Prostatitis

Prostatitis is an inflammation of the prostate gland, which often occurs during this time.

norm and inflammation of the prostate gland

The prostate gland is a male organ and therefore the disease is also purely male.

Why is a prostate needed? The prostate gland is responsible for the following functions:

  • produces a portion of sperm fluid with the bladder neck muscles;
  • produce internal sphincter;
  • forming testosterone into dihydrotestosterone.

The prostate gland or just the prostate is located below the bladder, the urethra passes through the prostate and therefore the prostate is located around the urinary tract. And because the prostate enlarges during inflammation, it compresses the urinary tract and makes it difficult to urinate. Men over the age of forty very often suffer from prostatitis, this is a result of damage to the dysfunctional genitourinary system.

Factors that provoke the development of prostatitis:

  • hypothermia;
  • contagious disease;
  • alcohol and tobacco use;
  • trauma and hormonal disorders;
  • inactive work;
  • urinary retention.

Prostatitis is divided into several types:

  1. Acute bacterial prostatitis: occurs during damage to prostate tissue with Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, etc.
  2. A large number of these bacteria represent a healthy and living microflora in our skin and stomach, but get into the prostate tissue, it causes inflammation. The main symptoms of acute bacterial prostatitis are nausea and pain in the groin and lower back, frequent trips to the toilet and pain during urination, body intoxication and decreased erectile quality, signs of blood in the urine.
  3. Chronic bacterial prostatitis: occurs due to injury of the genitourinary system or the presence of infection in organs.
  4. Symptoms of chronic prostatitis are manifested as pain during urination and frequent urging, discomfort in the groin, the presence of blood in the semen, an increase in body temperature of 0, 5 - 1 degrees Celsius.

Chronic bacterial prostatitis occurs due to the lifting of heavy objects with a full bladder, as a result, urine enters the prostate, pelvic muscle spasm, up to - increased pressure on the prostate, injury. Symptoms are also painful when urinating, and only with laboratory tests can an infectious difference be known.

Chronic prostatitis

Chronic prostatitis is a dangerous disease that, unlike prostatitis, brings with it many vague questions. What is chronic prostatitis? Chronic prostatitis is the presence of inflammation of the prostate gland, which is characterized by a number of tissue changes and dysfunction of the prostate, the activity of the male reproductive system. Chronic prostatitis is the first among the diseases of the male reproductive system. The classification of chronic prostatitis is divided into several subspecies:

  • acute bacterial prostatitis;
  • chronic bacterial prostatitis;
  • chronic abacterial prostatitis;
  • inflammatory prostatitis with an increase in leukocytes in prostate secretion;
  • non -inflammatory processes without increased leukocytes;
  • asymptomatic prostate inflammation, detected at random.

Infections caused by neurovegetative disorders cause and provoke the development of chronic prostatitis. Hemodynamic disturbances cause a decrease in immunity through autoimmune and biochemical processes. Factors in the development of chronic prostatitis are lifestyle features that cause infections of the genitourinary system, hypothermia and frequent inactive work, irregular sex life or the presence of persistent urethral catheters are also dangerous. Important and dangerous causative agents of diseases are disorders of the immune system, cytokines, bacteria with low molecular polypeptide properties, which affect the functional activity of immune cells.

One of the main reasons for the development of chronic non -inflammatory forms of prostatitis is pelvic floor dysfunction.

Symptoms of chronic prostatitis

Signs of prostatitischronic are pain and discomfort, urinary dysfunction and sexual dysfunction. The presence of pain in the pelvic area, perineum and groin. Pain is often observed in the anus and scrotum. Sexual life is disrupted and libido is also decreased, but these signs are not observed in all patients. Chronic prostatitis is interchangeable, symptoms worsen, then subside. In general, the symptoms of chronic prostatitis are similar to the stages of the inflammatory process. Pain in the scrotum and groin is characteristic of the exudative stage, as well as frequent urination, rapid ejaculation of semen and painful erections. Alternative stages are characterized by pain in the suprapubic region, normal urination, and with accelerated ejaculation of semen, pain during erection is not observed. At the germination stage, we can also see an increase in urination, and the process of ejaculation is slightly delayed. At the stage of prostate sclerosis, in addition to cicatricial changes, patients experience pain in the suprapubic region, frequent urination, and ejaculation of semen is slowed or completely absent. It should also be kept in mind that the levels and disorders described above do not always appear and are not for everyone.

