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What does the prostate feel like with chronic prostatitis

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Examination of the prostate gland Urology and gynecology

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Prostate examination

Very often, a urologist faces a whole bunch of problems when diagnosing patients with prostate diseases. Firstly, many pathologies that vary in severity and require different treatment manifest the same symptoms. Special studies and analyzes help put everything in its place.

Prostate examination methods

There are several different tests that a doctor can use to make a correct diagnosis. These are digital Rectal examination, urinalysis for bacteriuria and other urinalysis, PSA (prostate-specific antigen) test, biopsy.

Digital rectal examination

Secondly, the representatives of the stronger sex, as a rule, consider digital rectal examination (PRO) a humiliating procedure. This study should not be treated like that, because it is a very simple, convenient and, most importantly, fast method for detecting many anomalies of the prostate.

PRO Method

The essence of the method is as follows. The doctor puts on a glove. Lubricates the gloved index finger with a lubricant, then gently inserts it into the anus. Palpation of the prostate gland is carried out through the anterior wall of the rectum.

At the same time, attention is drawn to its size, shape, consistency, presence of nodes, sensitivity.

Prostate is normal

A healthy prostate measures about 3 cm and protrudes about 1 cm into the rectum. To the touch, it is elastic and elastic, painless on palpation.

A furrow is clearly expressed, which divides the gland into two lobes. If the patient is suspected of acute prostatitis, then, in most cases, symptoms of inflammation will be present, palpation of the gland will cause pain. If the prostate gland is less sensitive, but constantly enlarged in size , the most likely diagnosis is chronic nonspecific prostatitis. In both cases, bacteriuria is likely to be detected in the urine.

Pro is included in the mandatory screening list for prostate cancer

Digital rectal examination is an integral part of prostate cancer screening worldwide. Most oncologists recommend an annual PRO for all men over 40.

Additional research

If an enlarged prostate has been identified during PRP and the reasons for this are not clear enough, further steps are taken to determine the cause of possible urinary retention. Among them:

• assessing the strength of the urine stream during urination; intravenous urography: a radiopaque substance is injected into the patient's vein, and then x-rays of the urinary tract are taken; cystoscopy: a fiber optic cystoscope is used, which is inserted through the urethra into the bladder.

Cancer screening

If there is a suspicion that the prostate gland has increased due to a malignant neoplasm, a PSA (prostate-specific antigen) test is performed. It can be used to detect Prostate cancer in its early stages. But this test alone is not enough to make a definitive diagnosis. As a rule, other studies are required. In addition, the PSA level can be increased due to benign prostatic hypertrophy and after palpation of the prostate. It follows from this that any rectal examinations should be carried out only after blood sampling for PSA.

Rectal examination (DRE)

A rectal exam is a type of physical exam in which a doctor or nurse inserts a finger into the patient's rectum (anus) to feel for any abnormalities. Some people find having a rectal examination during a prostate cancer diagnosis in Israeli clinics uncomfortable and embarrassing, but the procedure only takes a few minutes and is usually painless.

Reasons for rectal examination

One of the common reasons for a rectal examination is to suspect prostate disorders, which may be signs of prostate cancer or other diseases. A rectal examination may also be required if the patient has changes in bowel function that may indicate problems with the digestive system. system.Such changes may include:

• Bleeding from the rectumLoss of normal bowel function, called bowel (in some cases bladder) incontinence Pain in the anus or rectum

Examination of the prostate

You can examine the urethra with a rectal examination, through which a specialist can detect changes in the prostate such as swelling and induration. You can also detect an enlargement of the gland, which usually occurs in older men and puts pressure on the bladder and urethra, causing the following symptoms:

• Difficulty urinating, Intermittent or weak urine flow, Having to strain to urinate, frequent urination, Frequent urination at night.

In most cases, prostate enlargement brings a lot of trouble to a man, but does not pose a threat to life. However, prostate enlargement causes symptoms similar to those of prostate cancer. A rectal examination can determine if the symptoms are caused by an enlarged prostate or a malignant tumor. Prostate cancer causes a thickening of the surface of the prostate gland, which can become hard and uneven, while an enlarged prostate usually does not affect the surface of the prostate. Rectal examination during the diagnosis of prostate cancer in Israel is not a guaranteed way to determine the disease, so it is usually used in combination with other tests, such as a blood test and biopsy, which involves taking tissue samples for examination in the laboratory.

How the procedure works

Before the examination, the doctor will ask the patient to take off their underwear and lie on the couch on the left side, pulling the knees to the chest, or on the back, lifting the legs up and spreading them apart. The proctologist then performs a thorough visual examination of the anus to identify abnormalities such as:

• WartsSwollen blood vessels around the rectum or anus, known as hemorrhoidsInjuries to the anus such as tears and fissures

After that, the doctor uses a gel to lubricate one finger, which will gently press against the anus and move up the rectum. The patient at this time may feel some discomfort or pain.

During the examination, the doctor may ask the patient to squeeze the rectum around the finger in order to assess how well the muscles in the rectum and intestines are working. During the rectal examination, the doctor carefully examines the prostate gland for lumps and roughness. A healthy prostate should be smooth to the touch.

