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Prostatitis in men

Prostatitis is an inflammatory process that affects the prostate gland tissue.This is one of the most common diseases in the practice of urologists.The disease is diagnosed primarily in men from 25-30 years, but at older age the risk of pathology increases significantly.

Its shape distinguishes acute and chronic prostatitis.In the second case, the inflammation is characterized by a long course with a periodic relapse.This situation is more common than acute.

The cause of prostatitis

Many prostate gland diseases, for example, benign hyperplasia or onkopathology, are older age group problems.However, prostatitis does not belong to this category.Symptoms, as a rule, appear in men at the age of 30-50.Often, the cause is a contagious lesion due to the penetration of the pathogen flora of the urogenital tract or the genitourinary system gland.This is explained by the proximity of the location of the urethra and the anus.

Among the pathogens of bacteria (contagious) prostatitis, grams organisms should be observed: pseudo -onads, intestinal sticks, compatible, enterobacter and pro.Often the inflammatory process develops against the background of IPP: Chlamydia, Gonococci, Trichomonas, herpes virus, and others, as a rule, the form of the disease is diagnosed in men under 35.Cases of pathological treatment for the micobacterial background of tuberculosis are extremely rare.

Nebacterial varieties of prostatitis are also distinguished.Some of their main reasons:

  • increased pressure in the prostate gland;
  • autoimmune disorders (destruction of prostate cells by antibodies);
  • Muscle pain syndrome in the pelvic region;
  • Psychoemotional disorders;
  • lack of motor activity;
  • Excessive physical stress.

The main signs of prostatitis

A man with a sign of prostatitis

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

  • uncontrolled urination;
  • discomfort, pain in clearing the bladder;
  • Potential disruption in reproductive age men;
  • Pain in the perineum with long accommodation in the sitting position;
  • frequent and strong urine;
  • difficulty in the destruction of the bladder;
  • decreased libido and the appearance of problems with erection;
  • violation of reproductive function (infertility);
  • Feelings of incomplete bladder ruin after going to the toilet;
  • It is impossible to achieve high erection and persistent even with severe pleasure.

The sign of acute prostatitis

Symptoms of the disease in the form of acute and general clinical pictures vary depending on the level of pathological process:

  • Catarrhal.The patient complains of rapid impulse, urinary tract pain, pain in the perineum and sacrum.
  • Folicular.The pain syndrome becomes intense, can give the anus and grow in the process of removal.Urine is released with a thin stream.In some cases, the delay occurs.There is an increase in body temperature up to 38 degrees for a long period of time (subfebrilite) or moderate hyperthermia.
  • Parenchymal.The man started a general intoxication with chills and temperatures up to 38-40 ° C. The pain syndrome in the perineum became sharp and pulsating.Water removal is difficult, and normal bladder emptying is impossible, resulting in acute delay in urine (dysuria).

Symptoms of chronic prostatitis

The form of chronic inflammation of the prostate may be due to the absence or treatment of the acute level.However, in many men it develops instantly and is characterized by "smooth" symptoms.Among the main features observed:

  • subfebrile temperature (sometimes);
  • weak pain in the perineum;
  • discomfort during urination;
  • The release of scarring from the urogenital canal during the disinfection.

In general, the clinical picture changes over time, in contrast to the intensity of different patients and can come into hidden form when self -trials.Symptoms of chronic disorders can be a burning sensation in the urethra, pressure in the perineum, dysuria, declining sexual function and increased general fatigue.Against the background of problems with potential, mental depression, irritation and anxiety.Fear of impotence leads to complex development, but at the same time, most men tend to postpone appeals to urologists for shame.

The major chronic prostatitis develops for a long time.The movement of blood in the capillaries (prostatosis) causes an early stage of non -refinement, which leads to the appearance of the disease.

With contagious etiology, the cause of the disease is a chronic inflammation process against the background of infection with trichomonas, ureaplasma, chlamydia or gonococcus.Signs of the main infection of the signs of prostatitis, and the treatment does not eliminate the prostate inflammation.Often the participation of the same problem is still not a guy for a man.

Let's consider in detail the three main symptoms of chronic prostatitis:

  • Urine disorders (dysuria).Inflammation increases the number of prostate glands, leading to ureter compression.With the decrease in the lumen, the frequent impetus for urinating and the feeling of not completely crushed bladder appears.Disorders in many men occur in the early stages of prostatitis.The mechanism of compensation during this period is shown in the bladder and ureter and ureter muscle hypertrophy, which reduces the symptoms of dysuria, but with the development of their inflammation.
  • Sick syndrome.No pain receptors in the prostate cloth.Pain occurs when the inflammation process spreads to other pelvic organs and their nerve pathways.The sensation is different from the weak and the pain to the intense, which interferes with the night's rest.Strengthening discomfort occurs during ejaculation, sexual abstinence or excessive sexual activity.Pain is given to curvature, sacrum, scrotum and sometimes to the lumbar zone.
  • Potential violations.Lack of treatment in the early stages of prostatitis can cause disputes, when a man has frequent night erections, deterioration of quality orgasm and accelerated ejaculation.In different patients, these signs appear with different intensity.Premature ejaculation occurs due to a decrease in the threshold of the organic center.At the same time, the patient records pain, leading to the development of pain and gradual rejection of sexual activity.In the absence of comprehensive treatment with the study of mental factors, sexual disorders are worsening.Ignoring the need to get medical help with prostatitis often ends with impotence.

The level of sexual harassment varies depending on the individual factors.Some men are so afraid of erectile dysfunction that their violations are caused by suggestions, and not the objective physiological factors.In particular, psychogenic views are observed precisely with increased anxiety and obsessive complexes.The most likely thought of male health disorders is difficult to tolerate the patient.This is very reflected in their character and communication with others.Irritation, hypochondria, revenge and depression arise.

