Prostatitis is a purely male disease of the prostate gland of an inflammatory nature.Most men know about the presence of such an organ as the prostate gland, but not everyone understands what role it plays in their body.The prostate iron is a small but important organ in the male reproductive system.It is located under the bladder and surrounds the upper part of the urethra.The prostate gland performs several functions.
Secretory functionIt is the main one for the prostate gland.It produces a secret that is two -thirds of the liquid, which is ejaculated with orgasm and ensures the motor activity of spermatozoa.This secret is a nutrient solution for male germ cells and contains everything necessary for their difficult journey to the egg - fructose for nutrition, water, sodium, potassium, zinc and magnesium minerals.
Motor functionIt consists in the ability of the prostate to keep urine due to smooth muscle fibers.And during ejaculation, it prevents the mixing of sperm and urine.
Barrier functionIt consists in preventing pathogenic microorganisms in penetration from the lower parts of the urethra into the bladder and kidney.
Prostate diseases
The prostate gland, like any other organ, is vulnerable.Prostate disease is any medical problem that is found in the prostate gland.
These problems include:
- prostatitis;
- benign hyperplasia of the prostate gland (DHCH), also called the prostate adenoma;
- stones in the prostate;
- Prostate cancer.
Types of prostatitis
Prostatitis is inflammation of the prostate gland caused by infection or other causes.This is the most common reason for the premature extinction of sexual functions.Treatment of prostatitis is determined by its type.There are 4 main types of this disease.Each of them has its own set of symptoms and causes.
- Acute bacterial prostatitis.
- Chronic bacterial prostatitis.
- Chronic non -bacterial prostatitis.
- Asymptomatic chronic prostatitis.
Acute bacterial prostatitis
A relatively rare type of prostatitis.This type of prostatitis is always associated with a bacterial attack of the prostate tissue.It affects men of reproductive age from 35 to 50 years.Acute prostatitis is characterized by a sudden beginning, an acute course with pronounced symptoms, which entails a rapid deterioration in the patient's condition.
Acute bacterial prostatitis is easier to identify than chronic, due to its monotonous manifestations of the clinical picture.The reason is the penetration of pathogenic organisms into the prostate gland.These are the same bacteria that cause an infection of urinary tract and sexually transmitted diseases.These include the following pathogens:
- Escherichia sticks (Escherichia coli), which is always present on the external genitalia and is the pathogen of infections in most cases;
- Chlamydia and sexually transmitted mycoplasmas;
- Klebsiella and Pseudomonas stick;
- Enterococci, enterobacters;
- Gonococci.
Causes of acute bacterial prostatitis
In the prostate gland, these pathogens fall from the urethra through the outlet ducts or from other neighboring organs: bladder, kidneys, rectum.Most of these microorganisms are conditionally pathogenic, that is, they live on the skin and mucous membranes of a person and there are no danger to him.
The immunity of a healthy person is strong enough to prevent microorganisms from breed.Even the ingress of infection into the prostate gland may go unnoticed.In order for the infection to prove itself in the form of bacterial prostatitis, provoking factors, the so -called triggers are needed.Namely:
- decrease in immunity due to a sedentary lifestyle, abuse of bad habits, prolonged intake of antibiotics;
- hypothermia;
- many hours of sedentary work;
- erratic sexual relations, the presence of chronic inflammatory diseases in a partner (bacterial vaginosis, chronic salpingoophorite);
- prolonged sexual abstinence or excessive sexual activity;
- chronic foci of infection;
- Transferred sexually transmitted and urological infections;
- surgery on the urethra;
- constant stress, overwork, lack of sleep;
- violation of the chair (constipation, diarrhea).
Symptoms
The acute type of prostatitis is identified by the following signs:
- chills, fever, general malaise;
- Low's pain, in the genital area, in the rectum, sometimes throughout the body;
- frequent urination, especially at night;
- painful urination, weak stream, burning, pungent smell of urine;
- blood in urine or sperm;
- painful ejaculation;
Treatment of acute bacterial prostatitis
The urinary tract infection is confirmed by the presence of white blood cells and bacteria in the urine.
