Prostatitis

How to treat prostatitis in men: drugs and the first signs of prostatitis.

Prostatitis is characterized as inflammation of the prostate tissue, which occurs due to the development of stagnation in it.

In the modern world, this is the most common urological disease among men of all ages.According to statistics, after 30 years the disease prostatitis affects 30% of the male population, after 40 - 40%, after 50 - 50% and then on the increase.

However, taking into account the diagnostic features and the possibility of the disease occurring in a latent form, the actual figures are much higher.

Reasons for development

Currently, the causes of prostatitis are divided into two large groups:

1. Infectious - (sexually transmitted infections (penetration of pathogens into prostate tissue - microbes, viruses, bacteria, fungi, etc.): also the presence of foci of chronic infection (chronic tonsillitis, sinusitis, kidney pathology), operations on pelvic organs).
2. Non-infectious (stagnant) (immunity reduction, hypothermia, reduced physical activity, sedentary lifestyle, prolonged sexual abstinence and, conversely, excessive sexual activity, alcohol abuse).

Injuries, impaired blood and lymph circulation in the pelvic organs, and hormonal disorders (absolute or relative lack of androgens) contribute to prostatitis.

Therefore, it is emphasized that the isolated entry of pathogens into the organ tissue is not always and cannot necessarily be the cause of the development of the disease.The most common pathogen is Escherichia coli (86%), followed by Klebsiella, Proteus, Enterococcus and Pseudomonas aeruginosa.As for streptococci, staphylococci, chlamydia, mycoplasma and ureaplasma, researchers have different opinions about their importance in the development of the disease.It is extremely rare that prostatitis is caused by specific pathogens (treponema pallidum, Koch's bacillus).

Classification

Currently, the international classification of prostatitis has been adopted, which is the most complete and includes all types of inflammation:

1. Category I. Acute prostatitis;
2. Category II.Chronic bacterial prostatitis;
3. Category III.Non-bacterial chronic prostatitis/chronic pelvic pain syndrome – a disease in which the infection is not detected, lasts longer than 3 months;
• Subcategory III A. Chronic inflammatory pelvic pain syndrome (leukocytes are detected in prostate secretions);
• Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (no leukocytes in prostate secretion);
4. Category IV.Asymptomatic chronic prostatitis (leukocytes are present in the secretion of the prostate, the patient has no complaints, the disease is discovered accidentally).

First signs

The main signs of acute prostatitis are an increase in body temperature and frequent urination, which is accompanied by pain and weak pressure.In addition, signs of prostatitis include burning in the perineum and pain in the rectum during bowel movements.In the stage of purulent inflammation, spontaneous opening of the abscess and leakage of pus from the urethra or rectum is possible.

A sign of the chronic form is burning in the urethra and perineum, discharge of pus at the end of defecation or urination, increased fatigue and irritability of the body.

Difficulty urinating in prostatitis is very dangerous, which, if not treated in time, can lead to acute retention of urine.Men should not ignore such indirect signs of the development of prostatitis as a complete or partial decrease in libido, accelerated ejaculation, sometimes painful and prolonged erection at night.All these symptoms are characteristic of inflammation of the prostate, even in the uncomplicated stage and subject to adequate treatment.

Symptoms

If acute prostatitis is simply impossible not to notice, then with chronic prostatitis many do not notice certain signs or do not attach much importance to them.

Here are the main symptoms of prostatitis in men:

1. Problems with urination.Due to the narrowing of the urethral lumen, the stream may become slow, thin or intermittent.In order to have a bowel movement, the patient has to make an effort, which otherwise should not be the case.Sometimes the urine literally has to be squeezed out drop by drop, especially in the initial phase of urination.Painful sensations often occur.Many patients have a frequent need to urinate (especially at night), this is due to irritation of the nerve endings.Even after going to the toilet, many people have the feeling that the bladder is not completely emptied, this is due to an enlarged prostate and compression of the bladder.In severe cases, involuntary leakage of urine or incontinence may occur.
2. Painful sensations.As a rule, they are localized in the perineum, pubis or testicles, in the groin or in the lumbar area.The pain can appear suddenly and go away quickly, it is often quite severe, but more often it is dull or aching in nature.
3. Problems of a sexual nature will certainly arise.First, your sex drive will decrease significantly.Second, erectile problems may occur.Thirdly, due to problems with ejaculation (ejaculation), the average duration of intercourse will change: it may become short due to early ejaculation or, conversely, too long due to delayed ejaculation.Fourth, the sensations will also change, because the orgasm will not be great.Fifth, the volume of sperm will decrease significantly (only a few drops may be released, which is not normal).
4. Another characteristic symptom is problems with conception.If a man is planning a child, then with prostatitis fertilization becomes impossible due to unsustainability or insufficient mobility of sperm.
5. Discharge from the urethra.They are usually white in color and have a slimy consistency and are most often seen in the morning.
6. In acute cases, there is an increase in body temperature (up to 38-39°), fever, worsening of the general condition, weakness, malaise and other similar manifestations.Such symptoms of prostatitis usually appear suddenly, without any preconditions.