Complications with prostatitis

The absence of adequate treatment with prostate inflammation leads to related diseases.The fact is that the prostate gland is closely related to other organs from the male genitourinary system.It is located around the neck of the bladder and urine.Therefore, with an increase in the prostate, the urethra is squeezed and violates the flow of normal urine.In view of the physiological features, with the treatment of acute or chronic prostatitis soon, some serious pathology and complications occur.

Related Problems:

  • cyst formation, prostate stone;
  • decreased the number of male hormones produced;
  • decrease in sex drive (libido);
  • erection disorders (erectile dysfunction);
  • infertility (in 40% of patients with chronic forms of prostatitis);
  • prostate adenoma (benign tumor);
  • Prostate cancer.

Some of the consequences of prostate inflammation that have not received timely treatment and complexes pose a threat not only to health, but also for the life of the patient (in particular, cancer pathology can develop).Therefore, at the first symptom of prostatitis, you must consult a urologist.It should also be noted about regular preventive examinations after 40 years, when the risk of pathological processes in the prostate gland increases rapidly.

Diagnosis of prostatitis

Many urological problems have the same signs, so experts work separately with each clinical case and use all available diagnostic tools.Consultation of urologists always begins with a survey of symptoms, collecting anamnesis and general examination.Then the doctor prescribed several studies, the results were diagnosed and adequate treatment was selected.As a rule, the survey complex includes:

  • Prostate rectal examination to determine the size, structure of the prostate gland and the level of urethra compression;
  • Urinary system ultrasound (prostate, bladder, kidneys);
  • Urine laboratory analysis, prostate secret, ejaculation;
  • tests for urogenital infections;
  • Urodynamic study.

To ensure proper diagnosis of prostatitis in men and related disorders, you should refrain from urination within 2-3 hours before taking urology.Otherwise, the test results may not be completely correct, because when the bladder is emptied, the pathogenic microflora occurs.In accordance with the features of the clinical picture, the method of performing ultrasound is selected: Transrectal or abdomen (through the abdominal wall).After determining the cause and level of the disease, the development of therapeutic strategies is carried out.

Methods of treatment for prostatitis

The main therapy is the intake of antibiotics.The use of modern pharmacological development produces high results, although it is impossible to eliminate the risk of relapse.Doctors prescribe antibacterial drugs after bakposev urine and/or prostate secret for pathogenic types.If acute prostatitis is diagnosed, oral antibiotic therapy takes about 4-6 weeks.In the form of chronic or recurrent diseases, the treatment will take more time (according to the clinical picture features).In severe cases (as a rule, with acute bacterial prostatitis), hospitalization and intravenous antibiotic courses are required.

With urinary tract difficulties, urologists prescribe medications that relieve hypertonicity muscle -bladder and prostate glands, which normalize the flow of urine and prevent its stagnation.Some patients undergo therapy with medications that reduce sex hormone levels.As a result, there is a decrease in prostate size and, thus, a sense of discomfort during urination, water removal and ejaculation.With severe edema of the prostate gland, muscle relaxants help relieve overstrain sphincter bladder and adjacent muscles.Anti -Anti -anti -anti -anti -anti -anti -anti -medicine effectively struggles with pain syndrome.Also, chronic prostatitis responds well to additional physiotherapy.An effective method of such treatment is:

  • Medicine Instillation in the urethra;
  • prostate massage;
  • shock wave therapy (UVT);
  • Magnetic laser therapy (MLT);
  • electrophoresis;
  • ozone therapy;
  • Intravenous laser irradiation (vlok);
  • Blood ultraviolet irradiation (horizon).

Prostate massage is a commonly used urological technique.Doctors use the prostate finger stimulation method through the rectum to improve the outflow of the secretion and restore the patency of the organs.An additional effect is an increase in blood circulation and an accelerated penetration of antibiotics into the inflamed tissue.In addition to the prostate finger massage, the hardware method is also possible.Eyes in the treatment of prostatitis are characterized by shock wave therapy.The basis of this medical technology is a short effect of low frequency sound waves in inflamed areas.This procedure helps:

  • activate local blood circulation and the growth of new vessels;
  • stimulate your own regenerative ability;
  • Destroy fibrous foci and calcifiers that trigger pain and inflammation.

After UVT travel, symptoms of prostatitis and good preventive effects are observed.The so -called results can only be achieved with an integrated approach to this problem.In addition, the patient's responsibility for medical appointment is important.

For them, the urology of the clinic provides the preparation of individual treatment schemes, taking into account the causes, forms, levels of disease, general health and the presence of equivalent pathology.

Prevention of prostatitis

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

  • Smoke.The anatomical features of the prostate glands lead to persistent oxygen starvation, and the inhalation of tobacco smoke causes vascular cramps, which slows the local micro -circulation process.All smokers with experience are characterized by increased blood pressure.
  • Lack of motor activity."Inactive" work and inactive lifestyle lead to unstable phenomena in the pelvic organs.
  • Alcohol abuse.Exceeding daily alcohol norms affects overall health and makes the body more vulnerable to a variety of infectious lesions.
  • Stressful state.It is necessary to avoid situations that lead to anxiety, irritation, maximum depression.If necessary, contact a profile specialist.
  • Hypothermia.Low temperature effects reduce immunity, which makes the body "open" to colds and inflammation.
  • Hard work, excessive physical activity.We cannot forget the work and rest regime, as well as lift the severity of the weight.

Preventive steps will help prevent the development of acute prostatitis and chronic relapse.On the issue of diagnosis and treatment of prostate inflammation, you can always contact our clinic urology department.