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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.

Thoroughly treatment of prostatitis was engaged in the 19th century, when there was a tendency to increase this disease.The disease is purely male, since the prostate iron is an organ located in the body of men.Representatives of the age category from forty and older years suffer from this ailment, but medical statistics claim that in recent years the disease is significantly “younger”: among 25-28-year-old men, prostatitis is detected in 30% of cases.

However, the peculiarity of diagnosis and the probability of hidden the course of the disease suggests that this figure is much larger.Only a quarter of men 22-50 years undergo medical examinations, including a urologist who diagnoses prostatitis in 15% of cases from this amount.

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 male reproductive organs.It is located under the bladder around its neck.The fact is that the urethra passes through the prostate, that is, the prostate is located around the urinary pipe.Just as a result, with an increase in the prostate, the urinary canal 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 in the place where the urethra and the ducts that throw the seed converge.Its functions:

  • development of prostaglandins, substances that help increase the blood supply to the penis, which ensures an erection;
  • participation in the development of testosterone along with testiculas;
  • development of a secret to liquefy sperm and ensure the survivability of sperm;
  • participation in the ejection of the seed and the formation of orgasm;
  • The obstacle to the entry of urine into the seed fluid.

The position of the prostate makes it vulnerable to the penetration of pathogens from the urethra, the bladder, and the vasation of the ducts.A large number of blood, lymph vessels that penetrate the prostate gland can provoke 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 exacerbation of prostatitis will appear in severe inflammation of the organ.The temperature for prostatitis in men in acute form increases significantly (up to 39 ° C).The processes of urination and defecation cause severe pain.
  2. Chronic.Manifestations of the disease are not a pronounced nature.The temperature can sometimes increase slightly, a man, from time to time, experiences urination.

Types of prostatitis in men are divided into two groups - bacterial and non -bacterial.

Classification of prostatitis:

  1. Bacterial.It arises from the penetration of several varieties of microorganisms, streptococci, E. coli, staphylococci and to the prostate.Another probable reason is the complication after infectious diseases of the genitourinary sphere - gonorrhea, chlamydia, trichomonosis, mycoplasmosis.
  2. Sclerotic.It happens due to the death of the organ cells and their replacement with sclerotic tissue.The reason is constipation, therapy with some medicines, 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 constantly occurring pains in the pelvis.Its reasons are not fully studied.The most likely are called the injury of the muscles of the perineum, the reverse expiration of the secret.
  4. Congestive.The most common variety.It is provoked by stagnant processes due to interruption of coitus, prolonged rejection of intimate contacts, sexual excesses.
  5. Calcular.It is characterized by the presence of stones in the prostate and ducts.The manifestation may consist in 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 the cure depends on the stage of pathology, the presence of complications.

Causes

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

The main factors provoking the occurrence of prostatitis are as follows:

  1. Stagnant processes.They appear with obesity, a sedentary lifestyle, since the microcirculation of blood in the pelvic organs is disturbed.As a result of this, the required amount of oxygen and nutrients does not reach the prostate.
  2. Injuries.Due to mechanical damage to the tissues and organs of the pelvis (OMT), stagnation may occur, provoking the inflammatory process.Such cases are often found in truckers due to professional activity associated with a long -term seated position and 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) have a high risk of disease due to the penetration of pathogenic microorganisms (chlamydia, mycoplasmism, etc.).In addition, the occurrence of 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.Then the disease is provoked by the ailments of the urinary system (urethritis, pyelonephritis) with weakened immunity.

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

The first signs

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

The first symptoms can manifest itself in this way:

  • a stream of urine loses pressure;
  • intermittent urination;
  • pain at the urination;
  • The feeling that emptying is not completely;
  • Frequent urges for urination at night.

Symptoms of prostatitis

Symptoms of prostatitis, which are primarily the man usually draws as follows:

  1. At the beginning of the disease, when the prostate was just beginning to increase in volume, it only squeezes the ureter slightly, 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 rapid urination.At first, this manifestation does not cause concern, a man who has never woven to this at night can stand up to empty the bladder once or twice at night and write it off on an extra cup of tea 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, they usually bother at the end of the day or after any power loads.
  4. Minor erection disorders and premature ejaculation, of course, cause both a man and his partner certain anxiety, but this is also often attributed to fatigue and stresses.

