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Prostatitis in men: first signs and treatment

Most of the time, the inflammation of the prostate gland is caused by various infections that fall into it by the bladder, urethra or rectum.Prostatitis can also be a complication of tonsillitis, influenza, tuberculosis.

Treatment of prostatitis requires a comprehensive approach to get rid of the symptoms of this disease and avoid complications, you should consult a doctor and not be self -drug.

What is it?

Prostatitis - inflammation of the seed (prostate) gland - prostate.It manifests with frequent urination with blood mixing, urine pus, penis pain, scrotum, rectum, sexual disorders (erection violation, early ejaculation, etc.), sometimes delayed urine.They may send the prostate gland, inflammation of the testicles and protections, which threaten infertility.The rise of infection leads to inflammation of the upper parts of the genital system (cystitis, pyelonephritis).

The treatment of prostatitis varies depending on the form of the disease in a human.Thus, bacterial prostatitis can occur in both acute form and chronic disease.Very often, non -bacterial prostatitis is also diagnosed as chronic disease.Such a variety of prostatitis is also called chronic pelvic pain syndrome.In such patients, all symptoms characterized by prostatitis are observed, but there are no bacteria in the prostate secret.

Prostatitis develops by penetrating an infectious agent, which enters the prostate tissue by the genital organs (urethra, bladder) or from remote inflammatory focus (with pneumonia, inflammation, flu).

There are some risk factors that increase the likelihood of prostatitis.

A man in the spotlight

Why does prostatitis grow?

Currently, the reasons for the development of prostatitis are divided into two large groups:

  1. Infectious(Sexually transmitted infections (penetration into the tissue of pathogens - germs, viruses, bacteria, fungus, etc.): Also, the presence of chronic infection (chronic tonsillitis, sinusitis, kidney pathology), surgery).
  2. Non -Mullym (Standing)(Reduction of immunity, hypothermia, reduction of physical activity, sedentary living ways, long -term sexual abstinence and, conversely, excessive sexual activity, alcohol abuse, etc.).

Thus, he emphasizes that the secluded strike of the pathogen in the organ tissue is not always and may not necessarily have the cause of the development of the disease.The most commonly identified pathogen is E. Coli (86 %), then - Klebselly, Proteus, Enterococci, Pseudomonas Stick.As far as streptococci, staphylococci, chlamydia, mycoplasty, ulceration of researchers' view of their importance in the development of the disease differ.It is extremely rare for the causes of prostatitis that these pathogens become (pale treponema, a stick of Koch, etc.).

Classification

For the alleged reason, inflammation of prostatitis is divided into:

  1. Acute bacterial - pathogenic microflora causes severe damage to the prostate tissues with a strong inflammatory reaction.Most of the time it grows with Gonococcus infection and other pathogens.
  2. Chronic bacterial-the association of pathogens or conditional pathogenic bacteria causes hypotent inflammation, whose activity remains for more than 2 months.As a rule, the pathogens are streptococci, Staphylococci, E. coli, Klebsiella, Mycoplasma, Urriplasa, Chlamydia, shingles and yeast -like candidates.
  3. Years Abacterial - In the presence of inflammatory procedure in the prostate, a causal microflora can not be detected.A similar form of the disease develops when the urine is transferred to the prostate conductors, the stagnation of venous blood in the pelvis, a violation of the discharge (rare or very frequent ejaculation).In the latter case, the disease is called stagnant prostatitis.

Symptoms of prostatitis and first signs

In a man, the first signs of prostatitis are very different and include a complex violations in the seed:

  • unintentional urination;
  • the appearance of discomfort and pain during urination.
  • frequent urination;
  • Pain with prolonged session on the perineum.
  • reduction of power;
  • urination problems, violation of erection and sexual desire, infertility;
  • Difficulties in urinating, a sense of obstacles during urination.
  • weak current during urination.
  • The feeling completely empties the bladder after urination.
  • the inability of an erection or reduction of the duration of an erection;
  • Reduction in libido.
  • In some cases, male infertility is the main symptom of prostatitis.

Symptoms of acute prostatitis

There are three stages of acute prostatitis, which are characterized by the presence of a particular clinical picture and morphological changes:

  1. Acute runny nose prostatitis.Patients complain about rapid, often painful urination, sanctuary pain and perineum.
  2. Acute follicular prostatitis.The pain becomes more severe, sometimes radiating to the anus, intensified during removal.The urine is difficult, the urine flows with a thin current.In some cases, urine delay is noted.Derogatory or moderate hyperthermia.
  3. Acute parenchymal prostatitis.It is general poisoning, hyperthermia up to 38-40 ° C, chills.Dizuric disorders, often an acute delay in urination.Sharp, pulsating pain in the perineum.Difficulty to avoid.

