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Symptoms and treatment of prostatitis in men

the first signs of prostatitis in men

Prostatitis is a pathology that occurs as an infectious and inflammatory process in the prostate gland (prostate), affecting the glandular and connective tissues.

The prostate, an organ of the glandular structure located under the bladder in the bladder, is of great importance for the health and functioning of the male body. Inflammation has the effect of reducing testosterone synthesis in the testicles, resulting in decreased libido and weakened erectile function. At the first signs of prostatitis, there are problems with urination, anxiety, pain during orgasm.

Treatment of prostatitis began in the 19th century, when the disease was on the rise. The disease is completely male, because the prostate gland is an organ located in the body of men. The disease mainly affects people in the age group of forty and older, but medical statistics claim that the disease has significantly "rejuvenated" in recent years: prostatitis is found in 30% of cases among men aged 25-28 years. However, the nature of the diagnosis and the likelihood of a latent course of the disease indicate that this figure is higher. Only 15 percent of men between the ages of 22 and 50, including a urologist who diagnoses prostatitis, undergo a medical examination.

Complications

If prostatitis treatment is not started on time, a number of complications can occur:

  • bladder obstruction with acute urinary retention, need surgical treatment;
  • transition from acute to chronic prostatitis;
  • development of a kind of male infertility;
  • recurrent cystitis;
  • narrowing of the urethra, scars;
  • pyelonephritis, other kidney pathologies;
  • prostate abscess requiring surgical intervention;
  • life-threatening sepsis (patients with weakened immunity, diabetes, renal insufficiency are more susceptible to this).

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

Causes of pathology

Prostatitis has several types, depending on the cause of the disease.

The main factors that cause the onset of prostatitis are:

  1. Infections.Bacteria enter the prostate gland in different ways and ways. Young men who have sex without contraception have a higher risk of disease due to the penetration of pathogenic microorganisms (chlamydia, mycoplasma, etc. ). In addition, the onset of prostatitis occurs as a result of any internal chronic disease. Harmful bacteria reach the prostate gland through the lymph or bloodstream. Pathological microorganisms can also "descend" through the urethra to the prostate. Then the disease is provoked by diseases of the urinary system (urethritis, pyelonephritis) with weak immunity.
  2. stagnant processes.As the microcirculation of blood in the pelvic organs is disrupted, it manifests itself in obesity, which is a sedentary lifestyle. As a result, the required amount of oxygen and nutrients does not reach the prostate.
  3. Injuries.Obstruction can occur due to mechanical damage to the tissues and organs of the small pelvis (OMT), which triggers an inflammatory process. Such cases are common among trucks due to prolonged sitting position and professional activities related to persistent injury from a chair hitting an HTA.

Doctors' opinion. Urologists are convinced that prostatitis is not a lifelong diagnosis. If the treatment does not give a quick result, the man should not give up and think about whether he has followed all the instructions completely. Only the joint efforts and efforts of the doctor and the patient, who are sure that the therapy will be successful, will help the man to feel healthy and, consequently, to feel full.

types of prostatitis

Classification of prostatitis by type provides the following parameters.

Etiology. Disease by origin:

  • contagious (specific and non-specific);
  • non-congestive non-infectious (due to stagnant processes associated with long-term interruptions in sexual intercourse, interrupted sexual intercourse, bad habits, stress, regular hypothermia).

Pathological feature divided into the following subtypes:

  • catarrhal;
  • follicular;
  • parenchyma;
  • prostate abscess (may present as a complication of prostatitis in the form of dystrophic, fibrocystic, granulomatosis and prostate sclerosis).

Clinical course. Prostatitis can be acute or chronic.

Pathogenesis. Depending on the onset and development of the disease, prostatitis can be:

  • hematogen;
  • urethrogen;
  • channel;
  • calculation;
  • allergic;
  • endocrine.

Symptoms and signs of prostatitis

Prostatitis symptoms can be hidden and obvious.

