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Prostatitis in men: the first signs and treatment

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

The treatment of prostatitis requires an integrated approach to eliminate the symptoms of this disease and avoid complications.You have to consult a doctor and not finish yourself.

What is that?

Prostatitis - inflammation of the seeds (prostate) - prostate.It manifests itself through frequent urination with an admixture of blood, pus in the urine, pain in the field of penis, scrotum, rectum, sexual disorders (violation of erection, early ejaculation, etc.), sometimes delayed urine.Perhaps to discontinue the prostate, inflammation of the testicles and attachments, which threatens infertility.The rise of the infection leads to inflammation of the upper parts of the genitarian system (cystitis, pyelonephritis).

The treatment of prostatitis varies depending on the form of the disease in a man.In this way, bacterial prostatitis can occur in both acute form and as a chronic disease.Very often not bacterial prostatitis is diagnosed as a chronic disease.Such a variety of prostatitis is also called syndrome of chronic pelvic pain.In such patients, all symptoms characteristic of prostatitis are observed, but there are no bacteria in the secret of the prostate.

Prostatitis develops with the penetration of an infectious agent that comes into the prostate tissue from the organs of the Genitourary system (urethra, bladder) or from distant inflammatory focus (with pneumonia, influenza, almond inflammation, furuncusis).

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

A man in focus

Why does prostatitis develop?

The reasons for the development of prostatitis are currently divided into two large groups:

  1. Infectious(Sexually transferred infections (penetrate into the tissue of the pathogen - microbes, viruses, bacteria, mushrooms, etc.): also the presence of chronic infections (chronic almond inflammation, sinusitis, kidney pathology), surgery on the pelvic organs, etc.).
  2. Not infectious (stagnant)(Acceptance of immunity, hypothermia, acceptance of physical activity, sitting lifestyle, long -term sexual abstinence and vice versa excessive sexual activity, alcohol abuse, etc.).

Therefore, it emphasizes that the isolated hit of the pathogen into the organ tissue is not always and possibly not necessarily the cause of the development of the disease.The most frequently certain pathogen is E. coli (86 %), then - adhesive, proteus, enterococci, pseudomonas stick.In terms of streptococci, staphylococci, chlamydia, mycoplasm and urea are the opinion of the researchers about their importance for the development of the disease.It is extremely rare for the causes of prostatitis to specific pathogens (Pale Treponema, a magic wand cook, etc.).

classification

For the alleged 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 an infection with gonococci and other pathogens.
  2. Chronic bacteria-The association of pathogenic or conditional pathogenic bacteria causes sluggish inflammation, the activity of which remains more than 2 months.As a rule, the pathogens streptococci, staphylococci, E. coli, Klebsiella, Mycoplasma, urea, chlamydia, herpes virus and yeast -like fungus of the candidate.
  3. Chronic -Abacterial - In the presence of an inflammatory process in the prostate, it is not possible to prove a causal microflora.A similar form of the disease develops when urine is thrown into the channels of the prostate, stagnation of venous blood in the pelvis, violation of its emptying (rarely or too frequent ejaculation).In the latter case, the disease is referred to as stagnant prostatitis.

Symptoms of prostatitis 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 urination;
  • the occurrence of symptoms and pain while urinating;
  • frequent urination;
  • Pain with longer sitting in the perineum;
  • Acceptance of potency;
  • Urine problems, violation of erection and sexual desire, infertility;
  • Difficulties in urination, obstacles during urination;
  • weak electricity while urinating;
  • The feeling is incomplete to empty the bladder after urinating;
  • the impossibility of an erection or a decrease in the duration of an erection;
  • Acceptance of libido;
  • In some cases, male infertility is the main symptom for prostatitis.

Symptoms of acute prostatitis

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

  1. Acute Katarrhal Prostatitis.The patients complain about a quick, often painful urination, pain in the sacrum and perineum.
  2. Acute follicular prostatitis.The pain becomes more intense, sometimes radiates on the anus and increases during the defecation.Urinating is difficult, urine currents with a thin stream.In some cases, a urine delay is determined.Subfebrilit or moderate hyperthermia.
  3. Acute parenchymal prostatitis.Pronounced general poisoning, hyperthermia up to 38-40 ° C, shaking frost.Dizurian disorders, often an acute delay in urination.Sharp, pulsating pain in the perineum.Difficulty to empty.

