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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 (prostate) gland, which affects its glandular and connective tissues.

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

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

What is it?

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

What is a prostate?

The prostate gland is the main organ of the male reproductive system.It is located where the urethra converge and the ducts that throw the seed.Its functions:

  • Prostaglandin development, substances that help increase blood supply to the penis, which guarantees an erection;
  • Participation in testosterone development along with testicles;
  • development of a secret to liquefy sperm and guarantee the survival of sperm;
  • participation in the expulsion of seed and the formation of orgasm;
  • The obstacle to urine entry into seed fluid.

The position of the prostate makes it vulnerable to the penetration of the pathogens of the urethra, the bladder and the vasation of the ducts.A large amount of blood, lymphatic vessels that penetrate 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 ways:

  1. Sharp.The symptoms of exacerbation of prostatitis will appear in the severe inflammation of the organ.The temperature of prostatitis in men acutely increases significantly (up to 39 ° C).Urine and defecation processes cause severe pain.
  2. Chronic.The manifestations of the disease are not a pronounced nature.The temperature can sometimes increase slightly, a man, occasionally, experiences urination.

The types of prostatitis in men are divided into two groups: bacteria and non -bacterial.

Classification of Prostatitis:

  1. Bacterial.It arises from the penetration of several varieties of microorganisms, streptococci, E. coli, staphylococci and the prostate.Another probable reason is complication after infectious diseases of the genitourinary sphere: gonorrhea, clamidia, trichomonosis, mycoplasmosis.
  2. Sclerotic.It occurs due to the death of organ cells and their replacement with sclerotic tissue.Reason is constipation, therapy with some medications, 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 occurrence in the pelvis.His reasons are not completely studied.The most likely are called the injury of the perineum muscles, the reverse expiration of the secret.
  4. Congestive.The most common variety.It is caused by stagnant processes due to interruption of intercourse, prolonged rejection of intimate contacts, sexual excesses.
  5. CalculationsIt is characterized by the presence of stones in the prostate and ducts.The manifestation can 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 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 that cause the appearance of prostatitis are the following:

  1. Stagnant processes.They appear with obesity, a sedentary lifestyle, since the microcirculation of blood is altered in the pelvic organs.As a result, the required amount of oxygen and nutrients does not reach the prostate.
  2. InjuriesDue to the mechanical damage to the tissues and organs of the pelvis (UNWTO), the stagnation may occur, causing the inflammatory process.Such cases are often found in truck drivers due to professional activity associated with a long -term sitting position and a constant chair injury that surpasses the WTO.
  3. Infections.Bacteria fall into the prostate gland in several 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 (clamidia, mycoplasmism, etc.).In addition, the appearance of prostatitis occurs as a result of internal chronic diseases.Malicious bacteria reach the prostate gland with the flow of lymph or blood.Pathological microorganisms can also "fall" to URTRA prostate.Then, the disease is caused by urinary system ailments (urethritis, pyelonephritis) with weakened immunity.

Urologists are sure that prostatitis is not a life diagnosis.If the treatment did not give a fast result, then the man should not surrender and think if he met absolutely all the requirements.Only the joint actions and efforts of the doctor and the patient, confident in the success of the therapy, will help the man feel healthy and, therefore, full.

The first signals

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

The first symptoms can manifest in this way:

  • A urine current loses pressure;
  • intermittent urination;
  • pain when urinating;
  • The feeling that emptying is not completely;
  • Frequent shelves to urinate at night.

Prostatitis symptoms

Prostatitis symptoms, which are mainly man draws as follows:

  1. At the beginning of the disease, when the prostate just began to increase in volume, only the ureter, which surrounds a ring on the finger slightly squeezes.Therefore, one of the first symptoms of prostatitis will be considered a small narrowing of the ureter and, consequently, some obstruction of the urine passage is difficult.
  2. The problem that arises from this is fast urination.At first, this manifestation does not cause concern, a man who has never woven at this at night can stand up to empty the bladder once or twice at night and write it in an extra cup of extra tea at dinner.But, over time, breaks between urination will be reduced significantly.
  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: throwing, pressing, bursting, generally bother at the end of the day or after any energy load.
  4. Minor erection disorders and premature ejaculation, of course, cause some anxiety to both a man and his partner, but this is also often attributed to fatigue and stress.

