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Prostatitis in men: the first signs and treatment

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

Treatment of prostatitis requires an integrated approach to get rid of the symptoms of the disease and to avoid complications, you should consult a doctor and should not be alone.

What is it?

Prostatitis - seed inflammation (prostate) gland - prostate.This is done with frequent urination, blood mixture, pus in urine, penis, scrotum, rectum, sexual disorders (erection violation, premature ejaculation, etc. may be inflammation(cystitis, pyelonephritis) leads to inflammation.

The treatment of prostatitis changes depending on the form of the disease in a person.Thus, bacterial prostatitis can occur in an acute form and as a chronic disease.Often non -bacterial prostatitis is also diagnosed as a chronic disease.Such various prostatitis is also called chronic pelvic pain syndrome.In such patients, all symptoms of prostatitis can be observed, but there is no bacterium in the secretary of the prostate.

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

Many risk factors increase the likelihood of prostatitis.

A man in the focus

Why does prostatitis develop?

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

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

It emphasizes that the isolated punch of the pathogen into the tissue of the organ is not always and does not necessarily cause the disease.The most commonly defined pathogen is E. coli (86 %) and then - Klebsielly, Proteus, Enterococci, Pseudomonas Stick.Streptococci, Staphylococcus, Chlamydia, Mycoplasm, researchers' opinion ureaplasma on the importance of the disease.The causes of prostatitis are extremely rare for specific pathogens (pale treponema, koch stick, etc.).

Classification

For the alleged reason, inflammation of prostatitis is distributed:

  1. Acute bacterial - pathogenic microflora cause serious damage to the tissues of the prostate, with an outstanding inflammatory reaction.Most often it develops with infection of gonococcus and other pathogens.
  2. The association of chronic bacterial or pathogenic bacteria causes slow inflammation, which remains for more than 2 months.As a general rule, the pathogens are Streptococci, Staphylococci, E. coli, Klebsiella, Mycoplasma, ureaplasma, chlamydia, herpesvirus and yeast -like marked fungus.
  3. In the presence of a chronic abacterial - inflammatory process, the causal microflora cannot be recognized in the prostate.A similar form of the disease develops when urine is poured into the prostate gland wires, stagnation of venous blood in the pelvis, violation of emptying (rare or too frequent ejaculation).In the latter case, the disease is called stagnating prostatitis.

Symptoms of prostatitis and first signs

In one person, the first signs of prostatitis are very diverse and include the complex of violations in the core:

  • involuntary urination;
  • the appearance of discomfort and pain during urination;
  • frequent urination;
  • pain in the perineum with a prolonged seat;
  • decrease in efficiency;
  • urinary problems, violation of erection and sexual desire, infertility;
  • difficulty of urination, feeling of obstacles during urination;
  • weak flow during urination;
  • The sensation does not completely empty the bladder after urination;
  • the impossibility of erection or a decrease in the duration of the 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 characterized by the presence of a certain clinical image and morphological changes:

  1. Acute catarral prostatitis.Patients complain of rapid, often painful urination, sacrum and perineum pain.
  2. Acute follicular prostatitis.The pain becomes more intense, sometimes radiating to the anus and increasing during emptying.The urination is difficult and the urine flows with a thin stream.In some cases, a delay of urine is observed.Subfebrile or medium hyperthermia.
  3. Acute parenhimal prostatitis.Pressed general intoxication, hyperthermia to 38-40 ° C, chills.Disuric disorders, often acute delay in urination.Sharp, pulsating pains in the perineum.It's difficult to empty.

Symptoms of chronic prostatitis

In rare cases, chronic prostatitis becomes the outcome of the acute process, but generally chronic prostatitis develops primary with deleted symptoms.Temperatures sometimes rise to values.Patients with chronic prostatitis take discomfort or weak pain in the perineum, urine and discomfort.The most typical symptom of chronic prostatitis is the barely discharge of the urethra from the stool.

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

Chronic prostatitis is often a complication of the chronic inflammatory process of a specific infection (chlamydia, trichomonas, ureaplasma, gonococcus).In many cases, the symptoms of a specific inflammatory process are mask for chronic prostatitis manifestations.It is possible that during urination the pain, the poor pain of the perineum, the barely emptying of the urethra during the densation.Mild changes in the clinical picture and chronic prostatitis are often noticed by the patient.

Chronic prostatitis can manifest a burning sensation in the urethra and perineum, dysuria, sexual disorders, and increased general fatigue.The result of a violation of efficiency (or fear of these infringements) often becomes mental depression, anxiety and irritability.The clinical picture of chronic prostatitis does not always contain everything, without exception, groups of symptoms are different from different patients and changes in temporal.

There are three main syndromes of chronic prostatitis:

  • Dysurian syndrome (urine disease).

As a result of inflammation of the chronic prostatitis, the volume of the urethral clamping prostate increases.The urethra lumen decreases.Patient with prostatitis often urges urination and a feeling of incomplete emptying of the bladder.As a general rule, dysuric phenomena are expressed early in chronic prostatitis.The compensation hypertrophy of the bladder and the urethra are then formed.The symptoms of dysuria are weakened during this period 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 pain in chronic prostatitis becomes almost inevitable, due to the abundant innervation of the pelvic organs, due to participation in the inflammatory process of nervous roads.

