Most often, inflammation of the prostate gland is caused by various infections that occur in the bladder, urethra or rectum.Prostatitis can also be a complication of tonsillitis, influenza, tuberculosis.
Treatment of prostatitis requires an integrated approach to prevent symptoms of this disease and prevent complications, you should consult your doctor rather than self -confidence.
What is it?
Prostatitis - Seed (prostate) gland - prostate.It is manifested in frequent urination, urine blood, pain, penis area, scrotum, intestine, sexual disorders (erection disorders, early ejaculation, etc.), and sometimes urine.Prostate gland abscess, inflammation of the tests and attachments may endanger infertility.The ladder of infection causes inflammation of the upper part of the genital system (cystitis, pyelonephritis).
Treatment of prostatitis varies depending on the form of the disease.So bacterial prostatitis can occur in both acute form and chronic disease.Often, no -bacterial prostatitis is also diagnosed as a chronic disease.Such diversity of prostatitis is also called chronic pelvic pain syndrome.In such patients, all symptoms of prostatitis have been observed, but there are no bacteria in the secret of prostate.
Prostatitis develops by the penetration of an infectious agent, which enters the prostate tissue from the organs of the genital system (urethra, bubble) or remote inflammatory focus (pneumonia, influenza, tonsillitis, furunculosis).
There are many risk factors that increase the likelihood of prostatitis.
Why does prostatitis develop?
Currently, the reasons for the development of prostatitis are divided into two large groups:
- Infectious(Sexually transmitted infections (penetration into the pathogen tissue - microbes, viruses, bacteria, fungi, etc.): Also the focus of chronic infection (chronic tonsillitis, sinusitis, kidney pathology), surgery on the pelvic organs, etc.).
- Non -infectious (stagnant).
Thus, it emphasizes that the isolated blow of the pathogen in the body tissue is not always and may not be the cause of the disease.The most common pathogen is E. coli (86 %), then - klebsielly, Proteus, Enterococci, Pseudomonas stick.Regarding streptococci, staphylococci, chlamydia, mycolasm, researchers' opinion on the development of the disease is different in the development of the disease.This is very rare for the causes of prostatitis to become specific pathogens (pale treponema, Kochi wand, etc.).
Classify
For the alleged cause, inflammation of prostatitis is divided:
- Acute bacterial - pathogenic microflora causes serious damage to the prostate tissues with a pronounced inflammatory reaction.Most often it develops with gonococci and other pathogens.
- The association of chronic bacterial-pathogenic or conditionally pathogenic bacteria causes sluggish inflammation, which remains for more than 2 months.Typically, pathogens are streptococci, staphylococci, E. coli, klebsiella, mycoplasma, ureaplasma, chlamydia, herpesvirus and candidate yeast.
- Chronic Abacterial - In the presence of an inflammatory process in the prostate, it is impossible to detect causal microflora.A similar form of the disease develops when the urine is involved in the ducts of the prostate gland, stagnation of the pelvic venous blood, disruption of its emptying (rare or very frequent ejaculation).In the latter case, the disease is called stagnant prostatitis.
Symptoms and first signs of prostatitis
In man, the first signs of prostatitis are very diverse and include a complex of seed disorders:
- Unauthorized urination;
- Discomfort and pain during urination;
- Frequent urination;
- Pain with prolonged seating in perinum;
- Reduction of potential;
- Urinary problems, erection disorders and sexual desires, infertility;
- Difficulties in urination, feeling obstacles during urination;
- Weak flow during urination;
- Feeling incomplete after urinary bladder urination;
- Inability to erect or decrease the duration of erection;
- Libido reduction;
- In some cases, male infertility is a major symptom of prostatitis.
Symptoms of acute prostatitis
There are three stages of acute prostatitis characterized by the presence of a certain clinical picture and morphological changes:
- Acute catarrhal prostatitis.Patients complain of rapid, often painful urination, pain in communion and perinum.
- Acute follicular prostatitis.The pain becomes more intense, sometimes radiation to the anus, activated during defecation.Urination is difficult, urine streams with a thin stream.In some cases, urinary tract disruption is observed.Subfibrillitis or moderate hyperth.
