
Prostatitis is the most common urological pathology, which is characterized by an inflammatory process in the prostate gland.According to statistics, it occurs in almost 40% of men;The main risk group is patients between 30 and 45 years old.Almost one in three visits to the urologist is related to this disease.
Important!
The information in this article cannot be used for self-diagnosis or self-medication.To make a correct diagnosis and prescribe treatment, you should always consult a doctor.
The emergence of pathology is often facilitated by decreased immunity, hypothermia, the presence of bad habits and a sedentary lifestyle, the lack of a regular sexual life and sexually transmitted infections.Prostatitis treatment can be quite long, especially in the later stages of development.The sooner a man seeks medical help, the better the chances of a successful recovery.Without timely treatment, the risk of serious consequences increases, such as infertility, problems with sexual function and urination.
In the article we will talk about the mechanisms of development of the disease, symptoms and causes, as well as modern treatment methods.
What is the prostate?
The prostate (or prostate gland) is an unpaired male organ that is responsible for producing secretions to maintain sperm activity.The organ is located below the bladder and surrounds the urethra.It is small in size, about the size of a walnut, but it is extremely important for men's health.
The prostate supports the production of sperm, ensures their movement and ejaculation, participates in the formation of sexual desire and the appearance of orgasm, affects the activity of the testicles and the synthesis of androgens (male sex hormones).
Any pathological process in the prostate affects the composition of prostate secretion.As a result, sperm quality deteriorates and its fertilizing capacity decreases.In addition, it increases the risk of suffering urinary tract infections, since normally the prostate gland prevents bacteria from entering the urethra.
Unfortunately, diseases requiring treatment of the prostate are quite common.Usually we are talking about various tumor and hormonal processes.Prostatitis is considered one of the most common pathologies of the organ, since it has a different pathogenesis.
Symptoms of the disease
Symptoms of prostate inflammation can vary depending on the form of the disease diagnosed in a man.Regardless of the form, a comprehensive treatment is selected aimed at eliminating the existing symptoms.
There are 3 groups of characteristic symptoms of prostatitis:
- pain syndrome.Pain with prostatitis can vary in intensity and location.Sometimes the pain syndrome extends to the lower abdomen, scrotum, perineum, anus and lower back.The more the inflammation develops, the more painful the patient becomes.The pain may become more intense during or after sexual activity or urination.
- dysuric syndrome.Due to the increase in size of the prostate, increased pressure is placed on the ureters, which leads to a gradual decrease in the lumen.The patient has problems urinating and, after going to the bathroom, the sensation of having a full bladder remains.
- sexual deviations.In some cases, a man may experience frequent spontaneous and painful erections or a complete lack of sexual arousal.Often, with prostatitis, orgasmic sensations fade and sexual intercourse itself becomes shorter or the erection may completely disappear during sexual intercourse.
One of the first signs of the development of prostatitis in a man is frequent urination and discomfort in the groin.There is a burning sensation in the urethra, which intensifies when going to the toilet.There is general fatigue, decreased potency, accelerated or painful ejaculation.However, the disease is not always characterized by the appearance of the corresponding symptoms.There are forms of prostatitis that are asymptomatic in the early stages.This means that it will be difficult to diagnose pathology in such cases.
Causes
Often the disease occurs against a background of decreased immunity, in the presence of sexually transmitted infections or concomitant pathologies.A common cause of prostatitis is a bacterial infection that causes inflammation of the prostate tissue.
There are many risk factors for the development of pathology, we highlight the main ones:
- hypothermia.Hypothermia causes severe stress on the body, which can cause a weakened immune system.As a result, pathogenic microflora begins to actively multiply, which leads to an inflammatory process.
- Inactive lifestyle.Sedentary work and lack of physical activity negatively affect blood circulation in the pelvic organs.This leads to stagnation and inflammation.
- Excess body weight.As a rule, overweight patients lead a sedentary lifestyle, which leads to poor circulation of internal organs.Congestion and inflammation develop in the tissues of the prostate gland.For this reason, normalizing weight is considered one of the main ways to prevent prostate diseases.
- Presence of chronic pathologies..A chronic source of infection in the body increases the risk of inflammation of the prostate.
- Chronic constipation.Retention of feces in the intestines causes pressure on the prostate, which causes circulatory problems.Additionally, constipation often contributes to the proliferation of pathogens.
- Organ injuries.In case of traumatic damage to the prostate or pelvic organs, blood flow deteriorates and local immunity decreases.This increases the risk of developing prostatitis.
