What are the signs of prostatitis in men and how to treat them

12 September 2020

Prostatitis is a pathology that occurs as an infectious and inflammatory process in the prostate gland (prostate), affecting its glandular and connective tissues.

The prostate gland, an organ of the glandular structure below the bladder and urethra, is of great importance to the health and functioning of the male body. Inflammation has the effect of reducing the synthesis of testosterone in the testicles, causing decreased libido and impaired erectile function. At the first signs of prostatitis, problems arise when urinating, a feeling of discomfort, pain during orgasm.

The treatment of prostatitis was started in the 19th century, when the disease was on the rise. The disease is completely male, since the prostate gland is the organ located in the body of men. Representatives of the age group 40 and older mainly suffer from this disease, but medical statistics indicate that in recent years the disease has become significantly more "rejuvenated": in men 25-28 years old, adenitisparalysis is detected in 30% of cases. However, the specificity of the diagnosis and the likelihood of the underlying course of the disease suggest that this number is much higher. Only a quarter of men aged 22-50 have a physical examination, including a urologist who diagnosed prostatitis, accounting for 15% of these.

Complications

If treatment for prostatitis is not started in time, a number of complications may arise, characterized by:

bladder obstruction with acute urinary retention, requiring surgical treatment;
transitions prostatitis from acute to chronic;
develops several forms of male infertility;
recurrent cystitis;
narrow, scarring of the urethra;
pyelonephritis, other kidney disease;
prostate abscess requiring surgical intervention;
is life-threatening (patients with weak immunity, diabetes mellitus, kidney failure are most susceptible).

It's important to know!Pathology can lead to prostate cancer (observed in 7% of men over the age of 50), which will seriously impair a man's life, possibly even leading toto death.

The reason for the development of the disease

Prostatitis comes in many types, determined by its causative causes.

The main factors that trigger prostatitis are as follows:

Infections.Bacteria enter the prostate gland in different ways and ways. Young men who have sex without contraception (condoms) are at high risk of disease due to the invasion of pathogenic microorganisms (chlamydia, mycoplasma, . . . ). In addition, the onset of prostatitis occurs as a result of any internal chronic diseases. Bacteria harm the prostate gland through the outflow of lymph or blood. Pathogens can also "descend" the prostate gland through the urethra. Then, the disease is caused by diseases of the urinary system (urethritis, pyelonephritis) with weakened immunity.
Delayed processes.Manifestation of obesity, sedentary lifestyle, because microcirculation of blood in the pelvic organs is impaired. As a result, the required amount of oxygen and nutrients doesn't reach the prostate gland.
Injured.Due to mechanical damage to the tissues and organs of the small pelvis (OMT), a blockage can occur, causing an inflammatory process. Such situations are common among truck drivers due to occupational activities involving long sitting positions and repeated injuries from seats hitting HTA.

Doctor's opinion. Urologists believe that prostatitis is not a lifelong diagnosis. If the treatment does not yield quick results, then the man should not give up and think about whether or not he strictly follows all instructions. Only the joint actions and efforts of doctors and patients, believing in the success of therapy, can help a man feel healthy and full.

Types of prostatitis

Classification of prostatitis by type provides the following parameters.

Original. According to the origin, the disease is:

infectious (specific and non-specific);
non-contagious congestion (this is due to a delay associated with long interruptions in sexual intercourse, interruption of intercourse, bad habits, stress, and frequent hypothermia).

Pathological features, which are divided into the following subspecies:

catarrhal;
capsule;
parenchyma;
(it can manifest itself as a complication of prostatitis in the form of dystrophy, cystic fibrosis, granulomatosis, as well as prostate sclerosis).

Clinical course. Prostatitis can be acute or chronic.

Mechanism of pathogenesis. According to the onset and development of the disease, prostatitis is possible:

bloodline;
urogenesis;
canals;
calculate;
allergies;
.

Symptoms and Signs of Prostatitis

Prostatitis symptoms may be obvious and latent.

