Prostatitis refers to a purely male pathology of the urinary and reproductive system. The disease can be acute or chronic, appearing differently in each patient. Today it is a common disease of the genitourinary system. At the moment, the disease has become much younger and already appears in men over the age of 25 years. In this article, we will examine the question: how does prostatitis manifest and its treatment.
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The nature of prostate dysfunction depends on a certain stage of sexual development in men:
- Damage to the prostate gland in juvenile males is possible. However, such a disease is not considered to be a separate disease due to underdeveloped gland;
- men who have a violent sex life are more likely to suffer from prostate in the form of an acute inflammatory process;
- prostate disease in adult men manifests itself in the form of one of three diseases: benign and malignant tumors, chronic prostatitis.
People who have undergone any type of reproductive organ removal have no prostate function.
The prostate is an accessory gland of the reproductive apparatus in the hard half. It is located at the junction of the urinary tract and the ejaculatory tunnel. The importance of the prostate gland in adolescent males before puberty has challenged research. In an adult, the prostate is responsible for:
- the formation of a secretion that makes seminal fluid less thick and allows the sperm to survive on the way to the egg;
- formation of prostaglandin in the body. It is an ingredient that is responsible for increasing blood flow to the genitals before the formation of an erection. It also promotes the production of the hormone testosterone;
- is responsible for the high rate of sperm release during ejaculation, and also participates in the display of the final moment of sexual intercourse accompanied by the peak of intimate pleasure;
- with the help of reflexes does not allow urine to penetrate into the sperm during intercourse.
The prostate gland is a poorly protected organ for pathogenic microbes. This depends directly on the pathological conditions of the pelvic organs. A large flow of blood and lymph, which moves through the vessels of the damaged prostate, includes the phenomenon of stagnation and edema, thus exacerbating inflammation. The gland contains a large number of nerve fibers, so the pathology is manifested by pain.
Prostatitis is an inflammatory lesion of the prostate gland. The most common cause of this disease are pelvic infections. But the blocked infection itself is not capable of causing inflammation; this requires the presence of predisposing factors. This category includes:
- prudent lifestyle (people with sedentary jobs are at risk);
- regular bowel movements;
- multiple hypothermia;
- highly active intimacy and long periods of abstinence;
Manifestations of prostatitis
There are two stages of the disease:
The acute form is manifested by the strongest inflammation in the prostate gland. The patient has a fever of up to 39 degrees, there is soreness in the groin area and in the process of excreting feces and urine from the body. These are the first characteristic symptoms of prostatitis.
In a chronic course, these symptoms subside, therefore, many men do not pay attention to the characteristic manifestations of the disease. The patient may have a rise in temperature of up to 37 degrees, painful sensations during defecation and defecation. However, the main symptom of chronic prostatitis is the discharge of a small amount of mucous or purulent contents from the urethra.
Predisposing factors
There are the first 6 symptoms of prostatitis - this is a failure in the deureination process due to complicated urination from the bladder when the urethra is compressed by the enlarged prostate gland (dysuria syndrome):
- urinary excretion point by point;
- painful sensations;
- urine stream without pressure and not farther than 20 cm;
- interruption of the aircraft;
- frequent nighttime defecation;
- sensation of incomplete bladder emptying.
Important! Forbiddens it is forbidden to diagnose prostatitis when these symptoms are detected without a thorough examination. This disease has a very complex process of origin and development, which involves different mechanisms.
Do not treat a disease based on clinical manifestations alone. You should immediately contact a specialist for an accurate diagnosis and description of therapeutic measures. Diagnosis and therapy are prescribed taking into account the organs and systems affected by the disease. In some cases, you should consult other specialists.
Signs of the disease
Prostatitis can appear as an acute form of the inflammatory process, and chronic. The acute course is characterized by inflammation of the mucosa, follicle and parenchyma, however, they should not be confused with the symptoms of prostate adenoma. And chronic - manifested by concomitant diseases.
Symptoms of prostatitis in men, detected by clinical and functional examinations:
- Frequent urination
A normal man may have the urge to defecate up to 12 times a day, usually 5 times. The volume of urine in a healthy patient per day is from 1 to 2 liters. Desires for deurination in a healthy person arise when the bladder is filled with a volume of 120-170 ml. An accumulation of urine exceeding 350 ml creates the strongest desire to urinate.
