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Prostatitis in men: the first signs and treatments

Most often, the inflammation of the prostate gland is caused by various infections that fall from the bladder, the urethra or the rectum.Prostatitis can also be a complication of amygdalite, flu, tuberculosis.

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

What is this?

Prostatitis - Inflammation of the seed gland (prostate) - prostate.It manifests itself by a frequent urination with a mixture of blood, pus in the urine, pain in the field of penis, scrotum, rectum, sexual disorders (erection violation, premature ejaculation, etc.), sometimes delayed from urine.Perhaps abscess to the prostate gland, inflammation of testicles and appendages, which threatens infertility.The ascent of the infection leads to inflammation of the upper parts of the genito-cross system (cystitis, pyelonephritis).

The treatment of prostatitis varies depending on the form of the disease in a man.Thus, bacterial prostatitis can occur both in acute form and as a chronic disease.Very often, non -bacterial prostatitis is also diagnosed as a chronic disease.Such a variety of prostatitis is also called chronic pelvic pain syndrome.In these patients, all the characteristic symptoms of prostatitis are observed, but there are no bacteria in the secret of the prostate.

Prostatitis develops with the penetration of an infectious agent, which enters the fabric of the prostate of the organs of the genitorerinary system (uretra, bladder) or distant inflammatory focus (with pneumonia, flu, amygdalite, furunculose).

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

A man in a home

Why does prostatitis develop?

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

  1. Infectious(Sexually transmitted infections (penetration into the fabric of pathogens - microbes, viruses, bacteria, fungi, etc.): also the presence of chronic infection centers (chronic amygdalite, sinusitis, kidney pathology), surgery on pelvic organs, etc.).
  2. Non -infectious (stagnant)(Decrease in immunity, hypothermia, decrease in physical activity, sedentary sedentary lifestyle, long -term sexual abstinence and, vice versa, excessive sexual activity, alcohol abuse, etc.).

Thus, he stresses that the isolated blow of the pathogen in the organ fabric is not always and cannot necessarily be the cause of the development of the disease.The most frequently determined pathogen is E. coli (86%), then - Klebsielly, Proteus, Enterococci, Pseudomonas Stick.Regarding streptococci, staphylococci, chlamydia, mycoplasm, ureaplasm of researchers' opinion on their meaning in the development of disease differ.It is extremely rare for the causes of prostatitis that becomes specific pathogens (pale thirteen, a koch wand, etc.).

Classification

For the alleged reason, inflammation of prostatitis is divided into:

  1. Acute bacterial microflora - pathogen causes serious damage to prostate tissues with a pronounced inflammatory reaction.Most often, it develops with a infection by Gonococcus and other pathogens.
  2. Chronic bacterial - The association of conditionally pathogenic or pathogenic bacteria causes slow inflammation, the activity of which remains for more than 2 months.As a rule, pathogens are streptococci, staphylococci, E. coli, klebsiella, mycoplasma, ureaplasma, chlamydia, herpesvirus and yeast type mushrooms.
  3. Chronic abacterial - In the presence of an inflammatory process in the prostate, it is not possible to detect a causal microflora.A similar form of the disease develops when the urine is sunk into the conduits of the prostate gland, stagnation of the venous blood in the basin, violation of its emptying (rare or too frequent ejaculation).In the latter case, the disease is called stagnant prostatitis.

Symptoms of prostatitis and first signs

In a man, the first signs of prostatitis are very diverse and include a complex of violations in the seed:

  • involuntary urination;
  • the appearance of discomfort and pain during urination;
  • frequent urination;
  • Pain with a prolonged seat in the perineum;
  • decrease in power;
  • Micational problems, violation of erection and sexual desire, infertility;
  • mics of urination, feeling of obstacles during urination;
  • Weak stream during urination;
  • The empty feeling incompletely the bladder after urination;
  • the impossibility of an erection or a decrease in the duration of an erection;
  • decrease in libido;
  • In some cases, male infertility is the main symptom of prostatitis.