Diseases are classified into the following categories:

Sharp.The disease has a sudden change, manifested by a high body temperature (up to 39 ° C), severe cutting pain spread to the back, groin. Ejaculation, defecation, and urination are accompanied by acute pain and sometimes bleeding. This is a serious reason to contact a urologist.
Chronic.The image of symptoms is almost imperceptible, although it is similar to the clinical picture of acute prostatitis. There may be a slight increase in temperature, discomfort in the groin, and during urination. The main symptom of the chronic form of prostatitis is a frequent urge to "urinate", discharge from the urethra. Over time, the patient registers problems with erectile function due to the conversion of the inflammatory process to the nerves responsible for erection, premature ejaculation. The patient's general health status is negative, manifested in frequent irritability, depression, dissatisfaction, and psychological breakdown.
Delayed.This form of the disease affects men who are sedentary and have irregular sex. The course of the disease is manifested in a violation of the genitourinary system. For the onset of the disease, it is characterized by inflammation of the secretory tract, epithelial sloughing, and pain during urination. With the severe form of the disease, the urethra no longer functions completely. Erection is also impaired, orgasm is weak and is not shown. In general, the development of sexual dysfunction occurs at a rapid rate. The stagnant form of prostatitis also has symptoms of burning pain and itching in the episiotomy, urethra. High temperature, signs of intoxication.

How to detect symptoms when developing prostatitis

Only a urologist can accurately diagnose a patient, but based on the existing signs that occur with the genitourinary system and observed by a man, they can be signals tocall emergency therapist. This applies to:

the act of defecation, accompanied by a feeling of discomfort;
a burning sensation in the perineum for a short or long time;
frequently wants to urinate, but the process is painful and difficult;
weak orgasm effect (also known as "deleted orgasm");
increases fatigue and is often for no apparent reason;
decreased erectile function;
frequent stress.

It's important to remember!Finding these symptoms requires immediate medical attention to take effect in the first place. The development of chronic prostatitis takes place in an asymptomatic form, but is fraught with its consequences and complications.

Diagnosis

Prostatitis in men is diagnosed mainly based on the analysis of patient complaints. With the help of a specially compiled questionnaire, the doctor will find out and study the symptoms of the disease.

Other diagnostic measures taken:

studies the composition of the secretions of the prostate gland (if there is no acute form of the disease: the procedure cannot be performed due to severe pain);
palpable rectal examination;
ultrasound examines the prostate gland to confirm suspicion of prostatitis and correct diagnosis;
;
(computer / magnetic-kernel) tomography of the small pelvis - if necessary;
cystoscopy;
computed tomography.

Also, men undergo some general tests that can clarify the picture of the disease:

uroflowmetry;
urine sample, measured in three cups;
according to Mears & Stamey, measured with two glasses of urine (the first part excludes urethral pollution (infection, infection), the second part - the absence / presence of the inflammatory processin the kidneys, bladder);
take urine samples to determine the remaining volume, ultrasound of the prostate gland;
clinical urine analysis;
portion of urine medium for microbiological examination.

The diagnosis needs to differentiate prostatitis from cystitis, urethritis, prostate adenoma and prostate cancer.

A man should refrain from having sex for five days before his appointment of ultrasound. At this time, it is necessary to wash it with enema, and before entering the ultrasound room should urinate.

How to treat prostatitis

There are no standard treatments for prostatitis. The comprehensive approach to treatment prescribed by the physician is carried out on an individual basis and with modifications in the process for greater effectiveness. When treating the prostate gland, the form of the disease is taken into account. For example, the acute form is easier to cure than the chronic form.

Prostatitis is mainly conservative and outpatient treatment.

One integrated approach is:

Antimicrobial therapy (cleaning up contaminated areas).
Improves blood supply to the prostate gland (massage, physiotherapy, therapeutic exercises).

The use of physical therapies is done with the following goals:

Reduces inflammation (using anti-inflammatory methods), relieves pain (using analgesic methods).
Reduces delayed processes, changes the future sclerosis nature (by defibrosing therapy).
Enhances protective properties of the body (by immunostimulating methods).

Treatment for prostatitis is usually done in conjunction with prostate massage. Although this procedure is sophisticated, it is often considered humiliating by men, but it is very effective. Prostate massage can be done at home, but to do this, you need to purchase special hardware.

Medicines for prostatitis

Treatments are carried out through the use of drugs. The treatment regimen uses antibiotics, since only they are capable of destroying pathogens. What drug to use, the doctor decides on the basis of the results of analysis and research. Patients waiting for the appointment of the appropriate antibiotic will take anesthetics, anti-inflammatory drugs and other directions.

Antibiotic therapy involves acceptable dosage and route of administration. The optimal dose of an antibiotic is considered to have doubled or tripled the "attempt" to counteract concentration of the pathogen.

In the case of chronic prostatitis, which often occurs on the basis of immunodeficiency, antibiotic therapy is performed together with immunocompromised drugs.

The best massage treatment is to have sex

Doctors believe that the natural way to massage in the treatment of prostatitis is to have an orgasm during sex. Sperm ejaculation occurs with active contraction of muscles in the anus, which is also effective for the prostate: it is successfully massaged in the process. Many people have heard that sex is not allowed during treatment, but this is not true. The main thing is, if possible, not to change your former partner (so that the microflora "does not conflict"), does not interrupt or prolong sex.

