Is it possible to damage the prostate by palpation

Prostate damage

The prostate, protected by the bony walls of the pelvic ring and the muscular-aponeurotic layers of the perineum, rarely undergoes isolated damage, which is more often combined with damage to the rectum, bladder, Seminal vesicles. Damage to the prostate is facilitated by its pathological conditions: chronic inflammatory processes, plethora, fragility of tissue changes and reduced mobility of the gland due to infiltration and swelling of the ligamentous apparatus. Damage to the prostate can be closed and open.

Closed injuries from the urethra usually occur as a result of improper, violent instrumental examination of the bladder during the introduction of a catheter, bougie, cystoscope, lithotriptor. More often, such damage is observed with strictures or inflammatory changes in the walls of the urethra, prostate adenoma. Forcible insertion of instruments can lead to the formation of a false passage in the prostate tissue, going in the direction of the bladder or periprostatic tissue.

Injury to the prostate is accompanied by pain, hematuria, urinary excretion of blood with clots, dysuria, and fever. In mild cases, these phenomena disappear after 2-3 days. In severe cases, hematuria and dysuria last much longer; often an infection joins, which leads to the occurrence of parenchymal prostatitis or to the formation of an abscess of the prostate gland.

With simultaneous damage to the periprostatic tissue, urinary infiltration may occur, extending to the pelvic tissue, followed by the formation of urinary phlegmon, which requires immediate surgical treatment.

The diagnosis is made on the basis of palpation of the prostate through the rectum. Palpation is painful; the prostate is unevenly enlarged, dense; areas of softening are determined. All of these phenomena may concern any one lobe or spread to the entire prostate gland. If there is an abscess, then palpation is marked by fluctuation.

Open injuries of the prostate occur with gunshot wounds, falling from the crotch on the edge of an object, or wounding with a piercing or cutting weapon and are much less common than closed ones. Gunshot wounds of the prostate are usually combined with damage to the bladder, rectum, urethra. Isolated injuries of the prostate are extremely rare.

With a combined wound, the symptoms of prostate damage do not appear immediately; signs of damage to neighboring organs come to the fore: urinary streaks, the passage of urine and feces from the wound, the passage of gases in the urine. After some time, symptoms of injury to the prostate gland join: pain in the anus, dysuric phenomena, hematuria. Urinary leakage followed by urosepsis usually leads to the death of the wounded

The diagnosis of prostate lesions is made on the basis of palpation examination through the rectum (which makes it possible to identify a deformity or wound of the prostate gland), as well as urethrography. First aid for wounding the prostate is the primary treatment of the wound. If the prostate gland and bladder are damaged, a suprapubic fistula should be applied. With urinary leakage, drainage is performed through the obturator foramen or through the recto-sciatic fossa (see Drainage in urology). With simultaneous wounding of the rectum, anus praeternaturalis is applied (see). With an extensive injury to the prostate with a foreign body, a perineal prostotomy is indicated.

Prostate damage during massage

Have you been struggling unsuccessfully with PROSTATITIS and POTENTITY for many years?

Head of the Institute: "You'll be amazed at how easy prostatitis can be cured by taking it every day.

Among modern methods of treating prostatitis, prostate massage is still important, the benefits and harms of which must be studied before carrying out this procedure. This method of reducing inflammation allows not only to reduce swelling and improve the outflow of prostate secretion, but also to normalize the blood circulation of the organ.

Our readers have successfully used M-16 to improve potency. Seeing the popularity of this tool, we decided to bring it to your attention. Read more here-

Positive Properties

Depending on the method of the procedure, the following massage methods are distinguished: manual, indirect, hydromassage, urological.

For a patient who is concerned about erectile dysfunction, prostate massage with a finger will also be of great benefit, as it increases potency, removes congestion and restores sexual energy. Finger massage of the prostate is also useful as a diagnostic method, since after it the secret of the organ is released, which is necessary for a laboratory study of the state of the gland.

Thus, the benefits of prostate massage lie in the following mechanisms:

• Activation of blood circulation.
• Elimination of congestion in the prostate.
• Increased oxygen saturation of the inflamed organ.
• Improve the work and tone of the pelvic muscles.
• Increase the effect of drug therapy.
• Increased libido.
• Prevention of inflammatory processes in the prostate.

However, while clearly beneficial, massaging the prostate with your finger can do some harm. Therefore, it is important to know the possible complications if it is performed incorrectly or incorrectly.

Cons of the procedure

An important point is that prostate massage should only be performed by a professional. If there is no experience with this method of therapy or it is carried out too intensively, it can cause significant harm to health. With bacterial prostatitis, inaccurate prostate massage may cause bacterial agents to enter the bloodstream, which can lead to the development of sepsis. Too active massage with carcinoma can not be beneficial, but worsen the course of the disease and cause the development of metastases.