Pressing on the prostate is painless, but may lead to an urge to urinate. If there is an infection in the prostate, the patient may feel pain when pressed.

Prostatitis is an inflammation of the prostate gland. The main cause of this disease is infection from the bladder, rectum, urethra, through the blood and lymphatic vessels of the small pelvis into the gland. Prostatitis is one of the most common urological diseases in men.

It is believed that after 30 years, 30% of men suffer from prostatitis, after 40 40%, after 50 50%, etc. At the same time, experts note that the real incidence is much higher than the registered one, which is explained by the peculiarities of diagnosis and the possibility of the disease occurring in a latent form. The prostate gland is a small glandular-muscular organ, approximately the size of a walnut, which is located in the pelvis under the bladder, covering the initial section of the urethra (urethra). The main function of the prostate gland is to produce a secret, which, mixing with seminal fluid, maintains the activity of spermatozoa and their resistance to various adverse conditions.

Prostatitis: causes

As already mentioned, the main cause of prostatitis is an inflammatory process caused by an infection that has entered the prostate. However, by itself, infection in the gland is not enough for all manifestations of the disease. For the development of an unfavorable clinic of prostatitis, predisposing factors are necessary, which include:

• General hypothermia of the body. Frequent constipation, and the disease can cause not episodic constipation, but regular stool disorders. does not have the opportunity (or is too lazy) to get up and stretch. Chronic inflammatory diseases (for example, chronic bronchitis) and chronic foci of infection in your body (for example, tonsillitis, untreated carious teeth). Prolonged sexual abstinence or, conversely, excessive sexual activity.Both are equally harmful to the body as a whole, but primarily have a negative effect on the state of the prostate. Postponed sexually transmitted and urological diseases (gonorrhea, urethritis). Any other conditions that contribute to the suppression of the immune system (for example, overload in athletes, regular lack of sleep, processing, inadequate and irregular nutrition, chronic stress, etc.).

All these factors either contribute to the penetration of pathogenic microorganisms into the prostate gland, or lead to a deterioration in the blood supply to the pelvic organs, stagnant processes, which contributes to the multiplication of bacteria and the development of the inflammatory process. Seek medical attention in a timely manner There are 4 main forms of prostatitis: acute Bacterial prostatitis, chronic bacterial prostatitis, non-bacterial prostatitis and prostatodynia. In men younger than 35 years, the disease usually occurs in the form of acute bacterial prostatitis. Bacterial prostatitis is diagnosed when there is laboratory confirmation of infection.

Most often it turns out to be chlamydia, gardnerellosis, trichomoniasis or gonorrhea. However, recent studies prove that in most cases the infection is superimposed on existing disorders in the structure of the prostate tissue and blood circulation in it. With non-bacterial prostatitis, bacteria cannot be isolated, although this does not exclude their presence. Older patients are more often diagnosed with chronic forms of the disease. Prostatodynia is called the presence of a clinical picture of prostatitis, thickening of the prostate tissue without signs of inflammation.

Prostatitis: symptoms

Prostatitis symptoms, in general, can be divided into 3 groups:

• Urinary disorders frequent and painful urge to urinate, feeling of incomplete emptying of the bladder, pain in the lower abdomen; sexual dysfunction soreness along the urethra and in the rectum during ejaculation, weak erection, premature ejaculation, loss of orgasm and others; increased anxiety and nervousness of a man, caused by fixing the attention of patients on their condition.

The symptoms of acute and chronic prostatitis are similar, but in the case of the acute form of the disease, the painful manifestations are much more pronounced. Acute prostatitis most often begins with chills, fever and fever up to 39-40 degrees. Urination is difficult and painful. Edema of the prostate gland develops, which can cause acute urinary retention. Chronic prostatitis proceeds slowly, the painful symptoms are mild, but at any time, under adverse factors, the chronic process can turn into an acute form. An asymptomatic course of the disease is also possible.

Chronic pelvic pain syndrome

To date, scientists have not identified the real cause of Chronic pelvic pain. With this painful condition, prolonged (for more than 3 months) pains in the pelvic area, genitals and perineum are observed.

At the same time, using laboratory tests, it is not possible to detect signs of inflammation in the secretion of the prostate gland. However, chronic pelvic pain syndrome is perhaps the most common form of prostatitis, occurring in approximately 90% of patients who consult a doctor with characteristic complaints. Although men of any age can suffer from this disorder, it most often affects people between the ages of 35 and 45. According to experts, most likely the disease is caused by urinary reflux, i.e. penetration of urine into the prostate. Also, one of the causes of this disorder may be a violation of the normal functioning of the nervous system. Chronic pelvic pain syndrome

Prostatitis: diagnostics

The main method for diagnosing prostatitis is a digital rectal examination, which gives the doctor the opportunity to determine the size, nature of the surface of the prostate and its sensitivity. With prostatitis, the prostate gland is edematous and painful, with a non-uniform surface to the touch. To determine the presence of stones, tumors or abscesses in the prostate gland, transrectal ultrasound is used - ultrasound, in which the sensor is inserted into the rectum. Laboratory research methods are also used to diagnose prostatitis. So, with bacterial prostatitis, an increased number of leukocytes is found in the prostate secretion. When diagnosing prostatitis, various urine tests are performed, and bacteriological examination of urine obtained after Prostate massage can also be prescribed. A smear from the urethra is analyzed to determine sexually transmitted infections (chlamydia, gonorrhea, trichomoniasis, etc.).

