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Prostatitis in men: the first signs and treatment

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

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 self -assemble.

What is it?

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

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

Prostatitis develops with the penetration of an infectious agent, which enters the tissue of the prostate of the genitourinary system organs (urethra, bladder) or the remote inflammatory focus (with pneumonia, influenza, amigonitis, cornunculosis).

There are several risk factors that increase the likelihood of prostatitis.

A man in focus

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 pathogen tissue - microbes, viruses, bacteria, fungi, etc.): also the presence of chronic infection outbreaks (chronic tonsillitis, sinusitis, renal pathology), surgery on pelvic organs, etc.).
  2. Non -infectious (stagnant)(Decreased immunity, hypothermia, decreased physical activity, sedentary sedentary lifestyle, long -term sexual abstinence and, conversely, excessive sexual activity, alcohol abuse, etc.).

Thus, it emphasizes that the isolated blow of the pathogen in the organ tissue 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, enterococci, pseudomonas rod.With regard to streptococci, staphylococci, chlamydia, mycoplasm, ureaplasma of researchers' opinion about its meaning in the development of the disease differ.It is extremely rare for the causes of prostatitis that specific pathogens become (Pale treponema, a koch wand, etc.).

Classification

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

  1. Acute bacterial microflora - pathogenic causes serious damage to prostate tissues with a pronounced inflammatory reaction.Most of the time, it develops with Gonococcus infection and other pathogens.
  2. Chronic Bacterial-The Association of pathogenic or conditionally pathogenic bacteria causes slow inflammation, whose activity remains for more than 2 months.As a rule, pathogens are streptococci, staphylococci, E. coli, klebsiella, mycoplasma, ureaplasma, chlamydia, herpesvirus and the candidate's fungi.
  3. Chronic Abactry - 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 into the prostate gland ducts, venous blood stagnation in the pelvis, a violation of its emptying (rare or very frequent ejaculation).In the latter 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 seed violations complex:

  • involuntary urination;
  • the appearance of discomfort and pain during urination;
  • frequent urination;
  • prolonged pain sitting on the perineum;
  • decreased power;
  • Problems of urination, violation of erection and sexual desire, infertility;
  • Difficulties in urination, sense of obstacles during urination;
  • weak flow during urination;
  • The sensation is incompletely emptying the bladder after urination;
  • the impossibility of an erection or a decrease in the duration of an erection;
  • decreased 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 catarron prostatitis.Patients complain of rapid, often painful urination, sacred and perineum pain.
  2. Acute follicular prostatitis.The pain becomes more intense, sometimes radiates to the anus, intensifies during defecation.Urination is difficult, urine flows with a thin flow.In some cases, the delay of urine is observed.SUBEBRILIT or moderate hyperthermia.
  3. Acute paradise prostatitis.Pronounced general poisoning, hyperthermia up to 38-40 ° C, chills.Disturbances said, usually an acute delay in urination.Clear and pulsating pains in the perineum.Difficulty defecating.

Symptoms of chronic prostatitis

In rare cases, chronic prostatitis becomes the result of an acute process, however, as a rule, chronic prostatitis with deleted symptoms develops first.The temperature occasionally rises to subebril values.A patient with chronic prostatitis observes unpleasant sensations or poor pain in the perineum, discomfort during the act of urination and defecation.The most characteristic symptom of chronic prostatitis is dark scarce of the urethra during the act of defecation.

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 a slaughtering prostatitis (the early 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, ureaplasma, gonococcus).The symptoms of a specific inflammatory process in many cases mask manifestations of chronic prostatitis.A slight increase in pain during urination is possible, poor pain in the perineum, scarce discharge from the urethra during defecation.A slight change in the clinical picture and the fixation of chronic prostatitis usually goes 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 violations of power (or fear of these violations) usually becomes mental depression, anxiety and irritability.The clinical image of chronic prostatitis does not always include everything, without exception, listed symptom groups, differ in different patients and changes over time.

