Male Secrets: Prostatitis - Types, Diagnosis and Treatment

Pills and prostate

Prostatitis is the most common chronic urological disease in men. And this is not surprising, since the factors that lead to its development are too common in our lives.

What is prostatitis? Who is sick from it?

Prostatitis is inflammation of the prostate. The main reason for its development is the penetration of an infectious agent into the gland, which is largely facilitated by the anatomical location of the prostate in the small pelvis. Infection can enter the prostate through the bladder, urethra, rectum, blood, and pelvic lymphatic vessels.

However, infection of the prostate does not cause all manifestations of the disease. In addition, it can even be said that with a prostate located in such a "dysfunctional" location, infectious seizures are a common phenomenon that usually goes completely unnoticed to a man's body. For the development of prostatitis with all its unpleasant clinic, predisposing factors are also needed. These factors include:

  • General hypothermia.You can fall into an ice hole, ride a frosty train for two hours, spend a day ice fishing in winter or relax on a cold stone in summer. Or maybe they just don't heat well at home. Unfortunately, all of this is a very common cause of symptoms of prostatitis.
  • Frequent constipation.The disease may not cause occasional constipation, but rather regular stool disorders.
  • Working in a sitting position. First of all, professional drivers, computer operators, and anyone who sits all day and can't get up and straighten their legs (or are lazy) are at risk.
  • Prolonged sexual abstinence and, conversely, excessive sexual activity.Both are equally harmful to the entire body, but mainly have a negative effect on the condition of the prostate.
  • Lack of exercise.Well, everything is clear.
  • Chronic inflammatory diseases of the body(e. g. chronic bronchitis) andchronic foci of infection in your body(e. g. tonsillitis, untreated carious teeth).
  • Previous sexually transmitted diseases and urological diseases(gonorrhea, urethritis).
  • Any other disease that suppresses your body's immune system(e. g. overtraining in athletes, regular sleep deprivation, overload, inadequate and irregular diet, chronic stress, etc. ).

All these factors either facilitate the entry of microbes into the prostate or lead to a deterioration in the blood supply to the pelvic organs, stagnant processes that contribute to the multiplication of microorganisms and the development of the inflammatory process.

How does the disease manifest itself?

Prostatitis can develop suddenly as an acute inflammatory disease with all associated symptoms. In this case, the patient has a fever, fever, body temperature 38-39 ° C, acute pain in the testicles, in the perineum, in the groin, behind the pubic bone, in the anus, painful urination (dysuria) and bowel movements.

However, much more often prostatitis

develops in a chronic form without bothering the man too much. In this case, all of the symptoms just listed are present to a much lesser extent, sometimes without drawing attention to themselves. Body temperature occasionally rises to 37 ° C, there are regular pain or discomfort in the perineum, discomfort when urinating and defecating, which may include a slight discharge from the urethra - one of the most characteristic symptoms of chronic prostatitis.

Prostatitis often develops as a complication of a chronic sexually transmitted infection (STI): chlamydia, trichomoniasis, ureaplasmosis or others. In this case, in the course of the disease, only very minor changes can be noted - unpleasant sensations when urinating become a little stronger, minor pain in the perineum associates with them and discharges from the urethra during bowel movements. Changes in an already not-too-vivid clinical picture of the disease can be so insignificant that patients pay no attention to them.

After a period of prostatitis, a man usually has problems with erection. This is due to its involvement in the inflammatory process of the nerves responsible for erectile function and passing through the prostate. Chronic prostatitis has a very negative effect on a man's general well-being, making him extremely irritable, grumbling, dissatisfied and only concerned with his own well-being. Often times, this shows up so clearly that doctors say that in order to successfully treat prostatitis, you need to be not only a good urologist but also a psychologist.

What happens if you are not treated?