Symptoms of acute prostatitis

There are three stages of acute prostatitis, which are characterized by the presence of a certain clinical image and morphological changes:

  1. Acute catarrhale prostatitis.Patients complain of rapid, often painful urination, pain in the sacrum and perineum.
  2. Acute follicular prostatitis.The pain becomes more intense, sometimes radiates from the anus, intensifies during defecation.The urinity is difficult, the urine flows with a thin flow.In some cases, a delay in urine is noted.Sub-fébrilite or moderate hyperthermia.
  3. Acute parenchymal prostatitis.Pronounced general poisoning, hyperthermia up to 38-40 ° C, chills.Dizuric disorders, often a sharp delay in urination.Vive and pulsating pain in the perineum.Difficulty defecating.

Chronic prostatitis symptoms

In rare cases, chronic prostatitis becomes the result of an acute process, however, as a rule, chronic prostatitis with erased symptoms develops mainly.The temperature is occasionally rising to subfules values.A patient with chronic prostatitis notes unpleasant sensations or low pain in the perineum, discomfort during the act of urination and defecation.The most characteristic symptom of chronic prostatitis is the rare discharge of the urethra during the act of defecation.

It should be remembered that primary chronic prostatitis is developing over a significant period of time.It is preceded by prostatosis (stagnation of blood in capillaries), gradually transforming into abacterial prostatitis (the initial stage of inflammation).

Chronic prostatitis is often a complication of a chronic inflammatory process caused by the causal agent of a specific infection (Chlamydia, Trichomonas, Ureaplasma, Gonococcus).Symptoms of a specific inflammatory process in many cases mask the manifestations of chronic prostatitis.There is a slight increase in pain during urination, low pain in the perineum, a rare discharge of the urethra during defecation.A slight change in the clinical image and the attachment of chronic prostatitis often go unnoticed by the patient.

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

There are three main syndromes characteristics of chronic prostatitis:

  • Dysurian syndrome (urination disorder).

Due to the inflammation of chronic prostatitis, the volume of the prostate underpins the ureter increases.The light of the ureter decreases.A patient with prostatitis has a frequent desire to urinate, a feeling of incomplete emptying of the bladder.As a rule, dysurical phenomena are expressed in the early stages of chronic prostatitis.Then, the compensatory hypertrophy of the muscle layer of the bladder and the ureters develops.The symptoms of dysuria during this period weaken, then increase again when decompensation of adaptive mechanisms.

  • Pain syndrome in chronic prostatitis.

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

Patients with chronic prostatitis complain of pain of various intensities - weak, painful to intense and violating sleep.There is a change in the nature of pain (improvement or weakening) with ejaculation, excessive sexual activity or sexual abstinence.The pain radiates in scrotum, sacrum, crotch, sometimes in the lumbar region.It should be kept in mind that lower back pain occurs not only with prostatitis.The cause of pain in this area can be osteochondrosis and a number of other diseases.

  • Sexual disorders in chronic prostatitis.

In the early stages of chronic prostatitis, the provisions can develop, which manifest themselves differently in different patients.Patients can complain about frequent night erections, erased orgasm or deterioration of an erection.Accelerated ejaculation is associated with a decrease in the level of excitation threshold of the organ center.Ejaculation pain can lead a patient to refuse prostatitis of sexual activity.In the future, sexual disorders become more pronounced.At the advanced stage of chronic prostatitis, helplessness is developing.

The degree of sexual disorder in chronic prostatitis is determined by many factors, including the sexual constitution and the patient's psychological mood.Power and dysuria violations can be caused by both changes in the prostate gland and the patient's suggestion which, when detected by chronic prostatitis, expects the inevitable development of sexual disorders and urination disorders.Particularly, psychogenic display and dysuria develop in suggestible and alarming patients.

Helplessness, and sometimes the very threat of possible sexual disorders, is difficult to transfer to patients with prostatitis.Often, there is a change in character, irritability, groan, excessive concern with their own health and even "departure in the disease".

Complications

As complications of acute and chronic prostatitis, a number of diseases and serious conditions occur.Thus, in a man sick with prostatitis, the number of male sex hormones can decrease considerably, which leads to a decrease in sexual desire.As a result, a person has constant problems with an erection.In addition, power difficulties in a man suffering from prostatitis may arise due to a number of psychological problems.

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

Sometimes the formation of prostate stones and cysts is considered to be complications in prostatitis.An even more formidable complication is prostate sclerosis: a state where iron decreases and stops to work fully.In this case, the patient is condemned to constant pain, urination problems, to sexual disorders.