Prostatitis: treatment

Treatment of acute bacterial prostatitis. Antibiotics are used to treat acute bacterial prostatitis.To select the drug, bakposev of the prostate secretion is carried out, which makes it possible to determine the sensitivity of the causative agent of the disease to antibiotics.

For the treatment of this disease, antibiotics are used that can penetrate into the tissues of the prostate, such as ciprofloxacin and trimethoprim-sulfamethoxazole.Treatment of chronic bacterial prostatitis.For the treatment of this form of prostatitis, apply:

• Antibiotics - the course of treatment is long and takes 4-12 weeks. Immunomodulatory drugs - strengthen the patient's immune system and increase the body's ability to cope with the disease on its own. prostate massage - reduces congestion, improves blood flow, helps to eliminate prostate secretions. Physiotherapy procedures - laser (enhances tissue regeneration), ultrasound (has an antibacterial effect, promotes the penetration of drugs into the diseased organ by enhancing metabolism in the tissues of the prostate gland).

It must be remembered that an exacerbation of the disease can cause hypothermia, drinking alcohol, spicy foods, irregular sex life. Treatment of non-bacterial prostatitis and chronic pelvic pain syndrome.

• Despite the fact that no bacteria are found in the secretion of the prostate in chronic pelvic pain, doctors consider it appropriate to conduct a course of antibiotics for 2-4 weeks. Nonsteroidal anti-inflammatory drugs. Alpha-blockers - drugs that relieve increased muscle tone of the pelvic organs, prevent urine from entering the prostate. Sedative drugs are prescribed, since stress is one of the causes of an exacerbation of the disease.

If you have any questions, please contact the online doctor's consultation service.

Prostatitis: prevention

• Treat inflammatory diseases of the urethra and bladder, such as cystitis, in a timely and complete manner. Maintain regular bowel movements. Exercise regularly - running, swimming, playing tennis, and walking. Have an active, regular sex life.

Keep an active sex life

Prostatitis: treatment with folk remedies

• Pumpkin seeds. The daily dose is 30 pieces per day. Seeds must be raw. They must be stored in the refrigerator. Take 1-2 times a day, one ball half an hour before meals. The ball must be chewed for two to three minutes. This remedy for prostatitis is very effective. As a rule, one course per year is sufficient.

Effective treatment for prostatitis pumpkin seeds

• Hazel. Pour several branches of a bush with leaves with water, bring to a boil. Boil for 20 minutes, let it brew until red-brown. Steam over the solution for 30 minutes. The course of treatment is a week. Aspen bark infused with vodka. Bark with a thickness of 3-5 millimeters must be prepared before the buds of trees bloom, at the beginning of sap flow. Dry it in the shade or in the oven. 100 grams of crushed raw materials must be poured with 200 milliliters of vodka, closed with a lid and infused in a dark place for 2 weeks, after which the infusion is filtered. Take 3 times a day before meals, while diluting 20 drops with water to a quarter cup. The tincture is enough for about 2 months. Juice therapy. It is recommended to drink asparagus juice along with cucumber, beet and carrot juices up to 600 milliliters per day. It is also recommended to drink a glass of purified water on an empty stomach in the morning, and after 15 minutes - a tablespoon of elderberry juice. In this case, the minimum course of treatment is 10 days. For safety, add 2-3 tablespoons of vinegar to 0.5 liters of juice. Propolis. This remedy has a strong antispasmodic and anti-inflammatory effect and quickly eliminates the symptoms of the disease. If you are prescribed medication for prostatitis, propolis will be an excellent supplement. To do this, in 200 milliliters of pure alcohol, we evaporate 40 grams of propolis. 0.1 gram of extract is mixed with 2 grams of cocoa butter. We make a candle from the mixture. Such suppositories with propolis from prostatitis are used for a month, then a break for 4-6 weeks and a new course of treatment.

In case of signs of chronic prostatitis, the following foods should be limited in the diet:

• Foods that cause increased gas formation in the intestines - legumes, white cabbage, whole milk.Meat, fish and mushroom broths and sauces.Onion, garlic, radish, radish, horseradish.Seasonings and spices.

It is recommended to drink plenty of fluids to help flush the urinary tract.

