Prostatitis is a pathology that occurs as an infectious and inflammatory process in the prostate (prostate), affecting its glandular and connective tissue.
The prostate, an organ of glandular structure located below the bladder in the urethra, is of great importance for the health and functioning of the human body. Inflammation acts to reduce the synthesis of testosterone in the testicles, as a result of which libido decreases, erectile function weakens. At the first signs of prostatitis there are problems during urination, you feel discomfort, pain during orgasm.
Treatment of prostatitis began in the 19th century, when there was a tendency for this disease to grow. The disease is purely male because the prostate gland is an organ located in the body of men. Representatives of the age category of forty and older mostly suffer from this disease, but medical statistics say that in recent years the disease has significantly "rejuvenated": among men aged 25-28, prostatitis is detected in 30% of cases. However, the peculiarity 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 a urologist who diagnoses prostatitis in 15% of this number.
Complications
If the treatment of prostatitis is not started on time, a number of complications can occur which characterize:
- bladder obstruction with acute urinary retention, requiring surgical treatment;
- transition of prostatitis from acute to chronic course;
- development of some form of male infertility;
- recurrent cystitis;
- narrowing, scars on urethra;
- pyelonephritis, other renal pathologies;
- prostate abscess requiring surgery;
- sepsis that endangers the patient's life (this is most sensitive in patients with weak immunity, diabetes mellitus, renal failure).
Important to know!Pathology can lead to prostate cancer (seen in 7% of men over the age of 50), which will seriously worsen a man's life or even lead to death.
Reasons for the development of pathology
Prostatitis has several types, which are determined by the causes of the disease.
The main factors that cause prostatitis are the following:
- Infections.Bacteria enter the prostate in various ways and ways. Young men who have sex without contraception (condom) have a high risk of disease due to the penetration of pathogenic microorganisms (chlamydia, mycoplasma, etc. ). In addition, the development of prostatitis occurs as a result of any internal chronic diseases. Harmful bacteria reach the prostate through the flow of lymph or blood. 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 are manifested in obesity, a sedentary lifestyle, because the microcirculation of blood in the pelvic organs is disturbed. 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 small pelvis (OMT), congestion can occur, which causes an inflammatory process. Such cases are often encountered among hauliers due to professional activities associated with prolonged sitting and constant chair injuries hitting the HTA.
Doctor's opinion. Urologists are convinced 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 absolutely all the instructions. Only the joint actions and efforts of the doctor and the patient, confident in the success of the therapy, will help the person to feel healthy, and therefore full.
Types of prostatitis
Classification of prostatitis by type gives the following parameters.
Etiology. According to the origin, the disease is:
- infectious (specific and nonspecific);
- congestive non-infectious (the reason lies in the stagnant processes associated with long interruptions in sexual intercourse, interrupted sexual intercourse, bad habits, stress, regular hypothermia).
Pathological trait, divided into the following subtypes:
- catarrhal;
- follicular;
- parenchymal;
- prostate abscess (may manifest as a complication of prostatitis in the form of dystrophic, fibrocystic, granulomatous, as well as 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;
- channel;
- budget;
- 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 developed abruptly, expressed in fever (up to 39 ° C), intense cutting pain radiating to the back and groin. Ejaculation, defecation and urination are accompanied by acute pain, and sometimes bleeding. This is a serious reason to contact a urologist.
- Chronic.The symptomatic picture is almost imperceptible, although it is similar to the clinical picture of acute prostatitis. There may be slight rises in temperature, discomfort in the groin and during urination. The main symptom of the chronic form of prostatitis is a frequent desire for a "small way", discharge 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 general health and condition of the patient are negative, expressed in frequent irritability, depression, dissatisfaction, psychological breakdowns.
- Stagnara.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 the violation of the genitourinary system. The onset of the disease is characterized by inflammation of the excretory tract, separation of the epithelium, causing the appearance of pain during urination. With a severe form of the disease, the urethra ceases to function at all. Erection is also weakened, orgasm is weak and unexpressed. In general, the development of sexual dysfunction occurs at a rapid pace. The stagnant form of prostatitis is also characterized by symptoms of burning and itching in the perineum, urethra. Body temperature is elevated, there are signs of intoxication.
