Prostatitis is inflammation of the prostate gland that men aged 20 years and above suffer.
According to statistics, 1 out of 4 men came across this disease in one form or another.In recent years, there has been a persistent tendency to “rejuvenate” the process.This is due to sexual emancipation, an increase in sexually transmitted infections, tendencies to self -diagnosis and treatment on the Internet and the stability of infectious agents to the action of antibacterial therapy.
This is especially true because the first signs of prostatitis in men are usually expressed, which does not allow to consult a doctor in time and in some cases leads to the development of advanced prostatitis.
Signs of prostatitis in men
Features of the structure, blood supply and location of the prostate gland affect the nature of the symptoms that will be leading during its inflammation.These include:
- Pain symptom.
- Symptom of urination (dysuric).
- Symptom of erectile dysfunction.
Pain symptom
Pain, which are different in degree of intensity, concern the man in the lower abdomen, in the perineum, genitals, and the lumbosacral spine.This location of the pain is determined by the presence of nervous ties and the involvement in the process of inflammation of the seed bubbles (vesicles).
The pain can vary in intensity, from an inexplicable sense of discomfort to strong pain that affect the mental state of a man and cause insomnia. The most important sensations depend on sexual behavior and arise on the lack of regular ejaculation or, conversely, with ejaculation, which is associated with the spread of the inflammatory process to the back urethra.
It should be noted that pain in the lumbosacral region may not be connected with the prostate gland, but to be a consequence, for example, osteochondrosis of the spine. To establish the cause of such pains helps the result of a conversation with the patient and data of the urological examination.
The very first sign of prostatitis in a man is a feeling of pain in the testicles (in the scrotum) with the spread of the testicles (right and left inguinal areas). The pain that rods from the inner thighs, the back, which dictates the need to consult a neurological pathology, as it is for a prostatic pain, which is dictated from the inflamed prostate.It is not characteristic.
In some cases, the irradiation of painful sensations is asymmetric, which allows you to suspect the inflammatory process in the prostate, localized in one of it. The place of manifestation of pain is divided into genital (in the genital area, characteristic of congestive chronic prostatitis), extractal (above the genitals, is characteristic of the neglected common prostatitis) andMixed (chronic prostatitis).
Symptoms of dysuria or urination disorder with prostatitis
Urination disorders are expressed by false calls, a sense of incomplete emptying of the bladder with frequent urination, which is associated with inflammation in the neck of the bladder and urethra.For a long time present signs of dysuria with prostatitis indicate a chronic process.
Erectile disorders for prostatitis
Violations of the erectile function with prostatitis are represented by early ejaculation, erased sensations during orgasm, a decrease in libido, a weakening of an erection.Sometimes a man’s prostatitis can be suspected by the absence of morning erections.
A decrease in potency, as the first sign of prostatitis in a man, is caused by a decrease in the synthesis of testosterone (male sex hormone).
The manifestations of inflammation in the prostate gland are not limited to three of the above symptoms.Often the first sign of prostatitis in a man is the allocation of a prostate secret from the urethra during an act of defecation (prostator), which indicates a decrease in the muscle tone of the erystorms.
In addition, one cannot but focus on the psychological signs of prostatitis in a man: an astheno-neurotic syndrome develops from the nervous system (depression, fatigue, lack of desire to do anything, physical weakness).
The first signs of acute prostatitis
All of the above signs are typical for chronic inflammation in the prostate, with acute prostatitis in a man, the picture is somewhat different.
The disease begins with acute severe pain in the perineum, the symptoms of urination disorder are more clearly traced.There is an increase in temperature to 38-39 C, chills, weakness, sweating, muscle pain and bones.During defecation, pain in the anus is worried.There is no sexual life.
If you do not undergo an examination in a timely manner and not start to be treated, then the acute process will be complicated by purulent prostatitis, up to the abscess, which will lead to emergency surgical intervention.
