Prostatitis is characterized by a complex inflammatory process in the prostate. The risk group consists of men aged 40 and over who lead a sedentary lifestyle. The first signs in acute form appear with purulent discharge in the urine, severe pain syndrome and an increase in body temperature up to 40 degrees. Chronic prostatitis is no less dangerous than acute, but it has a more hidden picture of its development. Their danger lies in irreversible disorders associated with the activity of sexual function.
Features of the course of prostatitis
Signs of prostatitis bother men due to a sedentary lifestyle, hypothermia due to malnutrition.
The course of the disease can be characterized by one of two forms:
- Acute prostatitis- is determined by purulent discharge in the urine. Specific causes are associated with pathogenic microflora. Treatment without antibiotics is ineffective.
- Chronic- develops due to improper or ineffective treatment. The signs are not as pronounced as in the acute course.
During the period of remission, the symptoms of the pathology often disappear completely. The exacerbation of chronic prostatitis does not bother the patient as clearly as in the primary acute form. In most cases, a stagnant course of the disease is diagnosed as a result of a sedentary lifestyle against the background of chronic diseases due to poor blood flow to the pelvic organs.
The main signs of prostatitis are divided by doctors into three groups:
- Malfunctions in the urinary system, which are expressed in disorders of the urine output;
- sexual disorders that are characteristic of an enlarged prostate;
- development of nervous pathologies.
Inflammation of the prostate leads to a decrease in the production of a special secret that maintains the activity of the sperm. As a rule, their resistance to side effects decreases, and the chances of successful fertilization of a female egg are almost minimal.
According to medical statistics, the disease affects not only older people, but also quite young men. The risk group consists of the stronger sex from the age of 40. Doctors focus on the fact that the main focus should be on preventing the development of pathologies in the small pelvis and on preventive measures.
Symptomatic picture
Symptoms of prostatitis are mainly represented by the pain syndrome. The unpleasant sensations associated with acute inflammation can sting, cut or pain in nature. They cause poor performance and sleep disturbances. The enlargement of the prostate already in the first stage can be determined by pain in the pelvic area. In some patients, it develops during urination and bowel movements. The pain sensations increase during erection and ejaculation.
Due to mechanical effects on the walls of the urinary tract, pain is almost always associated with movement.
Problems with the flow of urine disturb almost every patient and in every form. Appear:
- wrong urge to urinate;
- Sensation of incomplete emptying of the bladder.
A man may have to strain to urinate and the flow is sluggish and intermittent. Acute inflammation causes frequent urination.
In addition to the listed symptoms of prostatitis in the acute development of the disease, the following symptoms are manifested:
- pain in muscles and joints;
- Increase in body temperature by up to 40 degrees;
- feverish state, chills;
- sensation of swelling in the groin area;
- discharge from the urethra;
- Burning sensation and cramps 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 tissue, complex kidney damage, sepsis. The testicles, epididymis, and seminal ducts become inflamed. The course of the run leads to suppuration of the prostate, which requires immediate surgical intervention. Surgical treatment necessarily requires obstruction of the bladder, 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, gonococci, Escherichia coli and enterococci can cause lesions of the urethra and prostate tissue.
- A sedentary and sedentary lifestyle contributes to the development of stagnant and inflammatory processes in the pelvic organs.
- Disorders of the lymphatic and blood circulation.
- Constant interruption or artificial increase in sexual intercourse, prolonged abstinence lead to functional disorders of the prostate.
- Regular mental stress, excessive physical exertion and stressful situations also affect the health of men, causing the development of prostatitis.
- Hypothermia, frequent colds and, as a result, decreased immunity become 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 time.
When choosing certain therapies, it is important to identify the nature and form 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, then such therapy makes no sense. The choice of a specific antibiotic is made by the attending physician after identifying the microorganism that causes bacterial damage to the prostate.
