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Signs of prostatitis in men and their treatment.

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 its glandular and connective tissues.

The prostate, an organ of the glandular structure located below the bladder in the urethra, is of great importance for the health and functioning of the human body. Inflammation has an effect on the reduction of testosterone synthesis in the testicles, as a result of which libido decreases and erectile function is weakened. At the first signs of prostatitis, problems arise when urinating, discomfort and pain are felt during orgasm.

The treatment of prostatitis began in the 19th century, when there was a growing trend of this disease. The disease is purely male, since the prostate gland is an organ located in the body of men. This ailment mainly affects representatives of the age category from the age of forty, but medical statistics claim that in recent years the disease has become significantly "younger": among men 25-28 years old, prostatitisit is detected in 30% of cases. However, the peculiarity of the diagnosis and the probability of the latent course of the disease suggests that this figure is much higher. Only a quarter of men between the ages of 22 and 50 undergo medical examinations, even by a urologist who diagnoses prostatitis in 15% of this number.

Complications

If prostatitis treatment is not started on time, a series of complications may appear, characterized by:

  • bladder obstruction with acute urinary retention, requiring surgical treatment;
  • transition of prostatitis from acute to chronic stage;
  • development of some form of male infertility;
  • recurrent cystitis;
  • narrowing, scarring of the urethra;
  • pyelonephritis, other kidney pathologies;
  • prostate abscess requiring surgical intervention;
  • sepsis that threatens the life of the patient (patients with weak immunity, diabetes mellitus, renal failure are the most susceptible to this).

This is important to know!The pathology can lead to prostate cancer (seen in 7% of men over 50 years of age), which will seriously worsen a man's life or even lead to death.

Reasons for the development of pathology

Prostatitis has several types, determined by the causes of the disease.

The main factors that cause the appearance of prostatitis are the following:

  1. Infections.Bacteria enter the prostate gland in a variety of ways and routes. Young men who have sex without contraception (condom) are at high risk of disease due to the penetration of pathogenic microorganisms (chlamydia, mycoplasma, etc. ). Also, the appearance of prostatitis occurs as a result of any internal chronic diseases. The harmful bacteria reach the prostate gland through lymphatic or blood flow. Pathological microorganisms can also "descend" into the prostate through the urethra. Then the disease is provoked by ailments of the urinary system (urethritis, pyelonephritis) with weakened immunity.
  2. Processes stalled.They manifest themselves in obesity, a sedentary lifestyle, since the microcirculation of blood in the pelvic organs is altered. As a result, the required amount of oxygen and nutrients does not reach the prostate.
  3. Injuries.Due to mechanical damage to the tissues and organs of the small pelvis (OMT), congestion can occur, causing an inflammatory process. These cases are often found among truckers due to professional activities associated with a long-term sitting position and constant injuries from a chair striking an HTN.

Doctors opinion. Urologists are confident that prostatitis is not a lifelong diagnosis. If the treatment did not give a quick result, then the man should not give up and think whether he followed absolutely all the instructions. Only the joint actions and efforts of the doctor and the patient, trusting in the success of therapy, will help a man to feel healthy, and therefore full.

Types of prostatitis

The classification of prostatitis by type provides the following parameters.

Etiology. According to the origin, the disease is:

  • infectious (specific and non-specific);
  • congestive non-infectious (the reason is stagnant processes associated with prolonged interruptions in sexual intercourse, interrupted sexual intercourse, bad habits, stress, regular hypothermia).

Pathological trait, subdivided into the following subspecies:

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

Clinical course. Prostatitis can be acute or chronic.

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

  • hematogenous;
  • urethrogenic;
  • canalicular;
  • calculating;
  • allergic;
  • endocrine.

Symptoms and signs of prostatitis

The symptoms of prostatitis can be latent and obvious.