Symptoms of chronic prostatitis

In rare cases, chronic prostatitis becomes the result of an acute process, however, as a rule, chronic prostatitis with deleted symptoms develops mainly.The temperature occasionally rises at sub -prices.A patient with chronic prostatitis notes unpleasant sensations or weak pain in the perineum, discomfort during urination and abstraction.The most characteristic symptom of chronic prostatitis is rarely rejected by urethra during the abstraction operation.

It should be remembered that primary chronic prostatitis develops in a significant period of time.It is preceded by protection (blood stagnation in the capillaries), gradually converting independent prostatitis (the initial stage of inflammation).

Chronic prostatitis is often a complication of a chronic inflammatory process caused by the causative factor of a particular infection (Chlamydia, Trichomonas, Ureaplasma, Gonococcus).The symptoms of a particular inflammatory process in many cases cover the manifestations of chronic prostatitis.It is possible a slight increase in pain during urination, weak pain in the perineum, rarely rejected by the urethra during removal.A slight change in the clinical picture and adhesion of chronic prostatitis often goes unnoticed by the patient.

Chronic prostatitis can occur with a burning sensation in the urethra and perineum, dysuria, sexual disorders, increased general fatigue.The consequence of violations of power (or the fear of these violations) often becomes mental depression, anxiety and irritability.The clinical picture of chronic prostatitis does not always include everything, without exception, the listed groups of symptoms differs in different patients and changes over time.

There are three main syndromes characteristic of chronic prostatitis:

  • Syndrome of Oburgicals (Urinary Disorder).

As a result of inflammation in chronic prostatitis, the volume of the prostate pressing the ureter increases.The lumen of the ureter is reduced.A patient with prostatitis has a frequent impetus to urinate, a sense of poor bladder discharge.As a rule, the incomplete phenomena are expressed in the early stages of chronic prostatitis.Subsequently, compensatory hypertrophy of the muscular layer of the bladder and ureters are developed.Symptoms of dysuria during this period weaken and then increase again during the release of adaptive mechanisms.

  • Pain syndrome in chronic prostatitis.

There are no pain receptors in the prostate fabric.The cause of pain in chronic prostatitis becomes almost inevitable, due to the abundance of pelvic organs, participation in the inflammatory process of nerve trails.

Patients with chronic prostatitis complain of the pain of various tension - from weak, severe pain, violating sleep.There is a change in the nature of the pain (reinforcement or weakening) with ejaculation, excessive sexual activity or sexual abstinence.Pains radiate in a scrotum, sacred, crotch, sometimes in the lumbar region.It should be borne in mind that pain in the lower back is not only with prostatitis.The cause of pain in this area may be osteochondria and some other diseases.

  • Sexual disorders in chronic prostatitis.

In the early stages of chronic prostatitis, provisions may be developed, which occur different in different patients.Patients may protest for frequent night erections, orgasm or deterioration of the erection.Accelerated ejaculation is linked to a decrease in the threshold of the enthusiasm of the Organ Center.Pain for ejaculation can cause a patient to refuse prostatitis from sexual activity.In the future, sexual disorders become more intense.At the advanced stage of chronic prostatitis, impotence develops.

The degree of sexual disorder in chronic prostatitis is determined by many factors, including the patient's sexual pension and psychological disposition.Violations of power and dysuria can be caused by both the changes in the prostate gland and the submission of the patient, who, when detected by chronic prostatitis, expects the inevitable development of sexual disorders and urinary disorders.Especially often psychogenic appearance and dysuria develop in degraded, worrying patients.

Inability, and sometimes the threat of potential sexual disorders, is difficult to transfer to patients with prostatitis.Often there is a change in character, irritability, moaning, excessive concern about their health and even "departure in the disease".

Complications

As complications of both acute and chronic prostatitis, some serious diseases and conditions occur.Thus, in a person who was ill with prostatitis, the number of male hormones can be significantly reduced, which causes a reduction in sexual desire.As a result, a person has fixed problems with an erection.In addition, difficulties with power in a person suffering from prostatitis can occur as a result of many psychological problems.

Another serious complication of chronic prostatitis is infertility, which is observed in about 40% of patients suffering from chronic form of the disease.