The adenoma of the prostate, which is a benign education, also develops precisely precisely as a result of prostatitis.With adenoma, surgery is inevitable.

The most formidable complication of prostatitis in men is prostate cancer, which is responsible for the most serious consequences.

All these complications, as well as directly by chronic prostatitis, considerably aggravates the life of a man.This is why the competent treatment in a timely time of prostatitis is extremely necessary.

Photo

prostate

Diagnosis

Thanks to active agitation and omnipresent advertising today, even schoolchildren know not only the symptoms, but also how to treat a prostate.However, the absence of any sign prevents not only from choosing the right drugs, but also making a diagnosis over time.The best way to prevent inflammation is to visit the clinic more often.Consequently, as often the diagnosis of prostatitis is carried out during a preventive examination by a urologist.

If there are complaints, an experienced doctor can already suspect the inflammation of the prostate and prescribe the appropriate tests, among which they often carry out:

  • rectal examination of the fingers;
  • Analysis of the secretion and the liquid of the seeds;
  • Ultrasound examination of the prostate;
  • Analysis of urine and blood;
  • Take a smear of the urethra.

How to treat prostatitis?

Prostatitis in men is treated according to the form of the disease.

Acute inflammation is an indication of patient hospitalization in the urological hospital, chronic patients are under treatment at home.If the cause of the disease was a sexually transmitted infection, the two partners should take antibiotics.

Acute prostatitis treatment

During acute inflammation, a man shows peace, complete abstinence of sex and an easily digestible diet.You should refuse alcohol, smoking, spicy spicy dishes, preservatives, fatty food.

Medicines used for treatment in a hospital:

  • AntibioticsCephalosporian series - Destructively affect the best known pathogenic bacteria.The first 5 days, they are administered intravenously, from the 5th to the 10th day of intramuscular treatment;
  • Antibacterial anti-protozo agents- accumulating in prostate are active in relation to the most frequent pathogens of the disease;
  • Anti-inflammatory(NSAIDs) - Normalize body temperature, eliminate pain, stop the inflammatory process.They are prescribed in the form of tablets, rectal candles, intramuscular injections (paracetamol, nimesil);
  • Disinoxic solutions- Accelerate the excretion of microbial toxins from the body, improve blood microcirculation in the prostate gland.Intravenous-Drill is introduced;
  • Block α1 adrenergic receivers- Relax the smooth muscle fibers of the prostate gland, because of which the exit from the urine is restored.It is taken inside in the form of tablets.

This is what the basic treatment diet looks like, that the doctor completes, if necessary, other drugs for prostatitis.It is important to fully undergo a therapy lesson in order to minimize the risk of chronic process.

Treatment of chronic prostatitis

Chronic prostatitic therapy depends directly on the disease stage.If the disease exacerbates, treatment is similar to treatment with acute bacterial prostatitis.

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

  • Minor painful sensations that rarely occur, but regularly;
  • A feeling of severity in the prostate region, the lombo-sacred area, in the genital zone;
  • In some cases, dysurical disorders are joined: an increased desire for urination, pain when emptying the bladder, etc.;
  • Perhaps a deterioration of psycho-emotional and depressive moods in the context of sexual failures.

There are a number of contradictions in the issue of chronic inflammation therapy.Scientists have not yet reached a consensus to find out if antibiotics should be prescribed, or this is not necessary.Experts who insist on taking antibacterial drugs believe that bacterial flora in a secret taken for analysis could simply not get.

Another, and most scientists indicate that the antibiotic should only be taken if the bacterial flora has been isolated.Abacterial prostatitis with the lack of symptoms is not treated with antibacterial agents.

They offer the tactics of the following patients:

  1. Reception of the course of NSAIDs.
  2. The appointment of funds aimed at normalizing the release of the lymph and improving blood microcirculation in the organ.
  3. Reception of drugs by immunomodulator.
  4. To eliminate erection problems, the use of antidepressants and sedatives is shown.
  5. To strengthen pelvic muscles, regular physical activity helps normalize blood circulation.It is preferable that it is a specially compiled complex of physiotherapy exercises.Physiotherapeutic procedures have good electrophoresis at reactal effect, transrectal microwave hyperthermia, UHF, magnetic laser therapy, etc.These procedures help get rid of pelvic pain syndrome.