If a patient with acute prostatitis does not want to seek professional help from a urologist, it is very likely that an abscess of the prostate will develop - a focal purulent inflammation. In this case, the body temperature rises to 39-40 ° C and becomes hectic (body temperature drops exceed 1 ° C), severe fever regularly replaces a sharp cold, pain in the perineum is so pronounced that urination is extremely difficult, and a bowel movement is sometimes completely impossibleis. After a while, prostate edema develops and, as a result, acute urinary retention develops. Fortunately, few men have set themselves the goal of bringing the disease to this stage. As a rule, patients with acute prostatitis visit a urologist in a timely manner.

This is not the case with chronic prostatitis. Its course is wavy, periodic exacerbations are replaced by more or less prolonged remissions, during which the disease is in no way noticeable. As a result, many men prefer to sit at home rather than see a doctor. However, this is not the best way out, since with each exacerbation, the inflammatory process continues to spread. When it spreads through the urinary system, it leads to the development of cystitis and pyelonephritis. More common complications of prostatitis are vesiculitis - inflammation of the seminal vesicles, and epididymal orchitis - inflammation of the testicles and their limbs. Ultimately, this can lead to infertility, which, if at all possible, will be extremely difficult and time consuming to treat. Everything that is described equally and even more relates to chronic prostatitis of a certain etiology, which has developed as a result of sexually transmitted diseases.

What happens if I go to the doctor?

Diagnosing acute and chronic prostatitis is rarely difficult for a urologist. First, after questioning and a general examination, the doctor performs a digital rectal examination of the prostate and takes over the secretion of the prostate. This is an unpleasant and, with a pronounced inflammatory process, quite painful, but, unfortunately, absolutely necessary and irreplaceable. Another diagnostic measure for prostatitis is the transrectal sonic examination.

Before starting treatment, it is imperative to conduct a culture of urine and prostate secretions in the laboratory to determine the sensitivity of the flora to various antibacterial drugs. Without this, the treatment will not be effective and will not result in getting rid of the disease but rather moving it to a new, more severe form.

prostatitis treatment

Prostatitis is such a complex and insidious disease that treatment is becoming a major problem for doctors around the world. However, this by no means means that the doctor cannot help the patient with prostatitis, and there is no point in going to him. It is not always possible to completely cure a patient from prostatitis, but modern medicine is able to get rid of the symptoms of the disease and cause a stable long-term remission. And there the length of this period depends on the patient himself. If he strictly and carefully follows all the doctor's recommendations, then it is very likely that unpleasant and bothersome symptoms will go away for life.

For this, however, the treatment of prostatitis must be comprehensive and well chosen. For treatment, measures such as antibiotic therapy, prostate massage, physiotherapy, immune correction therapy and lifestyle correction are used. Only a complex of these measures can lead to the desired effect. Treating the disease is so difficult that one cannot afford to neglect any of the treatment methods described. Let's go into each of them individually.

antibiotic therapy

The use of antibiotics for prostatitis is necessary because it is an infectious disease caused by pathogenic bacteria. The drug for antibiotic therapy must be correctly selected after the appropriate diagnosis, as already mentioned above.

Any antibiotic therapy can only have two results. The drug either kills all microorganisms, or some of them survive and sooner or later make themselves felt again. And after such "training" it will be much harder to kill them. Therefore, the choice of the drug, the scheme of its use and dose should be made with the greatest care.

In addition, we must not forget the general rules of antibiotic therapy. When it is started, it must never be interrupted or stopped. In this case, diagnosis and treatment must be carried out again after a certain period of time. If after three days of using the antibiotic there is no visible improvement in the course of the disease, the drug must be replaced with another (in no case canceled). You should not use an antibiotic from the same group with a drug that you recently used to treat another disease. Ask your doctor about any of these questions before starting treatment.