Sometimes the formation of stones and prostate cysts is noted as complications of prostatitis.An even more terrible complication is prostate hardening: a condition where iron decreases and ceases to function fully.In this case, the patient is doomed to constant pain, urination problems, sexual disorders.

Prostate adenoma, which is benign education, often develops precisely as a result of prostatitis.With adenoma, surgery is inevitable.

The most terrible complication of prostatitis in men is prostate cancer, which is full of the most serious consequences.

All of these complications, as well as directly from chronic prostatitis, greatly exacerbate a person's life.That is why early treatment of prostatitis is extremely necessary.

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Diagnosis

Thanks to active stimulation and omnipresent advertising today, even students know not only symptoms but also about how to treat a prostate.However, the absence of signs prevents not only choosing the right medicines, but also to make a diagnosis in time.The best way to avoid inflammation is to visit the clinic more often.Therefore, as often as the prostatitis is diagnosed during a preventive examination by a urologist.

If there are complaints, an experienced doctor may already suspect prostate inflammation and prescribe the appropriate tests, including:

  • Examination of the rectum finger.
  • Analysis of secretion and liquid seed.
  • ultrasound examination of the prostate;
  • Analysis of urine and blood.
  • Taking a coating from the urethra.

How to cure prostatitis?

Prostatitis in men is treated according to the form of the disease.

Acute inflammation is an indication of the patient's hospitalization at the Urological Hospital, with chronic patients undergoing treatment at home.If the cause of the disease was a sexually transmitted infection, both partners must receive antibiotics.

Acute treatment of prostatitis

During acute inflammation, a man shows peace, complete abstinence from sex and an easy digestible diet.You need to deny alcohol, smoking, spicy spicy dishes, preservatives, fatty foods.

Medicines used for hospital treatment:

  • AntibioticCephalosporeal series - devastatingly affecting most known pathogenic bacteria.In the first 5 days administered intravenously, from the 5th to the 10th day of the treatment of intramuscularly.
  • Vice -President and antibacterial agents- They accumulate in the prostate, are active in relation to the most common pathogens of the disease.
  • Anti -inflammatory drugs(NSAID) - normalize body temperature, eliminate the pain, stop the inflammatory process.They are prescribed in the form of tablets, good candles, intramuscular injections (paracetamol, nimesil).
  • Incomprehensible solutions- accelerate the excretion of microbial toxins from the body, improve blood microcirculation in the prostate gland.Intravenous course are introduced.
  • Block A1 adrenergic receptors- Relax the fiber of the smooth muscles of the prostate gland, due to which urine outflow rests.Taken in the form of tablets.

This is how the basic therapeutic regimen shows, which the doctor supplement, if necessary, other medicines for prostatitis.It is important to undergo a treatment course in order to minimize the risk of chronic procedures.

Treatment chronic prostatitis

The treatment of chronic prostatitis depends directly on the stage of the disease.If the disease worsens, then the treatment is similar to the treatment of acute bacterial prostatitis.

When the disease is in the recession stage, man will experience the following symptoms:

  • Small painful sensations that rarely occur, but regularly.
  • A feeling of seriousness in the prostate area of the lumbar zone, in the genital area.
  • In some cases, the incomplete disorders have been united: increased urination push, bladder pain, etc.
  • Perhaps a degradation to the psycho -emotional prosperity, depressive moods in which sexual failures occur.

There are several contradictions on the issue of treatment of chronic inflammation.Scientists have not yet reached consensus on whether antibiotics should be prescribed or this is not necessary.These experts who insist on taking antibacterial drugs believe that bacterial flora in a secret to analysis could not just take.

Another, and most of the scientists show that the antibiotic should only be taken if the bacterial flora is isolated.Independent prostatitis with the lack of symptoms is not treated with antibacterial agents.

Offer the following patient tactics:

  1. NSAID courses.
  2. The appointment of funds aimed at normalizing the lymph node outflow and improve blood microcirculation in the organ.
  3. Taking immunodeficiency drugs.
  4. To eliminate problems with erection, the use of antidepressants and sedatives.
  5. To strengthen pelvic muscles, regular physical activity contributes to normalizing blood circulation.It is better if it is a specially constituted complex of physiotherapy exercises.Physiotherapeutic procedures have good electrophoresis-orthopedic effects, microwave hyperthermia permeability, UHF, laser magnetic treatment, etc. These procedures contribute to the relief of pelvic pain syndrome.

