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Prostatitis: Symptoms and treatment in men

Prostatitis is a pathology that occurs as an infectious and inflammatory process in the prostate gland (prostate) affecting its glandular tissues.

The overall treatment of prostatitis was engaged in the 19th century, when there was a tendency to increase this disease.The disease is purely male because the prostate iron is an organ located in the body of men.Representatives of the age category of forty-older years suffer from this disease, but medical statistics claim that in recent years the disease is significantly "younger": among 25-28-year-old men prostatitis, it is detected in 30% of cases.

However, the peculiarity of the diagnosis and the likelihood of hiding the course of the disease suggests that this figure is much more.Only a quarter of men 22-50 years undergo medical examinations, including a urologist who diagnoses prostatitis in 15% of this amount.

What is it?

In simple words, prostatitis is an inflammation of the prostate gland called prostate.Prostate iron is a secondary part of male reproductive organs.Located under the bladder around his neck.The fact is that the urethra passes through the prostate, that is, the prostate is located around the urinary tube.As a result, with the prostate enlargement, the urinary canal is compressed, which interferes with the passage of urine.

What is the prostate?

The prostate gland is the main organ of the male reproductive system.It is located where the urethra and the canals that throw the seeds are approaching.Its functions:

  • the development of prostaglandins, substances that help to enlarge the blood supply to the penis, which provides erection;
  • Participation in the development of testosterone along with the testicles;
  • Development of a secret for liquefaction of sperm and guaranteeing the survival of sperm;
  • participation in the disposal of the seed and the formation of orgasm;
  • The obstacle to the entry of urine into the seminal fluid.

The position of the prostate makes it vulnerable to the penetration of pathogens from the urethra, bladder and vase of the ducts.A large number of blood, lymphatic vessels that penetrate the prostate gland can cause stagnation and swelling.And many nerve endings are the cause of pain in the presence of inflammation.

Classification

The prostatitis in men has two forms:

  1. Sharp.Symptoms of exacerbation of prostatitis will occur with severe inflammation of the organ.The prostatitis temperature in men in acute form increases significantly (up to 39 ° C).The processes of urination and bowel movement cause severe pain.
  2. Chronic.The manifestations of the disease are not clear nature.The temperature can sometimes be slightly increased, a person occasionally experiences urination.

The types of prostatitis in men are divided into two groups - bacterial and non -bacterial.

Prostatitis Classification:

  1. Bacterial.It arises from the penetration of several varieties of microorganisms, streptococci, E. coli, Staphylococci and prostate.Another probable cause is the complication after infectious diseases of the unit - gonorrhea, chlamydia, trichomonosis, mycoplasmosis.
  2. Sclerotic.This happens due to the death of the organs cells and their replacement with sclerotic tissue.The reason is constipation, therapy with some drugs, frequent infections.It is impossible to treat prostatitis of this species due to lack of positive results.
  3. Prostato.In this type of prostatitis, the symptoms are characterized by constantly occurring pelvic pain.His reasons are not fully studied.Most likely they are called injury to the perineum muscles, the reverse leakage of the secret.
  4. Stagnant.The most common variety.It is provoked by stagnant processes due to interruption of coitus, prolonged rejection of intimate contacts, sexual excesses.
  5. Calcular.It is characterized by the presence of stones in the prostate and ducts.The manifestation may consist of acute pain in the urethra.
  6. Atypical.Pain syndrome occurs in the lower back, legs, which is not a common manifestation of the disease.The success of treatment depends on the stage of pathology, the presence of complications.

Reasons

Prostatitis has several types determined by the causes of the disease.

The main factors that provoke the appearance of prostatitis are as follows:

  1. Stagnant processes.They appear with obesity, a sedentary lifestyle, as the microcirculation of blood in the pelvic organs is impaired.As a result, the required amount of oxygen and nutrients does not reach the prostate.
  2. Injuries.Due to mechanical damage to the tissues and organs of the pelvis (OMT), stagnation may occur, provoking the inflammatory process.Such cases are common in trucks due to professional activity associated with long -term sitting and constant injury to the chair that beats OMT.
  3. Infections.The bacteria fall into the prostate gland in different ways and ways.Young men who have sexual contacts without contraception (condom) have a high risk of illness due to the penetration of pathogenic microorganisms (chlamydia, mycoplasmism, etc.).In addition, the appearance of prostatitis occurs as a result of internal chronic diseases.The malicious bacteria reach the prostate gland with the flow of lymph or blood.Pathological microorganisms can also "go down" to Urtra prostate.The disease is then provoked by diseases of the urinary system (urethritis, pyelonephritis) with weakened immunity.

