Signs of prostatitis in men and their treatment

Prostatitis is a pathology that occurs as an infectious and inflammatory process in the prostate gland (prostate), which affects the glandular tissue and its connective tissue.

The prostate, a structural organ of the gland located under the bladder in the urethra, is essential for the health and function of the male body. Inflammation has the effect of reducing testosterone synthesis in the testes, resulting in decreased libido, weakened erectile function. At the first signs of prostatitis, problems arise during urination, discomfort, pain during orgasm is felt.

Treatment of prostatitis began in the 19th century, when there was a tendency for the growth of the disease. The disease is male only, because the prostate gland is an organ located in the male body. Representatives from the age category of forty and older suffer from the disease, but medical statistics say that in recent years the disease has become "younger": among men aged 25-28, prostatitis is detected in 30% of cases. However, the strangeness of the diagnosis and the possibility of latent disease indicate that this figure is much higher. Only a quarter of men aged 22-50 undergo a medical examination, including by a urologist who diagnoses prostatitis in 15% of this total.

Complications

If prostatitis treatment is not started in a timely manner, a number of complications may arise, characterized by:

• bladder blockage with acute urinary retention requiring surgical treatment;
• transition of prostatitis from acute stage to chronic course;
• development of some form of male infertility;
• recurrent cystitis;
• narrowing, urethral scar;
• pielonefritis, other kidney pathologies;
• prostate abscess requiring surgical intervention;
• life-threatening sepsis (patients with weakened immunity, diabetes mellitus, renal failure are most susceptible to this).

Important to know!Pathology can cause prostate cancer (observed in 7% of men over the age of 50), which can worsen a man's life, or even result in death.

Causes of pathological development

Prostatitis has several types, which are determined by the cause of the disease.

The main factors that cause prostatitis are as follows:

1. Infection.Bacteria enter the prostate gland in various ways and pathways. Young men who have sex without contraception (condoms) have a high risk of disease due to the penetration of pathogenic microorganisms (chlamydia, mycoplasm, etc. ). In addition, the onset of prostatitis occurs as a result of internal chronic disease. Harmful bacteria reach the prostate gland through lymph flow or blood. Pathological microorganisms can also "descend" into the prostate through the urethra. Then the disease is provoked by diseases of the urinary system (urethritis, pielonefritis) with weakened immunity.
2. Stagnant process.They are manifested in obesity, an inactive lifestyle, as small blood circulation in the pelvic organs is disrupted. As a result, the amount of oxygen and nutrients needed does not reach the prostate.
3. Injuries.Due to mechanical damage to the tissues and organs of the small pelvis (OMT), congestion may occur, provoking the inflammatory process. Cases like this are often found among truck drivers due to professional activities related to long-term sitting positions and persistent injuries from seats hitting the HTA.

Doctor's opinion. Urologists are convinced that prostatitis is not a lifelong diagnosis. If the treatment does not give a quick result, then the man should not give up and wonder if he really followed all the instructions. Only the joint action and efforts of doctors and patients, who are confident in the success of therapy, will help a man feel healthy, and therefore full.

Types of prostatitis

Classification of prostatitis by type gives the following parameters.

Etiology. According to the origin, the disease is:

• infectious (specific and non-specific);
• congestive is not contagious (the reason lies in the stagnant processes associated with long-term disturbances in sexual intercourse, disturbed relationships, bad habits, stress, common hypothermia).

Pathological nature, divided into the following subspecies:

• catarrhal;
• follicular;
• parenchymal;
• prostate abscess (it can manifest itself as a complication of prostatitis in the form of dystrophic, fibrocystic, granulomatous, and even prostate sclerosis).

Clinical course. Prostatitis can be acute or chronic.

Pathogenesis. According to the onset and progression of the disease, prostatitis can:

• hematogen;
• uretrogenic;
• kanalikular;
• counts;
• allergies;
• endocrine.

Symptoms and signs of prostatitis

The symptoms of prostatitis can be latent and obvious.

This disease is classified into the following forms:

• Sharp.The disease progresses sharply, manifested in an increase in body temperature (up to 39 ° C), a strong cutting pain radiating to the back and groin. Ejaculation, defecation, and urination are accompanied by acute pain and sometimes bleeding. This is a serious reason to see a urologist.
• Chronic.The symptomatic picture is almost invisible, although similar to the clinical picture of acute prostatitis. There may be a slight increase in temperature, discomfort in the groin and during urination. The main symptom of this form of chronic prostatitis is the frequent urge to go "in a small way", out of the urethra. Over time, patients register erectile dysfunction problems due to the transition of inflammatory processes to the nerves responsible for erection, premature ejaculation. The general health and condition of the patient is negative, expressed in irritability, depression, dissatisfaction, frequent psychological disorders.
• Stagnan.Men who lead an inactive lifestyle and have irregular sex suffer from this form of the disease. The course of the disease is expressed as a violation of the genitourinary system. For the onset of the disease, inflammation of the excretory tract, detachment of the epithelium, provoking the onset of pain during urination, are characteristic. With severe forms of the disease, the urethra stops functioning completely. Erection is also disturbed, orgasm is weak and inexpressible. In general, the development of sexual dysfunction occurs at a rapid rate. The blocked form of prostatitis is also characterized by symptoms of burning and itching in the perineum, urethra. Body temperature rises, there are signs of intoxication.