By starting the treatment of chronic prostatitis at home, you must connect to a long struggle, because it is not always possible to heal it in a few weeks or even months.It is recommended to combine various methods and therapy tools, it is useful to improve pharmacotherapy with households.With stagnant prostatitis, regular sexual relations are necessary, interrupted sexual acts are unacceptable.

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

Physiotherapy and prostate massage

Prostate massage.Currently, this is one of the main techniques of prostatitic treatment.Many experts believe that the treatment of prostatitis without this procedure is impossible at all.However, there is no reliable clinical data on the efficiency of the massage.Many patients note a significant improvement in their own condition according to many criteria after a massage course.Consequently, consider the methodology of this procedure and the mechanism of its therapeutic effect.

To carry out the procedure, the patient occupies a knee-elbow installation.Thanks to this position, the pool muscles are relaxed as much as possible.The doctor puts rubber gloves, the glove index is lubricated with a special gel lubricant.The index is carefully inserted into the anus of the anus.Then you should feel the front wall of the rectum.Having groped for the prostate, the urologist produces a line.

Thanks to the pressure on the prostate gland, the mechanical compression of the secret of the gland in the urethra occurs.On the urethra, an exit from the latter occurs.It is recommended each time after massage of the prostate to perform a microscopic analysis of the prostate secret to assess the process dynamics.

However, the allocation of prostate secrecy is not the only positive effect in massage.In addition, circulation is activated in the prostate gland, which leads to an improvement in resistance to infections and accelerating the restoration of damaged tissues.

Microwave microwave therapy.Local exposure to high -frequency high -rise electric waves increases the temperature in the heated area.With an increase in local temperature at a level of 39 to 40 degrees, the expansion of blood flow, blood flow, attracting immune cells to orientation and their activation to combat infection.In addition, an increase in temperature leads to a decrease in smooth muscles spasms, which leads to better drainage of prostate secrecy and a decrease in pain.

Diet

The diet for prostatitis in men is based on the principles of a healthy diet and limitation of harmful food.The diet is selected taking into account the severity of the manifestation of the disease and the characteristics of the body.All products that cause allergies or exacerbation of symptoms are the ban.

Basic principles of the regime:

  • Addition of garlic and onions to the dishes, mustard;
  • compilation of the menu, taking into account the exacerbation phase;
  • rejection of all types of alcohol and smoking;
  • Exclusion from the diet of spices, preservatives, semi-finished products, sharp and salty dishes;
  • Regular meals, preferably at the same time;
  • Complete the diet with physical exercises and a walk;
  • rejection of fatty and smoked dishes;
  • consumption of vegetable salads, herbs;
  • Minimum heat treatment of fruits and vegetables;
  • Restriction of salt and candies;
  • Constant maintenance of a diet and rejection of harmful products.

Useful food:

  • a variety of soups (rich broths are undesirable);
  • Cereals (oatmeal, millet, buckwheat and others), pasta, spaghetti;
  • Fat vegetables (olive oil is highly recommended);
  • Fresh herbs, fruits and vegetables (melons and watermelons, zucchini and pumpkin, parsley and salad, green pea and cauliflower, cucumbers and tomatoes, beets, potatoes and carrots);
  • Aigre-Milk group products (bifido, yogurt, ayran, cottage cheese, fermented, kefir, sure cream);
  • weak meat and ocean fish;
  • Gray bread;
  • dried fruits;
  • Honey.

One of the very important substances in prevention of prostatitis is zinc, so you often have 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 contraception methods (condom), in particular with regard to anal sex;
  2. Appropriate treatment of STIs;
  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. Compliance with personal hygiene;
  6. Ensure sufficient physical activity.

Despite the fact that today prostatitis is not associated with the risk of developing adenoma or prostate cancer, the disease makes its owner suffer a lot of suffering.A man exhausted by chronic pain, feeling his sexual weakness, tired of prolonged treatment, changes in a significantly external way and that experienced doctors define these patients at first glance.To avoid such a spell, you must pay attention to your health, carefully protected with each new partner and treat sexually transmitted diseases over time.

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