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Prostatitis in men: the first signs and treatment

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

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

What is it?

Prostatitis - inflammation of the seed gland (prostate) - prostate.It manifests itself with frequent urination with a mixture of blood, pus in the urine, pain in the penis area, scrotum, rectum, sexual disorders (violation of erection, premature ejaculation, etc.), sometimes delayed urine.Perhaps absorption to the prostate gland, inflammation of the testicles and appendices, which threatens infertility.The ascent of the infection leads to the inflammation of the upper parts of the parental parent system (cystitis, pyelonefrite).

The treatment of prostatitis varies according to the form of the disease in a man.Therefore, bacterial prostatitis can occur both acute and chronic disease.Quite often, non -kiss prostatitis is also diagnosed as a chronic disorder.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 tissue from the organs of the parental parent system (urethra, bladder) or by remote inflammatory focus (with pneumonia, flu, tonsillitis, furunculosis).

There are numerous risk factors that increase the probability of prostatitis.

A man on fire

Why do prostatitis develop?

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

  1. Infectious(The infections sexually transmitted (penetration into the pathogen tissue - microbes, viruses, bacteria, mushrooms, etc.): also the presence of outbreaks of chronic infection (chronic tonsillitis, sinusitis, kidney pathology), surgery on the pelvic organs, etc.).
  2. Non -infectious (stagnant)(decrease in immunity, hypothermia, decrease in physical activity, sedentary sedentary lifestyle, long -term sexual abstinence and, on the contrary, excessive sexual activity, alcohol abuse, etc.).

Therefore, it underlines 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 %), therefore - Klebsilly, Proteus, Enteroci, Pseudomonas Stick.As for streptococci, staphylococci, chlamydia, mycoplasma, ureaplasma of the researchers' opinion on their meaning in the development of the disease differ.It is extremely rare for the causes of prostatitis that become specific pathogens (pale treponema, a wand of Koch, etc.).

Classification

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

  1. The acute bacterial microflora - pathogen causes serious damage to prostate tissues with a pronounced inflammatory reaction.Very often it develops with gonococcus infection and other pathogens.
  2. Chronic bacterium-the association of pathogenic bacteria or conditioned pathogens causes slow inflammation, whose activity remains for more than 2 months.As a rule, pathogenic agents are streptococci, staphylococci, E. coli, klebsiella, mycoplasma, ureaplasma, chlamydia, herpesvirus and candidate yeast mushroom.
  3. Chronic abotrico - 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 ducts of the prostate gland, stagnation of venous blood in the pelvis, a violation of its emptying (rare or too frequent ejaculation).In the latter case, the disease is called stagnant prostatitis.

Symptoms of prostatitis and the first signs

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

  • involuntary urination;
  • the aspect of discomfort and pain during urination;
  • frequent urination;
  • Pain with prolonged sitting in the perineum;
  • decrease in power;
  • Problems of urination, violation of erection and sexual desire, infertility;
  • difficulty in urination, sensation of obstacles during urination;
  • weak flow during urination;
  • The feeling is incompletely emptying the bladder after urination;
  • the impossibility of an erection or a decrease of the duration of an erection;
  • decrease in libido;
  • In some cases, male infertility is the main symptom of prostatitis.

Symptoms of acute prostatitis

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

  1. Acute catarrhal prostatitis.Patients complain of rapid, often painful urination, pain in the sacred and perineum.
  2. Acute follicular prostatitis.The pain becomes more intense, sometimes they irradiate towards the anus, intensifies during defecation.Stilling is difficult, urine flows with a thin flow.In some cases, the urine delay is noted.Subfibrilitis or moderate hyperthermia.
  3. Acute parenchymal prostatitis.Pronounced general intoxication, hyperthermia up to 38-40 ° C, chills.Dizuric disorders, often an acute delay in urination.Acute pain and buttons in the perineum.Difficulty defecate.

Symptoms of chronic prostatitis

In rare cases, chronic prostatitis becomes the result of an acute process, however, normally, chronic prostatitis with canceled symptoms develops primarily.The temperature occasionally rises to subfibrils.A patient with chronic prostatitis detects unpleasant sensations or weak pain in the perineum, discomfort during the act of urination and defecation.The most characteristic symptom of chronic prostatitis is the poor discharge from 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 transforming itself into abotteric 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, 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, weak pain in the perineum, poor discharge from 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 from a burning sensation in the urethra and perineum, dysuria, sexual disorders, increase in general fatigue.The consequence of the violations of the power (or of the fear of these violations) often becomes mental depression, anxiety and irritability.The clinical picture of chronic prostatitis does not always include everything, without exceptions, groups of symptoms listed, differs in different patients and changes over time.

