Signs and treatment of prostatitis in men

Prostatitis is a disease that occurs as an infectious and inflammatory process in the prostate gland (prostate) and affects 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 function of the human body. Inflammation has the effect of reducing testosterone synthesis in the testes, resulting in decreased libido and impaired erectile function. At the first signs of prostatitis, problems occur during urination, discomfort and pain can be felt during orgasm.

Treatment for prostatitis began in the 19th century, when there was a tendency for the disease to increase. The disease is purely male, as the prostate gland is an organ found in the body of men. This disease mainly affects people aged forty and older, but medical statistics show that the disease has become significantly "younger" in recent years: prostatitis is seen in 30% of cases among men aged 25-28. However, the specificity of the diagnosis and the probability of a latent course of the disease suggest that this data is much higher. Only a quarter of men aged 22-50 attend a medical examination, including a urologist, who diagnoses prostatitis in 15% of that number.

Complications

If treatment for prostatitis is not started in time, there may be a number of complications, including:

• bladder obstruction with acute urinary retention requires surgical treatment;
• transition of inflammation of the prostate from the acute stage to the chronic course;
• the development of some form of male infertility;
• recurrent cystitis;
• narrowing of the urethra, scarring;
• pyelonephritis, other kidney diseases;
• prostate abscess requiring surgery;
• sepsis, which is life-threatening for the patient (it is most sensitive in patients with weak immunity, diabetes, kidney failure).

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

Causes of pathology

There are several types of prostatitis, which are determined by the causes of the disease.

The main causes of prostatitis are:

1. Infections.Bacteria enter the prostate in many ways and ways. Young men who have sex without contraception (condoms) are at high risk of disease due to the penetration of pathogenic microorganisms (chlamydia, mycoplasma, etc. ). In addition, prostatitis occurs as a result of any internal chronic disease. Harmful bacteria enter the prostate through the flow of lymph or blood. Abnormal microorganisms can also "descend" into the prostate through the urethra. The disease is then provoked by diseases of the urinary system (urethritis, pyelonephritis) with weakened immunity.
2. Stagnant processes.These are manifested in obesity, a sedentary lifestyle, as the microcirculation of blood in the pelvic organs is impaired. As a result, the required amount of oxygen and nutrients does not reach the prostate.
3. Injuries.Mechanical damage to the tissues and organs of the pelvis (OMT) can cause congestion, which provokes an inflammatory process. Such cases are often encountered in truckers due to long-term sitting-related professional activities and permanent injuries to the chair hitting the HTA.

Doctors' opinions. Urologists are confident that prostatitis is not a lifelong diagnosis. If the treatment did not give a quick result, the man should not give up and think about whether he followed all the instructions. Only the joint actions and efforts of the doctor and the patient, who trust in the success of the therapy, will help to make one feel healthy, that is, complete.

Types of prostatitis

Classification of prostatitis by type provides the following parameters.

Etiology. According to the origin of the disease:

• infectious (specific and non-specific);
• Congestion is not contagious (the reason lies in the stagnant processes associated with long interruptions of sexual intercourse, interrupted intercourse, bad habits, stress, regular hypothermia).

Abnormal trait, divided into the following subspecies:

• hurut;
• follicular;
• parenchymal;
• Prostate abscess (may be complicated by prostatitis in dystrophic, fibrocystic, granulomatous, and prostate sclerosis).

Clinical course. Prostatitis can be acute or chronic.

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

• hematogenous;
• urethrogen;
• channeled;
• calculation;
• allergic;
• endocrine.

Symptoms and Signs of Prostatitis

Symptoms of prostatitis can be latent and obvious.

The disease is classified into the following forms:

• Sharp.The disease develops suddenly, which is expressed by increased body temperature (up to 39 ° C), intense cutting pains radiate to the back, groin. Ejaculation, defecation, and urination are associated with acute pain and sometimes bleeding. This is a serious reason to contact a urologist.
• Chronic.The symptomatic picture is almost imperceptible, although similar to the clinical picture of acute prostatitis. Mild fever, discomfort in the groin and urination. The main symptom of the chronic form of prostatitis is the frequent desire to go "small", to empty 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 patient's general health and condition are negative, with frequent irritability, depression, dissatisfaction, and psychological disruption.
• Stagnant.Men who lead inactive lifestyles and have irregular sex lives suffer from this form of the disease. The course of the disease is expressed by a violation of the urogenital system. The development of the disease is characterized by inflammation of the excretory tract, detachment of the epithelium, which provokes pain during urination. With a severe form of the disease, the urethra is completely eliminated. The erection is also damaged, the orgasm is weak and inexpressible. Usually, the development of sexual dysfunction occurs at a rapid rate. The stagnant form of prostatitis is characterized by burning and itching symptoms in the perineum as well as the urethra. Body temperature rises, there are signs of poisoning.

