Prostatitis in men: the first signs and treatment

Most often, inflammation of the prostate gland is caused by various infections that enter it from the bladder, urethra or rectum.Prostatitis can also be a complication of tonsillitis, influenza, tuberculosis.

Treatment for prostatitis requires an integrated approach to get rid of the symptoms of this disease and to avoid complications, you should consult a doctor, not self -esteem.

What is it?

Prostatitis - inflammation of the seeds (prostate) gland - prostate.It is manifested by frequent urination with blood impurity, pus in the urine, pain in the penis, scrotum, rectum, sexual disorders (erection disorder, early ejaculation, etc.), sometimes delayed urine.Perhaps abscess of the prostate gland, inflammation of the testes and appendages, which threatens infertility.Climbing the infection leads to inflammation of the upper parts of the genius system (cystitis, pyelonephritis).

Treatment of prostatitis varies depending on what form of the disease occurs in a person.So, bacterial prostatitis can occur both in acute and as a chronic disease.Quite often, non -bacterial prostatitis is also diagnosed as a chronic disease.Such a variety of prostatitis is also called chronic pelvic pain syndrome.In such patients, all the symptoms characteristic of prostatitis are observed, but there are no bacteria in the secret of the prostate.

Prostatitis develops with the penetration of an infectious agent that enters the tissue of the prostate from the organs of the genital system (urethra, bladder) or from the remote inflammatory focus (with pneumonia, influenza, tonsillitis).

There are a number of risk factors that increase the likelihood of prostatitis.

Why does prostatitis develop?

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

1. Infectious(sexually transmitted infections (penetration into the tissue of the pathogen - germs, viruses, bacteria, fungi, etc.): Also the presence of foci of chronic infection (chronic tonsillitis, sinusitis, pathology of the kidneys), pelvic surgery, etc.).
2. No -infectious (stagnant)(Reducing immunity, hypothermia, reduction of physical activity, sedentary lifestyle, long -term sexual abstinence and, conversely, excessive sexual activity, alcohol abuse, etc.).

In this way, he emphasizes that the isolated hit of the pathogen in the tissue of the organ is not always and is not necessarily the cause of the disease.Then the most defined pathogen is E. coli (86 %), then - Klebsielly, Proteus, Enterococci, Pseudomonas Stick.In terms of streptococci, Staphylococci, Chlamydia, Mycoplasm, the ureaplasm of researchers' opinion of their importance for the development of the disease differ.It is extremely rare for the causes of prostatitis that specific pathogens become (pale treponema, Koch stick, etc.).

Classification

Due to the suspected cause of prostatitis inflammation is divided into:

1. Acute bacterial - pathogenic microflora causes serious damage to the prostate tissues with a pronounced inflammatory reaction.Most often it develops with gonococcus infection and other pathogens.
2. The chronic bacterial association of pathogenic or conditionally pathogenic bacteria causes a sluggish inflammation, the activity of which remains for more than 2 months.As a rule, pathogens are Streptococci, Staphylococci, E. Coli, Klebsiella, Mycoplasma, Ureplasma, Chlamydia, Herpesvirus and a candidate -like mushrooms.
3. Chronic abacus - in the presence of an inflammatory process in the prostate it is not possible to detect causal microflora.Such a form of the disease develops when the urine is thrown into the ducts of the prostate gland, stagnation of venous blood in the pelvis, disorder of its emptying (rare or too frequent ejaculation).In the latter case, the disease is called stagnant prostatitis.

Symptoms of prostatitis and the first signs

In humans, the first signs of prostatitis are very diverse and include a complex of seed disorders:

• involuntary urination;
• the onset of discomfort and pain during urination;
• Frequent urination;
• soreness with prolonged sitting in the perineum;
• reduction of potency;
• problems with urination, erection disruption and sexual desire, infertility;
• difficulty in urinating, feeling obstacles during urination;
• low flow during urination;
• The feeling is incomplete emptying of the bladder after urination;
• the inability to erection or reduce the duration of erection;
• reduction of libido;
• In some cases, male infertility is the main symptom of prostatitis.

Symptoms of acute prostatitis

There are three stages of acute prostatitis that are characterized by the presence of a particular clinical picture and morphological changes:

1. Acute catarrhal prostatitis.Patients complain of rapid, often painful urination, pain in the sacrum and perineum.
2. Acute follicular prostatitis.The pain becomes more intensive, sometimes radiates to the anus, intensifies during bowel movements.Urination is difficult, urine flows with a thin stream.In some cases, there is a delay in urine.Subfebrile or moderate hyperthermia.
3. Acute parenchymal prostatitis.General intoxication, hyperthermia up to 38-40 ° C, chills.Desuric disorders, often a sharp slowdown in urination.Acute, throbbing pain in the perineum.Difficulty for defect.