There are three main syndrome characteristics of chronic prostatitis:

  • Ingurian syndrome (urination disorder).

As a result of the inflammation in chronic prostatitis, the volume of the prostate that shakes the ureter increases.The lumen of the ureter decreases.A patient with prostatitis has frequent impulses of urinating, a sense of incomplete emptying of the bladder.As a rule, the unhappy phenomena are expressed in the early stages of chronic prostatitis.Therefore, the compensatory hypertrophy of the muscle layer of the bladder and ureters develops.The symptoms of dysuria during this period are weakening, therefore increased again during the decompexes of adaptive mechanisms.

  • Pain syndrome in chronic prostatitis.

There are no pain receptors in prostate tissue.The cause of the 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 about the pain of various intensity: from a weak sleep, sore to an intense and violated sleep.There is a change in the nature of pain (improvement or weakening) with ejaculation, excessive sexual activity or sexual abstinence.The pain radiates for a scrotum, sacred, horse, sometimes in the lumbar region.It should be borne in mind that back pain occurs not only with prostatitis.The cause of pain in this area can be osteochondrosis and a series of other diseases.

  • Sexual disorders in chronic prostatitis.

In the initial stages of chronic prostatitis, the provisions can develop, which have manifested themselves differently in different patients.Patients can complain of frequent night erections, delete orgasm or deterioration of an erection.Accelerated ejaculation is associated with a decrease in the excitement threshold level of the organ center.Pain in ejaculation can cause a patient to refuse prostatitis from sexual activity.In the future, sexual disorders become more pronounced.In the advanced phase 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 the psychological mood.Violations of power and dysuria can be caused by both changes in the prostate gland both by the patient's suggestibility, which, when it is detected by chronic prostatitis, expects the inevitable development of sexual disorders and urination disorders.Above all, psychogenic display and Dysuria develop in suggestive and alarming patients.

The impotence, and sometimes the same threat of possible sexual disorders, is difficult to transfer to patients with prostatitis.Often there is a change of character, irritability, grumbling, excessive concern for one's health and even "departure in the disease".

Complications

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

Another serious complication of chronic prostatitis is infertility, which is observed in about 40% of patients with a chronic form of the disease.

Sometimes, the formation of prostate stones and cysts is known as complications of prostatitis.An even more formidable complication is prostate sclerosis: a state in which iron decreases and ceases to work fully.In this case, the patient is condemned to constant pain, urination problems, sexual disorders.

Prostate adenoma, which is benign education, often develops precisely because of prostatitis.With adenoma, surgery is inevitable.

The most formidable complication of prostatitis in men is prostate cancer, which is leaning out of the most serious consequences.

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

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prostate

Diagnostics

Thanks to active agitation and omnipresent advertising today, schoolchildren also know not only symptoms, but also of how to treat a prostate.However, the absence of any signs prevents not only from choosing the right drugs, but also of making a diagnosis in time.The best way to prevent inflammation is to visit the clinic most often.Therefore, as often, the diagnosis of prostatitis is carried out during a preventive examination by a urologist.

In case of complaints, an expert doctor can already suspect the inflammation of the prostate and prescribe the appropriate tests, among which they often perform:

  • Rectal examination of the finger;
  • Analysis of secretion and seed fluid;
  • Ultrasound examination of the prostate;
  • Urine and blood analysis;
  • Taking a strip from the urethra.

How to treat prostatitis?

Prostatitis in men is treated according to the form of the disease.

Acute inflammation is an indication for hospitalization in the hospital in the Urological hospital, with chronic patients undergoing the course of home therapy.If the cause of the disease was a sexual transmission infection, both partners should take antibiotics.

Acute prostatitis treatment

During acute inflammation, a man shows peace, complete abstinence from sex and an easily digestible diet.You should refuse alcohol, smoking, spicy spicy dishes, preservatives, fatty foods.

Medicines used for hospital treatment:

  • AntibioticsCefalosporinal series - destructively influence the best -known pathogenic bacteria.The first 5 days are administered intravenously, from the 5th to the tenth day of intramuscular treatment;
  • Popeprotozoa 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, nimesil);
  • Disappointment solutions- accelerate the excretion of microbial toxins from the body, improve blood microcirculation in the prostate gland.The overworked overflow are introduced;
  • Block the adrenergic receptors α1- Relax the smooth muscle fibers of the prostate gland, due to which the outflow of urine restores.It is taken inside in the form of tablets.

Here is how the general treatment regime appears, which the doctor integrates, if necessary, other prostatitis medicines.It is important to fully undergo a therapy course in order to minimize the risk of chronic process.