- Acute parenchymal prostatitis.General intoxication has been expressed, hypertermia up to 38-40 ° C, cold weather.Disease disorders, often acute urination.Severe, pulsed pains in the perinum.Difficulty of defecation.
Symptoms of chronic prostatitis
In rare cases, chronic prostatitis results from the acute process, but chronic prostatitis usually develops with deleted symptoms.Temperature sometimes rises to subacute values.A patient with chronic prostatitis reports unpleasant sensations or weak pain in the perinum, discomfort during urination and defecation.The most characteristic symptom of chronic prostatitis is a scarce discharge from the urethra during defecation.
It should be remembered that primary chronic prostatitis develops during a significant period.It is preceded by prostatosis (blood stagnation in the capillaries), gradually turning into an abysterian prostate (the initial stage of inflammation).
Chronic prostatitis is often a complication of a chronic inflammatory process caused by an agent causing a specific infection (chlamydia, trichomonia, ureaapasma, gonococcus).Symptoms of a specific inflammatory process often manifested by chronic prostatitis mask.A slight increase in pain in urination, weak pain in the perinum, scarce discharge from the urethra during defecation.A slight change in the clinical picture and attachment to chronic prostatitis often becomes unnoticed by the patient.
Chronic prostatitis can occur in the urethra and in the perinum, in dysuria, with increased burning sensations of sexual disorders, general fatigue.The result of severe disorders (or fear of these disorders) often occurs in mental depression, anxiety and irritation.The clinical picture of chronic prostatitis does not always contain everything, without exception, the symptoms listed in the groups, vary in different patients and over time changes.
There are three main syndromes characteristic of chronic prostatitis:
- Disurian Syndrome (Urinary Disorder).
As a result of inflammation in chronic prostatitis, the volume of prostate increases in urination.Urine lamps are reduced.A patient with prostatitis often has a desire for urination, an incomplete bladder emptying.Typically, dysurian phenomena are manifested in the early stages of chronic prostatitis.Then develops a compensatory hypertrophy of the bladder muscle layer.During this period the symptoms of the dissuria weaken, and then increased again during the decompensation of adapted mechanisms.
- Pain syndrome chronic prostatitis.
There are no pain receptors in the prostate tissue.Pain in chronic prostatitis becomes almost inevitable, due to the abundant innervation of the pelvic organs, involving the inflammatory process of the nervous paths.
Patients with chronic prostatitis complain of pain of varying intensity - weak, intense pain, sleep disturbances.The nature of the nature of the pain is a change (enhancement or weakening) with ejaculation, excessive sexual activity, or sexual abstinence.The pains emit scrotum, sacrum, crotch, sometimes in the lumbar region.It should be remembered that lower spinal pain is not only with prostatitis.Osteochondrosis and many other diseases may be the cause of pain in this area.
- Sexual disorders in chronic prostatitis.
In the early stages of chronic prostatitis, the mood may develop, which is evident in different patients.Patients may complain of frequent nighttime erases, deleted orgasm, or worsening of erection.Accelerated ejaculation is associated with a decrease in the level of excitation of the organ center.Pain for ejaculation can cause the patient to refuse prostatitis from sexual activity.In the future, sexual disorders become more pronounced.At the advanced stage of chronic prostatitis, impotence develops.
The degree of sexual disorder in chronic prostatics is determined by many factors, including the sexual constitution and the psychological mood of the patient.Disruption of the potential and disure can be caused by both changes in the prostate gland and the proposal of the patient, which, when it is detected by chronic prostatitis, is waiting for the inevitable development of sexual disorders and urinary disorders.Particularly often psychogenic indication and dissuria develop in proposed, alarming patients.
Impotence and sometimes possible sexual disorders are difficult to move to patients with prostatitis.There is often a change in character, irritation, madness, excessive concern about one's own health and even "traveling to the disease".
Complications
Complications of both acute and chronic prostatitis occur, many serious diseases and conditions.So in a man who was infected with prostatitis, the number of male sex hormones can be significantly reduced, which results in a decrease in sexual desire.As a result, people have constant problems with erection.In addition, the difficulty of the severity of a man with prostatitis can arise as a result of a number of psychological problems.
Another serious complication of chronic prostatitis is infertility, which is observed in about 40% of patients with chronic form of the disease.
