Why cystitis develops in men, and what clinical manifestations it accompanies, you can find out in our previous article. This article estet-portal.com describes methods for diagnosing and treating cystitis in men.
If there are complaints typical of cystitis, a man should undergo a comprehensive examination and treatment by a urologist. At the appointment, the doctor examines the genitals, examines the prostate gland through the rectum, palpates the scrotum. These manipulations allow the doctor to exclude the connection of cystitis with prostatitis, orchiepididymitis and phimosis.
Complex diagnosis before treatment of cystitis in men
In order to determine the bacterial flora that caused cystitis in men, a urethral smear and urine culture are taken, and it is also necessary to examine the scraping for the presence of genital infections (PCR).
Common urinalysis shows the presence leukocytes, erythrocytes, epithelium and mucus in the urine. With tuberculous cystitis, the reaction of urine is acidic.
It is important to exclude the presence of organic obstruction during the diagnostic process. For this, uroflowmetry is performed. Urodynamic examination is performed to exclude or confirm detrusor – sphincter dyssynergy.
Ultrasound of the bladder cannot be performed, as it is difficult for patients to accumulate urine for better visualization of the walls of the organ. Therefore, an ultrasound of the prostate is performed, which allows you to evaluate the residual amount of urine, and an ultrasound of the kidneys is also performed. In the presence of chronic cystitis and gross hematuria, cystoscopy is indicated. The procedure allows you to identify the form and nature of inflammation, detect tumors, stones or foreign bodies, and perform a biopsy before treating cystitis.
Treatment of cystitis in men: basic methods
With the development of the acute phase of cystitis, the patient needs bed rest.
The patient is advised to drink more than 2.5 liters of water. In food, it is important to exclude spicy, spicy, sour and salty foods. The consumption of any amount of alcohol is strictly prohibited. It is important to exclude sexual contact.
Treatment of cystitis in men in case of acute urinary retention is recommended in a hospital setting. Etiotropic treatment of cystitis in men consists of taking antibacterial agents. These are drugs of the cephalosporin series, nitrofurans and fluoroquinolones. It is advisable to prescribe herbal uroseptics and phytopreparations. Read more about indications for surgical treatment on estet-portal.com. Pain relief is effectively carried out with antispasmodics and NSAIDs.
In some cases, it is necessary to flush the bladder with antiseptic solutions, as well as novocaine blockades. At the end of the acute process, the treatment of cystitis in men continues with the help of physiotherapeutic procedures.
The treatment of cystitis in men with the help of physiotherapeutic procedures:
• inductothermy;
• UHF – therapy;
x electrophoresis;
• magnetotherapy;
• mud applications;
• magneto-laser therapy.
Surgical treatment of cystitis in men
Bladder neck deformity is an indication for transurethral resection of the bladder. The presence of urethral stricture is eliminated by bougienage. With cicatricial sclerosis of the bladder, a unilateral nephrostomy is performed, anastomoses are applied. Prevention of the development and complication of cystitis can be observed by intimate hygiene, the exclusion of stress and hypothermia, as well as the prevention and timely treatment of diseases that are sexually transmitted. Performing any manipulations and interventions in the urinary system must comply with all the rules of asepsis with antibiotic therapy.
Read also: Treatment of ureaplasmosis in men: all the features of therapy
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