Prostatitis

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

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 portion of sperm with the muscles of the bladder neck;
• produces an internal sphincter;
• forms testosterone to dihydrotestosterone.

The prostate gland or simply the prostate is located below the bladder, the urethra passes through the prostate and therefore the prostate is located around the urethra. And since the prostate enlarges during inflammation, it compresses the urinary tract and makes urination difficult. Men over forty often suffer from prostatitis, this is a consequence of dysfunction 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 prostate tissue with Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, etc.
2. A large number of these bacteria are representatives of a healthy microflora and live in our skin and stomach, but entering the prostate tissue, 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 when urinating, intoxication of the body and decreased quality of erection, signs of blood in the urine.
3. Chronic bacterial prostatitis: occurs due to damage to the genitourinary system or the presence of infections in the organs.
4. Symptoms of chronic prostatitis are manifested as pain during urination and frequent urination, discomfort in the groin, the presence of blood in the semen, increase in body temperature by 0. 5 - 1 degrees Celsius.

Chronic bacterial prostatitis occurs due to the erection of heavy objects with a full bladder, as a result, urine enters the prostate, pelvic muscle spasms, thus - increased pressure in the prostate, damage. Symptoms are also pain when urinating, and only with laboratory tests can an infectious change be detected.

Chronic prostatitis

Chronic prostatitis is a dangerous disease that, unlike prostatitis, carries with it a host of vague 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 diseases of the male reproductive system. The classification of chronic prostatitis is divided into several subtypes:

• acute bacterial prostatitis;
• chronic bacterial prostatitis;
• chronic abacterial prostatitis;
• inflammatory prostatitis with an increase in leukocytes in prostate secretions;
• non-inflammatory process without an increase in leukocytes;
• asymptomatic inflammation of the prostate, which is detected accidentally.

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 genitourinary system infection, 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 nature polypeptides, which affect the functional activity of immune cells.

One of the main reasons for the development of non-inflammatory forms of chronic prostatitis is the dysfunction of the pelvic floor.

Chronic symptoms of prostatitis

Signs of chronic prostatitis are pain and discomfort, urinary dysfunction and sexual dysfunction. Presence of pain in the region of the pelvis, perineum and groin. Pain is often seen in the anus and scrotum. Sex life is disrupted and libido is also reduced, but these signs are not seen in all patients. Chronic prostatitis is interchangeable in nature, the symptoms worsen, then suffocate. 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 phase, as well as frequent urination, accelerated ejaculation of sperm, and painful erections. The alternate phase is characterized by pain in the suprapubic part, normal urination and with accelerated ejaculation of sperm, pain during erections is not observed. In the diffusion phase, we can also see increased urination, and the ejaculation process is slightly delayed. In the stage of prostate sclerosis, in addition to scarring, the patient has pain in the suprapubic part, frequent urination and sperm discharge 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 you. Testing is also important to help the doctor identify the intensity of symptoms, pain, and urinary disorders. Laboratory examination of chronic prostatitis helps diagnose chronic prostatitis and possible infection of the prostate with flora and atypical bacterial and fungal viruses. If there is no bacterial growth in prostate secretions with an increased number of leukocytes, it is necessary to be tested for chlamydia. Microscopic examination helps to detect the number of leukocytes and mucus, Trichomonas and epithelium in urethral secretion. The secretion obtained after prostate massage is taken for bacteriological examination, and according to its results, the nature of the disease is determined. It is also important to perform an immunological study, the results of which help determine the stage of the disease and monitor the effect of treatment. The instrumental study of chronic prostatitis helps to determine the stage and form of the disease with further observations throughout 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 enlargement and the density content of the seminal vesicles. Muscle and pelvic myography plus information on suspected neurogenic urinary disorders. An x-ray study is performed in order to clarify the cause of 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. Diagnosis as a way to rule out a disease that is unsuitable for symptoms helps determine the nature of the pathological process: with inflammatory processes in other organs; with diseases of the rectum; with sexual dysfunctions; with neuropsychiatric disorders, for example, depression or reflex sympathetic dystrophy.