Patients with chronic prostatitis complain of various intensity pain - weak, painful and intense, sleep violations.It changes pain (increased or weakening) of ejaculation, excessive sexual activity, or the nature of sexual abstinence.The pains radiate into a scrotum, sacrum, feet, sometimes to the lumbar region.Keep in mind that lower back pain is not just for prostatitis.The cause of pain in this area is osteochondrosis and many other diseases.

  • Sexual disorders in chronic prostatitis.

Dispositions may develop in the early stages of chronic prostatitis, which are different in different patients.Patients may complain of frequent night erection, deleted orgasm, or deterioration of erection.Accelerated ejaculation results in a reduction in the threshold of the organ center excitement.Due to the pain of ejaculation, the patient may refuse prostatitis from sexual activity.In the future, sexual disorders will pronounce.Impotence develops in the advanced stage of chronic prostatitis.

The degree of sexual disorder is determined by many factors in chronic prostatitis, including the sexual constitution and the patient's psychological atmosphere.Efficiency and dysuria violations can be caused by both changes in the prostate and the patient's suggestiveness, who, when chronic prostatitis is observed, expects sexual disorders and urinary disorders to develop an inevitable development.Especially often psychogenic appearance and dysuria develop and develop in alarming patients.

Impotence, and sometimes the risk of possible sexual disorders, is difficult to hand over to patients with prostatitis.The character, irritability, growl, excessive concern about their own health, and even "deviation in the disease, often change.

Complication

Because of the complications of both acute and chronic prostatitis, there are many serious illnesses and conditions.Thus, in a person with prostatitis, the number of male sex hormones can be significantly reduced, which can cause a reduction in sexual desire.As a result, man has constant problems with erection.In addition, many psychological problems may result in the effectiveness of a person with prostatitis.

Another serious complication of chronic prostatitis is infertility, which patients with the chronic form of the disease have approx.40% are observed.

Occasionally, the formation of prostate stones and cysts is considered to be complications of prostatitis.Even more half complication is prostate sclerosis: the condition where iron decreases and ceases to function.In this case, the patient is doomed to constant pain, urine problems, and sexual disorders.

Adenoma prostate, which is benevolent education, 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 has the most serious consequences.

All of these complications and chronic prostatitis are significantly exacerbated by a person's life.This is the reason why it is extremely necessary to treat prostatitis in time.

Photo

prostate

Diagnosis

Thanks to active agitation and the advertising everywhere, school children even know not only symptoms but also treatment for prostate.However, the lack of signals prevents not only the right medicines, but also to develop the diagnosis on time.The best way to prevent inflammation is to visit the clinic more often.Therefore, since the diagnosis of prostatitis is often performed during the preventive examination of a urologist.

If complaints arise, an experienced doctor may already suspect prostate inflammation and prescribe the appropriate tests that are often performed:

  • finger rectal test;
  • Analysis of secretion and seed fluid;
  • Ultrasound examination of the prostate;
  • urine and blood analysis;
  • Smear from the urethra.

How to treat prostatitis?

Men treat prostatitis depending on the form of the disease.

Acute inflammation in the urological hospital refers to the patient's hospital care, and chronic patients attend 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 person shows peace, complete abstinence of sex and an easy -to -digest diet.You should deny alcohol, smoking, spicy spicy foods, preservatives, fatty foods.

Medicines used for treatment in hospital:

  • AntibioticsCefalosporinal series - devastatingly affecting the most well -known pathogenic bacteria.In the first five days, they are administered intravenously in an intramuscular manner in the first five days;
  • Antiprotozoal and antibacterial agents- accumulate in the prostate, active compared to the most common pathogens of the disease;
  • Anti -inflammatory drugs(NSAID) - normalizes body temperature, eliminates pain, stop the inflammatory process.Tablets, rectal candles, intramuscular injections (paracetamol, nimesil);
  • Discinoxic solutions- Accelerate the selection of microbial toxins from the body, improve blood microcirculation in the prostate gland.Intravenous drilling is introduced;
  • Blocks α1 adrenergic receptors- Relax on the smooth muscle fibers of the prostate gland, which causes the urine to return.It is taken in the form of tablets.

This is how the basic treatment system, which is complemented by the doctor, looks like other prostatitis.It is important to fully experience a therapy to minimize the risk of the chronic process.

Treatment of chronic prostatitis

The therapy for chronic prostatitis depends directly on the stage of the disease.If the disease gets worse, the treatment is similar to the treatment of acute bacterial prostatitis.

When the disease is in the remission phase, one will experience the following symptoms:

  • Minor painful feelings that occur rarely but regularly;
  • Feeling of severity in the area of the prostate, the lumbosacral zone, in the sex area;
  • In some cases, dysuric disorders are linked: increased urgency, pain during bladder emptying, etc.;
  • The psycho -emotional well, the deterioration of depressed moods, may be due to the background of sexual failures.

