Prostatitis

Prostatitis is an inflammation of the prostate gland, which is quite common nowadays.

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

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

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

The prostate gland 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 since the prostate enlarges during inflammation, it compresses the urinary canal and makes it difficult to urinate. Men over forty years old very often suffer from prostatitis, this is a consequence of the malfunctioning of the genitourinary system.

Factors that provoke the development of prostatitis:

• hypothermia;
• infectious diseases;
• alcohol and tobacco use;
• trauma and hormonal disorders;
• sedentary work;
• urinary retention.

Prostatitis is divided into several types:

1. Acute bacterial prostatitis: occurs during damage to the tissues of the prostate with Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, etc.
2. A large number of these bacteria are representatives of a healthy microflora and live on our skin and in the stomach, but getting into 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 a decrease in the quality of erection, signs of blood in the urine.
3. Chronic bacterial prostatitis: occurs due to injuries of the genitourinary system or the presence of infections in organs.
4. Symptoms of chronic prostatitis are manifested as pain during urinary excretion and frequent urge, discomfort in the groin, the presence of blood in the semen, a rise in body temperature by 0. 5 - 1 degrees Celsius.

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, thus - increased pressure in the prostate, injury. 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, carries with it a bunch of unexplained questions. What is chronic prostatitis? Chronic prostatitis is the presence of inflammation in the prostate gland, which is 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 an increase in 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 provoked by neurovegetative disorders causes and provokes the development of chronic prostatitis. Hemodynamic disorders provoke a decrease in immunity through 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. Also important and dangerous causative agents of the disease will be disorders of the immune system, cytokines, bacteria of low molecular polypeptide nature, 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.

Chronic prostatitis symptoms

Signschronic prostatitis are pain and discomfort, dysfunction of urination and sexual dysfunctions. Presence of pain in the pelvic region, perineum and groin. Pain is often observed in the anus and scrotum. Sexual life is disrupted and libido also decreases, but these signs are not observed in all patients. Chronic prostatitis is interchangeable in nature, the symptoms are exacerbated, then muffled. 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, as well as frequent urination, accelerated eruption of semen and painful erections. The alternative stage is characterized by pain in the suprapubic part, normal urination, and with accelerated eruption of semen, pain during erections is not observed. In the proliferative stage, we can also see increased urination, and the process of ejaculation is slightly delayed. In the stage of sclerosis of the prostate, in addition to cicatricial changes, the patient has pain in the suprapubic part, frequent urination, and the ejaculation of semen 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, given that very often the disease is asymptomatic, a number of tests and laboratory tests will help. Testing is also important to help the doctor identify the intensity of symptoms, pain, and urinary disorders. Laboratory examination of chronic prostatitis helps to 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 helps to reveal the number of leukocytes and mucus, Trichomonas and epithelium in the secretion of the urethra. The secret obtained after prostate massage is taken for bacteriological examination, and the nature of the disease is determined based on its results. It is also important to conduct an immunological study, the results of which help determine the stage of the disease and control the effect of treatment. Instrumental study of chronic prostatitis helps to determine the stage and form of the disease with further observation throughout the course of treatment. Ultrasound examination makes it possible 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 the density of the contents of the seminal vesicles. Muscle and pelvic floor myography plus information on suspected neurogenic urinary disorders. An x-ray study is carried out in order to clarify the cause of the onset and the 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. Diagnostics as a way to exclude a disease that is unsuitable 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, such as depression or reflex sympathetic dystrophy.

Chronic prostatitis treatment

Treatment of chronic prostatitis should be consistent and comprehensive. First, it is required to change the patient's usual way of life and thinking. Also eliminate the influence of harmful factors such as smoking and alcohol consumption, hypothermia. Thus, we stop the further development of the disease and soon provoke recovery. Even in the preparatory stage for treatment, dietary adherence and the establishment of a sexual 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 help not only fight the disease, but also increase the effectiveness of treatment at every stage of the development of prostatitis. Chronic prostatitis generally does not require hospitalization, but in severe cases of chronic prostatitis, inpatient treatment is more beneficial and more effective than outpatient treatment. Treatment with medicines leads to the establishment of good blood circulation in the pelvic organs, brings hormones and the immune system to normal levels. In such cases, antibacterial drugs and immunomodulators, vasodilators and prostate massage are used. Antibacterial use of drugs is the basis for the treatment of chronic prostatitis. But, unfortunately, the effectiveness of this therapy has been proven, but not for all types of prostatitis. In chronic bacterial prostatitis, antibacterial treatment is effective, in chronic abacterial prostatitis, a course of empirical antibacterial treatment is used.

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

Surgical intervention is increasingly used in the treatment of prostatitis, as the disease affects more and more young men. An indication for surgery may be sclerosis of the seminal tubercle; such patients often consult a doctor with signs of a lack of sexual sensations and ejaculation. In such cases, resection of the seminal tubercle is performed. Also, surgery is used for sclerosis of the bladder and prostate.

Symptoms of prostatitis

Very often, men suffering from prostatitis complain of fever and increased body temperature, even if the temperature measured under the arm is normal, then very often the temperature in the anus will be elevated. Pain in the lower back, lower abdomen, perineum, anus and scrotum also serve as a signal to go to the doctor. Even more frequent urination, there are cramps and burning sensation when urinating. There is a deterioration in general condition, weakness, pain in muscles and bones, severe headaches.

With inflammation of the prostate gland 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 diagnosis exactly. The minimum manipulations that should be carried out are measuring the temperature in the anus, diagnostics 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 urine and sediment. In addition, transrectal ultrasound of the prostate is performed.

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

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

Treatment of prostatitis consists in the use of antibiotics against 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 course of massage, which consists in squeezing the inflamed secretion with the fingers, squeezing it out into the ducts and ultimately 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 should limit yourself to food and apply a special diet. You need to include in the diet such foods as parsley, asparagus, strawberries, and if you like pasta and so on, then 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 sex life.

For the prevention of prostatitis, it is necessary to exclude all risk factors for its occurrence, namely: to observe proper nutrition, exclude bad habits and have a regular sex life, as this does not make it possible to accumulate sperm. Every young guy should know that promiscuity in sexual intercourse is bad for the prostate gland. An active sex life increases the risk of contracting sexually transmitted diseases. Use contraception anyway. Monitor your bowels and go to the toilet regularly. Another important point is work: if it is connected with a sedentary way, then you need physical activity, jogging will also come in handy, swimming and tennis. Also, do not forget about daily walks in the fresh air, this is very beneficial for the whole body. Hypothermia adversely affects the immune system and it is at this point that the infection progresses. You should be examined by a urologist, even if there are no prerequisites 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, based on them, such recipes as the inclusion of honey, nuts and dried fruits, which are rich in vitamins and minerals, are distinguished in the diet. Pumpkin seeds and onions, oatmeal and seafood, liver and apples are rich in zinc and therefore have a special, important value and great benefits for the prostate gland. Add to the above tips: empty your stomach completely and avoid constipation. This will help products such as kefir, vegetable oil and vegetable fiber. Separately, it is necessary to mention the benefits of exercises for intimate muscles.

Exercises for the prevention of prostatitis are easy and do not require special adaptation, they can be performed at any time, anywhere. Here are an example of a few of them: perform the movements of the perineum as if you were pulling in the rectum; tense the muscles of the perineum, trying to stop urination, hold them in this position for 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. Such simple exercises will only be a plus for your body.