prostatitis

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

Prostatitis is characterized as inflammation of the prostate tissue, which occurs due to 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 the disease prostatitis affects 30% of the male population, after 40 - 40%, after 50 - 50% and then increases.

However, taking into account the diagnostic features and the possibility that the disease may be latent, 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 tissue of the prostate - microbes, viruses, bacteria, fungi, etc.): also the presence of foci of chronic infection (chronic tonsillitis, sinusitis, kidney pathology), operations on the pelvic organs).
2. Non-infectious (stagnant) (reduced immunity, hypothermia, reduced physical activity, sedentary lifestyle, prolonged sexual abstinence and, conversely, excessive sexual activity, alcohol abuse).

The development of prostatitis is facilitated by injuries, impaired circulation of blood and lymph in the pelvic organs, hormonal disorders (absolute or relative androgen deficiency).

Thus, it is emphasized that the isolated entry of a pathogen into the organ tissue is not always and cannot necessarily be the cause of the development of the disease.The most commonly identified pathogen was 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.Extremely rarely, prostatitis is caused by specific pathogens (pale treponema, Koch bacillus).

Classification

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

1. Category I. Acute prostatitis;
2. II category.Chronic bacterial prostatitis;
3. III category.Non-bacterial chronic prostatitis/chronic pelvic pain syndrome - a disease in which no infection is detected, lasting more than 3 months;
• Subcategory III A. Chronic inflammatory pelvic pain syndrome (leukocytes are found in the prostatic secretion);
• Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (lack of leukocytes in prostatic secretion);
4. IV category.Asymptomatic chronic prostatitis (there are leukocytes in the prostate secretion, the patient has no complaints, the disease is discovered by chance).

First signs

The main signs of acute prostatitis are an increase in body temperature and frequent urination, which is accompanied by pain and weak pressure.In addition, signs of prostatitis include burning in the perineum and pain in the rectum during bowel movements.In the stage of purulent inflammation, spontaneous opening of the abscess and discharge of pus from the urethra or rectum is likely.

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 irritability of the body.

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

Symptoms

If acute prostatitis is simply impossible not to notice, then with chronic prostatitis many do not notice certain signs or do not attach much importance to them.

We list the main symptoms of prostatitis in men:

1. Problems urinating.Due to narrowing of the lumen of the urethra, the stream may become slow, thin or intermittent.In order to have a bowel movement, the patient must make an effort, which normally should not happen.Sometimes the urine literally has to be squeezed out drop by drop, especially in the initial stage of urination.Painful sensations often occur.Many patients experience a frequent urge to urinate (especially at night), this is due to irritation of the nerve endings.Even after going to the toilet, many people have the feeling that the bladder is not completely emptied, this is due to an enlarged prostate and compression of the bladder.In severe cases, involuntary leakage of urine or incontinence may occur.
2. Painful sensations.As a rule, they are located in the perineum, pubis or testicles, in the groin or in the lumbar region.The pain can come on suddenly and also go away quickly, it is often quite severe, but more often it is dull or aching.
3. Problems of a sexual nature will certainly arise.First, your sex drive will decrease significantly.Second, erectile problems may occur.Third, due to problems with ejaculation (ejaculation), the average duration of intercourse will change: it may become short due to early ejaculation or, conversely, too long due to delayed ejaculation.Fourth, the sensations will also change, since the orgasm will not be bright.Fifth, the volume of sperm will be significantly reduced (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, then with prostatitis, fertilization becomes impossible due to the non-viability or insufficient mobility of the sperm.
5. Discharge from the urethra.They are usually white in color and greasy in consistency and are most often seen in the morning.
6. In acute cases, there is an increase in body temperature (up to 38-39 °), fever, worsening of the general condition, weakness, malaise and other similar manifestations.Such symptoms of prostatitis usually appear suddenly, without any prerequisites.

In addition, many people have psychological problems associated with the symptoms listed above.A person may become insecure about himself, his self-esteem will decrease significantly, he will be depressed or irritable and nervous.Many representatives of the stronger sex are embarrassed by such delicate issues 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 a nervous breakdown.

Chronic prostatitis

Many men do not pay much attention to the manifestations of prostatitis in the early stages.These are unobtrusive pains in the bladder area, frequent urges 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.

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

1. A feeling of discomfort and pain in the urethra during urination or sexual intercourse, a slight serous-purulent discharge from the urethra (mainly after prolonged retention of urine).
2. Discomfort and/or moderate pain in the form of "soreness" and heaviness in the perineum, occurring or worsening after drinking alcohol, physical activity, or sexual intercourse.Sometimes they have a transient, paroxysmal character.
3. A decrease in the ability to fertilize, which is due to an increase in the acidity of the secretion, a decrease or lack of sperm motility and their agglutination (sticking) to the heads.
4. Sudden frequent urges to urinate (sometimes up to 3 times within 1 hour) and a feeling of insufficient emptying of the bladder, which is explained by a violation of the nervous regulation of the prostate, its muscle fibers and the bladder.
5. Pain during orgasm or deleted sensations of orgasm, ejaculation disorders expressed in its premature or, conversely, excessive duration of sexual intercourse.These phenomena are associated with the inflammatory process in the area of seminal tuberculosis or its scars as a result of inflammation.

