Prostatitis is characterized by a complex inflammatory process in the prostate gland. The risk group is made up of men 40 years of age and older who lead a sedentary lifestyle. The first signs in the acute form occur with purulent discharge in the urine, severe pain syndrome and an increase in body temperature of up to 40 degrees. Chronic prostatitis is no less dangerous than acute, but has a more hidden picture of development. Its danger lies in irreversible disorders associated with the activity of sexual function.
Characteristics of the course of prostatitis
Signs of prostatitis begin to bother men as a result of a sedentary lifestyle, hypothermia, as a result of malnutrition.
The course of the disease can be characterized in one of two ways:
- Acute prostatitis: determined by purulent discharge in the urine. Specific causes are associated with the pathogenic microflora. Treatment without antibiotics is ineffective.
- Chronic: develops as a result of inadequate or ineffective treatment. The signs are not as pronounced as in the acute course.
During the remission period, the symptoms of the pathology usually disappear completely. The exacerbation of chronic prostatitis does not bother the patient as clearly as in the primary acute form. In most cases, a stagnant course of the disease is diagnosed as a consequence of a sedentary lifestyle against the background of chronic diseases, due to low blood circulation in the pelvic organs.
Doctors divide the main signs of prostatitis into three groups:
- dysfunctions in the urinary system, manifested by disorders in the excretion of urine;
- characteristic sexual disorders of an enlarged prostate;
- development of nervous pathologies.
Inflammation of the prostate causes a decrease in the production of a special secretion that maintains the activity of the sperm. As a general rule, its resistance to adverse effects is diminished and the chances of successful fertilization of a female egg are close to minimal.
According to medical statistics, the disease affects not only the elderly, but also quite young men. The risk group is made up of the stronger sex from the age of 40. Doctors emphasize that the main emphasis should be placed on preventing the development of pathologies in the small pelvis and on preventive measures.
Symptom image
The symptoms of prostatitis are represented mainly by the pain syndrome. Unpleasant sensations in acute inflammation can be characterized by a stabbing, cutting, or painful character. They cause decreased performance, sleep disturbance. The enlargement of the prostate already in the early stages can be determined by pain in the pelvic area. In some patients, it develops during urination and defecation. During erection and ejaculation, pain sensations increase.
As a result of mechanical action on the walls of the urinary ducts, pain is almost always associated with movement.
Problems with urine flow disturb almost all patients and in any way. Appears:
- false urge to urinate;
- feeling of incomplete emptying of the bladder.
A man may need to strain to urinate and the stream is slow and intermittent. Acute inflammation causes a frequent urge to urinate.
In addition to the listed symptoms of prostatitis in the acute development of the disease, the following are manifested:
- pain in muscles and joints;
- increase in body temperature up to 40 degrees;
- feverish condition, chills;
- feeling of swelling in the groin area;
- discharge from the urethra;
- burning and cramping when urinating;
- streaks of blood and pus in the urine.
Complications of the chronic course of prostatitis can be male infertility, scarring and narrowing of the urethral tissues, complex kidney damage, sepsis. The testicles, epididymis, and seminal canals become inflamed. The running course leads to suppuration of the prostate, which requires immediate surgical intervention. Surgical treatment definitely requires bladder obstruction, which is accompanied by acute urinary retention.
Triggering factors
The main causes of prostatitis can be summarized in the following list:
- Sexually transmitted infections. Trichomonas, mycoplasma, chlamydia, gonococcus, Escherichia coli, enterococci can cause injury to the urethra and prostate tissues.
- A sedentary and sedentary lifestyle contributes to the development of stagnant and inflammatory processes in the pelvic organs.
- Alterations of lymphatic circulation and blood circulation.
- The permanent interruption or artificial increase of sexual intercourse, prolonged abstinence cause alterations in the functioning of the prostate gland.
- Regular mental stress, overexertion and stressful situations also affect men's health and lead to the development of prostatitis.
- Hypothermia, frequent colds and, as a result, decreased immunity become the causes of inflammatory processes of the reproductive organs.
- Hormonal disorders.
Treatment
It will not be possible to get rid of the pathological signs of acute or chronic prostatitis in a short period of time.
When choosing certain therapies, it is important to identify the type and form of the disease through diagnostic studies.
Medications
Antibiotics are indicated to diagnose bacterial prostatitis. If the inflammatory process was not caused by an infection, such therapy does not make sense. The choice of a specific antibiotic is made by the treating physician after identifying the microorganism causing the bacterial damage to the prostate gland.
