Prostatitis in men

Prostatitis is an inflammatory process affecting the fabric of the prostate gland.This is one of the most common diseases in the practice of an urologist.The disease is diagnosed mainly in men aged 25 to 30, but at higher age, the risk of pathology is considerably increased.

The form distinguishes acute and chronic prostatitis.In the latter case, inflammation is characterized by a long course with periodic relapses.This condition is much more frequent compared to the acute.

The causes of prostatitis

Many diseases of the prostate gland, for example, benign hyperplasia or oncopathology, are older group problems.However, prostatitis does not belong to this category.Its symptoms, as a rule, appear in men aged 30 to 50.Most often, the cause is the infectious lesion due to the penetration of the pathogenic flora of the urogenital channel or the Genito-Urinary System Glands.This is explained by the proximity of the location of the urethra and the anus.

Among the most common pathogens of (infectious) bacterial prostatitis, gram negative organisms must be noted: pseudo-fashion, intestinal stick, lace, enterobacter and pro.Often, the inflammatory process develops in the context of PPI infection: chlamydia, gonococci, trichomonas, herpes virus, etc., as a rule, such forms of disease are diagnosed in men under 35 years of age.Cases of pathology treatment in the context of tuberculosis mycobacteria are extremely rare.

The nebacterial varieties of prostatitis are also distinguished.Among their main reasons:

• increased pressure in the prostate gland;
• autoimmune disorders (destruction of prostate cells by antibodies);
• Muscle pain syndrome in the pelvic region;
• psycho-emotional disorders;
• deficiency in motor activity;
• Excessive physical stress.

Primary prostatitis signs

The disease is accompanied by a complex of violations, which affects the work of the entire urinary system.Among the main symptoms:

• uncontrolled urination;
• Discomfort, pain in the emptying of the bladder;
• Power disorder in men of reproductive age;
• pain in the perineum with a long stay in a sitting position;
• frequent and strong urination;
• difficulties in the devastation of the bladder;
• decrease in libido and appearance of problems with an erection;
• violation of the reproduction function (infertility);
• An incomplete devastation of the bladder after going to the toilet;
• The impossibility of making a high quality and persistent erection even with severe excitement.

Signs of acute prostatitis

The symptoms of the disease in acute form and the general clinical image differ depending on the stage of the pathological process:

• Catarrhal.The patient complains of rapid envy, pain during urination, pain in the perineum and the sacrum.
• Folicular.Pain syndrome becomes intense, can yield to the anus and intensify in the defecation process.Urine is released with a thin flow.In some cases, its delay occurs.There is an increase in body temperature up to 38 degrees for a long period (subfuille) or moderate hyperthermia.
• Parenchymatic.Man begins the general poisoning of the body with chills and a temperature up to 38-40 ° C. Pain syndrome in the perineum becomes clear and pulsating.The act of defecation is difficult and the normal emptying of the bladder is impossible, consequently, there is an acute delay in urination (dysuria).

Chronic prostatitis symptoms

The chronic form of the inflammation of the prostate can be a consequence of the absence or premature treatment of the acute stage.However, in many men, it develops immediately and is characterized by "greased" symptoms.Among the main characteristics are noted:

• Subfule temperature (sometimes);
• Low pain in the perineum;
• Discomfort during urination;
• Urogenital channel healing lighting during defecation.

In general, the clinical image changes over time, differs in intensity in different patients and can embark on a hidden form when self-medication is trying.Symptoms of chronic disorder can be a burning sensation in the urethra, pressure in the perineum, dysuria, altered sexual function and increased general fatigue.In the context of power problems, mental depression occurs, irritability and anxiety.The fear of helplessness leads to the development of complexes, but at the same time, most men are inclined to postpone a call to an urologist due to a sense of shame.

Primary chronic prostatitis develops for a long time.The stagnation of blood in capillaries (prostatosis) causes the initial stage of non -bacterial inflammation, which leads to the appearance of the disease.

