Prostatitis: symptoms and treatment in men

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

The treatment completely of prostatitis was involved in the nineteenth century, when there was a tendency to increase this disease.The disease is purely male, since prostate iron is an organ located in the body of men.Representatives of the age category of forty and older years suffer from this disease, but medical statistics say that in recent years the disease is significantly "younger": among 25 to 28 -year -old men, prostatitis 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 number is much higher.Only a quarter of men aged 22 to 50 undergo medical examinations, including a urologist who diagnose prostatitis in 15% of cases from that value.

What is it?

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

What is a prostate?

The prostate gland is the main organ of the male reproductive system.It is located where the urethra and the pipelines that throw the seed converge.Its functions:

• Development of prostaglandins, substances that help increase blood supply to the penis, which ensures erection;
• Participation in the development of testosterone along with testicles;
• the development of a secret to liquefying sperm and ensuring sperm survival;
• Participation in seed ejection and orgasm formation;
• The obstacle to the entrance of the urine into the seed fluid.

The position of the prostate makes him vulnerable to the penetration of pathogens of the urethra, the bladder and the duct vale.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

Prostatitis in men has two forms:

1. Acute.Symptoms of prostatitis exacerbation will appear in severe inflammation of the organ.The temperature of prostatitis in acute -shaped men increases significantly (up to 39 ° C).The urination and defecation processes cause intense pain.
2. Chronic.Manifestations of the disease are not a pronounced nature.Sometimes the temperature can increase a little, a man from time to time 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 various varieties of microorganisms, streptococci, E. coli, staphylococci and for the prostate.Another probable reason is complication after infectious diseases of the genitourinary sphere - gonorrhea, chlamydia, trichomonosis, mycoplasmosis.
2. Sclerotic.This is due to the death of organ cells and their replacement by sclerotic tissue.The reason is constipation, therapy with some medications, frequent infections.It is impossible to treat prostatitis of this species due to lack of positive results.
3. Prostatopotic.In this type of prostatitis, symptoms are characterized by pain constantly occurring in the pelvis.Its reasons are not fully studied.The most are probably called the perineum muscles injury, the reverse expiration of the secret.
4. Congestive.The most common variety.It is caused by stagnant processes due to interruption of coitus, prolonged rejection of intimate contacts, sexual excesses.
5. Calculate.It is characterized by the presence of stones in the prostate and in the ducts.The manifestation can consist of acute pain in the urethra.
6. Atypical.Pain syndrome occurs in the lower back, which is not a common manifestation of the disease.The success of healing depends on the stage of the pathology, the presence of complications.

Causes

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

The main factors that cause prostatitis to occur are as follows:

1. Stagnant processes.They appear with obesity, a sedentary lifestyle, since blood microcirculation in the pelvic organs is disturbed.As a result, the necessary amount of oxygen and nutrients do not reach the prostate.
2. Wounds.Due to mechanical damage to pelvis tissues and organs (WTO), stagnation may occur, causing the inflammatory process.Such cases are often found in truckers due to professional activity associated with a long -term sitting position and a constant injury of the chair that surpasses the OMT.
3. Infections.Bacteria fall into the prostate gland in various ways and ways.Young people who have sexual contacts without contraception have a high risk of disease due to the penetration of pathogenic microorganisms (chlamydia, mycoplasmism, etc.).In addition, prostatitis occurs as a result of any internal chronic diseases.Malicious bacteria reach the prostate gland with the flow of lymph or blood.Pathological microorganisms can also "go down" to the URTRA prostate.So the disease is caused by urinary system diseases (urethritis, pyelonephritis) with weakened immunity.

Urologists are sure that prostatitis is not a lifelong diagnosis.If the treatment did not give a quick result, man should not give up and think if he fulfilled absolutely all the requirements.Only the actions and joint efforts of the doctor and the patient, confident in the success of therapy, will help man feel healthy and therefore full.

The first signs

In men, the first signs of prostatitis and their treatment are due to a deterioration of blood circulation in the prostate due to inflammation or spasm of the blood vessels.The result is the lack of oxygen, a slowdown in metabolic processes and the formation of decay products that irritate the nerve extremities of the bladder, penis, testis and straight.