In most cases, the drug must be taken for at least 7 days. Alpha blockers and antispasmodics help relieve pain. The systematic intake of this group of drugs helps to relax the muscles of the bladder and the prostate itself. This improves urine flow and reduces the manifestation of the general clinical picture.
For men with a particularly severe disease course, intravenous fluids and diuretics are indicated. This improves the flow of urine. Also, in this way, you can stop the body's intoxication process.
Nonbacterial prostatitis is treated with antipyretic, analgesic, and anticholinergic drugs. In case of constipation, it is necessary to use laxatives and suppositories based on petroleum jelly.
Supportive care
The important stages of complementary therapy in pharmacological treatment are:
- bed rest;
- full break;
- drink plenty of fluids, at least 2 liters per day;
- hot sitz baths.
In acute urinary retention, a temporary suprapubic fistula is prescribed. An alternative approach is regular bladder catheterization. Doctors prescribe such treatments only when drug therapy is ineffective. Patients should not forget about the contraindications to hypothermia of the body during treatment, cycling, and prolonged sitting on hard surfaces.
From the first days of prostate diagnosis, prostate massage is prescribed. This method helps reduce the pressure of the enlarged gland in the urethra, thus improving the urination process and reducing induration.
Compliance with a diet that excludes spicy and fatty foods, as well as alcoholic and carbonated beverages, allows you to normalize your general well-being.
Surgery
In cases where drug therapy has not had an effect in treating prostatitis, surgery is required. In rare cases, with stagnant flow, the flow of urine is blocked. Surgical treatment is also indispensable here. A contraindication to surgery is the reproductive age of the patient. In young men, surgery can cause infertility.
Transurethral resection of the prostate is a surgical excision of all inflamed tissue. Prostatectomy is performed to completely remove the prostate, adjacent tissues, and seminal vesicles. The negative consequences of such intervention are urinary incontinence and impotence. This type of medical attention is necessary due to the malignant nature of the pathology. It allows you to get rid of the problem with the inflammatory process in the prostate gland once and for all.
Prostatitis is considered a complex and insidious disease, with persistent remissions in the chronic form. It is not always possible to cure it completely, so eliminating the main symptoms is a task that every treating physician seeks to perform. It is impossible to determine exactly how long it will be before they disappear completely. In most situations, urologists provide reassuring prognoses.
Alternative therapy
In the treatment of the disease, not only medical methods are used, but also folk remedies.
Dead Bee
Alcohol tincture is prepared from 2 tsp. podmore and 200 ml of alcohol or vodka. It is taken 3 times a day on an empty stomach, 40-60 drops, depending on the patient's weight. Therapy course - 25 days. The composition of the bee worm contains unique components that have a therapeutic effect on the problems of the male reproductive system.
Broth with the addition of 2 tsp. honey, 1 tsp. Podmora for 1 glass of hot water is simmered for 10 minutes. Then the remedy should be insisted for about 3-4 hours. Usage is shown in 2 scoops. l. twice a day before meals. The optimal period of treatment with this remedy is 1 month. Then you need to take a break for 7-10 days, and if there is no improvement, resume therapy.
Pumpkin seeds
Pumpkin seeds must be ground in a coffee grinder before use. Take 2 tablespoons daily on an empty stomach. l. , washed down with a glass of water diluted in 2 tsp. Natural honey.
You can add fresh parsley juice to honey in a few drops.
Brown
The raw materials are mixed in equal proportions (10 g each):
- dried licorice roots;
- Berry, chestnut, knuckle and castor leaves.
To enhance the effect, you can add 15 g of dandelion, comfrey and beans. You need to prepare a fresh decoction of 1 tablespoon every day. l. mixed raw materials of plants and 0. 5 liters of water. Boil for 10 minutes, then leave for another half hour. Drink 4 servings immediately before meals. The course is 30 days.
Prevention
The manifestation of symptoms in the clinical picture of prostatitis contributes to the formation of inferiority complexes. This causes stressful situations and depressed moods in men. Many patients are characterized by irritability, a tendency to conflict. Aggressive behavior interferes with normal communication.
In most cases, you should seek the help of an experienced psychologist. After all, disorders of the sexual sphere have a very negative effect not only on a man's mood, but also on his entire life. Therefore, psychological rehabilitation is no less important than drug therapy.
Doctors recommend avoiding hypothermia and excessive physical exertion. An effective means of preventing prostatitis is an active sex life with a constant partner. Prolonged abstinence, incomplete ejaculation are contraindicated. It is necessary to limit the use of alcoholic beverages from the age of 40 and to stop smoking. The main emphasis should be on moderate exercise and vitamin therapy.