Starting the treatment of chronic prostatitis at home, you should tune in to a long race, as it is not always possible to cure it in a few weeks or even months.It is advisable to combine different methods and treatment tools, it is useful to improve drug therapy with households.With stagnant prostatitis, a normal sex requires, intermittent sexual acts are unacceptable.

The patient's psycho -emotional background is important: depression, depression, personal life problems and the sexual sphere are able to deny all the efforts of doctors.

Physiotherapy and prostate massage

Prostate massage.Currently, it is one of the main techniques in the treatment of prostatitis.Many experts believe that the treatment of prostatitis without this process is impossible at all.However, there is no reliable clinical data on how effective massage is.Many patients have a significant improvement in their own state according to many criteria after a massage course.Therefore, let's look at the methodology of this process and the mechanism of its therapeutic effect.

To perform the procedure, the patient occupies a knee posture.Thanks to this position, the basin muscles are as relaxed as possible.The doctor puts on rubber gloves, the glove index is lubricated with a special gel -shaped lubricant.The index is neat to the anus anus.Then you should feel the front wall of the rectum.Having stumbled upon the prostate, the urologist produces splashing.

Thanks to the pressure on the prostate gland, the mechanical compression of the secret gland in the urethra occurs.In the urethra, there is an outflow of the latter.It is recommended each time after the prostate massage to carry out tiny analysis of the prostate secret to assess the dynamics of the process.

However, the distribution of the prostate's secret is not the only positive effect on massage.The circulatory is also activated in the prostate gland, which leads to improved resistance to infections and accelerating the repair of damaged tissues.

Microwave treatment.Local exposure to high -frequency electric waves leads to an increase in temperature in the heated area.With an increase in local temperature at 39-40 degrees, blood flow expansion, blood flow, attracting immunocytic cells to focus and activating them to fight infection.Also, rising temperatures leads to a decrease in smooth muscle spasm, which leads to better drainage of the prostate secret and reduced pain.

Diet

The diet for prostatitis in men is based on the principles of healthy eating and the reduction of harmful foods.The diet is selected taking into account the severity of the disease and body characteristics.All products that cause allergies or deterioration of symptoms fall into the ban.

Basic Principles of Nutrition:

  • Adding garlic and onions to dishes, mustard.
  • Pension of the menu, taking into account the deterioration phase.
  • Rejection of any type of alcohol and smoking.
  • Exclusion from the diet of spices, conservatives, semi -finished products, sharp and salty dishes.
  • Regular meals, preferably at the same time.
  • Complete the diet with physical exercises and walking.
  • rejection of fat and smoking dishes.
  • Eating vegetable salad, herbs.
  • Minimum heat treatment of fruits and vegetables.
  • Limit salt and sweets.
  • Continuous diet maintenance and rejection of harmful products.

Useful food:

  • A variety of soups (rich broth is unwanted).
  • Cereals (oats, millet, buckwheat and more), pasta, spaghetti.
  • Fat vegetables (olive oil is highly recommended).
  • Fresh herbs, fruits and vegetables (melons and watermelons, zucchini and pumpkin, parsley and salad, green peas and cauliflower, cucumbers and tomatoes, beets, potatoes and carrots).
  • Products of the Sour -Milk Group (bifido, yogurt, ayran, cottage cheese, fermented, kefir, sour cream).
  • Low fish and ocean fish.
  • Gray bread;
  • dried fruits.
  • honey.

One of the very important substances in the prevention of prostatitis is zinc, so you often have to consume healthy seafood, pumpkin seeds that have very zinc, white poultry, walnuts and beef.

How to prevent the development of prostatitis at any age?

  1. The use of contraception methods (condom), especially when it comes to anal sex.
  2. Timely treatment of STDs.
  3. Regular sex life, bringing relationships to complete ejaculation.
  4. Prevention of Cavalos injuries, when classes, traumatic sports should be used by all possible protection methods.
  5. Compliance with personal hygiene.
  6. Ensuring adequate physical activity.

Although prostatitis today is not associated with the risk of developing adenoma or prostate cancer, the disease brings a lot of suffering to its owner.A man exhausted by chronic pain, he feels his sexual weakness, tired of prolonged treatment, he changes externally and experienced doctors determine such patients at first glance.To avoid such a fate, you need to be careful about your health, protect carefully with every new partner, and deal with sexually transmitted diseases in time.

Prostatitis is not fully treated in all cases, but an experienced urologist is able to significantly improve the patient's condition and quality of life.