Symptoms of chronic prostatitis

In rare cases, chronic prostatitis becomes the result of an acute process, but as a rule, chronic prostatitis C deleted symptoms develops mainly.The temperature occasionally rises to the values of subfebrile.A patient with chronic prostatitis notes unpleasant sensations or mild pain in the perineum, discomfort during the act of urination and bowel movements.The most characteristic symptom of chronic prostatitis is the scarce discharge from the urethra during the act of bowel movements.

It should be remembered that primary chronic prostatitis develops for a significant period of time.It is preceded by prostatosis (stagnation of blood in the capillaries), gradually becoming an abacus prostatitis (initial stage of inflammation).

Chronic prostatitis is often a complication of a chronic inflammatory process caused by the causative agent of a specific infection (Chlamydia, Trichomonas, Ureaplasm, Gonococcus).Symptoms of a specific inflammatory process in many cases mask the manifestations of chronic prostatitis.It is possible to increase pain during urination, mild pain in the perineum, scarce discharge from the urethra during bowel movements.The slight change in the clinical picture and the attachment of chronic prostatitis often go unnoticed by the patient.

Chronic prostatitis can be manifested by a burning sensation in the urethra and perineum, dysuria, sexual disorders, increased general fatigue.The consequence of potency disorders (or fear of these disorders) often becomes mental depression, anxiety and irritability.The clinical picture of chronic prostatitis does not always include everything, without exception, the listed groups of symptoms differ in different patients and changes in time.

There are three basic syndromes characteristic of chronic prostatitis:

• Diskyan syndrome (urination disorder).

As a result of inflammation in chronic prostatitis, the volume of the prostate, the pressure of the ureter, increases.The ureter lumen decreases.Patient with prostatitis has a common desire to urinate, a feeling of incomplete emptying of the bladder.As a rule, dysuric phenomena are expressed in the early stages of chronic prostatitis.Thereafter, compensatory hypertrophy of the muscle layer of the bladder and urethra develops.Symptoms of dysuria during this period weaken and then increase again during decompensation of adaptive mechanisms.

• Pain syndrome in chronic prostatitis.

There are no pain receptors in the prostate tissue.The cause of the pain in chronic prostatitis becomes almost inevitable due to the abundant innervation of the pelvic organs, participation in the inflammatory process of the nerve pathways.

Patients with chronic prostatitis complain of pain of varying intensity - from weak, patient to intense, disturbing sleep.There is a change in the nature of pain (enhancement or weight loss) with ejaculation, excessive sexual activity, or sexual abstinence.The pain emits to scrotum, sacrum, crotch, sometimes in the lumbar region.It should be borne in mind that lower back pain occurs not only with prostatitis.The cause of the pain in this area may be osteochondrosis and a number of other diseases.

• Sexual disorders in chronic prostatitis.

In the initial stages of chronic prostatitis, dispositions may develop, which occur differently in different patients.Patients may complain of frequent night erections, deleted orgasm or worsening erection.Accelerated ejaculation is associated with a decrease in the level of threshold excitement of the center of the organs.Ejaculation pain can cause the patient to refuse prostatitis from sexual activity.In the future, sexual disorders become more pronounced.In the advanced stage of chronic prostatitis, impotence develops.

The degree of sexual disorder in chronic prostatitis is determined by many factors, including the sexual constitution and the psychological mood of the patient.Potential and disyusal disorders can be caused by both changes in the prostate gland and the patient's impressiveness, which, when detected by chronic prostatitis, expects the inevitable development of sexual disorders and urinary disorders.Particularly often psychogenic displays and dysuria develop in impressive, anxious patients.

Impotence, and sometimes the threat of possible sexual disorders itself, is difficult to transfer to patients with prostatitis.There is often a change in character, irritability, murmur, excessive concern for their own health and even "going to the disease".

Complications

A number of serious illnesses and conditions occur as complications of both acute and chronic prostatitis.So, in a person who has been suffering from prostatitis, the number of male sex hormones can significantly reduce, which causes a decrease in sexual desire.As a result, a person has constant erection problems.In addition, as a result of a number of psychological problems, difficulties with potency in a person suffering from prostatitis can occur.

