Signs of prostatitis in men and its treatment

12 September 2020

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 glandular structure located under the bladder, is of great importance for the health and functioning of a man's body. Inflammation has an effect on reducing testosterone synthesis in the testis, as a result of which libido is reduced, erectile function is weakened. At the first signs of prostatitis, problems arise during urination, discomfort is felt, pain during orgasm.

Treatment of prostatitis began in the 19th century, when there was a tendency for this disease to increase. The disease is purely male, as the prostate gland is an organ located in the body of men. Representatives of the age category of forty or more suffer mainly from this disease, but medical statistics say that in recent years the disease has become significantly "younger": among men 25-28 years, prostatitis is detected in 30% of cases. However, the specificity of the diagnosis and the likelihood of a latent course of the disease suggest that this figure is much higher. Only a quarter of men aged 22-50 undergo medical examinations, including by a urologist who diagnoses prostatitis in 15% of that number.

Complications

If treatment of prostatitis does not start in time, a number of complications can occur, characterized by:

obstruction of the bladder with acute urinary retention that requires surgical treatment;
transition of the prostate from the acute phase to the chronic course;
development of a form of male infertility;
recurrent cystitis;
narrowing, scarring of the urethra;
pyelonephritis, other kidney pathologies;
prostate abscess requiring surgical intervention;
sepsis that threatens the patient's life (this is more susceptible to patients with weakened immunity, diabetes mellitus, kidney failure).

Important to know!Pathology can lead to prostate cancer (observed in 7% of men over 50), which will seriously worsen a man's life, or even lead to death.

Reasons for the development of pathology

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

The main factors that provoke the appearance of prostatitis are as follows:

Infections. Bacteria enter the prostate gland in different ways and ways. Young men who have sex without contraception (condoms) have a high risk of disease due to the penetration of pathogenic microorganisms (chlamydia, mycoplasma, etc. ). In addition, the onset of prostatitis occurs as a result of some chronic internal disease. Harmful bacteria reach the prostate gland through lymph or blood flow. Pathological microorganisms can also "descend" into the prostate through the urethra. Then the disease is provoked by diseases of the urinary system (urethritis, pyelonephritis) with weakened immunity.

Stagnant processes.They manifest in overweight, 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.

Injuries.Due to mechanical damage to the tissues and organs of the pelvis (OMT), overload can occur, provoking an inflammatory process. Such cases are often encountered between trucks due to professional activities associated with a sitting position for a long time and constant injury from a chair hitting an HTA.

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

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);

non-infectious congestion (the reason lies in stagnant processes accompanied by long interruptions in sexual intercourse, interrupted intercourse, bad habits, stress, regular hypothermia).

Pathological feature, divided into the following subtypes:

catarrhal;

follicular;

parenkimal;

prostate abscess (may present as a complication of prostatitis in the form of dystrophic, fibrocystic, granulomatous, and prostate sclerosis).

Clinical course. Prostatitis can be acute or chronic.

Pathogenesis. According to the onset and development of the disease, prostatitis can be:

hematogenous;

urethrogenic;

channels;

calculation;

allergic;

endocrine.

Symptoms and signs of prostatitis

Symptoms of prostatitis can be both hidden and obvious.

The disease is classified into the following forms:

Sharp.The disease has a sudden development, expressed in an increased body temperature (up to 39 ° C), intense cutting pain radiating to the back and groin. Shedding, defecation and urination are accompanied by acute pain and sometimes bleeding. This is a serious reason to contact a urologist.

Chronicle. The symptomatic picture is almost invisible, although it is similar to the clinical picture of acute prostatitis. There may be a slight rise in temperature, discomfort in the groin and during urination. The main symptom of the chronic form of prostatitis is the frequent desire to go "in a small way", discharge from the urethra. Over time, the patient registers the problem of erectile function due to the passage of the inflammatory process in the nerves responsible for erection, premature ejaculation. The health and general condition of the patient are negative, expressed in frequent irritability, depression, dissatisfaction, psychological breakdown.

Stagnant.Men who lead an inactive lifestyle and have irregular sex suffer from this form of the disease. The course of the disease is expressed in violations of the genitourinary system. For the onset of the disease is characterized by inflammation of the secretory tract, detachment of the epithelium, provoking the appearance of pain during urination. With a severe form of the disease, the urethra ceases to function completely. The erection is also impaired, the orgasm is weak and unexpressed. 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, ureter. Body temperature is elevated, there are signs of intoxication.

How are the symptoms of developing prostatitis detected

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

an act of defecation, accompanied by unpleasant sensations;

burning sensation in the perineum for short and long periods;

with frequent urge to urinate, but the process itself is painful and difficult;

weak orgasm effect (otherwise called "deleted orgasm");

fatigue increases and often for no apparent reason;

decreases erectile function;

regular stressful state.

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

Disease Diagnosis

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

Further diagnostic measures are performed:

study of the composition of prostate secretion (if there is no acute form of the disease: it is impossible to perform the procedure with it due to severe pain);

palpation examination of the colon;

ultrasound examination of the prostate to confirm suspicion of prostate and make an accurate diagnosis;

biopsy;

small pelvic tomography (computed / magnetic-nuclear) - if necessary;

cystoscopy;

urography.

Furthermore, men undergo some general tests that can clarify the appearance of the disease:

uroflowmetria;

urine sample, measured in three cups;

study by 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 kidneys, bladder);

urine sample to determine its residual volume, ultrasound of the prostate gland;

clinical urine analysis;

middle part of urine for microbiological examination.

