prostatitis

Prostatitis is characterized as inflammation of the prostate tissue resulting from the development of congestion in it.

In the modern world, this is the most common urological disease among men of all ages. According to statistics, after the age of 30, prostatitis covers 30% of the male population, after 40 - 40%, after 50 - 50% and further in ascending order.

However, taking into account the peculiarities of the diagnosis and the possibility of the disease in a latent form, the actual figures are much higher.

Reasons for development

Currently, the causes of prostatitis are divided into two major groups:

1. Infectious - (sexually transmitted infections (penetration into the tissues of the prostate of the causative agent - microbes, viruses, bacteria, fungi, etc. ): also the presence of foci of chronic infection (chronic tonsillitis, sinusitis, renal pathology), pelvic surgery, etc. . ).
2. Non-infectious (stagnant) (reduced immunity, hypothermia, reduced physical activity, sedentary lifestyle, prolonged sexual abstinence and, conversely, excessive sexual activity, alcohol abuse, etc. ).

The development of prostatitis is facilitated by injuries, impaired circulation of blood and lymph in the pelvic organs, hormonal disorders (absolute or relative androgen deficiency).

Thus, it is emphasized that the isolated entry of the pathogen into the tissues of the organ is not always and may not necessarily be the cause of the disease. The most commonly identified pathogen is Escherichia coli (86%), followed by Klebsiella, Proteus, Enterococci, Pseudomonas aeruginosa. Regarding streptococci, staphylococci, chlamydia, mycoplasma, ureaplasma, the opinions of researchers on their importance in the development of the disease differ. Very rarely, specific pathogens (pale treponema, Koch's bacillus, etc. ) cause prostatitis.

Classification

Currently, the international classification of prostatitis has been adopted, which is the most complete and covers all types of inflammation:

1. Category I. Acute prostatitis;
2. Category II. Chronic bacterial prostatitis;
3. Category III. Non-bacterial chronic prostatitis / Chronic pelvic pain syndrome - a disease in which no infection is detected that lasts more than 3 months;
• Subcategory III A. Chronic inflammatory pelvic pain syndrome (leukocytes are determined in prostate secretion);
• Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (lack of leukocytes in prostate secretion);
• Category IV. Asymptomatic chronic prostatitis (there are leukocytes in the secretion of the prostate, the patient has no complaints, the disease is detected by chance).

First signs

The main signs of acute prostatitis are fever and frequent urination, which is accompanied by cramps and low blood pressure. In addition, signs of prostatitis include a burning sensation in the perineum and pain in the rectum during defecation. In the stage of purulent inflammation, spontaneous opening of the abscess and leakage of pus from the urethra or rectum is likely.

A symptom of a chronic form is burning in the urethra and perineum, discharge of pus at the end of the act of defecation or urination, increased fatigue and irritability of the body.

Difficult urination in prostatitis is very dangerous, which in the absence of timely treatment can lead to acute urinary retention. Men should not ignore such indirect signs of prostatitis as complete or partial decrease in libido, accelerated ejaculation, sometimes painful, prolonged erection at night. All these symptoms are characteristic of inflammation of the prostate gland, even in the uncomplicated stage and are subject to adequate treatment.

Symptoms

If acute prostatitis is simply impossible not to notice, then in chronic prostatitis many do not notice certain signs or do not attach much importance to them.

Let's list the main symptoms of prostatitis in men:

1. Problems urinating. Due to the narrowing of the urethra, the jet may become slow, thin or intermittent. To empty, the patient must make an effort that should not be normal. Sometimes the urine literally has to be excreted drop by drop, especially in the initial stage of the act of urination. Painful sensations often occur. Many patients have frequent urges to urinate (especially at night), this is due to irritation of the nerve endings. Even after going to the toilet, many people have the feeling that the bladder is not completely empty, this is due to an enlarged prostate and compression of the bladder. In severe cases, involuntary leakage of urine or incontinence may occur.
2. Painful sensations. As a rule, they are located in the perineum, pubis or testicles, groin or lumbar region. The pain may come on suddenly and pass just as quickly, they are often quite severe, but more often they are dull or painful.
3. Sexual problems will inevitably arise. First, libido will decrease significantly. Second, erection problems can occur. Third, due to problems with ejaculation (ejaculation), the average duration of intercourse will change: it may become short due to early ejaculation or, conversely, too long due to delayed ejaculation. Fourth, the sensations will also change, because the orgasm will not be bright. Fifth, the volume of semen will be significantly reduced (only a few drops may be released, which is not normal).
4. Another characteristic symptom is problems with conception. If the man is planning a child, then in prostatitis fertilization becomes impossible due to non-viability or insufficient sperm motility.
5. Urethral secretion. They are usually white in color and slimy in texture and are most common in the morning.
6. In the acute course there is an increase in body temperature (up to 38-39 °), fever, deterioration of general condition, weakness, malaise and other similar manifestations. Such symptoms of prostatitis usually appear suddenly, without any preconditions.

