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Prostatitis in men: the first signs and treatment

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

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

What is it?

Prostatitis - Inflammation of the seed gland (prostate) - prostate.It is manifested by frequent urination with a mixture of blood, pus in urine, pain in the area of the penis, scrotum, straight, sexual disorders (erection violation, early ejaculation, etc.), sometimes delayed urine.Perhaps the abscess of the prostate gland, the inflammation of the testicles and the appendices, which threatens infertility.The rise of the infection leads to the inflammation of the upper parts of the genitourinary system (cystitis, pyelonephritis).

The treatment of prostatitis varies according to the form of the disease in a man.Then, bacterial prostatitis can occur both acute and chronic disease.Very often, non -bacterial prostatitis is also diagnosed as a chronic ailment.Such a variety of prostatitis is also called chronic pelvic pain syndrome.In such 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 prostate fabric of the organs of the genitourinary system (urethra, bladder) or the remote inflammatory approach (with pneumonia, influenza, tonsilitis, furunculosis).

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

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Why does prostatitis develop?

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

  1. Infectious(Sexually transmitted infections (Penetration in pathogens: microbes, viruses, bacteria, fungi, etc.): Also the presence of chronic infection spotlights (chronic amamantes, sinusitis, renal pathology), surgery in the pelvic organs, etc.).
  2. Non -infectious (stagnant)(Decreased immunity, hypothermia, decreased physical activity, sedentary sedentary lifestyle, long -term sexual abstinence and, on the contrary, excessive sexual activity, alcohol abuse, etc.).

Therefore, it emphasizes that the isolated blow of the pathogen in the organ of the organ is not always and may not necessarily be the cause of the development of the disease.The most frequently determined pathogen is E. coli (86 %), then: Klebsielly, Proteus, Enterococi, pseudomonas stick.With respect to streptococci, staphylococci, chlamydia, mycoplasma, the ureplasma of researchers' opinion on their importance in the development of the disease differ.It is extremely rare for the causes of prostatitis that specific pathogens become (pale treponema, a wave of koch, etc.).

Classification

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

  1. Acute bacterial - pathogenic microflora causes serious damage to prostate tissues with a pronounced inflammatory reaction.Most of the time it develops with infection with gocococcus and other pathogens.
  2. Chronic bacteria: The association of pathogenically or conditionally pathogenic bacteria causes slow inflammation, whose activity remains for more than 2 months.As a general rule, pathogens are streptococci, staphylococci, E. coli, Klebsiella, Mycoplasma, ureaplasma, clamidia, herpesvirus and fungi of a candidate similar to yeast.
  3. Chronic Abacería: 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 urine is thrown in the ducts of the prostate gland, the stagnation of venous blood in the pelvis, a violation of its emptying (rare or too frequent ejaculation).In the last case, the disease is called stagnant prostatitis.

Prostatitis symptoms and the first signs

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

  • involuntary urine;
  • the appearance of discomfort and pain during urination;
  • frequent urine;
  • pain with prolonged sitting in the perineum;
  • decrease in power;
  • urine problems, rape of erection and sexual desire, infertility;
  • difficulties in urine, sensation of obstacles during urination;
  • weak current during urination;
  • The sensation is incompletely empty the bladder after urine;
  • 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.

Acute prostatitis symptoms

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

  1. Acute catarral prostatitis.Patients complain fast, often painful, pain in the sacrum and perineum.
  2. Acute follicular prostatitis.The pain becomes more intense, sometimes irradiated to the anus, intensifies during defecation.Urine is difficult, urine flows with a thin current.In some cases, urine delay is observed.Subfebrilita or moderate hyperthermia.
  3. Acute parenchymal prostatitis.The pronounced general poisoning, hyperthermia up to 38-40 ° C, chills.Dicizuric disorders, often an acute delay in urination.Sharp and pulsating pains in the perineum.Difficulty defecating.

Chronic prostatitis symptoms

In rare cases, chronic prostatitis becomes the result of an acute process, however, as a general rule, chronic prostatitis with erased symptoms develops primary.The temperature occasionally increases to subfebrile values.A patient with chronic prostatitis indicates unpleasant sensations or weak pain in the perineum, discomfort during the act of urine and defecation.The most characteristic symptom of chronic prostatitis is the little secretion of the urethra during the defecation act.

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 abacerial 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 (clamidia, tricomonas, ureplasma, gocococcus).Symptoms of a specific inflammatory process in many cases mask manifestations of chronic prostatitis.A slight increase in pain is possible during urination, weak pain in the perineum, the scarce discharge of the urethra during defecation.A slight change in the clinical picture and the attachment of chronic prostatitis often go unnoticed by the patient.