With infectious etiology, the cause of the disease is a chronic inflammatory process in the context of trichomonas infection, ureapasma, chlamydia or gonococcus.Primary infection masks signs of prostatitis and its treatment does not eliminate the inflammation of the prostate.Often, the support of the concomitant problem remains too obvious for a man.

Consider in detail the three main symptoms of chronic prostatitis:

• Micual disorder (dysuria).Inflammation increases the volume of the gland of the prostate, which leads to the compression of the ureter.With a decrease in its light, a frequent urge for urination and a feeling of bladder not completely devastated appear.Dizuric disorders in many men occur in the early stages of prostatitis.The compensatory mechanism during this period manifests itself in the hypertrophy of the bladder and ureter muscles, which reduces the symptoms of dysuria, but with the development of inflammation, they develop again.
• Pain syndrome.There are no pain receptors in prostate tissues.Pain occurs when the inflammatory process is propagated to other pelvic organs and their nervous paths.The sensations vary from weakness and very intense pain, which interfere with night rest.Reinforcement of discomfort occurs during ejaculation, sexual abstinence or excessive sexual activity.Pain is given to the crotch, sacrum, scrotum and sometimes to the lumbar zone.
• Power violation.The absence of treatment at the early stages of prostatitis can cause a dispute, when a man has frequent nocturnal erections, deterioration in the quality of orgasm and accelerated ejaculation.In different patients, these signs appear with a different intensity.Premature ejaculation occurs due to a decrease in the excitation threshold of the organic center.At the same time, the patient notes pain, which leads to the development of pain expectation and a progressive rejection of sexual activity.In the absence of a complete treatment with the study of the mental factor of the disorder, sexual disorders are increasingly exacerbated.Ignore the need to ask for medical aid from prostatitis often ends with helplessness.

The degree of sexual disorder varies depending on the individual factors.Some men are so afraid of erectile dysfunction that their violations occur rather due to suggestion and not objective physiological factors.In particular, psychogenic display is observed precisely with increased anxiety and obsessive complexes.The very thought of possible health problems of men is difficult to tolerate these patients.This is considerably reflected in their character and their communications with others.Irritability, hypochondria, resentment and depressive condition appear.

Complications with prostatitis

The absence of adequate treatment with prostate inflammation leads to related diseases.The fact is that the prostate gland is closely linked to other organs of the male genitar system.It is located around the neck of the bladder and the urinary channel.Consequently, with an increase in the prostate, the urethra is in a hurry and a violation of the normal flow of the urine.Given the characteristics of physiology, with premature treatment of acute or chronic prostatitis, a certain number of pathologies and serious complications occur.

Related problems:

• the formation of cysts, prostate stones;
• decrease in the number of male hormones produced;
• decrease in libido (libido);
• erection disorders (erectile dysfunction);
• Infertility (in 40% of patients with a chronic form of prostatitis);
• prostate adenoma (benign tumor);
• Prostate cancer.

Certain consequences of the inflammation of the prostate which have not received a timely and complex treatment of treatment represent a threat not only for health, but also for the life of the patient (in particular, cancer pathologies can develop).Therefore, at the first symptoms of prostatitis, you must request a consultation with a urologist.We must also remember regular preventive examinations after 40 years, when the risk of pathological processes in the prostate gland increases considerably.

Prostatitis diagnosis

Many urological problems have similar signs, so the specialist works separately with each clinical case and uses all available diagnostic tools.The urologist's consultation always begins with an investigation for the symptoms, the collection of anamnesis and the general inspection.Then, the doctor prescribes a certain number of studies, the results of which are diagnosed and adequate treatment is selected.As a rule, the survey complex includes:

• Rectal examination of the prostate fingers to determine the size, the structure of the prostate gland and the level of compression of the urethra;
• Urinary system ultrasound (prostate, bladder, kidneys);
• Urine laboratory analyzes, prostate secret, ejaculate;
• Test urogenital infections;
• Urodynamic study.