Bacterial prostatitis symptoms

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

In chronic bacterial prostatitis: exacerbation symptoms are previously presented.By exacerbation, symptoms are often not expressed, erase, small.In such cases, the main complaints affect urination disorders, severe changes in erection, the weakening of sexual impulse, ejaculation violations (premature or detainee), the emotional softness of the orgasm experience, deviations in character (greater irritability, temperament, anxiety, intrusivity).

Chronic prostatitis symptoms

Unlike the acute form, the chronic form of prostatitis in men has an asymptomatic course and proceeds latent (that is, without characteristic characteristics pronounced).The clinical image is often erased, with mild symptoms, patients do not lend due discovery of adequate care and do not consider the need to seek medical help, confusing the symptoms of prostatitis with the adenoma of the prostate, 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 inflammation form of the prostate is expressed in mild pain in the perineum, in the pubic area and the groin, which pass rapidly.As a general rule, the duration of sexual relations changes, both towards the elongation and the vice versa and the brightness of sexual sensations.Downloads 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 light of the urethra is reduced, urine disorders are produced, that men should pay attention to the first place: the urine current is weakened, there may be urine in the drops or difficult at the beginning or at the end.Many patients have an incomplete emptying sensation of the bladder or unofficial urinary leakage.

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

Diseases in which similar symptoms

Diseases that have similar symptoms with prostatitis can be differentiated by a series 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 located in the genitals.If pain is observed at the bottom of the abdomen, it is suspected that the patient is cystitis;
  2. Epididimitis and orchitis are characterized by testicle injury and its appendix.Due to the pathology, a man has a clear swelling of the scrotum and his redness.In contact with him, he feels the skin of the skin.During the touch of the testicles, the patient feels severe pain;
  3. Pyelonephritis is accompanied by pain in the lower back area and deteriorated urine.In a patient with such a disease, there is an increase in total body temperature.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, man constantly needs to visit the bathroom.At the end of the urine process, a couple of drops of blood can be released;

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

Diagnosis

Prostatitis in men is mainly diagnosed 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 disease symptoms are clarified and studied.

Prostatitis symptoms in men

The following 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);
  • Rectal stick exam;
  • Prostate ultrasound exam to confirm prostatitis suspicions and form an accurate diagnosis;
  • biopsy;
  • Tomography (magnetic computer/nuclear) of a small pelvis: if necessary;
  • cystoscopy;
  • Urography

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

  • Uroofloometry;
  • a urine sample, measured by three glasses;
  • Research on Mears & Stamey, measured by two vessels of urine (the first portion excludes urethral pollution (infection, infection), the second: the absence/presence of the inflammatory process in the kidneys, bladder);
  • Urine sample to determine its residual volume, ultrasound from the prostate gland;
  • Clinical urine analysis;
  • The average urine portion 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 age, the state of the immune system, the presence of bad habits.Then, in people of an older group, with weakened immunity, having an alcoholism, drug addiction and acquired immunodeficiency syndrome, the consequences of the disease are more difficult.

  1. The effect of prostatitis on the power of damaged iron, with the decompensation of functional activity, reduces the production of substances involved in the formation of an erection of a man's genital organ.The consequence of prostatitis is a slow emission of seed fluid during sex, a decrease in the integrity of sensations during sexual intercourse, in advanced forms of 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 the sperm in the birth channel of a woman.The secret of the inflamed prostate gland, coming into sexual contact in the family paths of a woman reacts with the immune rejection of the female body, the development of gynecological diseases and the impossibility of conception.
  3. Prostatitis causes damage inside the gland and body.Inflammation complicated by microflora increases the risk of prostate abscess.Axes: Purulent fusion by the parenchyma of the gland with the formation of a capsule around the home.The disease with the formation of mineralized calculations in the cavity, a consequence of the prostate complicated by the prostate damaged by reflux.The consequence of prostatitis is also: acute ishuria, urolitiasis, renal failure, inflammation of the genitourinary organs and other diseases.