Chronic treatment of prostatitis

Treatment of chronic prostatitis should be consistent and comprehensive. First, the patient's usual way of life and thinking is required to be changed. 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 cure. Even in the preparatory phase for treatment, adhering to the diet and creating a sex life play an important role. The next major course in treating the disease is the use of medication. Such an accurate approach to treating chronic prostatitis will help not only in fighting the disease but also in increasing the effectiveness of the treatment at every stage of prostate development. Chronic prostatitis generally does not require hospitalization, but in severe cases of chronic prostatitis, inpatient treatment is more beneficial and effective than outpatient treatment. Medication treatment 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 and immunomodulatory drugs, 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. Laser, mud and electrophoresis physiotherapy is considered the most effective. Electromagnetic radiation is based on anti-congestion and bacteriostatic action. Low energy laser therapy stimulates microcirculation in prostate tissue, and laser therapy also has a biostimulatory 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 seminal tuberculosis sclerosis; such patients often consult a physician with signs of lack of sexual sensations and ejaculation. In such cases, removal 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 increase in body temperature, even if the measured temperature under the arm is normal, then very often the temperature in the anus will rise. Pain in the lower back, lower abdomen, perineum, anus and scrotum also serves as a signal to go to the doctor. Even more frequent urination, there are cramps and burning sensation when urinating. There is a deterioration of the general condition, weakness, muscle and bone pain, 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 exactly about the diagnosis. Minimal manipulations to be performed are also anus temperature measurement, diagnosis and palpation of the inguinal perineum of the lymph nodes, a general clinical blood test, and a general urine test. You will also need to take swabs from the urethra and urine and sediment bacterioscopy. In addition, transrectal ultrasound of the prostate gland is performed.

In the anus, the temperature usually rises and varies with the temperature of the mouse modes by about one degree. In urine analysis, the leukocyte count indicator is exceeded. In blood tests, some changes are also noted, for example, the number of eosinophils decreases and neutrophilic leukocytosis appears. In patients with immunosuppression, sepsis is often observed with prostate complications.

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

Treatment of prostatitis consists of the use of antibiotics against the microorganisms that are the cause of this disease. Antipyretic drugs are also prescribed to lower body temperature and use relaxing laxatives to facilitate bowel movements. The patient is prescribed a massage course, which consists of squeezing the inflamed secretion with the fingers, squeezing it into the ducts and ultimately into the urethra. Prostate massage improves blood circulation and has a good effect on prostate muscle tone.

Prevention of prostatitis

First of all, to prevent prostatitis, you should limit yourself to food and apply a special diet. You should include in your diet foods such as parsley, asparagus, strawberries, and if you like pasta etc. , Then they must be strong varieties. You also need to rule out bad habits and alcohol, spicy foods. With an exacerbation of the disease, it is very important to exclude sex life.

To prevent prostatitis, it is necessary to exclude all risk factors for its occurrence, namely: to observe proper nutrition, to exclude bad habits and to have a regular sex life, as this does not allow the sperm to accumulate. Every young boy should know that sexual dysfunction 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 associated with a sitting position, then you need physical activity, running will also help you, swimming and tennis. Also, do not forget about daily walks in the fresh air, it is very useful for the whole body. Hypothermia negatively 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 developing prostatitis.

Folk remedies for the prevention of prostatitis are also popular, based on them, distinguish recipes such as the inclusion in the diet of honey, nuts and dried fruits, which are rich in vitamins and minerals. 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: completely empty your stomach 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.

Prostate prevention exercises are easy and do not require special adjustments, they can be performed anytime, anywhere. Here is an example of some of them: perform perineum movements as if pulling on the rectum; tense the perineum muscles, trying to stop urinating, keep 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 be just a plus for your body.