Prostatitis is a male inflammatory disease located just below the bladder and is a secondary part of the genitals.
Every 7, over 35 people have prostatitis, and with each risk of naked in developing an inflammatory process in the prostate gland increases under the influence of external and internal factors.
ReasonProstatitis may develop for many reasons, the doctors distinguish them:
Violation of circulation in pelvic organs - this leads to stagnant processes and helps to increase prostate size. The stagnation processes are facilitated by obesity and proceeding to the sedentary lifestyle.
The penetration of bacteria, viruses or protozoa in tissue is based on the process of acute or chronic inflammation in other organs flowing in the body - diseases such as angina, gonorrhea, urethritis, cystitis, influenza, pyelonphr inflammation. Infections can penetrate the prostate with blood and lymphatic flow if there is an infection in remote areas and organs.
Injury and bruises of soft tissues of abdomen, perineum and external genitalia - this leads to edema and impaired blood circulation in the damage area;
Lower body temperature.
Chronic constipation.
Hormonal disorders.
Storms or vice versa, the absent sex life is harmful, both often have sex (more than once a day), as well as rare intimate relationships (less often more than 1 time per week), because this leads to a decline in gender glands or stagnant in the prostate.
Symptoms of prostatitisDistinguish between acute and chronic form of disease.
Acute prostatitis is characterized by a sudden start compared to the foundation of health in general, accompanied by the following symptoms:
chills and weak;
general instability;
increase discomfort and suspense;
increase body temperature (not higher than 37, 5 degrees);
Scissors or pain in the lower abdomen and in the perineum;
Regularly urgently urinating while preserving the feeling of not entirely bladder empty;
The pain and difficulties of the river with intestinal motion.
In the absence of timely diagnosis and treatment, acute prostatitis may be complicated by a process of pus and pus release from the urethra during urination.
Signs of chronic prostatitisIn the process of converting the disease into a chronic form of the course, the clinical signs of prostatitis decrease and the patient seems to be a recovery. The characteristics of the chronic inflammatory process in the prostate gland are burning along the urethra with irradiation to the groin, which can be enhanced during urination and defecation. Gradually, the disease progressed and caused powerlessness. Chronic prostatitis implies that the period of improvement and severe, but even in serious moments, symptoms will be deleted, not pronounced as in acute form. The following symptoms appear clinically:
Difficult with erection;
unable to complete sex with ejaculation;
Reduce libido;
Excreted from the urethra with a blend of white pieces;
A non -complete empty feeling of the bladder;
Pull the pain in the lower back, pubis and groin;
A weak urine stream - this is observed as a result of narrowing the urethra of the urethra on the background of the compression of an expanded prostate.
The chronic slow inflammatory process in the urethra is causing discomfort to the nerve ending of the pelvis and stimulating continuous urination, especially at night. Many men are confused when seeing a doctor with such subtle problems, increasing the risk of developing serious complications such as completely erectile dysfunction, infertility and even prostate cancer.
In addition, from the center of chronic infection in the prostate with blood and lymphatic flow, pathogens penetrate the kidneys, causing acute inflammation, keeping urine and increasing the risk of renal failure.
The continuous accumulation of urine in the bladder and urethra creates favorable conditions for the formation of salt crystals, and then stone - very often prostatitis in men conducted in parallel with urinary stones.
Diagnostic methodDiagnosis, treatment and prevention of prostatitis are performed by the urinary doctor. To diagnose and determine the shape and cause of the inflammatory process in the prostate, some exams are stipulated:
Touching the prostate - done through the rectum and allows you to detect an increase in size, pain, release pus or mucus after touching;
Small discharge from the urethra - the results of the results are sent to the research to the laboratory;
Urine analysis is common, etc. ;
Ultrasound of pelvic and prostate organs.
If the pathological process is suspected of spreading the pathological process to the patient, the patient is also performed by bladder endoscopy - checking the walls of the bladder by using a flexible device equipped with optical system at the end.
In the diagnosis of prostatitis, it is very important to distinguish the pathological process with Adenoma of the prostate and other urinary diseases with a similar clinical course.
TreatmentThe treatment of acute and chronic prostatitis is different, so the patient is strongly recommended not for himself.
Acute prostatitis forms are comprehensively treated by using herbal and anti -inflammatory drugs.
Treatment of prostatitis acute bacteriaThe principles of therapeutic for the form of acute prostatitis directly depend directly on the symptoms of the disease.
A special feature of bacterial prostatitis is the acute starting and rapidly increasing the signs of the body's poisoning - nausea, vomiting, headache, high body temperature. The bladder drum process is accompanied by pain in the lower abdomen and in the perineum, which is offered on the lower back. Very often the process of pus participating and abscess develops.