Bacterial prostatitis treatment

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

Modern bacterial prostatitis therapy consists of several drug blocks:

  1. Antibacterial therapy for 4-6 weeks.Choice drugs are fluoroquinolones.Reserve antibiotics: protected penicillins, macrolides.
  2. Pain syndrome relocation.It is achieved by using non -steroid 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 serotonin inverse capture is recommended.
  4. Urine disorders.ALFA-1-ADRENO-BLOCKS ARE USED.Reserve preparations are 5-Alfedase 5-balloons.

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 of the time, the treating doctor prescribes the patient to take certain medications.In case of manifestation of prostatitis as a result of sexually transmitted diseases, treatment also includes other medications.

The 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 support course for patient treatment.

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

Treatment of chronic prostatitis

The treatment of chronic prostatitis should be complex, including ethiotropic therapy, physiotherapy, immunity correction:

Prostatitis treatment methods in men
  1. Antibiotic therapyThey are prescribed long-term antibacterial courses (within 4-8 weeks).The selection of the type and dose of antibacterial drugs, as well as the determination of the duration of the treatment course is carried out individually.The medicine is chosen based on the sensitivity of microflora depending 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 microclines.
  3. Prostate massage.The gland massage has an integral effect on the affected organ.During the massage, the inflammatory secret accumulated in the prostate gland is squeezed in the ducts, then enters the urethra and takes off the body.The procedure improves blood circulation in the prostate, which allows to minimize stagnation and provides the best penetration of antibacterial drugs in the tissue of the affected organ.

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

Popular remedies

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

These are some of them:

  1. Blueberries have an anti -inflammatory effect.Eating 200 grams of this berry per day, he will support the health of his men;
  2. The parsley, first, became famous as a culinary spice.But in addition to this, it also contains many beneficial substances, including those that the male body needs.Take the 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 peeled raw pumpkin seeds, scroll through a meat grinder and mix with 200 grams of honey.Make small balls of the resulting dough.Eat before eating 2 times a day, slowly, chewing carefully.Pumpkin seeds contain a lot of zinc, which is necessary for male health;
  4. Take the green chestnut peel with peaks, ask and pour boiling water.Consume in the form of tea;
  5. Muela three hundred grams of onions to a consistency in the form of suede, add 100 grams of honey, 600 ml of dry wine.Keep 1 week in a dark and fresh place, mix periodically.StrainUse 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, consequently, in the prostate.

  1. Deep sacks below knee level.The optimal number of times is 100. Perform 3 times per week.If until now this number is not done immediately, make 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 between them.The movements resemble scissors work.
  3. Lying face up, bend your legs on your knees, take your chest.Grab them with your hands.Keep the pose for up to 20 minutes.
  4. The normal walk also perfectly eliminates stagnation.

You can complement this complex with other exercises that are activated and heated the muscles.

Prevention

The 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 the coat.
  3. In the diet, it must include more raw fruits, vegetables, berries.Pumpkin seeds, garlic, honey, praying plums, parsley, nuts are useful.
  4. It is necessary to exclude mayonnaise, ketchup, salts and marinates of the menu.
  5. The amount of alcohol consumed must be minimized.
  6. To improve the health of the prostate gland, smoking should be excluded.That is why little oxygen enters its tissue, so signs of prostatitis, impotence.
  7. You need to fight hypodinamia.To do this, you must move more, participate 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 must equip a heating seat.
  10. It is recommended to perform exercises for the prevention of stagnant phenomena in the pelvis.
  11. To increase power, you need to establish sexual 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 because it is able to cause persistent disorders of sexual function and infertility.