The first symptoms can manifest this way:

• A urine flow loses pressure;
• intermittent urination;
• pain in urination;
• The feeling that emptying is not completely;
• Frequent images of urination at night.

Prostatitis symptoms

Symptoms of prostatitis, which are mainly man usually draw the following:

1. At the beginning of the disease, when the prostate was just starting to increase by volume, only lightly squeezes the ureter, which surrounds like a ring on the finger.Thus, one of the first symptoms of prostatitis will be considered a small narrowing of the ureter and, consequently, some obstruction of the passage of urine is difficult urination.
2. The problem arising from this is the rapid urination.At first, this manifestation does not cause concern, a man who was never weaved at night can get up to empty the bladder once or twice at night and write it in an extra tea cup at dinner.But over time, the breaks between urination will be significantly reduced.
3. The presence of pain in the lower abdomen is also one of the first symptoms of prostatitis.They can be different in sensation: pulling, pressing, bursting, usually bothering at the end of the day or after any energy load.
4. Smaller erection disorders and premature ejaculation, of course, make a man and partner certain anxiety, but this is also often attributed to fatigue and tensions.

Bacterial prostatitis symptoms

The clinical image 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 various syndromes.

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

1. General inflammatory syndrome (a pronounced increase in body temperature, weakness, chills, body aches);
2. Local inflammatory syndrome (pain in the back of the abdomen, groin and suppralob region, which intensify during sexual intercourse, with prolonged abstinence, after defecation)
3. Violations of violations of the genitourinary sphere (painful, slow or intermittent urination, violation of erection, ejaculation);
4. Laboratory symptoms (changes in urine analysis, prostate secretion, seed fluid; as well as inflammatory changes in general clinical blood examination);

In chronic bacterial prostatitis: Symptoms of exacerbation are presented above.Out of exacerbation, symptoms are usually not expressed, erased, small.In these cases, the main complaints affect urination disorders, serious changes in erection, weakening sexual impulse, violations of ejaculation (premature or detained), emotional smoothness of orgasm experience, character deviations (greater irritability, temperature, anxiety, intrusiveness).

Symptoms of chronic prostatitis

Contrary to the acute form, the chronic form of prostatitis in men has an asymptomatic course and proceeds latent (ie, without characteristics pronounced characteristics).The clinical picture is often erased, with mild symptoms, patients do not provide due to the discovery of proper attention and do not consider the need to seek medical help, confusing symptoms of prostatitis with prostate adenoma, which is extremely dangerous.The principles for treating these diseases are completely different, as well as possible complications with undesirable consequences.

The chronic form of inflammation of the prostate is expressed in mild pain in the perineum, the pubic area and the groin, which pass quickly.As a rule, the duration of sex changes, both to lengthen and vice versa and the brightness of sexual sensations.The discharges appear from the urethra, especially in the morning, or the white flakes are visible in the urine with the naked eye.

As the inflammatory process leads to the fact that the urethral lumen is reduced, urination disorders occur, that men should pay attention first and foremost: urine flow becomes weak, there may be bullies in droplets or difficult at the beginning or end.Many patients have a feeling of incomplete emptying of the unconteed urinary bladder or urinary leakage.

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

Diseases where similar symptoms

Diseases that have similar symptoms with prostatitis can be differentiated by various differences between them:

1. Urethritis is an inflammation of the urethra.With its development, it is extremely rare in men to increase body temperature.Pain syndrome is located in the genitals.If pain is observed in the lower abdomen, the patient is suspected of cystitis;
2. Epididimitis and orchitis are characterized by the testicle injury and its appendix.Due to the pathology, a man has a clear swelling of the scrotum and his redness.In contact with him, the skin of the skin is felt.During touching the testicles, the patient feels intense pain;
3. Pyelonephritis is accompanied by pain in the lower back and impaired urination.In a patient with this disease, an increase in total body temperature is observed.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 case of illness, the man must constantly visit the bathroom.At the end of the urination process, a pair of blood drops can be released;

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

Diagnosis

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

Then they are diagnostic measures:

• Study of prostate secret composition (if there is no acute form of the disease: it is impossible to perform the procedure due to intense pain);
• Palpator rectal examination;
• Prostate ultrasound examination to confirm prostatitis suspicions and form a precise diagnosis;
• biopsy;
• Tomography (computer/magnetic nuclear) of a small pelvis is required;
• cystoscopy;
• Urography.

