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Prostatitis

symptoms and signs of prostatitis

Prostatitis is an acute or chronic inflammatory disease of the prostate gland. The acute form is characterized by pronounced symptoms. In the absence of adequate therapy, it becomes chronic. This variant of prostatitis is less treatable, it can lead to malignant degeneration of glandular tissue.

At the medical center, any man can undergo a comprehensive examination to identify any form of prostatitis. The center is equipped with modern high-precision equipment. In the laboratory, you can pass all the tests prescribed by the doctor. Experienced urologists of the highest qualification category will draw up an individual therapy plan that takes into account the characteristics of each clinical case.

About the disease

Prostatitis is a common problem that affects about 40% of men over the age of 40. It does not directly threaten a person's life, however, reducing efficiency, affecting the patient's neuropsychic sphere, limiting freedom, prostatitis significantly worsens the quality of life.

Inflammation of the prostate can occur as an independent pathology or be combined with adenoma or cancer of this organ.

kind

In 1996, a classification was developed, according to which there are 4 categories of prostatitis in men:

  • Acute prostatitis.
  • Chronic bacterial prostatitis.
  • Chronic inflammation of the prostate gland of a non-bacterial nature.
  • IIIA. With the presence of signs of inflammation (leukocytes and any microorganisms are found in the secretion of the prostate gland).
  • IIIB. Chronic non-bacterial prostatitis without an inflammatory component (there are no leukocytes and microorganisms in the secretion of the prostate).
  • Asymptomatic chronic prostatitis (a person does not complain, but leukocytes are found in the secretion of the prostate gland).

Symptoms of prostatitis

Depending on the form of the disease, prostatitis can occur suddenly, appearing with vivid clinical symptoms or continue with alternating periods of aggravation and remission.

Common signs of prostatitis in men:

  • different intensity of pain in the perineum, radiating to the groin and sacrum;
  • pain in the lower back;
  • urination disorders (pain at the beginning of the act and throughout its duration, interrupted flow of urine, possibly dribbling urination, frequent urge);
  • decrease in potency and sexual desire;
  • painful discharge;
  • pain after intercourse;
  • erectile dysfunction;
  • intoxication syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.

Not necessarily all these symptoms will be defined by the same man - maybe a different combination of them. With an exacerbation of chronic prostatitis, they are, as a rule, less pronounced than in the acute form of the disease, and in remission they are practically not determined. Disorders of sexual function often occur in men who suffer from chronic prostatitis for more than 5 years.

If prostatitis is neglected, the risk of developing prostate adenoma and cancer, infertility, impotence, which is difficult to treat, increases. Once you have identified the first symptoms of the disease, it is necessary to contact a urologist as soon as possible. This will allow a comprehensive treatment that stops the pathological process.

Causes of prostatitis

Define infectious and non-infectious causes of prostatitis.

Acute infectious prostatitis is caused by bacteria, most often - Enterobacter, Escherichia coli, Pseudomonas, Proteus and sexually transmitted infections, less often - Mycobacterium tuberculosis. The spectrum of microorganisms that can cause an exacerbation of chronic prostatitis is much wider and can include opportunistic and atypical infections (candida).

The microorganism enters the prostate gland from the urethra, bladder, less often with blood or lymphatic flow from distant foci of infection.

Factors that increase the risk of developing the disease:

  • SST;
  • chronic infectious diseases located at a distance (caries, sinusitis, lung abscess);
  • congenital and acquired immunodeficiencies;
  • manipulations and operations on pelvic organs;
  • prostate biopsy;
  • sedentary lifestyle, accompanied by blood stagnation in the pelvic area;
  • promiscuous sex life;
  • same-sex contacts.

The causes of non-infectious forms of prostatitis are not fully understood. It is believed to be associated with secretion stagnation in the prostate gland due to the violation of venous flow from the pelvic organs. The vessels of the prostate overflow with blood, swell, all the functions of the gland are disturbed, signs of inflammation appear. Risk factors for the development of this form of prostatitis are:

  • autoimmune processes (attack by the body's antibodies on prostate cells);
  • prolonged lack of sexual activity;
  • prolonged or interrupted sexual intercourse;
  • sedentary lifestyle;
  • adverse working conditions (impact of vibrations);
  • chronic intoxication with certain chemicals;
  • spinal cord injury;
  • hemorrhoids;
  • constipation;
  • Androgen deficiency in a man's body.

Diagnosis of prostatitis

Prostatitis is diagnosed based on the patient's complaints, examination data, anamnesis and the results of additional studies. To detect the disease, apply:

  • general and biochemical blood tests;
  • study of prostate secretion;
  • analysis of biological fluids for urogenital infections;
  • transurethral ultrasound of the prostate (TRUS);
  • prostate specific antigen test;
  • determination of testosterone levels;
  • Urine analysis.

