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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 connective tissues.

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

However, the particularity of the diagnosis and the probability of hiding the course of the disease suggest that this figure is much more important.Only a quarter of men aged 22 to 50 undergo medical examinations, including a urologist who diagnoses prostatitis in 15% of cases of this amount.

What is this?

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

What is a prostate?

The prostate gland is the main organ of the male reproductive system.It is located where the urethra and the conduits which throw the seeds converge.His functions:

  • Development of prostaglandins, substances which contribute to increasing the blood supply to the penis, which ensures an erection;
  • Participation in the development of testosterone as well as testicles;
  • Development of a secret to liquefy sperm and ensure the survival of sperm;
  • Participation in the ejection of the seed and the formation of orgasm;
  • The obstacle to the entry of the urine into the liquid of the seeds.

The position of the prostate makes him vulnerable to the penetration of the pathogens of the urethra, the bladder and the vasation of the conduits.A large number of blood, the lymphatic vessels that enter 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.The symptoms of exacerbation of prostatitis will appear in severe inflammation of the organ.The temperature of prostatitis in men in acute form increases considerably (up to 39 ° C).The urination and defecation processes cause intense pain.
  2. Chronic.The manifestations of the disease are not a pronounced nature.The temperature can sometimes increase slightly, a man, from time to time, experiences urination.

The types of prostatitis in men are divided into two groups - bachelor and not bacterial.

Prostatitis classification:

  1. Bacterial.It follows from the penetration of several varieties of microorganisms, streptococcal, e.Coli, staphylococci and prostate.Another likely reason is complication after infectious diseases of the genitorerinary - gonorrhea, chlamydia, trichomonosis, mycoplasmosis.
  2. Sclera.This happens due to the death of organic cells and their replacement with sclerotic tissues.Reason is constipation, therapy with certain drugs, frequent infections.It is impossible to treat prostatitis of this species due to the lack of positive results.
  3. Prostatopotic.In this type of prostatitis, symptoms are characterized by constant pain in the basin.His reasons are not fully studied.The most likely are called the injury of the perineum muscles, the reverse expiration of secrecy.
  4. Congestive.The most common variety.It is caused by stagnant processes due to the interruption of coitus, a prolonged rejection of intimate contacts, sexual excess.
  5. Calcular.It is characterized by the presence of stones in the prostate and the conduits.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 healing depends on the scene of pathology, the presence of complications.

Causes

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

The main factors causing the presence of prostatitis are as follows:

  1. Stagnant process.They appear with obesity, a sedentary lifestyle, because microcirculation of blood in the pelvic organs is disturbed.Consequently, the required quantity of oxygen and nutrients does not reach the prostate.
  2. Injuries.Due to mechanical damage to the tissues and organs of the basin (OMT), stagnation can occur, causing the inflammatory process.Such cases are often found in truckers due to the professional activity associated with a long -term sitting position and a constant injury of the chair that beats the OMT.
  3. Infections.Bacteria fall into the prostate gland in various ways and ways.Young men who have sexual contacts without contraception (condom) present a high risk of disease due to the penetration of pathogenic microorganisms (chlamydia, mycoplasmism, etc.).In addition, the occurrence of prostatitis occurs following all internal chronic diseases.The malicious bacteria reach the gland of the prostate with the flow of lymph or blood.Pathological microorganisms can also "descend" to the Prostate of Urtra.Then, the disease is caused by the disorders of the urinary system (urethritis, pyelonephritis) with weakened immunity.

Urologists are sure that prostatitis is not a diagnosis for life.If the treatment has not given a rapid result, then the man should not abandon and think about his respect for all the requirements.Only joint actions and the efforts of the doctor and the patient, confident in the success of therapy, will help man feel healthy, and therefore with folds.

The first signs

In men, the first signs of prostatitis and its treatment are due to deterioration of blood circulation in the prostate due to inflammation or to spasms of the blood vessels.The result is a lack of oxygen, a slowdown in metabolic processes and the formation of disintegration products which irritate the nerve endings of the bladder, the penis, the testicle and the rectum.

The first symptoms can manifest in this way:

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

Prostatitis symptoms

Symptoms of prostatitis, which are mainly man, man generally draws as follows:

  1. At the start of the disease, when the prostate barely started to increase in volume, it only slightly tighten 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, therefore, a certain obstruction of the passage of urine is a difficult urilation.
  2. The resulting problem is rapid urination.At first, this demonstration is not concerned, a man who has never woven the night can resist the bladder once or twice at night and to note it on an additional tea cup at dinner.But, over time, the ruptures between the urination will be considerably reduced.
  3. The presence of pain at the bottom of the abdomen is also one of the first symptoms of prostatitis.They can be different in the sensation: shoot, squeeze, burst, they generally care about the end of the day or after power loads.
  4. Minor erection disorders and premature ejaculation, of course, cause both a man and his partner with a certain anxiety, but this is also often attributed to fatigue and stress.