Symptoms of chronic prostatitis

In rare cases, chronic prostatitis becomes the result of an acute process.As a rule, chronic prostatitis with deleted symptoms usually develops.The temperature occasionally increases to subfebril values.A patient with chronic prostatitis notices unpleasant sensations or weak pain in the perineum, symptoms during urination and defecation.The most characteristic symptom of chronic prostatitis is the rare discharge through the urethra during the remote.

It should be remembered that primary chronic prostatitis develops over a significant period of time.In front of him, prostatosis (blood stagnation of blood in the capillaries) and gradually becomes an abacterial prostatitis (the initial stage of inflammation).

Chronic prostatitis is often a complication of a chronic inflammatory process caused by the causal means of a specific infection (chlamydia, trichomonas, ureaplasma, gonococcus).Symptoms of a specific inflammatory process In many cases mask manifestations of chronic prostatitis.It is possible that weak pain in the perine, a low pain in the perine, a short discharge of the urethra during the defecation.A minor change in the clinical image and the adherence of chronic prostatitis often remain unnoticed by the patient.

Chronic prostatitis can be manifested by a burning feeling in urethra and perineum, dysuria, sexual disorders and increased general fatigue.The consequence of potency violations (or fear of these violations) often becomes mental depression, fear and irritability.The clinical image of chronic prostatitis does not always include everything, without exception, the listed groups of symptoms, in different patients and changes over time.

There are three main syndrome that are characteristic of chronic prostatitis:

  • Dysuric syndrome (urine disease).

As a result of inflammation in chronic prostatitis, the volume of the prostate that presses the ureter increases.The lumen of the ureter decreases.A patient with prostatitis often has urination, a feeling of incomplete emptying of the bladder.As a rule, dysurical phenomena are expressed in the early stages of chronic prostatitis.Then a compensatory hypertrophy of the muscle layer of the bladder and the ureter develops.The symptoms of a dysuria during this time weaken and then increase during the decompensation of adaptive mechanisms.

  • Pain syndrome in chronic prostatitis.

There are no pain receptors in the prostate.The cause of pain in chronic prostatitis becomes almost inevitable due to the frequently occurring innervation of the pelvic organs, which is involved in the inflammatory process of nerve paths.

Patients with chronic prostatitis complain about pain of different intensity - from weak, painful to intensive, violating sleep.There is the nature of the pain (improvement or weakening) with ejaculation, excessive sexual activity or sexual abstinence.Pain shines on a scrotum, a sacrum, a step, sometimes into the lumbar cone region.It should be taken into account that the pain in the lower back does not only occur in prostatitis.The cause of pain in this area can be osteochondrosis and a number of other diseases.

  • Sexual disorders in chronic prostatitis.

In the early stages of chronic prostatitis, dispositions can develop that manifest themselves differently in different patients.Patients can complain about frequent night elections, a deleted orgasm or a deterioration in an erection.The accelerated ejaculation is associated with a decrease in the threshold of the excitement of the organ.Ejaculation pain can cause a patient to reject prostatitis from sexual activity.In the future, sexual disorders will 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 mental mood.Violations of potency and dysuria can be caused by changes in the prostate gland and the patient's suggestibility, which, if he is discovered by chronic prostatitis, expects the inevitable development of sexual disorders and urine disorders.Psychogenic display and dysuria particularly develop in suggestive, alarming patients.

Impotence and sometimes the risk of possible sexual disorders is difficult to switch to patients with prostatitis.Often there is a character, irritability, grumbling, excessive concern for your own health and even "into the illness".

Complications

A number of serious diseases and illnesses appear as complications of both acute and chronic prostatitis.In a man who was sick with prostatitis, the number of male sex hormones can significantly lose weight, which leads to a reduction in sexual desire.As a result, a person has constant problems with an erection.In addition, difficulties with potency in a man suffering from prostatitis can occur due to a number of mental problems.