In addition, many of them have psychological problems related to the symptoms listed above. The man may become insecure, his self-esteem will be greatly reduced, he will be depressed or irritable and nervous. Many members of the stronger sex are ashamed of such delicate issues and do not consider it necessary to talk about them, keeping everything to themselves. And this puts a lot of pressure on the psyche, changes behavior and in some cases can lead to depression or nervous breakdown.

Chronic prostatitis

Many men do not pay much attention to the manifestations of prostatitis in the early stages. These are unobtrusive painful sensations in the bladder, often a desire to go to the toilet. Impaired ejaculation and erection is associated with the stronger sex with age and is in no hurry to go to the doctor. Such a frivolous attitude leads to the development of chronic prostatitis.

So, we list the common symptoms of different forms of chronic prostatitis:

1. Feeling of discomfort and cuts in the urethra during urination or intercourse, slight serous-purulent discharge from the urethra (mainly after prolonged urinary retention).
2. Discomfort and / or moderate pain in the form of "pain" and heaviness in the perineal area, arising or worsening after drinking alcohol, physical activity, sexual intercourse. Sometimes they are transient paroxysmal in nature.
3. Decreased ability to fertilize, which is caused by increased acidity of secretions, reduced or no motility of sperm and their agglutination (sticking) from their heads.
4. Sudden frequent urge to urinate (sometimes up to 3 times within 1 hour) and a feeling of insufficient emptying of the bladder, which is explained by a violation of the nervous regulation of the prostate, its muscle fibers and bladder.
5. Pain during orgasm or blurred sensations of orgasm, ejaculation disorders, expressed in its premature or, conversely, in the excessive duration of sexual intercourse. These phenomena are associated with an inflammatory process in the area of the seminal tubercle or scars resulting from inflammation.

To diagnose the disease, you need to visit a urologist. With the help of tests, the doctor diagnoses and prescribes a course of drug treatment.

Diagnosis

To make an accurate diagnosis, the man must be examined by a doctor and tested. In prostatitis, the patient experiences pain on palpation in the perineal area. Internal palpation of the rectum shows the presence of swelling in the prostate gland, it becomes dense to the touch. The patient complains of problems with the genitourinary system. After collecting the anamnesis, the patient must undergo a detailed blood test for excess protein, increased white blood cell count and prostate antigen.

To rule out infection, the patient must pass a smear from the urethra. The laboratory will inoculate the identified bacteria and test their sensitivity to certain types of antibiotic agents. For an accurate picture, an ultrasound examination of the pelvic organs is performed. It clearly shows inflammation and enlargement of the prostate. If the gland has grown strongly, then on ultrasound you can see the presence of residual urine in the bladder.

After passing all the tests and examinations, the man will be fully diagnosed and treatment will be prescribed.

Drugs for the treatment of prostatitis in men: a list

The complex treatment of prostatitis of different types may include different combinations of the following methods:

• immunocorrective therapy;
• antibiotic therapy;
• hormone therapy;
• various physiotherapeutic procedures;
• prostate massage;
• lifestyle change;
• surgical intervention, etc.

Treatment of prostatitis with drugs includes various drugs, including antibiotics:

• alpha blockers;
• hormonal drugs;
• muscle relaxants;
• immunomodulators;
• rectal suppositories;
• antibacterial drugs.

Fluoroquinolones and macrolides are preferred during antibiotic treatment, as they may accumulate at the required concentration in prostate tissue.

• Fluoroquinols.
• Macrolides.
• Less commonly used: penicillins, cephalosporins, tetracyclines.

Prostate massage

Prostate massage shows good results. The gland receives a complex effect. First of all, it becomes possible to remove from the body the inflammatory secretion accumulated in the prostate (released during the massage). Improving blood circulation through these manipulations allows you to deal with all kinds of stagnation, and also contributes to the good penetration of antibiotics into the glandular tissue.