Chronic prostatitis can manifest itself through an ardor sensation in the urethra and perineum, dysuria, sexual disorders, greater 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 symptoms listed, differ in different patients and changes over time.

There are three main syndrome characteristics of chronic prostatitis:

  • Dissurian syndrome (urination disorder).

As a result of inflammation in chronic prostatitis, the volume of the prostate increases by pressing the ureter.Ureter light decreases.A patient with prostatitis has a frequent impulse of urinating, an incomplete emptying sensation of the bladder.As a general rule, the dirty phenomena are expressed in the early stages of chronic prostatitis.Then, the compensatory hypertrophy of the muscular layer of the bladder and the ureters develops.The symptoms of dysuria during this period are weakening, and then increase during the decompensation of adaptive mechanisms.

  • Pain syndrome in chronic prostatitis.

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

Patients with chronic prostatitis complain of pain of diverse intensity, from weak, mourning to intense, 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 a scrotum, sacrum, crotch, sometimes in the lumbar region.It should be taken into account that low back pain occurs not only with prostatitis.The cause of pain in this area may be osteochondrosis and a series of other diseases.

  • Sexual disorders in chronic prostatitis.

In the initial stages of chronic prostatitis, provisions can be developed, which manifested differently in different patients.Patients may complain about frequent night erections, erased orgasm or deterioration of an erection.The accelerated ejaculation is associated with a decrease in the threshold of excitation of the organ center.The pain for ejaculation can cause a patient to reject prostatitis of 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 patient's psychological mood.Violations of power and dysuria can be caused by changes in the prostate gland and the patient's suggestibility, who, when detected by chronic prostatitis, expects the inevitable development of sexual disorders and urine disorders.Especially the psychogenic exhibition and dysuria develop in suggestible and alarming patients.

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

Complications

As complications of acute and chronic prostatitis, there are a series of diseases and serious conditions.Then, in a man who was sick with prostatitis, the number of male sex hormones can decrease significantly, which causes a decrease in sexual desire.As a result, a person has constant problems with an erection.In addition, difficulties with the power in a man suffering from prostatitis can arise as a result of a series of psychological problems.

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 observed as complications of prostatitis.An even more formidable complication is prostate sclerosis: a state where iron decreases and stops working completely.In this case, the patient is condemned to constant pain, urination problems, sexual disorders.

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

The most formidable complication of prostatitis in men is prostate cancer, which is full of more serious consequences.

All these complications, as well as directly by chronic prostatitis, significantly worsen the life of a man.That is why the timely competent treatment of prostatitis is extremely necessary.

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Diagnosis

Thanks to active agitation and ubiquitous advertising today, even schoolchildren know not only about symptoms, but also about how to treat a prostate.However, the absence of any sign prevents not only choosing adequate medications, but also making a diagnosis in time.The best way to prevent inflammation is to visit the clinic more frequently.Therefore, 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 perform:

  • rectal finger exam;
  • Seed secretion and fluid analysis;
  • Prostate ultrasound exam;
  • Urine and blood analysis;
  • Taking a spot of the urethra.

How to treat prostatitis?

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

Acute inflammation is an indication for the hospitalization of the patient at the Urological Hospital, and chronic patients undergo the course of home therapy.If the cause of the disease was a sexually transmitted infection, both couples must take antibiotics.

Treatment of acute prostatitis

During acute inflammation, a man shows peace, complete abstinence of sex and an easily digestible diet.It must reject alcohol, smoking, spicy dishes, preservatives, fatty foods.

Medications used for treatment in a hospital:

  • AntibioticsCephalosporinal Series: Destructively affect the best known pathogenic bacteria.The first 5 days are administered intravenously, from 5 to the tenth day of intramuscular treatment;
  • Antiprotozo and antibacterial agents- Accumulate in the prostate, are active in relation to the most frequent pathogens of the disease;
  • Anti -inflammatory drugs(NSAIDs): Normalize body temperature, eliminate pain, stop the inflammatory process.They are prescribed in the form of tablets, rectal candles, intramuscular injections (paracetamol, nimesile);
  • Uninxical solutions- Accelerate the excretion of microbial toxins of the body, improve blood microcirculation in the prostate gland.The intravenous trap is introduced;
  • Block adrenergic α1 receptors- Relax the smooth muscle fibers of the prostate gland, due to which the urine output is restored.It is taken inside tablets.

This is how the basic treatment regime is seen, that the doctor supplements, if necessary, other medications for prostatitis.It is important to undergo a therapy course to minimize the risk of chronic process.

Treatment of chronic prostatitis

Chronic prostatitis therapy depends directly on which 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, man will experience the following symptoms:

  • Minor painful sensations that occur rarely, but regularly;
  • A feeling of gravity in the area of the prostate, the lumbosacra zone, in the genital area;
  • In some cases, the disstroding disorders are joined: greater impulse to the urine, the pain during the emptying of the bladder, etc.;
  • Perhaps a deterioration in depressive moods of Baneamotion, BENEMOATIONAL, in the context of the context of which sexual failures occur.

