How prostatitis manifests itself: symptoms and signs

Inflammation of the prostate today is a leader in the group of male diseases, transmitted primarily through sexual intercourse. Its complications threaten infertility, decreased libido, impotence.

The first symptoms of prostatitis in men

Prostatitis is an inflammatory disease. This is one of the most common urological pathologies, diagnosed in a strong half -human representative.

Most often, this anomaly is detected in men over the age of thirty, although recently the disease has become younger. Treatment of prostatitis should be carried out by a qualified specialist (urologist or andrologist), as there is a high probability of developing various complications.

How is prostatitis treated?

With the help of drugs

• NSAIDs - relieve inflammation, fever and chills. They have little analgesic effect. With the onset of prostatitis, brief treatment with anti-inflammatory drugs and taking vitamins is necessary to keep the glands in a normal state. Men prescribed: Diclofenac, Nise, Voltaren, Nimesulide. The drug is produced in suppositories, tablets, injections.
• Antibiotics - designed to eliminate infectious factors or inflammatory bacteriology. The treatment regimen for prostatitis was signed after the pathogen had been identified and its resistance to antibiotics had been tested. The course of treatment is 7-10 days. In severe cases, therapy is extended for up to two weeks.
• Hormones are recommended if a regular course of medication is not beneficial, as well as with a decrease in sexual desire due to advanced disease. It is forbidden to treat with hormones in the early stages. Medications are taken under the close supervision of a urologist.
• Symptomatic medication - to eliminate the pain syndrome, take Aspirin tablets. Cramps are released by No-shpa. With persistent intense pain, blockade with Novocain is indicated.
• Vitamins and medications to keep the prostate functioning. During the remission period, it is recommended to take medication to normalize metabolism and increase blood supply to glandular tissue, and juice production. For this, phytopreparations are prescribed: Prostamol-Uno, Prostate-forte and the like. To strengthen the immune system, vitamin and mineral complexes are indicated: Duovit, Vitrum.

Medicines themselves are harmful, more harm than good. Before taking any of these medications, you should consult a urologist.

With the use of physiotherapy

• UHF and microwave.
• Magnetotherapy.
• Mud cure.
• Galvanization.
• Ultrafonforesis.
• Laser treatment.
• Heat therapy.

natural remedies

Diagnostics

To begin timely treatment of prostate inflammation, you need to contact a competent specialist who will conduct a comprehensive examination and make a correct diagnosis. The list of recommended diagnostic methods includes the following:

• Blood tests - conduct studies of biochemical composition, for the content of PSA (prostate -specific antigen), general analysis and PCR if necessary.
• Urinalysis - the man is asked to urinate in several different containers to conduct the study in different ways.
• Scraping from the surface of the urethral canal to detect infectious pathogens.
• Bacteriological cultures of prostate secretions and urethral secretions to determine bacterial pathogens and their resistance to drugs.
• Prostate ultrasound - allows you to assess the size and shape of the gland, the presence or absence of tissue fusion, adhesions and cicatricial changes.

A mandatory item in the diagnosis of prostatitis is a digital examination of the rectum. Finger examination allows the doctor to feel the gland and assess its density, structure, shape and size. Also, during rectal examination, prostate secretions are obtained, which are then sent for analysis. Additional screening methods are given to specific patients individually if indicated.

These can be urine flow velocity measurements, magnetic resonance or computed tomography, pelvic organ x-rays, and other methods.

Acute prostatitis

The disease begins with a sharp increase in temperature (up to 40 degrees), painful headache, fever. The symptoms that appear are accompanied by pain in the groin, perineum, back, discharge from the urethra, frequent urination and a constant desire to urinate.

Bladder emptying occurs with a delayed, burning sensation. The urine itself becomes cloudy, and a mixture of blood may appear in it. There is irritation, fatigue.

The result of acute prostatitis can be a complete solution of the process (with timely treatment). Since changes occur in many small pelvic organs, they should not be left to chance, otherwise corresponding complications will arise:

• Vesiculitis is an inflammation of the seminal vesicles, the cause of pus in the semen, which not only reduces the quality of ejaculation, but leads to loss of reproductive function.
• Colliculitis - inflammatory changes in the seminal tubercle become the reason for the development of severe pain during intercourse, orgasmic disorders, impotence of a psychological nature.
• The formation of abscesses in the body of the prostate, its rupture, purulent damage to the rectum leads to worsening of symptoms, strong body intoxication, up to death.
• Stagnation in the prostate tissue leads to changes in their structure, disorders of conservation, blood supply, both to the gland itself and to nearby organs, with a violation of their function. Erections become insufficient for full sexual intercourse, premature ejaculation is observed, sexual intercourse is prolonged without the onset of orgasm.
• Cicatricial changes in the glands, spermatic cord lead to infertility, a decrease in the qualitative composition of sperm, and sperm motility. Narrowing of the urethra interferes with the normal process of urination, bladder obstruction can cause acute urinary retention, requiring emergency surgical care.

