Prostatitis is an inflammation of the prostate gland that is quite common today.
The prostate gland is a male organ, so the disease is also purely male.
Why do you need a prostate? The prostate is responsible for the following functions:
- creates the liquid part of the sperm with the muscles of the neck of the bladder;
- produces internal sphincter;
- forms testosterone to dihydrotestosterone.
The prostate, or simply the prostate, is located under the bladder, the urethra passes through the prostate, and therefore the prostate is located around the urethra. And because the prostate enlarges during inflammation, it compresses the urinary tract and makes it harder to urinate. Men over the age of forty very often suffer from prostatitis, a consequence of a malfunction of the urogenital system.
Factors causing the development of prostatitis:
- hypothermia;
- infectious diseases;
- alcohol and smoking;
- trauma and hormonal disorders;
- sedentary work;
- urinary retention.
Prostatitis is divided into several types:
- Acute bacterial prostatitis: Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, etc. occur during damage to prostate tissues.
- Most of these bacteria are representative of a healthy microflora and live on our skin and stomach, but when they get 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 toilet trips and pain during urination, poisoning of the body and decreased quality of erections, signs of blood in the urine.
- Chronic bacterial prostatitis: occurs due to damage to the urogenital system or infections in the organs.
- Symptoms of chronic prostatitis include pain and frequent urination during urination, discomfort in the groin, the presence of blood in the sperm, a rise in body temperature of 0, 5 - 1 degrees Celsius.
Chronic bacterial prostatitis occurs due to the lifting of heavy objects with a full bladder, as a result of which urine enters the prostate, pelvic muscle cramps, so - increased pressure in the prostate, injury. The symptoms also cause pain when urinating, and only laboratory tests can detect an infectious difference.
Chronic prostatitis
Chronic prostatitis is a dangerous disease that, unlike prostatitis, involves a lot of unclear issues. What is chronic prostatitis? Chronic prostatitis is the presence of inflammation of the prostate gland, 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 diseases of the male reproductive system. The classification of chronic prostatitis is divided into several subspecies:
- acute bacterial prostatitis;
- chronic bacterial prostatitis;
- chronic abacterial prostatitis;
- inflammatory prostatitis with an increase in leukocytes in prostate secretions;
- non-inflammatory process without leukocyte growth;
- asymptomatic prostatitis, which is randomly detected.
Infection caused by neurovegetative disorders causes and provokes the development of chronic prostatitis. Hemodynamic disorders induce a decrease in immunity through autoimmune and biochemical processes. Factors in the development of chronic prostatitis include lifestyle characteristics that cause infection of the urogenital system, frequent hypothermia and sedentary work, irregular sex, or the constant presence of a urethral catheter. Important and dangerous pathogens of the disease are disorders of the immune system, cytokines, low molecular weight polypeptide-type bacteria that affect the functional activity of immune cells.
One of the main causes of the development of non-inflammatory forms of chronic prostatitis is pelvic floor dysfunction.
Symptoms of chronic prostatitis
Signs of chronic prostatitis are pain and discomfort, urinary incontinence and sexual dysfunction. Presence of pain in the pelvic region, perineum, and groin. Pain is often seen in the anus and scrotum. Sex life is interrupted and libido is reduced, but these signs are not seen in all patients. Chronic prostatitis is interchangeable, with symptoms worsening and then suppressing. 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 well as frequent urination, accelerated eruption of sperm, and painful erection. The alternative stage is characterized by pain in the suprapubicus, normal urination, and no pain during erection with accelerated eruption of sperm. Increased urination is also seen in the proliferative phase and the process of ejaculation is slightly delayed. In the stage of prostate sclerosis, in addition to the cicatricial changes, the patient has pain in the suprapubic part, frequent urination, slowing or complete absence of sperm ejaculation. It should also be borne in mind that the stages and disorders described above do not always occur and not for everyone.
To diagnose chronic prostatitis, as the disease is very often asymptomatic, a number of tests and laboratory tests help. Testing is also important to help the doctor identify the intensity of symptoms, pain, and urinary disorders. Chronic prostatitislaboratory testing will help diagnose chronic prostatitis and possible prostate infection with atypical bacterial and fungal flora and viruses. If there is no bacterial growth in prostate secretions with increased leukocyte counts, the development of chlamydia should be analyzed. Microscopic examination helps reveal the number of leukocytes and mucus, Trichomonas, and epithelium in urethral secretion. The secret obtained after the prostate massage is taken for bacteriological examination and the nature of the disease is determined based on its results. It is also important to have an immunological test, the results of which will help determine the stage of the disease and monitor the effect of treatment. Instrumental examination of chronic prostatitis with additional observation will help determine the stage and form of the disease, with additional observation during treatment. Ultrasound allows the examination of the size and volume of the prostate, the structure of the cyst and sclerotic changes in the organ, the degree of dilation, and the density of the contents of the seminal vesicles. Muscle and pelvic floor myography and information on suspected neurogenic urinary disorders. An X-ray is performed to clarify the cause and further treatment of chronic prostatitis. Computed tomography of the pelvic organs is performed to rule out pathological changes in the spine and pelvic organs. Diagnosis, as a way to exclude asymptomatic disease, helps to determine the nature of the pathological process: by the inflammatory processes of other organs; diseases of the rectum; with sexual dysfunctions; neuropsychiatric disorders such as depression or reflex sympathetic dystrophy.
