Prostatitis is characterized by a complex inflammatory process in the prostate. The risk group is made up of men aged 40 and over, leading sedentary lifestyles. The first signs in the acute form occur with purulent discharge in the urine, intense 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 the irreversible disorders associated with the activity of sexual function.
Features of the course of prostatitis
The signs of prostatitis begin to bother men due to a sedentary lifestyle, hypothermia, due to malnutrition.
The course of the disease can be characterized by one of the following two forms:
- Acute prostatitis- is determined by purulent discharge in the urine. Specific causes are associated with the 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 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, the stagnant course of the disease is diagnosed as a result of a sedentary lifestyle against the background of chronic diseases, due to poor blood circulation in the pelvic organs.
The main signs of prostatitis are divided by doctors into three groups:
- dysfunctions of the urinary system, manifested by disorders of urinary excretion;
- sexual disorders characteristic of an enlarged prostate;
- development of nervous pathologies.
Inflammation of the prostate causes a decrease in the production of a special secret that maintains sperm activity. As a rule, their resistance to side effects decreases and the chances of successful fertilization of a female egg are close to the minimum.
According to medical statistics, the disease affects not only the elderly, but also fairly 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 image
Symptoms of prostatitis are mainly represented by pain syndrome. Unpleasant sensations in acute inflammation can be stabbing, cuts, or pain. They cause a decrease in performance, sleep disorders. The enlargement of the prostate already in the early stages can be determined by pain in the pelvic area. In some patients, it develops during urination and defecation. During erection and ejaculation, pain sensations increase.
Due to the mechanical action on the walls of the urinary tract, pain is almost always associated with movement.
Urinary flow problems disturb almost every patient and in any form. Appears:
- false urge to urinate;
- feeling of incomplete emptying of the bladder.
A man may need an effort to pass urine, and the flow is slow and intermittent. Acute inflammation causes a frequent urge to urinate.
In addition to the listed symptoms of prostatitis in the acute development of the disease, the following are manifested:
- pain in muscles and joints;
- increase in body temperature up to 40 degrees;
- feverish state, chills;
- feeling of swelling in the groin area;
- discharge from the urethra;
- burning and cramping 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 tissues of the urethra, complex kidney damage, sepsis. The testes, epididymis and seminal ducts become inflamed. The course of running leads to suppuration of the prostate, which requires immediate surgery. Surgical treatment definitely 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. Trichomonads, mycoplasmas, chlamydia, gonococci, Escherichia coli, 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.
- Disturbances in lymphatic circulation and blood circulation.
- The constant interruption or artificial increase in sexual intercourse, prolonged abstinence causes disturbances in the functioning of the prostate.
- Regular mental stress, excessive physical exertion, stressful situations also affect men's health and provoke the development of prostatitis.
- Hypothermia, frequent colds and, as a result, decreased immunity become the causes of inflammatory processes in the reproductive organs.
- Hormonal disorders.
Processing
It will not be possible to get rid of the pathological signs of acute or chronic prostatitis in a short time.
When choosing certain therapies, it is important to identify the type and form of the disease through diagnostic studies.
Drugs
Antibiotics are indicated when diagnosing bacterial prostatitis. If the inflammatory process was not caused by infection, then such therapy is of no use. The choice of a specific antibiotic is made by the attending physician after identifying the microorganism that causes bacterial lesions of the prostate.
In most cases, the medicine should be taken for at least 7 days. Alpha blockers and antispasmodics help relieve pain. Systematic intake of this group of drugs helps 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 particularly severe pathology, intravenous fluids and diuretics are indicated. This improves the flow of urine. Moreover, in this way you can stop the intoxication process of the body.
The non-bacterial form of prostatitis is treated with antipyretic, analgesic and anticholinergic drugs. In case of constipation, it is necessary to use laxatives and suppositories based on vaseline oil.
Supportive care
The important steps in adjunctive drug therapy are:
- bed rest;
- complete rest;
- drink plenty of fluids, at least 2 liters per day;
- hot sitz 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 relieve the pressure of the enlarged gland on the urethra, thereby improving urination and decreasing induration.
Adherence to a diet that excludes spicy and fatty foods, as well as alcoholic and carbonated drinks, allows you to normalize your general well-being.
Surgery
In cases where drug therapy has not had an effect on the treatment of prostatitis, surgery is necessary. In exceptional cases, with a stagnant discharge, the flow of urine is blocked. Surgical treatment is also essential here. A contraindication to surgery is the reproductive age of the patient. 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 an intervention are urinary incontinence and impotence. This type of medical care is necessary given the malignant nature of the pathology. This allows you to get rid of the problem of the inflammatory process of the prostate once and for all.
Prostatitis is considered a complex and insidious disease, with persistent remissions in chronic form. It is not always possible to cure it completely, therefore, the elimination of the main symptoms is a task that every attending physician seeks to perform. It is impossible to determine exactly how long it will take before their complete disappearance. In most situations, urologists give reassuring predictions.
Alternative therapy
In the treatment of the disease, not only medical methods are used, but also folk remedies.
Dead bee
Alcohol tincture is prepared from 2 tbsp. podmore and 200 ml of alcohol or vodka. It is taken 3 times a day on an empty stomach, 40 to 60 drops, depending on the patient's weight. Therapy course - 25 days. The composition of bee worm contains unique components that have a therapeutic effect on problems of the male reproductive system.
Broth with the addition of 2 tbsp. honey, 1 tsp. podmora for 1 glass of hot water is cooked over low heat for 10 minutes. Then the remedy should be insisted for about 3-4 hours. The use is indicated 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 treatment.
Pumpkin seeds
Pumpkin seeds should be ground in a coffee grinder before use. Take 2 tablespoons on an empty stomach per day. l. , washed with a glass of water diluted in 2 tbsp. natural honey.
You can add fresh parsley juice to honey in a few drops.
Chestnut
The raw materials are mixed in equal proportions (10 g each):
- dried licorice roots;
- berry, chestnut, knotweed and castor leaves.
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 tablespoon every day. l. mixed vegetable raw materials and 0, 5 liters of water. Boil for 10 minutes, then let stand another half an hour. Drink 4 doses 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 causes stressful situations and depressed moods in men. Many patients are characterized by irritability, a tendency to conflict. Aggressive behavior interferes with normal communication.
In most cases, you should seek the help of an experienced psychologist. After all, disorders in the sexual sphere have a very negative effect not only on the mood of a man, but also on his entire 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 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 emphasis should be on moderate exercise and vitamin therapy.