Signs of prostatitis in men and their treatment

12 September 2020

Prostatitis is a pathology that occurs as an infectious and inflammatory process in the prostate (prostate) and affects its glandular and connective tissue.

The prostate, an organ of the glandular structure under the bladder in the urethra, is of great importance to the health and function of a man's body. Inflammation affects the decrease in testosterone synthesis in the testes, which decreases libido and weakens erectile function. At the first signs of prostatitis, there are problems urinating, discomfort, pain during orgasm.

Treatment of prostatitis began in the 19th century when the disease tended to grow. The disease is purely masculine as the prostate is an organ found in the body of men. Representatives of the age group over forty years of age mainly suffer from this disease, but medical statistics claim that the disease has become significantly "younger" in recent years: prostatitis is found in 30% of cases in 25 to 28-year-old men. But the specificity of the diagnosis and the likelihood of the latent course of the disease suggest that this figure is much higher. Only a quarter of men between the ages of 22 and 50 are medically examined, including by a urologist, who diagnoses prostatitis in 15% of these cases.

Complications

If treatment for prostatitis is not started on time, a number of complications can occur, which are characterized by:

Obstruction of the bladder with acute urinary retention that requires surgical treatment;
Transition of prostatitis from the acute stage to the chronic course;
Development of some form of male infertility;
recurrent cystitis;
constriction, scarring of the urethra;
pyelonephritis, other kidney diseases;
prostate abscess that requires surgical intervention;
Sepsis, which threatens the patient's life (patients with weak immunity, diabetes mellitus and kidney failure are most susceptible to it).

Important to know!Pathology can lead to prostate cancer (seen in 7% of men over 50) which seriously worsens a man's life or even leads to death.

Reasons for the development of pathology

Prostatitis has several types, which are determined by the causes of the disease.

The main factors that provoke the onset of prostatitis are the following:

infections.Bacteria get into the prostate in different ways and in different ways. Young men who have sex without contraception (condom) are at high risk of disease due to the invasion of pathogenic microorganisms (chlamydia, mycoplasma, etc. ). In addition, prostatitis occurs as a result of internal chronic diseases. Harmful bacteria reach the prostate through the flow of lymph or blood. Pathological microorganisms can also "descend" into the prostate via the urethra. Then the disease is provoked by diseases of the urinary system (urethritis, pyelonephritis) with weakened immunity.
Stagnating processes.They are manifested in obesity, a sedentary lifestyle as the microcirculation of blood in the pelvic organs is impaired. As a result, the required amount of oxygen and nutrients does not reach the prostate.
injuries.Mechanical damage to tissues and organs of the small pelvis (OMT) can lead to constipation, which causes an inflammatory process. Such cases are common among truckers as a result of professional activities associated with long-term sitting position and constant injury from a chair encountering an HTA.

Doctors' opinion. Urologists are confident 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 absolutely all the instructions. Only joint actions and efforts by the doctor and patient, who are convinced of the success of the therapy, contribute to a man feeling healthy and thus full.

Types of prostatitis

The classification of prostatitis by type provides the following parameters.

etiology. Depending on 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 relations, interrupted sexual intercourse, bad habits, stress and regular hypothermia).

Pathological feature, divided into the following subspecies:

catarrhal;
follicular;
parenchyma;
Prostate abscess (it can manifest itself as a complication of prostatitis in the form of dystrophic, fibrocystic, granulomatous and prostatic sclerosis).

Clinical course. Prostatitis can be acute or chronic.

pathogenesis. Depending on the onset and development of the disease, prostatitis can be:

hematogenic;
urethrogenic;
canalicular;
;
allergic;
endocrine.

Symptoms and signs of prostatitis

Symptoms of prostatitis can be latent and obvious.

The disease is divided into the following forms:

Sharp.The disease develops suddenly, which manifests itself in an increased body temperature (up to 39 ° C) and severe cutting pain that radiates to the back and groin. Ejaculation, bowel movements, and urination are associated with acute pain and sometimes bleeding. This is a serious reason for contacting a urologist.
Chronic.The symptomatic picture is almost imperceptible, although it is similar to the clinical picture of acute prostatitis. There may be slight increases in temperature, groin discomfort and urination. The main symptom of the chronic form of prostatitis is the frequent urge to get out of the urethra "in a small way". Over time, the patient registers the problem of erectile function due to the transition of the inflammatory process to the nerves responsible for erection and premature ejaculation. The general state of health and the condition of the patient are negative and manifest themselves in more frequent irritability, depression, dissatisfaction and mental disorders.
Stagnates.Men who lead an inactive lifestyle and have irregular sex suffer from this form of the disease. The course of the disease is expressed in a violation of the genitourinary system. Inflammation of the excretory tract, detachment of the epithelium, which provokes the onset of painful urination, are characteristic of the onset of the disease. In severe cases, the urethra stops working at all. The erection is also impaired, the orgasm is weak and unspoken. In general, sexual dysfunction develops quickly. The stagnant form of prostatitis is also characterized by symptoms of burning and itching in the perineum, the urethra. The body temperature is increased, there are symptoms of intoxication.

