Prostatitis - inflammation of the seeds (prostate) gland - prostate.This is the most common disease of the genitator system in men.Most commonly affects patients aged 25-50 years.In accordance with various data, prostatitis suffers from 30-85% of men over 30 years of age.Perhaps inflammation of the testicles and appendages, which threatens infertility.Climbing the infection leads to inflammation of the upper parts of the genius system (cystitis, pyelonephritis).
Symptoms of prostatitis
In rare cases, chronic prostatitis is the result of an acute process, but as a rule a primary chronic course is observed.The temperature occasionally rises to the values of subfebrile.The patient notes mild pain in the perineum, discomfort during the act of urination and bowel movements.The most characteristic symptom is the scarce discharge from the urethra during the act of defecation.The main chronic form of the disease develops for a significant period of time.It is preceded by prostatosis (stagnation of blood in the capillaries), gradually becoming an abacus prostatitis.
Chronic prostatitis is often a complication of the inflammatory process caused by the causative agent of a specific infection (Chlamydia, Trichomonas, ureaplasma, gonococcus).The symptoms of a specific inflammatory process in many cases mask the manifestations of the prostate lesion.It is possible to increase pain during urination, mild pain in the perineum, scarce discharge from the urethra during bowel movements.The slight change in the clinical picture often goes unnoticed by the patient.
Impotence, and sometimes the very threat of possible sexual disorders, is difficult to transfer to patients.There is often a change in character, irritability, murmur, excessive concern for their own health and even "going to the disease".
If a person is suspected of the development of prostatitis, then he is immediately proposed to undergo a differential diagnosis.It allows you to distinguish prostate inflammation from other pathological conditions that have similar symptoms with it.
Without diagnosis, the doctor will not be able to distinguish prostatitis from diseases such as urethritis, pyelonephritis, orchitis, cystitis and epididmitte.
Chronic prostatitis can be confused with prostate adenoma or a malignant tumor in this organ.In the latter case, the patient will have significant blood loss during urination and a noticeable deterioration in the overall health.
The typical symptoms of acute bacterial prostatitis are:
- Frequent urination;
- Burning during urination (usually with a small amount of urine);
- pain in the bladder and perineum;
- pain during bowel movements;
- nausea, vomiting;
- fever and chills.
Chronic bacterial prostatitis is also manifested through problems with pain and urination.However, these symptoms immediately disappear and then appear after a while.Chronic prostatitis is characterized by a recurrent course with fading and re -inflammation.This can last for many months.
In rare cases, the doctor may detect an increased amount of leukocytes in the ejaculate or secretion of the prostate gland, but a sick person may not experience pain or other symptoms of prostate inflammation.
So, what signs of prostatitis should you pay special attention?The initial manifestations of the disease:
- pulling pain in the perineum and pubic;
- discomfort during urination, after intimate contacts;
- brokenness, weakness;
- Slight fever.
Symptoms of prostatitis in men with parenchymal form:
- serious condition of the patient;
- At the onset of the disease, rapid urination quickly moves to dysuria (complete retention of urine);
- Appetite decreases, the patient is tormented by thirst;
- Mutuality, the inability to empty the intestine due to severe pain;
- Mucosal discharge from the rectum may occur;
- The body temperature rises, it is kept within 39 ° C.
One of the signs of prostatitis in men of this severe form is acute prostate pain in examination.The examination of the patient's palpator at this stage of the inflammatory process is difficult due to a serious condition and uncomfortable sensations in the genital area.If at this stage does not start qualified treatment, the disease can be complicated by the transition of infection to adjacent organs, the appearance of an abscess or the development of a chronic inflammatory process.
Diagnostics
<>A characteristic clinical picture simplifies the process of diagnosis in acute and chronic prostatitis.Required:
- rectal prostate examination
- The prostate fence to determine the sensitivity of the microflora (sowing the secret of the prostate and bacterial urine).
- Prostate ultrasound is performed to identify structural changes (tumors, cysts, adenoma) and differentiation of prostatitis from other diseases
- Sperm to exclude or confirm the development of infertility.
To confirm the diagnosis, the doctor can also analyze the urine and take blood from the patient to examine the level of inflammatory cells.
Additional diagnostic methods for symptoms of prostate inflammation in men:
- Study of the secret of the prostate;
- laboratory diagnostics;
- PCR research;
- Prostate ultrasound;
- Uroflometry;
- Magnetic resonance, computed tomography of the pelvic organs.
Treatment: Basic and non -specific therapy
Treatment of acute prostatitis
Patients with a uncomplicated acute process undergo a course of treatment with a urologist who is ambitious.Hardly intoxication indicates suspicion of a purulent process, hospitalization.Antibacterial therapy is performed.Medicines are selected taking into account the sensitivity of an infectious agent.Antibiotics are widely used that can penetrate well into prostate tissue (ciprofloxacin, etc.).
With the development of acute slowdown in the urination of FNU of prostatitis, they resort to installing cystostoma rather than a urethral catheter, as there is a risk of prostate abscess formation.With the development of an abscess, endoscopic transrectal or transurethral opening of the abscess is performed.
Treatment of chronic prostatitis
Treatment for chronic prostatitis should be complex, including etiotropic therapy, physiotherapy, immunity correction:
- Antibiotic therapy.The patient is prescribed long-term antibacterial courses (within 4-8 weeks).The choice of the type and dose of antibacterial drugs, as well as the determination of the duration of the course of treatment is made individually.The drug is chosen on the basis of the sensitivity of the microflora based on the results of urine sowing and the secret of the prostate.