Treatment of prostatitis

When the diagnosis is made, the man is prescribed a complex drug treatment. It includes antibacterial drugs, enzymes, herbal medicine, immunomodulators. If the patient follows all the recommendations of the urologist, the treatment of acute prostatitis on an outpatient basis leads to a complete recovery. Conversely, a violation of the therapy regimen leads to the appearance of highly resistant forms of microorganisms that cannot be destroyed by traditional antibiotics. As a result, inflammatory and dystrophic processes worsen, the disease becomes chronic.

Chronic prostatitis is difficult to cure. It requires an integrated approach with the appointment of a long course of medication and special treatment procedures. The clinic's urology specialists draw up an individual therapeutic plan for the patient, which includes:

  • antibiotic therapy for up to one month;
  • angioprotectors;
  • enzyme treatment;
  • non-steroids that stop the inflammatory reaction;
  • immunomodulatory treatment (selected by an immunologist);
  • prostate massage;
  • instillations in the urethra, if the inflammatory process is localized in the urethra;
  • physiotherapy.

The patient can receive treatment in a hospital or in an outpatient clinic. In the first case, the chances of a positive result increase, since the man strictly adheres to the regimen, observes all the doctor's prescriptions and is under close medical supervision.

In case of complications of prostatitis (suffocation of seminal vesicles, abscess of the prostate gland), a man may be shown surgical treatment.

Physiotherapy treatment

The specialized center has installed unique modern equipment for local impact on the prostate. Physiotherapy increases the effectiveness of complex treatment, reduces the resistance of microorganisms to antibiotics and eliminates congestion in the body. For the treatment of prostatitis, experienced doctors use:

  • "A device for a complex effect on the muscles of the prostate and pelvis, accelerated treatment of prostatitis and relief of its symptoms. The therapeutic effect is due to electrical stimulation, laser and magnetic radiation. It improves drainage of the gland, activates blood circulation inthe pelvis, eliminates the inflammatory process and improves the penetration of drugs into the tissues of the organ.
  • The vacuum massage device restores the vascular trophism of the cavernous bodies of the penis and improves blood circulation in the pelvic organs. It is used for the treatment of prostatitis accompanied by significant erectile dysfunction, as well as in the complex treatment of impotence. Eliminates the causes of overload, tk. tones blood vessels.
  • Apparatus for local heating of the prostate. Heating the tissues up to 39-42°C inhibits the reproduction of microorganisms, initiates metabolic processes in the prostate and improves its blood supply. It is used to treat various forms of prostatitis.

A modern clinic helps men cope with chronic prostatitis in the shortest possible time. Experienced specialists will definitely determine the causes of the pathology and choose an effective treatment. Registering for physiotherapy, you will speed up recovery, quickly get rid of pain and discomfort.

prevention

Specific prevention of prostatitis in men has not been developed. Non-specific measures include patient compliance with a number of recommendations:

  • drink plenty of fluids;
  • do not tolerate, if you want to go to the toilet, empty your bladder regularly;
  • have an active sex life;
  • avoid hypothermia;
  • avoid hypodynamia;
  • observe the rules of intimate hygiene;
  • timely treat urogenital infections and any other infectious diseases of the body;
  • reduce the amount of spicy foods, caffeine, alcoholic beverages in the diet, as they have an irritating effect on the urinary tract.

reHabiLitatiON

In a short time, an active lifestyle, compliance with the recommendations of the attending physician regarding maintenance therapy and proper nutrition will help a man recover from acute or worsening chronic prostatitis in a short time.

To avoid stagnation of blood in the pelvic organs, a person should move more, and if his work involves physical inactivity (for example, a long stay at the wheel) - whenever possible, get out of the car andmove, visit the gym.

Properly organized food will speed up healing and reduce the risk of worsening the disease. It is important to consume a large amount of plant foods - vegetables, oils, as well as dairy products and fiber.

Question and answer

Which doctor should I contact if I suspect prostatitis?

A urologist deals with the diagnosis and treatment of prostatitis.

Is it possible to completely recover from prostatitis?

Depending on what form of the disease appears in a particular patient. Acute prostatitis, if a person consults a doctor at the right time and follows all recommendations for treatment, can soon pass without leaving a trace. Chronic prostatitis, unfortunately, is not curable. However, proper treatment tactics and a man's responsible attitude to the problem will significantly increase the chances of achieving a long-term stable remission.

Chronic prostatitis can be defeated! To receive quality care, do not delay treatment.