Prostatitis: Symptoms, Treatment

Prostatitis is an inflammatory disease of the male prostate gland, located directly under the bladder and is a secondary part of the genitals.

Every 7 men over 35 suffers from prostatitis and with every naked risk of developing an inflammatory process in the prostate increases under the influence of external and internal factors.Reasonsprostatitis

Prostate inflammation can develop for various reasons, doctors distinguish the main one:

  • Disruption of blood microcirculation in the pelvic organs - this leads to stagnant processes and helps to increase the size of the prostate gland. Standing processes are facilitated by obesity and a sedentary sedentary lifestyle.
  • The entrance to bacteria, viruses or protozoa into the tissue against the background of an acute or chronic inflammatory process in other organs flowing in the body - such diseases such as angina, gonorrhea, urethritis, cystitis, influenza, pylonephritis can cause prostatitis. The causative agents of the infection can enter the prostate with blood flow and lymph if there is an infection in remote areas and organs.
  • Injuries and bruises of the soft tissues of the abdomen, perineum and external genitals - this leads to edema and impaired circulation in the area of damage;
  • Body hypothermia.
  • Chronic constipation.
  • Hormonal disorders.
  • The storm or, conversely, the absent sex life is detrimental to both frequent sex (more than 1 time a day) and rare intimate relationships (less than 1 time a week) as this leads to the exhaustion of sexual glands or stagnation in the prostate.Symptoms of prostatitis

    Distinguish the acute and chronic form of the disease.

    Acute prostatitis is characterized by a sudden onset of the overall well -being, which is clinically accompanied by the following symptoms:

  • chills and weakness;
  • General malaise;
  • increased irritability and nervousness;
  • fever (not higher than 37, 5 degrees);
  • pulling or cutting pain in the lower abdomen and in the perineum;
  • A frequent desire to urinate while maintaining the feeling of incomplete emptying of the bladder;
  • River pain and difficulties with bowel movements.

    In the absence of diagnosis and timely treatment, acute prostatitis can be complicated by a purulent process and the release of pus from the urethra during urination.Signs of chronic prostatitis

    In the transition of the disease to a chronic form of the course, the clinical signs of prostatitis disappear and the patient seems to be a recovery. The characteristic characteristics of the chronic inflammatory process in the prostate gland burn along the urethra with irradiation to the chat, which can be enhanced during urination and bowel movements. Gradually, the disease progresses and causes impotence. Chronic prostatitis implies periods of remission and exacerbation, but even at times of exacerbation, the symptoms will be wiped, not as pronounced as in acute form. The following symptoms appear clinically:

  • Erection difficulties;
  • the inability to complete sexual contact with ejaculation;
  • reducing sexual urge;
  • Excretion from the mucus of the urethra with impurity of white flakes;
  • feeling of incomplete emptying of the bladder;
  • pulling pain in the lower back, pubis and groin;
  • Weak urine stream - this is observed as a result of narrowing of the lumen of the urethra against the background of its compression of the extended prostate.

    The chronic sluggish inflammatory process in the urethra irritates the nerve endings of the pelvis and causes constant urination, especially at night. Many men are embarrassed to see a doctor with such a delicate problem that increases the risk of developing such serious complications as complete erectile dysfunction, infertility and even prostate cancer.

    In addition, by the focus of chronic infection in the prostate with blood flow and lymph, pathogens enter the kidneys, causing acute inflammation, retention of urine and increases the risk of kidney failure.

    The constant accumulation of urine in the bladder and urethra creates favorable conditions for the formation of salts crystals, and then stones - very often prostatitis in men flows in parallel with urolithiasis.Diagnostic methods

    The diagnosis, treatment and prevention of prostatitis is performed by a doctor urologist. To diagnose, determine the form and cause of the inflammatory process in the prostate gland, a number of examinations are prescribed:

  • Palpation of the prostate - is done through the rectum and allows you to find an increase in size, pain, release of pus or mucus after palpation;
  • A little disposal from the urethra - the resulting material is sent for study in the laboratory;
  • Urine analysis is general, etc. ;
  • Ultrasound of the pelvic organs and prostate gland.

    If a pathological process is suspected of spreading the patient's pathological process, the patient is further performed by cystoscopy - examination of the walls of the bladder using a flexible device equipped with an optical system at the end.

    When diagnosing prostatitis, it is very important to distinguish the pathological process from prostate adenoma and other urological diseases with a similar clinical course.TreatmentProstatitis

    Treatment of acute and chronic form of prostatitis differs, so patients are strongly recommended not to self -confident.

    The acute non -bacterial form of prostatitis is treated thoroughly with the help of herbal preparations and anti -inflammatory drugs.Treatment of acute bacterial prostatitis

    The principles of therapy for the acute form of bacterial prostatitis directly depend on how pronounced the symptoms of the disease are.

    A distinctive feature of bacterial prostatitis is acute onset and rapidly increasing signs of body intoxication - nausea, vomiting, headache, high body temperature. The process of emptying the bladder is accompanied by cutting pain in the lower abdomen and in the perineum, which are given to the lower back. Very often the purulent process joins and the abscess develops.