Symptoms of bacterial prostatitis

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

How prostatitis manifests in men

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, pain in the body);
  2. Local inflammatory syndrome (pain at the bottom of the abdomen, the crotch, the supralob region, which intensifies during intercourse, with prolonged abstinence, after defecation)
  3. Violations of the violations of the genitarian sphere (painful, slow or intermittent urination, violation of erection, ejaculation);
  4. Laboratory symptoms (changes in urine analysis, secretion of prostate, seed liquid; as well as inflammatory changes in the general clinical blood test);

In chronic bacterial prostatitis: exacerbation symptoms are presented above.By exacerbation, symptoms are most often not expressed, erased, small.In such cases, the main complaints affect urination disorders, serious changes in erection, weakening the sexual drive, violations of ejaculation (premature or detained), emotional softness of orgasm experience, character deviations (increased irritability, temperament, anxiety, intrusivity).

Chronic prostatitis symptoms

Unlike the acute form, the chronic form of prostatitis in men has an asymptomatic course and takes place latent (that is to say without pronounced characteristics).The clinical picture is often erased, with light symptoms, patients do not discovery due to appropriate attention and do not consider the need to seek a doctor, confusing the symptoms of prostatitis with prostate adenoma, which is extremely dangerous.The principles of treatment of these diseases are completely different, as well as possible complications with undesirable consequences.

The chronic form of the inflammation of the prostate is expressed in light pain in the perineum, in the pubic area and the groin, which pass quickly.As a rule, the duration of sexual intercourse changes, both towards lengthening, 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.

Since the inflammatory process leads to the fact that the light of the urethra is narrowed, mics disorders occur, to which men must first be careful: the flow of urine is low, there can be a urination in the droplets or difficult at the beginning or at the end.Many patients have a feeling of incomplete emptying of the bladder or uncontrolled urinary leaks.

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

Diseases in which similar symptoms

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

  1. Uretritis 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 at the bottom of the abdomen, the patient is suspected of cystitis;
  2. Epididymitis and orchitis are characterized by the lesion of the testicle and its appendix.Due to 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 the touch of the testicles, the patient feels intense pain;
  3. Pyelonephritis is accompanied by pain in the lower back area and altered urination.In a patient with such a disease, an increase in total body temperature is observed.Blood loss is not excluded when urinating it.
  4. Cystitis is often confused with urethritis.Often these two pathological processes develop parallel to each other.In case of illness, humans must constantly visit the toilet.At the end of the urination process, a pair of blood drops can be released;

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

Diagnosis

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

Symptoms of prostatitis in men

Are then diagnostic measures:

  • Study of the composition of the prostate secret (if there is no acute form of the disease: it is impossible to carry out the procedure due to intense pain);
  • Rectal examination of the palpator;
  • Ultrasound examination of the prostate to confirm the suspicions of prostatitis and the formation of a precise diagnosis;
  • biopsy;
  • Tomography (magnetic computer / nuclear) of a small pool if necessary;
  • Cystoscopy;
  • Urography.

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

  • Urofloometry;
  • a sample of urine, measured by three glasses;
  • Research on Mears & Stamey, measured by two glasses of urine (the first part excludes urethral contamination (infection, infection), the second - the absence / presence of the inflammatory process in the kidneys, the bladder);
  • Urine sample to determine its residual volume, ultrasound of the prostate gland;
  • clinical urine analysis;
  • The middle part of 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, the state of the immune system, the presence of bad habits.Thus, in people from an older age group, with weakened immunity, having alcoholism, drug addiction 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 the genital organ of a man.The consequence of prostatitis is a slow emission of seed fluid during sexual intercourse, a decrease in the exhaustiveness of sensations during sexual intercourse, in advanced erectile dysfunction forms.
  2. The effect of prostatitis on design.The damaged prostate greatly reduces the activity of the production of a quality secret necessary to maintain the activity of sperm in the birth channel of a woman.The secret of the ignited prostate gland, entering sexual contact in a woman's family ways reacts with the immune rejection of the female body, the development of gynecological diseases and the impossibility of design.
  3. Prostatitis causes damage inside the gland and the body.Inflammation complicated by microflora increases the risk of prostate abscesses.ABSCSING - Purulent mixture of part of the parenchyma of the gland with the formation of a capsule around the hearth.The disease with the formation of mineralized calculations in the cavity - a consequence of the prostate complicated by the damaged reflux the prostate.The consequence of prostatitis is also: acute ishuria, urolithiasis, renal failure, inflammation of the genitorerinary organs and other diseases.

Bacterial prostatitis treatment

The treatment of bacterial prostatitis is one of the most difficult tasks in modern urology.Despite the achievements of the diagnosis and the timely detection of the disease, only 30% of cases can be obtained.In most cases, the objective of reaching a long -term stable remission is pursued.