The disease is classified into the following forms:

  • Sharp.There is a sudden development of the disease, characterized by increased body temperature (up to 39 ° C), sharp sharp pains spreading from the back and groin area. Discharge, defecation, and urination are accompanied by severe pain and sometimes bleeding. This is a good reason to contact a urologist.
  • Chronic.Although the symptomatic picture resembles the clinical picture of acute prostatitis, it is almost imperceptible. There may be a slight increase in temperature, discomfort in the abdomen and during urination. The main symptom of a form of chronic prostatitis is a discharge from the urethra, often going "in a small way". Over time, the patient notes a problem with erectile function due to the transfer of the inflammatory process to the nerves responsible for erection, premature ejaculation. The patient's general health and condition is negative, often expressed in nervousness, depression, dissatisfaction, psychological disorders.
  • stagnant.This form of the disease affects men who are sedentary and have irregular sex. The course of the disease is characterized by disorders of the genitourinary system. Inflammation of the secretory tract is characteristic of the onset of the disease, the separation of the epithelium, which causes the onset of pain during urination. In severe cases, the activity of the urethra is completely stopped. Erection is also disturbed, orgasm is weak and unexpressed. In general, the development of sexual dysfunction occurs rapidly. The stagnant form of prostatitis is also characterized by symptoms of burning and itching in the perineum and urethra. Body temperature rose, there are signs of intoxication.

How to detect the symptoms of developing prostatitis

Only a urologist can make an accurate diagnosis of a patient, but according to the existing symptoms that occur in the genitourinary system and are observed by a man, it can be a signal to urgently consult a specialist. This includes:

  • an act of najis accompanied by unpleasant feelings;
  • short and long burning sensation in the perineum;
  • often the urge to urinate, but the process itself is painful and difficult;
  • weak orgasm effect (also called "deleted orgasm");
  • fatigue increases and often for no apparent reason;
  • decreased erectile function;
  • Regular stressful situation.

It's important to remember!Detection of these symptoms requires immediate medical attention to affect the onset of the disease. The development of chronic prostatitis continues in an unexpressed form, but is fraught with consequences and complications.

Diagnostics

In men, prostatitis is primarily diagnosed based on the analysis of patients' complaints. With the help of a specially designed questionnaire, the doctor finds and investigates the symptoms of the disease.

Additional diagnostic measures are carried out:

  • study of the composition of prostate secretion (in the absence of an acute form of the disease: it is impossible to carry out the procedure due to severe pain);
  • palpation rectal examination;
  • ultrasound examination of the prostate to confirm the suspicion of prostatitis and make an accurate diagnosis;
  • biopsy;
  • small pelvic tomography (calculated / magnetic-nuclear) - if necessary;
  • cystoscopy;
  • urography.

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

  • uroflowmetry;
  • urine sample measured in three cups;
  • work according to Mears & Stamey, measured with two glasses of urine (the first part excludes urethral contamination (infection, infection), the second - the absence / presence of an inflammatory process in the kidneys, bladder);
  • urine sample to determine residual volume, ultrasound examination of the prostate gland;
  • clinical urine analysis;
  • Middle part of urine for microbiological examination.

Diagnosis requires differentiating prostatitis from cystitis, urethritis, prostate adenoma, and prostate cancer.

A man should abstain from sexual intercourse for five days before an ultrasound examination is scheduled. On the eve of today, it is necessary to apply a cleansing enema and urinate before entering the ultrasound room.

How to treat prostatitis

There is no standard treatment for prostatitis. A comprehensive therapeutic approach prescribed by a physician is carried out individually and adjustments are made in the process for greater effectiveness. The form of the disease is taken into account when treating the prostate gland. For example, the acute form is easier to treat than the chronic form.

Prostatitis is mainly treated conservatively and outpatiently.

Integrated approach:

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

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

  1. Relieve the inflammatory process (using anti-inflammatory methods), reduce pain (using analgesic methods).
  2. Reduction of stagnant processes in the future, changes in the sclerotic nature (by defibrosis of treatment methods).
  3. Strengthening the body's protective properties (by immunostimulation methods).

Prostatitis is usually treated with prostate massage. Due to its delicacy, the procedure is often considered degrading by men, but has a very good effect. Prostate massage can be done at home, but for this you need to buy a special device.

Drugs for the treatment of prostatitis

The therapeutic approach is carried out through medication. The treatment regimen uses antibiotics because they can only destroy the causative agents of the disease. The doctor decides which medication to take based on the results of tests and research. Waiting for a suitable antibiotic to be prescribed, the patient takes medication for anesthetics, anti-inflammatory and other purposes.

Antibiotic therapy involves the use of acceptable doses and route of administration. The optimal dose of an antibiotic is a dose that doubles or triples the "efforts" against the concentration of pathogens.

In the case of chronic prostatitis, which usually occurs on the basis of immunodeficiency, antibiotic therapy is carried out in combination with immunocorrective drugs.