How to detect symptoms of prostatitis development
Only a urologist is able to make an accurate diagnosis of a patient, but according to the existing signs that occur with the genitourinary system and noticed by a man, they can serve as a signal for an urgent complaint to a specialist. This applies to:
- act of defecation, accompanied by unpleasant sensations;
- stinging in the perineum short and long;
- frequent urges to urinate, but the process itself is painful and difficult;
- weak orgasm effect (also called "deleted orgasm");
- increased fatigue and often for no apparent reason;
- decreased erectile function;
- regular stress.
Important to remember!Detection of these symptoms requires an urgent visit to a doctor who will affect the disease at its very beginning. The development of chronic prostatitis proceeds in an unexpressed form, but is fraught with its consequences and complications.
Diagnosis of the disease
Prostatitis in men is diagnosed primarily based on the analysis of patient complaints. With the help of a specially composed questionnaire, the doctor discovers and studies the symptoms of the disease.
Further diagnostic measures are being performed:
- study of the composition of prostate secretions (if there is no acute form of the disease: it is impossible to carry out the procedure due to severe pain);
- palpation rectal examination;
- ultrasound examination of the prostate to confirm the suspicion of prostatitis and make an accurate diagnosis;
- biopsy;
- tomography (computed / magnetic-nuclear) of the pelvis - if necessary;
- cystoscopy;
- urography.
In addition, men undergo some general tests that can clarify the picture of the disease:
- uroflowmetry;
- urine sample, measured in three cups;
- study according to Mears & Stamey, measured with two glasses of urine (the first part excludes contamination of the urethra (infection, infection), the second - determines the absence / presence of an inflammatory process in the kidneys, bladder);
- urine sample to determine its residual volume, prostate ultrasound;
- clinical urine analysis;
- middle portion of urine for microbiological examination.
Diagnosis requires distinguishing prostatitis from cystitis, urethritis, prostate adenoma, and prostate cancer.
A man should abstain from sexual intercourse for five days before the appointment of an ultrasound examination. On the eve of this day, you must apply an enema to cleanse, and before entering the ultrasound room to urinate.
How to treat prostatitis
There is no standard treatment for prostatitis. The comprehensive therapeutic approach prescribed by the physician is implemented on an individual basis and has adjustments in its process for greater efficiency. In the treatment of the prostate, the form of the disease is taken into account. For example, the acute form is easier to cure than the chronic one.
Prostatitis is mostly treated conservatively and on an outpatient basis.
The integrated approach is:
- Antibacterial therapy (remediation of sites infected with bacteria).
- Improving the blood supply to the prostate (massage, physiotherapy, therapeutic exercises).
The use of physical therapy methods is carried out with the following goals:
- Alleviation of the inflammatory process (using anti-inflammatory methods), reduction of pain (analgesic methods).
- Reduction of stagnant processes, changes in sclerotic nature in the future (defibrosis methods).
- Strengthening the protective properties of the body (using immunostimulatory methods).
Treatment of prostatitis is usually done in conjunction with prostate massage. Due to its delicacy, men often consider the procedure humiliating, but it has a very good efficiency. Prostate massage can be performed at home, but you have to buy a special hardware device for that.
Prostatitis drug
The therapeutic approach is carried out using drugs. The treatment regimen uses antibiotics because only they can destroy the pathogens. Which medications to take, the doctor decides based on the results of analyzes and studies. The patient, waiting for the appointment of the appropriate antibiotic, takes medications for anesthesia, anti-inflammatory and other guidelines.
Antibiotic therapy involves the use of acceptable doses and routes of administration. The optimal dose of antibiotics is considered to be the one that has doubled or tripled the "efforts" against the concentration of the pathogen.
In the case of chronic prostatitis, which usually occurs on the basis of immunodeficiency, antibiotic therapy is carried out together with immunocorrective drugs.
The best massage to treat is sex
Doctors believe that the natural way of massage in the treatment of prostatitis is orgasm during sex. Sperm ejaculation occurs with active contraction of the muscles in the anus, which is also effective for the prostate: during this time it is successfully massaged. Many have heard that it is forbidden to have sex during the entire treatment period, but this is not true. The main thing, if possible, is not to change ex-partners (so that the microflora "would not conflict"), not to interrupt or prolong sexual intercourse.