How symptoms develop prostatitis are detected

Only a urologist can make an accurate diagnosis of a patient, but according to the existing signs that occur in the genitourinary system and observed by a man, they can serve as a signal to immediately urge a specialist. This applies to:

• defecation, accompanied by an unpleasant sensation;
• burning sensation in the perineum for short and long term;
• urinates frequently, but the process itself is painful and difficult;
• weak orgasm effect (also called "erased orgasm");
• increased fatigue and often for no apparent reason;
• decreased erectile function;
• normal stress conditions.

Important to remember!Detection of these symptoms requires an immediate visit to the doctor to influence the disease at first. The development of chronic prostatitis occurs in an inexpressible form, but is fraught with consequences and complications.

Disease Diagnostics

Prostatitis in men is diagnosed based on the analysis of patient complaints. With the help of a specially compiled questionnaire, doctors know and study the symptoms of the disease.

Further diagnostic steps are performed:

• study of the composition of prostate secretion (if there is no acute form of the disease: it is impossible to carry out the procedure with it due to severe pain);
• palpation rectal examination;
• prostate ultrasound examination to confirm suspicion of prostatitis and make an accurate diagnosis;
• biopsy;
• tomography (calculated / magnetic-nuclear) of small pelvis - if necessary;
• cystoscopy;
• urography.

In addition, men undergo some general tests that can explain the picture of the disease:

• uroflowmetry;
• urine sample, measured in three glasses;
• study according to Mears & Stamey, measured with two glasses of urine (the first part does not include urethral contamination (infection, infection), the second - the absence / presence of inflammatory processes in the kidneys, bladder);
• urine sample to determine residual volume, prostate gland ultrasound;
• clinical urinalysis;
• moderate urine section for microbiological examination.

Diagnosis requires differentiation of prostatitis with cystitis, urethritis, prostate adenoma, and prostate cancer.

A man should refrain from sexual intercourse for five days before an ultrasound examination appointment. Tonight you must use a cleansing enema, and before entering the ultrasound room, urinate.

How to treat prostatitis

There is no standard treatment for prostatitis. The comprehensive therapeutic approach prescribed by the physician is done individually and has adjustments in the process for greater efficiency. When treating the prostate gland, the form of the disease is taken into account. For example, acute forms are easier to cure than chronic ones.

Prostatitis is mainly treated conservatively and based on outpatients.

The integrated approach is:

1. Antibacterial therapy (sanitation of bacterial infected areas).
2. Increases blood supply to the prostate (massage, physiotherapy, therapeutic exercises).

The use of physical therapy methods is done for the following purposes:

1. Relieves inflammatory processes (using anti-inflammatory methods), reduces pain (using analgesic methods).
2. Reduction of stagnant processes, changes in sclerotic properties in the future (with defibrosis treatment methods).
3. Strengthens the protective properties of the body (by immunostimulation method).

Prostatitis treatment is usually done in conjunction with prostate massage. This procedure, because of its deliciousness, is often considered embarrassing by men, but its effectiveness is very good. Prostate massage can be done at home, but for this you need to buy special hardware.

Medications for the treatment of prostatitis

The therapeutic approach is carried out through the administration of medication. The treatment regimen uses antibiotics, as only they can destroy the causative agent of the disease. What medication to take, the doctor decides based on the results of analysis and study. Patients, awaiting the appointment of appropriate antibiotics, take medications for anesthesia, anti-inflammatory and other indications.

Antibiotic therapy involves the use of acceptable doses and methods of administration. The optimal dose of antibiotics is considered to have doubled or doubled the "effort" on the concentration of the pathogen.

In cases of chronic prostatitis, which usually occurs based on immune deficiency, antibiotic therapy is performed in conjunction with immunocorrection drugs.

The best massage for treatment is sex

Doctors believe that the natural method of massage in the treatment of prostatitis is the orgasm obtained during sexual intercourse. Sperm ejaculation occurs with the contraction of active muscles in the anus, which is also effective for the prostate: it has been successfully massaged all this time. Many hear that it is forbidden to have sex during the treatment period, but this is not true. The main thing is, if possible, not to change the previous partner (so that the microflora "does not contradict"), do not interfere or prolong sexual intercourse.

