Prostatitis is a pathology that appears as an infectious and inflammatory process in the prostate gland (prostate), affecting its glandular and connective tissues.The prostate, an organ of the glandular structure located below the bladder in the urethra, is of great importance for the health and function of the human body. Inflammation has the effect of reducing testosterone synthesis in the testicles, as a result of which libido is reduced, erectile function is impaired. At the first signs of prostatitis, there are noticeable problems when urinating, discomfort, pain during orgasm.
Treatment of prostatitis began in the 19th century, when there was a tendency for the development of this disease. The disease is purely male, since the prostate is an organ found in the body of men. This disease mainly affects people in the age group of forty and over, but medical statistics claim 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 possibility of a latent course of the disease suggest that this number is much higher. Only a quarter of men aged 22-50 undergo medical examinations, including a urologist diagnosing prostatitis in 15% of that number.
If prostatitis treatment is not started on time, some complications may occur, characterized by:
- bladder obstruction with acute urinary retention requiring surgical treatment.
- transition of the prostatitis from the acute stage to the chronic course.
- development of some form of male infertility.
- recurrent cystitis?
- narrowing, scar of the urethra?
- pyelonephritis, other pathologies of the kidneys.
- prostate abscess that requires surgery.
- life-threatening sepsis (patients with weakened immunity, diabetes, renal failure are more susceptible to this).
It's important to know!The pathology can lead to prostate cancer (seen in 7% of men over the age of 50), which can seriously aggravate 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 cause the onset of prostatitis are:
- Infections. Bacteria enter the prostate in a variety of ways and pathways. 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 onset of prostatitis occurs as a result of any internal chronic conditions. Harmful bacteria reach the prostate through the flow of lymph or blood. Pathological microorganisms can also "descend" into the prostate through the urethra. Subsequently, the disease is caused by diseases of the urinary system (urethritis, pyelonephritis) with weakened immunity.
- Stable processes. Manifested in obesity, a sedentary lifestyle, as the microcirculation of blood to the pelvic organs is reduced. 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, causing an inflammatory process. Such cases are common among trucks due to professional activities related to a long sitting position and constant injury from a chair that hits an HTA.
Opinion of doctors. Urologists are convinced that prostatitis is not a lifelong diagnosis. If the treatment did not give a quick result, then the man should not give up and think about whether he followed exactly all the instructions. Only the joint actions and efforts of the doctor and the patient, who are sure of the success of the treatment, will help a man to feel healthy and therefore full.
Types of prostatitis
The classification of prostatitis by type provides the following parameters.
Reason. According to the origin, the disease is:
- infectious (specific and non-specific);
- congestive non-infectious (the reason lies in stagnant processes associated with long interruptions in sexual intercourse, interruption of intercourse, bad habits, anxiety, regular hypothermia).
Pathological feature, subdivided into the following subspecies:
- runny nose?
- parenchymal? Prostate abscess (may manifest as a complication of prostatitis in the form of dystrophic, fibrocystic, granulomatous, and prostate sclerosis).
Clinical course. Prostatitis can be acute or chronic.
Pathogenesis. Depending on the onset and development of the disease, prostatitis can be:
Symptoms and signs of prostatitis
Symptoms of prostatitis can be latent and obvious.
The disease is classified into the following forms:
- Sharp.The disease has a sudden development, manifested in elevated body temperature (up to 39 ° C), with severe 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.
- Years. The symptomatic picture is almost imperceptible, although it is similar to the clinical picture of acute prostatitis. There may be slight increases in temperature, inguinal discomfort and urination. The main symptom of the chronic form of prostatitis is the frequent urge to go "small way", rejection from the urethra. Over time, the patient records 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 damage.
- Stationary.Men who have an inactive lifestyle and have irregular sex suffer from this form of the disease. The course of the disease is expressed in violation of the urinary system. Inflammation of the excretory, detachment of the epithelium, causing the onset of pain when urinating, is typical for the onset of the disease. In severe cases, the urethra stops working completely. Erection is also reduced, orgasm is weak and unexpressed. In general, the development of sexual dysfunction occurs rapidly. The stagnant form of prostatitis is also characterized by symptoms of burning and itching in the perineum, in the urethra. Body temperature is elevated, there are signs of poisoning.
How are the symptoms of developing prostatitis diagnosedOnly a urologist can make an accurate diagnosis of a patient, but according to the existing signs that appear in the genitourinary system and are observed 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.
- frequent urge to urinate, but the procedure itself is painful and difficult.
- weak orgasm effect (also called "deleted orgasm").
- increased fatigue and often for no apparent reason.
- reduced erectile function.
- normal stressful state.
It is important to remember! Detection of these symptoms requires an immediate visit to a doctor to affect the disease from the beginning. The development of chronic prostatitis proceeds in an unexpressed form, but is fraught with its consequences and complications.
Disease DiagnosticsProstatitis in men is mainly diagnosed based on the analysis of patients' complaints. With the help of a specially designed questionnaire, the doctor discovers 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).
- rectal palpation examination?
- ultrasound examination of the prostate to confirm suspicion of prostatitis and accurate diagnosis.
- tomography (computed / magnetic-nuclear) of the small pelvis - if necessary.
In addition, men undergo some general examinations that can clarify the picture of the disease:
- urine sample, measured in three glasses.
- study according to Mears & Stamey, measured with two glasses of urine (the first part excludes infection from the urethra (infection, infection), the second - the absence / presence of inflammatory process in the kidneys, bladder).
- urine sample to determine the remaining tumor, ultrasound of the prostate.