- Prostate massage.The gland massage has an overall effect on the affected organ.During the massage, the inflammatory secret accumulated in the prostate gland is pressed into the ducts, then enters the urethra and removed from the body.The procedure improves blood circulation in the prostate, which allows to minimize stagnation and ensures the best penetration of antibacterial drugs into the tissue of the affected organ.
- Physiotherapy.Laser exposure, ultrasonic waves and electromagnetic vibrations are used to improve blood circulation.If it is impossible to perform physiotherapy procedures, the patient is prescribed warm healing microclysms.
Chronic, long -term inflammation indicates a consultation with an immunologist to choose the tactics of immunocorogative therapy.The patient receives recommendations for lifestyle change.The introduction of certain changes in the lifestyle of a patient with chronic prostatitis is both therapeutic and preventive measure.The patient is advised to normalize sleep and alertness, to establish a diet and to have moderate physical activity.
In no case should treatment be treated at home, as it is impossible to cure the disease in acute form with the help of traditional medicine.The chronic inflammatory process requires the intervention of experienced specialists.Modern treatment medicines allow you to quickly and effectively relieve the inflammatory process and avoid the development of dangerous complications.
The following agents are used to treat prostate inflammation:
- antibacterial, antifungal, antitrichomone drugs (depending on the cause of the disease);
- antispasmodics, analgesics;
- Physiotherapy methods.
Therefore, urologists recommend contacting doctors as soon as the first signs of prostatitis appear in a person.This will win the time.Treatment with improvised means at home is strictly contraindicated.
Prostate massage
Patients with chronic prostate inflammation do gland massage.This procedure should only be performed by experienced specialists, as it is a powerful treatment agent that improves the leakage of purulent lifting secrets from the channels.
Prostate massage refers to a complex treatment and diagnosis procedure that should only be performed by professionals.It is performed through the rectum.The cinnamon of the organ is massaged with the fingers, stimulating blood circulation and the leakage of prostatic secretion, whose examination is necessary for many diseases of the genito -sphere.Massage releases channels from pus accumulation, relieves stagnation, reduces the manifestations of infectious and inflammatory processes.
Knowing the first signs of male prostatitis, one can reveal them in a timely manner and consult a doctor.
Complications
If you do not pay attention to the signs and symptoms of prostatitis, the infection is possible for other organs of the pelvic area, intense pain with urination and the appearance of blood and pus in the urine and pus may occur.In neglected form, the temperature with prostatitis in men increases, it worsens well.
The main complications of prostatitis:
- vesiculitis (inflammation of the seed bubbles);
- prostate sclerosis;
- Prostate abscess;
- Prostate cysts;
- infertility;
- impotence;
- Purulent infections of the adjacent organs.
But the most stupid complication is considered to be hyperplasia of the gland with the increase in the risk of growth of malignant tumors.One often does not even know about the growth of adenoma and cancer neoplasms until they reach impressive size and there is no difficulty in urinating.
In the absence of timely treatment of acute prostatitis, there is a significant risk of developing a prostate abscess.When a purulent focus is formed, the patient's body temperature rises to 39-40 ° C and may become fast-paced.The heat periods alternate with pronounced chills.Acute pain in the perineum complicates urination and makes defecation impossible.
Chronic prostatitis is characterized by a wool -like course, with periods of prolonged remissions, during which inflammation in the prostate occurs latent or manifests itself in extremely scarce symptoms.Patients who are not worried often stop treatment and are converted only with the development of complications.
Prostatitis therapy with folk remedies
Folk prostatitis drugs serve as an alternative to drug therapy.They are used for bacterial prostatitis.Consult a doctor before using folk remedies.
Green tea
Green tea drugs are probably the most enjoyable way to treat prostatitis.It is advisable to drink 3 glasses of green tea a day.This drink contributes to frequent urination, which helps to clean the whole body.In addition, green tea is directly involved in body detoxification.
Nettle
2 handfuls of freshly raised nettle leaves - about 15 cm from the top of the plant - 300 ml of drinking water should be poured and allowed to infuse at night (approximately 12 hours).In the morning the infusion should be slightly warm and drink.
Cranberry
Cranberry is one of the famous prostatitis fighters.Home treatment with cranberries involves its use in dried, fresh and canned form.In the latter case, however, the added sugar should be kept.
Stores also offer cranberry juices.Attention should also be careful here and carefully read the label so that the juice does not contain additional juices from other fruits or artificial sweeteners.
Extremely 100% cranberry juice has healing effects.
Ginger
When treating prostatitis, you can pay attention to another useful product - ginger root.Ginger is a promising product for the treatment of this disease.It has a powerful anti -inflammatory effect and antioxidant properties, interrupts the reproductive cycle of cancer cells (which is especially important in the treatment of prostate cancer) and promotes apoptosis.At the same time, ginger is not toxic to other rapidly growing cells.
It should be taken after a meal, adding the root to the tea (preferably green).
Chestnuts
Sands are also effective, have no side effects, which is very important for the elderly.The bark should be removed from the chestnuts, and the core itself should be lubricated in small pieces, pour boiling water and let it boil for an hour.The decoction should be taken 3 times a day before meals, 30 drops.
Regular sex
Regular sex, like masturbation, cleans the prostate, promotes blood circulation and prevents local inflammation.