If there is no sexual partner, doctors recommend masturbating to free the prostate gland and semen from the stagnation process. Horror stories about the dangers of masturbation should be considered a joke, but you should not forget about simplicity and personal hygiene.

It is impossible to overcome prostatitis with sex and drugs, you should lead an active lifestyle, rest and proper nutrition, sleep well, avoid stressful situations. Alternative treatment methods are also welcome, but are used after consulting a doctor.

Important to know!Taking antibiotics also includes probiotics to prevent cases of dysbiosis and other negative aspects.

Prostate surgery treatment

Surgical treatment is used for advanced stage prostatitis:

• with disease progression;
• if there is an abscess in the prostate;
• for cysts or tension.

This situation requires a radical solution to eliminate the inflammatory process.

The type of surgery used takes into account the aspect of the disease, the patient's condition.

Surgery prescribed by a doctor is divided into several types, namely:

1. Transurethral resection.During surgery, removal of the closed prostate gland is performed using a tube inserted through the urethra.
2. Transurethral incision.The tissue near the neck of the bladder is carved, thus reducing the pressure on it. Such surgery is indicated for men with a slight increase in the prostate. Practical complications do not arise, the patient recovers quickly.
3. Radical prostatectomy.In this case, the entire prostate is removed. This type of surgery is difficult, traumatic, accompanied by significant blood loss.

Traditional medicine for the treatment of prostatitis

Alternative medicine offers more than a hundred recipes designed to combat prostatitis, reduce symptoms, and complement mainstream treatments. Keep in mind that not all of the proposed options may be suitable for a person with a particular form of the disease, some can cause allergic reactions and other complications.

We offer some proven, popular and effective recipes:

1. Pumpkin seeds.They contain large amounts of zinc, which is needed by the male body. A man should eat 30-35 raw seeds a day for prevention and therapeutic purposes. You can make a special ball from crushed seeds in a blender (without skin), mixed with honey (200 ml). From the resulting mass, a canary-sized mold ball, place in the refrigerator. Eat 1 ball twice a day, half an hour before meals, chew slowly, inhale the healing juices from it. Strong and effective, it can be used once a year.
2. Juice from vegetables and fruits.Helps the body produce more uric acid. Fresh juice from cucumbers, carrots, asparagus is very successful in this regard. They can be drunk in mixtures, different parts according to your taste. It is required to take more than half a liter of fluid daily in several doses.
3. Natural honey.And also bee care products are proven to be very good in the treatment of prostatitis. Herbal remedies based on it have a strong anti-inflammatory, analgesic effect. For example:
• Propolis Candles.40 g of propolis is evaporated in a glass of alcohol, then this extract (0. 1 g) is mixed with two grams of rye flour and cocoa. Candles are formed, inserted into the rectum before a night's sleep for a month.
• Propolis tincture.20% tincture (40 drops) diluted with water (100 ml), taken before meals 20 minutes.
• Absorption of herbs with honey.It is used for acute prostatitis. Calendula flowers (30 g), horsetail (25 g), elecampane root (15 g), dioecious nettle leaves, medicinal sage, mint (10 g per plant) are crushed and mixed. Then take three tablespoons of the resulting mixture and pour in half a liter of boiling water. Insist in a thermos for three hours, strain, add honey to taste, drink a third of a glass three times a day for half an hour before meals.
• Boil the red roots.Chopped root (25 g) is poured with one liter of boiling water, leave for an hour in a thermos, drink three times a day before meals for a third of a glass. You can add milk, darling. This tea is recognized as the best remedy for prostatitis.
• Chamomile pharmacy.10 g is poured into 100 ml of very hot water, put in for half an hour, filtered. Used as a solution for microclimate (70-80 ml).
• Pir liar.Patients observe the effects a few days after starting to take compote / pear tea. With prolonged use, there is an almost complete cure for prostatitis. Fruits and leaves are used not only fresh, but also dried to prepare ingredients in winter. This drink is an excellent preventative measure.

The list of folk recipes is endless, but only a doctor will recommend one or more that are important in an integrated treatment approach.

Prevention of prostatitis

Measures to prevent disease, recurrence in the chronic course are based on:

• active and healthy lifestyle;
• doing sports, physical education;
• smoking cessation, alcohol consumption;
• having sex with a normal partner (sexual intercourse in a relationship will cause a sexually transmitted infection that provokes prostatitis);
• lead an orderly sex life and achieve ejaculation;
• periodic follow-up (twice a year) by a urologist;
• timely treatment of urological diseases;
• balanced diet;
• respect your own health.