In addition, many people have psychological problems associated with the above symptoms.A person may become insecure about himself, his self-confidence will decrease greatly, he will be depressed or irritable and nervous.Many representatives of the stronger sex are embarrassed by such delicate problems and do not consider it necessary to talk about them, keeping everything to themselves.And this creates great pressure on the psyche, changes behavior and in some cases can lead to depression or a nervous breakdown.

Chronic prostatitis

Many men do not pay much attention to the manifestations of prostatitis in the early stages.These are unobtrusive pains in the bladder area, a frequent desire to go to the toilet.The stronger sex associates the disorder of normal ejaculation and erection with age and does not rush to see a doctor.Such a frivolous attitude leads to the development of chronic prostatitis.

So, we list the general symptoms of various forms of chronic prostatitis:

1. Feeling of discomfort and pain in the urethra during urination or sexual intercourse, mild serous-purulent discharge from the urethra (mainly after prolonged retention of urine).
2. Discomfort and/or moderate pain in the form of "aches" and heaviness in the perineal area, which occurs or worsens after drinking alcohol, physical activity or sexual intercourse.Sometimes they are transient, paroxysmal in nature.
3. Decrease in the ability to fertilize, which is caused by an increase in the acidity of secretions, a decrease or absence of sperm motility and their agglutination (sticking) of the heads.
4. Sudden frequent urge to urinate (sometimes up to 3 times within 1 hour) and a feeling of insufficient emptying of the bladder, which is explained by a violation of the nervous regulation of the prostate, its muscle fibers and the bladder.
5. Pain during orgasm or deleted feelings of orgasm, ejaculation disorders, expressed in its prematurity or, conversely, in excessive duration of sexual intercourse.These phenomena are associated with the inflammatory process in the area of the seminal tubercle or its scars as a result of inflammation.

To diagnose the disease, you must consult a urologist.Using tests, the doctor makes a diagnosis and prescribes a course of medication.

Diagnostics

In order to make an accurate diagnosis, a man should be examined by a doctor and undergo tests.With prostatitis, the patient feels pain on palpation in the perineal area.Internal palpation of the rectum shows the presence of swelling in the prostate area;becomes thick to the touch.The patient complains of problems with the genitourinary system.After collecting the history, the patient must undergo a detailed blood analysis for the presence of excess protein, elevated levels of leukocytes and prostate antigen.

To rule out infection, the patient must undergo a urethral swab.The laboratory will grow the identified bacteria and test their sensitivity to certain types of antibiotics.For an accurate picture, an ultrasound examination of the pelvic organs is performed.It clearly shows inflammation and enlargement of the prostate.If the gland has grown a lot, then the presence of residual urine in the bladder can be seen on ultrasound.

After all the tests and studies have been completed, the man will be given a complete diagnosis and prescribed treatment.

Medicines for the treatment of prostatitis in men: list

Complex treatment of different types of prostatitis may include various combinations of the following methods:

• immunocorrective therapy;
• antibiotic therapy;
• hormone therapy;
• various physiotherapy procedures;
• prostate massage;
• lifestyle changes;
• surgery etc.

Drug treatment of prostatitis involves taking various drugs, including antibiotics:

• alpha-blockers;
• hormonal drugs;
• muscle relaxants;
• immunomodulators;
• rectal suppositories;
• antibacterial drugs.

When treating with antibiotics, preference is given to fluoroquinols and macrolides, because they are able to accumulate in the required concentration in the prostate tissue.Penicillins and tetracyclines are used less often.

Prostate massage

Prostate massage gives good results.The gland gets a complex effect.First of all, it becomes possible to remove from the body the inflammatory secretion that has accumulated in the prostate (it is released during the massage).The improvement of blood circulation through these manipulations makes it possible to suppress various types of stagnation, and also promotes good penetration of antibiotics into the tissue of the gland.

