Prostatitis is characterized by a complex inflammatory process in the prostate. The risk group is formed by men aged 40 or over, with a sedentary lifestyle. The first signs in the acute form occur with purulent secretion in the urine, severe pain syndrome and an increase in body temperature up to 40 degrees. Chronic prostatitis is no less dangerous than acute prostatitis, but it has a more hidden developmental picture. Its danger lies in irreversible disorders associated with the activity of sexual function.
Features of the course of prostatitis
Signs of prostatitis start to bother men as a result of a sedentary lifestyle, hypothermia, as a result of malnutrition.
The course of the disease can be characterized in one of two ways:
- Acute prostatitis- is determined by purulent secretion in the urine. Specific causes are associated with pathogenic microflora. Treatment without antibiotics is ineffective.
- Chronic- develops as a result of improper or ineffective treatment. The signs are not as pronounced as in the acute course.
During the remission period, the symptoms of the pathology usually disappear completely. The exacerbation of chronic prostatitis does not bother the patient as clearly as in the acute primary form. In most cases, the stagnant course of the disease is diagnosed as a consequence of sedentary lifestyle in the context of chronic diseases, due to low blood circulation in Organs pelvic organs.
The main signs of prostatitis are divided by doctors into three groups:
- dysfunctions in the urinary system, manifested by disturbances in the excretion of urine;
- sexual disorders characteristic of an enlarged prostate;
- development of nervous pathologies.
Inflammation of the prostate causes a decrease in the production of a special secret that maintains sperm activity. As a rule, their resistance to adverse effects decreases and the chances of successful fertilization of a female egg are almost minimal.
According to medical statistics, the disease affects not only the elderly, but also very young men. The risk group consists of the strongest sex from the age of 40. Doctors emphasize that the main emphasis should be on preventing the development of pathologies in the small pelvis and on preventive measures.
Symptomatic image
The symptoms of prostatitis are mainly represented by the pain syndrome. Unpleasant sensations in acute inflammation can be pricking, cuts or pain. They cause decreased performance, sleep disorders. The enlargement of the prostate in the early stages can be determined by pain in the pelvic area. In some patients, it develops during urination and defecation. During erection and ejaculation, the sensations of pain increase.
As a result of the mechanical action on the walls of the urinary ducts, pain is almost always associated with movement.
Problems with urine flow disturb almost all patients and anyway. Appear:
- false need to urinate;
- sensation of incomplete emptying of the bladder.
A man may need an effort to urinate and the flow is slow and intermittent. Acute inflammation causes a frequent need to urinate.
In addition to the listed symptoms of prostatitis in the acute development of the disease, the following are manifested:
- pain in muscles and joints;
- increase in body temperature by up to 40 degrees;
- feverish condition, chills;
- feeling of swelling in the groin area;
- secretion from the urethra;
- burning and cramping when urinating;
- streaks of blood and pus in the urine.
Complications of the chronic course of prostatitis can be male infertility, scarring and narrowing of the urethral tissues, complex kidney injury, sepsis. The testicles, epididymis and seminal canals become inflamed. A running course leads to prostate suppuration, which requires immediate surgical intervention. Failure surgical treatment requires bladder obstruction, which is accompanied by acute urinary retention.
Provocation factors
The main causes of prostatitis can be summarized in the following list:
- Sexually transmitted infections. Trichomonas, mycoplasma, chlamydia, gonococcus, Escherichia coli, enterococci can damage the urethra and prostate tissues.
- A sedentary and sedentary lifestyle contributes to the development of inflammatory and stagnant processes in Organs pelvic organs.
- Disorders of lymphatic circulation and blood circulation.
- Constant interruption or artificial increase in sexual intercourse, prolonged abstinence cause disturbances in the functioning of the prostate.
- Regular mental stress, excessive physical effort and stressful situations also affect men's health and cause the development of prostatitis.
- Hypothermia, frequent colds and, as a result, decreased immunity become the causes of inflammatory processes in the reproductive organs.
- Hormonal disorders.
Treatment
It will not be possible to eliminate the pathological signs of acute or chronic prostatitis in a short period of time.
When choosing certain therapies, it is important to identify the type and shape of the disease through diagnostic studies.
Medicines
Antibiotics are indicated in the diagnosis of bacterial prostatitis. If the inflammatory process was not caused by an infection, there is no point in such therapy. The choice of the specific antibiotic is made by the attending physician after the identification of the microorganism that causes bacterial damage to the prostate.
