Prostatitis

How to treat prostatitis in men: drugs and the first signs of prostatitis.

Prostatitis is characterized as an inflammation of the prostate tissue, which occurs as a result of the development of stagnation in it.

In the modern world, it is the most common urological disease among men of all ages.According to statistics, after 30 years, prostatitis affects 30% of the male population, after 40 - 40%, after 50 - 50% and then increases.

But if we take into account the diagnostic features and the possibility of the disease occurring in a hidden form, the real numbers are much higher.

Reasons for development

Currently, the causes of prostatitis are divided into two large groups:

1. Infectious - (sexually transmitted infections (penetration of pathogens into the prostate tissue - germs, viruses, bacteria, fungi, etc.): as well as the presence of chronic infection foci (chronic tonsillitis, sinusitis, kidney pathology), operations on the pelvic organs).
2. Non-infectious (stagnant) (decreased immunity, hypothermia, reduced physical activity, sedentary lifestyle, long-term abstinence from sexual intercourse and vice versa, excessive sexual activity, alcohol abuse).

Injuries, disruption of blood and lymph circulation in the pelvic organs, hormonal disorders (absolute or relative androgen deficiency) contribute to the development of prostatitis.

Thus, it is emphasized that the isolated entry of the pathogen into the organ tissue cannot and cannot always be the reason for the development of the disease.The most frequently identified pathogen is Escherichia coli (86%), followed by Klebsiella, Proteus, Enterococcus and Pseudomonas aeruginosa.Regarding streptococci, staphylococci, chlamydia, mycoplasmas, and ureaplasmas, researchers have different opinions about their importance in the development of the disease.It is extremely rare that prostatitis is caused by specific pathogens (treponema pallidum, Koch bacillus).

Classification

Currently, the international classification of prostatitis is accepted, which is the most complete and includes all types of inflammation:

1. Category I. Acute prostatitis;
2. Category II.Chronic bacterial prostatitis;
3. Category III.Non-bacterial chronic prostatitis/chronic pelvic pain syndrome - a disease lasting more than 3 months, in which infection is not detected;
• III subcategory A. Chronic inflammatory pelvic pain syndrome (leukocytes are detected in prostate secretion);
• III subcategory B. Chronic non-inflammatory pelvic pain syndrome (prostate secretion does not contain leukocytes);
4. Category IV.Symptomatic chronic prostatitis (prostate secretion contains leukocytes, the patient has no complaints, the disease is discovered accidentally).

First signs

The main symptoms of acute prostatitis are increased body temperature and frequent urination accompanied by pain and weak pressure.In addition, symptoms of prostatitis include burning in the perineum and pain in the rectum during bowel movements.In the stage of purulent inflammation, there is a possibility of spontaneous opening of the abscess and leakage of pus from the urethra or rectum.

A sign of the chronic form is a burning sensation in the urethra and perineum, discharge of pus at the end of defecation or urination, increased fatigue and irritation of the body.

Difficulty urinating with prostatitis is very dangerous, it can lead to acute urinary retention if not treated in time.Men should not ignore the indirect signs of prostatitis development, such as a complete or partial decrease in libido, acceleration of ejaculation, sometimes painful and long erection at night.All these symptoms are characteristic of inflammation of the prostate gland, even at an uncomplicated stage and suitable for adequate treatment.

Symptoms

If it is simply impossible not to notice acute prostatitis, with chronic prostatitis, many do not notice certain symptoms or do not pay much attention to them.

We list the main symptoms of prostatitis in men:

1. Problems with urination.Due to the narrowing of the lumen of the urethra, the flow may be slow, thin or intermittent.For a bowel movement, the patient must make an effort, which normally should not be the case.Sometimes it is necessary to literally squeeze the urine drop by drop, especially in the initial stage of urination.Painful sensations often occur.Many patients often urge to urinate (especially at night), which is due to irritation of the nerve endings.Even after going to the toilet, many people feel that the bladder does not empty completely, this is due to the enlargement of the prostate and compression of the bladder.In severe cases, involuntary leakage of urine or urinary incontinence may occur.
2. Painful feelings.As a rule, they are localized in the perineum, pubis or testicles, groin or lumbar region.The pain can come on suddenly and go away quickly, often quite severe, but more often dull or aching.
3. Sexual problems will definitely arise.First, your sex drive will decrease significantly.Secondly, there may be problems with erection.Thirdly, due to problems with ejaculation (ejaculation), the average duration of sexual intercourse will change: it may be short due to premature ejaculation or, conversely, it may be very long due to delayed ejaculation.Fourth, the feelings will also change, because the orgasm will not be bright.Fifth, the volume of sperm will decrease significantly (only a few drops may be released, which is not normal).
4. Another characteristic symptom is problems with conception.If a man is planning a child, fertilization becomes impossible due to nonviability or insufficient motility of sperm with prostatitis.
5. Urethral discharge.They are usually white in color and have a slimy consistency and are most common in the morning.
6. In acute cases, an increase in body temperature (up to 38-39°), fever, worsening of the general condition, weakness, weakness and other similar manifestations are observed.Such symptoms of prostatitis usually occur suddenly without any conditions.