If there are no other reasons (immunodeficiency states, severe accompanying pathology, etc.) - purulent prostatitis in a man - a neglected inflammatory process due to untimely seeking a doctor!
The causes of signs of inflammation of the prostate
Factors that affect inflammation in the prostate are conditionally divided into 3 groups.
The factors unscrewed impact include:
- Physique.
- Sexual Constitution.
- Age factor.
- The presence of diseases.
- Environment (climatic factor).
Partially controlled factors:
- Sexual habits.
- Profession.
- Background diseases of the male genital area.
- Attitude to the disease.
And finally, controlled factors:
- Errating sex life.
- Alcoholism.
- Failure to comply with treatment recommendations.
- Enlightenment in power mode.
Who is at risk
Prostatitis threatens men who:
- Adhere to a sedentary lifestyle.
- Suffer from chronic constipation.
- Half a history of adverse infections.
- They have more than one sexual partner.
- Suffer from alcoholism, drug addiction.
- They work in cold conditions.
If there are signs of prostatitis, what to do
Laboratory diagnostics for prostatitis
- In the UAC, an increase in the velocity of the erythrocyte settlement, the shift of the leukocyte formula to the left.In OAM - leukocyturia, proteinuria, bacteriuria.
- Blood for HIV infection.
- A smear from the urethra to the flora. As a rule, leukocytes in the smear is entirely.If a sexually transmitted causative agent (gonococci Neisser, trichomonads) is not detected, it is imperative to perform PCR diagnostics.
- The secret of the prostate gland. Having drove the secret of the prostate on the pathogen and the definition of sensitivity to the antibiotic.
- PCR - Diagnostics for sexually transmitted infections. The most reliable and quick way to verify the pathogen.
- Blood on the dog. The blood on the dog (prostat-specific antigen) during an acute inflammatory process in the prostate gland should not be taken, the result will be unreliable.It is better to do this analysis 1 month after the end of therapy.It is not necessary for young people under 30 years of age, it is not necessary to explore the level of the PSA in the blood. This analysis is important for a man over 40 years old, since acute prostatitis, in some cases, can be secondary, and a malignant tumor in the prostate gland is masked behind its clinical manifestations.
Instrumental diagnostic methods
As a rule, the ultrasound examination of the prostate is transiently (through the rectum) or transabdominally (through the stomach).
Signs of prostatitis for ultrasound
An increase in the gland in volume, a change in texture, edema;With purulent prostatitis - areas of necrosis, deformation of the contours, an increase in regional lymph nodes.
What should you pay attention to
First of all, in order to get rid of the symptoms of prostatitis forever, it is necessary to observe a certain diet.
Exacerbation of prostatitis in a man depends on irritating substances that fall from food: acute seasonings, vinegar, marinads, alcohol.
Alcohol should be said especially, even its minimal use can reduce the action of prolonged complex therapy to zero.
Some patients believe that they should use alcohol less often or switch to lighter alcohol.This is their main mistake.
Divorced vinegar, kvass, citrus fruits, sauerkraut, tomatoes and cucumbers do not have harmful effects with prostatitis.
Eating products rich in fiber will save a man from constipation - one of the main reasons for the development of congestion in the pelvis.
Helpers helps well for prevention.Reception of plant diuretics: lingonberry leaf, dill, urological collection helps to improve urination during inflammation.
Sports, especially the implementation of exercises to improve blood circulation of the pelvic organs contribute to the preservation of the prostate in tone.
The development of inflammation in the prostate provokes hypothermia.In winter weather, it is worth dressing warmer, and in the summer, after bathing, it is not for a long time in wet swimming trunks.
The use of condoms during sexual contact with an unfamiliar partner will protect from sexually transmitted diseases, including HIV infection.
Long -term overwork has a negative impact on the male immune system, as well as stressful situations, which can activate a dormant infection in the prostate gland. A regulatory prophylactic examination by a urologist will help maintain male health.