative, with a weakened stream. The pathology is accompanied by sexual dysfunction, which leads to unpleasant sensations during sexual intercourse and lack of healthy ejaculation.

The cause of pain is eliminated through a combination of antibiotics, non-steroidal drugs, uroselective alpha and adrenergic blockers. Additionally, the doctor prescribes anti-inflammatory drugs. The effectiveness of treatment is also increased thanks to physiotherapeutic techniques: massage and exercises with the prostate. Let's talk about the features of their implementation in more detail.

Prostate massage

If your testicles hurt due to prostatitis, massage will help relieve the condition. To perform the procedure, you need to contact a massage therapist, urologist, andrologist. You cannot do it at home. The massage technique is as follows:

The man kneels down and rests his elbows on a hard surface.
Then he lies down on his left side, pressing his knees under his stomach.
The specialist inserts the index finger into the rectum while wearing a glove.
To ease the sensation, the finger is lubricated with gel (lubricant).
The shape and size of the male organ is assessed.
The massage is performed in the form of light movements along the excretory ducts.
The procedure takes no more than 10 minutes.

Massage has a therapeutic effect: stimulating the outflow of secretion, restoring blood flow to the gland area, improving muscle tone and increasing the rate of penetration of antibacterial microelements into the tissue (if these are taken by the patient).

General pain medications

Pharmacy antispasmodics will help relieve the symptoms of chronic pain syndrome.

No-spa is a well-known drug that can be used at home, without a doctor’s prescription. Its active component is drotaverine. The substance increases the size of blood vessels, reduces the degree of intestinal motility, and reduces muscle tone. Its advantage is that it does not affect the functioning of the nervous system and can be taken by patients with gastrointestinal disorders. Other advantages include: a persistent positive trend, a minimal number of contraindications and side effects.

Nimesil can relieve pain in the prostate gland in men. It arrives on pharmacy shelves in the form of powder (granules) and is used to prepare a suspension. Nimesil contains another active component - nimesulide. The substance has a pronounced antipyretic effect, eliminates signs of the inflammatory process, and relieves pain. The optimal dose is twice a day (morning and evening). The therapeutic effect occurs within 10-15 minutes. The course of therapy should be continued until pain symptoms are eliminated.

Prostate pain: prevention measures

To avoid pain, you should take preventive measures:

maintaining personal hygiene;
healthy and regular sex life;
reducing the risk of stressful situations;
fight against bad habits (alcohol, smoking);
measures to increase immunity;
avoiding the problem of chronic constipation.

Try to organize your lifestyle in such a way as to minimize risk factors and avoid pain with prostatitis. Special attention should be paid to proper nutrition. In order not to suffer from pain, experts recommend sticking to a diet high in protein, vitamins, and healthy elements. Avoid fatty, spicy and salty foods, fast foods, and sweet carbonated drinks. Treat infections and inflammations in a timely manner, and undergo regular preventive examinations. Your health is in your hands!

Principles of effective therapy for male diseases

Basic rules for treating acute prostatitis include:

complete destruction of the infection with the help of effective, properly selected drugs,
enhance local lymph flow to get rid of damaged and dead cells in the urethra and prostate gland. A virus deprived of nutrition will quickly die, and effective tissue cleansing will create favorable conditions for the complete restoration of the functionality of the gland,
increasing lymph flow and getting rid of congestion in the pelvic organs,
increase vascular tone and increase the outflow of venous blood from organs close to the prostate gland.

To prevent new attacks with exacerbation of prostatitis, a man must reconsider his understanding of a healthy lifestyle. Bad habits and passive life on the couch absolutely contradict him. Regular and balanced nutrition should contain a complex of vitamins and minerals.

Useful video about treatment and acute attacks of prostatitis: