Just about prostatitis

What is prostatitis? It is an inflammatory disease of the prostate gland (in other words, the prostate). The prostate is made up of soft tissue with many ducts and is shaped like a walnut.

The main function of the prostate is the production of male hormones that ensure the activity of sperm and their viability, as well as protection against infections of the urogenital tract. In addition, the prostate gland is involved in the process of ejaculation and urination. Due to the importance of the functionality that it carries, experts often call the prostate the "second heart" of a man.

Thus, according to statistics, prostatitis is diagnosed in 30 - 85% of the male population over 30 years old. Although in our time, where there are so many great opportunities and temptations, prostatitis is being diagnosed in men who are at the peak of sexual activity, from 18 to 40 years old.

Reasons for the formation of prostatitis

The basis for the development of prostatitis is the ingress of infections into the tissues of the prostate from the urethra, which is called the "ascending" path; pathogenic focus, for example, such as chronic diseases of the nasopharynx organs, furunculosis, herpes virus, tuberculosis, untreated carious teeth and others.

It should be borne in mind that sexually transmitted infections (STIs) are considered the most dangerous, because they do not respond well to drug treatment, and in 20% of patients, two or more types of pathogenic microorganisms are found, such as chlamydia, gonococcus, Trichomonas, the herpes virus, Koch's bacillus and prostatitis can begin to actively develop under the influence of these infectious factors.

Doctors refer to the secondary causes of the development of prostatitis:

• sedentary lifestyle;
• injuries of the perineum, pelvic organs, all types of sports injuries;
• lowered immunity, lack of vitamins;
• frequent hypothermia;
• stress and overload of all kinds. If your body often works for wear and tear, receptors that are located in the blood vessels and ducts of the prostate begin to suffer, forcing them to contract, which leads to congestion and spasms in the tissues of the prostate;
• hormonal disruptions;
• obesity, because excess mass is pressing on the prostate;
• alcohol abuse and smoking impair circulation;
• persistent constipation;
• disordered intimate life;
• wearing tight clothing that prevents the scrotum from reaching its natural position;
• inflammatory diseases.

The factors listed above can form stagnation and impair blood supply, which will create favorable conditions for the development of prostatitis. It is also known that prostatitis in people with diabetes mellitus and hypertension is a concomitant disease.

Forms and symptoms of prostatitis

The classification of prostatitis into types is based on the reasons causing it and the forms of its course, which is why they usually distinguish:

• bacterial (acute) type of prostatitis is rare, only in 5 - 10% of cases and is characterized by high fever, characteristic pain in the lower abdomen, difficulty urinating, soreness during ejaculation, pain and discomfort during bowel movements. If you find at least one of the symptoms of acute prostatitis, immediately contact a specialist;
• the chronic type of prostatitis is observed in 90 - 95% of all cases and proceeds without pronounced symptoms. This form reveals itself as passing pain in the pubic and groin areas, as well as the perineum for three months or more, the duration and quality of intercourse may vary, and characteristic threadlike discharge may appear during bowel movements and urination. This type of prostatitis is characterized by the absence of pathogenic flora, it can be characterized as inflammatory or non-inflammatory.

Recall that the above symptoms of prostatitis are not typical for everyone and not always, someone may have only one, someone may have a whole complex of symptoms and prostatitis may not manifest itself for years and suddenly begin to develop rapidly, in this insidiousness and the difficulty of diagnosing the disease manifests itself. Specialists identify another form of prostatitis, which is called

Asymptotic.

So, what is asymptotic prostatitis? This is a latent form of the disease, i.e. one that has the property of asymptomatic flow. This type of prostatitis is detected only by ultrasound examination, which is recommended for men once a year.

Experts say that the prostate is not equipped with pain receptors and the cause of pain in prostatitis is the involvement of nerve pathways in the inflammatory process, which tends to spread and capture neighboring organs, resulting in signs of cystitis, urethritis or colitis.

Also, among the complications of prostatitis, vesiculitis and orchiepidymitis can be distinguished, which is an inflammation of the seminal vesicles and testicles, as well as their appendages

Among the complaints of prostatitis, the most common are: a feeling when the bladder is not completely emptied, as well as leakage, an irritating effect on the receptors of nerve endings also affects, which further leads to the urge to use the toilet at night.

A man becomes irritable, nervous, inattentive, constantly in a state of overwork and fatigue, depression may occur, some patients lose libido, sexual activity becomes inactive.

With all these symptoms, you should immediately consult an andrologist, because a prolonged course of prostatitis leads to disorders in the genital area and infertility, and an acute bacterial disease leads to the development of sepsis

Prostate adenoma (BPH) deserves special attention, which is a benign tumor that forms in the case of proliferation of prostate tissue, which occurs as a result of hormonal changes in the male body and is accompanied by inflammatory processes. Adenoma of the prostate is actively developing in the male population who have reached the age of 45, the so-called "male menopause". If treatment (medical or surgical) is neglected, the disease progresses, the exact causes of the occurrence of Prostate adenoma have not yet been clarified.

Among the symptoms of the disease, the weakening of the pressure of the jet when urinating is the first to manifest itself. Thus, prostatitis and prostate adenoma are different diseases of the same organ. It should be noted that patients are often frightened by such an unusual diagnosis as prostatitis at the stage of prostatosis, which means that at this stage there is no reason for concern, but certain corrective amendments will have to be made to your life, because stagnant processes in the capillaries take place. but the infection did not start.