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

A man should abstain from sexual intercourse for five days before scheduling an ultrasound examination. On the eve of this day, you should apply a cleansing enema and urinate before entering the ultrasound room.

How is prostatitis treated

There is no standard treatment for prostatitis. A comprehensive therapeutic approach prescribed by a physician is performed on an individual basis and there are adjustments in its process 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 form.

Prostatitis is mainly treated conservatively and on an outpatient basis.

An integrated approach is:

Antibacterial therapy (channeling of places infected with bacteria).

Improving the blood supply to the prostate (massage, physiotherapy, therapeutic exercises).

The use of physical therapy methods is performed for the following purposes:

Facilitate the inflammatory process (using anti-inflammatory methods), reducing pain (using analgesic methods).

Reduction of stagnant processes, changes of a sclerotic nature in the future (with defibrosing methods of treatment).

Strengthening the body's defenses (by immunostimulation methods).

Treatment of prostatitis is usually done together with prostate massage. The procedure, due to its delicacy, is often considered humiliating by men, but has a very good efficiency. Prostate massage can be performed at home, but for this you need to buy a special hardware device.

Medicines to treat prostatitis

The therapeutic approach is carried out through the administration of drugs. The treatment regimen uses antibiotics, as only they are able to destroy the causative agents of the disease. What medication you should take, the doctor decides based on the results of tests and studies. The patient, while waiting for the appointment of a suitable antibiotic, takes medication for anesthetics, anti-inflammatory and other directions.

Antibiotic therapy involves the use of acceptable doses and 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 on the basis of immunodeficiency, antibiotic therapy is given in conjunction with immunosuppressive drugs.

The best massage for treatment is sex

Doctors believe that the natural way of massage in the treatment of prostatitis is the orgasm obtained during sex. Sperm ejaculation occurs with active contraction of the muscles in the anus, which is also effective for the prostate: it is successfully massaged during this. Many have heard that it is forbidden to have sex for the entire treatment period, but this is not true. The main thing is, if possible, not to change previous 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. Horrible stories about the dangers of masturbation should be taken as a joke, but you should not forget moderation and personal hygiene.

it is impossible to defeat prostatitis with sex and medicine, you must have an active lifestyle, have proper rest and food, sleep well, avoid stressful situations. Alternative treatment methods are also welcome, but they are implemented after consulting a doctor.

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

Surgical treatment of the prostate

Surgical treatment is used for advanced stages of prostatitis:

as the disease progresses;

in case of an abscess inside the prostate;

for cysts or sprains.

These situations require radical solutions to eliminate the inflammatory process.

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

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

Transurethral resection.During surgery, closed removal of the prostate gland is performed using a tube inserted through the urethra.

Transurethral incision.India near the neck of the bladder is cut, thus relieving the pressure on it. Such surgery is indicated for men with a slight enlargement of the prostate. Complications practically do not arise, patients recover quickly.

radical prostatectomy.In this case, the entire prostate is removed. This type of surgery is difficult, traumatic, accompanied by significant blood loss.

Traditional medicine for the treatment of prostatitis

Alternative medicine offers over a hundred recipes created to fight prostatitis, relieve symptoms and supplement key 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 some proven, popular and effective recipes:
Pumpkin seeds
They contain a large amount of zinc, which the male body needs. A man should eat 30-35 raw seeds a day for preventive and therapeutic purposes. You can make separate balls from the seeds crushed in a blender (without husk), mixed with honey (200 ml). From the resulting mass, put the mold balls the size of nuts, in the refrigerator. Eat 1 ball twice a day, half an hour before meals, chewing it slowly, absorbing healing fluids from it. Powerful and effective, can be used once a year.

Juices from vegetables and fruits.Help your body produce more uric acid. Freshly squeezed natural juices from cucumbers, carrots, asparagus are especially successful in this. They can be drunk in a mixture, changing the proportions of each to your taste. You are required to consume more than half a liter of fluids per day in several doses.

Natural honey.As well as bee products have been proven to be excellent in treating prostatitis. Herbal medicines based on them have a powerful anti-inflammatory, analgesic effect. For example:

Qirinj Propolis.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. Candles are formed, inserted into the rectum before going to bed overnight for a month.

Propolis tincture.Tincture 20% (40 drops) diluted with water (100 ml), taken before meals for 20 minutes.

Herbal infusion with honey.Used for acute prostate. Calendula flowers (30 g), tail herb (25 g), elecampane root (15 g), dioecious nettle leaves, medicinal sage, 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. Insist in a thermos for three hours, drain, add honey to taste, drink a third of a glass three times a day half an hour before meals.

Decoction of red root.Chopped root (25 g) pour a liter of boiling water, leave for an hour in a thermos, drink three times daily before meals for a third of a glass. You can add milk, honey. This tea is known as the best medicine for prostatitis.

Pharmacy chamomile.10 g is poured with 100 ml of very hot water, infused for half an hour, filtered. Used as a solution for microcysts (70-80 ml).

Wild pear.Patients observe the effect a few days after starting to take pear compote / tea. With prolonged use, there is an almost complete cure of prostatitis. The fruits and leaves are used not only fresh but also dried to prepare a remedy in winter. This drink is an excellent preventative measure.

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

Prevention of prostatitis

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

active and healthy lifestyle;

going for sports, physical education;

smoking cessation, alcohol consumption;

having sex with a regular partner (breaking up will lead to sexually transmitted infections that provoke prostate);

having regular sex life and achieving ejaculation;

regular follow-up (twice a year) by a urologist;

timely treatment of urological diseases;

a balanced diet;

respect for your health.