Recommend
Official site Urosaf

Prostatitis in men

Prostatitis is an inflammatory process that affects the tissue of the prostate gland.This is one of the most common diseases in the practice of a urologist.The disease is diagnosed mainly in men from 25 to 30 years, but for older the risk of pathology increases significantly.

The form distinguishes acute and chronic prostatitis.In the last case, inflammation is characterized by a long course with periodic relapses.This condition is much more common compared to acute.

The causes of prostatitis

Many diseases of the prostate gland, for example, benign hyperplasia or oncopatology, are older group problems.However, prostatitis does not belong to this category.His symptoms, as a rule, appear in men at 30-50 years.Most of the time, the cause is the infectious lesion due to the penetration of the pathogenic flora of the urogenital channel or the glands of the genitourinary system.This is explained by the proximity of the location of the urethra and the anus.

Among the most common pathogens of bacterial (infectious) prostatitis, gram -negative organisms should be taken into account: pseudo -Mmonads, intestinal stick, seración, Enterobacter and Pro.Often, the inflammatory process is developed in the context of IPP infection: clamidia, gonococci, tricomonas, herpes virus, etc., as rule, such forms of the disease are diagnosed in men under 35 years.Pathology treatment cases in the context of tuberculosis mycobacteria are extremely rare.

Nebacterial varieties of prostatitis are also distinguished.Among its main reasons:

  • greater pressure in the prostate gland;
  • Autoimmune disorders (destruction of antibody prostate cells);
  • Muscle pain syndrome in the pelvic region;
  • psycho -emotional disorders;
  • motor activity deficiency;
  • Excessive physical stress.

Main signs of prostatitis

A man with prostatitis signs

The disease is accompanied by a complex of violations, which affects the work of the entire urinary system.Among the main symptoms:

  • un controlled urination;
  • discomfort, pain in the emptying of the bladder;
  • Power disorder in reproductive men;
  • pain in the perineum with a long stay in a sitting position;
  • Frequent and strong urine;
  • difficulties in the devastation of the bladder;
  • decrease in libido and the appearance of problems with an erection;
  • violation of reproductive function (infertility);
  • a feeling of incomplete devastation of the bladder after going to the bathroom;
  • The impossibility of achieving a high quality and persistent erection even with severe emotion.

Acute prostatitis signs

The symptoms of the disease acute and the general clinical image differ depending on the stage of the pathological process:

  • CatarrhalThe patient complains about a fast impulse, pain during urination, pain in the perineum and sacrum.
  • FolicThe pain syndrome becomes intense, can give in the anus and intensify in the defecation process.Urine is released with a thin current.In some cases, your delay occurs.There is an increase in body temperature of up to 38 degrees for a long period (subfebrilite) or moderate hyperthermia.
  • Parenchyma.The man begins the general poisoning of the body with chills and temperature of up to 38-40 ° C. The pain syndrome in the perineum becomes acute and pulsating.The defecation act is difficult, and the normal emptying of the bladder is impossible, as a result of which there is an acute delay in the urine (dysuria).

Chronic prostatitis symptoms

The chronic inflammation form of the prostate can be a consequence of the absence or premature treatment of the acute stage.However, in many men it develops immediately and is characterized by "greased" symptoms.Among the main characteristics are observed:

  • subfile temperature (occasionally);
  • weak pain in the perineum;
  • discomfort during urination;
  • Urogenital channel scars Download during defecation.

In general, the clinical image changes over time, differs in intensity in different patients and can enter a hidden way when the self -medication is attempted.The symptoms of chronic disorder can be an ardor sensation in the urethra, the pressure in the perineum, the dysuria, the deteriorated sexual function and the increase in general fatigue.In the context of problems with power, mental depression, irritability and anxiety arises.The fear of impotence leads to the development of complexes, but at the same time, most men are inclined to postpone an attraction for a urologist due to a feeling of shame.

Primary chronic prostatitis develops during a long period.The stagnation of blood in the capillaries (prostatosis) causes the initial stage of non -bacterial inflammation, which leads to the appearance of the disease.

