Prostatitis is characterized by a complex inflammatory process in the prostate gland. The risk group consists of men aged 40 and older, leading a sedentary lifestyle. The first signs in the acute form occur 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 has a more hidden picture of development. Its danger lies in irreversible disorders associated with the activity of sexual function.
Features of the course of prostatitis
Signs of prostatitis begin to bother men as a result of a sedentary lifestyle, hypothermia, as a result of malnutrition.
The course of the disease can be characterized by one of two forms:
- Acute prostatitis- is determined with purulent discharge in the urine. Specific causes are associated with pathogenic microflora. Treatment without antibiotics is ineffective.
- Chronic- develops as a result of improper or ineffective treatment. The signs are not as pronounced as in the acute course.
During the period of remission, the symptoms of pathology often disappear completely. 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 consequence of a sedentary lifestyle against the background of chronic diseases, due to the low blood circulation in the pelvic organs.
The main signs of prostatitis are divided by doctors into three groups:
- malfunctions in the urinary system, manifested by disorders in the excretion of urine;
- disorders of sexual activity, characteristic of enlarged prostate;
- development of nervous pathologies.
Inflammation of the prostate provokes a decrease in the production of a special secretion that maintains the activity of sperm. As a rule, their resistance to adverse effects decreases, and the chances of successful fertilization of a female egg are close to a minimum.
According to medical statistics, the disease affects not only the elderly, but also quite young men. The risk group is made up of the stronger sex from the age of 40. Doctors emphasize that the main emphasis should be on preventing the development of pathologies in the small pelvis and on preventive measures.
Symptomatic picture
Prostatitis symptoms are primarily represented by pain syndrome. The unpleasant sensations in acute inflammation can be stabbing, cutting or aching in nature. They cause decreased performance, sleep disturbance. The enlargement of the prostate gland already in the first stages can be determined by pain in the pelvic area. In some patients, it develops during urination and defecation. During erection and ejaculation, the pain sensations increase.
As a result of mechanical action on the walls of the urinary ducts, pain is almost always associated with movement.
Problems with urine flow disturb almost every patient and in any form. Appears:
- false urge to urinate;
- sensation of incomplete emptying of the bladder.
A man may need an effort to urinate, and the jet is sluggish and intermittent. Acute inflammation causes frequent urge to urinate.
In addition to the listed symptoms of prostatitis in acute development of the disease, the following are manifested:
- pain in muscles and joints;
- increase in body temperature up to 40 degrees;
- febrile condition, chills;
- feeling of swelling in the groin area;
- discharge from the urethra;
- burning and cramps when passing urine;
- streaks of blood and pus in urine.
Complications of the chronic course of prostatitis can be male infertility, scarring and narrowing of the tissues of the urethra, complex kidney damage, sepsis. The testicles, epididymis and seminal canals become inflamed. The running course leads to suppuration of the prostate, which requires immediate surgical intervention. Surgical treatment without fail requires obstruction of the bladder, which is accompanied by acute urinary retention.
Provoking factors
The main causes of prostatitis can be summarized in the following list:
- Sexually transmitted infections. Trichomonas, mycoplasma, chlamydia, gonococcus, Escherichia coli, enterococci can provoke lesions of the urethra and prostate tissues.
- A sedentary and sedentary lifestyle contributes to the development of stagnant and inflammatory processes in the pelvic organs.
- Disruptions of lymph circulation and blood circulation.
- Constant interruption or artificial increase in sexual intercourse, prolonged abstinence cause disturbances in the functioning of the prostate gland.
- Regular mental stress, excessive physical exertion, stressful situations also affect men's health and cause the development of prostatitis.
- Hypothermia, frequent colds and, as a result, decreased immunity become the causes of inflammatory processes of the reproductive organs.
- Hormonal disorders.
Treatment
It will not be possible to get rid of the pathological signs of acute or chronic prostatitis in a short period of time.
When choosing certain therapies, it is important to identify the type and form of the disease through diagnostic studies.
Medicines
Antibiotics are indicated when diagnosing bacterial prostatitis. If the inflammatory process was not caused by an infection, there is no point in such therapy. The choice of a specific antibiotic is made by the attending physician after identifying the microorganism that provokes bacterial damage to the prostate gland.