In the absence of a sexual partner, doctors recommend masturbation to rid the prostate and seminal ducts of stagnant processes. Horror stories about the dangers of masturbation should be understood as a joke, but we should not forget about moderation and personal hygiene.
It is impossible to overcome prostatitis with sex and medication, you should lead an active lifestyle, rest and feed properly, sleep well, avoid stressful situations. Alternative treatment methods are also welcome, but are applied 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
Surgical treatment is used for advanced stage prostatitis:
- with disease progression;
- in case of abscess inside the prostate;
- for cysts or strictures.
These situations require radical solutions to eliminate the inflammatory process.
The type of surgery used takes into account aspects of the disease and the patient's condition.
Operations prescribed by a doctor are divided into types, as follows:
- Transurethral resection.During surgery, closed prostatectomy is performed using a tube inserted through the urethra.
- Transurethral incision.The tissue near the bladder neck is cut, relieving the pressure on it. Such surgery is indicated for men with mild prostate enlargement. Complications practically do not occur, 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 prescriptions designed to fight prostatitis, relieve symptoms and supplement common treatments. It is worth remembering that not all of the proposed options may be suitable for a person with a certain form of the disease, some can cause an allergic reaction and other complications.
We offer several proven, popular and effective recipes:
- Pumpkin seeds.They contain a large amount of zinc, which is needed by the male body. One should eat 30-35 raw seeds a day for preventive and therapeutic purposes. You can make special balls from the seeds crushed in a blender (without peel), mixed with honey (200 ml). From the resulting mass form balls the size of walnuts, put in the refrigerator. Eat 1 ball twice a day, half an hour before meals, slowly chewing, sucking out of it medicinal juices. Powerful and efficient, it can be used once a year.
- Fruit and vegetable juices.Help your body produce more uric acid. Naturally squeezed juices from cucumbers, carrots and asparagus are especially successful in this. They can be drunk in a mixture, changing the proportions of each to your liking. It is necessary to take more than half a liter of fluid a day in several doses.
- Natural honey.And bee products have also been shown to be excellent in treating prostatitis. An herbal remedy based on them has a strong anti-inflammatory, analgesic effect. For example:
- Propolis candles.40 g of propolis is evaporated in a glass of alcohol, and then this extract (0. 1 g) is mixed with two grams of rye flour and cocoa. Candles are formed, inserted into the rectum before a night's sleep for a month.
- Propolis tincture.20% tincture (40 drops) diluted with water (100 ml), taken before meals for 20 minutes.
- Herbal infusion with honey.Used for acute prostatitis. Marigold flowers (30 g), horsetail plant (25 g), elecampane root (15 g), dioecious nettle leaves, medicinal sage, mint (10 g of each plant) were chopped and mixed. Then take three tablespoons of the resulting mixture and pour them with half a liter of boiling water. Insist in a thermos for three hours, strain, add honey to taste, drink a third of a glass three times a day for half an hour before meals.
- Red root decoction.Chopped root (25 g) is poured over a liter of boiling water, left for an hour in a thermos, drunk three times a day before meals for a third of a glass. You can add milk, baby. This tea is recognized as the best remedy for prostatitis.
- Pharmacy chamomile.10 g is poured with 100 ml of very hot water, infused for half an hour, filtered. It is used as a solution for microclysters (70-80 ml).
- Wild pear.Patients observe the effect a few days after starting to take pear compote / tea. With long-term use there is an almost complete cure of prostatitis. Fruits and leaves are used not only fresh but also dried to prepare the drink in winter. This drink is an excellent preventive measure.
The list of folk recipes is endless, but only a doctor will in any case recommend one or more important in an integrated approach to treatment.
Prevention of prostatitis
Measures to prevent disease, recurrence in the chronic course are based on:
- active and healthy lifestyle;
- playing sports, physical education;
- smoking cessation, alcohol consumption;
- sexual intercourse with a regular partner (promiscuity in relationships will lead to sexually transmitted infections that cause prostatitis);
- regular sex life and achieving ejaculation;
- regular (twice a year) follow-up by a urologist;
- timely treatment of urological diseases;
- balanced diet;
- respect for your own health.