In addition, men pass some general tests that can clarify the image of the disease:

• Urofloometry;
• a urine sample, measured by three glasses;
• Research on Mears & Stamey, measured by two urine glasses (the first portion excludes urethral contamination (infection, infection), the second - the absence/presence of the inflammatory process in the kidneys, bladder);
• Urine sample to determine its residual volume, prostate gland ultrasound;
• Clinical urine analysis;
• The middle part of the urine for microbiological research.

Diagnosis requires differentiation of prostatitis with cystitis, urethritis, prostate adenomas, prostate cancer.

What is the danger of prostatitis?

The consequences depend on age, state of the immune system, presence of bad habits.Thus, in people of an older age group, with weakened immunity, having alcoholism, drug dependence and acquired immunodeficiency syndrome, the consequences of the disease are more difficult.

1. The effect of prostatitis on damaged iron power, with decompensation of functional activity, reduces the production of substances involved in the formation of an erection of a man's genital organ.The consequence of prostatitis is a slow emission of seed fluid during sexual intercourse, a decrease in the integrity of sensations during sexual intercourse in advanced erectile dysfunction.
2. The effect of prostatitis on conception.The damaged prostate markedly reduces the activity of production of a quality secret needed to maintain sperm activity on a woman's birth channel.The secret of the inflamed prostate gland, entering sexual contact in the family's family paths reacts with the immune rejection of the female body, the development of gynecological diseases and the impossibility of conception.
3. Prostatitis causes damage within the gland and body.Complicated inflammation by microflora increases the risk of prostate abscess.ABSCSING - purulent melting from part of the gland parenchyma with the formation of a capsule around the fireplace.The disease with the formation of mineralized calculations in the cavity - a consequence of the prostate complicated by the prostate damaged reflux.The consequence of prostatitis is also: acute ishuria, urolithiasis, renal failure, inflammation of the genitourinary organs and other diseases.

Treatment of bacterial prostatitis

Treatment of bacterial prostatitis is one of the most difficult tasks of modern urology.Despite diagnosis and timely detection of the disease, only 30% of cases can a complete cure be reached.In most cases, the purpose of obtaining long -term stable remission is pursued.

Modern therapy of bacterial prostatitis consists of several blocks of medicines:

1. Antibacterial therapy for 4-6 weeks.The drugs of choice are fluoroquinolones.Reserve antibiotics - Protected, macrolyid penicillins.
2. Realocation of pain syndrome.It is achieved by the use of non -steroid anti -inflammatory drugs in the form of candles (preferably) or tablets.
3. With a combination of anxiety and pain, the use of selective inhibition antidepressants of the reverse capture of serotonin is recommended.
4. Urination disorders.Alpha-1-adreno-blacos are used.Reserve preparations are 5-alpha reductase blockers.

Local treatment for infectious prostatitis is limited due to the risk of complications (sepsis).Microclisms are used with chamomile solutions, Calêndula.

Treatment of acute prostatitis

In the treatment of acute prostatitis, it is important that systemic antibacterial treatment is important.Most of the time, the assistant doctor prescribes the patient to take certain medications.In the case of manifestation of prostatitis as a consequence of sexually transmitted diseases, treatment also includes other medications.

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

In the process of support therapy, it is important to observe a smooth regime, preferably bed.There should be enough hydration, including at least eight glasses of water every day.The patient can take painkillers, antipyretic effects.Perhaps periodic use for the treatment of prostatitis of sedentary baths.In acute bacterial prostatitis, after proper therapy, the patient recovers completely.The manifestation of complications is rarely possible: sometimes, due to prostatitis of the acute way, a man can develop an abscess or fistula of a prostate.