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Finger examination

It is carried out through the rectum. This examination of the prostate gland is mandatory, so do not neglect it.Finger diagnosis of prostatitis is carried out as follows:

• explaining the essence of the study to the patient; the patient takes the knee-elbow position, which is considered the most convenient for obtaining a qualitative result; the specialist, putting on gloves and lubricating his finger with a special gel, inserts his finger into the anus. It is worth noting that the sensation is not pleasant, especially if there are cracks or hemorrhoids on the rectum; next, you need to find a seal that is located on the front wall of the intestine a few centimeters from the anus; this is the prostate gland; the specialist’s task is to assess the condition of the surface, the size , consistency, and how sensitive the prostate is.

In a normal state, iron should be about 3 cm, have a smooth surface and a dense texture. It should be well palpable, while not causing pain.

To the touch, two lobes should be clearly distinguished, between which there is a small furrow. If the patient has cancer, then the prostate gland will be enlarged. Its surface in this disease is uneven and hard to the touch, reminiscent of a stony consistency. The gland is also enlarged with Prostate adenoma, the surface will be smoother, and the consistency is tight and elastic, reminiscent of rubber, from which manual expanders are usually made. Chronic prostatitis is characterized by the presence of edema and pain.

If you press on the gland, the pain will be given in the penis. The structure of the surface in this case will resemble a rubber ball that children usually play with. After a digital examination, purulent discharge may appear from the anus, this indicates the presence of prostatitis.

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How is prostatitis diagnosed in men

Prostatitis is a very common disease among men. At the same time, the diagnosis of prostatitis is often carried out too late, already in the acute or chronic period. This is because the representatives of the stronger sex simply ignore the first signs of the disease. And most men have never been to a urologist at all, believing that problems with the prostate arise already in old age. This is absolutely not true. Prostatitis can occur between the ages of 20-50. The risk of diseases of the genitourinary system increases from the moment an active sexual life begins. Therefore, it is so important to regularly undergo elementary examinations by specialists.

What is prostatitis?

Prostatitis is an inflammatory process in the prostate gland. The prostate gland plays an important role in the male reproductive system. The vas deferens and the urethra pass through the prostate. The ejaculate passes through the prostate before ejaculation. If there is inflammation of the gland, both channels are compressed, urination and ejaculation are difficult. Speaking about the endocrine properties of the organ, the prostate converts the male sex hormone testosterone into its active form. And it is prostatitis that often causes erectile dysfunction, male infertility.

The danger of the disease lies in the fact that there is a risk of prostate cancer, prostate adenoma. Such diagnoses are usually made in adulthood. Also, those men who ignored all the doctor's prescriptions and did not carry out proper therapy are at risk. What leads to this disease? The main cause of inflammation of the prostate gland is a violation of blood circulation in the organ. Stagnation begins to form, the ducts clog. This is what causes inflammation. The blood flow is disturbed due to excess weight, sedentary work, a sedentary lifestyle.

Often, infectious and sexually transmitted diseases lead to prostatitis:

• Gonorrhea;
• Chlamydia;
• Tuberculosis;
• Influenza;
• Frequent complicated sore throats.

The presence of an infection in the body is always accompanied by an inflammatory process in some organs. Could be bacterial prostatitis. At the same time, bacteria enter the body through the biological fluids of the body (during sexual intercourse, through the blood, lymph). There are also such causes of prostatitis: hypothermia, injuries of the pelvic organs, low physical activity, prolonged abstinence from sex, interruption of sexual intercourse, frequent constipation, immune system dysfunction, urological diseases, hormonal failure, diabetes mellitus.

Finger diagnosis of prostatitis

Diagnosis of prostatitis in men, as a rule, begins with the collection of anamnesis. The patient is interviewed and examined. The doctor finds out what symptoms bother men, when they become more acute, under what circumstances they disappear and reappear. Also, it is important for the doctor to know if among the blood relatives there are patients with prostatitis, prostate cancer, adenoma. After all, the factor of heredity is important.

A reliable diagnostic method is a digital examination of the prostate through the rectum. It is not worth neglecting this diagnostic option. Most physicians start with this research. The digital rectal examination procedure is performed as follows:

• The essence of the procedure, preparation is explained to the patient;
• The patient takes a knee-elbow position near the couch;
• The doctor puts on disposable sterile gloves, lubricates his finger with gel;
• Gently inserts a finger into the anus towards the spine;
• At a distance of 5 centimeters from the passage, the doctor will feel the prostate gland, and will be able to assess its size, structure, consistency, sensitivity.

If during the examination a man has hemorrhoids, cracks in the rectum, he may feel pain. The normal size of the prostate gland is 3 cm in diameter. If the bladder is full, the prostate may be slightly larger. Necessarily, in the normal state of the organ, a flat and smooth surface will be diagnosed. The consistency is quite dense, but at the same time elastic. It is very important that during the diagnosis, the doctor can well feel two different lobes, which are separated by a furrow. This will indicate the absence of an inflammatory process.

If a man is diagnosed with prostate cancer, the organ increases in size, has a bumpy, uneven surface. To the touch, the prostate is very hard, practically does not have elasticity. And only finger diagnostics will help to evaluate all the qualities of the prostate gland. Therefore, such diagnostics cannot be avoided, it is considered one of the most reliable and fastest.