The course of therapy in acute bacterial prostatitis involves:
- Stationary regime;
- Diet;
- A complete rejection of alcohol and tobacco;
- Wide spectrum antibiotics (ampicillins, cephalosporins, macrolides);
- Painkillers and anti -inflammatory drugs (intravenously or intramuscularly);
- If necessary, disintegration with saline.
The duration of therapy is from two to four weeks.
Complication
The acute form lasts no more than 1-2 months.If during this time there was no treatment, then the disease will become chronic.The most common complication of acute prostatitis is the flow into a chronic form.
The development of the abscess of the prostate gland - focal purulent inflammation with an increase in temperature to 40 ° C.
Chronic bacterial prostatitis
Chronic prostatitis, as a rule, proceeds without pronounced characteristic features.Unlike the acute form, which is characterized by general weakness, malaise, temperature and pain in the inguinal region, with chronic bacterial prostatitis, the clinical picture is blurred, mild.If in an acute form poor health literally forces the patient to contact a urologist, then with a chronic form everything is different.
Exacerbation of prostatitis is replaced by periods of remission, sometimes very long and a visit to the doctor is postponed indefinitely.Very often, signs of prostatitis are perceived by a man as an age -related inevitability, and not a reason for seeing a doctor.Without meeting any obstacles in his path, the disease “blooms”.
Symptoms of chronic bacterial prostatitis
- Far -hearted urination, in which the thread is felt.A weak stream appears only after several attempts.
- There is a feeling of incomplete emptying of the bladder.
- Pulling pains in the lower abdomen, in the back, in the crotch.
- Weakens sexual desire.
- Sleep, attention is broken, apathy develops, headaches and bells in the ears may appear.
- Increased sweating is one of the atypical symptoms of this disease that you need to pay attention to.
Complications
If you do not fight chronic prostatitis, you will have to deal with its much more serious consequences that are poorly treated.Chronic prostatitis can have the following complications:
- cystitis;
- pyelonephritis;
- Orchoepididimitis (inflammation of the testicles and their appendages);
- vesiculite (inflammation of the seed bubbles);
- Erectile dysfunction, infertility.
Diagnostics and treatment
Treatment of chronic prostatitis is prescribed on the basis of laboratory tests.These include:
- general blood test;
- three -walled urine test;
- microbiological examination of urine;
- transrectal ultrasound of the prostate gland;
- finger rectal examination;
- microscopy and microbiological examination of the secretion of the prostate gland;
- Microscopy of smears from the urethra for the detection of gonococci.
Drugs for prostatitis in the pathogenic flora and act on gram -negative and gram -positive bacteria.The complex of therapy includes not only drug treatment, but also physiotherapy.Treatment of prostatitis provides for:
- antibacterial therapy;
- anti -inflammatory therapy;
- immunomodulating therapy;
- physiotherapy;
- laser therapy;
- physiotherapy physical education;
- Ozonotherapy.
The duration of treatment is from 8 to 12 weeks.
Chronic non -bacterial prostatitis
This type is also called pelvic pain syndrome.It is characterized by spasms of the muscles of the pelvic floor.There is a version of his neurological origin.
Symptoms of non -bacterial type prostatitis
- Pain in the pelvis and lower back, also during urination;
- Lomota in the joints and throughout the body;
- Discomfort and itching during sex;
- Gastrointestinal disorders.
Types of non -bacterial prostatitis
Chronic non -bacterial prostatitis has 2 forms: inflammatory and non -inflammatory.
An increased concentration of leukocytes and an increase in the settlement of red blood cells indicates the inflammatory nature of the disease.
The non -inflammatory form is more difficult to diagnose.It is found after the patient’s complaints about pain in the pelvis in sexual contact.
Causes of non -bacterial chronic prostatitis
- unbalanced, monotonous nutrition;
- sedentary lifestyle;
- irregular sex life;
- genetic predisposition;
- trauma of the penis;
- diffuse changes in the prostate gland.
