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Prostatitis in men

Healthy prostate and prostatitis

Prostatitis in men belongs to the andrological group (extremely male), urogenital pathologies.The disease occurs in the form of acute or chronic inflammation.This is the most common urological disease today.Earlier, it was thought that it only manifested itself at the age of 45-65, now more and more often the diagnosis of prostatitis, doctors make young people aged 20-30 years.The disease is significantly "younger".

The nature of the damage to the prostate gland depends on a person's sexual gabit.

  1. Prostate lesion in boys, while puberty may theoretically be, but inflammation of the underdeveloped gland is not considered an independent disease.
  2. In men leading an active sex life, prostatitis often occurs as acute inflammation.
  3. The pathology of the gland, in people of mature and elderly people, can manifest in the form of three independent diseases (chronic prostatitis, adenoma - benign hyperplasia, adenocarcinoma - malignant hyperplasia).
  4. In persons from subjected (chemical, physical, radiation) castration, the iron is atrophied.

Prostate iron (prostate) is the subordinate plate of the male genital area.It is located on the anastomy of the urethra and the vitrors of the channels.The value of the gland, before puberty, was slightly studied.The mature man has iron for the prostate:

  • It gives a secret that loses semen, provides the viability of semen in a woman's sexual pathways;
  • It produces prostaglandins, substances that contribute to the increased blood supply to the penis, before the start of the erection, together with the testicles, participate in the production of the hormone testosterone;
  • Provides rapid evacuation (release) of semen from the urethra and participates in the formation of orgasm;
  • Through reflex mechanisms, it prevents urine from entering sperm during sexual arousal, involved in a complex erection mechanism.

The prostate is a vulnerable organ for pathogens.He inevitably participates in the pathology of the walls of the urethra, bladder and the erystars of the channels.Powerful blood flow, lymph, circulating on a vast vascular system of the damaged gland, provokes stagnation phenomena, organ swelling, worsens the pathology.Iron is well innervated, the damage is accompanied by pain.

What should men know about prostatitis

Prostatitis is an inflammatory disease of the prostate gland (prostate), most often caused by an infectious agent entering the prostate from the urethra, bladder and nearby rectum.However, the infection itself does not mean the development of the disease, as this is said to be a "favorable combination of circumstances".

What factors predispose prostatitis:

  1. Long -term sitting and sedentary lifestyles.The risk group includes drivers, programmers and anyone who spends their work day without getting out of a chair to walk and stretch.
  2. Regular stool violation in the form of constipation.
  3. Strong or repeated hypothermia of the whole body.
  4. Excessively active sex life or prolonged abstinence.Both are by no means useful for the normal functioning of the prostate gland.
  5. Overeating, abuse of spicy foods and alcohol, constant stress.

The prostate is a very small organ of 3 and a width length of 4 cm. It weighs only 20-25 grams.However, the secret of the prostate has bactericidal properties, so the inflammatory process in the gland can only develop if there is congestion in this organ when its secret loses its properties.

How prostatitis is manifested in men

Distinguishing chronic and acute forms of prostatitis:

  • Symptoms of acute prostatitis are characterized by severe inflammation in the prostate.In this case, the patient has high heat (body temperature rises to 38-39 degrees), pain in the groin and perineum, painful urination and bowel movements.
  • Chronic prostatitis is less worried, so that it may not pay attention to the characteristic signs.The patient occasionally increases to 37 degrees Celsius, sometimes concerned about the unpleasant sensations when he goes to the toilet, a little mucus or pus is released from the urethra.Such ejection is one of the typical signs of chronic prostatitis.

Signs of prostatitis in men

There are six signs (harbingers) of prostatitis - Dysuria Syndrome.Use as clinical markers conditionally.The presence of two of the six symptoms - the occasion will become a urologist.