    The treatment of acute bacterial prostatitis is performed in a hospital as the patient's condition can be extremely serious. Therapy consists in the complex approach:

  • The patient should monitor bed rest;
  • Antibiotics are prescribed - macrolides, fluoroquinolones, cephalosporins;
  • Preparations have been selected to improve blood microcirculation in the pelvic organs. They ensure the leakage of lymphatic and venous blood, which reduces the severity of the edema and the inflammatory process in the prostate;
  • Inside oral oral, non -steroidal anti -inflammatory drugs are displayed. These drugs not only reduce the inflammatory process, but also eliminate pain syndrome;
  • Analgesics - you can pick up tablets inside or enter rectal candles into the rectum;
  • To eliminate the intoxication of the body, a saline of sodium with glucose is prescribed.

    Important! Prostate massage is strictly forbidden as the risk of sepsis is high.Surgical treatment

    Surgical intervention for prostatitis is only necessary if the patient develops a sharp slowdown in the urine and there is no way to empty the bladder. You cannot do without surgery in the case of an abscess of the prostate gland.

    The course of treatment of prostatitis lasts for 14 days, after which the patient again conducts a comprehensive examination to evaluate the effectiveness of therapy. If necessary, the course of treatment is extended and adjusted.Chronic treatment

    The treatment of chronic prostatitis differs and largely depends on what stage of the course the pathological process is. In the case of exacerbation of the inflammatory process, therapy is similarly performed as in acute prostatitis.

    The treatment of chronic prostatitis during remission is as follows:

  • Taking the course of non -steroidal anti -inflammatory drugs. Introduce medicines 2 times a day for at least 3 days, sometimes up to 5 days.
  • Preparations that contribute to the improvement of venous and lymphatic outflow.
  • Immunomodulators.
  • Antidepressants and sedatives help to normalize sleep, eliminate irritability.
  • Polyvitamin complexes rich in zinc, selenium, Group V vitamins.

    In the phase of the inflammatory process of the patient's prostate, physiotherapy treatment is shown:

  • Prostate massage;
  • ultrasound;
  • electrophoresis;
  • magnetotherapy;
  • Microwave hyperthermia.Surgical treatment of chronic prostatitis

    In neglected chronic prostatitis, the patient sometimes needs surgery. Can be done in two ways:

  • Transurethral resection;
  • prostatectomy.Transurethral resection

    This method of surgical treatment refers to minimal invasive interventions, although it is performed with general anesthesia. During the procedure, a restectoscope is introduced under the urethra, through which the impulses of electric current are supplied. These electrical impulses act on the principle of electrical noise and partially remove the tissue of the prostate gland. A huge plus of this method of intervention is the lack of blood loss, as electrical waves not only remove the modified tissues of the prostate, but also immediately treat the blood vessels, preventing bleeding.

    Transurethral resection greatly facilitates the patient's condition - after surgery, urination recovers, the man no longer burns in the crotch, he does not jump to the toilet at night. Erectile function and normal ejaculation are also restored. The whole process of surgery is controlled by a doctor on the monitor screen, so the risk of complications during surgery or as soon as it is minimal. Prostatectomywork

    Prostatectomy is a serious abdominal surgery and is always associated with risks to the patient. During the surgery, the doctor completely eliminates the prostate gland or the greater part of it. The recovery period is 4-6 weeks, there is a high risk of developing postoperative complications, but sometimes this method of surgery is the only way to relieve the patient's condition and eliminate the effects of severe prostatitis.

    Other methods of treating chronic prostatitis

    Other methods of treating chronic prostatitis include:

  • Hirudotherapy - or treatment with leeches. Medical leeches are installed in the area of inflammation, which in the process of their actions is released with a substance of saliva, which arranges the blood, which eliminates stagnant phenomena and quickly releases the inflammatory process. Drunks are only used special, medical, individual for each individual patient. After the procedure, the doctor puts the used leech in a Deterler in which she dies. It is optimal to undergo at least 5 survivotherapy courses.
  • Cryodestruction - Liquid nitrogen is used. This method of treatment is shown to patients who are poorly busy with drug therapy and surgery is contraindicated for some reason.
  • Microwave therapy in a special way - electromagnetic waves affect the prostate gland. After 1 procedure, tissue swelling decreases, blood circulation is normalized and stagnation is eliminated. After the course of electromagnetic therapy, the patient fully restores urination and erectile function.
  • Ultrasonic wave treatment - allows you to quickly stop the inflammatory process that occurs in the remission phase, and ultrasound therapy does not occur during exacerbation. To improve the therapeutic effect, the medicines can be used, which, under the influence of ultrasound, penetrate directly into the tissue of the prostate.
  • Urethra stent - the essence of the procedure is to install a special stent in the urethra, which expands the lumen of the urethra and promotes the normal flow of the urine. Despite the effectiveness of the procedure, stenting the urethra only eliminates the clinical symptoms of prostatitis, but does not save the patient from the chronic inflammatory process.Consequences and complications

    In the absence of qualified therapy, prostatitis progresses quickly, enters the chronic form of current and threatens human health with its severe complications, including:

  • urolithiasis;
  • pyelonephritis;
  • Abscess development;
  • the spread of the inflammatory process of testes and seed ropes, which leads to infertility;
  • erectile dysfunction and impotence;
  • Necrotic changes in the tissues of the prostate gland.

    Sometimes for a long time prostatitis and chronic stagnant processes give impetus to the degeneration of the disease in adenoma and then prostate cancer.