Treatment of chronic prostatitis
Treatment of chronic prostatitis should be consistent and comprehensive. First, the patient’s normal lifestyle and mindset needs to be changed. Also eliminate the effects of harmful factors such as smoking and alcohol consumption, hypothermia. Thus, we stop the further development of the disease and soon provoke a cure. Adherence to diet and the foundation of sex life play an important role even in the preparatory phase of treatment. The next major catch is the use of drugs in the treatment of the disease. Such a correct approach to the treatment of chronic prostatitis not only helps in the fight against the disease, but also increases the effectiveness of the treatment at all stages of the development of prostatitis. Chronic prostatitis usually does not require hospitalization, but in severe cases of chronic prostatitis, inpatient treatment is more beneficial and effective than outpatient treatment. Medication results in good blood circulation in the pelvic organs, bringing hormones and the immune system to normal levels. In such cases, antibacterial drugs and immunomodulators, vasodilators, and prostate massage are used. The treatment of chronic prostatitis is based on the antibacterial use of drugs. But unfortunately, the effectiveness of the therapy has been proven, but not in all types of prostatitis. In the case of chronic bacterial prostatitis, antibacterial treatment is effective, in the case of chronic bacterial prostatitis, empirical antibacterial treatment is used.
Currently, local physical therapy is very important. Physiotherapy with laser, mud and electrophoresis is considered to be the most effective. Electromagnetic radiation is based on an anticoagulant and bacteriostatic effect. Low-energy laser therapy stimulates microcirculation in prostate tissues, and laser therapy also has a biostimulating effect. In the absence of contraindications, therapeutic prostate massages are used.
Surgery is increasingly being used to treat prostatitis as the disease affects more and more young men. The indication for surgery may be tuberculosis sclerosis; such patients often seek medical attention if there are signs of lack of sexual sensation and ejaculation. In such cases, resection of the seminal tuberculosis is performed. Surgery is also used in sclerosis of the bladder and prostate.
Symptoms of prostatitis
Very often, men with prostatitis complain of fever and increased body temperature, even if the temperature measured under the arm is normal, the temperature of the anus rises very often. Pain in the lower back, lower abdomen, perineum, anus, and scrotum also serves as a sign to see a doctor. Cramps and a burning sensation occur even more often when urinating when urinating. The general condition worsens, weakness, muscle and bone pain, severe headache.
With inflammation of the prostate gland in men, urination is difficult, often with urinary retention. The disease is characterized by constipation, which is caused by compression of the rectum by an enlarged gland.
Treatment of prostatitis
You need to make sure of the diagnosis exactly before starting treatment. The least manipulations to be performed include measurement of rectal temperature, diagnosis and palpation of the inguinal perineum of the lymph nodes, general clinical blood test, and general urine test. You will also need urinary tract and bacterioscopy of urine and sediment. In addition, transrectal ultrasound of the prostate gland is performed.
The temperature in the anus usually rises and differs by about one degree from the temperature of the mouse modes. The number of leukocytes is exceeded in the urine analysis. Blood tests also highlight some changes, such as a decrease in the number of eosinophils and the appearance of neutrophil leukocytosis. In immunosuppressive patients, sepsis is often observed with complications of prostatitis.
During palpation of the perineum, the patient experiences pain and the patient has an inguinal lymph node. The prostate gland enlarges on palpation, swelling, and hot, sometimes heterogeneous inflammatory seals on palpation. If the prostate is inflamed, a biopsy will not be performed and you may spread the infection.
The treatment of prostatitis involves the use of antibiotics against microorganisms that are pathogens of the disease. Antipyretics are also prescribed to lower body temperature and use emollient laxatives to facilitate bowel movement. The patient is prescribed a massage regimen consisting of compressing the inflamed secretions with the fingers, squeezing them into the ducts and finally into the urethra. Prostate massage improves blood circulation and has a good effect on prostate muscle tone.
Prevention of prostatitis
First, to prevent prostatitis, you should limit yourself to food and follow a special diet. Your diet should include foods like parsley, asparagus, strawberries, and if you like pasta and so on, they should be hard varieties. You need to rule out bad habits and alcohol as well as spicy foods. As the disease worsens, it is very important to exclude sex.
To prevent prostatitis, all risk factors for its occurrence should be ruled out, namely: adherence to proper nutrition, exclusion of bad habits, and regular sex life, as this does not allow sperm to accumulate. Every young guy needs to know that the innocence of sexual intercourse is detrimental to the prostate. Active sex increases the risk of sexually transmitted diseases. In any case, use contraception. Watch your gut and go to the toilet regularly. Another important aspect of work: if you are connected in a sedentary way, you need physical activity, jogging also comes in handy, swimming and tennis. Don’t forget about daily walks in the fresh air either, it is very beneficial for the whole body. Hypothermia adversely affects the immune system and the infection progresses at this point. It 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 prostatitis.
Folk remedies for the prevention of prostatitis are also popular, distinguishing recipes such as the inclusion of honey, nuts and dried fruits in the diet, 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 tips above: empty your stomach completely and avoid constipation. It helps in products like kefir, vegetable oil and vegetable fiber. Special mention should be made of the benefits of the exercises for the intimate muscles.
Exercises to prevent prostatitis are simple and do not require special adaptation, they can be performed anytime, anywhere. Here are some examples of them: perform perineum movements as if you were pulling in 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 the pelvis and hold for twenty or thirty seconds, repeating these movements until you feel pain and fatigue in your buttocks. Such simple exercises are just a plus for your body.