The best massage for treatment is sex

Doctors believe that a natural method of massage in the treatment of prostatitis is an orgasm during sexual intercourse. Sperm discharge occurs with active muscle contraction in the anus, which is effective for the prostate: during this period it is successfully massaged. Many have heard that sexual intercourse is forbidden during treatment, but this is not true. The main thing is not to change your ex-partners if possible (so as not to "create a conflict" of the microflora), not to interrupt or prolong sexual intercourse.

In the absence of a sexual partner, doctors recommend masturbating to free the prostate gland and seminal vesicles from stagnant processes. Horror stories about the dangers of masturbation should be taken as a joke, but you should not forget about restraint and personal hygiene.

It is impossible to defeat prostatitis with sex and drugs, you need to lead an active lifestyle, get proper rest and nutrition, sleep well and avoid stressful situations. Alternative therapies are also welcome, but only after consultation with a physician.

Important to know!Antibiotics also include probiotics to prevent dysbiosis and other adverse events.

Surgical treatment of the prostate

Surgical treatment is used in advanced stages of prostatitis:

  • with the development of the disease;
  • If there is an abscess in the prostate;
  • for cysts or stenosis.

These conditions require radical solutions to eliminate the inflammatory process.

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

Operations prescribed by a doctor are divided into types:

  1. Transurethral resection.During the operation, a closed prostate gland is used to insert a tube into the urethra.
  2. Transurethral incision.The tissue near the neck of the bladder is cut and the pressure on it is reduced. Such an operation is indicated for men with a slight increase in the prostate. Complications are practically non-existent, patients recover quickly.
  3. Radical prostatectomy.In this case, the entire prostate gland is removed. This type of surgery is difficult, traumatic, and 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 complete general treatments. It should be remembered that not all of the proposed options may be suitable for a person with a certain form of the disease, some may cause an allergic reaction and other complications.

Here are some proven, popular and effective recipes:

  1. Pumpkin seeds.They contain a lot of zinc, which the male body needs. Men should eat 30-35 raw seeds a day for prophylactic and therapeutic purposes. You can make special balls from crushed (without shell) seeds in a mixer mixed with honey (200 ml). As a result, walnut-sized mold balls are placed in the refrigerator. Eat 1 ball twice a day for half an hour before a meal, chew slowly, squeeze the healing juices inside. Strong and effective, can be used once a year.
  2. Fruit and vegetable juices.Help your body produce more uric acid. Natural freshly squeezed juices from cucumbers, carrots and asparagus are especially successful in this work. You can drink the mixture by changing the proportions of each to your taste. It is necessary to consume more than half a liter of fluid in several doses a day.
  3. Natural honey.In addition to bee products, it has proven to be excellent in the treatment of prostatitis. Herbal medicine based on them has 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 inserted into the rectum before going to bed for a month.
    • Propolis tincture. 20% tincture (40 drops) diluted with water, taken 20 minutes before meals.
    • Herbal infusion with honey.Used in acute prostatitis. Grind and mix calendula flowers (30 g), horsetail grass (25 g), elecampane root (15 g), two-leaf nettle leaves, medicinal sage, mint (10 g per plant). Then take three tablespoons of the resulting mixture and pour half a liter of boiling water. Insist in a thermos for three hours, strain, add honey to taste, half an hour before a meal three times a day for a third of a glass.
    • red root decoction.Chopped carrots (25 g) pour a liter of boiling water, leave in a thermos for an hour, drink three times a day before meals for a third of a glass. You can add milk, honey. This tea is known as the best remedy for prostatitis.
    • Pharmacy chamomile.Pour 10 g in 100 ml of very hot water, infuse for half an hour, filter. Used as a solution for microclycers (70-80 ml).
    • Wild pear.Patients experience effects a few days after taking pear compote / tea. There is an almost complete cure for prostatitis with long-term use. The fruits and leaves are not only fresh but also dried to prepare potions for the winter. This drink is an excellent preventive measure.

The list of folk recipes is endless, but in each case, only one doctor will recommend one or more important in an integrated approach to treatment.

Prevention of prostatitis

Measures to prevent relapse of the disease in the chronic course are based on the following:

  • active and healthy lifestyle;
  • sports, physical education;
  • cessation of tobacco use, alcohol consumption;
  • having sex with a regular partner (self-sacrifice in a relationship will lead to sexually transmitted infections that cause prostatitis);
  • to have a regular sex life and achieve ejaculation;
  • regular (twice a year) examination by a urologist;
  • timely treatment of urological diseases;
  • a balanced diet;
  • Respect your health.