With the infectious etiology, the cause of the disease is a chronic inflammatory process against the context of the infection with trichomonas, ureplasma, clamidia or gocococcus.The primary infection masks the signs of prostatitis, and its treatment does not eliminate the inflammation of the prostate.Often, the adhesion of the concomitant problem remains discreet for a man.

Consider in detail the three main symptoms of chronic prostatitis:

  • Urine disorder (dysuria).Inflammation increases the volume of the prostate gland, which leads to ureter compression.With a decrease in its light, the frequent need for urine appears and a sensation of bladder not completely devastated.Dicizuric disorders in many men occur in the early stages of prostatitis.The compensatory mechanism during this period is manifested in the hypertrophy of the bladder muscles and the ureters, which reduces the symptoms of dysuria, but with the development of inflammation they grow again.
  • Pain syndrome.There are no pain receptors in prostate fabrics.Pain occurs when the inflammatory process extends to other pelvic organs and their nerve paths.The sensations vary from the weak and sore to very intense, which interfere with the night rest.Strengthening discomfort occurs during ejaculation, sexual abstinence or excessive sexual activity.The crotch is given pain, the sacrum, the scrotum and, sometimes, to the lumbar area.
  • Violation of power.The lack of treatment in the early stages of prostatitis can lead to a dispute, when a man has frequent night erections, a deterioration in the quality of orgasm and accelerated ejaculation.In different patients, these signs appear with different intensity.Premature ejaculation occurs due to a decrease in the excitation threshold of the Organic Center.At the same time, the patient points out pain, which leads to the development of pain expectation and a gradual rejection of sexual activity.In the absence of comprehensive treatment with the study of the mental factor of the disorder, sexual disorders are increasingly exacerbated.Ignoring the need to seek medical help with prostatitis often ends helplessly.

The degree of sexual disorder varies according to individual factors.Some men are so afraid of erectile dysfunction that their violations occur instead of suggestions, and not objective physiological factors.In particular, the psychogenic screen is observed precisely with greater anxiety and obsessive complexes.The same thought of possible male health disorders is difficult to tolerate such patients.This is largely reflected in its character and communications with others.Irritability, hypochondria, resentment and depressive state appear.

Complications with prostatitis

The absence of proper treatment with inflammation of the prostate leads to related diseases.The fact is that the prostate gland is closely related to other organs of the male genitourinary system.It is located around the bladder neck and urinary channel.Therefore, with an increase in the prostate, the urethra is squeezed and a violation of the normal output of the urine.Given the characteristics of physiology, with an inopportune treatment of acute or chronic prostatitis, there are a series of severe pathologies and complications.

Related problems:

  • the formation of cysts, prostate stones;
  • decrease in the number of male hormones produced;
  • decrease in sexual desire (libido);
  • erection disorders (erectile dysfunction);
  • infertility (in 40% of patients with a chronic form of prostatitis);
  • Prostate adenoma (benign tumor);
  • Prostate cancer.

Some consequences of the inflammation of the prostate that have not received timely and complex treatment represent a threat not only for health, but also for the patient's life (in particular, cancer pathologies can develop).Therefore, in the first symptoms of prostatitis, you must look for a consultation with a urologist.It should also be remembered about regular preventive exams after 40 years, when the risk of pathological processes in the prostate gland increases largely.

Diagnosis of prostatitis

Many urological problems have similar signs, so the specialist works separately with each clinical case and uses all available diagnostic tools.Urologist's consultation always begins with a survey on symptoms, collection of anamnesis and general inspection.Then, the doctor prescribes several studies, whose results are diagnosed and proper treatment is selected.As a general rule, the survey complex includes:

  • Rectal finger exam to determine the size, structure of the prostate gland and the compression level of the urethra;
  • Urinary system ultrasound (prostate, bladder, kidneys);
  • Urine laboratory analysis, the secret of the prostate, ejaculate;
  • urogenital infections test;
  • Urodynamic study.