The disease is classified in the following ways:

  • Sharpening.The disease has a sudden development, expressed in an increase in body temperature (up to 39 ° C), intense cutting pains that radiate to the back and groin. Ejaculation, defecation, and urination are accompanied by sharp pain and sometimes bleeding. This is an important reason to contact a urologist.
  • Chronic.The symptomatic picture is almost imperceptible, although it is similar to the clinical picture of acute prostatitis. There may be slight increases in temperature, discomfort in the groin and when urinating. The main symptom of the chronic form of prostatitis is the frequent urge to go "on a small scale" discharge from the urethra. Over time, the patient registers the problem of erectile function due to the transition of the inflammatory process to the nerves responsible for erection, premature ejaculation. The health and general condition of the patient are negative, expressed in frequent irritability, depression, discontent, psychological crises.
  • stalled.Men who lead inactive lifestyles and have irregular sex have this form of the disease. The course of the disease is expressed in a violation of the genitourinary system. For the onset of the disease, inflammation of the excretory tract, detachment of the epithelium, which provokes the appearance of pain when urinating, are characteristic. In severe cases, the urethra stops working completely. The erection is also affected, the orgasm is weak and is not expressed. In general, the development of sexual dysfunction occurs at a rapid rate. The stagnant form of prostatitis is also characterized by symptoms of burning and itching in the perineum, urethra. Body temperature is elevated, there are signs of intoxication.

How to detect symptoms of development of prostatitis

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

  • an act of defecation, accompanied by unpleasant sensations;
  • burning sensation in the perineum for short and long periods;
  • of frequent urination, 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;
  • regular stressful condition.

Important to remember!The detection of these symptoms requires an immediate visit to a doctor to influence the disease from its inception. The development of chronic prostatitis progresses unexpressed, but is fraught with consequences and complications.

Disease diagnosis

Prostatitis in men is diagnosed mainly based on the analysis of patient complaints. With the help of a specially compiled questionnaire, the doctor discovers and studies the symptoms of the disease.

More diagnostic measures are carried out:

  • study of the composition of the secretion of the prostate (if there is no acute form of the disease: it is impossible to perform the procedure due to severe pain);
  • digital rectal palpation;
  • ultrasound examination of the prostate to confirm the suspicion of prostatitis and make an accurate diagnosis;
  • biopsy;
  • tomography (computed / nuclear-magnetic) of the small pelvis, 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 glasses;
  • study according to Mears & Stamey, measured with two glasses of urine (the first portion excludes urethral contamination (infection, infection), the second determines the absence / presence of an inflammatory process in the kidneys, bladder);
  • urine sample to determine its residual volume, ultrasound of the prostate gland;
  • clinical urinalysis;
  • medium portion of urine for microbiological examination.

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

A man must abstain from sex for five days before an ultrasound exam appointment. On the eve of this day, you need to apply a cleansing enema, and before entering the ultrasound room, urinate.

How is prostatitis treated

There is no standard treatment for prostatitis. A physician-prescribed, comprehensive therapeutic approach is carried out on an individual basis and is process-adjusted for greater efficiency. When treating the prostate gland, the form of the disease is taken into account. For example, the acute form is easier to cure than the chronic.

Prostatitis is primarily treated on a conservative and outpatient basis.

An integrated approach is:

  1. Antibacterial therapy (sanitation of places infected with bacteria).
  2. Improvement of blood flow to the prostate (massages, physiotherapy, therapeutic exercises).

The use of physiotherapy methods is carried out with the following objectives:

  1. Relief of the inflammatory process (by anti-inflammatory methods), pain reduction (by analgesic methods).
  2. Reduction of stagnant processes, changes of sclerotic nature in the future (by means of defibrillation treatment methods).
  3. Strengthening of the body's protective properties (through immunostimulating methods).

Treatment of prostatitis is usually done in conjunction with a prostate massage. The procedure, due to its delicacy, is often considered humiliating by men, but it is very effective. Prostate massage can be performed at home, but for this you need to purchase a special hardware device.

Medicines for the treatment of prostatitis

The therapeutic approach is carried out through the administration of drugs. The treatment regimen uses antibiotics, since only they can destroy the causative agents of the disease. What drugs to take, the doctor decides on the basis of the results of analyzes and studies. The patient, waiting for the appointment of a suitable antibiotic, takes anesthetic, anti-inflammatory drugs and other directions.

Antibiotic therapy involves the use of acceptable doses and routes of administration. The optimal dose of an antibiotic is considered to be one that has doubled or tripled the "efforts" against the concentration of pathogens.

In the case of chronic prostatitis, which usually occurs due to immunodeficiency, antibiotic therapy is carried out in conjunction with immune-correcting drugs.