- 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 the appointment of an ultrasound examination. On the eve of this day, it is necessary to apply a cleansing enema, and before entering the ultrasound room, urinate.
How to treat prostatitis
There is no standard treatment for prostatitis. An integrated therapeutic approach defined by a physician is performed on an individual basis and has adjustments to the procedure for greater effectiveness. When treating the prostate, the form of the disease is taken into account. For example, the acute form is easier to cure than chronic.
Prostatitis is mainly treated conservatively and in outpatients.
An integrated approach is:
- Antibacterial treatment (drainage of areas contaminated with bacteria).
- Improving the blood supply to the prostate (massage, physiotherapy, therapeutic exercises).
The application of physical therapy methods is carried out with the following objectives:
- Relief of the inflammatory process (with anti-inflammatory methods), reduction of pain (through analgesic methods).
- Reduction of stagnant procedures, changes in the sclerotic nature in the future (with defibrillation of treatment methods).
- Enhancement of the protective properties of the body (through immunostimulation methods).
The treatment of prostatitis is usually done in combination with prostate massage. The procedure, due to its subtlety, is often considered humiliating by men, but it is very effective. Prostate massage can be done at home, but for this you need to buy a special hardware device.
Drugs for the treatment of prostatitis
The therapeutic approach is realized through the administration of drugs. Treatment uses antibiotics, as they are only capable of destroying the causative agents of the disease. Which 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 medications for anesthetic, anti-inflammatory and other instructions.Antibiotic therapy involves the use of acceptable doses and the route of administration. The optimal dose of an antibiotic is considered to be the 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 treatment is given in combination with immunosuppressive drugs.
The best massage for treatment is sex
Doctors believe that the natural way to 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: a successful massage during it. Many have heard that it is forbidden to have sex for the entire duration of treatment, but this is not the case. The main thing is, if possible, not to change ex-partners (so that the microflora "does not collide"), not to interrupt or prolong sexual intercourse.
In the absence of a sexual partner, doctors recommend masturbation to free the prostate and sperm ducts from stagnant procedures. Horror stories about the dangers of masturbation should be considered funny, but you should not forget about moderation and personal hygiene.
It is impossible to overcome prostatitis with sex and drugs, you should follow an active lifestyle, have proper rest and diet, sleep well, avoid stressful situations. Alternative therapies are also welcome, but are practiced after consulting a doctor.
It's important to know!Taking antibiotics also includes probiotics to avoid cases of discomfort 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 abscess in the prostate.
- for cysts or stenoses.
These conditions require radical solutions to eliminate the inflammatory process.
The type of surgery takes into account aspects of the disease, the patient's condition.
The surgeries prescribed by a doctor are divided into types, namely:
- Perforated resection.During surgery, the closed prostate gland is removed using a tube inserted through the urethra.
- Percutaneous incision.The tissue near the neck of the bladder intersects, thus reducing the pressure on it. Such an operation is indicated for men with a slight enlargement of the prostate. Practically no complications 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 recipes designed to combat prostatitis, relieve symptoms and supplement basic treatments. It is worth remembering that not all of the suggested options are suitable for a person with a particular form of the disease, some may cause an allergic reaction and other complications.
We offer many 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 special balls from seeds crushed in a blender (without skin), mixed with honey (200 ml). From the resulting mass, mold the balls the size of walnuts, put in the refrigerator. Eat 1 ball twice a day, half an hour before meals, chewing slowly, sucking the healing juices. Powerful and effective, can be used once a year.
- Fruit and vegetable juices.Help your body produce more uric acid. Natural fresh juices from cucumbers, carrots, asparagus are particularly successful in this. They can drink in a mixture, changing the proportions of each according to your taste. You need to consume more than half a liter of fluid a day in several doses.
- Natural honey.And also beekeeping products have proven to be excellent for treating prostatitis. The herbal medicine based on them has a strong anti-inflammatory, analgesic effect. For example:
- Propolis candles.40 grams of propolis are evaporated in a glass of alcohol and then this extract (0, 1 g) is mixed with two grams of rye flour and cocoa. The 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 20 minutes.
- Infusion of herbs with honey.Used for acute prostatitis. The calendula flowers (30 g), the ponytail herb (25 g), the elecampane root (15 g), the dielectric nettle leaves, the medicinal sage, the mint (10 g of each plant) are crushed and mixed. Then take three tablespoons of the resulting mixture and pour them with half a liter of boiling water. Insist in a warm for three hours, drain, add honey to taste, drink a third of a glass three times a day half an hour before meals.
- Red root decoction.Chopped root (25 g) is poured with a liter of boiling water, leave for an hour in warm, drink three times a day before meals for a third of a glass. You can add milk, honey. This tea is recognized as the best treatment 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 notice the effect a few days after starting to take pear / tea compote. With prolonged use, there is an almost complete cure for prostatitis. The fruits and leaves are used not only fresh but also dried to make a filter in winter. This drink is an excellent precaution.
- active and healthy lifestyle.
- sports, physical education?
- smoking cessation, alcohol consumption.
- having sex with a normal partner (disagreement in relationships will lead to sexually transmitted infections that cause prostatitis).
- have a normal sex life and achieve ejaculation.
- regular monitoring (twice a year) by a urologist.
- early treatment of urological diseases;
- a balanced diet.
- respect for their own health.
The list of folk remedies is endless, but only one doctor will recommend in each case one or more important in a comprehensive approach to treatment.
Prevention of prostatitis
Measures to prevent the disease, recurrence over time are based on the following: