Prostatitis - Inflammation of the seed gland (prostate) - prostate.It is the most common disease of the genitorerinary system in men.Most often, this affects patients aged 25 to 50.In accordance with various data, prostatitis suffers from 30 to 85% of men over 30 years of age.Perhaps inflammation of testicles and appendages, which threatens infertility.The ascent of the infection leads to inflammation of the upper parts of the genito-cross system (cystitis, pyelonephritis).
Prostatitis symptoms
In rare cases, chronic prostatitis becomes the result of an acute process, however, as a rule, a primary chronic course is observed.The temperature is occasionally rising to subfules values.The patient notes low pain in the perineum, discomfort during the act of urination and defecation.The most characteristic symptom is the rare discharge of the urethra during the act of defecation.The main chronic form of the disease develops over a significant period of time.It is preceded by prostatosis (stagnation of blood in capillaries), gradually transforming into abacterial prostatitis.
Chronic prostatitis is often a complication of the inflammatory process caused by the causal agent of a specific infection (Chlamydia, Trichomonas, Ureaplasma, Gonococcus).The symptoms of a specific inflammatory process in many cases mask the manifestations of the prostate lesion.There is a slight increase in pain during urination, low pain in the perineum, a rare discharge of the urethra during defecation.A slight change in the clinical image often goes unnoticed by the patient.
Helplessness, and sometimes the very threat of possible sexual disorders, is difficult to transfer to patients.Often, there is a change in character, irritability, groan, excessive concern with their own health and even "departure in the disease".
If a man is suspected by the development of prostatitis, he is immediately proposed to undergo a differential diagnosis.It allows you to distinguish the inflammation of the prostate gland from other pathological conditions which have similar symptoms with it.
Without diagnosis, the doctor will not be able to distinguish prostatitis from diseases such as uretrite, pyelonephritis, orchitis, cystitis and epidmit.
Chronic prostatitis can be confused with the adenoma of prostate or malignant tumor in this organ.In the latter case, the patient will have significant blood loss during urination and significant deterioration in the general state of health.
The typical symptoms of acute bacterial prostatitis are:
- frequent urination;
- burn during urination (usually with a small amount of urine);
- pain in the bladder and perineum area;
- pain during defecation;
- nausea, vomiting;
- Fever and chills.
Chronic bacterial prostatitis is also manifested by problems of pain and urination.Nevertheless, these symptoms disappear immediately, then appear after a while.Chronic prostatitis is characterized by a recurring evolution with inflammation of discoloration and emergence.It can last several months.
In rare cases, the doctor can detect an increased quantity of leukocytes in the ejaculate or secretion of the prostate gland, but a sick person may not feel pain or other symptoms of inflammation of the prostate.
So what signs of prostatitis should you pay particular attention?The initial manifestations of the disease:
- Pulling pain in perineum and pubic;
- Discomfort during urination, after intimate contacts;
- rupture, weakness;
- A slight increase in temperature.
Prostatitis symptoms in men of parenchymal form:
- serious state of the patient;
- At the start of the disease, rapid urination moves quickly to dysuria (full urinary retention);
- The appetite is reduced, the patient is tormented by thirst;
- flatulence, inability to empty the intestines due to intense pain;
- The rectum mucous discharges may appear;
- The body temperature is increased, it is maintained in 39 ° C.
One of the signs of prostatitis in men in this severe form is the acute pain of the prostate gland during its survey.The patient's palpator examination at this stage of the inflammatory process is difficult due to a serious illness and uncomfortable sensations in the genital zone.If qualified treatment does not start at this stage, the disease can be complicated by the transition from infection to neighboring organs, the appearance of an abscess or the development of a chronic inflammatory process.
Diagnosis
<>A characteristic clinical picture simplifies the diagnostic process in acute and chronic prostatitis.Mandatory is made:
- Rectal prostate study
- The fence of the prostate gland to determine the sensitivity of the microflora (sow the secret of the urine of the prostate and the bacteria).
- A prostate ultrasound to identify structural changes (tumors, cysts, adenoma) and the differentiation of the prostatitis of other diseases is carried out
- A spermogram to exclude or confirm the development of infertility.
To confirm the diagnosis, the doctor can also analyze the urine and take the patient's blood to examine the level of inflammatory cells.
Additional diagnostic methods for symptoms of prostate inflammation in men:
- Study of prostate secret;
- Laboratory diagnosis;
- PCR search;
- Ultrasound of the prostate;
- Urofloometry;
- Magnetic resonance, computed tomography of the pelvic organs.
Treatment: Basic and non -specific therapy
Acute prostatitis treatment
Patients with a simple acute process undergo a treatment cure with a waiting urologist.With severe poisoning, suspicion of a purulent process, hospitalization is indicated.Antibacterial therapy is carried out.Medicines are selected taking into account the sensitivity of an infectious agent.Antibiotics are widely used which can penetrate well into prostate tissues (ciprofloxacin, etc.).
With the development of an acute delay in the UNCI of prostatitis, they use the installation of the cystostome, and not to a urethral catheter, because there is a danger of formation of an abscess of the prostate.With the development of the abscess, a transrectal or transureral endoscopic opening of the abscess is carried out.
Treatment of chronic prostatitis
The treatment of chronic prostatitis should be complex, in particular etiotropic treatment, physiotherapy, correction of immunity:
- Antibiotic therapy.The patient is prescribed long -term antibacterial courses (within 4 to 8 weeks).The selection of the type and the dosage of antibacterial drugs, as well as the determination of the duration of the treatment price are carried out individually.The drug is chosen according to the sensitivity of microflora according to the results of the sowing of the urine and the secret of the prostate.