To ensure a precise diagnosis of prostatitis in men and related disorders, you must refrain from urination within 2 to 3 hours before taking the urologist.Otherwise, test results may not be fully correct, because when the bladder empties, the pathogenic microflora occurs.In accordance with the characteristics of the clinical image, the method of realizing the ultrasound is selected: transrectal or abdominal (through the abdominal wall).After determining the cause and stage of the disease, the development of a therapeutic strategy is carried out.

Prostatitic treatment methods

The main therapy is the contribution of antibiotics.The use of modern pharmacological developments gives a high result, although it is impossible to completely eliminate the risk of relapse.The doctor prescribes an antibacterial medication after a bakposev urine and / or the secret of the prostate for the type of pathogen.If acute prostatitis is diagnosed, oral antibiotic therapy takes approximately 4 to 6 weeks.In a chronic or recurring form of the disease, the treatment will take more time (in accordance with the characteristics of the clinical image).In serious cases (as a rule, with acute bacterial prostatitis), hospitalization and intravenous antibiotic lessons are necessary.

With urologist difficulties, the urologist prescribes drugs that relieve the hypertonicity of the bladder muscles and the prostate gland, which normalizes the flow of urine and prevents its stagnation.Some patients undergo treatment with medication that reduce the level of sex hormones.As a result, there is a decrease in prostate size and, therefore, a feeling of discomfort during urination, defecation and ejaculation.With severe edema of the prostate gland, muscle relaxants help relieve the overlap of the bladder sphincter and adjacent muscles.Non-steroidal anti-inflammatory drugs are effectively fighting with pain syndrome.In addition, chronic prostatitis reacts well to auxiliary physiotherapy.The effective methods of this treatment are:

• instillation of drugs in the urethra;
• prostate massage;
• shock waves (UVT);
• Magnetic laser therapy (MLT);
• electrophoresis;
• Ozone therapy;
• Intravenous blood laser irradiation (Vlok);
• Ufok ultraviolet irradiation (UFOK).

Prostate massage is a frequently used urological technique.The doctor uses the method of stimulating the prostate fingers through the rectum to improve the flow of secretion and restore the permeability of the conduits of the organ.An additional effect is an improvement in blood circulation and an accelerated penetration of antibiotics in inflamed tissues.In addition to massage of the prostate fingers, material methods are also possible.Eyes' results in the treatment of prostatitis are shown by shock therapy.The basis of this medical technology is the short -term effect of low -frequency sound waves in a fiery area.The Aid procedure:

• activate local blood circulation and the growth of new vessels;
• Stimulate your own body regeneration capacities;
• Destroy fibrous foci and calcifiatings that cause pain and inflammatory processes.

After the UVT course, the symptoms of prostatitis and a good preventive effect are observed.A pronounced result can only be obtained with an approach integrated into the problem.In addition, the responsible attitude of the patient towards medical meetings is important.

For their part, clinical urologists provide the preparation of an individual treatment scheme, taking into account the cause, the form, the stage of the disease, the general health and the presence of concomitant pathologies.

Prostatitic prevention

To minimize the risk of relapse, it is necessary to reduce the negative effects on the body.Among the caused factors are:

• Smoking.The anatomical characteristics of the provision of the prostate gland lead to constant oxygen famine, and the inhalation of tobacco smoke causes a vascular spasm, which slows the local microcirculation processes even more.All smokers with experience are characterized by the problem of increasing blood pressure.
• Motor -acting deficiency."Sedentary" work and a sedentary lifestyle lead to stagnant phenomena in the pelvic organs.
• Alcohol abuse.Overcoming the daily standard of alcohol affects health as a whole and makes the body more vulnerable to various infectious lesions.
• Stress states.It is necessary to avoid situations leading to anxiety, irritation, depressive disorders to the maximum.If necessary, contact a profile specialist.
• Hypothermia.The effect of low temperature reduces immunity, which makes the body "open" to colds and inflammation.
• Overwork, excessive physical activity.We must not forget the work and rest regime, as well as to raise a strong gravity.

Preventive measures will help prevent the development of acute prostatitis and chronicle relapse.On issues of diagnosis and treatment of prostate inflammation, you can always contact the urological service of our clinic.