  1. The stream of urine inclined down or its range is less than 20 cm.
  2. Difficult, discharge, urination.
  3. Pain during urination.
  4. Interruption, bifurcation, spraying of the jet, the duration of the process.
  5. Feeling of no complete emptying of the bladder.
  6. Far -heartbreaking urination at night.

It is strictly forbidden to draw clinical conclusions when identifying these characteristics.Prostatitis has complex pathogenesis, with the inclusion of different mechanisms in it.You cannot treat the disease by focusing on general clinical symptoms.Contact the urologist to determine the symptoms, the nature of the damage, the stage of the disease and the prescription of the treatment.Diagnosis and treatment are carried out taking into account the organs and systems involved in pathogenesis.In some cases, consultations of a venereologist, surgeon and oncologist are required.

Symptoms of prostatitis in men

Prostatitis can occur in the form of acute and chronic inflammation.Acute forms develop from the type of catarrhal, follicular, parenchymal inflammation.The manifestations of chronic prostatitis are associated with a concomitant disease.

Symptoms of prostatitis detected by clinical methods and functional tests.The following symptoms are of the most important for the recognition of the nature of the pathology, the causes and mechanisms of the body's protective reactions.

  • Frequent urination with prostatitis.In a healthy person, the maximum number of urge to urinate does not exceed 10-12 times a day, usually 4-5 times.The daily volume of urine in an adult of a healthy person is 1000-2000 ml.The volume of urine in which the desire arises is 120-170 ml, the accumulation of urine over 350 ml causes a strong desire to empty the bladder.Prostate prostatitis inflammation products constantly irritate the receptors of the walls of the urinary organs, resulting in urination:
    • Frequent urination (Pollakiuria) until daily urine does not increase;
    • Urination in small portions, inflammation products are delivered to the receptors fake signals for filling the semi -empty bladder, after emptying the feeling of its fullness remains;
    • Painful urination (wandering) due to narrowing of the urethra with inflamed prostate;
    • Difficulty in urinating due to compression of the urethral section with an inflamed gland, sometimes prostatitis is accompanied by the inability to empty the bladder (hysteria);
    • Urination at night (NICTURIA), the irritated walls of the balloon give a constant signal for urine production.
  • Temperature with prostatitis.A characteristic increase in body temperature to subfebrile and febrile value is characteristic.High temperature accompanies purulent prostatitis at an early stage of septic shock.In the late stages of septic shock, on the contrary, decreased temperature (hypothermia) is characteristic of 35-36 ° C. The low temperature is dangerous for humans due to the tendency of blood platelets to widespread intravascular coagulation (DIC syndrome).The prognosis of prostatitis complicated by sepsis, in the presence of internal combustion engine syndrome, is careful or unfavorable.
  • Blood in the urine with prostatitis.The symptom of hematuria (blood in the urine) is rare but very dangerous, a sign.Sustainable bleeding is difficult to stop.Several causes of hematuria are distinguished by prostatitis, including:
    • purulent melting of the gland with a section of the blood vessel and the sample of the vessel in the urethra;
    • Accidental injury during instrumental studies of the geniral organs;
    • Prostatitis, complicated by hyperplasia, is more often malignant.
  • Pain syndrome.Complex prostatitis is accompanied by pain out of urination.Sometimes pain occurs periodically, for example during bowel movements.The cause of the pain is constant irritation of the gland with inflammatory products.They often note dull (sick) pain in the perineum and anus.

Laboratory tests confirming the symptoms of prostatitis.They are used to clarify the presence of inflammation, determining the severity of the inflammatory and septic process.

  • General blood test.Indicators confirming prostatitis are: an increase in leukocyte count, the leukogram displaces in the direction of increasing the number of blood cells, an increase in ESR.
  • Urine analysis.It reveals a hidden pyuria (pus in the urine) and bacteriuria (bacterial obstruction) in the first part of the urine.The method of three glasses is used to identify hidden pus and bacteria at the beginning, middle or end of urination.Multiple, with a frequency of several days, a bacteriological examination of the urine is performed to determine a change in the species belonging to bacterial flora.
  • Blood sowing tank.The method is indicated for the symptoms of progressive sepsis, accompanied by an exhausting (hectic) fever.
  • The examination of the cellular bond in prostatitis immunity complements the idea of the nature of pathogenesis to predict the likelihood of sepsis.