How to detect symptoms of developing prostatitis

Only a urologist can accurately diagnose a patient, but existing signs in the genitourinary system and observed by humans can serve as an indication for an expert’s urgent appeal. This applies to:

• defecation accompanied by discomfort;
• burning sensation in the perineum for short and long periods;
• is ​​a common urge to urinate, but the process itself is painful and difficult;
• weak orgasmic effect (also known as "deleted orgasm");
• increased fatigue and often for no apparent reason;
• decreased erectile function;
• regular stressful condition.

Important to note!Recognition of these symptoms requires immediate medical attention to influence the onset of the disease. The development of chronic prostatitis takes place in an inexpressible form, but is fraught with consequences and complications.

Disease Diagnostics

Prostatitis in men is diagnosed primarily by analyzing patient complaints. Using a specially designed questionnaire, the doctor will find out and study the symptoms of the disease.

Additional diagnostic measures are performed:

• examination of the composition of prostate secretion (if the disease does not have an acute form: it is impossible to perform the procedure with it due to pain);
• tactile rectal examination;
• ultrasound examination of the prostate to confirm the suspicion of prostatitis and make an accurate diagnosis;
• biopsy;
• small pelvis tomography (computed / magnetic core) - if necessary;
• cystoscopy;
• urography.

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

• uroflometry;
• urine sample, measured in three glasses;
• study according to Mears & Stamey, measured with two glasses of urine (the first part excludes contamination of the urethra (infection, infection), the second - the absence / presence of an inflammatory process in the kidney, bladder);
• urine sample to determine its residual volume, ultrasound of the prostate gland;
• clinical urine test;
• Medium part of urine for microbiological examination.

Diagnosis requires differentiation of prostatitis in cystitis, urethritis, prostate adenoma, and prostate cancer.

A man should abstain from sexual intercourse for five days before appointing an ultrasound scan. On the eve of this day, a cleansing enema should be applied and urinate before entering the ultrasound room.

How to treat prostatitis

There is no standard treatment for prostatitis. The comprehensive therapeutic approach prescribed by the physician is implemented individually and adjustments are made in the process for greater efficacy. The form of the disease is taken into account in the treatment of the prostate. For example, the acute form is easier to cure than the chronic form.

Prostatitis is mainly treated conservatively and on an outpatient basis.

An integrated approach:

1. Antibacterial therapy (disinfection of sites infected with bacteria).
2. Improving the blood supply to the prostate (massage, physiotherapy, therapeutic exercises).

Physiotherapy methods are used for the following purposes:

1. Alleviation of the inflammatory process (with anti-inflammatory methods), reduction of pain (with analgesic methods).
2. Reduction of stagnant processes, changes in the sclerotic nature in the future (by defibrating treatment methods).
3. Strengthening the body's protective properties (by immunostimulatory methods).

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

Medication for prostatitis

The therapeutic approach is performed by administering drugs. The treatment regimen uses antibiotics as only they are able to kill the pathogens of the disease. What medications you take is decided by your doctor based on the results of analyzes and tests. The patient is taking anesthetic, anti-inflammatory, and other medications while waiting for the appropriate antibiotic to be prescribed.

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

In chronic prostatitis, which usually results from immunodeficiency, antibiotic therapy is performed in conjunction with immunocorrection drugs.

The best massage in the treatment is sex

Doctors believe that sexual orgasm is a natural way to massage for the treatment of prostatitis. Ejaculation of sperm occurs through active muscle contraction of the anus, which is also effective for the prostate: it is successfully massaged during this time. Many have heard that sex is forbidden for the entire duration of treatment, but this is not true. Most importantly, if possible, do not change previous partners (so that the microflora “does not collide”), do not interrupt or prolong sexual intercourse.