In addition, many people have psychological problems associated with the symptoms listed above.A man can become self-confident, have very low self-esteem, become depressed or irritable and irritable.Many representatives of the stronger sex are ashamed of such delicate problems and do not consider it necessary to talk about them, keeping everything to themselves.And this puts a lot of pressure on the psyche, changes behavior and in some cases can lead to depression or nervous breakdown.

Chronic prostatitis

Many men do not pay much attention to the manifestations of prostatitis in the early stages.These are inconspicuous pains in the bladder area, frequent urge to go to the toilet.The stronger sex associates the violation of normal ejaculation and erection with age and is in no hurry to consult a doctor.Such a frivolous attitude leads to the development of chronic prostatitis.

Thus, we list the common symptoms of various forms of chronic prostatitis:

1. Discomfort and pain in the urethra during urination or sexual intercourse, light serous-purulent discharge from the urethra (mainly after a long retention of urine).
2. Discomfort and/or moderate pain in the perineal area that occurs or worsens after drinking alcohol, physical activity, or sexual intercourse.Sometimes they are transient, paroxysmal in nature.
3. Decreased fertilization ability caused by increased secretion acidity, decreased or absent sperm motility, and agglutination (sticking) of the heads.
4. Sudden frequent urge to urinate (sometimes up to 3 times in 1 hour) and the feeling of insufficient emptying of the bladder, which is explained by the disturbance of the prostate gland, its muscle fibers and the nervous regulation of the bladder.
5. Feelings of pain or deleted orgasm during orgasm, ejaculation disorder, premature ejaculation or, on the contrary, excessive duration of sexual intercourse.These events are associated with the inflammatory process in the area of seminal tuberculosis or its scarring as a result of inflammation.

To diagnose the disease, you need to see a urologist.Using tests, the doctor makes a diagnosis and prescribes a course of medication.

Diagnostics

To make an accurate diagnosis, a man must be examined by a doctor and undergo tests.A patient with prostatitis feels pain during palpation in the perineal area.Internal palpation of the rectum shows swelling in the area of the prostate gland;tight to the touch.The patient complains of problems related to the genitourinary system.After collecting the anamnesis, the patient should undergo a detailed blood test for the presence of excess protein, an increase in the level of leukocytes and prostatic antigen.

The patient should undergo a urethral swab to rule out infection.The laboratory will culture the identified bacteria and test their sensitivity to certain types of antibiotics.For an accurate picture, an ultrasound examination of the pelvic organs is performed.It clearly shows inflammation and enlargement of the prostate.If the gland is very enlarged, you can see the presence of residual urine in the bladder on ultrasound.

After all tests and investigations are completed, the man will be fully diagnosed and prescribed treatment.

Medicines for the treatment of prostatitis in men: a list

Complex treatment of various types of prostatitis may include various combinations of the following methods:

• immunocorrective therapy;
• antibiotic therapy;
• hormonal therapy;
• various physiotherapy procedures;
• prostate massage;
• lifestyle changes;
• surgery etc.

Drug treatment of prostatitis involves taking various drugs, including antibiotics:

• alpha-blockers;
• hormonal drugs;
• muscle relaxant;
• immunomodulators;
• rectal suppositories;
• antibacterial drugs.

During treatment with antibiotics, fluoroquinols and macrolides are preferred because they can accumulate in the prostate tissue in the required concentration.Penicillins and tetracyclines are used less frequently.

Prostate massage

Prostate massage gives good results.The diaper has a complex effect.First of all, it is possible to remove the inflammatory secretion accumulated in the prostate gland (secreted during massage).Improving blood circulation through these manipulations allows you to fight various types of stagnation, and also helps antibiotics penetrate well into the glandular tissue.