Urologists are sure that prostatitis is not a lifelong diagnosis.If the treatment does not produce a quick result, then the man should not give up and think whether he complies with absolutely all requirements.Only the joint actions and efforts of the doctor and the patient, confident in the success of therapy, will help the man feel healthy and therefore complete.

The first signs

In men, the first signs of prostatitis and its treatment are due to the worsening of blood circulation in the prostate due to inflammation or spasm of the blood vessels.The result is a lack of oxygen, a delay in metabolic processes and the formation of decay products that irritate the nerve endings of the bladder, penis, testis and rectum.

The first symptoms may manifest in this way:

  • A stream of urine loses pressure;
  • periodic urination;
  • urination pain;
  • The feeling that emptying is not completely;
  • Frequent urinating urination at night.

Symptoms of prostatitis

Symptoms of prostatitis, which are mainly a man usually attracts as follows:

  1. At the beginning of the disease, when the prostate was just beginning to increase, it only slightly squeezes the ureter, which surrounds as a ring on the finger.Thus, one of the first symptoms of prostatitis will be considered a slight narrowing of the ureter and therefore some obstruction of the passage of urine is difficult urination.
  2. The problem resulting from this is rapid urination.At first, this manifestation does not cause anxiety, a person who is never woven into this night can stand up to empty the bladder once or twice at night and write it on an extra cup of tea for dinner.But over time, interruptions between urination will be significantly reduced.
  3. The presence of lower abdomen pain is also one of the first symptoms of prostatitis.They can be different in sensation: pulling, pressing, bursting, usually worried at the end of the day or after any load.
  4. Minor erection disorders and premature ejaculation, of course, cause both a person and his partner a certain anxiety, but this is also often attributed to fatigue and stress.

Symptoms of bacterial prostatitis

The clinical picture of the symptoms of bacterial prostatitis depends on the form of the disease (acute or chronic), the phases of the course (exacerbation or remission) and consists of several syndromes.

How prostatitis is manifested in men

With acute bacterial prostatitis (exacerbation of chronic bacterial prostatitis), the man has the following symptoms:

  1. General inflammatory syndrome (pronounced fever, weakness, chills, body pain);
  2. Local inflammatory syndrome (pain at the bottom of the abdomen, crotch, supralob area, which increases during sexual intercourse, with prolonged abstinence, after defecation)
  3. Disorders of disorders of the genius sphere (painful, slow or periodic urination, disruption of erection, ejaculation);
  4. Laboratory symptoms (changes in urine analysis, prostate secretion, seminal fluid; as well as inflammatory changes in the general clinical blood test);

In chronic bacterial prostatitis: the symptoms of exacerbation are presented above.From exacerbation, the symptoms are most often not expressed, erased, small.In such cases, leading complaints affect urinary disorders, severe changes in erection, weakening of sexual aspiration, ejaculation disorders (premature or retained), emotional smoothness of the experience of orgasm, abnormalities (increased irritability, temperament, anxiety, interior.

Symptoms of chronic prostatitis

Unlike the acute form, the chronic form of prostatitis in men has an asymptomatic course and is latent (that is, without pronounced characteristics).The clinical picture is often erased, with mild symptoms, patients do not pay proper detection of appropriate attention and do not consider seeking medical help, confusing symptoms of prostatitis with prostate adenoma, which is extremely dangerous.The principles for the treatment of these diseases are completely different, as well as possible complications with unwanted consequences.

The chronic form of prostate inflammation is expressed in mild pain in the perineum, in the pubic region and the groin that quickly passes.As a rule, the duration of sexual intercourse changes both the extension and the vice versa and the brightness of sexual sensations.Disposes appear from the urethra, especially in the morning or white flakes are visible in the urine with the naked eye.

As the inflammatory process leads to the fact that the lumen of the urethra is narrowed, there are disorders of urination that men should pay attention to the first place: the flow of urine becomes weak, there may be urination in droplets or difficult at the beginning or at the end.Many patients have a feeling of incomplete emptying of the bladder or uncontrolled urine leakage.

The inflammatory process affects the nerve endings, irritating, leading to rapid urination, especially at night, as a rule, in small portions.All these symptoms definitely speak of the development of the pathological process and require a doctor to be seen immediately.

Diseases in which similar symptoms

Diseases that have similar symptoms with prostatitis can be differentiated from a number of differences between them:

  1. Urethritis is an inflammation of the urethra.With its development, it is extremely rare for men to increase body temperature.The pain syndrome is localized in the genitals.If pain in the lower abdomen is observed, then the patient is suspected of cystitis;
  2. Epididymitis and orchitis are characterized by the lesion of the testis and its appendage.Due to the pathology, one has a clear swelling of the scrotum and its redness.The skin of the skin is felt in contact with it.The patient experiences intense pain during the touch of the testes;
  3. Pyelonephritis is accompanied by pain in the lower back and impaired urination.A patient with such a disease has an increase in total body temperature.Blood loss is not excluded when urinating.
  4. Cystitis is often confused with urethritis.Often these two pathological processes develop parallel to each other.In the case of illness, the man must constantly visit the toilet.At the end of the urination process, a pair of blood drops may be released;

Chronic prostatitis can be confused with prostate adenoma or a malignant tumor in this organ.In the latter case, the patient will have significant blood loss during urination and a noticeable deterioration in the overall health.