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

  1. Antibacterial therapy for 4 to 6 weeks.Drugs of choice are fluoroquinolones.Reserve antibiotics - Protected penicillins, macrolides.
  2. Relocation of pain syndrome.It is carried out 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, the use of selective inhibition antidepressants of the opposite capture of serotonin is recommended.
  4. Urination disorders.Alfa-1-Adreno blocks are used.Reserve preparations are 5-alpha reductase blockers.

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

Acute prostatitis treatment

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 drugs.In the event of a prostatitis manifestation due to sexually transmitted diseases, treatment also includes other drugs.

The treatment continues according to the severity of the disease.It can last from two days to seven days.After the main course, the doctor prescribed a support cure for the patient.

In the process of supporting therapy, it is important to observe a soft diet, preferably the bed.There must be sufficient hydration, especially by drinking at least eight glasses of water each day.The patient can take pain relievers, antipyretic effects.Perhaps periodic use for the treatment of prostatitis of sedentary baths.In acute bacterial prostatitis, after adequate therapy, the patient is completely recovered.The manifestation of complications is rarely possible: sometimes, due to the prostatitis of the acute form, a man can develop an abscess or a fistula of a prostate.

Treatment of chronic prostatitis

The treatment of chronic prostatitis should be complex, in particular etiotropic treatment, physiotherapy, correction of immunity:

Prostatitic treatment methods in men
  1. Antibiotic therapy.The patient is prescribed long -term antibacterial courses (within 4 to 8 weeks).The selection of the type and dosage of antibacterial drugs, as well as the determination of the duration of the treatment are carried out individually.The drug is chosen according to the sensitivity of microflora according to the results of the sowing of the urine and the secret of the prostate.
  2. Physiotherapy.To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used.If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed hot medicinal microclilisms.
  3. Prostate massage.The gland massage has a complete effect on the affected organ.During massage, the inflammatory secret accumulated in the prostate gland is tight in the conduits, then enters the urethra and eliminates the body.The procedure improves blood circulation in the prostate, which makes it possible to minimize stagnation and offers the best penetration of antibacterial drugs in the fabric of the affected organ.

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

Folk remedies

There are many house recipes that help fight prostatitis.

Here are some of them:

  1. Blueberries have an anti-inflammatory effect.By eating 200 grams of this bay per day, you will support the health of your men;
  2. The parsley, first of all, became famous as a culinary spice.But in addition to that, it also contains many beneficial substances, including those that the male body needs.Take parsley juice for 1 tablespoon.L.3 times a day 30 minutes before meals.This will help relieve inflammation and establish a sex life;
  3. Five hundred grams of raw pumpkin seeds peeled, scroll through a meat crusher and mix with 200 grams of honey.Make small balls from the resulting mass.Eat before eating twice a day, slowly, chewing carefully.Pumpkin seeds contain a large amount of zinc, which is necessary for the health of men;
  4. Take the green chestnut skin with tips, cut and pour boiling water.Consume in tea form;
  5. Growing three hundred grams of onions to a conspiracy in the shape of a porridge, add 100 grams of honey, 600 ml of dry wine.Keep 1 week in a dark and fresh place, mix periodically.Strain.Use 2 tablespoons.L.3 times a day before meals.Effective in the treatment of chronic prostatitis.

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

  1. Deep squats under the level of the knees.The optimal number of times is 100. Perform 3 times a week.If so far, this number is not immediately finished, make squats in several approaches with breaks.
  2. Scissors.Sit on the ground, rest your hands on the ground behind you.Stretch your legs in front of you, tear them away from the ground.Cross them with each other.The movements resemble the work of the scissors.
  3. Lying on your back, fold your legs in your knees, bring it to your chest.Enter them with your hands.Hold the pose up to 20 minutes.
  4. Normal walking also eliminates stagnation perfectly.

You can complete 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 a man has low physical training.
  2. A contrast shower improves well.He can be taken before Coatus.
  3. In the diet, you should include more raw fruits, vegetables, berries.Pumpkin seeds, garlic, honey, prunes, parsley, nuts are useful.
  4. It is necessary to exclude mayonnaise, ketchup, salting and menu marinades.
  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 tissues, which is why signs of prostatitis, helplessness appear.
  7. You have to fight hypodynamia.To do this, you must move more, engage in physical culture.
  8. It is necessary to face stress, to minimize the influence of negative emotions.
  9. Hypothermia should be avoided.In the car, you must equip a heated seat.
  10. It is recommended to perform exercises for the prevention of stagnant phenomena in the basin.
  11. To increase power, you must establish sex life.Male health is very harmful to interrupted sex.Long -term sexual abstinence is not allowed.

A correctly established physical and sexual activity, compliance with all of the doctor's recommendations helps to get rid of prostatitis.Prostatitis is dangerous in that it is capable of provoking persistent problems of sexual function and infertility.