Another serious complication of chronic prostatitis is infertility, which is observed in approximately 40% of patients suffering from a chronic form of the disease.

Sometimes the formation of stones and prostate cysts is marked as complications of prostatitis.An even more huge complication is prostate sclerosis: a condition in which iron decreases and ceases to function completely.In this case, the patient is doomed to constant pain, problems with urination, sexual disorders.

Prostate adenoma, which is a benign education, also often develops as a result of prostatitis.With adenoma, surgery is inevitable.

The most stupid complication of prostatitis in men is prostate cancer, which is filled with the most serious consequences.

All these complications, as well as directly from chronic prostatitis, significantly impair a person's life.Therefore, timely competent treatment of prostatitis is extremely necessary.

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Diagnostics

Thanks to active arousal and ubiquitous advertising today, even students know not only about the symptoms, but also how to treat prostate.However, the absence of any signs not only prevents the right medicines from being chosen, but also to diagnose on time.The best way to prevent inflammation is to visit the clinic more often.Therefore, as the diagnosis of prostatitis is often performed during a preventive examination by a urologist.

If there are complaints, an experienced doctor may already suspect prostate inflammation and prescribe the appropriate tests, among which they often perform:

• Rectal finger examination;
• Analysis of the secretion and fluid of the seeds;
• ultrasound prostate examination;
• urine and blood analysis;
• Taking a grease from the urethra.

How to treat prostatitis?

Prostatitis in men is treated depending on the form of the disease.

Acute inflammation is an indication of the hospitalization of the patient at the urology hospital, with chronic patients undergoing home therapy.If the cause of the disease was a sexually transmitted infection, both partners should take antibiotics.

Treatment of acute prostatitis

During acute inflammation, one shows peace, complete abstinence from sex and an easily digestible diet.You need to refuse alcohol, smoking, spicy spicy dishes, preservatives, fatty foods.

Medicines used for hospital treatment:

• AntibioticsCephalosporinal series - destructively affecting the most famous pathogenic bacteria.The first 5 days are administered intravenously, from 5 to 10th day of treatment intramuscularly;
• Antiprotosal and antibacterial agents- they accumulate in the prostate, are active in connection with the most common pathogens of the disease;
• Anti -inflammatory drugs(NSAID) - normalization of body temperature, elimination of soreness, stopping the inflammatory process.They are prescribed in the form of tablets, rectal candles, intramuscular injections (paracetamol, nimesil);
• Dizinoxic solutions- Accelerate the excretion of microbial toxins from the body, improve the microcirculation of blood in the prostate gland.Intravenous invasion is introduced;
• Blocks α1 adrenergic receptors- Relax the smooth muscle fibers of the prostate gland, which causes the leakage of the urine to restore.It is taken inside the form of tablets.

Here's how the main treatment regimen that the doctor adds, if necessary, other prostatitis medicines.It is important to completely undergo a course of therapy to minimize the risk of a chronic process.

Treatment of chronic prostatitis

Chronic prostatitis therapy depends directly on what stage the disease is.If the disease is exacerbated, then the treatment is similar to treatment with acute bacterial prostatitis.

When the disease is in the remission stage, the man will experience the following symptoms:

• Minor painful sensations that occur rarely but regularly;
• Feeling of heaviness in the prostate area, lumbosacral zone, in the genital area;
• In some cases, dysuric disorders are joined: increased desire for urination, pain during emptying the bladder, etc.;
• Perhaps worsening in psycho -emotional well -being, a depressive mood against which sexual failures occur.

There are a number of contradictions in the question of chronic inflammatory therapy.Scientists have not yet reached a consensus on whether antibiotics should be prescribed or this is not necessary.Those experts who insist on taking antibacterial drugs believe that bacterial flora is a secret taken for analysis may simply not get.

Another and most scientists show that the antibiotic should only be taken if the bacterial flora is isolated.Abacterial prostatitis C is not treated with antibacterial agents.

They offer the following patient tactics:

1. Adoption of a NSAID course.
2. The appointment of agents aimed at normalizing the leakage of lymph and improving the microcirculation of blood in the organ.
3. Taking immunomodulatory drugs.
4. To eliminate erection problems, the use of antidepressants and sedatives is shown.
5. To strengthen the pelvic muscles, regular physical activity helps to normalize blood circulation.It is best if there is a specially composed complex of physiotherapy exercises.Physiotherapy procedures have a good effect-rectal electrophoresis, transrectal microwave hyperthermia, UHF, magnetic laser therapy, etc.These procedures help to get rid of pelvic pain syndrome.