To diagnose the disease, you should consult a urologist.With the help of tests, the doctor makes a diagnosis and prescribes a course of treatment.

Diagnosis

In order to make an accurate diagnosis, a person must be examined by a doctor and undergo tests.With prostatitis, the patient experiences pain on palpation in the perineal area.Internal palpation of the rectum shows the presence of swelling in the area of the prostate gland;becomes dense to the touch.The patient complains of problems with the genitourinary system.After taking a history, the patient should undergo a detailed blood test for the presence of excess protein, elevated levels of leukocytes and prostate antigen.

To rule out infection, the patient should undergo a pap smear from the urethra.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 has grown strongly, then on ultrasound you can see the presence of residual urine in the bladder.

After all tests and examinations are completed, the man will be given a full diagnosis 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;
• hormone therapy;
• various physiotherapy procedures;
• prostate massage;
• lifestyle changes;
• surgery etc.

Treatment of prostatitis with drugs includes taking various drugs, including antibiotics:

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

When treating with antibiotics, fluoroquinols and macrolides are preferred, since they can accumulate in the necessary concentration in the prostate tissue.Less commonly, penicillins and tetracyclines are used.

Prostate massage

Prostate massage gives good results.The gland receives a complex effect.First of all, it becomes possible to remove from the body the inflammatory secretion accumulated in the prostate (it is released during the massage).Improving blood circulation through these manipulations makes it possible to fight various types of stagnation, and also promotes good penetration of antibiotics into the tissue of the gland.

Complex of exercises

Prostate Exercises:

1. This absolutely simple exercise is used both for treatment and prevention.It consists of the contraction and relaxation of the muscles of the anus.It is these muscles that are responsible for holding back the stream during urination.Try contracting and stretching a muscle group.This will increase blood flow to the gland area.
2. To improve blood circulation, use a contrast shower.To do this, direct the stream of water to the perineum.First, 30 seconds of very hot water, then 10 seconds of lukewarm water.
3. In the absence of acute symptoms, you can massage yourself.This is done to improve blood flow.The exercise is best performed in a lying position.The point of massage is between the anus and the scrotum.The push should be confident but not aggressive.Time 3-5 minutes.

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

Immunocorrection

Reduced immunity negatively affects health.

This factor is one of the main factors in the development of the disease and its exacerbation.The long courses of antibiotics required for prolonged prostatitis also reduce the body's defenses.Therefore, the patient is recommended 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 irradiated with laser, ultrasound and magnetic vibrations are used.In some cases, these procedures are replaced by warm medicated enemas, which are regularly administered to the patient.Sitz baths, mud treatments and mineral waters are recommended.

Candles

All suppositories 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 (contain an antibiotic).

Traditional methods of treatment of prostatitis

Treatment of prostatitis at home is carried out only in uncomplicated forms or chronic relapse.Traditional methods can increase the body's resistance to infections 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 needed by every man at any age, they quickly cure prostatitis.You just need to eat 30 seeds a day before meals.This is exactly 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 rate of half a cup of raw material per 1 liter of water.The entire amount of the decoction is drunk in equal parts instead of water.The seeds are brewed 4 teaspoons per cup of boiling water.Boil for 40 minutes in a pot or 15 minutes in a thermos.Consume approximately 3-5 times a day per tablespoon.
3. The main ingredient is hazelnut.To treat prostatitis, you should take either hazel bark or hazel leaves.You can brew the two ingredients alternately by alternating them.Just know that the rind needs to be boiled twice as long as it is tougher.So, take a tablespoon of hazel leaf (or bark) and steep it in a cup of boiling water.Close the lid tightly and wait for half an hour.Then strain and take 1/4 cup 4 times a day.It is better to use fresh twigs every time, but you can also use already used ones several times.Usually, one week of such procedures is enough - and the prostatitis disappears.
4. To treat the disease, candles are made 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, forming candles.Use in two courses, morning and evening, 1 piece each, for 1 month with an interval of 10 days.
5. Celandine is used carefully.The plant is poisonous, overdose leads to severe poisoning.At the same time, the medicine from celandine will cleanse the body of polyps, neoplasms, cysts and prevent prostate adenoma.Freshly squeezed juice is diluted with alcohol in equal parts.Drink every day, diluted in 50 ml of water.Start the 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 daily 1-3 times in courses of 20-30 days.Treatment with home-made herbal preparations lasts longer due to their mild effect than medications, but it is safer for the body, especially in the presence of concomitant diseases of the intestines and stomach.Treatment should be accompanied by gymnastics: leg lifts, squats.Intensive walking for 15-30 minutes daily 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;
• development of infertility;
• recurrent cystitis;
• narrowing of the urethra;
• pyelonephritis;
• prostate abscess;
• sepsis.

Some of the above conditions require urgent surgical intervention!

Prevention measures

Prevention is reduced to avoiding provoking factors.A healthy lifestyle, protected sexual contact and having one partner will reduce the likelihood of a genitourinary infection.General strengthening of the body and increasing the immune defense are also preventive measures against prostatitis.