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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), which affects its glandular and connective tissues.

The bottom treatment of prostatitis was engaged in the nineteenth century, when there was a tendency to increase this disease.The disease is purely male, since prostate iron is an organ located in the body of men.The representatives of the age category from forty and older years suffer from this disorder, but medical statistics say that in recent years the disease is significantly "younger": between 25-28 years, prostatitis is detected in 30% of cases.

However, the peculiarity of the diagnosis and the probability of secretly the course of the disease suggests that this figure is much larger.Only a quarter of men 22-50 years undergoes medical tests, including a urologist diagnosing 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 prostate.Prostate iron is a secondary part of male reproductive organs.It is located under the bladder around the neck.The fact is that the urethra passes through the prostate, that is, the prostate is located around the urinary tube.Just accordingly, with an increase in the prostate, the urinary channel is compressed, which interferes with the passage of the 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 launch the seed converge.Its functions:

  • Development of prostaglandins, substances that help to increase the flow of blood to the penis, which guarantees an erection;
  • participation in the development of testosterone together with the testicles;
  • Development of a secret to liquefy the sperm and guarantee the survival of sperm;
  • participation in the expulsion of the seed and the formation of orgasm;
  • The obstacle at the entrance of the urine in the seed fluid.

The position of the prostate makes it vulnerable to the penetration of pathogenic agents from the urethra, bladder and the widening of the ducts.A large number of lymphatic vases, which 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 forms:

  1. Acute.The symptoms of exacerbation of prostatitis will appear in serious inflammation of the organ.The temperature for prostatitis in acute men increases significantly (up to 39 ° C).The urination 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, from time to time, experiences urination.

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

Classification of prostatitis:

  1. Bacterial.It derives from the penetration of different varieties of microorganisms, streptococci, E. coli, stafilococci and prostate.Another probable reason is the complication after the infectious diseases of the parental sphere -urrinaria - Gonorrhea, chlamydia, tricomonosis, micoplashosis.
  2. Sclerotic.It happens due to the death of the organ cells and their replacement with the 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. Prostatopathic.In this type of prostatitis, the symptoms are characterized by pains constantly present in the basin.His reasons are not completely studied.The most probable are called the injuries of the perineum muscles, the inverse expiration of the secret.
  4. Congestive.The most common variety.It is caused by stagnant processes due to the interruption of coitus, the prolonged refusal of intimate contacts, sexual excesses.
  5. Calculate.It is characterized by the presence of stones in the prostate and in the ducts.The event can consist of acute pain in the urethra.
  6. Atypical.Pain syndrome occurs in the lower back of the back, the legs, which is not a common manifestation of the disease.The success of the treatment depends on the stage of the pathology, the presence of complications.

Causes

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

The main factors that cause prostatitis occurrence are as follows:

  1. Stagnant processes.It appears with obesity, a sedentary lifestyle, since the 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 fabrics and organs of the basin (OMT), stagnation may occur, causing the inflammatory process.Such cases are often found in truck drivers due to the professional activity associated with a long -term sitting position and a constant injury of the chair that beats Omt.
  3. Infections.The bacteria fall into the prostate gland in various ways.Young people 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 presence of prostatitis occurs following any chronic internal diseases.Damn bacteria reach the prostate gland with the flow of sap or blood.Pathological microorganisms can also "descend" to the prostate of the urtra.So the disease is caused by urinary system disorders (urethritis, pyelonephritis) with weakened immunity.

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

The first signs

In men, the first signs of prostatitis and its treatment are due to a deterioration of blood circulation in the prostate due to the inflammation or spasm of the 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 themselves in this way:

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

Symptoms of prostatitis

The symptoms of prostatitis, which are mainly the man usually draw as follows:

  1. At the beginning of the disease, when the prostate was just starting to increase in volume, it only slightly squeezes the ureter, which surrounds like a ring on the finger.Therefore, one of the first symptoms of prostatitis will be considered a small narrowing of the ureter and, consequently, a certain obstruction of the passage of the urine is difficult.
  2. The problem deriving from this is rapid urination.At the beginning, this event does not cause concern, a man who has never intertwined at night can resist to empty the bladder one or twice in the evening and write it on a cup of more tea for 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 feeling: pulling, pressing, bursting, usually worry 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 a certain anxiety, but this is often attributed to fatigue and stress.

