Prostatitis - inflammation of the seed (prostate) gland - prostate.It is the most common disease of the genitourinary system in men.Most often it affects patients aged 25-50 years.In accordance with various data, prostatitis suffers from 30-85% of men over the age of 30.Perhaps inflammation of the testicles and appendages, which threatens infertility.The ascent of the infection leads to inflammation of the upper parts of the genitourinary system (cystitis, pyelonephritis).
Symptoms of prostatitis
In rare cases, chronic prostatitis becomes the outcome of an acute process, however, as a rule, a primary chronic course is observed.The temperature occasionally rises to subfebrile values.The patient notes weak pain in the perineum, discomfort during the act of urination and defecation.The most characteristic symptom is scarce discharge from the urethra during the act of defecation.The primary chronic form of the disease develops over a significant period of time.She is preceded by prostatosis (stagnation of blood in the capillaries), gradually turning into abacterial prostatitis.
Chronic prostatitis is often a complication of the inflammatory process caused by the causative agent of a specific infection (chlamydia, trichomonas, ureaplasma, gonococcus).Symptoms of a specific inflammatory process in many cases mask the manifestations of the lesion of the prostate.It is possible a slight increase in pain during urination, weak pain in the perineum, scarce discharge from the urethra during defecation.A 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.Often there is a change in character, irritability, grumbling, excessive concern with their own health and even “departure into the disease”.
If a man is suspected by the development of prostatitis, then he is immediately offered to undergo differential diagnosis.It allows you to distinguish inflammation of the prostate gland from other pathological conditions that have similar symptoms with it.
Without diagnostics, the doctor will not be able to distinguish prostatitis from diseases such as urethritis, pyelonephritis, orchitis, cystitis and epididmit.
Chronic prostatitis can be confused with prostate adenoma or malignant tumor in this organ.In the latter case, the patient will have significant blood loss during urination and a noticeable deterioration in the general state of health.
Typical symptoms of acute bacterial prostatitis are:
- frequent urination;
- burning during urination (usually with a small amount of urine);
- pain in the area of the bladder and perineum;
- pain during defecation;
- nausea, vomiting;
- fever and chills.
Chronic bacterial prostatitis is also manifested by pain and urination problems.Nevertheless, these symptoms immediately disappear, and then appear after a while.Chronic prostatitis is characterized by a recurrent course with fading and re -emerging inflammation.It can last many months.
In rare cases, the doctor can detect an increased amount of leukocytes in the ejaculate or secretion of the prostate gland, but a sick person may not feel pain or other symptoms of inflammation of the prostate.
So what signs of prostatitis should you pay special attention?The initial manifestations of the disease:
- pulling pains in the perineum and pubic;
- discomfort during urination, after intimate contacts;
- brokenness, weakness;
- A slight increase in temperature.
Symptoms of prostatitis in men of parenchymal form:
- serious condition of the patient;
- In the beginning of the disease, rapid urination quickly moves to dysuria (complete urinary retention);
- The appetite is reduced, the patient is tormented by thirst;
- flatulence, the inability to empty the intestines due to severe pain;
- mucous discharge from the rectum may appear;
- The body temperature is increased, it is held within 39C.
One of the signs of prostatitis in men of this severe form is the sharp pain of the prostate gland when probing.Palpator examination of the patient in this stage of the inflammatory process is difficult due to a serious condition and uncomfortable sensations in the genital area.If qualified treatment does not start at this stage, then the disease can be complicated by the transition of infection to neighboring 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.Mandatory is made:
- rectal study of the prostate
- The fence of the prostate gland to determine the sensitivity of microflora (sowing the secret of the prostate and bacteric urine).
- An ultrasound of the prostate to identify structural changes (tumors, cysts, adenoma) and differentiation of prostatitis from other diseases is carried out
- A spermogram to exclude or confirm the development of infertility.
To confirm the diagnosis, the doctor can also analyze 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;
- Urofloometry;
- Magnetic resonance, computed tomography of the pelvic organs.
Treatment: basic and non -specific therapy
Treatment of acute prostatitis
Patients with an uncomplicated acute process undergo a course of treatment with an urologist outpatiently.With severe intoxication, suspicion of a purulent process, hospitalization is indicated.Antibacterial therapy is carried out.The drugs 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 an acute delay in urination on FNU of prostatitis, they resort to the installation of cystostom, and not a urethral catheter, because there is a danger of the formation of an abscess of the prostate.With the development of the abscess, an endoscopic transrectal or transurethral opening of the abscess is carried out.
