Prostatitis in men: the first sign and treatment

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

Treatment of prostatitis requires an integrated approach to eliminate the symptoms of the disease and prevent complications, you must consult your doctor, not yourself.

What is it?

Prostatitis - inflammation of the seed gland (prostate) - prostate.It is characterized by frequent urination with blood mixtures, pus in the urine, pain in the penis, scrotum, rectum, sexual disorders (erection violations, early ejaculation, etc.), Sometimes urine delayed.It may be the abscess of the prostate gland, inflammation of the penis and complement, which threatens infertility.The climb of infection leads to inflammation of the genitourinary system (cystitis, pyelonephritis).

The treatment of prostatitis is different -depending on the form of the disease in a man.Therefore, bacterial prostatitis can occur in acute form and as a chronic disease.Often, non -bacterial prostatitis is also diagnosed as a chronic disease.Various prostatitis is also known as chronic pelvic pain syndrome.In such patients, all symptoms of prostatitis are observed, but there is no bacteria in the secret of the prostate.

Prostatitis develops with the penetration of infectious agents, which enter the prostate tissue of the organs of the genitourinary system (urethra, bladder) or from isolated inflammation (with lung inflammation, influenza, tonsillitis, furunculosis).

There are several 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:

1. Contagious(Sexually transmitted infections (penetration into pathogenic tissue -microbes, viruses, bacteria, fungi, etc. -other): also the presence of chronic infection (chronic tonsillitis, sinusitis, kidney pathology), surgery on pelvic organs, etc.).
2. Not up to date (not survive)(Reduction of immunity, hypothermia, decreased physical activity, inactive lifestyle, long sexual abstinence and, on the contrary, excessive sexual activity, alcohol abuse, etc.).

Therefore, it emphasizes that the pathogenic isolated hit into the organ tissue is not always and does not necessarily cause the development of the disease.The most frequently determined pathogens are E. coli (86 %), then - klebsielly, proteus, enterococci, pseudomonas stick.With regard to Streptococci, Staphylococci, Chlamydia, Mycoplasm, Ureaplasma Researchers' opinion on their importance in the development of different diseases.It is extremely rare for the cause of prostatitis that certain pathogens become (pale treponema, koch sticks, etc.).

Classification

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

1. Acute bacteria - pathogenic microflora causes serious damage to the prostate tissue with a clear inflammatory response.It often develops with infections with gonococcus and other pathogens.
2. Chronic bacteria-pathogenic bacterial bacteria or pathogenous conditions cause slow inflammation, lasting activity for more than 2 months.As a rule, pathogens are streptococci, staphylococci, E. coli, klebsiella, mycoplasma, ureaplasma, chlamydia, herpesvirus, and fungus such as candidates.
3. Chronic abacteria - in the presence of inflammation in the prostate, is not possible to detect the causal microflora.The same form of the disease develops when the urine is inserted into the prostate gland tract, the stagnation of the venous blood in the pelvis, the infringement of its emptying (rarely or excessive ejaculation).In the second case, the disease is called 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 infringement in the seed:

• voluntary urine;
• appearance of discomfort and pain during urination;
• frequent urination;
• pain by sitting prolonged in the perineum;
• decreased potential;
• urinary problems, erection and sexual desire, infertility;
• difficulty in urination, sensation of obstruction during urination;
• weak flow during urination;
• The sensation does not completely empty the bladder after the urine;
• erection of erection or decrease in erection period;
• declining libido;
• 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 clinical pictures and certain morphological changes:

1. Acute catarrhal prostatitis.Patients complain about fast, often painful, pain in the sacrum and perineum.
2. Acute follicular prostatitis.The pain becomes more intense, sometimes emitting the anus, increasing during drainage.Urination is difficult, urine flows with thin flow.In some cases, urine delays are observed.Hyperthermia subfebrilite or medium.
3. Acute parenchymal prostatitis.Spoken general intoxication, hyperthermia up to 38-40 ° C, chills.Zuric disorders, usually acute delays in the urine.Sharp pain, pulsating in the perineum.Difficulty in urinating.