Symptoms of bacterial prostatitis

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

How prostatitis is manifested 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 in the lower part of the abdomen, horse, of the Supralob region, which intensify during the relationship, with prolonged abstinence, after defecation)
  3. Violations of violations from the parental sphere (painful, slow or intermittent urination, violation of erection, ejaculation);
  4. Laboratory symptoms (changes in urine analysis, prostate secretion, seed fluid; as well as inflammatory changes in the examination of general clinical blood);

In chronic bacterial prostatitis: the exacerbation symptoms are presented above.For exacerbation, the symptoms are often not expressed, deleted, small.In such cases, the main complaints influence urination disorders, serious changes in the erection, weakening of sexual desire, violations of ejaculation (premature or detained), emotional smoothness of the experience of orgasm, deviations in character (increased irritability, temperament, anxiety, intruded).

Symptoms of chronic prostatitis

Unlike the acute form, the chronic form of prostatitis in men has an asymptomatic path and proceeds latent (i.e. without characteristics pronounced characteristics).The clinical picture is often erased, with mild symptoms, patients do not pay due discoveries of adequate attention and do not consider the need to seek medical help, confusing symptoms of prostatitis with 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 prostate inflammation is expressed in slight 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 the elongation, and vice versa and the brightness of the sexual sensations.The discharges appear from the urethra, especially in the morning, or the white bows are visible in the urine with the naked eye.

Since the inflammatory process leads to the fact that the lumen of the urethra is restricted, urination disorders occur, that men should first pay attention to everything: the flow of urine becomes weak, there may be urination in drops or difficult at the beginning or at the end.Many patients have an incomplete bladder emptying or uncontrolled urinary losses.

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

Diseases in which similar symptoms

Diseases that have similar symptoms with prostatitis can be differentiated from 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.Pain syndrome is located in the genitals.If pain is observed in the lower abdomen, the patient is suspected of cystitis;
  2. Epididimitis and orcite are characterized by the lesion of the testicle and its appendix.Because of the pathology, a man has a clear swelling of the scrotum and his reddish.In contact with it, the skin of the skin is felt.During the touch of the testicles, the patient feels severe pain;
  3. Pyelonefrite is accompanied by pain in the lower back and compromised urination.In a patient with this disease, an increase in total body temperature is observed.Blood loss is not excluded when urine.
  4. Cystitis is often confused with urethritis.Often these two pathological processes develop parallel with each other.In case of illness, man constantly needs to visit the bathroom.At the end of the urination process, it is possible to release a pair of drops of blood;

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

Diagnostics

Prostatitis in men is diagnosed mainly based on 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

The 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 perform the procedure due to severe pain);
  • Rectal examination of Palpator;
  • Ultrasound examination of the prostate to confirm the suspicions of prostatitis and form accurate diagnosis;
  • biopsy;
  • Tomography (computer/magnetic nuclear) of a small basin-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 her residual volume, ultrasound of the prostate gland;
  • Analysis of clinical urine;
  • The average part of the urine for microbiological research.

Diagnosis requires the differentiation of prostatitis with cystitis, urethritis, prostate adenomas, prostate carcinoma.

What is the danger of prostatitis?

The consequences depend on age, on the state of the immune system, on the presence of bad habits.So in people of an advanced age group, with weakened immunity, with 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 decompexes of functional activity, reduces the production of substances involved in the formation of an erection of the genital body of a man.The consequence of prostatitis is a slow emission of the seed fluid during sexual intercourse, a decrease in completeness of sensations during sexual intercourse, in advanced forms erectile dysfunction.
  2. The effect of prostatitis on conception.The damaged prostate strongly 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 refusal of the female body, the development of gynecological diseases and the impossibility of conception.
  3. Prostatitis causes damage within the gland and body.The inflammation complicated by the microflora increases the risk of prostate abscess.ABSCSING - Purulent mission of the part of the parenchym 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 prostate damaged by reflux.The consequence of prostatitis is also: acute Ishturia, urolithiasis, kidney failure, inflammation of the parenting organs and other diseases.