A set of exercises

Exercises for the prostate:

1. This absolutely simple exercise is used for both treatment and prevention.It consists of squeezing and relaxing the muscles of the anus.These muscles are responsible for holding the nozzle during urination.Try to squeeze and release the muscle group.This will increase the blood flow in the area of the gland.
2. To improve blood circulation, use a contrast shower.To do this, direct the stream of water to the perineum.First, 30 seconds of very hot water, then 10 seconds of cold water.
3. In the absence of acute symptoms, you can massage yourself.This is done to improve blood flow.The exercise is best performed in a lying position.The massage point is between the anus and the scrotum.Pressing should be confident, but not aggressive.Time 3-5 minutes.

Be sure to consult your doctor before using the exercises.Sometimes their use is strictly unacceptable.

Immunocorrection

Decreased immunity negatively affects health.

This factor is one of the basic factors in the onset of the disease and its worsening.Long courses of antibiotics, required for prolonged prostatitis, also reduce the body's defenses.Therefore, the patient is recommended to consult an immunologist to choose an immunocorrection strategy.

Physiotherapy

Physiotherapy of chronic prostatitis is aimed at activating blood circulation.

For this purpose, the patient is exposed to laser, ultrasound and magnetic vibrations are used.In some cases, these procedures are replaced by warm medicinal enemas, which are regularly given to the patient.Sitz baths, mud and mineral water treatments are recommended.

Candles

All suppositories for the treatment of prostatitis have one of the following properties: relieve pain (non-steroidal drugs), relieve spasms (based on papaverine), remove the inflammatory process (contain an antibiotic).

Traditional methods of treatment of prostatitis

Treatment of prostatitis at home is carried out only in uncomplicated forms or chronic relapse.Traditional methods can increase the body's resistance to infections and relieve pain.

1. Pumpkin seeds have long been used by healers in the treatment of prostatitis.They are a good and very affordable folk remedy for the treatment of this disease.Since these seeds contain a lot of zinc, which is necessary for every man at any age, they quickly cure prostatitis.You only need to eat 30 seeds a day before meals.This is exactly the daily portion of zinc for the body.
2. The seeds and roots of the plant are suitable.The crushed roots of the plant are boiled for 10 minutes in the amount of half a glass of raw material per 1 liter of water.The entire amount of decoction is drunk in equal portions instead of water.The seeds are boiled with 4 teaspoons per glass of boiling water.Infuse for 40 minutes in a pot or 15 minutes in a thermos.Consume approximately 3-5 times a day, per tablespoon.
3. The main ingredient is hazelnut.For the treatment of prostatitis, it is necessary to take either hazelnut bark or hazelnut leaves.You can cook both ingredients alternately, alternating them.Just know that the crust should be cooked twice as long, because it is tougher.So, take one tablespoon of hazelnut leaves (or bark) and boil it in a glass of boiling water.Close the lid tightly and wait for half an hour.Then strain and take 1/4 cup 4 times a day.It is better to use fresh twigs every time, but you can also use those that have already been used several times.Usually, a week of such procedures is enough - and the prostatitis disappears.
4. For the treatment of diseases, candles are made and stored in the freezer.For the dough, take 1 teaspoon of honey, 1 egg and about 3 tablespoons of flour.The components are mixed until smooth, forming candles.Use in two courses, morning and evening, 1 piece each for 1 month with an interval of 10 days.
5. Celandine is used carefully.The plant is poisonous, overdose leads to severe poisoning.At the same time, celandine medicine will cleanse the body of polyps, neoplasms, cysts and prevent prostate adenoma.Freshly squeezed juice is diluted with alcohol in equal parts.Drink daily, diluted in 50 ml of water.Start the treatment with 1 drop, increasing the concentration by 1 drop every day for 60 days.After 10 days, the course is repeated.

Most folk remedies are used daily 1-3 times in courses of 20-30 days.Due to their mild effect, treatment with domestic herbal remedies lasts longer than drugs, but it is safer for the body, especially in the presence of accompanying diseases of the intestines and stomach.Treatment must be accompanied by gymnastics: leg lifts, squats.Intensive walking of 15-30 minutes a day is recommended.

Complications of prostatitis

In the absence of timely and adequate treatment, prostatitis can be complicated by the following conditions:

• development of chronic prostatitis;
• bladder obstruction;
• development of infertility;
• recurrent cystitis;
• narrowing of the urethra;
• pyelonephritis;
• prostate abscess;
• sepsis.

Some of the mentioned conditions require urgent surgical intervention!

Prevention measures

Prevention boils down to avoiding provoking factors.A healthy lifestyle, protected sexual contact and having one partner will reduce the likelihood of genitourinary infection.General strengthening of the organism and strengthening of the immune defense are also preventive measures against prostatitis.