To diagnose chronic prostatitis, since the disease often occurs without symptoms, a number of tests and laboratory tests will help. Tests are also important to help doctors identify the intensity of symptoms, pain, and urinary disorders. Laboratory chronic prostatitis examination helps diagnose chronic prostatitis and possible prostate infection with atypical bacterial and fungal flora and viruses. If there is no bacterial growth in the prostate secretion with an increase in the number of leukocytes, an analysis should be performed for chlamydia. Microscopic examination helps reveal the number of leukocytes and mucus, Trichomonas and epithelium in urethral secretions. The secretions obtained after prostate massage are taken for bacteriological examination, and according to the results, the nature of the disease is determined. It is also important to conduct immunological studies, the results of which help determine the extent of the disease and monitor the effect of treatment. Instrumental studies of chronic prostatitis help determine the extent and form of the disease with further observation throughout treatment. Ultrasound examination makes it possible to study the size and volume of the prostate, the structure of the cyst and sclerotic changes in the organs, the degree of expansion and the density of the contents of the seminal vesicles. Myography of the muscular and pelvic floor plus information on suspected nerve disorders. X-ray studies were performed to elucidate the cause of the onset and the course of further treatment of chronic prostatitis. Computed tomography of the pelvic organs was performed to exclude pathological changes in the spinal and pelvic organs. Diagnostics as a means of excluding diseases that are not suitable for symptoms help determine the nature of pathological processes: with inflammatory processes in other organs; with rectal disease; with sexual dysfunction; with neuropsychiatric disorders, for example, depression or reflex sympathetic dystrophy.

Treatment of chronic prostatitis

Treatment of chronic prostatitis should be consistent and comprehensive. First, it is necessary to change the patient’s usual way of life and thinking. Also eliminate the influence of harmful factors such as smoking and alcohol intake, hypothermia. Therefore, we stopped the progression of the disease and immediately pushed for recovery. Even at the stage of preparation for treatment, adherence to diet and the formation of sexual life play an important role. The next major course in the treatment of this disease is the use of drugs. The right approach to the treatment of chronic prostatitis can not only help combat the disease, but also increase the effectiveness of treatment at every stage of prostatitis development. Chronic prostatitis generally does not require hospital treatment, but in cases of severe chronic prostatitis, inpatient treatment is more beneficial and more effective than outpatient treatment. Treatment with drugs leads to good blood circulation in the pelvic organs, bringing hormones and the immune system to normal levels. In such cases, antibacterial and immunomodulatory drugs, vasodilators and prostate massage are used. The use of antibacterial drugs is the basis for the treatment of chronic prostatitis. But, unfortunately, the effectiveness of this therapy has been proven, but not for all types of prostatitis. In chronic bacterial prostatitis, antibacterial treatment is effective, in chronic abacterial prostatitis, an empirical antibacterial treatment method is used.

Currently, local physical treatment is very important. Physiotherapy with laser, mud and electrophoresis is considered the most effective. Electromagnetic radiation based on anti-congestive and bacteriostatic action. Low -energy laser therapy stimulates microcirculation in prostate tissue, and laser therapy also has a biostimulatory effect. If there are no contraindications, therapeutic prostate massage is used.

Surgical intervention is increasingly used in the treatment of prostatitis, as the disease strikes more and more men and women. An indication for surgery may be seminal tubercle sclerosis; such patients often see a doctor with signs of lack of sexual sensation and ejaculation. In such cases, seminal tubal resection is performed. Also, surgery is used for bladder and prostate sclerosis.