- Features of sexual activity..Excessively active sexual life or prolonged abstinence can also cause the disease.
Additionally, any condition that suppresses the immune system can contribute to the development of the disease.We are talking about constant stress, lack of sleep, overwork.
types of disease
Often, the symptoms of a pathology depend on its type and nature of its course.There are several types of prostatitis, each of which has its own characteristics:
- bacterial.The most common type of disease that arises as a result of bacterial infection and decreased immunity.There are acute and chronic forms of pathology.As a rule, a man is worried about pain and discomfort in the perineum, problems with urination, deterioration in general well-being, and an increase in body temperature.In severe cases of the disease, the presence of blood or pus is observed in the urine.However, these symptoms are more typical for the acute stage and relapses of the disease.In chronic prostatitis, symptoms may be “fuzzy” or not present at all.
- abacterial.In this case, the disease has an inflammatory and non-inflammatory nature, it is often called chronic pelvic pain syndrome (CPPS).With this form of prostatitis, destructive changes are observed in the muscle tissue of the gland.The causative agents are autoimmune diseases, anomalies of organ development and chronic cystitis.
- stagnant.This condition develops against the background of chronic prostatitis and is associated with disturbances in microcirculation and blood circulation in the pelvic organs.In addition, the pathology can manifest itself in the absence of sexual relations for a long time, since this causes stagnation of secretions in the prostate.Most often, patients with this form of the disease experience erectile dysfunction, problems with urination, and discomfort in the groin area.
- calculating.The development of this form of prostatitis is facilitated by the appearance of stones (stones) in the tissues of the prostate.As a rule, the disease occurs in patients older than 55-60 years.The causes of the pathology are inadequate treatment of chronic prostatitis or urolithiasis.The characteristic symptoms of this type of prostatitis in men include difficulty urinating, weakening of the erection, and the appearance of blood in the urine.
- Purulent.A dangerous consequence of improper treatment of acute prostatitis can be a purulent form of the disease.In this case, an acute pain syndrome develops, affecting the entire perineum and groin area.The man experiences a sharp increase in temperature, serious problems with urination and the presence of purulent inclusions in the urine.Purulent prostatitis is considered the most dangerous, since if left untreated it can cause an abscess and lead to death.
Diagnosis of prostatitis
The diagnosis of the disease is made by a urologist;it is worth making an appointment with him if characteristic symptoms appear.During the initial consultation, the specialist collects the patient's medical history, asks about existing complaints and performs a digital rectal examination of the prostate.After this, a series of additional examinations are prescribed, which are necessary to diagnose the existing type of prostatitis and prescribe competent treatment.
The exam includes:
- Ultrasound (TRUS) of the pelvic organs.
- Clinical blood test.
- General urine analysis.
- Microscopic analysis of prostate secretion.
- A urethral smear and bacterial culture of the discharge to detect the presence of sexually transmitted infections.
If necessary, the patient can be referred to additional studies: spermogram, computed tomography (or MRI) of the pelvic organs.
Important!
The information in this article cannot be used for self-diagnosis or self-medication.To make a correct diagnosis and prescribe treatment, you should always consult a doctor.
Treatment methods
Lack of proper treatment for prostatitis can lead to serious health problems.Patients are often diagnosed with complications such as cystitis, vesiculitis, pyelonephritis, infertility and erectile dysfunction.That is why the correct selection of therapy is extremely important.
As a general rule, treatment of prostate inflammation involves a comprehensive approach that includes medication and supportive care.In difficult cases, the patient undergoes surgery.
As part of drug therapy, antibiotics are prescribed to stop the inflammatory process.If the disease is infectious and bacterial in nature, additional antibacterial treatment is carried out.
Also, as part of drug therapy, medications are used to eliminate existing symptoms.These could be:
- Painkillers.
- Antispasmodics and muscle relaxants.
- Diuretics.
- Non-steroidal anti-inflammatory drugs.
- Medications to normalize prostate function.
- Medications to restore erection.
It is mandatory to follow a series of recommendations:
- Drink enough water during the day (1.5 to 2 liters).
- Follow a diet, excluding spicy, fatty and salty foods from the diet.
- Elimination of alcohol.
Sometimes medicinal herbal preparations that have a bactericidal effect are used to relieve inflammation.However, taking infusions and decoctions is allowed only after consultation with a urologist.Remember that folk remedies are not a panacea for the disease and only help with the symptoms, but do not eliminate the cause.
