Prostatitis

Prostatitis is inflammation of the prostate, which is quite common these days.

The prostate is a male organ and the disease is therefore also purely male.

Why is a prostate gland needed? The prostate is responsible for the following functions:

• produces a liquid part of the semen with the muscles of the neck of the bladder;
• produces an internal sphincter;
• forms testosterone into dihydrotestosterone.

The prostate or simply the prostate is located under the bladder, the urethra passes through the prostate and therefore the prostate is located around the urinary tube. And as the prostate enlarges during inflammation, it compresses the urinary tract and makes it difficult to urinate. Men over 40 very often suffer from prostatitis, which is a consequence of the dysfunction of the genitourinary system.

Factors that provoke the development of prostatitis:

• hypothermia;
• Infectious diseases;
• alcohol and tobacco consumption;
• trauma and hormonal disorders;
• sedentary work;
• urinary retention.

Prostatitis is divided into several types:

1. Acute bacterial prostatitis: occurs when the prostate tissue is damaged with Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, etc.
2. A large number of these bacteria are representative of healthy microflora and live on our skin and in the stomach, but penetrating the tissues of the prostate, they cause inflammation. The main symptoms of acute bacterial prostatitis are nausea and pain in the groin and lower back, frequent trips to the toilet and pain during urination, intoxication of the body, and decreased quality of erection. , signs of blood in the urine.
3. Chronic bacterial prostatitis: occurs due to damage to the genitourinary system or the presence of infections in the organs.
4. Symptoms of chronic prostatitis are manifested by pain during urinary excretion and frequent urge, discomfort in the groin, the presence of blood in the semen, an increase in body temperature of 0. 5-1 degreesCelsius.

Chronic bacterial prostatitis occurs due to the lifting of heavy objects with a full bladder, as a result, urine enters the prostate, spasms of the pelvic muscles, therefore - increased pressure in the prostate, injuries. The symptoms are also pain when urinating, and only with laboratory tests can an infectious difference be detected.

Chronic prostatitis

Chronic prostatitis is a dangerous disease that, unlike prostatitis, has a bunch of unclear questions. What is chronic prostatitis? Chronic prostatitis is the presence of inflammation of the prostate, characterized by a number of tissue changes and functional disorders of the prostate, the activity of the male reproductive system. Chronic prostatitis is among the first among the diseases of the male reproductive system. The classification of chronic prostatitis is divided into several subspecies:

• acute bacterial prostatitis;
• chronic bacterial prostatitis;
• chronic abacterial prostatitis;
• inflammatory prostatitis with increased leukocytes in the secretions of the prostate;
• non-inflammatory process without an increase in leukocytes;
• inflammation of the prostate without symptoms, which is detected at random.

An infection caused by neurovegetative disorders causes and causes the development of chronic prostatitis. Hemodynamic disorders cause a decrease in immunity by autoimmune and biochemical processes. Factors in the development of chronic prostatitis are lifestyle features that cause infection of the genitourinary system, frequent hypothermia and sedentary work, irregular sex life or the constant presence of a urethral catheter are also dangerous. Important and dangerous causative agents of the disease will also be disorders of the immune system, cytokines, bacteria of a polypeptide nature of low molecular weight, which affect the functional activity of immune cells.

One of the main reasons for the development of non-inflammatory forms of chronic prostatitis is pelvic floor dysfunction.

Symptoms of chronic prostatitis

Chronic prostatitis is pain and discomfort, dysfunction of urination, and sexual dysfunction. The presence of pain in the pelvic region, perineum and groin. Pain is often seen in the anus and scrotum. Sexual life is disrupted and libido also decreases, but these signs are not seen in all patients. Chronic prostatitis is interchangeable in nature, the symptoms are aggravated, and then suffocated. In general, the symptoms of chronic prostatitis are similar to the stages of the inflammatory process. Pain in the scrotum and groin is characteristic of the exudative stage, along with frequent urination, an accelerated rash of semen, and painful erections. The alternate stage is characterized by pain in the suprapubic part, normal urination and with an accelerated eruption of semen, no pain during erections is observed. In the proliferative stage, we can also see an increase in urination and the ejaculation process is slightly delayed. At the stage of sclerosis of the prostate, in addition to scar changes, the patient has pain in the suprapubic part, frequent urination, and ejaculation of sperm is slowed down or completely absent. It should also be borne in mind that the stages and disorders described above do not always appear and not for everyone.

To diagnose chronic prostatitis, since very often the disease is asymptomatic, a number of tests and laboratory tests will help. The tests are also important to help the doctor identify the intensity of symptoms, pain, and urinary problems. Laboratory examination of chronic prostatitis helps diagnose chronic prostatitis and possible infection of the prostate with atypical bacterial and fungal flora and viruses. If there is no bacterial growth in the secretions of the prostate with an increased number of leukocytes, it is necessary to analyze for chlamydia. Microscopic examination can reveal the number of leukocytes and mucus, trichomonas and epithelium in the urethral secretion. The secret obtained after massage of the prostate is taken for bacteriological examination, and depending on its results, the nature of the disease is determined. It is also important to conduct an immunological study, the results of which help determine the stage of the disease and monitor the effect of treatment. The instrumental study of chronic prostatitis helps to determine the stage and form of the disease with more careful observation throughout treatment. Ultrasound examination allows to study the size and volume of the prostate, the structure of the cyst and sclerotic changes in the organ, the degree of expansion and density of the contents of the seminal vesicles. Myography of the muscles and pelvic floor as well as information on suspected neurogenic urinary disorders. An X-ray study is carried out in order to clarify the cause of the onset and course of further treatment of chronic prostatitis. Computed tomography of the pelvic organs is performed in order to exclude pathological changes in the spine and pelvic organs. Diagnosis as a way to exclude a disease that is not suitable for symptoms helps to establish the nature of the pathological process: with inflamed processes in other organs; with diseases of the rectum; with sexual dysfunctions; with neuropsychiatric disorders, for example, depression or reflex sympathetic dystrophy.

Treatment of chronic prostatitis

Treatment of chronic prostatitis should be consistent and comprehensive. First, it is necessary to change the patient's usual way of life and thinking. Also eliminate the influence of such harmful factors as smoking and alcohol consumption, hypothermia. Thus, we stop the further development of the disease and soon cause healing. Even in the preparatory stage for treatment, adherence to the diet and establishing a sex life play an important role. The next main course in the treatment of the disease is the use of drugs. Such a correct approach to the treatment of chronic prostatitis will not only help fight the disease, but also increase the effectiveness of treatment at each stage of the development of prostatitis. Chronic prostatitis usually does not require hospitalization, but in severe cases of chronic prostatitis, inpatient treatment is more beneficial and more effective than outpatient treatment. Drug treatment leads to the establishment of good blood circulation in the pelvic organs, brings hormones and the immune system back to normal levels. In such cases, antibacterial and immunomodulating drugs, vasodilators and prostate massage are used. The mainstay of treatment of chronic prostatitis is the antibacterial use of drugs. But, unfortunately, the effectiveness of this therapy has been proven, but not for all types of prostatitis. In chronic bacterial prostatitis, antibacterial therapy is effective, in chronic abacterial prostatitis, empiric antibacterial therapy is used.

At the moment, local physical treatment is very important. Physiotherapy with laser, mud and electrophoresis is considered the most effective. Electromagnetic radiation is based on anti-congestive and bacteriostatic action. Low energy laser therapy stimulates microcirculation in prostate tissue, and laser therapy also has a biostimulating effect. In the absence of contraindications, therapeutic prostate massages are used.

Surgery is used more and more in the treatment of prostatitis, as the disease affects more and more young men. A surgical indication may be sclerosis of the seminal tubercle; these patients often see a doctor with signs of lack of sexual sensation and ejaculation. In such cases, a resection of the seminal tubercle is performed. Also, surgery is used for sclerosis of the bladder and prostate.

