Prostatitis

Prostatitis is characterized by inflammation of the tissue of the prostate gland, which arises from the development of congestion in it.

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

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

Reasons for development

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

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

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

Therefore, 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 development of the disease. The most frequently identified pathogen is Escherichia coli (86%), followed by Klebsiella, Proteus, Enterococci, Pseudomonas aeruginosa. With regard to streptococci, staphylococci, chlamydia, mycoplasma, ureaplasma, the opinions of researchers on their importance in the development of the disease differ. It is extremely rare for specific pathogens (pale treponema, Koch's bacillus, etc. ) to become the causes of 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 the secretion of the prostate);
• Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (there are no leukocytes in the secretion of the prostate);
• Category IV. Asymptomatic chronic prostatitis (leukocytes are present in the prostate secret, the patient has no complaints, the disease is detected by chance).

First signs

The main signs of acute prostatitis are an increase in body temperature and frequent urination, which is accompanied by cramps and weak pressure. Also, signs of prostatitis include a burning sensation in the perineum and pain in the rectum during bowel movements. In the stage of purulent inflammation, spontaneous opening of the abscess and the discharge 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.

Difficulty urinating with prostatitis is very dangerous and, in the absence of timely treatment, can lead to acute urinary retention. Men should not ignore indirect signs of the development of prostatitis such as a total or partial decrease in libido, accelerated ejaculation, sometimes painful, prolonged erection at night. All these symptoms are characteristic of inflammation of the prostate gland, and even in an uncomplicated stage and susceptible 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 special importance to them.

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

1. Trouble urinatingDue to the narrowing of the urethra, the stream may become slow, thin, or intermittent. To empty, the patient has to make an effort, which should not be normal. Sometimes urine has to be squeezed out literally drop by drop, especially in the initial stage of the act of urination. Painful sensations often occur. Many patients have a frequent urge to urinate (especially at night), this is due to irritation of the nerve endings. Even after going to the bathroom, many have the feeling that the bladder is not completely empty, this is due to an enlarged prostate and a squeezing of the bladder. In severe cases, involuntary urine leakage or incontinence may occur.
2. Painful sensations As a general rule, they are located in the perineum, pubis or testicles, in the groin or in the lumbar region. The pain can occur suddenly and pass just as quickly, they are often quite strong, but more often there is a dull or aching character.
3. Inevitably sexual problems will arise. First, the libido will decrease significantly. Second, erection problems can occur. Third, due to problems with ejaculation (ejaculation), the average duration of sexual intercourse will change: it may be shortened due to premature ejaculation or, conversely, too long due to delayed ejaculation. Fourth, the sensations will also change, since the orgasm will not be bright. Fifth, the volume of semen will be significantly reduced (only a few drops can be released, which is not normal).
4. Another characteristic symptom is conception problems. If a man is planning to have a child, then with prostatitis, fertilization becomes impossible due to non-viability or insufficient mobility of sperm.
5. Discharge from the urethraThey are generally 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 the general condition, weakness, malaise and other similar manifestations. These prostatitis symptoms usually appear suddenly, without any prerequisites.

Additionally, many have psychological problems associated with the symptoms listed above. A man may become insecure, his self-esteem will be greatly reduced, he will be depressed or irritable and nervous. Many representatives of the stronger sex are ashamed of such delicate problems 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 a nervous breakdown.

Chronic prostatitis

Many men do not pay much attention to the manifestations of prostatitis in the early stages. These are discreet painful sensations in the bladder area, frequent need to go to the bathroom. Violation of normal ejaculation and erection is associated with stronger sex with age and you are in no rush to see a doctor. Such a frivolous attitude leads to the development of chronic prostatitis.

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

1. Feeling of discomfort and cuts in the urethra during urination or sexual intercourse, minor serous-purulent discharge from the urethra (mainly after prolonged urinary retention).
2. Moderate discomfort and / or pain in the form of "aches" and heaviness in the perineal region, arising or worsening after drinking alcoholic beverages, physical activity, sexual intercourse. Sometimes they are of a transitory paroxysmal nature.
3. Decrease in the ability to fertilize, which is produced by an increase in the acidity of the secretion, a decrease or lack of motility of the sperm and their agglutination (sticking) at the head.
4. Sudden and frequent urge to urinate (sometimes up to 3 times in 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 the bladder.
5. Pain during orgasm or blurred sensations of orgasm, ejaculation disorders, expressed in its premature form 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 scarring as a consequence of inflammation.

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

Diagnosis

To make an accurate diagnosis, a man must be examined by a doctor and evaluated. With prostatitis, the patient experiences tenderness in the perineal region. Internal palpation of the rectum shows the presence of swelling in the area of 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 pass a detailed blood test for the presence of excess protein, increased leukocyte count, and prostate antigen.