A few words about the most unpleasant

The most terrifying, uncomfortable, painful and humiliating that the vast majority of men believe is waiting for them in the treatment of prostatitis is prostate massage. It is these impressions that allow many enterprising gentlemen who are not too clean to talk about the latest methods of treating prostatitis without massaging the prostate. It is not surprising that a man agrees to pay money to get rid of this disease and avoid such unpleasant moments. Unfortunately, such methods of treating prostatitis are appearing and disappearing every day, just proving again and again that prostate massage has been and remains the cornerstone of prostatitis treatment for many decades.

The effect of massage on the prostate is to use a finger to press the inflammatory secretion that has accumulated in it into the ducts and finally into the urethra. On the other hand, massaging the prostate improves blood supply (and constipation in the pelvis is one of the most important factors in the development of prostatitis, as mentioned above), which increases the effects of antibacterial therapy. The effectiveness of massage of the prostate in prostatitis is due to the uniqueness of its structure and location, the special structure of its ducts. It should be noted that the prostate is the only organ whose massage is effective in curing acute inflammation. Massaging any other tissue or organ in the human body can only lead to the spread of inflammation and the progression of the disease.

Physiotherapy for prostatitis can be used in different ways. In any case, however, their action is aimed at increasing blood flow to the pelvic organs, thereby increasing the effectiveness of antibiotic therapy. For physiotherapy, electromagnetic waves, ultrasonic waves, laser exposure or simply an increase in temperature in the rectum can be used. When physiotherapy is not possible, you can sometimes limit yourself to microclysters with various drugs and warm water.

Immune correction in prostatitis is often absolutely necessary, since a long course of the inflammatory process and often one or two incorrectly performed antibiotic therapies in the past can only negatively affect the state of the immune system. In addition, the treatment of prostatitis serves not only to rid the gland of infection and inflammatory processes, but also to prevent the development of inflammation in it again. To conduct full-fledged antibiotic therapy, it is not enough just to ask the pharmacy: "What do you need to do to increase immunity? " In most cases, for the complete treatment of chronic prostatitis, it is necessary to consult an immunologist andperform a series of special tests.

Lifestyle normalization is also required for the treatment and prevention of prostatitis. If you leave the factors predisposing to the disease unchanged, sooner or later it will come back. Therefore, it is necessary to make rational changes in your life - sports, walking, proper sleep and wakefulness, good and adequate nutrition are guarantees that this unpleasant disease will leave only unpleasant memories in your memory.

A few words about prevention

Finally, I would like to give some recommendations to men for whom their own health is not an empty phrase. Try not to freeze for a long time, do not sit on cold stones, curbs, etc. If you have a sedentary job, try to get up and stretch every hour. Use laxatives for constipation, as there is a rich arsenal of laxatives in modern medicine. Try to have a normal sex life without making unnecessary changes one way or another (which, by the way, not only saves you from prostatitis). If you develop an uncomfortable disease (such as a genital infection from accidental sexual intercourse after unprotected intercourse), you should immediately seek medical help for any hidden infections or preventive treatments. Do not try to heal these yourself and do not let it all go by itself. Try to eat regularly and well, lead an active lifestyle, don't get sick, and finally, only think about your health from time to time.

And once again to the most important thing.

Most of the time, prostatitis is very mild. If you experience mild pain in the perineum from time to time, discomfort when urinating or defecating, or slight discharges from the urethra, be sure to consult a urologist.

Treatment of prostatitis must necessarily consist of a series of therapeutic measures, none of which should be neglected.

The selection of an antibacterial drug, dose and regimen for the treatment of prostatitis should always be made individually and only after the necessary analyzes of the urogenital microflora. You should never interrupt or stop taking the drug without consulting a doctor.

Prostate massage is a unique and irreplaceable treatment for prostatitis. Do not trust the methods that are ready to cure prostatitis without using them.

Inflammation of the prostate is a disease that is much easier to prevent than cure. Think about it - you might prefer to make smaller changes in your life that will not only be useful in preventing prostatitis, but later suffer from this unpleasant and complex disease.

Regular complex examinations are a good help for the patient and the doctor.