Symptoms of chronic prostatitis

In rare cases, chronic prostatitis is the result of acute processes, however, as a rule, chronic prostatitis with eliminated symptoms develops in large -scale.The temperature sometimes goes up to the subfebrile value.Patients with chronic prostatitis recorded unpleasant sensations or poor pain in the perineum, discomfort during urinary tract and drainage.The most characteristic symptom of chronic prostatitis is the limited release of the urethra during water removal.

It should be noted that major chronic prostatitis develops over a significant period of time.He is preceded by prostatosis (blood stagnation in the capillaries), gradually turning into a prostatitis abacter (early stage of inflammation).

Chronic prostatitis is often a complication of the chronic inflammatory process caused by a specific infection agent (chlamydia, trichomonas, ureaplasma, gonococcus).Symptoms of certain inflammatory processes in many cases of chronic prostatitis manifestation masks.It may be a bit of an increase in pain during urination, poor pain in the perineum, rare discharge from the urethra during water removal.Little changes in clinical pictures and chronic prostatitis attachments are often unknown to the patient.

Chronic prostatitis can be characterized by burning sensations in the urethra and perineum, dysuria, sexual disorders, increased general fatigue.As a result of potential violations (or fears of these violations) often mental depression, anxiety and irritation.Chronic prostatitis clinical picture does not always include everything, without exception, a group of symptoms listed, different in different patients and changes over time.

There are three main features of chronic prostatitis syndrome:

• Dysurian syndrome (urinary tract).

As a result of inflammation in chronic prostatitis, the number of prostate absorbs the ureter increases.The ureter lumen decreases.Patients with prostatitis often urge to urinate, an incomplete feeling of emptying from the bladder.As a rule, the dysuric phenomenon is expressed in the early stages of chronic prostatitis.Then, the hypertrophy of the bladder and ureter muscle layer is developing.Symptoms of dysuria during this period are weakened, and again increased during decomposition of adjustment mechanisms.

• Pain syndrome in chronic prostatitis.

No pain receptors in the prostate cloth.The cause of pain in chronic prostatitis becomes almost inevitable, due to the preservation of abundant pelvic organs, involvement in the process of inflammation of the nerve road.

Patients with chronic prostatitis complain of pain in various intensity - from weak, pain to strong, breaking sleep.There is a change in the nature of pain (improvement or weakness) with ejaculation, excessive sexual activity or sexual abstinence.Pain emits scrotum, sacrum, throat, sometimes to the lumbar region.Keep in mind that back pain does not only occur with prostatitis.Causes of pain in this area may be osteochondrosis and several other diseases.

• Sexual disorders in chronic prostatitis.

In the early stages of chronic prostatitis, disposal can develop, which is shown in different patients.Patients can complain of frequent night erections, deleted orgasms or erection deterioration.Accelerated ejaculation is associated with a decrease in the threshold level of the organs.Pain for ejaculation can cause the patient to reject prostatitis from sexual activity.In the future, sexual harassment becomes clearer.In advanced stages of chronic prostatitis, impotence develops.

The level of sexual disorders in chronic prostatitis is determined by many factors, including the sexual constitution and the patient's psychological atmosphere.Potential violations and dysuria can be caused by both changes in the prostate gland and the patient's recommendations, which, when it is detected by chronic prostatitis, expects the development of sexual disorders and inevitable urinary tract disorders.Especially often psychogenic displays and dysuria develop in patients who can be suggested and alarming.

Impotension, and sometimes the threat of possible sexual disorders, is difficult to transfer to patients with prostatitis.Often there are changes in character, irritation, complaining, excessive anxiety with their own health and even "departing into the disease".

Complication

As a second complication -two acute and chronic prostatitis, some of the disease and serious conditions occur.Therefore, in a man who is ill with prostatitis, the number of male sex hormones may decrease, resulting in decreased sexual desire.As a result, one has persistent problems with erection.In addition, difficulties with the potential in a man suffering from prostatitis can arise as a result of several psychological problems.

Another serious complication of chronic prostatitis is infertility, which is observed at about 40% of patients with chronic illness.

Sometimes, the formation of stones and prostate cysts is observed as a complication of prostatitis.The greater complication is prostate sclerosis: a condition in which the iron decreases and stops fully functioning.In this case, the patient is destined for persistent pain, urinary problems, sexual disorders.