In the absence of a sexual partner, doctors recommend masturbation to rid the prostate and fallopian tubes of stagnant processes. Horror stories about the dangers of masturbation should be considered a joke, but moderation and personal hygiene should not be forgotten either.

It is impossible to overcome prostatitis with sex and medication, you must lead an active lifestyle, get proper rest and nutrition, sleep well, avoid stressful situations. Alternative methods of treatment are also welcome, but are used after consulting a doctor.

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

Surgical treatment of the prostate

Surgery is used in advanced stages of prostatitis:

• disease progression;
• for an abscess inside the prostate;
• for cysts or stenoses.

These situations require radical solutions to eliminate the inflammatory process.

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

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

1. Transurethral resection.Closed removal of the prostate gland during surgery is performed using a tube inserted through the urethra.
2. Transurethral incision.The tissue near the neck of the bladder cuts, relieving pressure. Such surgery is indicated for men with mild prostate growth. Complications are virtually non-existent and patients recover quickly.
3. Radical prostatectomy.In this case, the entire prostate will be removed. This type of operation is difficult, traumatic, and involves significant blood loss.

Traditional Medicine for Prostatitis

Alternative medicine offers more than a hundred recipes to combat prostatitis, relieve symptoms, and supplement general treatments. It is worth remembering that not all of the suggested options are suitable for certain forms of the disease, some may cause an allergic reaction and other complications.

We offer a number of proven, popular and effective recipes:

1. Pumpkin seeds.They contain large amounts of zinc, which the male body needs. One should eat 30-35 raw seeds for preventive and therapeutic purposes. You can make special balls from the seeds smashed in the blender (without the shell) by mixing them with honey (200 ml). From the resulting mass, form walnut-sized balls and place in a refrigerator. Eat 1 ball twice a day, half an hour before a meal, chewing slowly, sucking out the healing juices from it. Powerful and effective, can be used once a year.
2. Fruit and vegetable juices.Help your body produce more uric acid. The natural freshly squeezed juices of cucumbers, carrots and asparagus are particularly successful in this. They can be drunk in a mixture, they can change the ratio of each to taste. It is necessary to consume more than half a liter of fluid per day in several doses.
3. Natural honey.As well as beekeeping products have proven to be excellent in treating prostatitis. Herbal medicines based on these have a powerful anti-inflammatory and analgesic effect. For example:
• Propolis candles.Evaporate 40 g of propolis in a glass of alcohol and mix this extract (0. 1 g) with two grams of rye flour and cocoa. Candles are formed that enter the rectum before a month’s night of sleep.
• Propolis tincture.20% tincture (40 drops) diluted with water (100 ml) taken 20 minutes before meals.
• Herbal infusion with honey.It is used in acute prostatitis. Marigold flowers (30 g), horseradish herb (25 g), elecampane root (15 g), dicotyledonous nettle leaves, salvia officinalis, mint (10 g of each plant) are crushed and mixed. Then take three tablespoons of the resulting mixture and pour half a liter of boiling water. Stick to a thermos for three hours, strain, add honey to taste, drink a third of a glass three times a day, half an hour before a meal.
• Red root decoction.Pour chopped root (25 g) with a liter of boiling water, leave for one hour in a thermos, drink three times a day before meals for up to a third of a glass. You can add milk, honey. This tea has been recognized as the best cure for prostatitis.
• Pharmacy chamomile.Pour 10 g with 100 ml of very hot water, infuse for half an hour and filter. Used as a solution of microclickers (70-80 ml).
• Wild pear.Patients will observe the effect a few days after starting the pear compote / tea. Prolonged use results in almost complete healing of prostatitis. The fruits and leaves are not only used fresh, but also dried to make the decoction in winter. This drink is an excellent preventative measure.

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

Prevention of prostatitis

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

• active and healthy lifestyle;
• sports, physical education;
• smoking cessation, alcohol consumption;
• sex with a regular partner (insecurity of relationships leads to sexually transmitted infections that provoke prostatitis);
• Achieving regular sex life and ejaculation;
• regular (twice a year) follow-up by a urologist;
• timely treatment of urological diseases;
• balanced diet;
• Respect for your own health.