In the inflammatory process, the bladder walls are systematically irritated and deureination occurs:
- is not uncommon, as the amount of urine is within normal limits;
- in a small amount: the products of the inflammatory process irritate the bladder receptors and there is a false desire for deurination, a feeling of full bladder, after emptying it, remains a feeling of its fullness;
- painful due to narrowing of the urethra;
- difficult due to compression of the urethra by the gland, sometimes manifested by the inability to empty the bladder when it is overcrowded;
- frequent at night;
- temperature.
Typically, the temperature rises from 37 to 38 degrees. In the initial stage of sepsis with purulent inflammation of the gland, the temperature rises above 39 degrees. In the final stage of septic shock, the temperature, on the contrary, drops to 35 degrees. Low temperature poses a threat to human life due to platelet clotting disorders. The result in the prostate with sepsis complications is unfavorable.
- Blood in urine
This is quite rare, but it is a dangerous sign of the course of the disease. Persistent bleeding is almost impossible to stop. There are several reasons for the development of hematuria:
- with vessel hole in ureter;
- trauma during research;
- malignant hyperplasia;
- grief.
Inflammation of the prostate with an accompanying complication is accompanied by persistent pain. It can rarely be intermittent. Most often, the pain is dull or painful and manifests in the perineum and anus.
Laboratory Methods
Named to clarify the stage of the disease:
- Blood test. With the prostate, an increased leukocyte content is detected, an increase in the erythrocyte sedimentation rate, and a shift in the leukocyte count towards the knife cells;
- Urine analysis. Determines the purulent content in urine and the presence of bacteria. A study of 3 vases is used: 3 portions of urine are taken at the beginning, middle and end of deuritization. Numerous urine studies with an interval of several days reveal a change in the bacterial flora;
- Bacteriological culture of blood. It is prescribed for the development of blood poisoning with a daily temperature fluctuation of 3-5 degrees.
Instrumental search
- Ultrasound through the rectum. To clarify the diagnosis is the most informative method. This study has contraindications.
- X-ray method. Prior to examination, a contrast agent is injected into the bladder.
- Cutting a piece of tissue for microscopic examination is used for limited indications.
Causes of prostatitis
Experts identify several classifications of why a man may have a prostate:
- complicating the symptoms of any disease that affected a person before or a negative effect of gynecological diseases on a partner;
- urethral reflex. Prostate dysfunction is fraught with the inability to stop the flow of urine back. When this fluid reaches the genital tract, it is called the urethral reflex. Then, a bacterial seed of the gland is formed. Such a disease is a consequence of inflammatory processes in the urethra or incorrect insertion of the catheter. There is also an enlargement of the lumen of the urethral canal;
- an unusual way of intimate life. If a man has a significant increase or decrease in the number of sexual intercourses, this may contribute to the development of prostatitis. Persistent delays in ejaculation are also cause for concern;
- venous blood blocker in the genitals in the pelvic area. This occurs in the absence of a sufficient number of active, sports movements;
- hormonal disorders caused by a low production of hormones formed in the gonads. Due to this pathology, general diseases of the skeletal and smooth muscles and other diseases occur.
Types of prostatitis
There are two divisions of this disease: bacterial and non-bacterial.
The first type is characterized by the fact that the disease occurs due to the presence of pathogenic microbes that have entered the body from the external environment. Staphylococci, streptococci, Escherichia coli and many others fall into the category of harmful microorganisms. In addition, this classification of prostatitis includes cases where the disease is caused by a sexually transmitted disease.
For the second non-bacterial species, there are also some divisions:
- Congestive prostate. In this case, the gland disease is caused by overload in the pelvic area. This result is usually driven by incomplete ejaculation, an excessive number of acts of intimacy, prolonged abstinence, and incomplete sexual intercourse.
- Sclerotic prostates. It is characterized by a decrease in prostate size and function. There is a thickening of the tissue membrane due to the death of prostate cells and their degeneration into rigid connective tissue. The reasons for this type are frequent bowel disorders in the form of a hard, slow bowel action, taking certain medications and multiple infections. This type of prostate inflammation is incurable.
- Calculated prostates. With this type of inflammation, the presence of stones in the gland is detected. Reaching a large size, they provoke severe pain in the urethra. Therapy consists of the removal of stones by surgical or therapeutic methods.
- Prostatodinia. It is characterized by the presence of persistent pain in the pelvic area, the causes of which have not been studied. Presumably it can be caused by recurrence of secretions, a disease of the bladder neck, damage to the muscle tissue between the anus and the genitals, and a psychological factor is also possible.