In most cases, the medication should be taken for at least 7 days. Alpha-blockers and antispasmodics help to relieve pain. The systematic intake of this group of medications helps to relax the muscles of the bladder and the prostate itself. This improves the flow of urine and reduces the manifestation of the overall clinical picture.
For men with especially severe pathology, intravenous fluids and diuretics are indicated. This improves the flow of urine. In addition, in this way, you can stop the process of intoxication of the body.
Non-bacterial prostatitis is treated with antipyretic, analgesic, anticholinergic drugs. In case of constipation, it is necessary to use laxatives and suppositories based on vaseline oil.
Supportive care
Important steps in adjunctive therapy for drug treatment are:
- bed rest;
- complete rest;
- drink plenty of fluids, at least 2 liters per day;
- sitz warm baths.
In case of acute urinary retention, a temporary suprapubic fistula is prescribed. An alternative approach is regular bladder catheterization. Doctors prescribe such treatments only when drug therapy is ineffective. Patients should not forget about contraindications to hypothermia of the body during treatment, cycling and prolonged sitting on hard surfaces.
From the first days of prostate diagnosis, prostate massage is prescribed. This method helps to reduce the pressure of the enlarged gland on the urethra, thereby improving urination and decreasing the induration.
Compliance with a diet that excludes spicy and fatty foods, as well as alcoholic and carbonated drinks, allows you to normalize your overall health.
Surgery
In cases where drug therapy has not had an effect in the treatment of prostatitis, surgery is required. In exceptional cases, with stagnant flow, the flow of urine is blocked. Surgical treatment is also indispensable here. A contraindication to surgery is the patient's reproductive age. In young men, surgery can lead to infertility.
Transurethral resection of the prostate is a surgical excision of all inflamed tissue. Prostatectomy is performed to completely remove the prostate, adjacent tissues and seminal vesicles. The negative consequences of such 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 gland once and for all.
Prostatitis is considered a complex and insidious disease, with persistent remissions in the chronic form. It is not always possible to completely cure it, therefore, eliminating the main symptoms is a task that every attending physician seeks to perform. How long it will take until their complete disappearance is impossible to determine exactly. In most situations, urologists give comforting forecasts.
Alternative therapy
In the treatment of the disease, not only medical methods are used, but also folk remedies.
Bee dead
Alcohol tincture is prepared from 2 tsp. podmore and 200 ml of alcohol or vodka. It is taken 3 times a day on an empty stomach, 40-60 drops, depending on the patient's weight. Course therapy - 25 days. The composition of the beesworm 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 cooked over low heat for 10 minutes. Then the remedy must be insisted for about 3-4 hours. The use is shown in 2 tbsp. l. twice a day before meals. The optimal period of treatment with this remedy is 1 month. Then you need to take a break for 7-10 days and, if there is no improvement, resume therapy.
Pumpkin Seeds
Pumpkin seeds should be ground in a coffee grinder before use. Take 2 tbsp on an empty stomach daily. l. , washed down with a glass of water diluted in it 2 tsp. natural honey.
You can add fresh parsley juice to 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 plant.
To enhance the effect, you can add 15 g each of dandelion, comfrey, and beans. It is necessary to prepare a fresh decoction of 1 tbsp every day. l. mixed plant raw materials and 0. 5 liters of water. Boil for 10 minutes, then leave for another half hour. Drink 4 doses immediately before meals. The course is 30 days.
Prevention
The manifestation of symptoms in the clinical picture of prostatitis contributes to the formation of inferiority complexes. This causes stressful situations and depressed moods in men. Many patients are characterized by irritability, a tendency to conflicts. Aggressive behavior interferes with normal communication.
In most cases, you should seek the help of an experienced psychologist. After all, disorders of the sexual sphere have a very negative effect not only on the mood of a man, 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 means of preventing prostatitis is an active sex life with a constant partner. Prolonged abstinence, incomplete ejaculation are contraindicated. It is necessary to limit the use of alcoholic beverages from the age of 40 and stop smoking. The main emphasis should be on moderate exercise and vitamin therapy.