Treatment of bacterial prostatitis

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

Modern bacterial prostatitis therapy consists of several blocks of drugs:

  1. Antibacterial therapy for 4-6 weeks.Favorite drugs are fluorochinoloni.Antibiotic reserve - Protected penicillins, macrolides.
  2. Transfer of pain syndrome.It is obtained through the use of non -steering 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 reverse capture of serotonin is recommended.
  4. Urination disorders.Alfa-1-addreno blocks are used.Reserve preparations are 5-Alfa blockers returning.

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

Acute prostatitis treatment

In the treatment of acute prostatitis, it is important that the systemic antibacterial treatment is important.Very often, the attending physician prescribes the patient to take certain drugs.In case of manifestation of prostatitis following sexual transmission diseases, the 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 prescribes a patient support treatment course.

In the process of supporting therapy, it is important to observe a delicate regime, preferably read.There must be 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 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, including ethitropic therapy, physiotherapy, correction of immunity:

Methods of prostatitis treatment in men
  1. Antibiotic therapy.Long-term antibacterial courses are prescribed to the patient (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 the microflora based on the results of the sowing of the urine and the secret of the prostate.
  2. Physiotherapy.To improve blood circulation, laser exposure, ultrasound waves and electromagnetic vibrations are used.If it is impossible to perform physiotherapy procedures, the patient prescribed hot medicinal microclisms.
  3. Prostate massage.The gland massage has a complete effect on the organ concerned.During the massage, the inflammatory secret accumulated in the prostate gland is crushed into the ducts, then enters the urethra and removes from the body.The procedure improves blood circulation in the prostate, which allows you to minimize stagnation and provides the best penetration of antibacterial drugs in the tissue of the affected organ.

In chronic long -term inflammation, a consultation of an immunologist is indicated for the choice of tactics of immunocorrigative therapy.Recommendations are given to the patient for a change in lifestyle.The introduction of some 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.

Popular remedies

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

Here are some:

  1. Blueberries have an anti -inflammatory effect.Eat 200 grams of this berry a day, you will support the health of your men;
  2. The parsley, first of all, became famous as 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.the.3 times a day 30 minutes before meals.This will help to relieve inflammation and establish a sex life;
  3. Five hundred grams of peeled raw pumpkin seeds, scroll through a flesh -fold -meat grinder and mix with 200 grams of honey.Create balls from the resulting mass.He eats 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 peaks, chop and pour boiling water.Consume in the form of tea;
  5. Macing three hundred grams of onions in a thorn -shaped consistency, add 100 grams of honey, 600 ml of dry wine.Keep 1 week in a dark and cool place, mix periodically.Submit to tension.Use 2 tablespoons.the.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 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 performed immediately, perform squats in different approaches with breaks.
  2. Scissors.Sit on the floor, rest your hands on the floor behind you.Stretch your legs in front of you, snatch them from the floor.Cross them together.Movements resemble the work of scissors.
  3. Lie on the back, bend your legs on your knees, wear it on the chest.Grab them with your hands.Keep the installation for a maximum of 20 minutes.
  4. The normal walk also perfectly eliminates stagnation.

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

Prevention

Prostititis prevention at home includes the following recommendations:

  1. It is forbidden to lift weights, especially if a man has a weak physical training.
  2. A contrast shower improves well.It can be taken in front of Coatus.
  3. In the diet, it is necessary to include more raw fruit, vegetables, berries.Pumpkin seeds, garlic, honey, plums, parsley, nuts.
  4. Mayonnaise, ketchup, salty and marinated from the menu must be excluded.
  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.This is why the small oxygen enters its tissue, which is why signs of prostatitis, impotence appear.
  7. You have to fight hypodynamia.To do this, you should move more, engage in physical culture.
  8. It is necessary to face stress, minimize the influence of negative emotions.
  9. Hypothermia should be avoided.In the car it is necessary to equip a seat with heated.
  10. It is recommended to perform exercises for the prevention of stagnant phenomena in the basin.
  11. To increase power, you have to establish sex life.Male health is very harmful to interrupt sexual intercourse.Long -term sexual abstinence is not allowed.

Adequately established physical and sexual activity, respect for all doctor's recommendations helps to get rid of prostatitis.Prostatitis is dangerous as it is able to cause persistent disorders of sexual function and infertility.