In most cases, the drug should be taken for at least 7 days. Alpha blockers and antispasmodics help relieve pain syndrome. Systematic use of this group of drugs will help relax the muscles of the bladder and prostate itself. This improves the flow of urine and reduces the manifestation of the overall clinical picture.
In men with a particularly severe pathological course, intravenous fluids and diuretics are indicated. This improves the flow of urine. In addition, in this way you can stop the process of poisoning the body.
Non-bacterial 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
Important steps in additional therapy to drug treatment are:
- bed rest;
- complete rest;
- drink plenty of fluids, at least 2 liters per day;
- sit warm baths.
For acute urinary retention, a temporary suprapubic fistula is prescribed. An alternative approach is regular urinary catheterization. Doctors will only prescribe such treatments when drug therapy is ineffective. Patients should not forget about contraindications for hypothermia during treatment, cycling and prolonged sitting on hard surfaces.
From the first days of the prostate diagnosis, a prostate massage is prescribed. This method helps relieve the pressure of the enlarged gland on the urethra, which improves the urination process and decreases hardening.
Following a diet that excludes spicy and fatty foods, as well as alcoholic and carbonated beverages, will allow you to normalize your general health.
surgery
In cases where drug therapy has had no effect on the treatment of prostatitis, surgery is required. In exceptional cases, the flow of urine is blocked when the flow is stagnant. Here, too, surgical treatment is essential. A contraindication to surgery is the patient's reproductive age. Surgery can lead to infertility in young men.
The transurethral resection of the prostate is a surgical removal of all inflamed tissue. A prostatectomy is done to completely remove the prostate, adjacent tissues, and seminal vesicles. The negative consequences of such an intervention are urinary incontinence and impotence. This type of medical care is necessary for 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 a chronic form. It is not always possible to completely cure it, so getting rid of its main symptoms is a task that every attending physician wants to do. How long it will take for them to completely disappear cannot be precisely determined. In most situations, urologists give comforting predictions.
Alternative therapy
In the treatment of diseases, not only medical methods are used, but also folk remedies.
Bee dead
Alcohol tincture is made from 2 teaspoons. Podmore and 200 ml of alcohol or vodka. It is taken on an empty stomach three times a day, depending on the patient's weight, 40-60 drops. Course therapy - 25 days. The composition of the beeworm contains unique components that have a therapeutic effect on problems with the male reproductive system.
broth with the addition of 2 tsp. Honey, 1 tsp. Podmora for 1 glass of hot water is boiled over low heat for 10 minutes. Then the remedy has to persist for about 3-4 hours. Use is shown in 2 tbsp. l. twice a day before meals. The optimal duration of treatment with this agent is 1 month. Then you need to take a break of 7-10 days and continue therapy if there is no improvement.
Pumpkin seeds
Pumpkin seeds should be ground in a coffee grinder before use. Take 2 tbsp daily on an empty stomach. l. , with a glass of water diluted in it 2 tsp. natural honey.
You can add fresh parsley juice to the honey in a few drops.
chestnut
Raw materials are mixed in equal proportions (10 g each):
- dried licorice roots;
- Leaves of berry, chestnut, knotweed and castor oil plants.
To increase the effect, you can add 15 g of dandelion, comfrey and beans. You need to prepare a new brew of 1 tbsp every day. l. mixed raw materials of plants and 0, 5 liters of water. Let cook for 10 minutes, then let rest for another half an hour. Drink 4 cans immediately before meals. The course lasts 30 days.
Prevention
The manifestation of symptoms in the clinical picture of prostatitis contributes to the formation of inferiority complexes. This leads to stressful situations and depressive moods in men. Many patients are characterized by irritability and a tendency to conflict. Aggressive behavior disrupts normal communication.
In most cases, you should consult an experienced psychologist. Because 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 exertion. An effective way to prevent prostatitis is to have an active sex life with a constant partner. Prolonged abstinence and incomplete ejaculation are contraindicated. It is necessary to limit the consumption of alcoholic beverages from the age of 40 and to stop smoking. The main focus should be on moderate exercise and vitamin therapy.