Symptoms of prostatitis

Often, men suffering from prostatitis complain of fever and an increase in body temperature, even if the temperature measured under the arm is normal, then the temperature in the anus will rise. Pain in the lower back, lower abdomen, perineum, anus and scrotum also serves as a signal to go to the doctor. Despite frequent urination, there are cramps and a burning sensation when urinating. There is a deterioration of the general condition, weakness, pain in the muscles and bones, severe headache.

With inflammation of the prostate gland in men, urination is difficult to perform, which is often accompanied by urinary retention. Constipation, which occurs due to compression of the rectum by an enlarged gland, is a hallmark of the disease.

Treatment of prostatitis

Before starting treatment, you need to make sure the diagnosis is accurate. The minimum manipulation to be performed is measuring the temperature in the anus, diagnostics and palpation of the perineum inguinal lymph nodes, general clinical blood tests and general urine tests are also required. You will also need to take a swab from the urethra and bacterioscopy of urine and sediment. In addition, transctal ultrasound of the prostate gland was performed.

In the anus, the temperature usually rises and differs from the mode temperature with the mouse around one degree. In the analysis of urine, the indicator of the number of leukocytes is exceeded. In blood tests, some changes are also highlighted, for example, the number of eosinophils decreases and neutrophil leukocytosis appears. In patients with immunosuppression, sepsis is often observed with complications of prostatitis.

On palpation of the perineum, the patient experiences pain, the patient experiences an increase in inguinal lymph nodes. The prostate gland enlarges on palpation, swollen and hot to the touch, and sometimes with a heterogeneous seal of inflammation. If the prostate is inflamed, a biopsy is not performed and can spread the infection further.

Treatment of prostatitis consists of the use of antibiotics against microorganisms that are the causative agents of the disease. Antipyretic drugs are also prescribed to lower body temperature and the use of emollient laxatives to facilitate bowel movements. The patient is given a massage treatment, which consists of squeezing the inflamed secretions with a finger, squeezing into the ducts and finally into the urethra. Prostate massage improves blood circulation and has a beneficial effect on prostate muscle tone.

Prevention of prostatitis

First of all, for the prevention of prostatitis, you should limit yourself to food and apply a special diet. You should include foods like parsley, asparagus, strawberries, and if you like pasta and so on, then they must be the hard type. You should also exclude bad habits and alcohol, spicy foods. With the increase of disease, it is very important to exclude sex life.

For the prevention of prostatitis, it is necessary to exclude all risk factors of its occurrence, namely: pay attention to proper nutrition, exclude bad habits and lead a regular sex life, as this does not allow sperm to accumulate. Every young man should know that intercourse in sex is bad for the prostate gland. An active sex life increases the risk of contracting a sexually transmitted disease. Use contraception as well. Monitor your bowels and go to the toilet regularly. Another important thing is work: if it is connected in an inactive way, then you need physical activity, jogging will also be useful, swimming and tennis. Also, do not forget to take a walk every day in the fresh air, this is very beneficial for the whole body. Hypothermia adversely affects the immune system and it is during this time that the infection persists. You should be examined by a urologist, although there are no prerequisites for this.

Timely treatment of any urogenital infection will help eliminate the cause of the development of prostatitis.

Folk remedies for the prevention of prostatitis are also popular, on the basis of which, recipes such as the inclusion of honey, nuts and dried fruits, rich in vitamins and minerals, are distinguished. Pumpkin and onion seeds, oatmeal and seafood, liver and apples are rich in zinc and therefore have special value, importance and great benefits for the prostate gland. Add to that the tip above: empty your stomach completely and avoid constipation. This will help products such as kefir, vegetable oil and vegetable fiber. Separately, it is worth mentioning the benefits of training for the intimate muscles.

Training for the prevention of prostatitis is simple and does not require special adjustments, it can be done anytime, anywhere. Here are some examples of them: doing perineum movements as if you were pulling on the rectum; tense the perineum muscles, try to stop urination, hold it in this position for as long as possible; while lying down, lift the pelvis and hold for twenty or thirty seconds, repeat this movement until you feel pain and fatigue in your back. Simple exercises like this will only give an advantage to your body.