Symptoms of bacterial prostatitis

The clinical picture 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 several syndromes.

How prostatitis manifests itself in men

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

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

In chronic bacterial prostatitis: symptoms of exacerbation are presented above.Out of exacerbation, the symptoms are most often not expressed, erased, small.In such cases, the leading complaints affect urination disorders, severe changes in erection, weakening sexual drive, violations of ejaculation (premature or detained), emotional smoothness of orgasm experience, deviations in character (increased irritability, temper, anxiety, intrusiveness).

Symptoms of chronic prostatitis

Unlike acute form, the chronic form of prostatitis in men has an asymptomatic course and proceeds latent (that is, without pronounced characteristic features).The clinical picture is often erased, with mild symptoms, patients do not pay due discovery of proper attention and do not consider the need to seek medical help, confusing symptoms of prostatitis with the prostate adenoma, which is extremely dangerous.The principles for the treatment of 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, in the pubic area and groin, which quickly pass.As a rule, the duration of sexual intercourse changes, both towards lengthening, and vice versa and the brightness of sexual sensations.Discharges appear from the urethra, especially in the morning, or white flakes are visible in the urine with the naked eye.

Since the inflammatory process leads to the fact that the lumen of the urethra is narrowed, urination disorders occur, which men should pay attention to first of all: the stream of urine becomes weak, there may be urination in droplets or difficult at the beginning or at the end.Many patients have a feeling of incomplete emptying of the bladder or uncontrolled urinary leakage.

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

Diseases in which similar symptoms

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

  1. Urethritis is an inflammation of the urethra.With its development, it is extremely rare in men to increase body temperature.The pain syndrome is localized in the genitals.If pain is observed in the lower abdomen, then the patient is suspected of cystitis;
  2. Epididymitis and orchitis are characterized by the lesion of the testicle and its appendage.Due to the pathology, a man has a clear swelling of the scrotum and its redness.In contact with it, the skin of the skin is felt.During touching the testicles, the patient feels severe pain;
  3. Pyelonephritis is accompanied by pain in the lower back area and impaired urination.In a patient with such a disease, an increase in the 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 constantly needs to visit the toilet.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 a noticeable deterioration in the general state of health.

Diagnostics

Prostatitis in men is diagnosed primarily on the basis of 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.

Symptoms of prostatitis in men

Next are diagnostic measures:

  • study of the composition of the secret of the prostate (if there is no acute form of the disease: it is impossible to carry out the procedure due to severe pain);
  • Palpator rectal examination;
  • ultrasound examination of the prostate to confirm suspicions of prostatitis and forming an accurate diagnosis;
  • biopsy;
  • tomography (computer/magnetic nuclear) of a small pelvis-if necessary;
  • cystoscopy;
  • Urography.

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

  • Urofloometry;
  • a sample of urine, measured by three glasses;
  • Research on MEARS & StAMEY, measured by two glasses of urine (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, ultrasound of the prostate gland;
  • clinical urine analysis;
  • The average portion of urine for microbiological research.

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

What is the danger of prostatitis?

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

  1. The effect of prostatitis on the potency of damaged iron, 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 sluggish emission of seed fluid during intercourse, a decrease in the completeness of sensations during intercourse, in advanced forms erectile dysfunction.
  2. The effect of prostatitis on conception.The damaged prostate sharply reduces the activity of the production of a quality secret necessary to maintain the activity of sperm in the birth canal of a woman.The secret of the inflamed prostate gland, getting into sexual contact in the family paths of a woman reacts with immune rejection of the female body, the development of gynecological diseases and the impossibility of conception.
  3. Prostatitis provokes damage inside the gland and body.The inflammation complicated by the microflora increases the risk of prostate abscess.Abscsing - purulent melting of part of the parenchyma of the gland with the formation of a capsule around the hearth.The disease with the formation of mineralized calculi in the cavity - a consequence of the prostate complicated by reflux damaged prostate.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 the achievements of diagnosis and timely detection of the disease, only in 30% of cases can a complete cure be achieved.In most cases, the goal of achieving stable long -term remission is pursued.