The main symptoms

As noted above, the disease can be chronic and acute. A common symptom and one of the most important symptoms is increased urination. A healthy man usually experiences no more than 10-11 urges to urinate during the day (the normal figure is 5-6 urges).

As a result of the development of inflammation of the prostate, negative effects on the bladder occur, therefore, in the presence of the disease, the following symptoms will appear:

• An increase in the number of urges (while the daily amount of urine remains the same).
• Urine comes out in small portions, which is associated with receiving false signals from bladder receptors due to the presence of inflammatory processes. Also, therefore, there may be a feeling that the bladder is full even after emptying.
• Pain during urination, caused by narrowing of the urethra due to inflammatory processes in the prostate.
• Difficulty urinating due to compression of certain areas of the urethra by inflammation. In some cases, men cannot empty their bladders at all because of this.
• At night, the bladder wall begins to give a false signal, which increases the number of trips to the toilet during sleep.

Part of the diagnosis of prostatitis can also be made by monitoring body temperature, coupled with urinary -related problems. If this problem is accompanied by an increase in temperature to subfebrile values and fever, then with high probability we can talk about the development of pathology. It is important to note that in the final stages of disease development, on the contrary, a decrease in body temperature to 35. 5-36 degrees can be observed, which is a very negative and dangerous symptom in any case, which should not be. allowed.

In the middle stages of the disease, blood may be observed in the urine of the patient. These signs are quite rare and often do not show, but are very dangerous. It can begin to manifest due to a combination of purulent prostate, trauma to the prostate gland, as well as in case of complications of the inflammatory process with hyperplasia. Healing in these cases is complicated (often surgical intervention is required).

Treatment should begin immediately after the first symptoms of the disease appear. If there are at least some, though insignificant, because apparently, problems with urination, which in some cases are accompanied by fever and pain in the area of moderation, then you should immediately make an appointment with a urologist to clarify the diagnosis. It is important to pay attention to the pathological signs described above, because it is possible to beat prostatitis quickly and painlessly only with timely treatment.

Why does the prostate gland become inflamed?

Actually, there are only 2 main reasons:

1. Infection. Often, prostatitis develops precisely because of an infection in the prostate. Infections can occur through the bladder, urethra, rectum, blood and lymph. It turns out that often prostatitis itself is a complication of an existing disease. Therefore, never self-medicate, you must first cure the cause of the infection. Cystitis, pyelonephritis, urethritis, STIs (sexually transmitted infections) - this is understandable, it is directly related to the prostate. Even untreated tonsillitis, sinusitis, flu, caries can also haunt prostate inflammation.
2. Circulatory disorders. This may be due to structural features, and due to spasm of the urethra, disturbances of nerve conduction and work of the abdominal and pelvic muscles, as well as due to external factors.

However, whether prostatitis develops or not depends, first of all, on predisposing factors:

• A chaotic sex life. The abundance of sexual partners, especially unprotected contacts - this reduces the immune system, which must constantly cope with foreign microflora in female secretions. And sooner or later it failed.
• Long confinement. This is another outrage. Lack of sex has a detrimental effect on a man’s general condition, and especially on the prostate. The secretions are stagnant, blood circulation is disrupted, infections develop.
• Masturbation. It happens that men try to escape the lack of sex by masturbating. However, this causes a decrease in the tone of the prostate, it becomes lethargic. It is also isolated into a separate type of prostatitis - congestive.
• Overweight. In overweight men, the load on the pelvic organs is greatly increased, and also on the whole body in general. The blood supply is disrupted, because of this, prostatitis, hemorrhoids, and various other diseases occur.
• Hypothermia. "Don't sit in the cold, " they said to all the girls. However, this also applies to men. At risk are lovers of extreme winter entertainment, avid fishermen, old car owners (oh, how often do I see men lying on cardboard under cars in the winter), even passengers in icy trains, as well as fashionistas with rolled up pants andno. hat. Oh yes, and peeing outside in the winter is also fraught with serious consequences.
• Not active. Basically, this applies to workflows, when you have to sit in one place for a long time: drivers, office workers. It is very dangerous to cross your legs, because the load on the prostate only increases.
• Pressure. Psychological problems, chronic sleep deprivation, excessive work schedules are favorites of infection.
• Resist the urge to urinate. Is the 5 minutes saved in a busy workflow worth the problems that may arise?
• Bad habits. Well, where without them? Alcohol and nicotine abuse that just violates.
• Wrong nutrition. Fatty, spicy, salty foods are a magnet for pelvic organ diseases.
• background disease. Any untreated infectious disease can be complicated by prostatitis.
• Tight underwear. As well as pants that are too tight "stylish". They squeeze the small pelvis, disrupting blood circulation, causing swelling and inflammation.
• Physical load. Professional athletes, loaders, active visitors to high -risk gyms.
• Self -treatment. Sometimes men are ashamed to admit their problems even to doctors, they try to destroy the disease with various folk remedies, proven and not so good. However, it happens that without medications prescribed by a competent doctor, one cannot cope with it here.