Diagnostics

Prostatitis in men is mainly diagnosed based on the analysis of the patient's complaints.With the help of a specially constituted questionnaire, the doctor is clarified and the symptoms of the disease are clarified and examined.

Symptoms of prostatitis in men

Diagnostic measures follow:

  • Study of the composition of the secret of the prostate (if there is no acute form of the disease: it is impossible to perform the procedure due to severe pain);
  • Palpator rectal examination;
  • Ultrasound prostate examination to confirm suspected prostatitis and formation of an accurate diagnosis;
  • biopsy;
  • Tomography (computer/magnetic nuclear) of small pelvis-if necessary;
  • cystoscopy;
  • Urography.

In addition, men undergo some common tests that can clarify the picture of the disease:

  • Uroflometry;
  • urine sample, measured with three glasses;
  • Mears & Stamey studies measured by two glasses of urine (the first part excludes urethral contamination (infection, infection), the second - absence/presence of the inflammatory process in the kidney, bladder);
  • urine sample to determine its residual volume, ultrasound of the prostate gland;
  • Clinical urine analysis;
  • The average of the urine for microbiological studies.

The diagnosis requires the differentiation of prostatitis with cystitis, urethritis, prostate adenomas, prostate cancer.

What is the danger of prostatitis?

The consequences depend on age, the condition of the immune system, the presence of bad habits.So in people of older age group with weakened immunity, alcoholism, drug addiction and acquired immunodeficiency syndrome, the effects of the disease are more difficult.

  1. The effect of prostatitis on the potency of damaged iron, with decompensation of functional activity, reduces the production of substances involved in the formation of an erection of the genital organ of a person.The consequence of prostatitis is a slow radiation of semen during sexual intercourse, reducing the completeness of sensations during sexual intercourse, in advanced forms of erectile dysfunction.
  2. The effect of prostatitis on conception.The damaged prostate sharply reduces the activity of the production of a quality secret required to maintain the sperm activity in the woman's birth channel.The secret of the inflamed prostate gland, entering sexual contact on the woman's family paths, reacts with immune rejection of the female body, the development of gynecological diseases and the inability to conceive.
  3. Prostatitis provokes damage inside the gland and body.Inflammation, complicated by microflora, increases the risk of prostate abscess.Abscsing - a purulent melting part of the parenchyma of the gland with the formation of a capsule around the hearth.The disease with the formation of mineralized calculas in the cavity - a consequence of the prostate complicated by a reflux, damaged prostate.The consequence of prostatitis is also: acute ishuria, urolithiasis, kidney failure, inflammation of the gennce and other diseases.

Treatment of bacterial prostatitis

Treatment of bacterial prostatitis is one of the most difficult tasks of modern urology.Despite the achievements of the diagnosis and the timely detection of the disease, only 30% of cases can be achieved complete treatment.In most cases, the goal is pursued to achieve a stable long -term remission.

Modern bacterial prostatitis therapy consists of several blocks of medicines:

  1. Antibacterial therapy for 4-6 weeks.Optional medicines are fluoroquinolones.Reserve antibiotics - protected penicillins, macrolides.
  2. Moving pain syndrome.It is achieved by the use of non -steroidal anti -inflammatory drugs in the form of candles (preferably) or tablets.
  3. With a combination of anxiety and pain, it is recommended to use antidepressants for selective inhibition of serotonin reuptake.
  4. Urination disorders.ALFA-1-adorn-blocks are used.Reserve preparations are 5-alpha reductase blockers.

Topical treatment of infectious prostatitis is limited due to the risk of complications (sepsis).Microylisms are used with chamomile solutions, calendula.

Treatment of acute prostatitis

In the treatment of acute prostatitis, it is important that systemic antibacterial treatment is important.Most often, the attending physician prescribes the patient to take certain medicines.In the case of prostatitis manifestation as a result of sexually transmitted diseases, treatment includes other medicines.

Treatment continues depending on the severity of the disease.It can last from two days to seven days.After the main course, the doctor prescribes a course of maintenance treatment of the patient.