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

  1. Antibacterial therapy for 4-6 weeks.The drugs of choice are fluoroquinolones.Reserve antibiotics - protected penicillins, macrolides.
  2. Relocation of pain syndrome.It is achieved 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 antidepressants of selective inhibition of the reverse capture of serotonin is recommended.
  4. Urination disorders.Alfa-1-adreno-blocks 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, calendula.

Treatment of acute prostatitis

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 case of manifestation of prostatitis as a consequence of sexually transmitted diseases, treatment also includes other drugs.

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

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

Treatment of chronic prostatitis

Treatment of chronic prostatitis should be complex, including etiotropic therapy, physiotherapy, immunity correction:

Methods of treatment of prostatitis in men
  1. Antibiotic therapy.The patient is prescribed long-term antibacterial courses (within 4-8 weeks).The selection of the type and dosage of antibacterial drugs, as well as the determination of the duration of the course of treatment is carried out individually.The drug is chosen based on the sensitivity of microflora based on the results of the sowing of 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 warm medicinal microclisms.
  3. Prostate massage.The massage of the gland has a comprehensive effect on the affected organ.During the massage, the inflammatory secret accumulated in the prostate gland is squeezed into the ducts, then enters the urethra and removes from the body.The procedure improves blood circulation in the prostate, which allows minimizing stagnation and provides the best penetration of antibacterial drugs into the tissue of the affected organ.

In chronic, long -term inflammation, a consultation of an immunologist is indicated for the choice of tactics of immunocorrogative therapy.The patient is given recommendations for a change in lifestyle.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 wakefulness, to establish a diet, and conduct moderate physical activity.

Folk remedies

There are many home recipes that help in the fight against prostatitis.

Here are some of them:

  1. Blueberries have an anti -inflammatory effect.Eating 200 grams of this berry per day, you will support your men's health;
  2. Parsley, first of all, became famous as a culinary spice.But besides this, it also contains a lot of beneficial substances, including those that the male body needs.Take parsley juice for 1 tbsp.l.3 times a day 30 minutes before meals.This will help relieve inflammation and establish a sexual life;
  3. Five hundred grams of peeled raw pumpkin seeds, scroll through a meat grinder and mix with 200 grams of honey.Make small balls from the resulting mass.Eat before eating 2 times a day, slowly, chewing carefully.Pumpkin seeds contain a large amount of zinc, which is necessary for male health;
  4. Take the green chestnut peel with spikes, chop and pour boiling water.Consume in the form of tea;
  5. Grind three hundred grams of onions to a gruel -shaped consistency, add 100 grams of honey, 600 ml of dry wine.Keep 1 week in a dark and cool place, mix periodically.Strain.Use 2 tbsp.l.3 times a day before meals.Effective in the treatment of chronic prostatitis.

Some physical exercises will help to speed up recovery.They stimulate blood circulation in the pelvic area and, accordingly, in the prostate.

  1. Deep squats below 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 done, perform squats in several approaches with breaks.
  2. Scissors.Sit on the floor, rest your hands on the floor behind you.Stretch your legs in front of you, tear them off the floor.Cross them among themselves.Movements resemble the work of scissors.
  3. Lying on your back, bend your legs in your knees, bring it to your chest.Grasp them with your hands.Hold the pose for up to 20 minutes.
  4. Normal walking also perfectly eliminates stagnation.

You can supplement this complex with other exercises that activate and warm up the muscles.

Prevention

Prevention of prostatitis at home includes the following recommendations:

  1. It is forbidden to lift 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, berries.Pumpkin seeds, garlic, honey, prunes, parsley, nuts 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 it that little oxygen enters its tissue, which is why signs of prostatitis, impotence appear.
  7. You need to fight hypodynamia.To do this, you should move more, engage 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 seat with heated.
  10. It is recommended to perform exercises for the prevention of stagnant phenomena in the pelvis.
  11. To increase potency, you need to establish sex life.Male health is very harmful to interrupted sexual intercourse.Long -term sexual abstinence is not allowed.

Properly established physical and sexual activity, compliance with all the doctor's recommendations help get rid of prostatitis.Prostatitis is dangerous in that it is able to cause persistent disorders of sexual function and infertility.