In most cases, the medication should be taken for at least 7 days. Alpha-blockers and antispasmodics help to relieve pain. Systematic intake of this group of drugs helps to relax the bladder muscles and the prostate itself. This improves the flow of urine and reduces the manifestation of the general clinical picture.
For men with a particularly severe evolution of the pathology, intravenous fluids and diuretics are indicated. This improves the flow of urine. In addition, in this way, you can stop the body's intoxication process.
The non-bacterial form of prostatitis is treated with antipyretic, analgesic and anticholinergic drugs. In case of constipation, it is necessary to use laxatives and suppositories based on petroleum jelly.
Supportive care
The important steps of adjuvant therapy in drug treatment are:
- resting in bed;
- complete rest;
- drink lots of fluids, at least 2 liters a day;
- sit in hot baths.
In acute urinary retention, a temporary suprapubic fistula is prescribed. An alternative approach is regular bladder catheterization. Doctors prescribe these treatments only when drug therapy is ineffective. Patients should not forget the contraindications to hypothermia in the body during treatment, cycling and sitting for a long time on hard surfaces.
Prostate massage is prescribed from the first days of prostate diagnosis. This method helps to relieve the pressure of the dilated gland in the urethra, thus improving urination and decreasing hardening.
Compliance with a diet that excludes spicy and fatty foods, as well as alcoholic and carbonated drinks, allows you to normalize your overall health.
Surgery
In cases where drug therapy has had no effect on the treatment of prostatitis, surgery is necessary. In exceptional cases, with stagnant flow, the flow of urine is blocked. Surgical treatment is also indispensable here. A contraindication to surgery is the patient's reproductive age. In young men, surgery can cause infertility.
Transurethral resection of the prostate is a surgical excision of all inflamed tissue. Prostatectomy is performed to completely remove the prostate, surrounding tissues and seminal vesicles. The negative consequences of such an intervention are urinary incontinence and impotence. This type of medical care is necessary due to the malignant nature of the pathology. It allows you to get rid of the problem with the inflammatory process in the prostate once and for all.
Prostatitis is considered a complex and insidious disease, with persistent remissions in chronic form. It is not always possible to cure it completely, so eliminating the main symptoms is a task that every attending physician seeks to accomplish. How long it will take to disappear completely is impossible to determine exactly. In most situations, urologists provide comforting predictions.
Alternative therapy
In the treatment of the disease, not only medical methods are used, but also folk remedies.
Dead bee
The alcohol tincture is prepared from 2 teaspoons. podmore and 200 ml of alcohol or vodka. It is taken 3 times a day on an empty stomach, 40-60 drops, depending on the patient's weight. Course therapy - 25 days. The composition of the worm contains unique components that have a therapeutic effect on problems of the male reproductive system.
Broth with the addition of 2 teaspoons. honey, 1 tsp. podmora for 1 cup of hot water is cooked over low heat for 10 minutes. Then, the remedy should be insisted for about 3-4 hours. Usage is shown in 2 tbsp. I. twice a day before meals. The ideal period of treatment with this remedy is 1 month. Then, you need to take a 7-10 day break and, if there is no improvement, resume therapy.
Pumpkin seeds
Pumpkin seeds must be ground in a coffee grinder before use. Take 2 tablespoons a day on an empty stomach. l. , washed down with a glass of water diluted in it 2 teaspoons. natural honey.
You can add fresh parsley juice to honey in a few drops.
Chestnut
The raw materials are mixed in equal proportions (10 g each):
- dry liquorice roots;
- berry, chestnut, knotweed and castor leaves.
To increase the effect, you can add 15 g of dandelion, comfrey and beans. It is necessary to prepare a new decoction of 1 tablespoon every day. I. mixed vegetable raw material and 0. 5 liters of water. Boil for 10 minutes, then leave for another half hour. Drink 4 servings immediately before meals. The course is 30 days.
Prevention
The manifestation of symptoms in the clinical picture of prostatitis contributes to the formation of inferiority complexes. This causes stressful situations and depressed moods in men. Many patients are characterized by irritability, a tendency to conflict. Aggressive behavior interferes with normal communication.
In most cases, you should seek help from an experienced psychologist. After all, disorders of the sexual sphere have a very negative effect not only on a man's mood, but also on his whole life. Therefore, psychological rehabilitation is no less important than drug therapy.
Doctors recommend avoiding hypothermia and excessive physical effort. An effective means of preventing prostatitis is an active sex life with a constant partner. Prolonged withdrawal, incomplete ejaculation are contraindicated. It is necessary to limit the use of alcoholic beverages from the age of 40 and to stop smoking. The main emphasis should be on moderate exercise and vitamin therapy.