There are three main syndrome characteristic of chronic prostatitis:

  • Disurian syndrome (urination disorder).

As a result of inflammation of chronic prostatitis, the volume of the prostate that squeezes the ureter increases.The ureter lumen 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 compensatory hypertrophy of the muscle layer of the bladder and ureters develop.The symptoms of dysuria during this period are weakening and, again, increased during the decompensation of adaptive mechanisms.

  • Pain syndrome in chronic prostatitis.

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

Patients with chronic prostatitis complain of pain of various intensity - weak, pain 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 to a scrotum, sacred, groin, sometimes to the lower back.It should be borne in mind that lower back pain occurs not only with prostatitis.The cause of pain in this area can be osteochondrosis and several other diseases.

  • Sexual disorders in chronic prostatitis.

In the early stages of chronic prostatitis, provisions may develop, which have manifested differently in different patients.Patients may complain about frequent night erections, delete orgasm or deterioration of an erection.Accelerated ejaculation is associated with a decrease in the tight level of arousal of the organ center.Ejaculation pain can cause a patient to refuse the 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 patient's sexual constitution and psychological mood.Power and dysuria violations can be caused by changes in the prostate gland and patient suggestability, which, when it is detected by chronic prostatitis, expects the inevitable development of sex disorders and urination disorders.Especially often psychogenic display and dysuria develops in suggestible and alarming patients.

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

Complications

As complications of acute and chronic prostatitis, several serious diseases and conditions occur.Thus, 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 power in a man suffering from prostatitis can arise as a result of various psychological problems.

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

Sometimes the formation of prostate stones and cysts is observed as complications of prostatitis.An even more formidable complication is prostate sclerosis: a state where iron decreases and ceases to function completely.In this case, the patient is doomed to constant pain, urination problems, sexual disorders.

Prostate adenoma, which is benign education, also usually 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 of these complications, as well as directly by chronic prostatitis, significantly worsens a man's life.This is why the timely treatment of prostatitis is extremely necessary.

Photo

prostate

Diagnosis

Thanks to active agitation and ubiquitous advertising today, even school -age children know not only about symptoms but also how to treat a prostate.However, the absence of any signs not only avoids choosing the right medications, but also to make a diagnosis in 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 the inflammation of the prostate and prescribe the appropriate tests, among which they usually perform:

  • Retal examination of the finger;
  • Secretion and seed analysis;
  • Prostate ultrasound examination;
  • Urine and blood analysis;
  • Taking a stain from the urethra.

How to treat prostatitis?

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

Acute inflammation is an indication for patient hospitalization in the urological hospital, with chronic patients undergo the course of 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, a man shows peace, complete abstinence of sex and an easily digestible diet.You should refuse alcohol, smoking, spicy dishes, preservatives, fatty foods.

Drugs used for treatment in a hospital:

  • AntibioticsCEFALOSPORINAL SERIES - DESTRATIVE AFFECTS THE BEST PATOGENIC BACTERIA.In the first 5 days, they are administered intravenously from the 5 to 10th treatment intramuscularly;
  • Antiprotozoan and Antibacterial Agents- accumulate in the prostate, are active in relation to the most frequent pathogens of the disease;
  • Anti -inflammatory drugs(AINE) - normalize body temperature, eliminate pain, interrupts the inflammatory process.They are prescribed in the form of tablets, rectal candles, intramuscular injections (acetaminophen, nimesil);
  • Deinoxical solutions- Accelerate the excretion of microbial toxins of the body, improve blood microcirculation in the prostate gland.Intravenous dreamer is introduced;
  • Blocks adrenergic receptors α1- Relax the smooth muscle fibers of the prostate gland, because the exit of urine restaurants.It is carried in the form of tablets.

This is how the basic treatment regime seems that the doctor supplements, if necessary, other drugs 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 the stage where the disease is located.If the disease exacerbates, the treatment is similar to acute bacterial prostatitis treatment.