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

Sometimes the formation of stones and cysts of the prostate is called complications of prostatitis.An even more impressive complication is prostate: a state in which the iron decreases and is no longer fully functional.In this case, the patient is sentenced to constant pain, urine problems and sexual disorders.

The prostate adenoma, which is benign education, often develops due to prostatitis.Surgical intervention is inevitable in Adenom.

The most impressive complication of prostatitis in men is prostate cancer, which is affected with the most serious consequences.

All of these complications and directly through chronic prostatitis worsen a man's life considerably.Therefore, timely competent treatment of prostatitis is extremely necessary.

photo

prostate

Diagnosis

Thanks to active agitation and ubiquitous advertising today, even school children not only know about symptoms, but also how to treat a prostate.However, the lack of signs not only prevents you from selecting the right medication, but also making a diagnosis in good time.The best way to prevent inflammation is to visit the clinic more often.Therefore, the diagnosis of prostatitis is carried out by a urologist during a preventive examination.

If there are complaints, an experienced doctor can already assume the inflammation of the prostate and prescribe the corresponding tests under which they are often carried out:

  • Rectal examination of the fingers;
  • Analysis of secretion and seed fluid;
  • Ultrasound examination of the prostate;
  • Urine and blood analysis;
  • Take a smear out of the urethra.

How do you treat prostatitis?

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

Acute inflammation is an indication for the patient's hospital stays in the urological hospital, with chronic patients being subjected to the course of therapy at home.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 through sex and a slightly digestible diet.You should reject alcohol, smoking, spicy spicy dishes, preservatives and fat foods.

Medicines for treatment in a hospital:

  • AntibioticsCephalosporinal series - most of the known pathogenic bacteria influence destructively.The first 5 days are administered intravenously from 5th to the 10th day of treatment;
  • Anti -Protozoale and antibacterial means- Accumulating in the prostate are active in relation to the most common diseases of the disease;
  • Anti -inflammatory medication(NSAID) - normalize the body temperature, remove pain, stop the inflammatory process.They are prescribed in the form of tablets, rectal candles, intramuscular injections (paracetamol, nimesil);
  • Dissinoxic solutions- Accelerate the excretion of microbial toxins from the body and improve the blood microcirculation in the prostate.Intravenous drill are introduced;
  • Blocks α1 adrenergic receptors- Relax smooth muscle fibers of the prostate gland, which restores the outflow of urine.It is recorded in the form of tablets.

This is what the basic treatment scheme looks like that the doctor supplements to other medication against prostatitis if necessary.It is important to completely subject therapy to minimize the risk of a chronic process.

Treatment of chronic prostatitis

The therapy of chronic prostatitis depends directly on the stage in which the disease is.When the disease worsens, treatment is similar with acute bacterial prostatitis.

When the disease is in the remission stage, the man experiences the following symptoms:

  • Smaller painful sensations that occur rarely but regularly;
  • A feeling of severity in the area of the prostate, the lumbar zone, in the genital area;
  • In some cases, dysurical disorders are associated: increased urge to urinate, pain while emptying the bladder, etc.;
  • Perhaps a deterioration in psychoemotional well, depressive moods against the background, the sexual failures occur.

There are a number of contradictions in the question of chronic inflammation therapy.Scientists have not yet come to a consensus whether antibiotics should be prescribed, or this is not necessary.Those experts who insist on taking antibacterial medication believe that bacterial flora in secret analysis simply could not get bacterial flora.

Another and most scientists point out that the antibiotic only has to be taken if the bacterial flora has been isolated.In the case of lack of symptoms, abacterial prostatitis is not treated with antibacterial active ingredients.

They offer the following patient tactics:

  1. Course reception of NSAIDS.
  2. The appointment of funds for the normalization of the drainage of lymphs and to improve blood microcirculation in the organ.
  3. Reception of immune modulator medication.
  4. In order to eliminate the problems with the erection, the use of antidepressants and sedatives is shown.
  5. In order to strengthen the pelvic muscles, regular physical activity helps to normalize blood circulation.It is best when it comes to a specially compiled complex of physiotherapy exercises.Physiotherapeutic methods have a good effect-regal electrophoresis, transrectal microwave hyperthermia, UHF, magnetic laser therapy, etc. These methods help to remove the pelvic pain syndrome.

With the treatment of chronic prostatitis at home, you should prepare for a long fight, as it is not always possible to heal you in a few weeks or even months.It is recommended to combine different methods and instruments for therapy.It is useful to improve drug therapy with households.Regular sex is required for stagnating prostatitis, interrupted sexual acts are unacceptable.

The patient's psycho -emotional background is important: depression, depression, problems in personal life and sexual areas are able to negate all 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 the treatment of prostatitis is not possible at all without this procedure.However, there is no reliable clinical data on how effective the massage is not.Many patients notice a significant improvement in their own state according to many criteria according to a massage course.We 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 muscles of the pelvis are relaxed as far as possible.The doctor attracts rubber gloves, the index finger of the gloves is lubricated with a special gel -worst lubricant.The index finger is neatly inserted into the anus of the anus.Next you should feel the front wall of the rectum.The urologist produces after the prostate and produces a stroke.

Thanks to the pressure on the prostate, mechanical pressing of the glandular secret occurs in the urethra.The latter occurs on the urethra.It is always recommended to carry out a microscopic analysis of the prostate secret after the prostate massage in order 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 circulation in the prostate gland is activated, which leads to an improvement in infection resistance and the acceleration of the restoration of damaged tissue.

Microwave microwaves.Local exposure to electrical woven with high high frequency leads to an increase in the temperature in the heated area.With an increase in local temperature to a level of 39 to 40 degrees, expansion of blood flow, blood flow, the attraction of immune cells for focus and its activation to combat infection.A temperature increase also leads to a decrease in the cramp of the smooth muscles, which leads to a better drainage of the prostate home and a reduction in pain.

diet

The nutrition for prostatitis in men is based on the principles of a healthy diet and the limitation of harmful foods.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 tighten the symptoms fall under the ban.

Basic principles of nutrition:

  • Add dishes garlic and onions, mustard;
  • Compilation of the menu taking into account the tightening phase;
  • Rejection of all kinds of alcohol and smoking;
  • Exclusion from the diet of spices, preservatives, semi -fixed products, sharp and salty dishes;
  • Regular meals, preferably at the same time;
  • Complete nutrition with physical exercises and go;
  • Rejection of fats and smoked dishes;
  • Consumption of vegetable salads, herbs;
  • minimal heat treatment of fruit and vegetables;
  • Restriction of salt and sweets;
  • Constant maintenance of a diet and rejection of harmful products.

Useful food:

  • A large number of soups (rich brewing are undesirable);
  • Muesli (oatmeal, millet, buckwheat and others), pasta, spaghetti;
  • Fat vegetables (olive oil is highly recommended);
  • Fresh herbs, fruit and vegetables (melons and watermelons, zucchini and pumpkin, parsley and salad, pea green and cauliflower, cucumber and tomatoes, beets, potatoes and carrots);
  • Products of the acidic milk group (Bifido, yogurt, Ayran, cottage cheese, fermented, kefir, sour cream);
  • low-fat meat and ocean fish;
  • Gray bread;
  • dried fruits;
  • Honey.

One of the very important substances in the prevention of prostatitis is zinc, so that they often have to consume healthy seafood, pumpkin seeds with a lot of zinc, white poultry, walnuts and beef.

How can you prevent the development of prostatitis at any age?

  1. The use of barrier methods of contraception (condom), especially when it comes to anal sex;
  2. Timely treatment of STIS;
  3. Regular sex life, bring relationships with full ejaculation;
  4. Preventing steps if classes should be used by traumatic sports with all possible protective methods;
  5. Compliance with personal hygiene;
  6. Ensure sufficient physical activity.

Despite the fact that prostatitis is not associated with the risk of developing adenoma or prostate cancer today, the disease brings a lot of suffering to its owner.A man who is exhausted by chronic pain, felt his sexual weakness, tired of long treatment, changes noticeably externally and experienced doctors at first glance.In order to avoid such fate, you should be carefully protected with every new partner and treat sexually transmitted diseases in time.

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