Treatment of chronic prostatitis

Chronic prostatitis therapy depends directly on the stadium that the disease is found.If the disease aggravates, the treatment is similar to treatment with acute bacterial prostatitis.

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

  • Small painful sensations that rarely occur, but regularly;
  • A feeling of gravity in the prostate area, the lumbosacral area, in the genital area;
  • In some cases, uncomfortable disorders are united: increased urination, pain during the emptying of the bladder, etc.;
  • Perhaps a deterioration of the psycho -emotional well, depressive moods on the background of which sexual failures occur.

There are a series of contradictions in the issue of chronic inflammation therapy.Scientists have not yet come to a consensus that antibiotics must be prescribed or this is not necessary.Those experts who insist on taking antibacterial drugs believe that bacterial flora in a secret taken for analysis cannot simply obtain.

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

Offer the following patients' tactics:

  1. Receipt of the fans' course.
  2. The appointment of funds aimed at normalizing the outflow of the lymph and to improve the microcirculation of the blood in the body.
  3. Reception of immunomodulant drugs.
  4. To eliminate problems with erection, the use of antidepressants and sedatives is shown.
  5. To strengthen the pelvic muscles, regular physical activity helps to normalize blood circulation.It is better if it is a specially compiled complex of physiotherapy exercises.Physiotherapeutic procedures have a good effect rectal electrophoresis, transrectal microwave hyperthermia, uhf, magnetic laser therapy, etc.These procedures help to get rid of pelvic pain syndrome.

By starting the treatment of chronic prostatitis at home, you should tune in to a long fight, since 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 needed, interrupted sexual acts are unacceptable.

The patient -emotional background is important: depression, depression, problems in personal life and sexual sphere are able to cancel 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 prostatitis treatment without this procedure is impossible.However, there are no reliable clinical data on how effective massage is.Many patients notice a significant improvement in their own state based on many criteria after a massage course.Therefore, we consider the methodology of this procedure and the mechanism of its therapeutic effect.

To perform the procedure, the patient occupies a knee laying.Thanks to this position, the pelvis muscles are relaxed as much as possible.The doctor puts the rubber gloves, the gloves index is lubricated with a special gel -shaped lubricant.The index is neatly inserted in the anus of the anus.Subsequently, you should hear the front wall of the rectum.After trying the prostate, the urologist produces pressure.

Thanks to the pressure on the prostate gland, the mechanical pressing of the secret of the gland in the urethra occurs.On the urethra, a flow of the latter occurs.It is recommended every time after the prostate massage to conduct a microscopic analysis of the prostate secret to evaluate the dynamics of the process.

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

Microwave microwave therapy.The high frequency electrical wave local exposure leads to an increase in temperature in the heated area.With an increase in the local temperature at a level of 39-40 degrees, expansion of blood flow, blood flow, attracting immune cells to focus and their activation to combat the 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 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 fall under the ban.

Basic principles of the diet:

  • Addition of garlic and onions with plates, mustard;
  • compilation of the menu, taking into account the exacerbation phase;
  • refusal of any type of alcohol and smoking;
  • Exclusion from the spice diet, preservatives, semi -final products, sharp and salty dishes;
  • regular meals, preferably at the same time;
  • complete the diet with physical exercises and walk;
  • refusal of fat and smoked dishes;
  • Consumption of vegetable salads, herbs;
  • Thermal thermal treatment of fruit and vegetables;
  • restriction of salt and desserts;
  • Constant maintenance of a diet and refusal of harmful products.

Useful food:

  • a variety of soups (the rich broths are undesirable);
  • cereals (oatmeal, mile, buckwheat and others), pasta, spaghetti;
  • Fatty vegetables (olive oil is highly recommended);
  • Fresh herbs, fruit and vegetables (melons and watermelons, courgettes and pumpkin, parsley and salad, green peas and cauliflower, cucumbers and tomatoes, beets, potatoes and carrots);
  • Acid group products -Milk (Bifido, Yogurt, Ayran, Cottage, Ferfir, Kefir, Acid cream);
  • low meat of fatty fats and ocean fish;
  • Gray bread;
  • dried fruits;
  • Honey.

One of the very important substances in prostatitis prevention is zinc, so you often have to consume healthy fruits, pumpkin seeds that have a lot of zinc, white poultry, 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 IST;
  3. Regular sexual life, bringing relationships in full ejaculation;
  4. The prevention of horse injuries, when classes, traumatic sports should be used by all possible protection methods;
  5. Compliance with personal hygiene;
  6. Ensure sufficient physical activity.

Despite the fact that 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 sex weakness, tired of prolonged treatment, changes significantly externally and expert doctors define these patients at first sight.To avoid such a destiny, you should be careful of health, carefully protected with each new partner and treat sexual transmission diseases in time.

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