In this type of prostatitis, a large number of inflammatory cells are detected in the secretion of the prostate gland, but there is no infection of the urogenital tract in the history of the disease.
Diagnostics and treatment
To diagnose an abacterial type, the following indications are needed:
- urine analysis;
- general blood test;
- urine sowing to identify microorganisms;
- Prostate ultrasound;
- CT and MRI;
- Bacterial smear.
Treatment of abacterial prostatitis
Antibiotics are sometimes effective even when there are no signs of bacteria in tests.For this reason, they are also often prescribed as the first stage of treatment of chronic non -bacterial prostatitis.The purpose of alpha blockers helps to relax the tissues of the smooth muscles of the prostate gland and the neck of the bladder.
Non -steroidal anti -inflammatory drugs help relieve pain and fever.It can be candles from prostatitis.
Regular prostate massage, performed by a doctor, can help drain the fluid from the inflamed ducts of the prostate gland and reduce pressure.
Asymptomatic chronic prostatitis
Little -studied, asymptomatic and therefore the most dangerous look.As a rule, it is found by accident, during the examination.
Symptoms based on research results
- increased PSA level (prostatic specific antigen);
- Leukocytes in the urine.
Complications of asymptomatic prostatitis - adenoma and prostate cancer.
The medicine for prostatitis of the asymptomatic form is selected depending on the etiology of the disease.In infection, the disease is treated with antibiotics or antiviral agents.And if the cause of the disease is not in bacteria, then the doctor may be limited to the prescription of ultrasonic therapy or massage.
Treatment of prostatitis with folk remedies
It is necessary to approach the treatment of prostatitis individually and necessarily comprehensively.
- A healing mixture.
To prepare a miracle mixture, you will need:- fresh cucumber;
- The beetroot is a dining room (red);
- carrot.
From these vegetables, it is necessary to squeeze the juice and mix in equal parts.Drink 3 times a day 100 ml half an hour before meals.We advise, in parallel with the intake of the mixture, to use candles from propolis.Enter the rectum at night.
- Spirulin.
Buy a spirulina powder in a pharmacy and add to cranberry juice, mix well.Per 100 ml.juice 2 g of powder.Drink the resulting mixture during the day.
The course of treatment is 7 days then 3 days a break and repeat again.For a positive effect, 3-4 such courses need to be passed. - A mixture of a lobasular and honey.
Grind the raw tubers of an ordinary label with honey.Take the resulting mixture 2 times a day (morning and evening) for 1 tsp. - A mixture of parsley and honey.
It is necessary to squeeze the juice of parsley and mix in an equal proportion with honey.The resulting mixture is taken 3 times a day for 2 tablespoons.
Prevention of prostatitis
The old kind truth that prevention is the best treatment, has established itself as best as possible with respect to prostatitis.After all, prostatitis is facilitated by violation of the elementary rules of a healthy lifestyle.Lack of sleep, unbalanced nutrition, non -compliance with hygiene, refusal of sports, motor activity, smoking, alcohol - this is the right path to inflammation of the prostate gland.In order to never experience all the troubles with which it “rewards” men Prostatitis, it is enough to take the following preventive measures:
- Do not abuse alcohol and abandon smoking.It is smoking, according to doctors, that is the main reason for the stagnation of blood in the pelvis;
- Gymnastics and physical exercises are useful, especially to strengthen the muscles of the pelvis.Improvement run works perfectly on the health of the prostate gland and retains potency to maturity;
- Food should consist of products rich in vitamins, minerals, fiber.Especially useful for zinc prostate.There are a lot of it in the cedar nut and sunflower seeds.It is better to abandon fried and fatty food;
- Drink a lot of pure water (2l);
- In the cold season, use warm linen;
- Check the doctor once a year.
All these points are quite simple and they are turned against prostatitis - an insidious ailment that is masked for old age, impotence and can lead to life -threatening consequences.