- Prostate massage.The gland massage has a complete effect on the affected organ.During massage, the inflammatory secret accumulated in the prostate gland is tight in the conduits, then enters the urethra and eliminates the body.The procedure improves blood circulation in the prostate, which makes it possible to minimize stagnation and offers the best penetration of antibacterial drugs in the fabric of the affected organ.
- Physiotherapy.To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used.If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed hot medicinal microclilisms.
In a long -term chronic inflammation, a consultation of an immunologist is indicated for the choice of immunocorrogative therapy tactics.The patient receives recommendations for a lifestyle change.The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure.The patient is recommended to normalize sleep and awakening, to establish a diet and carry out moderate physical activity.
In no case should the treatment be treated at home, as it is impossible to cure the disease in acute form using traditional medicine.The chronic inflammatory process requires the intervention of experienced specialists.Modern treatment drugs allow you to quickly and effectively relieve the inflammatory process and avoid the development of dangerous complications.
The following funds are used to treat prostate inflammation:
- antibacterial, antifungal, anti -richomonna drugs (depending on the cause of the development of the disease);
- antispasmodic, analgesic;
- Physiotherapeutic methods.
Therefore, urologists recommend contacting doctors as soon as the first signs of prostatitis in a man occur.It will save time.Treatment with improvised means at home is strictly contraindicated.
Prostate massage
Patients with chronic inflammation of the prostate make a massage of the gland.This procedure should only be carried out by experienced specialists, as it is a powerful treatment officer that improves the flow of purulent-inflammatory secrets from the conduits.
Prostate massage refers to complex treatment and diagnostic procedure, which should only be carried out by professionals.It is carried out through the rectum.The conduits of the organ are massaged with fingers, stimulating blood circulation and the flow of prostatic secretion, the study of which is necessary for many diseases of the genitorerinary sphere.The massage releases the conduits of the accumulation of pus, relieves stagnation, reduces the manifestations of infectious and inflammatory processes.
Knowing what the first signs of male prostatitis have, a person can reveal them in a timely manner and consult a doctor.
Complications
If you are not paying attention to the signs and symptoms of prostatitis, infection is possible for other organs in the pelvic region, intense pain with a urination and the appearance of blood and pus in urine and pus, can occur.In a neglected form, the temperature with prostatitis in men increases, well, which worsens significantly.
The main complications of prostatitis:
- vesiculitis (inflammation of seed bubbles);
- prostate sclerosis;
- prostate abscess;
- prostate cysts;
- infertility;
- impotence;
- Purulent infections of neighboring organs.
But the most formidable complication is considered to be hyperplasia of the gland with an increase in the risk of growth of malignant tumors.A man often does not even know the growth of adenoma and cancer neoplasms until he reaches impressive sizes and there is no difficulty in urination.
In the absence of a timely treatment of acute prostatitis, there is a significant risk of developing the abscess of the prostate gland.When the purulent focus is formed, the patient's body temperature goes to 39-40 ° C and can acquire an eventful character.Heat periods alternate with pronounced chills.Acute pain in the perineum complicates urination and makes defecation impossible.
For chronic prostatitis, a wave type course with prolonged periods of remission is characteristic, during which the inflammation of the prostate takes place latent or manifests itself in extremely lean symptoms.Patients, which nothing is disturbing, often stop treatment and only convert with the development of complications.
Prostatitic therapy with folk remedies
Popular remedies for prostatitis serve as an alternative to drug treatment.They are used for bacterial prostatitis.Before using folk remedies, see a doctor.
Green tea
Drugs in the form of green tea are probably the most pleasant way to treat prostatitis.It is advisable to drink 3 cups of green tea per day.This drink contributes to a frequent urination, which helps clean the whole body.In addition, green tea is directly involved in the detoxification of the body.
Nettle
2 handles of freshly raised nettle leaves - about 15 cm from the upper part of the plant - 300 ml of drinking water should be poured and let infuse at night (about 12 hours).In the morning, the infusion should be slightly hot and drink.
Cranberry
Cranberry is one of the famous fighters against prostatitis.Treatment at home with cranberries implies its use in dried, fresh and canned form.In the latter case, however, added sugar should be wary.
Cranberry juices are also available in stores.Caution must also be careful here and read the label carefully so that the juice does not contain additional juice of other fruit or artificial sweeteners.
An extremely 100% cranquer juice has healing effects.
Ginger
When processing prostatitis, you can pay attention to another useful product - the ginger root.Ginger is a promising product for the treatment of this disease.It has a powerful anti-inflammatory effect and antioxidant properties, interrupts the reproduction cycle of cancer cells (which is particularly important in the treatment of prostate cancer) and promotes apoptosis.At the same time, ginger is not toxic for other rapidly growing cells.
It must be taken after eating, adding the root to the tea (preferably green).
Chestnuts
The chests are also effective, have no side effects, which is very important for the elderly.The skin should be removed from the chestnuts, and the nucleus itself must be crushed into small pieces, pour boiling water and leave an offense at an hour.The decoction must be taken 3 times a day before meals, 30 drops.
Regular sex
Regular sex, likewise, like masturbation, cleanses prostate, promotes blood circulation and prevents local inflammation.