Prostatitis is one of the most common urological diseases in men. And this is impressive even against the background of the fact that the actual number of patients suffering from this disease is much higher than the statistics recorded. This is explained by the fact that prostatitis can occur in a latent state, and the peculiarities of the diagnosis.
What does the prostate look like?
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It is a small glandular-muscular organ. Located in the pelvic region below the bladder, it captures the initial section of the urethra.
The function of the gland is to produce a secret that maintains the viability of the sperm under various adverse conditions, by mixing with the sperm.
What is the prostate in men? Prostatitis is characterized by a number of disorders associated with the urinary system, erectile function, decreased libido, and other problems.
Lack of timely and correct treatment has sad consequences: one in four patients can contract some form of infertility, as the prostate loses the ability to produce the required amount of reliable secretions to ensure sperm motility. .
The distinctive symptoms of prostatitis in men can be present not only with this disease, but also with prostate adenoma, a malignant tumor!
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What can be the first "bell" of the disease? The variability of manifestations complicates the diagnosis, therefore, it is not always possible to immediately determine the presence of the disease. Bacterial prostatitis in its initial symptoms differs from the type of viral origin, such differences are characteristic of the acute and chronic course of the disease.
At the same time, there are some main symptoms that should attract the attention of the patient:
- Urination problems. It becomes difficult and painful. This may indicate the first symptoms of an exacerbation. The reason lies in the blockage of the urethra by an inflamed and enlarged prostate. The lack of timely measures leads to a deterioration in well-being due to the complete closure of the ureter.
- Sexual disturbances. They are characterized by a weakening of orgasm and erection.
The listed disorders associated with this disease are far from the only ones, and may be just one of the first signs of exacerbation.
With them the following signs are present:
- discharge from the urethra;
- floating threads in the urine;
- specific sensations during bowel movements;
- unpleasant burning sensation in the perineum.
Diversity is a characteristic feature of this disease. Therefore, it is necessary to distinguish the first symptoms of prostatitis in men from the chronic bacterial form from the acute form.
The causes of prostatitis in men lie in a sedentary lifestyle, colds of the genitourinary system.
Features of the different forms of prostatitis
The disease can occur in four of the most common forms.
Acute bacterial. Usually diagnosed in patients under the age of thirty. The disease is characterized by fever - the temperature of prostatitis can reach 38 ° C and above.
As a result of edema of the prostate, the following are observed:
- acute retention, as well as the frequency and pain of urination;
- persistent discharge;
- discomfort in the groin area;
- erectile dysfunction.
Symptoms of sudden onset prostatitis sometimes include general discomfort, listlessness.
Chronic bacterial. This form is typical of older patients. The disease proceeds more calmly, however, an exacerbation may occur if there are contributing factors. Sometimes the disease is asymptomatic.
Non-bacterial. Although it is not possible to detect the presence of bacteria, this circumstance does not exclude their presence.
Prostatodynia. It is characterized by compaction of prostate tissue without inflammatory symptoms.
How to determine
Before effective treatment can be prescribed, the disease must be identified.
In the diagnosis, an important place is given to an integrated approach:
- Collect the history. To get a reliable picture of the course of the disease, the doctor looks for: the nature of the pain, the presence of discharge, problems of a sexual nature. A rectal analysis of the finger is performed, with the help of which the degree of swelling and pain of the prostate is revealed.
- Laboratory research. Often without them it is impossible to identify the disease. This is especially true for chronic bacterial prostatitis. To find out the reason, a urine culture is prescribed, this helps to determine the pathogen that contributes to the exacerbation. Three urine samples are compared for reliability. Sometimes a biopsy and analysis of the discharge may be needed. Venous blood is also analyzed for ESR content and white blood cell count.
- Ultrasound. Tomography (computer and magnetic resonance imaging). These studies are performed both in relation to the prostate and adjacent organs.
How is it treated
Important! Medicines are prescribed by a urologist. You can not engage in "self-designation" - this will only aggravate the course of the disease!
The modern method of treating the disease in men is diverse. You can completely cure the prostate if you see a doctor in time.
The choice of form and methods is consistent with the degree of complexity, the time of the disease, the well-being of the patient and the characteristics of his body.
The appointment of procedures depends on it, which can be carried out on an outpatient basis or in a hospital.
Treatment regimens for acute and chronic prostatitis in the exacerbation phase are practically similar. With timely and adequate treatment, the acute form is completely cured, the chronic form reaches long-term remission.
Important! The disease gains only an integrated approach to treatment - do not ignore a doctor's advice!
Drug therapy
Drug treatment consists of taking antibiotics, nonsteroidal pain relievers, alpha blockers. The former, as a rule, are used to cure the bacterial form.
During the chronic course of the disease, alpha blockers are prescribed to reduce prostate edema and relieve pain.
Important! It is recommended to use pills throughout the course, which usually lasts at least six months, and not to stop earlier, even when you are feeling better.
Nonsteroidal drugs - for the treatment of acute forms.
Massage
It is considered to be an effective treatment. It improves the blood supply to the tissues of the gland, when used in conjunction with other methods of treatment, it significantly increases the effectiveness of antibacterial and local therapy.
Through digital stimulation, it promotes excretion of secretions from the prostate, which further facilitates self-excretion through the urethra.
Despite the fact that patients often feel discomfort during the procedure, it is not recommended to ignore massage.
Warning! It is forbidden to use massage procedures in case of an acute form of the disease - this leads to the spread of infection!
Reflexology
With the help of acupuncture and other methods, the work of the central nervous system improves, blood circulation and metabolic processes in the body are normalized. Reflexology helps relieve neuralgic pain, prevents the development of inflammatory processes. It is recommended to perform this procedure in combination with other methods of treatment.
Hirudotherapy
This method also finds its application in the treatment of prostatitis. The use of leeches helps to increase blood and lymph flow to the prostate and normalize its functioning.
Rectal suppositories
They directly affect the focus of the lesion and therefore are a very effective remedy. Antispasmodics, anabolic steroids and the antibacterial substances in them are good for preventing exacerbations.
The effect of ichthyol and sea buckthorn suppositories is high.
Immune correction
Each patient with this disease is advised to strengthen their immune system. It helps to increase the resistance of the body, helps to slow down the development of exacerbations of chronic prostatitis. The complex must use:
- natural methods - active physical exercise, walking in the fresh air, hardening;
- natural immunomodulators - ginseng, echinacea and others;
- multivitamin complexes.
Surgical intervention
At one time, they often resorted to a surgical treatment method. However, in some cases it did not bring great effectiveness. In recent years, surgical manipulations have mainly been used for prostate abscesses or urethral stricture.
Thirty years is already a reason to think about his health. Among patients who have exceeded this age limit, a third suffers from prostatitis, and after 50 years - every second. And this trend continues to this day.
Now that you know the first signs of prostatitis in men and its treatment, in order to avoid the disease and continue the transition to a chronic form, you need to be regularly examined by a doctor for early detection. What to do with prostatitis and where to go that every patient should know.