The best massage for treatment is sex

Doctors believe that the natural way to massage in treating prostatitis is orgasm during sexual intercourse. Ejaculation of sperm occurs with the active contraction of the muscles of the anus, which is also effective for the prostate: it is successfully massaged during the prostate. Many have heard that sexual intercourse is prohibited for the entire period of treatment, but this is not true. The main thing is, if possible, not to change former partners (so that the microflora "does not conflict"), not to interrupt or prolong sexual intercourse.

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

It is impossible to beat prostatitis with sex and drugs, you need to lead an active lifestyle, have adequate rest and nutrition, sleep well, avoid stressful situations. Alternative methods of treatment are also welcome, but apply after consulting a doctor.

This is important to know!Taking antibiotics also includes probiotics to avoid cases of dysbiosis and other negative aspects.

Surgical treatment of the prostate

Surgical treatment is used for advanced stages of prostatitis:

  • with disease progression;
  • in case of an abscess within the prostate;
  • for cysts or strictures.

These situations require radical solutions to eliminate the inflammatory process.

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

The operations prescribed by a doctor are divided into types, namely:

  1. Transurethral resection.During surgery, the closed removal of the prostate gland is done through a tube that is inserted through the urethra.
  2. Transurethral incision.The tissue near the neck of the bladder is cut, thus relieving pressure on it. This operation is indicated for men with a slight enlargement of the prostate. Complications practically do not arise, patients recover quickly.
  3. Radical prostatectomy.In this case, the entire prostate gland is removed. This type of operation is difficult, traumatic, and is accompanied by significant blood loss.

Traditional medicine for the treatment of prostatitis

Alternative medicine offers more than one hundred recipes designed to fight prostatitis, relieve symptoms, and complement conventional treatments. It is worth remembering that not all 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.

We offer several proven, popular and effective recipes:

  1. Pumpkin seeds.They contain a large amount of zinc, which the male body needs. A man should eat 30 to 35 raw seeds per day for preventive and therapeutic purposes. You can make special balls from seeds crushed in a blender (unpeeled), mixed with honey (200 ml). From the resulting mass, mold balls the size of walnuts, put in the refrigerator. Eat 1 scoop twice a day, half an hour before meals, chew slowly and suck up the healing juices. Powerful and effective, it can be used once a year.
  2. Fruit and vegetable juices.Helps the body produce more uric acid. Freshly squeezed natural juices from cucumbers, carrots, and asparagus are especially successful at this. They can be drunk mixed, varying the proportions of each one to your liking. It is required to consume more than half a liter of liquids a day in several doses.
  3. Natural honey.And also bee products have proven to be excellent in treating prostatitis. Herbal medicine based on them has a powerful anti-inflammatory analgesic effect. For example:
    • Propolis candles.40 g of propolis are evaporated in a glass of alcohol, then this extract (0. 1 g) is mixed with two grams of rye flour and cocoa. The candles are formed, inserted into the rectum before sleeping one night for a month.
    • Propolis tincture.20% tincture (40 drops) diluted with water (100 ml), before meals for 20 minutes.
    • Herbal infusion with honey.Used for acute prostatitis. Calendula flowers (30 g), horsetail herb (25 g), helenium root (15 g), dioecious nettle leaves, salvia officinalis, mint (10 g of each plant) are crushed and mixed. Then take three tablespoons of the resulting mixture and pour it with 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 half an hour before meals.
    • Red root decoction.The chopped root (25 g) is poured with a liter of boiling water, left for an hour in a thermos, drunk three times a day before meals for a third of a glass. You can add milk, honey. This tea is recognized as the best remedy for prostatitis.
    • Pharmacy chamomile.10 g are poured with 100 ml of very hot water, infused for half an hour, filtered. Used as a solution for microclysters (70-80 ml).
    • Wild pear.Patients observe the effect a few days after starting to drink compote / pear tea. With prolonged use, there is an almost complete cure for prostatitis. The fruits and leaves are used not only fresh, but also dried to prepare a potion in winter. This drink is an excellent preventive measure.

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

Prevention of prostatitis

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

  • active and healthy lifestyle;
  • doing sports, physical education;
  • stop smoking tobacco, alcohol consumption;
  • have sex with a regular partner (promiscuity in relationships will lead to sexually transmitted infections that cause prostatitis);
  • have a regular sex life and achieve ejaculation;
  • regular follow-up (twice a year) by a urologist;
  • timely treatment of urological diseases;
  • a balanced diet;
  • respect for your own health.