Doctors are shocked! That's what prostatitis is afraid of! The prostate will be healthy if in the morning

Laboratory methods for examining the prostate

For laboratory diagnostics, it is necessary to submit biological fluids for analysis. First, blood is taken from a vein. If, according to the result of the diagnosis, more than 4-5 units of leukocytes are detected, we can talk about the presence of an inflammatory process in the body of a man. But, it always guarantees prostatitis. Therefore, it is important to make a swab from the urethra.

When taking material from the urethra, the doctor inserts an applicator with a swab into the urethra and turns it. All the material obtained from the tampon and from the applicator rod is sent for laboratory diagnostics. If more than 4 polymorphonuclear leukocytes are detected in the analysis, it will indicate the presence of urethritis. In turn, urethritis often provokes prostatitis. Urethritis develops against the background of sexually transmitted diseases. And, to determine the type of infection, a scraping from the urethra is taken.

To confirm or refute the diagnosis of prostatitis, it is worth diagnosing prostate secretion. Also, such a study will help to identify the functional state of the body. In the study, laboratory assistants determine the number of leukocytes, lecithin grains and flora. If the leukocyte is more than 10, there are many grains, and the flora is practically absent, we can safely say that there is inflammation of the prostate.

It is important to properly fence the secret.The man must empty his bladder completely. Prostate massage is performed to release fluid. If after the massage the secret is not allocated, the urine sediment is examined, which is excreted within five minutes after the massage. It is very important to conduct a general urine test. Normally, no protein should be detected in the material. A healthy man has no more than 5 leukocytes in his urine. The doctor may also prescribe a bacteriological diagnosis of urine. This will give a broader picture of the patient's condition.

Instrumental diagnostics of the disease

As an additional research method, the doctor may prescribe ultrasound diagnostics. Such an examination will help to more accurately determine the size of the gland. Also, ultrasound will show changes in the seminal tubercles, ducts. It is very important to carry out instrumental diagnostics in case of suspicion of the formation of stones in the gland. What often happens during chronic prostatitis.

The ultrasound probe is inserted rectally. This diagnostic is used in such cases:

• Acute bacterial disease of the prostate;
• Pathological abnormal processes in the gland;
• Monitoring the effectiveness of prostatitis treatment;
• Suspicion of cancer on digital examination of the gland;
• Pain during ejaculation;
• Bacterial cystitis, urethritis.

Myography is prescribed to determine the level of pressure in the urethra. If there is a risk of an abscess or cancer, the doctor will refer the patient to an MRI or CT scan. An additional diagnostic method is cytoscopy. It is carried out according to strict indications: injuries of the genital organs, preparation for surgery, with hematuria, pain in the scrotum, in case of obstructive urination.

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Diagnosis of prostatitis at home

It is very important to recognize the first symptoms of the disease in a timely manner. That is why self-diagnosis of prostatitis at home plays an important role. Every man can suspect a problem by listening and looking more closely at his body. So, for the initial stage of prostatitis, the following symptoms will be characteristic:

• Pain during urination;
• Pain during ejaculation;
• Premature ejaculation;
• Intermittent urination;
• High secret;
• Increased body temperature;
• Pain in the perineum, scrotum, testicles.

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Often, the pain syndrome spreads to the back, lower back, legs, and anal passage. The process of defecation can be difficult. The presence of at least one of the signs indicates an inflammatory process in the body. Also, you can carry out another diagnostic method in the house. To do this, a man must urinate in three different containers. In case of prostatitis, urine in jars 1 and 3 will be cloudy. If the liquid is cloudy in only 1 of the vessels, there is some kind of inflammatory process. In any case, it is very important to immediately seek help from a doctor. After all, timely treatment guarantees a complete recovery, and a full sexual life.

Well, my husband was frightened. Everything connected with the clinic causes wild horror in my boy. But I think it's good - for prevention purposes. If he does not follow all your and my recommendations, he will definitely end up in the skillful and tenacious hands of a urologist. Thank you friends!

Yes, you will not envy men, knowing their attitude towards themselves and their ailments. I believe that every man is a protector, so protect yourself, your woman, your family.

What does the prostate feel like with chronic prostatitis

Influence of prostatitis on sexual life

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• Sex and prostatitis - what's the connection
• How to make sex with prostatitis useful
• When and what kind of sex can be harmful

Prostatitis can manifest itself in men at any age - and in the prime of life, and in youth, and in old age. The inflammatory process in the prostate gland somehow affects the sexual functions of men, and this is what makes them think about the advisability of having sex.How useful is sex life for prostatitis, and how often can you have sexual intercourse when making such a diagnosis - patients often ask this question to their doctor.

Sex and prostatitis - what's the connection

The prostate gland is an organ that is actively involved in the formation of male libido, and the fluid it produces is part of the ejaculant. In addition, the prostate, located in the lower part of the small pelvis, regulates testosterone levels.