To exclude 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. To obtain an accurate image, an ultrasound examination of the pelvic organs is performed. It clearly shows inflammation and enlargement of the prostate. If the gland has grown very large, on ultrasound you can see the presence of residual urine in the bladder.

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

Drugs for the treatment of prostatitis in men: a list.

Complex treatment for prostatitis of various types can include different combinations of the following methods:

• immunocorrective therapy;
• antibiotic therapy;
• Hormonal therapy;
• various physiotherapy procedures;
• prostate massage;
• change of lifestyle;
• surgical intervention, etc.

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

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

When treated with antibiotics, preference is given to fluoroquinols and macrolides, as they can accumulate in the required concentration in the tissues of the prostate.

• Fluoroquinol.
• Macrolides.
• Less frequently used: penicillins, cephalosporins, tetracyclines.

Prostate massage

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

A set of exercises

Exercises for the prostate:

1. It is absolutely not a difficult exercise that is used for both treatment and prevention. It consists of tightening and relaxing the muscles of the anus. These muscles are responsible for containing the stream of water when urinating. Try contracting and loosening a group of muscles. This will increase blood flow to the gland area.
2. Use a contrast shower to improve circulation. To do this, direct the stream of water at the perineum. First 30 seconds of very warm water, then 10 seconds of cool down.
3. In the absence of acute symptoms, you can massage yourself. This is done to improve blood flow. The exercise is best done while lying down. The massage point is the space between the anus and the scrotum. The pressures should be firm, but not aggressive. Time is 3-5 minutes.

Be sure to check with your doctor before exercising. Sometimes its use is categorically unacceptable.

Immunocorrection

Decreased immunity adversely affects health.

It is this factor that is one of the fundamental factors in the development of the disease and its exacerbation. Long courses of taking antibiotics, which are mandatory for persistent prostatitis, also lower the body's defenses. Therefore, the patient is advised to consult with an immunologist to choose a strategy for performing immunocorrection.

Physiotherapy

Physiotherapy for chronic prostatitis aims to activate blood circulation.

For this, the patient is exposed to a laser, ultrasound and magnetic vibrations are used. In some cases, these procedures are replaced with hot medicinal enemas, which are administered regularly to the patient. Recommend sitz baths, mud treatments, mineral waters.

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 an antibiotic).

Alternative methods to treat prostatitis.

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

1. Healers have long used pumpkin seeds in the treatment of prostatitis. They are a good and very affordable folk remedy for this condition. Since these seeds contain a lot of zinc, which is necessary for any man at any age, they quickly cure prostatitis. You only need to eat 30 seeds a day before meals. This is exactly the daily ratio of zinc to 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 glass of raw material per 1 liter of water. The entire broth is drunk in equal portions instead of water. The seeds are made into 4 teaspoons per glass of boiling water. Insist 40 minutes in a saucepan or 15 minutes in a thermos. Consume about 3-5 times a day for one tablespoon.
3. The main ingredient is hazelnut. To treat prostatitis, you need to take the bark or leaves of the hazelnut. You can prepare both ingredients alternately, alternating between them. Just keep in mind that the crust should be brewed twice as long as it lasts. 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 drink 1/4 cup 4 times a day. It's best to use fresh twigs each time, but you can also use the ones that have already been used multiple times. Usually a week of such procedures is enough, and the prostatitis disappears.
4. For the treatment of the disease, candles are made, which are 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. Used in two courses in the morning and in the evening, 1 piece for 1 month with an interval of 10 days.
5. Celandine is used with caution. The plant is poisonous, an overdose leads to serious poisoning. In parallel, the celandine drug will cleanse the body of polyps, neoplasms, cysts and prevent prostate adenoma. The freshly squeezed juice is diluted with alcohol in equal parts. Drink daily 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 home remedies are used daily 1-3 times in 20-30 day courses. Treatment with herbal folk remedies lasts longer due to its mild effect than drugs, but it is safer for the body, especially in the presence of concomitant diseases of the intestines and stomach. Treatment should be accompanied by gymnastics: lifting your legs, squatting. Intensive walking is recommended for 15-30 minutes daily.

Complications of prostatitis

In the absence of timely and proper 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;
• septicemia.

Some of the above conditions require urgent surgical intervention!

Prevention measures

Prevention comes down to avoiding triggers. A healthy lifestyle, safe sex, and the presence of a partner will reduce the likelihood of infection of the genitourinary system. The general strengthening of the body and the increase of the immune defenses are also a preventive measure for prostatitis.