In the absence of a sexual partner, doctors recommend masturbation to free the prostate gland and vas deferens from the process of stagnation. Horror stories about the dangers of masturbation should be considered jokes, but don't forget about moderation and personal hygiene.

It is impossible to overcome prostatitis with sex and medication, you should have an active lifestyle, rest and proper nutrition, get enough sleep, avoid stress. Alternative treatments are also welcome, but are offered after consulting a doctor.

It's important to know!Taking antibiotics also includes probiotics to avoid cases of biological disturbances and other negative aspects.

Prostate Surgery

Surgical treatment for severe stages of prostatitis:

with the progression of the disease;
in case of an abscess inside the prostate gland;
is for cysts or cracks.

These situations require radical solutions to eliminate the inflammatory process.

The activity type is used taking into account all aspects of the disease, the patient's condition.

The actions prescribed by a doctor are divided into categories, namely:

Cut off the line.During surgery, a closed prostate gland is removed using a tube inserted through the urethra.
The incision that goes through the skin.The tissues near the bladder neck are incised, thereby relieving pressure on it. Such a surgery is indicated for men with a slightly increased prostate gland. Practical complications did not arise, the patient recovered quickly.
A radical prostatectomy.In this case, the entire prostate gland is removed. This type of activity is difficult, traumatic, accompanied by significant blood loss.

Traditional medicine for prostatitis

Alternative Medicine offers over a hundred formulations designed to fight prostatitis, reduce symptoms and complement mainstream treatments. Keep in mind that not all of the recommended options are appropriate for someone with certain forms of the disease, some of which may cause allergic reactions and other complications.

We offer some popular and effective proven recipes:

Pumpkin seeds.They contain a large amount of zinc that the male body needs. A man should eat 30-35 raw nuts per day for prevention and treatment. You can make special balls from crushed seeds in a blender (without shell), mixed with honey (200 ml). From the obtained mass, mold the balls the size of walnuts and place them in the refrigerator. Eat 1 ball twice a day, half an hour before meals, chew slowly, hydrate the cure from it. Powerful and effective, it can be used once a year.
Vegetable juice.Helps the body make more uric acid. Fresh natural juices from cucumbers, carrots and asparagus have been particularly successful in this. They can be taken orally in a mixture, varying the proportions of each type according to your preference. It is required to consume more than half a liter of liquid per day in multiple dosages.
Natural honey.As well as beekeeping products have been shown to be very effective in the treatment of prostatitis. Herbal drugs based on them have powerful anti-inflammatory, analgesic effects. For example:

propolis candles.40 g of propolis is evaporated in a glass of wine, after which this extract (0. 1 g) is mixed with two grams of rye flour and cocoa. Candles are formed, inserted into the rectum one night before sleep for a month.
propolis.20% alcohol (40 drops) diluted with water (100 ml), drink 20 minutes before meals.
Infusion of herbs with honey.It is used for acute prostatitis. Chrysanthemum (30 g), horsetail (25 g), calendula root (15 g), nettle leaves, sage, mint (10 g each) crushed and mix well. Then, take three tablespoons from the resulting mixture and pour them with half a liter of boiling water. Put in the thermos for three hours, filter the water, add honey to taste, drink one-third glass three times a day half an hour before meals.
Water with red roots.Shredded roots (25 g) poured with a liter of boiling water, put in a thermos for one hour, drink three times a day before meals, one third of a cup each time. You can add milk, honey. This tea is recognized as the best remedy for prostatitis.
Chamomile.10 g pour with 100 ml of very hot water, infuse for half an hour, filter. Used as a solution for differential (70-80 ml).
Wild Le.Patient observed an effect a few days after starting pear tea / medicine. With prolonged use, it is almost completely cured of prostatitis. The fruit and leaves are not only used fresh but are also dried for medicinal purposes in winter. This drink is an excellent preventive measure.

The list of folk recipes is endless, but only a doctor will recommend in each case one or more important recipes in the synthetic treatment.

Prevention of prostatitis

Measures to prevent recurrence of the disease in the chronic stage are based on:

active and healthy lifestyle;
sports;
quit smoking, drinking alcohol;
has sex with a regular partner (indiscriminate sex leads to a sexually transmitted infection that causes prostatitis);
has a steady sex life and ejaculation;
periodic follow-up (twice a year) by urologist;
promptly treat urinary diseases;
a balanced diet;
respects your own health.