Sexual abstinence or excessive activity affects the condition of the prostate in different ways, even when the gland is in the physiological norm. If a man is diagnosed with prostatitis, sexual activity needs to be consciously regulated. At the same time, the recommended number of sexual contacts depends on the course of the disease:

• In acute prostatitis, doctors recommend reducing the number of sexual intercourse to 1 time per week. This will contribute to less irritation of the prostate and at the same time preserve the physiological functions of the gland.
• In chronic prostatitis, especially during remission, the number of acts of intercourse per week is 2-3. With such a scheme, the prostate gland will use nutrients more actively (it is known that during sexual intercourse, blood flow to the organ increases many times), which will contribute to the formation of a natural resistance to infection of any origin in the organ.

It's important to know! During sex with prostatitis, it is advisable to use barrier contraceptives, especially if the disease is of an infectious nature. This will avoid health problems for your partner. If a man does not have a permanent couple, this will avoid exacerbations of the disease, because even a healthy microflora in her vagina can lead to an exacerbation of the chronic form of prostatitis.

How to make sex with prostatitis useful

Men tend to attribute emotional benefits to sex. Getting sexual satisfaction is often regarded by them as a step towards self-esteem. However, the true benefit of logically completed intercourse (with full ejaculation) lies in a slightly different set of health benefits:

• increased blood supply in the pelvic organs;
• natural prostate massage with contraction of the internal muscles in the pelvis;
• a burst of hormone synthesis at the time of ejaculation;
• increase in overall physical activity;
• increased inflow and outflow of lymph in the pelvic organs.

Together, these moments lead to the strengthening of the natural immunity of a man, which allows his body to actively resist inflammation in the prostate gland. In addition, the hormonal balance is leveled and the flow of biological fluids to the pelvic organs increases. Thus, the gland tissues are restored at the cellular level.

In order for the above beneficial properties of sex in chronic and acute prostatitis to really turn out to be useful, you need to strive to follow these rules:

When and what kind of sex can be harmful

Sex with a confirmed diagnosis of prostatitis can be harmful if approached with excessive zeal, that is, practicing several sexual intercourse per day. Such a load can lead to swelling of the prostate gland, which will aggravate the symptoms.

Unfavorably affects the condition of the prostate and interrupted sexual intercourse. This type of sexual intercourse is often used to prevent pregnancy, and is the removal of the penis from the vagina at the time of ejaculation or a few seconds before it occurs. Such actions often lead to incomplete emptying of the prostate from the secret synthesized during sex. It, remaining in the tissues of the prostate gland, serves as a nutrient medium for the microorganisms present there.

Important! In the chronic form of prostatitis, interrupted sexual intercourse in 80% of cases leads to an exacerbation of the disease. Healthy men who practice this method of contraception have a 40% higher risk of prostatitis than those who ejaculate in their partner's vagina.

Even more harmful for men diagnosed with prostatitis is sexual intercourse that did not happen. After the onset of sexual arousal, blood rushes to the pelvic organs, and the prostate begins to actively produce a secret. In this case, abstinence leads to stagnation, which often provokes an aggravation of symptoms, and complicates the course of the disease.

Sex with prostatitis can replace a full prostate massage. In addition to physical and emotional satisfaction, it gives men a chance for faster recovery from this disease, or significantly lengthens remission periods for chronic prostatitis.

The video will focus on prostatitis and its connection with sex:

Diagnosis and symptoms of prostatitis

One of the most dangerous and insidious diseases is prostatitis. It is dangerous not by its unpleasant symptoms, but by the consequences. Representatives of the strong half of humanity are prone to prostatitis.

In order for the treatment to be as effective as possible, an accurate diagnosis of prostatitis is absolutely necessary, which will help to identify the disease even in the early stages.

To date, the causes of this disease have not been fully determined. But experts call several factors that can provoke the appearance of prostatitis. These include:

• strong stress;
• sedentary lifestyle;
• lack of regular sex;
• unfavorable environmental conditions and so on.

Every man who is not indifferent to his health should take care of preventive measures in order to avoid serious problems in the future. Practice shows that almost every second man suffers from prostate disease. In many cases, prostatitis becomes chronic, which significantly complicates the treatment.

Several ways to diagnose prostatitis

The diagnosis is based on a rectal digital examination of the prostate gland. In addition, it is necessary to pass some tests, without which no diagnosis of prostatitis can do. The main picture emerges based on the patient's complaints and laboratory data.

Main signs of prostatitis

There are several clear signs of prostatitis:

• pain or discomfort in the lower abdomen, testicles, rectum, penis, rectum, or lower back;
• painful process or frequent urination, feeling that the bladder is not completely emptied;
• sexual dysfunction.

The symptoms of prostatitis do not bother constantly, but periodically, while they can either intensify or weaken.

Types of prostatitis

Acute prostatitis is caused by inflammation of the prostate gland, which is caused by an infection. This form is characterized by a relatively short duration of the disease - less than three months.

The main signs of acute prostatitis are:

• lumbago in the perineum, while the pain may radiate to another area of the lower abdomen;
• Pain and other urinary problems. Also, with an acute degree of prostatitis, a feeling of constant urge to urinate can be created.

In addition to these problems, other signs may occur: fever, chills, increased sweating, and so on.