To guarantee an accurate diagnosis of prostatitis in men and related disorders, you must refrain from urinating within 2-3 hours before taking the urologist.Otherwise, the results of the tests may not be quite correct, since when the bladder is emptying, pathogenic microflora occurs.According to the characteristics of the clinical image, the method of performing ultrasound: transrectal or abdominal (through the abdominal wall) is selected.After determining the cause and stage of the disease, the development of a therapeutic strategy is carried out.

Treatment methods for prostatitis

The main therapy is antibiotic intake.The use of modern pharmacological developments gives a high result, although it is impossible to completely eliminate the risk of relapse.The doctor prescribes an antibacterial medication after a Bakposev urine and/or the secret of the prostate for the type of pathogen.If acute prostatitis is diagnosed, oral antibiotic therapy takes between 4 and 6 weeks.In a chronic or recurring form of the disease, treatment will take longer (according to the characteristics of the clinical image).In severe cases (as a rule, with acute bacterial prostatitis), hospitalization and intravenous antibiotic course are required.

With difficulty urinating, the urologist prescribes medications that relieve the hypertonicity of the bladder muscles and the prostate gland, which normalizes the output of the urine and avoids its stagnation.Some patients undergo medications that reduce the level of sex hormones.As a result, there is a decrease in the size of the prostate and, consequently, a sense of discomfort during urination, defecation and ejaculation.With the severe edema of the prostate gland, muscle relaxants help relieve the excess of the bladder sphincter and adjacent muscles.Nonroid anti -inflammatory drugs are effectively struggling with pain syndrome.In addition, chronic prostatitis reacts well to auxiliary physiotherapy.The effective methods of such treatment are:

  • Drug instillation in Urethra;
  • Prostate massage;
  • Shock wave therapy (UVT);
  • magnetic laser therapy (MLT);
  • electrophoresis;
  • Ozone therapy;
  • intravenous laser irradiation (vlok);
  • Ultraviolet blood irradiation (UFOK).

The prostate massage is a frequent urological technique.The doctor uses the stimulation method with the prostate fingers through the rectum to improve secretion output and restore the permeability of organ ducts.An additional effect is an improvement in blood circulation and accelerated penetration of antibiotics in inflamed tissues.In addition to the prostate fingers massage, hardware methods are also possible.Eye results in the treatment of prostatitis are shown by shock wave therapy.The basis of this medical technology is the short -term effect of low frequency sound waves in an inflamed area.The procedure helps:

  • activate local blood circulation and growth of new vessels;
  • stimulate their own regenerative skills of the body;
  • Destroy fibrous spotlights and calcifiers that cause pain and inflammatory processes.

After the UVT course, the symptoms of prostatitis and a good preventive effect are observed.A pronounced result can only be achieved with an integrated approach to the problem.In addition, the patient's responsible attitude towards medical appointments is important.

On the other hand, the urologists of the clinic provide the preparation of an individual treatment scheme, taking into account the cause, the form, the stage of the disease, the general health and the presence of concomitant pathologies.

Prostatitis prevention

To minimize the risk of relapse, it is necessary to reduce the negative effects on the body.Among the provocative factors are:

  • Smoking.The anatomical characteristics of the arrangement of the prostate gland lead to a constant hunger of oxygen, and the inhalation of the tobacco smoke cause vascular spasm, which further slows down the local microcirculation processes.All experienced smokers are characterized by the problem of increasing blood pressure.
  • The deficiency of motor activity.The "sedentary" work and a sedentary lifestyle lead to stagnant phenomena in pelvic organs.
  • Alcohol abuseExtending the daily norm of alcohol affects health as a whole and makes the body more vulnerable to several infectious lesions.
  • Stress states.It is necessary to avoid situations that lead to anxiety, irritation, depressive disorders to the maximum.If necessary, contact a profile specialist.
  • Hypothermia.The effect of low temperature reduces immunity, which makes the body "open" to colds and inflammation.
  • Overnovorial, excessive physical activity.We must not forget the work and rest regime, as well as lift a great severity.

Preventive measures will help prevent the development of acute and relapse prostatitis of chronicle.In issues of diagnosis and treatment of the inflammation of the prostate, you can always contact the Department of Urology of our clinic.