How is the disease diagnosed?

The diagnosis is established by a urologist or andrologistafter examining the patient, collecting anamnesis and reviewing symptoms. Doctors need to know the patient's method of contraception, the presence of STIs in sexual partners, the possibility of anal intercourse without a condom. This data simplifies the diagnosis and guides the physician’s thinking in the right direction. Prescribing the onset of symptoms of the disease or discomfort in the perineum allows us to assess the course of prostatitis and its severity. The urologist must examine the patient's genitals and perform a rectal examination of the prostate gland. To do this, he inserts a finger into the patient’s anus and groped the anterior wall of the rectum protruding from the prostate. The pain and its size indicate the intensity of the inflammatory process.

Next, the doctor conducts a series of instrumental, microscopic, bacteriological and immunological studies to elucidate the cause of the disease. The most common diagnostic method is a 4 or 3 glass urine sample. The first method is more time consuming and difficult to implement in practice, as it requires the patient to intentionally interrupt urination several times. The second modification is much simpler: the patient continues to urinate into three different containers in the same section. The first part talks about the state of the urinary tract, the second about the pathology of the bladder and kidneys, from the third they receive information about the state of the prostate gland. All materials collected were examined under a microscope. With prostatitis, white blood cells and sometimes bacteria are found in the third part of the urine.

For the microscope, the secretions of the prostate gland were also taken.To do this, the doctor performs a sequence of the prostate through the wall of the rectum for some time so that it is emptied into the urethra. Smears are made from material collected in the laboratory, stained and studied under high magnification. Signs of inflammation are leukocytes, the bacterial etiology of the disease is bacteria in the smear. To determine the type of pathogen, prostate secretions were inoculated on nutrient media. If pathogenic microorganisms are present in them, then after 3-5 days they form microbial colonies, which can then be studied. Bacteriological methods allow obtaining data on the sensitivity of the microflora to antibiotics.

Of the instrumental diagnostic methods carried out:

• Ultrasound of the kidneys;
• TRUS prostate with dopplerography - ultrasound probe is inserted into the rectum for best visualization of the prostate gland, its blood flow is also assessed;
• Ascending urorethrography is required for persistent recurrent prostatitis. Radiopaque material is injected into the urethra, after which a series of successive images are taken.

In addition to these methods, all types of research on STIs are very important. Among them are:

1. PCR of ejaculation, prostate secretion, scraping from the mucosa of the urethra - this method allows you to detect various types of pathogens;
2. Blood ELISA - to detect specific antibodies to STI pathogens.

Types of prostatitis

In line with the criteria of the American National Institutes of Health (NIH USA) from 1995, there are four categories of prostatitis:

• Category I: Acute prostatitis;
• Category II: Chronic bacterial prostatitis;
• Category III: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS);
• Category IIIa: Chronic prostatitis / chronic pelvic pain syndrome with signs of inflammation;
• Category IIIb: Chronic prostatitis / chronic pelvic pain syndrome without signs of inflammation;
• Category IV: Chronic prostatitis without symptoms (asymptomatic).

Occasionally, chronic granulomatous prostatitis, which is not mentioned in this classification, also occurs.

In contrast, most experts distinguish between:

According to the course of the disease:

• acute prostatitis;
• chronic prostatitis;

Depending on the cause of the disease:

• bacterial prostatitis;
• non -bacterial prostatitis

In most cases (especially in men under 40), bacterial prostatitis is observed.

Based on this, there are:

• acute bacterial prostatitis;
• chronic bacterial prostatitis;
• chronic abacterial prostatitis.

Prevention

To prevent the occurrence of inflammation or recurrence of chronic pathology, you must follow these recommendations:

• Reduce the amount of alcohol consumed;
• Do sports regularly;
• Avoid hypothermia;
• Stop smoking;
• Avoid stressful situations;
• Treat inflammation in time - first of all, this applies to genital infections;
• Bath contrast;
• Avoid lifting heavy objects;
• Use a barrier method of contraception;
• frequent sex;
• Take vitamin supplies;
• Involved in strengthening immunity;
• Visit a urologist twice a year;
• Eat properly and balanced.

The purpose of the prostate in the male body: what is responsible?

The prostate is an exocrine gland in the male body.

Iron belongs to the reproductive system and is responsible for the production of certain substances:

• the main one is the secretion (prostate juice), which provides the viscosity needed for ejaculation and, thus, normal sperm motility. When the sperm is too thick, fertilization is difficult, and a woman cannot conceive from a healthy -looking man;
• other components maintain the normal composition of sperm. These include biologically active substances, immunoglobulins, enzymes, vitamins, micronutrients, etc. The norm of this substance is individual, and it is the prostate that controls its contents.

She is therefore responsible for a man’s reproductive abilities, for the opportunity to live a regular and full sexual life and have children. This is the main function of the gland, but there are others, no less important.