An important component of the treatment is prostate massage.It is carried out in the absence of contraindications.The essence of this procedure is to eliminate the accumulated inflammatory secretion of the organ.Thanks to this, it is possible to improve blood circulation in the tissues, eliminate congestion, stimulate local immunity and restore the patency of the secretory ducts.
Another popular way is to use physical therapy.In the 21st century, it is difficult to imagine modern high-quality treatment for chronic prostatitis without the use of complex physiotherapy.With its help, it is possible to restore blood circulation in the pelvic organs, improve the effect of medications and eliminate congestion.The therapy uses ultrasound, laser, thermal or electromagnetic effects.
With a prolonged course of the inflammatory process and a decrease in immunity, the patient is prescribed immunotherapy.It includes taking immunomodulators and multivitamin complexes aimed at improving the protective functions of the body and general well-being.
Sometimes a conservative treatment regimen for prostatitis does not produce the necessary results, so the patient requires surgical intervention.
Of course, surgery requires a long recovery and often leads to a number of complications, including infertility.That is why it is not performed on young men of childbearing age.
Symptoms and treatment of acute prostatitis.
Acute prostatitis is characterized by rapid onset and development.It is worth noting that it occurs quite rarely - about 5% of cases.
The inflammatory process in the prostate develops progressively, so several stages of the acute form can be distinguished:
- catarrhal.The inflammatory process affects individual lobes of the organ and affects the structure of the mucous membranes and the submucosal layer.As a result, congestion occurs in the follicles of the gland.
- follicular.Focal suppuration of the affected lobes occurs.
- parenchymatous.There are multiple damages to the organ;Almost all tissues participate in the inflammatory process.An abscess forms, which can rupture and release purulent contents into the bladder, urethra, or rectum.
Symptoms of acute prostatitis include: severe pain, increased body temperature, chills, profuse sweating, and weakness.This condition can be caused by various microorganisms.The most common causes are Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa and Enterobacter.
Treatment of pathology should begin immediately after the appearance of the first symptoms.As a rule, in such cases complications and health consequences can be avoided.The patient is prescribed a combination of antibiotics that is effective against the existing causative microorganism.In this case, the effect of therapy is observed after 2 to 3 days.In a man, almost all symptoms disappear, the urination process normalizes, and signs of infection disappear.
In the absence of necessary treatment, urinary tract obstruction and abscesses may develop.Such conditions will require urgent hospitalization and often surgical intervention.
Symptoms and treatment of chronic prostatitis.
The chronic form of the disease is characterized by slow development.Symptoms are inconsistent or absent, so many men ignore their presence for years and do not seek medical help.
At the same time, at the beginning of the development of pathology, patients note an increase in sexual desire and spontaneous erections.However, at the same time signs of chronic prostatitis appear, such as a reduction in the duration of sexual intercourse and painful ejaculation.As the disease progresses, the symptoms become less pronounced, but the deterioration of well-being increases.Many people complain of lack of morning erection, decreased libido and increased sweating in the groin area.
During an exacerbation of prostatitis, a man experiences pain in the genital area, difficulty urinating, and fever.However, other symptoms of the pathology may be missing, which often complicates the diagnosis.
To make an accurate diagnosis, a complete examination is required, which will include a medical history, a digital rectal examination of the prostate, and a series of laboratory tests.In some cases, additional instrumental methods are used.
Treatment of chronic prostatitis in its chronic form lasts from 3 to 4 weeks to 6 to 12 months.Of primary importance is to eliminate the causes of the inflammatory process in the prostate gland.Otherwise, it will not be possible to exclude the recurrent nature of the pathology.
Preventive measures
To prevent prostatitis in men, it is recommended to correct your lifestyle and give up bad habits.This is because if the factors that predispose to the development of the disease persist, it is possible that it will occur again.A key role in prevention is played by proper nutrition, adequate sleep and physical activity, and a regular sex life.
In addition, urologists advise following the following recommendations to avoid inflammation of the prostate:
- Avoid hypothermia.
- When working sedentarily, take short breaks and light warm-up exercises regularly.
- Include physical activity and walking in your routine.
- Normalize your diet and get rid of constipation (it is better to consult a specialist about the existing problem).
- Have a regular sex life with a regular partner.
- After age 40, undergo annual preventive examinations with a urologist.
And, of course, it is worth remembering that if any signs of prostatitis appear, you should immediately consult a doctor.Only in this way can dangerous health consequences be eliminated.
