Methods for diagnosing and treating prostatitis

What is prostatitis and how to treat it ?, we now know the answer to the first part, and a professional doctor - urologist or andrologist, who will hold a conversation, ask about the manifestations, intensity and duration of the disease, should give the answer to the second. >

Then he will appoint a number of laboratory and instrumental examinations, which will include approximately the following set:

• rectal examination of the prostate gland, taking the secretion of the prostate is very informative for a number of indirect signs;
• ultrasound examination of the prostate and pelvic organs;
• transrectal ultrasound (TRUS);
• urodynamic examination, which implies a computer analysis of the bladder and urination processes;
• computed tomography;
• biopsy (to exclude prostate cancer);
• blood, urine, ejaculate tests;
• spermogram (for completeness of the clinical picture).

The result is a plan for the treatment of prostatitis

It should be added that in the chronic bacterial type of prostatitis erythrocytes, Escherichia coli, enterobacteriaceae and other pathogenic agents are detected, in contrast to the chronic non-bacterial type of prostatitis, where the presence of leukocytes is characteristic.

Treatment of prostatitis is a whole range of physiological procedures and drugs, where the use of techniques has its own characteristics for various types of disease.

In the treatment of acute prostatitis, the recommendation of bed rest and antibiotics as the main means of combating this disease is widely used. This medication is usually chosen from the group of fluoroquinols (Levofloxacin, Quintor, Ofloxacin, Levoflox, Pefloxacin-AKOS, etc.), because they have a detrimental effect on pathogens that tend to provoke prostatitis.

The principle of operation of fluoroquinols consists in the method of introducing pathogenic microorganisms into metabolic processes and destroying their nucleus

If there is no sensitivity of inflammatory pathogens to fluoroquinols, then the selected therapeutic regimen must be revised when the test results are received. In this case, priority should be given to groups of macrodides (Azithromycin, Spiramycin, Sumamed, Erythromycin, Clarithromycin) or cephalosparins (Cefepim, Cefazolin, Cefotaxime, Cefoperazone, Ceftibuten, etc.)

Also, for prostatitis, drugs are prescribed, the main feature of which is to increase the fluidity of blood and its circulation (Detralex, Cavinton).Non-steroidal anti-inflammatory substances are prescribed, usually in the form of suppositories that relieve swelling (Ibuprofen, Vitaprost forte), it is possible to use other analgesics.

Prostatitis treatment can take up to two months

Treatment of chronic type of prostatitis depends on the stage of the disease, i.e. if an exacerbation occurs, then a course for the acute type of prostatitis is used. In the stage of so-called remission, the tactics of managing patients is used, which has in its arsenal the appointment of non-steroidal anti-inflammatory substances (NSAIDs). These are drugs, all of which are aimed at improving blood circulation and various immunomodulators.

If a patient has difficulty with erection during the treatment of prostatitis, which often happens, then sedatives and antidepressants are prescribed. Physical therapy sessions and physiotherapy procedures, as well as massage of the prostate gland, have a good effect.

Currently, spa treatment of chronic prostatitis is gaining popularity - balneotherapy, which means the use of mineral waters, as well as mud baths, where the most famous health resorts are Evpatoria, Crimea, Saki.

Surgical intervention for prostatitis, among the methods of which laser therapy is considered the most popular, is practically not used nowadays, because conservative therapy is quite effective, exceptions can be treatment failure, or used in critical situations

In general, chronic prostatitis is often treated on an outpatient basis and takes a long time. The consequence of such a diagnosis is a change in lifestyle and you should definitely pay attention to the "Prevention" section of our article. With the main methods of treating prostatitis, some recipes of traditional medicine are used. For example, it has been known since ancient times that pumpkin seeds are rich in zinc. For a daily dose, you will need to eat 30 pieces

Do not neglect garlic, which supports immunity, replenishes vitamin C deficiencies, reduces inflammation and the risk of developing tumors. Another effective folk remedy is propolis, which is a powerful anti-inflammatory and antispasmodic agent. Can be used in combination with other drugs.

Decoctions of chamomile herbs, pink radiola, valerian root, hawthorn and lingonberry infusions can also be used as an effective remedy. These drugs have a calming and anti-inflammatory effect. In this chapter, we have discussed in detail how to treat prostatitis, let's move on to the next section.

Prostatitis prevention measures

Measures for the prevention of prostatitis what is it and what are they? In fact, everything is quite simple and usually all recommendations boil down to the need to monitor your health and minimize risks, i.e. if any symptoms appear, you must immediately make an appointment with your doctor. To protect yourself from infection, you need to use contraception, improve your intimate life.

People with a sedentary lifestyle should reconsider their priorities and allocate time for sports and walking. Experts advise avoiding frequent hypothermia and, as a result, colds, which have a direct effect on the prostate gland.

It is worth taking up your diet, it should be healthy and varied, for example, low-fat meats, fish and seafood, cereals, dairy products, nuts, fresh vegetables, fruits and dried fruits, honey will undoubtedly have a beneficial effect on your body, but carbonated drinks, salty and smoked dishes, legumes, it is better to completely exclude baked goods. It is necessary to reduce alcohol consumption and eliminate cigarettes, because when smoke is inhaled, vasospasm occurs, which in turn interferes with blood flow. In no case should you avoid constipation, because in this case, the prostate is compressed.

You should learn to cope with stress, rest with family and friends is the best antidepressant.