Symptoms of prostatitis

Very often men with prostatitis complain of fever and an increase in body temperature, even if the temperature measured under the arm is normal, then very often the temperature in the anus will be high. Pains in the lower back, abdomen, perineum, anus and in the scrotum also serve as a signal to go to the doctor. Even more frequent urination, there is cramping and a burning sensation when urinating. There is a deterioration of the general condition, weakness, muscle and bone pain, severe headache.

With inflammation of the prostate in men, urination is difficult, which is often accompanied by urinary retention. Constipation, which occurs due to compression of the rectum by an enlarged gland, is characteristic of the disease.

Treatment of prostatitis

Before starting treatment, you need to make sure of the accurate diagnosis. The minimum manipulations to be carried out are the measurement of the temperature in the anus, the diagnosis and palpation of the inguinal perineum of the lymph nodes, a general clinical blood test and a general urine test will also be required. You will also need to take swabs from the urethra and bacterioscopy of the urine and sediment. In addition, a transrectal ultrasound of the prostate is performed.

In the anus, the temperature is usually increased and differs from the temperature of the modes with the mouse by about one degree. In the analysis of urine, the indicator of the number of leukocytes is exceeded. In blood tests, some changes are also shown, for example, the number of eosinophils decreases and neutrophilic leukocytosis appears. In immunocompromised patients, sepsis is often observed with complications of prostatitis.

On palpation of the perineum, the patient feels pain, the patient has an increase in inguinal lymph nodes. The prostate is enlarged on palpation, swollen and hot to the touch, and sometimes with heterogeneous inflammatory seals. If the prostate is inflamed, a biopsy is not done and can spread the infection further.

Treatment for prostatitis involves the use of antibiotics against the microorganisms that are the causative agents of this disease. Antipyretic drugs are also prescribed to lower body temperature and the use of emollient laxatives to facilitate bowel movements. The patient is prescribed a massage, which involves squeezing the inflamed secretion with the fingers, squeezing it into the ducts and finally into the urethra. Prostate massage improves blood circulation and has a good effect on the muscle tone of the prostate.

Prevention of prostatitis

First of all, for the prevention of prostatitis, you need to limit yourself to food and apply a special diet. You should include in the diet such foods as parsley, asparagus, strawberries, and if you like pasta etc. , they should be hard varieties. You should also exclude bad habits and alcohol, spicy foods. With an exacerbation of the disease, it is very important to exclude sexual life.

For the prevention of prostatitis, it is necessary to exclude all risk factors for its occurrence, namely: observing good nutrition, excluding bad habits and having a regular sex life, since this does not allow sperm to s'accumulate. Every young man should know that promiscuity in sex is bad for the prostate. An active sex life increases the risk of contracting sexually transmitted diseases. Use contraception anyway. Watch your bowels and go to the bathroom regularly. Another important point is work: if it is related to a sedentary way, then you need physical activity, jogging will also be useful, swimming and tennis. Also, do not forget about daily walks in the fresh air, it is very beneficial for the whole body. Hypothermia negatively affects the immune system and it is at this stage that the infection progresses. You should be examined by a urologist, although there is no prerequisite for this.

Timely treatment of any urogenital infection will help eliminate the cause of the development of prostatitis.

Folk remedies for the prevention of prostatitis are also popular, on their basis such recipes are distinguished as the inclusion in the diet of honey, nuts and dried fruits, which are rich in vitamins and minerals. Pumpkin seeds and onions, oatmeal and seafood, liver and apples are rich in zinc and therefore have special and important value and great benefits for the prostate. Add to the tips above: Empty your stomach completely and avoid constipation. It will help such products as kefir, vegetable oil and vegetable fibers. Separately, it is necessary to mention the benefits of exercises for intimate muscles.

Prostatitis prevention exercises are easy and do not require special adaptation, they can be performed anytime, anywhere. Here is an example: perform the movements of the perineum as if you were pulling in the rectum; tense the muscles of the perineum, trying to stop urination, keep them in this position as long as possible; while lying down, lift the pelvis and hold it for twenty or thirty seconds, repeat these movements until you feel pain and fatigue in the buttocks. These simple exercises will only be a plus for your body.