Prostate adenoma, which is a benign education, also often develops as a result of prostatitis.With adenoma, surgical intervention is inevitable.

The greatest complication of prostatitis in men is prostate cancer, which is full of the most serious consequences.

All of these complications, as well as directly by chronic prostatitis, significantly worsen a man's lives.That is why the treatment of prostatitis is timely.

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Diagnostics

Thanks to active recognition and advertising anywhere today, although school children not only know about symptoms, but also how to treat prostate.However, the absence of any signs prevents not only choosing the right drug, but also to make a diagnosis in time.The best way to prevent inflammation is to visit the clinic more often.Therefore, the diagnosis of prostatitis is often performed during a preventive examination by a urologist.

In the event of complaints, experienced doctors can already suspect prostate inflammation and prescribe appropriate tests, including they often carry out:

• finger rectal examination;
• Secretion analysis and seed fluid;
• Prostate ultrasound examination;
• urine and blood analysis;
• Take a smear from the urethra.

How to treat prostatitis?

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

Acute inflammation is a clue to admission to a patient hospital at a urological hospital, with chronic patients undergoing a home therapy course.If the cause of the disease is a sexual infection, both couples should take antibiotics.

Acute Prostatitis Treatment

During acute inflammation, a man demonstrates peace, complete abstinence of sex and diet that is easy to digest.You should reject alcohol, smoking, spicy dishes, preservatives, fatty foods.

Medicines used for hospital treatment:

• AntibioticThe cephalosporinal series - damages the most famous pathogenic bacteria.The first 5 days they were administered intravenously, from 5 to the 10th day of intramuscular treatment;
• Antiprotozoal and antibacterial agents- Collecting in prostate, active in relation to the most common disease pathogen;
• Anti -inflammation drugs(NSAID) - normalizes body temperature, eliminates pain, stops the inflammation process.They are prescribed in the form of tablets, rectal candles, intramuscular injections (paracetamol, nimesils);
• Solutions are sinking- Accelerate the excretion of microbial toxins from the body, improving blood circulation in the prostate gland.Drill intravenously introduced;
• Block α1 adrenergic receptor- Relax the smooth muscle fiber of the prostate gland, in which the flow of urine returns.It is taken in tablet form.

This is how the basic treatment regimen appears, where the doctor's supplement, if necessary, other medicines for prostatitis.It is important to have a full therapy to minimize the risk of chronic processes.

Treatment of chronic prostatitis

Chronic prostatitis therapy directly depends on the level of the disease.If the disease worsens, then the treatment is similar to treatment with acute bacterial prostatitis.

When the disease is in the stage of forgiveness, the man will experience the following symptoms:

• Small painful sensations that are rare, but frequent;
• Feelings of severity in the prostate area, lumbosacral zone, in the genital area;
• In some cases, the disorder is accompanied: an increase in urge to urinate, pain while emptying the bladder, and so on;
• Perhaps deterioration in psycho -Control -well -being, a feeling of depression to the background of sexual failure occurs.

There are several contradictions in the issue of chronic inflammation therapy.Scientists have not yet reached the consensus on whether antibiotics should be prescribed, or this is not necessary.Experts who insist on taking antibacterial medicine believe that bacterial flora in the secret taken for analysis is not possible.

Another, and most scientists show that antibiotics must be taken only if the bacterial flora has been isolated.Abacteral prostatitis with symptoms of symptoms is not treated with antibacterial agents.

They offer the following patient tactics:

1. Acceptance of NSAIDs Course.
2. Appointment of funds aimed at normalizing lymph flow and improves blood circulation in the organs.
3. Acceptance of immunomodulator drugs.
4. To eliminate problems with erection, the use of antidepressants and sedatives is indicated.
5. To strengthen the pelvic muscle, frequent physical activity helps normalize blood circulation.It is best to be a specially arranged complex of physiotherapy training.Physiotherapeutic procedures have good electrophoresis, microwave hyperthermia, UHF, magnetic laser therapy, and others.This procedure helps eliminate pelvic pain syndrome.

Starting chronic prostatitis treatment at home, you should adapt to 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, useful for increasing drug therapy with households.With unstable prostatitis, normal sex is required, interrupted sexual action is unacceptable.

Psycho -anemotional background of patients is important: depression, depression, problems in personal life and sexual field can deny all doctors' efforts.

A sequence of physiotherapy and prostate

Prostate massage.Currently, it is one of the main techniques in the treatment of prostatitis.Many experts believe that the treatment of prostatitis without this procedure is not possible at all.However, there is no reliable clinical data on how effective it is.Many patients recorded significant improvement in their own conditions according to many criteria after the massage course.Therefore, let's consider the methodology of this procedure and its therapeutic effect mechanism.

To perform the procedure, the patient occupies a knee pose.Thanks to this position, the pelvic muscles are as much as possible.Doctors wear rubber gloves, index finger gloves with a special gel -shaped lubricant.The index finger is inserted into the anus.Next, you should feel the front wall of the rectum.After grabbing the prostate, the urologist produces strokeing.

Thanks to the pressure on the prostate gland, the mechanical secretion of the glands in the urethra occurs.In the urethra, the last outflow occurs.It is recommended every time after the prostate massage to perform the microscopic analysis of the prostate secret to evaluate the dynamics of the process.

However, the provision of prostate secret is not the only positive effect on massage.Also, blood circulation is activated in the prostate gland, leading to increased infection resistance and accelerating damaged tissue recovery.

Microwave therapy.Local exposure to high -frequency electric waves leads to rising temperatures in warm areas.With increasing local temperature to 39-40 degrees, expansion of blood flow, blood flow, attracting immune cells to their focus and activation to combat infection.Also, the increase in temperature leads to a decrease in smooth muscle cramps, leading to better drainage than prostate secrets and a decrease in pain.

Diet

The diet for prostatitis in men is based on the principle of healthy diet and limits harmful foods.Diets are selected taking into account the severity of the manifestations of the disease and the characteristics of the body.All products that cause allergies or symptoms of symptoms are under prohibition.

The basic principle of diet:

• add garlic and onions to the dish, mustard;
• Menu arrangement, taking into account the severity phase;
• rejection of any type of alcohol and smoking;
• Exceptions from spice diets, preservatives, half -finished products, sharp and salty dishes;
• Ordinary food, better at the same time;
• complete the diet with physical training and walking;
• rejection of fat and smoke dishes;
• use of vegetable salads, herbs;
• minimum heat treatment of fruits and vegetables -
• salt and sugar restrictions;
• Continuous maintenance of diet and subtraction of hazardous products.

Useful food:

• various soups (unwanted rich soup);
• cereals (oatmeal, millet, buckwheat, and others), pasta, spaghetti;
• Vegetables -Fatty (olive oil is highly recommended);
• Fresh herbs, fruits and vegetables (watermelons and watermelons, zucchini and pumpkin, parsley and salads, green beans and cauliflower, cucumbers and tomatoes, beets, potatoes and carrots);
• sour group products -milk (bifido, yogurt, ayran, cottage cheese, fermentation, kefir, sour cream);
• low meat and sea fish;
• Gray bread;
• dried fruits;
• Honey.

One of the most important ingredients in the prevention of prostatitis is zinc, so you often need to take healthy seafood, pumpkin seeds that have a lot of zinc, white chicken, walnut and beef.

How to prevent the development of prostatitis at any age?

1. The use of contraceptive barrier methods (condoms), especially when it is related to anal sex;
2. Timely STI treatment;
3. Normal sex life, brings relationships with full ejaculation;
4. Prevention of material injuries, when class, traumatic sports should be used by all possible protection methods;
5. Compliance with personal hygiene;
6. Ensuring adequate physical activity.

Although today prostatitis is not associated with the risk of developing adenomas or prostate cancer, the disease brings a lot of suffering to its owners.A man who is tired of chronic pain, experienced his sexual weakness, is tired of prolonged treatment, changes that feel with an external and experienced doctor defines such a patient at first sight.To avoid such fate, you need to be careful about your health, carefully protected with each new partner and treats sexually transmitted diseases in time.

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