In acute prostatitis, undesirable complications may occur: prostate abscess, sepsis, paraproctitis. In the absence of high-quality treatment, it can become chronic.

Chronic prostatitis. Inflammation can occur without the participation of infections. The danger of this form is that not all patients have a chance of recovery. The most basic symptom in this case is pain in any area of the pelvis, but most often in the perineum. While walking, the pain may ease, and in a sitting position, it usually increases.

Many people mistake pain in one of the testicles for signs of prostatitis, but most likely it may be a sign of another disease.

Chronic prostatitis may be accompanied by pain after ejaculation. The presence of this feature makes it possible to discard the likelihood that benign hyperplasia has formed in the prostate gland.

Main types of diagnostics

Types of diagnostic tests:

Finger examination

It is carried out through the rectum. This examination of the prostate gland is mandatory, so do not neglect it. Finger diagnosis of prostatitis is carried out as follows:

Explaining the essence of the study to the patient; the patient takes the knee-elbow position, which is considered the most convenient for obtaining a high-quality result; the specialist, putting on gloves and lubricating the finger with a special gel, inserts the finger into the anus. It is worth noting that the feeling is not pleasant, especially if there are cracks or hemorrhoids on the rectum; then you need to find a seal, which is located on the front wall of the intestine a few centimeters from the anus - this is the prostate gland; the task of a specialist is to assess the condition of the surface, size, consistency, and also how sensitive the prostate gland is. In the normal state, the iron should be about 3 cm, have a smooth surface and a dense texture. It should be well palpable, while not causing pain. To the touch, two lobes should be clearly distinguished, between which there is a small furrow.

If the patient has cancer, the prostate will be enlarged.Its surface with this disease is uneven and hard to the touch, reminiscent of a stony consistency.

The gland is also enlarged with prostate adenoma, the surface will be smoother, and the consistency is tight and elastic, reminiscent of rubber, from which manual expanders are usually made.

Chronic prostatitis is characterized by swelling and pain. If you press on the gland, the pain will be given in the penis. The structure of the surface in this case will resemble a rubber ball that children usually play with.

After a digital examination, purulent discharge may appear from the anus, this indicates the presence of prostatitis.

Lab test

Includes several methods:

• counting the number of leukocytes that are in the secretion of the prostate gland;
• Counting the number of leukocytes in the urine. In this case, only the first portion of urine is needed;
• calculation of the number of leukocytes in the urine and its bacteriological examination after the gland massage procedure has been carried out;
• calculation of the level of prostate antigen, which may increase during prostatitis.

Instrumental research

Often, visual methods are not enough to get complete information about the condition of the prostate gland.

Therefore, for a more complete diagnosis of prostatitis, it is necessary:

• Look for stones or abscesses that may be causing inflammation of the prostate. This can be done with transrectal ultrasound or computed tomography of the pelvis;
• If there is invasive manipulation of the genitourinary system, cystoscopy may be prescribed.

In order to recover from an overcoming illness as soon as possible, it is very important to make a competent diagnosis. Based on the data obtained, doctors will make the correct diagnosis and select the necessary treatment option. Only accurate diagnosis and timely treatment of this disease lead to a complete restoration of the normal functions of the prostate gland.

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Both in the male and female part of the population, a situation often arises when the bladder is not completely emptied. The feeling of incomplete emptying of the bladder occurs if it contains at least 50 ml of urine, the so-called residual urine. In the absence of pathological processes, the urge to urinate usually appears when the bladder is filled with urine in a volume of two hundred to two hundred and fifty milliliters. The act of urination is subject to the reflexes of the human body.

How does deurination normally go?

During the normal functioning of the body, a number of complementary processes occur that lead to a normal flow of urine. If the bladder is full, then it sends a signal to the central nervous system that it should be emptied of urine. Further, during deurination, the brain sends a command to the sphincter of the bladder and it relaxes, and the muscles contract. Urine flows out of the ureters.

Why does such a pathology appear?

Why is there a feeling of incomplete emptying of the bladder? The reasons for this phenomenon are very diverse. The main ones are:

• cystitis;
• stones in the bladder;
• prostate adenoma and phimosis in men;
• benign tumors and cancer of this organ;
• inflammation in other organs of the small pelvis (reflex excitation of the bladder occurs);
• small bladder capacity;
• overactive bladder;
• disturbances in the normal innervation of the pelvic organs as a result of trauma, tumor diseases;
• kidney infections;
• pathology of the nervous system (injuries of the spinal cord and brain, neoplasms in this area, myelitis);
• drug poisoning (with prolonged use of drugs, sleeping pills);
• women may have such an ailment when carrying a child, and even after childbirth;
• viral infections (herpes);
• urethral strictures;
• age-related loss of bladder muscle strength.

Incomplete emptying of the bladder in women most often occurs against the background of inflammation of the genitourinary system.

Development mechanism

The mechanism of the development of "illness", in which there is a constant sensation of a full bladder, in many cases can be associated directly with the presence of residual urine in the bladder. As a rule, this situation occurs when the normal flow of urine is interfered with (urethral fusion or calculi).