There are many contradictions on chronic inflammatory therapy.Scientists have not yet agreed that antibiotics should be written down or that is not necessary.Experts who insist on taking antibacterial drugs are believed to be simply not available for analysis.

Another and most scientists indicate that the antibiotic should only be taken if the bacterial flora is separated.Not treated with antibacterial agents is not treated with non -treated symptoms.

The following patient's tactics are offered:

  1. Course reception of NSAIDs.
  2. Appointment of basics in the organ to normalize lymphatic outflow and improve blood microcirculation.
  3. Receiving immunomodulator drugs.
  4. The use of antidepressants and sedatives is displayed to eliminate erection problems.
  5. Regular physical activity helps to normalize blood circulation to strengthen pelvic muscles.It is best to have this specially compiled complex of physiotherapy exercises.Good effect-rectal electrophoresis, transrectal microwave hyperthermia, UHF, magnetic laser treatment, etc. for physiotherapy procedures.These procedures help to get rid of pelvic pain syndrome.

Starting the home treatment of chronic prostatitis should be tuned for a long struggle as it is not always possible to cure within a few weeks or even months.We recommend that you combine various methods and tools for therapy, and it is useful to improve household medication.Stagnant prostatitis requires regular sex and interrupted sexual acts are unacceptable.

The patient's psycho -emotional background is important: depression, depression, personal life problems and sexual spheres can deny every effort of doctors.

Physiotherapy and prostate massage

Prostate massage- Currently, this is one of the main techniques for treating prostatitis.Many experts believe that treatment of prostatitis without this procedure is impossible.However, there is no reliable clinical data that massage is not.Many patients, after the massage course, show significant improvements in their own condition after many criteria.Therefore, take into account the methodology of the procedure and its therapeutic effect.

To perform the procedure, the patient occupies a knee pose.Thanks to this situation, the pelvic muscles relax as much as possible.The doctor puts rubber gloves and the glove index finger is lubricated with a special gel -shaped lubricant.The index finger is nicely inserted into the anus of the anus.Then you have to feel the first wall of the rectum.After clinging to the prostate, the urologist squeezes a stroke.

Thanks to the pressure on the prostate gland, the urethra is mechanically tightened in the urethra.The urethra is exhausted by the latter.After the prostate massage, it is recommended that microscopic analysis of the prostate secret every time to assess the dynamics of the process.

However, the distribution of the prostate secret is not the only positive effect in the massage.In addition, circulation is activated in the prostate gland, which improves the resistance of the infection and accelerates the recovery of damaged tissues.

Microwave microwave therapy.Local exposure to high -frequency electrical waves leads to an increase in temperature in the heated area.As the local temperature increases, it increases to 39-40 degrees, and blood flow, blood flow, immune cells attract focus and activate them to combat infection.In addition, temperature increases lead to a reduction in smooth muscles, which leads to a better derivation of the prostate secret and to reduce pain.

Diet

Men's prostatitis diet is based on the principles of a healthy diet and restricting harmful foods.The diet is selected, taking into account the severity of the disease and the characteristics of the body.Any product that causes allergies or aggravation of symptoms is prohibited.

Principles of diet:

  • Add garlic and onion to dishes, mustard;
  • Compilation of the menu, taking into account the aggravation phase;
  • rejection of any type of alcohol and smoking;
  • exclusion from the diets of spices, preservatives, semi -developed products, sharp and salty foods;
  • Regular food, preferably at the same time;
  • Supplement your diet with physical exercises and walking;
  • rejection of fat and smoked foods;
  • consumption of vegetable salads and herbs;
  • minimal heat treatment of fruits and vegetables;
  • limiting salt and sweets;
  • Constant maintenance of diet and rejecting harmful products.

Useful food:

  • various 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 (melon and watermelon, zucchini and pumpkin, parsley and salad, peas green and cauliflower, cucumber and tomatoes, beets, potatoes and carrots);
  • Sour -Milk Group products (Bifido, Yoghurt, Ayran, Curd, Fermented, Kefir, Source);
  • Low fatty meat and ocean fish;
  • Gray bread;
  • dried fruits;
  • honey.

Zinc is one of the very important materials in preventing prostatitis, so you often need to consume healthy seafood, pumpkin seeds that have many zinc, white poultry, nuts and beef.

How to prevent the development of prostatitis at any age?

  1. The use of contraceptive inhibition methods (condoms), especially for anal sex;
  2. Timely treatment of STI -K;
  3. Regular sex life, relationships for complete ejaculation;
  4. Preventing my leg injuries when classes, traumatic sports should be used with all possible protection methods;
  5. Adherence to personal hygiene;
  6. Ensure sufficient physical activity.

Despite the fact that prostatitis today is not related to the risk of developing adenoma or prostate cancer, the disease causes a lot of suffering to the owner.A man who is exhausted by chronic pain, feeling sexual weakness, is tired of prolonged treatment, becomes noticeably from the outside, and at first glance, such patients determine such patients.To avoid such a fate, you need to take care of your health, carefully protected with all new partners and treat sexually transmitted diseases in time.

Prostatitis is not always completely treated, but an experienced urologist can significantly improve the patient's condition and the quality of his life.