Occasionally, the formation of prostate stones and cysts is a complication of prostatitis.An even stronger complication is prostate sclerosis: a state where iron is reduced and ceases to function fully.In this case, the patient is doomed to persistent pain, urinary problems, sexual disorders.
Prostate adenoma, a benign education, also often develops as a result of prostatitis.With adenoma, surgical intervention is inevitable.
The most powerful complication of prostatitis in men is prostate cancer, which is full of the most serious consequences.
All of these complications, as well as directly chronic prostatitis, will significantly worsen human life.That is why timely competent treatment for prostatitis is very necessary.
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Diagnostics
Today, thanks to active agitation and comprehensive advertising, schoolchildren know not only the symptoms but also how to treat the prostate.However, the absence of any sign prevents not only the right drugs, but also a time diagnosis.The best way to prevent inflammation is to visit the clinic more often.Therefore, as often a diagnosis of prostatitis is made by a urologist during prophylactic examination.
If there are complaints, an experienced physician may already suspect the prostate inflammation and determine the appropriate tests, including them often perform:
- Rectal finger examination;
- Analysis of secretion and seed fluid;
- Ultrasound examination of prostate;
- Urine and blood analysis;
- Smear from the urethra.
How to treat prostatitis?
In men, prostatitis is treated according to the form of the disease.
Acute inflammation is a sign of hospitalization in the urological hospital, and chronic patients experience therapy at home.If the cause of the disease was sexually transmitted infection, both partners should take antibiotics.
Treating acute prostatitis
During acute inflammation, a person shows peace, complete abstinence from sex, and an easy digestive diet.You have to give up alcohol, smoking, spicy dishes, preservatives, fatty foods.
Medications used for treatment in hospital:
- AntibioticsCephalosporinal series - Destructively influenced by the most famous pathogenic bacteria.The first 5 days are prescribed intravenously, from the 5th to the 10th day of treatment, intramuscularly;
- Antiprotozoal and antibacterial agents- Accumulation in prostate, active against the most common pathogens of the disease;
- Anti -anti -remedies(NSAID) - Normalize body temperature, eliminate pain, stop the inflammatory process.They are prescribed in the form of tablets, rectal candles, intramuscular injections (paracetamol, namsyl);
- Desinoxic solutions- Accelerate the excretion of microbial toxins from the body, improve blood microcirculation in the prostate gland.Intravenous grain is introduced;
- Blocks α1 adrenergic receptors- Rest the smooth fibers of the prostate gland muscles, leaving the urine drainage.It is taken as tablets.
This is how the basic treatment regimen is filled with other medicines of prostatitis if needed.It is important to fully undergo a course of therapy to reduce the risk of a chronic process.
Treatment of chronic prostatitis
Chronic prostatitis therapy depends directly on what stage the disease is located.If the disease is exacerbated, then treatment is similar to treatment with acute bacterial prostatitis.
When the disease is remissioned, the male experiences the following symptoms:
- Small painful sensations that rarely occur but regularly;
- Feeling heaviness in the prostate, lumbosacral zone, genital area;
- In some cases, disorders are joined by: urinary growth demand, pain in bladder emptying, etc.;
- Psycho -emotional wells may worsen, depressive mood against which sexual failure occurs.
There are many obstacles in chronic inflammatory therapy.Scientists have not yet reached a consensus on whether antibiotics should be prescribed, or it is not necessary.Experts who insist on taking antibacterial medications believe that bacterial flora simply cannot be taken for analysis.
Another one and most scientists indicate that the antibiotic should only be taken if the bacterial flora is isolated.Abactic prostatitis is not treated with antibacterial agents with a lack of symptoms.
They offer the following patient tactics:
- Taking NSAIDs course.
- The appointment of funds aimed at normalizing lymph drainage and improving blood microbes in the body.
- Taking immunomodulator drugs.
- The use of antidepressants and sedatives is shown to eliminate erection problems.
- To strengthen the pelvic muscles, regular physical activity helps to normalize blood circulation.It is best if it is a specially designed complex of physiotherapy exercises.Physiotherapeutic procedures have a good effect of rectal electrophoresis, transrectal microwave hyperthermia, UHF, magnetic laser therapy, etc., these procedures help to get rid of pelvic pain syndrome.