Also, one of the pathogenetic factors is atony or hypotension of the urinary bladder, while the walls of the reservoir cannot contract normally. This situation occurs when interruptions in the mechanism of innervation.

Sometimes the inability to completely empty the urinary reservoir is due to psychological reasons.

Excessive stretching of the bladder is provoked by various infections. If the liquid is not completely removed, then the muscular frame is stretched, pain occurs, a feeling of fullness over the pubic region. In the future, the emptying bladder is unable to contract normally.

Sometimes the causative factor can be an overactive urine reservoir, a condition that is the exact opposite of atony. Then the muscles are constantly in good shape. Because of this, a very frequent desire to urinate occurs, and with a not completely overflowing bladder, a person does not leave the feeling of an unfinished act.

During pregnancy, a violation of the normal functioning of the bladder is due to the fact that the growing fetus presses on nearby structures, and the bladder is also activated, it does not have time to adapt to more intensive work.

Types of pathology

The pathological process can be of two types:

• complete retention of urine (with this variety, the sick person is unable to excrete even a milliliter of urine). There are urges, but it is impossible to release the bubble. Such patients are forced to resort to emptying through a catheter;
• incomplete retention (emptying of the bladder is carried out, but due to some factors the act is not completed), little urine is excreted;
• residual urine (a disease in which there is an interruption of the initially normal act of urination with the inability to continue it).

With successful treatment, it is possible to prevent chronic disease.

Symptoms of a full bladder are frequent urges to urinate, they can occur immediately after the end of deurination. Sensation of a full bladder after urination. The process itself is accompanied by soreness, burning, discomfort, heaviness over the pubic area. This is related to the stretching of the walls of the bladder with a large amount of fluid.

There are also specific signs of the disease that leads to such a pathology. With prostatitis in men, there is an intermittent stream of urine, impotence, urine leakage. If there is a malignant neoplasm of the prostate gland, then the patient loses weight, he has no appetite.

With urolithiasis, cramping pains are present, especially if the calculus moves along the urinary tract. There is a sediment in the urine, there is hematuria.

Glomerulonephritis and pyelonephritis are characterized by the fact that there is pain in the lower back, fever is possible, a change in the composition of urine. With glomerulonephritis, blood impurities are observed in the urine.

Cystitis and urethritis differ in that the patient has a frequent desire to urinate, pain and burning sensation occur during the emptying of the bladder. Hyperthermia is characteristic.

Diagnosis

Finding out the causes of this state consists of many stages. First of all, the doctor collects an anamnesis, he asks the patient in detail about the symptoms of the disease, about what preceded such a condition, also about all chronic diseases, about the surgeries. A woman needs to talk about her last birth, her menstrual cycle.

The doctor also palpates the location of the bladder, if it is actually full, then the specialist will easily determine this by touch, it will bulge. Based on the examination, the doctor can suggest why there is a feeling of fullness of the bladder, what studies to prescribe.

Of the diagnostic methods, a general blood and urine test, blood biochemistry, urine culture for microflora, cystoscopic, urographic, and ultrasound examination of the pelvic area are used. If these methods are ineffective, CT, MRI, isotope techniques are prescribed.

Approaches to healing

Treatment of this pathology begins with the elimination of the root cause of the disease. If an infection is a factor in the feeling of a full bladder, then antibacterial or antiviral therapy is mandatory. In the presence of urolithiasis, the doctor prescribes drugs that can dissolve small stones. If the size of the stones is large, then crushing the stones is used.

In the case of urethral stricture, the only way to solve the problem is to surgically solve the problem.

If the disease is explained by a psychological factor, then the patient is prescribed sedatives, psychotherapy is recommended.

In the case of benign and malignant formations, the tumor is excised, and when malignancy is confirmed, chemotherapy and radiological radiation are used.

There are a number of ways to diagnose the causes of a feeling of a full bladder, which can significantly improve the well-being of a sick person:

• when urinating, you need to relax, do not compress the muscles of the bladder and abdomen;
• you definitely need to retire and find the most comfortable place;
• you can’t rush, because it’s hard to empty the bladder;
• palm pressure on the suprapubic area will make it much easier to pee;
• You can use the sound of running water to stimulate deurination;
• During the act of emptying an overflowing bladder, the process must not be interrupted (some use this technique as training), as this creates even more disruption.

If all of the above methods are ineffective, then the doctor will install a urinary catheter.

In case of acute urinary retention, emergency catheterization is performed. The external opening of the urethra is disinfected, lubricated with petroleum jelly, and then a catheter is inserted, then its terminal part is inflated. With this, it is fixed. An exception is situations in which the cause of the disease is prostatitis or calculi. In this case, the catheter is prohibited for use, as it can aggravate the process.

Conclusion

Feeling full bladder is a big problem that needs attention. The success of the treatment directly depends on the correct diagnosis. Untimely and incorrectly selected therapy can lead to serious complications, which will be very difficult to cope with. That is why the treatment of such a "ailment" should be dealt with by a doctor. Stay healthy.