Prostatitis

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

The prostate 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 bladder neck muscles;
• produces an internal sphincter;
• transforms testosterone into dihydrotestosterone.

The prostate gland or simply the prostate is located under the bladder, the urethra passes through the prostate and then the prostate is located around the urinary tube. And because the prostate becomes enlarged during inflammation, it compresses the urinary canal and makes urination difficult. Men over forty very often suffer from prostatitis, this is a consequence of the malfunction of the genitourinary system.

Factors provoking the development of prostatitis:

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

Prostatitis is divided into several types:

1. Acute bacterial prostatitis: Occurs during tissue damage 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 stomach, but by penetrating 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 when urinating, intoxication of the body and decreased quality of erection, signs of blood in the urine.
3. Chronic bacterial prostatitis: occurs due to lesions of the genitourinary system or due to the presence of infections in the organs.
4. Symptoms of chronic prostatitis are manifested as pain during urinary excretion and frequent pulse, discomfort in the groin, the presence of blood in the sperm, an increase in body temperature of 0. 5 - 1 degrees Celsius.

Chronic bacterial prostatitis occurs due to lifting heavy objects with a full bladder, as a result, urine enters the prostate, spasms of the pelvic muscles, hence: increased pressure in the prostate, injuries. 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, brings with it a number of unclear 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 bacterial prostatitis;
• inflammatory prostatitis with increased 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 caused by autonomic disorders causes and causes the development of chronic prostatitis. Hemodynamic disorders cause a decrease in immunity through autoimmune and biochemical processes. Factors in the development of chronic prostatitis are lifestyle features that cause infections of the genitourinary system, frequent hypothermia and sedentary work, irregular sex life or 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 a low molecular weight polypeptide nature, affecting 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

Signs Chronic prostatitis are pain and discomfort, urination dysfunction and sexual dysfunction. The presence of pain in the pelvic region, perineum and groin. Pain is often observed in the anus and scrotum. Sex life is interrupted and libido also decreases, but these signs are not observed in all patients. Chronic prostatitis is interchangeable in nature, the symptoms are aggravated, 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 are frequent urination, accelerated sperm eruption and painful erections. The alternate stage is characterized by pain in the suprapubic part, normal urination and with accelerated eruption of sperm, pain is not observed during erection. In the proliferative phase, we can also see an increase in urination and the ejaculation process 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 sperm is slowed down or completely absent. It should also be borne in mind that the stages and ailments described above do not always appear and not for everyone.

To diagnose chronic prostatitis, given that most often the disease is asymptomatic, a series of tests and laboratory tests will help. The test is also important to help the doctor identify the intensity of symptoms, pain, and urinary disorders. Chronic prostatitis laboratory examination helps 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 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 the prostate massage is taken for bacteriological examination and, based on its results, the nature of the disease is determined. It is also important to conduct 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 observation during the course of treatment. Ultrasound examination allows you 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 density of the contents of the seminal vesicles. Muscle and pelvic floor myography and information on suspected neurogenic urinary disorders. An X-ray study is carried out to clarify the cause of the occurrence and the course of further treatment of chronic prostatitis. Computed tomography of the pelvic organs is performed to rule out pathological changes in the spine and pelvic organs. Diagnostics as a way to exclude a disease 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, for example, depression or reflex sympathetic dystrophy.

Treatment of chronic prostatitis

Treatment of chronic prostatitis should be consistent and comprehensive. First, it is necessary to change the patient's usual way of living and thinking. It also eliminates the influence of harmful factors such as smoking and alcohol consumption, hypothermia. Therefore, we stop the further development of the disease and soon provoke recovery. Also in the preparatory phase for treatment, adherence to the diet and the establishment of a sex 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 each 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 drugs leads to the establishment of good blood circulation in the pelvic organs, restores hormones and the immune system to normal levels. In these cases, antibacterial and immunomodulatory drugs, vasodilators and prostate massage are used. The 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 bacterial 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. Electromagnetic radiation is based on anti-congestive and bacteriostatic action. Low-energy laser therapy stimulates microcirculation in the prostate tissues, and laser therapy also has a biostimulating effect. In the absence of contraindications, therapeutic prostate massages are used.

Surgery 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 lack of sexual sensation and ejaculation. In these cases, resection of the seminal tubercle is performed. Also, surgery is used for sclerosis of the bladder and prostate.

Symptoms of prostatitis

Most often, men suffering from prostatitis complain of fever and increased body temperature, although the temperature measured under the arm is normal, most often the temperature in the anus will be high. 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 a burning sensation when urinating. There is a deterioration in the general condition, weakness, pain in the 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, it is necessary to make sure exactly the diagnosis. Minimal manipulations that should be performed are temperature measurement in the anus, diagnostics and palpation of the inguinal perineum of the lymph nodes, a general clinical blood test and general urinalysis will also be required. You will also need to take swabs from the urethra and bacterioscopy of the urine and sediments. Additionally, transrectal ultrasound of the prostate gland is performed.

In the anus, the temperature is usually raised and differs from the temperature of the mouse modes by about one degree. In urinalysis, the indicator of the number of leukocytes is exceeded. Blood tests also show some changes, 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 feels pain, the patient has an increase in the inguinal lymph nodes. The prostate gland is enlarged on palpation, swollen and hot to the touch, and sometimes with heterogeneous inflammatory seals. If the prostate is inflamed, the biopsy is not done and the infection can spread further.

The treatment of prostatitis consists in the use of antibiotics against the 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 into the ducts, and finally 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 have to include foods like parsley, asparagus, strawberries in your diet, and if you like pasta and so on, they should be tough varieties. You should also exclude bad habits and alcohol, spicy foods. With an exacerbation of the disease, it is very important to exclude sexual life.

For the prevention of prostatitis, it is necessary to exclude all risk factors for its occurrence, namely: observe proper nutrition, exclude bad habits and have a regular sex life, as this does not allow the accumulation of sperm. Every 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. However, use contraception. Check your bowels and go to the bathroom regularly. Another important point is work: if it is connected in 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 negatively affects the immune system and it is at this point that the infection progresses. You should be examined by a urologist, although 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, recipes are distinguished 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 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 the intimate muscles.

Exercises for the prevention of prostatitis are easy and do not require special adaptations, they can be performed at any time and anywhere. Here is an example of some of them: perform the movements of the perineum as if you were pulling the rectum; tense the muscles of the perineum, trying to stop urination, keep them in this position for as long as possible; lying down, lift your pelvis and keep it pressed for twenty or thirty seconds, repeat these movements until you feel pain and fatigue in the buttocks. These simple exercises will only benefit your body.