A set of exercises

Prostate exercises:

1. This absolutely simple exercise is used for both treatment and prevention.It consists of tightening and relaxing the muscles of the anus.It is these muscles that are responsible for maintaining the flow during urination.Try to tighten and loosen a group of muscles.This will increase blood flow in the gland area.
2. Use a contrast shower to improve blood circulation.To do this, direct the stream of water to the perineum.First 30 seconds of very hot water, then 10 seconds of cool water.
3. If there are no acute symptoms, you can massage yourself.This is done to improve blood flow.The exercise is best done in a lying position.The massage point is between the anus and the scrotum.Pressing should be confident, but not aggressive.Time 3-5 minutes.

Be sure to consult your doctor before using the exercises.Sometimes their use is strictly unacceptable.

Immunocorrection

Decreased immunity has a negative impact on health.

This factor is one of the main factors in the development and exacerbation of the disease.The long courses of antibiotics required for prolonged prostatitis also reduce the body's defenses.Therefore, the patient is advised to consult an immunologist to choose an immunocorrection strategy.

Physiotherapy

Physiotherapy for chronic prostatitis is aimed at activating blood circulation.

For this purpose, the patient is exposed to laser, ultrasound, magnetic vibrations are used.In some cases, these procedures are replaced by warm medicated enemas that are regularly given to the patient.Treatment with sitting baths, mud and mineral water is recommended.

Candles

All candles for the treatment of prostatitis have one of the following properties: relieve pain (non-steroidal drugs), relieve spasms (based on papaverine), eliminate the inflammatory process (contains antibiotics).

Traditional methods of treatment of prostatitis

Treatment of prostatitis at home is carried out only for uncomplicated forms or chronic relapse.Traditional methods can increase the body's resistance to infection and relieve pain.

1. Pumpkin seeds have long been used by healers to treat prostatitis.They are a good and very affordable folk remedy for the treatment of this disease.Since these seeds contain a lot of zinc, which is necessary for every man of any age, they cure prostatitis quickly.You only need to eat 30 seeds a day before meals.This is the daily allowance of zinc for the body.
2. The seeds and roots of the plant are suitable.The crushed roots of the plant are boiled for 10 minutes at the ratio of half a cup of raw materials to 1 liter of water.The entire amount of decoction is drunk in equal parts instead of water.Seeds are brewed 4 teaspoons in a glass of boiling water.Brew in a pot for 40 minutes or in a thermos for 15 minutes.Take one tablespoon about 3-5 times a day.
3. The main ingredient is hazelnut.For the treatment of prostatitis, you need to take either hazelnut shell or hazelnut leaves.You can brew both ingredients alternately.Just know that it needs to be brewed twice because the crust is tougher.So, take a tablespoon of hazelnut leaves (or bark) and brew it in a glass of boiling water.Close the lid tightly and wait for half an hour.Then filter and take 1/4 cup 4 times a day.It is better to use fresh branches every time, but you can use already used ones several times.Usually a week of such procedures is enough and the prostatitis disappears.
4. Candles are prepared for the treatment of the disease and stored in the freezer.For the dough, take 1 teaspoon of honey, 1 egg and about 3 tablespoons of flour.The components are mixed until smooth, candles are formed.Use in two courses, morning and evening, 1 piece each, 10 days apart for 1 month.
5. Celandine is used carefully.The plant is poisonous, an overdose causes severe poisoning.At the same time, celandine medicine will cleanse the body of polyps, neoplasms, cysts and prevent prostate adenoma.Freshly squeezed juice is diluted with alcohol in equal parts.Drink daily, diluted in 50 ml of water.Begin treatment with 1 drop, increasing the concentration by 1 drop every day for 60 days.After 10 days, the course is repeated.

Most folk remedies are used 1-3 times a day in 20-30 day courses.Treatment with homemade herbal remedies lasts longer than drugs due to their milder effects, but is safer for the body, especially if there are accompanying diseases of the intestines and stomach.Treatment should be accompanied by gymnastics: lifting legs, squatting.Daily 15-30 minutes of intensive walking is recommended.

Complications of prostatitis

In the absence of timely and adequate treatment, prostatitis can be complicated by the following conditions:

• development of chronic prostatitis;
• bladder obstruction;
• the development of infertility;
• recurrent cystitis;
• narrowing of the urethra;
• pyelonephritis;
• prostate abscess;
• sepsis.

Some of the above conditions require urgent surgical intervention!

Preventive measures

Prevention consists of avoiding precipitating factors.A healthy lifestyle, protected sex and the presence of a partner will reduce the likelihood of infection of the genitourinary system.General strengthening of the body and increasing the immune defense are preventive measures against prostatitis.