How to recognize the symptoms of developing prostatitis

Only a urologist can make an accurate diagnosis of a patient. According to the existing signs of the genitourinary system observed by a man, they can serve as a signal for an urgent call to a specialist. This applies to:

an act of defecation, accompanied by unpleasant sensations;
Burning in the perineum for short and long periods;
from frequent urination, but the process itself is painful and difficult;
weak orgasm effect (also known as "deleted orgasm");
increased tiredness and often for no apparent reason;
decreased erectile function;
regular stressful state.

Important to note!Detection of these symptoms requires an immediate doctor's visit in order to influence the disease from the beginning. The development of chronic prostatitis proceeds in an unspoken form, but it is fraught with its consequences and complications.

Disease diagnostics

Prostatitis in men is mainly diagnosed by analyzing patient complaints. With the help of a specially compiled questionnaire, the doctor finds and examines the symptoms of the disease.

Further diagnostic measures are carried out:

study of the composition of the secretion of the prostate (if there is no acute form of the disease: it is impossible to perform the procedure with it due to severe pain);
Palpation rectal examination;
Ultrasound examination of the prostate to confirm suspicion of prostatitis and make an accurate diagnosis;
biopsy;
Tomography (calculated / magnetic-nuclear) of the small pelvis - if necessary;
cystoscopy;
urography.

In addition, men are subjected to some general tests that can clarify the picture of the disease:

uroflowmetry;
urine sample, measured in three glasses;
study according to Mears & Stamey, measured with two glasses of urine (the first part excludes urethral contamination (infection, infection), the second - determines the absence / presence of an inflammatory process in the kidneys, bladder);
urine sample to determine its remaining volume, ultrasound of the prostate;
clinical urinalysis;
medium portion of urine for microbiological examination.

Diagnosis requires the differentiation of prostatitis with cystitis, urethritis, prostate adenoma and prostate cancer.

A man should not have sexual intercourse for five days before the appointment for an ultrasound examination. On the eve of that day, you need to use a cleaning enema and urinate before entering the ultrasound room.

How prostatitis is treated

There is no standard treatment for prostatitis. A comprehensive therapeutic approach, prescribed by a doctor, is carried out individually and adjusted in its process to increase its efficiency. When treating the prostate, the form of the disease is taken into account. For example, the acute form is easier to cure than the chronic.

Prostatitis is mainly treated conservatively and on an outpatient basis.

An integrated approach is:

Antibacterial therapy (hygiene of areas infected with bacteria).
Improvement of the blood supply to the prostate (massage, physiotherapy, therapeutic exercises).

Physiotherapy methods are used with the following goals:

Relief of the inflammatory process (using anti-inflammatory methods), pain relief (using analgesic methods).
Reduction of stagnant processes, changes of a sclerotic nature in the future (through defibrosing treatment methods).
Strengthening the protective properties of the body (through immune-stimulating methods).

Treatment of prostatitis is usually done in conjunction with prostate massage. The procedure is often considered humiliating by men due to its delicacy, but it has very good effectiveness. Prostate massage can be done at home. But to do this, you need to purchase a special hardware device.

Drugs for the treatment of prostatitis

The therapeutic approach is carried out through the administration of drugs. The treatment regimen uses antibiotics, since only they can destroy the causative agents of the disease. The doctor decides which medication to take based on the results of analyzes and studies. The patient, waiting for the appointment of a suitable antibiotic, takes drugs for anesthesia, anti-inflammatory and other directions.

Antibiotic therapy uses acceptable doses and routes of administration. The optimal dose of an antibiotic is considered to be that which has doubled or tripled the "efforts" against the concentration of pathogens.

For chronic prostatitis, which usually occurs due to immunodeficiency, antibiotic therapy is used in conjunction with immunocorrective drugs.

The best massage for treatment is sex

Doctors believe that the natural way to massage when treating prostatitis is orgasm during sex. The sperm ejaculation occurs with active muscle contraction in the anus, which is also effective for the prostate: it is massaged successfully. Many have heard that it is forbidden to have sex during the entire course of treatment, but it is not. The main thing, if possible, not to change previous partners (so that the microflora "does not conflict"), not to interrupt or prolong sexual intercourse.

In the absence of a sexual partner, doctors recommend masturbation to free the prostate and seminal ducts from stagnant processes. Horror stories about the dangers of masturbation should be read as jokes, but you shouldn't forget about moderation and personal hygiene.

It is impossible to defeat prostatitis with sex and drugs. You should lead an active lifestyle, get proper rest and nutrition, sleep well, and avoid stressful situations. Alternative treatments are also welcome but are used after consulting a doctor.

Important to know!Taking antibiotics also includes probiotics to prevent cases of dysbiosis and other negative aspects.

Surgical treatment of the prostate
Surgical treatment is used in advanced stages of prostatitis:

as the disease progresses;

in the case of an abscess in the prostate;

for cysts or strictures.

These situations require radical solutions to get rid of the inflammatory process.

The type of operation takes into account aspects of the disease, the patient's condition.

Operations prescribed by a doctor are divided into the following types:

Transurethral resection.During the surgery, the closed prostate removal is performed using a tube inserted through the urethra.

Transurethral incision.The tissue near the neck of the bladder is incised, which reduces the pressure on it. Such an operation is indicated in men with a slight increase in the prostate gland. Complications practically do not arise, patients recover quickly.

Radical prostatectomy.In this case, the entire prostate is removed. This type of surgery is difficult, traumatic, and involves significant blood loss.

Traditional medicine for the treatment of prostatitis

Alternative medicine offers over a hundred recipes for combating prostatitis, for alleviating symptoms and for completing popular treatments. It should be remembered that all the options suggested may not be suitable for a person with a certain form of the disease, some can cause an allergic reaction and other complications.

We offer various 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 a shell) and mixed with honey (200 ml). Put walnut balls from the resulting mass in the refrigerator. Eat 1 ball twice a day, half an hour before meals, slowly chew and suck out the healing juices. Powerful and effective, it can be used once a year.
Fruit and vegetable juices.Help the body produce more uric acid. Freshly squeezed juices made from cucumber, carrots and asparagus are of course particularly successful. They can be drunk in a mixture, with the proportions varying according to your taste. It is necessary to consume more than half a liter of fluid per day in multiple doses.
Natural honey.In addition to beekeeping, products have proven to be excellent in treating prostatitis. The herbal medicine based on it has a strong anti-inflammatory, analgesic effect. For example:

Propolis candles.40 g of propolis are evaporated in a glass of alcohol, then this extract (0. 1 g) is mixed with two grams of rye flour and cocoa. Candles are formed, which are inserted into the rectum a month before bedtime.
Propolis tincture.20% tincture (40 drops), diluted with water (100 ml), taken 20 minutes before meals.
Herbal tea with honey.It is used for acute prostatitis. Marigolds (30 g), horsetail (25 g), elecampane root (15 g), dioecious nettle leaves, healing sage, mint (10 g of each plant) are crushed and mixed. Then take three tablespoons from the resulting mixture and pour it with half a liter of boiling water. Insist on a thermos for three hours, dispense, add honey to taste and drink a third of a glass three times a day for half an hour before meals.
Red root boil.Chopped root (25 g) is poured with a liter of boiling water, let stand in a thermos for an hour and drink a third of a glass three times a day before meals. You can add milk, honey. This tea is considered the best remedy for prostatitis.
pharmacy chamomile.10 g is poured into 100 ml of very hot water, infused for half an hour and filtered. Used as a solution for microclysters (70-80 ml).
Wild pear.The patients observe the effect a few days after starting to take pear compote / tea. With prolonged use, prostatitis is almost completely cured. Fruits and leaves are not only used fresh, but also dried to make a potion in winter. This drink is an excellent preventative measure.

The list of folk recipes is endless, but only one doctor will recommend one or more important recipes at a time for an integrated approach to treatment.

Prevention of prostatitis

Measures for the prevention of diseases and relapses in the chronic course are based on:

active and healthy lifestyle;
Do sports, physical education;
cessation of tobacco smoking, alcohol consumption;
have sex with a regular partner (promiscuity in relationships leads to sexually transmitted infections that cause prostatitis);
have a regular sex life and achieve ejaculation;
regular (twice a year) follow-up care by a urologist;
timely treatment of urological diseases;
a balanced diet;
respect for your own health.