In addition, damage to the rectal wall is possible after performing the procedure with a finger with the development of bleeding or exacerbation of hemorrhoids. It is also possible the occurrence of an autoimmune reaction with the appearance of antigens in the blood. This condition is accompanied by an intense pain syndrome.

According to doctors, men are often very nervous before and during this manipulation, which leads to muscle spasm and fiber rupture. The resulting bleeding leads to a significant impairment of health.

In order to avoid harm from carrying out a massage effect on the prostate, it is necessary to know the diseases in which its implementation is highly undesirable. These include:

• Stones in the prostate.
• Hemorrhoids.
• Neoplasms.
• Acute inflammation.
• Urological diseases.

In the presence of these conditions, it is necessary to carry out a number of diagnostic procedures before starting to massage the prostate gland with a finger, and be sure that it is useful and will not cause harm.

Thus, prostate massage is an effective and reliable way not only to reduce inflammatory changes in the prostate gland and enhance the effect of drugs, but also a good method of dealing with erectile dysfunction. However, it is worth remembering that this procedure can bring not only benefits, but also harm.

Closed injuries and injuries of the prostate and seminal vesicles

The prostate and seminal vesicles are located in the depths of the small pelvis, protected by its bones and muscular-aponeurotic formations of the perineum; anatomically and topographically closely related to the bladder, urethra, rectum, urogenital diaphragm, so their damage is most often multiple and combined.

There are closed injuries and injuries of the prostate and seminal vesicles and open injuries of the prostate and seminal vesicles. The prostate (prostata) is an unpaired organ of the male reproductive system, located in the anterior lower part of the small pelvis under the bladder. Seminal vesicles (glandula seminalis) are paired formations related to the internal male genital organs and protruding as part of the vas deferens.

ICD-10 code

Causes of closed injuries of the prostate and seminal vesicles

Closed injuries and injuries of the prostate and seminal vesicles can be damaged simultaneously with the membranous and prostatic parts of the urethra and rectum.

Iatrogenic damage to the prostate also occurs with the forced introduction of metal instruments into the posterior urethra, especially when it is narrowed or with prostate adenoma.

Symptoms of closed injuries of the prostate and seminal vesicles

Endourethral damage to the prostate can be single or multiple and are called false passages. Distinguish incomplete, i.e. not penetrating through the entire prostate, and complete false passages penetrating beyond e into the pelvic tissue, seminal vesicles, bladder, rectum. Symptoms of closed injuries of the prostate and seminal vesicles, pain in the perineum and anus, difficult painful urination, hematuria, hemospermia.

In severe trauma, combined with significant damage to the pelvic bones, clearly expressed symptoms of the latter smooth out or hide the clinical signs of damage to the prostate and seminal vesicles. Damage to the seminal vesicles in all cases are recognized late, as they do not have pathognomonic symptoms.

Endourethral damage to the prostate is manifested by pain in the perineum, bleeding from the urethra, painful difficult urination, acute urinary retention.

Combined damage to the prostate and the urethra or bladder, complete false passages can lead to urinary leakage, urinary infiltration and the occurrence of phlegmon of the pelvic tissue. In some cases, the development of urosepsis is possible.

Depending on the type of injury, bruises and ruptures are distinguished among closed injuries, with open injuries, bruises, tangential, blind and through wounds.

Diagnosis of closed injuries of the prostate and seminal vesicles

The diagnosis is established on the basis of the anamnesis, assessment of the existing symptoms of the results of the physical examination.

Clinical diagnostics

At rectal examination, the prostate is enlarged, uneven in consistency; softening areas can be determined in it, infiltration of paraprostatic tissues due to hemorrhage or urohematoma is determined. Palpation is sharply painful.

Instrumental diagnostics

Ultrasound and CT are of great help in diagnosing damage to this localization. On urethrocystograms, the inflow of contrast agent into the prostate, paraprostatic tissue can be seen.

What should be examined?

Who should I contact?

Treatment of closed injuries of the prostate and seminal vesicles

For prostate bruises, patients are prescribed bed rest, painkillers, hemostatic and antibacterial drugs. With urinary retention, it is advisable to establish a permanent balloon catheter, sometimes capillary punctures of the bladder are used; there may be indications for the imposition of a suprapubic vesical fistula.

To stop bleeding from the prostate, in addition to conventional hemostatic agents, they successfully use a pressure bandage on the perineum, local hypothermia, tamponade of the bleeding prostate and the prostatic part of the urethra with a dosed tension of the balloon-catheter using a fixed aseptic napkin on the urethral catheter at the external opening of the urethra channel.

Surgical treatment

With ruptures of the prostate, and injury by fragments of the pelvic bones with extensive hemorrhages, sometimes there is a need for surgical treatment. It consists in exposing the prostate by perineal or retropubic or vesical access, removing non-bone fragments, outflowing blood and blood clots, stopping bleeding by applying eight-shaped sutures or tamponade of the damaged and bleeding part of the prostate.