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

  • Smaller painful sensations that occur rarely, but regularly;
  • A feeling of gravity in the prostate area, the lumbosacra zone in the genital area;
  • In some cases, dysurical disorders are united: greater desire for urination, pain during bladder emptying, etc.;
  • Perhaps a deterioration in the psycho -emotional well -depressed humor against the background of which sexual failures happen.

There are several contradictions in the issue of chronic inflammation therapy.Scientists have not yet reached 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 be.

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

They offer the following patient tactics:

  1. Reception of the NSAIDs course.
  2. The appointment of funds intended to normalize the lymph output and improve blood microcirculation in the organ.
  3. Reception of immunomodulatory medicines.
  4. To eliminate problems with erection, the use of antidepressants and sedatives is shown.
  5. To strengthen the pelvic muscles, regular physical activity helps normalize blood circulation.It is better if it is a specially compiled complex of physical therapy exercises.Physiotherapeutic procedures have a good electrophoresis-effect-effect, microwave transtremia, UHF, magnetic laser therapy, etc.These procedures help get rid of pelvic pain syndrome.

Starting the treatment of chronic prostatitis at home, you should tune in a long struggle, 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 drug therapy with families.With stagnant prostatitis, regular sex is necessary, interrupted sexual acts are unacceptable.

Psycho -emotional formation of the patient is important: depression, depression, problems in personal life and sexual sphere are able to deny all the efforts of doctors.

Physiotherapy and Prostate Massage

Prostate massage.It is currently one of the main techniques in the treatment of prostatitis.Many experts believe that treatment of prostatitis without this procedure is impossible.However, there is no reliable clinical data on massage effectiveness.Many patients observe a significant improvement in their own state, according to many criteria after a massage course.Therefore, let's consider the methodology of this procedure and the mechanism of its therapeutic effect.

To perform the procedure, the patient occupies a jam 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 -shaped lubricant.The index finger is carefully inserted into the anus of the anus.Then you should feel the front wall of the rectum.Having gripped the prostate, the urologist produces the pressing.

Thanks to the pressure on the prostate gland, a mechanical tightening of the Urethra secrecy gland occurs.In the urethra, there is a way out of the latter.It is recommended every time after prostate massage to perform a microscopic analysis of prostate secrecy to evaluate process dynamics.

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

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

Diet

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

Basic principles of the diet:

  • Adding garlic and onion to the dishes, mustard;
  • Menu compilation, taking into account the phase of exacerbation;
  • rejection of any kind of alcohol and smoking;
  • Exclusion of the diet of spices, preservatives, semi -agreed products, clear and salty dishes;
  • regular meals, preferably at the same time;
  • Complement the diet with physical exercise and walk;
  • rejection of fat and smoked dishes;
  • consumption of vegetable salads, herbs;
  • Minimum heat treatment of fruits and vegetables;
  • salt and sweets restriction;
  • Constant maintenance of a diet and rejection of harmful products.

Useful food:

  • A variety of soups (rich broths are undesirable);
  • Cereals (oats, corn, 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 kale --flor, cucumbers and tomatoes, beets, potatoes and carrots);
  • Products of the Sour Group (bifido, yogurt, ayran, cottage cheese, fermented, kefir, sour cream);
  • Low fat and oceanic fish;
  • Gray bread;
  • dried fruits;
  • honey.

One of the very important substances in the prevention of prostatitis is zinc, so you usually need to consume healthy seafood, pumpkin seeds that have a lot of zinc, white birds, walnuts and beef.

How to prevent the development of prostatitis at any age?

  1. The use of barrier contraception methods (condom), especially when it comes to anal sex;
  2. Timely treatment of STDs;
  3. Regular sex life, bringing relationships to full ejaculation;
  4. Prevention of groin injuries when classes, traumatic sports should be used by all possible protection methods;
  5. Compliance with personal hygiene;
  6. Ensuring sufficient physical activity.

Although 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 these patients at first glance.To avoid this destination, you should be careful with your health, carefully protected with all new partners and treat sexually transmitted diseases in time.

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