Treatment of prostatitis is performed in the hospital, because the patient's condition may be extremely serious. Therapy includes complicated approach:
Patients must observe the rest of the bed;
Antibiotics are prescribed - macrolides, fluoroquinolons, cephalosporin;
Preparations improve microcirculation in pelvic organs selected. They provide the flow of lymph and venous blood, reducing the severity of edema and the inflammatory process in the prostate gland;
Inside oral, drugs from an anti -inflammatory drug group are not not displayed. These drugs not only reduce inflammation, but also eliminate pain syndrome;
Analgesics - you can take the tablet inside or introduce the rectal candles into the rectum;
To eliminate the body's poisoning, a physiological solution of sodium with glucose is prescribed intravenously.
Important! Prostate massage is prohibited, because the risk of infection is high.
Surgical treatmentSurgical intervention for prostatitis is only required if the patient develops a strong delay in urine and has no way to empty bladder. You cannot do without surgery and in the case of prostate abscess.
The treatment of prostatitis lasts 14 days, after which the patient once again conducted a comprehensive test to evaluate the effectiveness of the therapy. If necessary, the treatment process is expanded and adjusted.
Chronic treatmentThe treatment of chronic prostatitis varies and largely depends on the stage of the course as a pathological process. In the case of aggravating the inflammatory process, the therapy is done similarly, as in acute prostatitis.
The treatment of chronic prostatitis during the relief process is as follows:
The course of anti -inflammatory drugs is not due to zero. Presentation of drugs 2 times a day for at least 3 days, sometimes up to 5 days.
Preparations contribute to improving vein and lymphatic flow.
Immune treatment kit.
Antidepressants and sedatives help normal sleep, eliminate discomfort.
Polyvitamine complex is rich in zinc, selenium, vitamins of V.
During the remission stage of the prostatitis process, the patient was shown to treat physical therapy:
Prostate massage;
supersonic;
electricity;
Magnetic therapy;
Microwave hyperthermia.
Treatment of chronic prostatitis surgeryWith chronic prostatitis, the patient sometimes needs surgery. It can be done in two ways:
Transurethral cutting;
Prostate removal surgery.
Cut the TransuretralThis surgical treatment refers to minimally invasive interventions, although it is performed under systemic anesthesia. During the process, a scope is released by the urethra, through which the current pulses are provided. These electrical impulses work on the principle of electrical noise and remove partial tissue of the prostate. A big plus point of this intervention is that there is a lack of blood loss, because electric waves not only remove the changing tissue of the prostate, but also immediately treat blood vessels, prevent bleeding.
Transurethral cutting to facilitate the patient's condition - after surgery, urinating was restored, the man no longer burned in the groin, he did not jump into the toilet at night. The function of erectile and normal ejaculation is also restored. The entire operation process is controlled by a doctor on the screen, so the risk of complications during operation or shortly after it is minimum.
Prostate removal surgeryProstate surgery is a serious abdominal activity and is always related to patients risks. During the surgery, the doctor completely removed the prostate gland or most. The recovery time is 4-6 weeks, there is a risk of developing high surgical complications, but sometimes this method of surgery is the only way to reduce the patient's condition and eliminate the consequences of serious prostatitis.
Other chronic prostatitis treatments
Other methods to treat a chronic prostatitis include:
Hirud therapy - or leech treatment. The medical leeches are installed on inflammatory areas, in the process of their actions released with blood saliva in order, helping to eliminate stagnant phenomena and quickly reduce inflammation. Leeches is only used for special, medical and individuals for each patient. After the procedure, the doctor placed the leech used in a decline in which she died. It is optimal to overcome at least 5 Hirud courses for therapy.
Cryodestration - liquid nitrogen is used. This treatment is proven to patients with poorly treated loans with drugs and surgery to be contraindicated for a number of reasons.
Special microwave therapy - electromagnetic waves affect prostate. After 1 procedure, reduced edema, blood circulation is normalized and the stagnation is removed. After conducting the process of electromagnetic treatment, the patient completely recovers urination and erectile function.
Treatment with ultrasonic waves - allows you to quickly prevent inflammation from occurring during the remission stage and ultrasound therapy is not done in a serious process. To enhance the effectiveness of treatment, drugs can be used for additional, under the influence of ultrasound, directly entering the tissue of the prostate.
Stent urethra - The nature of the procedure is to install a special stent in the urethra, helping to expand the urinary tract of the urethra and promote normal urine. Despite the effectiveness of the trick, the stent of the urethra only eliminates the clinical symptoms of prostatitis, but does not save patients from chronic inflammation.
Consequences and complicationsIn the absence of eligible therapy, prostatitis quickly progresses, goes into the chronic form of the present and threatens the health of a man with his serious complications, including:
Urinary stones;
Pleural inflammation;
abscess development;
The spread of inflammation to testicles and ropes, leading to infertility;
erectile dysfunction and helplessness;
Necrotic changes in the tissues of the prostate.
Sometimes for a long time of prostatitis and chronic stagnation processes to motivate the degeneration of the disease into Adenoma, and then the prostate cancer.