Treatment of chronic prostatitis
Treatment of 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 selection of the type and dosage of antibacterial drugs, as well as the determination of the duration of the course of treatment is carried out individually.The drug is chosen based on the sensitivity of microflora based on the results of the sowing of urine and the secret of the prostate.
- Prostate massage.The massage of the gland has a comprehensive effect on the affected organ.During the massage, the inflammatory secret accumulated in the prostate gland is squeezed into the ducts, then enters the urethra and removes from the body.The procedure improves blood circulation in the prostate, which allows minimizing stagnation and provides the best penetration of antibacterial drugs into the tissue of the affected organ.
- Physiotherapy.To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used.If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed warm medicinal microclisms.
In chronic, long -term inflammation, a consultation of an immunologist is indicated for the choice of tactics of immunocorrogative therapy.The patient is given recommendations for a change in lifestyle.The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure.The patient is recommended to normalize sleep and wakefulness, to establish a diet, and conduct moderate physical activity.
In no case should treatment be treated at home, since 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 drugs allow you to quickly and effectively relieve the inflammatory process and avoid the development of dangerous complications.
The following funds are used to treat inflammation of the prostate:
- antibacterial, antifungal, antitrichomonna drugs (depending on the cause of the development of the disease);
- antispasmodics, analgesics;
- Physiotherapeutic methods.
Therefore, urologists recommend contacting doctors as soon as the first signs of prostatitis in a man occur.This will win the time.Treatment with improvised means, at home, is strictly contraindicated.
Prostate massage
Patients with chronic inflammation of the prostate do massage of the gland.This procedure should be carried out only by experienced specialists, since it is a powerful treatment agent that improves the outflow of purulent-inflammatory secrets from the ducts.
Prostate massage refers to a complex treatment and diagnostic procedure, which should be carried out only by professionals.It is carried out through the rectum.The ducts of the organ are massaged with fingers, stimulating blood circulation and outflow of prostatic secretion, the study of which is required for many diseases of the genitourinary sphere.Massage frees the ducts from the accumulation of pus, relieves stagnation, reduces the manifestations of infectious and inflammatory processes.
Knowing what the first signs of male prostatitis have, a person 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 to other organs of the pelvic region, intense pains with urination, and the appearance of blood and pus in the urine and pus, may occur.In a neglected form, the temperature with prostatitis in men rises, well -being worsens noticeably.
The main complications of prostatitis:
- vesiculite (inflammation of the seed bubbles);
- prostate sclerosis;
- prostate abscess;
- prostate cysts;
- infertility;
- impotence;
- Purulent infections of neighboring organs.
But the most formidable complication is considered to be hyperplasia of the gland with an increase in the risk of growth of malignant tumors.A man often does not even know about the growth of adenoma and cancer neoplasms until they reach impressive sizes and there are no difficulties in urination.
In the absence of timely treatment of acute prostatitis, there is a significant risk of developing the abscess of the prostate gland.When the purulent focus is formed, the patient’s body temperature rises to 39-40 ° C and can acquire a hectic character.The periods of heat alternate with pronounced chills.Sharp pain in the perineum complicates urination and make defecation impossible.
For chronic prostatitis, a wave -like course with periods of prolonged remissions is characteristic, during which inflammation in the prostate proceeds latent or manifests itself in extremely meager symptoms.Patients, whom nothing bothers, often stop treatment, and convert only with the development of complications.
Prostatitis therapy with folk remedies
Folk remedies for prostatitis serve as an alternative to drug therapy.They are used for bacterial prostatitis.Before using folk remedies, consult a doctor.
Green tea
Medicines in the form of green tea are probably the most pleasant way to treat prostatitis.It is advisable to drink 3 cups of green tea per day.This drink contributes to frequent urination, which helps to cleanse the whole body.In addition, green tea is directly involved in the detoxification of the body.
Nettle
2 handfuls of freshly lifted nettle leaves - about 15 cm from the upper part of the plant - 300 ml of drinking water should be poured and leave 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 fighters against prostatitis.Treatment at home with cranberries involves its use in dried, fresh and canned form.In the latter case, however, the added sugar should beware.
Cranberry juices are also available in stores.Caution should also be careful here, and carefully read the label so that the juice does not contain additional juices of 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.Along with this, ginger is not toxic for other rapidly growing cells.
It should be taken after eating, adding the root to tea (preferably green).
Chestnuts
Chests are also effective, have no side effects, which is very important for the elderly.The peel should be removed from the chestnuts, and the core itself should be crushed into small pieces, pour boiling water and let an hour brew.The decoction should be taken 3 times a day before meals, 30 drops.
Regular sex
Regular sex, similarly, like masturbation, cleanses the prostate, promotes blood circulation, and prevents local inflammation.