Treatment of chronic prostatitis

The treatment of chronic prostatitis should be complex, including ethiotropic therapy, physiotherapy, immunity correction:

1. Antibiotic therapy.The patient receives long-term antibacterial courses (within 4-8 weeks).Type and dose selection of antibacterial medications, as well as determining the duration of the treatment course is performed individually.The drug is chosen based on the sensitivity of microflora based on the results of urine sowing and prostate secret.
2. Physiotherapy.To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used.If it is impossible to perform physiotherapeutic procedures, the patient receives hot medicinal microclisms.
3. Prostate massage.The gland massage has a comprehensive effect on the affected organ.During massage, the accumulated inflammatory secret in the prostate gland is squeezed in the ducts and enters the urethra and removes from the body.The procedure improves blood circulation in the prostate, which allows to minimize stagnation and provides the best penetration of antibacterial medications in the tissue of the affected organ.

In long -term chronic inflammation, an immunologist consultation is indicated for the choice of immunocorgative therapy tactics.The patient receives recommendations for a change in lifestyle.The introduction of certain changes in the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure.The patient is recommended to normalize sleep and wakefulness, to establish a diet and perform moderate physical activity.

Popular remedies

There are many household recipes that help fight prostatitis.

Here are some of them:

1. Blueberries have an anti -inflammatory effect.Eat 200 grams of this berry a day, you will support your men's health;
2. Salsa, first of all, became famous as a culinary seasoning.But in addition, it also contains many beneficial substances, including the men's body.Take parsley juice for 1 tablespoon.l.3 times a day 30 minutes before meals.This will help alleviate inflammation and establish a sex life;
3. Five hundred grams of peeled raw pumpkin seeds, roll through a meat grinder and mix with 200 grams of honey.Make small balls from the resulting dough.Eat before eating twice a day, slowly, chewing carefully.Pumpkin seeds contain a large amount of zinc needed for male health;
4. Take the green chestnut peel with thorns, pike and pour boiling water.Consume in the form of tea;
5. Moa 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 cold place, mix periodically.Variety.Use 2 tablespoons.l.3 times a day before meals.Effective in the treatment of chronic prostatitis.

Some exercise will help accelerate recovery.They stimulate blood circulation in the pelvic area and therefore in the prostate.

1. Deep squats below knee level.The ideal number of times is 100. Do 3 times a week.If so far this number is not done immediately, make squats at various intervals approaches.
2. Scissors.Sit on the floor, rest your hands on the floor behind you.Stretch your legs in front of you, tear it from the floor.Cross them with each other.Movements resemble the work of the scissors.
3. Lying on your back, bend your legs on your knees, lightly to your chest.I followed them with your hands.Hold the pose for up to 20 minutes.
4. Normal walk also perfectly eliminates stagnation.

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

Prevention

Home prostatitis prevention includes the following recommendations:

1. It is forbidden to raise weights, especially if a man has weak physical training.
2. A contrast shower improves well.It can be taken in front of coatus.
3. In the diet, you need to include more raw fruits, vegetables and fruits.Pumpkin seeds, garlic, honey, plums, parsley, walnuts are useful.
4. It is necessary to exclude mayonnaise, ketchup, salting and marinades from the menu.
5. The amount of alcohol consumed should be reduced to a minimum.
6. To improve the health of the prostate gland, smoking should be excluded.It is because of this that little oxygen enters its tissue, which is why signs of prostatitis, impotence appears.
7. You need to fight hypodynamam.To do this, you must move more, get involved in physical culture.
8. It is necessary to deal with stress, minimize the influence of negative emotions.
9. Hypothermia should be avoided.In the car, you need to equip a warm seat.
10. It is recommended to perform exercises for the prevention of stagnant phenomena in the pelvis.
11. To increase power, you need to establish sex life.Male health is very harmful to interrupted sexual interruption.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 capable of causing persistent disorders of sexual function and infertility.