Starting the treatment of chronic prostatitis at home, you need to perform a long battle, as it is always impossible to heal in a few weeks or even months.It is advisable to combine various methods and instruments of therapy, it is useful to enhance drug therapy with households.Stagnant prostatitis requires regular sex, interrupted sexual acts are unacceptable.
The patient's psycho -emotional background is important: depression, depression, personal life and sexual problems, they will be able to deny all the efforts of the doctors.
Physiotherapy and Massage of Prostate
Prostate massage.Currently, this is one of the main techniques for the treatment of prostatitis.Many experts believe that prostatitis is impossible without this procedure.However, there is no reliable clinical data on how effective the massage is.Many patients point out significant improvement in their condition after massage course in many criteria.Therefore, consider the methodology of this procedure and its therapeutic effect mechanism.
To perform the procedure, the patient holds the knee-pose posture.Thanks to this position, the pelvic muscles are as relaxed as possible.The doctor puts rubber gloves, the finger of the gloves with a special gel -covered lubricant.The index finger is properly inserted into the anus anus.Next, you need to feel the anterior wall of the rectum.Because of the prostate, the urologist produces stroke.
Thanks to the pressure on the prostate gland, the urethra is mechanically weakened by the mystery of the gland.On the urethra, the latter drains.After the prostate massage, it is recommended to perform a microscopic analysis of the prostate, to evaluate prostate secrets, to evaluate the dynamics of the process.
However, the separation of prostate secrets is not the only positive effect on massage.Also, blood 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 electric waves causes an increase in temperature in the warm area.As the local temperature rises to 39-40 degrees, the enlargement of the blood flow, the focus of blood flow, the focus of the immune cells, and their activation to combat the infection.Also, an increase in temperature causes a decrease in smooth muscle spasms, leading to better drainage of prostate secrets and reducing pain.
Diet
In men, prostatitis diet is based on the principles of healthy diet and restricting harmful foods.The diet is selected based on the manifestations of the disease and the characteristics of the body.All products that cause allergies or exacerbations of symptoms are prohibited under the prohibition.
Basic Principles of Diet:
- Garlic and onions Add dishes, mustard;
- Menu composition, taking into account the exacerbation phase;
- Rejecting any type of alcohol and smoking;
- With the diet of spices, preservatives, semi -coated products, sharp and salty dishes;
- Regular nutrition, preferably simultaneously;
- Complete a diet with physical exercise and walking;
- Rejecting fat and smoked dishes;
- Consumption of vegetable salads, herbs;
- Minimum heat treatment of fruits and vegetables;
- Restriction of salt and sweets;
- Constant maintenance of diet and rejection of harmful products.
Useful food:
- A variety of soups (rich broth is undesirable);
- Cereals (oatmeal, millet, buckwheat and others), pasta, spaghetti;
- Fat vegetables (olive oil recommended);
- Fresh herbs, fruits and vegetables (melons and watermelons, zucchini and pumpkin, parsley and salad, peas green and cauliflower, cucumbers and tomatoes, beets, potatoes and carrots);
- Sour -sour group products (Bifido, Yogurt, Airan, Curd, Fermented, Kefir, Sour cream);
- Low meat and ocean fish;
- Gray bread;
- Dried fruits;
- Honey.
One of the most important ingredients for prostatitis prevention is zinc, so you often have to consume healthy seafood, pumpkin seeds that have lots of zinc, white birds, walnuts and beef.
How to Avoid Prostatitis Development at any age?
- Use of contraception barrier methods (condoms), especially when it comes to anal sex;
- Timely treatment of STIs;
- Regular sex life, complete ejaculation of relationships;
- Prevention of vessel injuries when classes, traumatic sports should be used in all possible methods of protection;
- Protection of personal hygiene;
- Ensure enough physical activity.
Although prostatitis today is not related to the risk of developing adenoma or prostate cancer, the disease causes many suffering to its owners.The man with chronic pain, his sensation of sexual weakness, tired of prolonged treatment, changes externally, and experienced physicians prescribe such patients at first glance.To avoid such a fate, you should be careful about your health, carefully follow all the new partners, and treat timely treatment with sexually transmitted diseases.
Prostatitis is not treated in all cases, but an experienced urologist can significantly improve the patient's condition and their quality of life.