- Atypical prostates. The patient may complain of soreness in the lower extremities, waist and sacrum, which is not present in typical forms of prostatitis. The outcome of therapy is directly related to the duration of the course of the disease, the presence of complications and the severity of the inflammatory process.
If treatment is started at the wrong time, or there is a recurrent exacerbation of prostatitis, the inflammation turns into a severe form, which is fraught with serious complications: decreased potency, inability to conceive, conditiondepressive, severe pain, prostate adenoma in men.
Complications
Everything will depend directly on age, immunity, bad habits and treatment timelines. So in older people with a diminished immune system, complicated by excessive consumption of products containing alcohol, the consequences will be very severe.
Action on potency. The damaged gland reduces the production of hormones that are responsible for initiating an erection. Complications are lack of fullness of sensations during intimacy, poor excretion of seminal fluid, signs of prostate adenoma in men and impotence.
Influence on the conception of a child. An inflamed prostate greatly reduces the production of normal secretions required for sperm activity in the female reproductive organs for fertilization. The secret, the introduction into the birth canal of the girl during intimacy, undergoes immune rejection, which leads to the impossibility of fertilizing the egg.
Other complications. With a worsening of the prostate, the risk of pus accumulating in the glandular tissue increases. Prostate pain increases. When a secondary infection joins, the epithelium melts, followed by the appearance of a capsule near the inflammation. Consequences also include a pronounced acute form of urinary retention, urolithiasis, the appearance of prostate adenoma in men and others.
Intimacy with inflammation
It has already been proven that the main causes of prostatitis are lack of sexual intercourse with increased arousal or excessive sexual activity. Regular ejaculation with normal frequency has a beneficial effect in the early stages of prostatitis. In some procedures and stages of the disease, it is temporarily forbidden to engage in intimacy. More detailed information can be found in consultation with a specialist.
Important! When treating prostatitis, you can make love, but only by respecting security and moderation in the relationship, unless otherwise determined by the doctor.
Prostatitis is a purely male disease. But glandular inflammation poses a risk to the partner’s health. It poses a threat to the conception and birth of an unborn child. A healthy lifestyle and reliable contraception is an effective way to protect partners from complications.
Treatment of Prostatitis
It is only possible to fully recover and stop further development of the disease only with timely referral to a specialist. In this case, you will achieve a positive result. When irreversible changes occur, it is not possible to completely get rid of the disease. As a rule, recurrent inflammation occurs with a transition to a chronic type.
Along with medication treatment, an important point is whether the patient is willing to change their lifestyle (for example, irregular intimate relationships or a sedentary lifestyle). If the patient does not want to change his usual way of life, then soon the disease will be felt again. Precisely it is precisely the fact that the patient does not want to change these negative factors and relates to the concept that prostatitis can not be treated.
Treatment options, time period will be described by a specialist after a thorough examination and confirmation of the cause of occurrence. Antibiotics are the main medicine used during treatment. Vitamins, physiotherapy, taking analgesics and anti-inflammatory drugs are also recommended. Worsening of the prostate requires a longer period of treatment.
Diet
With the right diet and the use of certain foods, you can achieve:
- reduce pain;
- improving blood and lymph movement in the prostate vessels;
- boosts the immune system;
- normalization of intestinal function;
- reduction of nocturnal urine production.
The following foods should be excluded from the diet:
- Coffee and spicy foods - increase blood flow to the prostate, increase bitterness. Fats, fatty meats, eggs, flour products - increase the formation of cholesterol plaques on the walls of blood vessels, reduce the flow of blood.
- Alcoholic products - lowers the body's immune system.
- Diet with thick and salty fiber - violates the wavy contractions of the intestinal wall.
- Excessive fluid intake (especially in the evening) - increases the fluid content in the body, which leads to the appearance of bloating.
Recommended foods: fresh vegetable salads with olive oil, fruits, lean cooked meats, vegetables, juices and nuts.
Prevention
Recommended:
- walking promenade with a wide step (physiological walking);
- rational food;
- healthy lifestyle;
- use of male contraceptives;
- moderate privacy and more.
Conclusion
You do not need to wait for any illness to appear, but you should visit a doctor once a year for preventative purposes. Treating a secondary exacerbation of prostatitis is much more difficult and requires a longer period of time, and is also fraught with its own complications.
In this article, we learned how inflammation of the prostate gland manifests itself and what pain it has with prostatitis, how to treat this disease.