There are a number of contradictions on the issue of chronic inflammation 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 medications believe that bacterial flora in a secret taken for analysis simply could not obtain.

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

They offer the patient's following tactics:

  1. Reception of the NSAID course.
  2. The appointment of funds aimed at normalizing the output of lymph and improving the microcirculation of the blood in the organ.
  3. Reception of immunomodulatory drugs.
  4. To eliminate problems with erection, the use of antidepressants and sedatives is shown.
  5. To strengthen pelvic muscles, regular physical activity helps normalize blood circulation.It is better if it is a complex specially compiled of physiotherapy exercises.Physiotherapeutic procedures have a good electrophoresty-recal of effect, transrective microwave hyperthermia, UHF, magnetic laser therapy, etc.These procedures help eliminate pelvic pain syndrome.

Starting the treatment of chronic prostatitis at home, it must tune in a long struggle, since it is not always possible to cure it in a few weeks or even months.It is recommended to combine several methods and tools for therapy, it is useful to improve drugs with homes.With stagnant prostatitis, regular sex is needed, interrupted sexual acts are unacceptable.

The patient's psycho -emotional history is important: depression, depression, problems in personal life and the sexual sphere can deny all the efforts of doctors.

Prostate physiotherapy and massage

Prostate massage.Currently, it is one of the main techniques in the treatment of prostatitis.Many experts believe that the treatment of prostatitis without this procedure is impossible.However, there are no reliable clinical data on how effective is the massage.Many patients indicate a significant improvement in their own state according to many criteria after a massage course.Therefore, consider the methodology of this procedure and the mechanism of its therapeutic effect.

To carry out the procedure, the patient occupies a knee elbow pose.Thanks to this position, the pelvis muscles are relaxed as much as possible.The doctor puts rubber gloves, the index finger of the gloves is lubricated with a special gel lubricant.The index finger is perfectly inserted into the anus.Next, you must feel the front wall of the rectum.After being left for the prostate, the urologist produces a pressure line.

Thanks to the pressure on the prostate gland, the mechanical squeeze of the secret of the gland in the urethra occurs.In the urethra, an exit of the latter occurs.It is recommended every time after the prostate massage to perform a microscopic analysis of the prostate secret to evaluate the dynamics of the process.

However, the assignment of the prostate secret is not the only positive effect on massage.In addition, the circulation is activated in the prostate gland, which leads to an improvement in infection resistance and accelerates the restoration of damaged tissues.

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

Diet

The diet for prostatitis in men is based on the principles of a healthy diet and limits harmful foods.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 under the ban.

Basic Diet Principles:

  • adding garlic and onions to the dishes, mustard;
  • Menu compilation, taking into account the exacerbation phase;
  • rejection of any type of alcohol and smoking;
  • Exclusion of spices diet, preservatives, semi -ends, sharp and salty plates;
  • regular meals, preferably at the same time;
  • Complement the diet with physical exercises and walk;
  • Fat rejection and smoked dishes;
  • consumption of vegetable salads, herbs;
  • Minimum heat and vegetable heat treatment;
  • salt and sweet restriction;
  • Constant maintenance of a diet and rejection of harmful products.

Useful food:

  • a variety of soups (rich broths are undesirable);
  • Cereals (oats, millet, Sarracene wheat 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 peas and cauliflower, cucumbers and tomatoes, beets, potatoes and carrots);
  • Agrio -Minuto products (bifid, yogurt, ayran, cottage cheese, fermented, kefir, sour cream);
  • low meat and oceanic fish;
  • Gray bread;
  • dried fruits;
  • Honey.

One of the very important substances in the prevention of prostatitis is zinc, so it should often consume healthy seafood, pumpkin seeds that have a lot of zinc, white birds, nuts and beef.

How to prevent the development of prostatitis at any age?

  1. The use of contraception barrier methods (condom), especially when it comes to anal sex;
  2. Timely treatment of STIs;
  3. Regular sex life, which brings relationships to complete ejaculation;
  4. The prevention of injury in the crotch, when classes, traumatic sports must be used by all possible protection methods;
  5. Compliance with personal hygiene;
  6. Ensure sufficient physical activity.

Although today prostatitis is not associated with the risk of developing adenoma or prostate cancer, the disease brings a lot of suffering to its owner.A man exhausted by chronic pain, feeling his sexual weakness, tired of prolonged treatment, changes remarkably externally and experienced doctors define such patients at first sight.To avoid such destiny, you must be careful with 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 can significantly improve the condition of the patient and the quality of his life.