A set of exercises

Exercises for the prostate:

1. Absolutely not difficult exercise is used for both treatment and prevention. It consists in squeezing and relaxing the muscles of the anus. It is these muscles that are responsible for holding the stream when urinating. Try to contract and relax a muscle group. This will increase blood flow to the gland area.
2. Use a contrast shower to improve blood circulation. To do this, direct the jet of water towards the perineum. First, 30 seconds of very hot water, then 10 seconds of cool.
3. In the absence of acute symptoms you can massage. This is done to improve blood flow. The exercise is best done lying down. The massage point is the gap between the anus and the scrotum. The pressure should be firm but not aggressive. The time is 3-5 minutes.

Be sure to consult your doctor before training. Sometimes their use is completely unacceptable.

Immunocorrection

Decreased immunity has a negative effect on health.

This factor is one of the main in the development of the disease and its exacerbation. Long-term courses of antibiotics, which are mandatory in chronic prostatitis, also reduce the body's defenses. Therefore, the patient is advised to consult an immunologist to choose a strategy for immunocorrection.

Physiotherapy

Physiotherapy for chronic prostatitis is aimed at activating blood circulation.

For this purpose, the patient is exposed to laser, ultrasound and magnetic vibrations are used. In some cases, these procedures are replaced by warm healing enemas, which are regularly given to the patient. Recommend sedentary baths, mud therapy, mineral water.

Candles

All suppositories for the treatment of prostatitis have one of the properties: relieve pain (non-steroidal drugs), relieve spasms (based on papaverine), eliminate the inflammatory process (contain antibiotics).

Alternative methods of treating prostatitis

Treatment of prostatitis at home is carried out only in uncomplicated forms or chronic recurrence. Traditional methods can increase the body's resistance to infections and relieve pain.

1. Pumpkin seeds have long been used by healers in the treatment of prostatitis. They are a good and very affordable folk remedy for this condition. Because these seeds contain a lot of zinc, which is necessary for every man of all ages, they quickly cure prostatitis. You just need to eat 30 seeds a day before meals. This is exactly the daily proportion of zinc for the body.
2. The seeds and roots of the plant are suitable. The crushed roots of the plant are boiled for 10 minutes at the rate of half a cup of raw materials per 1 liter of water. The whole amount of broth is drunk in equal portions instead of water. The seeds are boiled in 4 teaspoons per cup of boiling water. Insist 40 minutes in a saucepan or 15 minutes in a thermos. Consume about 3-5 times a day on a tablespoon.
3. The main ingredient is hazelnut. To treat prostatitis you need to take either the bark or the leaves of the hazelnut. You can boil the two ingredients in sequence, alternating them. Just keep in mind that the crust should be boiled twice as long as it is harder. So, take a tablespoon of hazelnut leaves (or bark) and boil it in a glass of boiling water. Close the lid tightly and wait half an hour. Then strain and take 1/4 cup 4 times a day. It is better to use fresh twigs each time, but you can also use those that have already been used several times. Usually one week of such procedures is enough - and the prostatitis disappears.
4. Candles are made to treat the disease and stored in the freezer. For the dough, take 1 teaspoon of honey, 1 egg and about 3 tablespoons of flour. The components are mixed until smooth, forming candles. It is used in two courses in the morning and in the evening, 1 for 1 month with an interval of 10 days.
5. Celandine is used with caution. The plant is poisonous, overdose leads to severe poisoning. At the same time, the celandine medicine will cleanse the body of polyps, neoplasms, cysts and prevent prostate adenoma. Freshly squeezed juice is diluted with alcohol in equal parts. Drink daily by diluting in 50 ml of water. Start treatment with 1 drop, increasing the concentration by 1 drop every day for 60 days. After 10 days the course is repeated.

Most folk remedies are used 1-3 times daily in courses of 20-30 days. Treatment with home remedies of herbs lasts longer due to their mild action than medication, but is safer for the body, especially in the presence of concomitant diseases of the intestines and stomach. Treatment should be accompanied by gymnastics: lifting the legs, squatting. Intensive walking for 15-30 minutes a day is recommended.

Complications of prostatitis

In the absence of timely and adequate treatment, prostatitis can be complicated by the following conditions:

• the development of chronic prostatitis;
• bladder obstruction;
• the development of infertility;
• recurrent cystitis;
• narrowing of the urethra;
• pyelonephritis;
• prostate abscess;
• sepsis.

Some of the above conditions require urgent surgical intervention!

Prevention measures

Prevention comes down to avoiding provoking factors. A healthy lifestyle, safe intercourse and the presence of a partner will reduce the likelihood of a genitourinary tract infection. General strengthening of the body and increased immune protection are also a preventive measure for prostatitis.