In the process of maintenance therapy, it is important to observe a gentle regime, preferably a bed.There should be enough hydration, including at least drinking eight glasses of water every day.The patient may take analgesics, antipyretic effects.Perhaps periodic use for the treatment of prostatitis in stuck baths.In acute bacterial prostatitis, after adequate therapy, the patient recovers completely.The manifestation of complications is rarely possible: sometimes due to prostatitis of the acute form, one can develop an abscess or fistula of the prostate.

Treatment of chronic prostatitis

Treatment for chronic prostatitis should be complex, including etiotropic therapy, physiotherapy, immunity correction:

Methods for treating prostatitis in men
  1. Antibiotic therapy.The patient is prescribed long-term antibacterial courses (within 4-8 weeks).The choice of the type and dose of antibacterial drugs, as well as the determination of the duration of the course of treatment is made individually.The drug is chosen on the basis of the sensitivity of the microflora based on the results of urine sowing and the secret of the prostate.
  2. Physiotherapy.Laser exposure, ultrasonic waves and electromagnetic vibrations are used to improve blood circulation.If it is impossible to perform physiotherapy procedures, the patient is prescribed warm healing microclysms.
  3. Prostate massage.The gland massage has an overall effect on the affected organ.During the massage, the inflammatory secret accumulated in the prostate gland is pressed into the ducts, then enters the urethra and removed from the body.The procedure improves blood circulation in the prostate, which allows to minimize stagnation and ensures the best penetration of antibacterial drugs into the tissue of the affected organ.

Chronic, long -term inflammation indicates a consultation with an immunologist to choose the tactics of immunocorogative therapy.The patient receives recommendations for lifestyle change.The introduction of certain changes in the lifestyle of a patient with chronic prostatitis is both therapeutic and preventive measure.The patient is advised to normalize sleep and alertness, to establish a diet and to have moderate physical activity.

Folk remedies

There are many home recipes that help fight prostatitis.

Here are some of them:

  1. Blueberries have an anti -inflammatory effect.Feeding 200 grams of this berries a day, you will support your husband's health;
  2. Parsley, first of all, became known as a culinary spice.But it also contains many nutrients, including those that the male body needs.Take parsley juice for 1 tbsp l.3 times a day 30 minutes before meals.This will help relieve inflammation and find a sex life;
  3. Five hundred grams of peeled raw pumpkin seeds, scroll through a meat mill and mix with 200 grams of honey.Make small balls of the resulting mass.Eat before eating twice a day, slowly, chew carefully.Pumpkin seeds contain a large amount of zinc necessary for the health of men;
  4. Take the green chestnut crust with spikes, cut and pour boiling water.Consume in the form of tea;
  5. Grind three hundred grams of onion to a porridge -shaped consistency, add 100 grams of honey, 600 ml of dry wine.Keep 1 week in a dark and cool place, mix periodically.Tension.Use 2 tbsp.l.3 times a day before meals.Effective in the treatment of chronic prostatitis.

Some exercise will help speed up recovery.They stimulate blood circulation in the pelvis and respectively in the prostate.

  1. Deep squats below knee level.The optimal number of times is 100. Complete 3 times a week.If this number is not done immediately, do squats in several breaks.
  2. Scissors.Sit on the floor, rest your hands on the floor behind you.Stretch your legs in front of you, tear them off the floor.They cross them with each other.Movements are similar to the work of scissors.
  3. Lying on your back, bend your legs at your knees, bring it to your chest.Grab them with your hands.Hold the posture for up to 20 minutes.
  4. Normal walking also perfectly eliminates stagnation.

You can complement this complex with other exercises that activate and warm the muscles.

Prevention

Prevention of prostatitis at home includes the following recommendations:

  1. It is forbidden to lift weights, especially if one has poor physical training.
  2. The contrast shower improves well.It can be taken in front of a roof.
  3. You should include more raw fruits, vegetables, berries in the diet.Pumpkin seeds, garlic, honey, plums, parsley, nuts are useful.
  4. It is necessary to exclude mayonnaise, ketchup, salting and marinades from the menu.
  5. The amount of alcohol consumed should be minimized.
  6. In order to improve the health of the prostate gland, smoking must be excluded.It is because of it that small oxygen enters its tissue, which is why signs of prostatitis, impotence, appear.
  7. You have to fight hypodynamia.To do this, you need to move more, to get involved in physical culture.
  8. It is necessary to deal with stress, to minimize the influence of negative emotions.
  9. Hypothermia should be avoided.In the car you have to equip a seat with heating.
  10. It is recommended that exercises be performed to prevent stagnant phenomena in the pelvis.
  11. To increase potency, you need to establish a sex life.Men's health is very harmful to interrupt sexual contact.Long -term sexual abstinence is not allowed.

Properly established physical and sexual activity, compliance with all the doctor's recommendations help to get rid of prostatitis.Prostatitis is dangerous as it is able to cause constant disorders of sexual function and infertility.