Starting the treatment of chronic prostatitis at home, you should adjust to a long fight as it is not always possible to cure it in a few weeks or even months.It is recommended to combine various methods and tools for therapy, it is useful to improve household drug therapy.Stagnant prostatitis requires regular sex, interrupted sexual acts are unacceptable.

The psycho -emotional origin of the patient is important: depression, depression, personal problems and sexual sphere are able to cancel all the efforts of doctors.

Physiotherapy and prostate massage

Prostate massageSThis is one of the main techniques for the treatment of prostatitis.Many experts believe that treating prostatitis without this procedure is impossible at all.However, there is no reliable clinical data on how effective the massage is.Many patients note a significant improvement in their own condition according to many criteria after a massage course.Therefore, let's look at the methodology of this procedure and the mechanism of its therapeutic effect.

To perform the procedure, the patient takes a knee posture.Thanks to this position, the pelvic muscles relax as much as possible.The doctor puts rubber gloves, the index finger of the gloves is lubricated with a special lubricated with gel.The display finger is well placed in the anus of the anus.Then you have to feel the front wall of the rectum.Once the prostate is based, the urologist produces a stroke.

Thanks to the pressure on the prostate gland, a mechanical pressure of the secret of the gland in the urethra appears.On the urethra there is a leak of the latter.It is recommended every time after prostate massage to conduct a microscopic analysis of the prostate secret to evaluate the dynamics of the process.

However, distribution of prostate secret is not the only positive effect in massage.Also, blood circulation is activated in the prostate gland, which leads to an improvement in the resistance to infection and accelerating the repair of damaged tissues.

Microwave microwave therapy.Local exposure to high frequency electrical waves leads to an increase in the temperature in the warmed area.With an increase in the local temperature to a level of 39-40 degrees, the expansion of the blood flow, the blood flow, the attraction of immune cells to the focus and their activation to combat the infection.Also, an increase in temperature leads to a decrease in the spasm of the smooth muscle, which leads to better drainage of the secret of the prostate and a decrease in pain.

Diet

The diet for prostatitis in men is based on the principles of a healthy diet and limiting harmful foods.The diet is chosen taking into account the severity of the disease and the characteristics of the body.All products that cause allergies or exacerbation of symptoms are prohibited.

Basic principles of diet:

• adding garlic and onion to dishes, mustard;
• The compilation of the menu, taking into account the exacerbation phase;
• rejection of all kinds of alcohol and smoking;
• Exclusion from the diet of spices, preservatives, midfield products, spicy and salty dishes;
• regular dishes, preferably at the same time;
• Complete the diet with exercise and walking;
• rejection of fats and smoked dishes;
• consumption of vegetable salads, herbs;
• minimum heat treatment of fruits and vegetables;
• restriction of salt and sweets;
• Constant maintenance of diet and rejecting harmful products.

Useful food:

• A variety of soups (rich broths are unwanted);
• cereals (oatmeal, millet, buckwheat, etc.), pasta, spaghetti;
• Fatty vegetables (olive oil is highly recommended);
• fresh herbs, fruits and vegetables (melons and watermelons, zucchini and pumpkin, parsley and salad, peas green and cauliflower, cucumbers and tomatoes, beets, potatoes and carrots);
• Products from the Sour -milk (Bifido, Yogurt, Ayran, Coteage Cheese, Fermented, Kefir, sour cream);
• low -fat meat and ocean fish;
• Gray bread;
• dried fruits;
• Honey.

One of the most important substances in the prevention of prostatitis is zinc, so you often need to consume healthy seafood, pumpkin seeds that have a lot of zinc, white poultry, nuts and beef.

How to prevent the development of prostatitis at any age?

1. The use of barrier methods of contraception (condom), especially in terms of anal sex;
2. Timely treatment of PPI;
3. Regular sex life, bringing relationships to complete ejaculation;
4. Prevention of crotch injuries when classes, traumatic sports should be used by all possible protection methods;
5. Observance of personal hygiene;
6. Providing sufficient physical activity.

Despite the fact that prostatitis is not related to the risk of developing adenoma or prostate cancer today, the disease carries a lot of suffering to its owner.A man exhausted by chronic pain, feeling his sexual weakness, tired of prolonged treatment, changes a noticeable external and experienced doctors determine such patients at first glance.In order to avoid such fate, you must be careful about your health carefully protected with each new partner and treat sexually transmitted diseases on time.

Prostatitis is not completely treated in all cases, but an experienced urologist is able to significantly improve the patient's condition and quality of life.