Instrumental methods used to clarify the symptoms of prostatitis.The following methods have a diagnostic value.

  • The transrectal method (through the rectum) of ultrasound (Truzi).Its high diagnostic value.The method has contraindications related to the ban on gland massage at certain stages of the disease.
  • X -ray with bladder photos.Choose forecasts that are convenient for prostate testing.Prior to the photo, a urographic part is introduced into the bladder - an inert radio component for the body.
  • Prostate prostate biopsy has strictly limited indications for prostatitis.

Causes of prostatitis in men

There are several groups of causes of prostatitis, including:

  1. The complication of men (PPP infections, cold inflammation of the pelvic organs, complicated by staphylococcal organs, other bacterial infections, viral, fungal agents, especially against the background of decreased immunity and general resistance to the body), chronic gynecological infections in a woman sexual partner.
  2. Urethral reflux.Disruption of the prostate's ability to prevent the urine to prevent the urine, its ingestion is called urethral reflux.As a result, bacterial prostate contamination occurs.Urethral reflux - a consequence of improper catheterization, as well as before adopted inflammation of the urethra.At the same time, urethragia occurs - a pathological increase in the lumen of the urethra.Urethral - reflux with a vesicle, bacterial contamination is combined with the formation of calculas (stones) in the prostate and channels for the eric.
  3. Disruption of the rhythm of sexual activity, including the absence or excess gender, regular delay in ejaculation.
  4. Stagnation of venous blood in the genitator organs of the pelvis of men - a consequence of a sedentary lifestyle (hemorrhoids, a disorder of sex life, other causes);
  5. The hormonal imbalance associated with the insufficient production of the sexual glands of male hormones is resulting in a general weakening of the tone of skeletal and smooth muscles, impaired erectile function and other disorders.

Prostatitis

Distinguish between bacterial and not -bacterial prostatitis:

  1. Bacterial prostatitis is caused by pathogenic microorganisms that enter the prostate gland outside.These include Streptococci, Staphylococci, E. Coli, Proteus and others.Many bacteria are the usual flora of our body, but under certain conditions they enter the prostate and cause an inflammatory process.Prostatitis can also develop as a result of sexual illnesses such as chlamydia, ureaplasmosis, vertebrarosis, trichomoniasis, gonorrhea, mycoplasmosis.
  2. The group of non -infectious prostatitis includes:
    • Excessive (stagnant) prostatitis.It is caused by stagnant phenomena in the pelvis.Incomplete ejaculation, sexual excesses, prolonged abstinence, interrupted sexual contact - all this contributes to venous stagnation in the pelvic organs.
    • Sclerotic prostatitis.It is characterized by a decrease in the size and functions of the prostate gland, the sealing of its tissues as a result of the death of prostate cells with their replacement sclerotic tissue.One of the reasons for the development of this form of the disease is frequent constipation, taking some medicines, multiple infections.Unfortunately, such prostatitis should not be treated.
    • Calcular prostatitis.The result of the development of Kalven prostatitis is the presence of phosphate and oxalate stones in the gland.Reaching large size, they cause acute pain in the urethra.The technique of treatment is to dissolve the formed stones.
    • Prostatopotic prostatitis.This disease causes chronic pelvic pain, but its etiology has not been fully studied.It is thought to be provoked by the reverse current of the secret, damage to the perineum muscles, pathology of the bladder neck and psychological factors.
    • Atypical forms.In an atypical form, the patient may complain of leg pain, lower back and sacrum, which is unusually characteristic symptoms of prostatitis.The result of treatment depends on the duration of the disease, the activity of inflammatory processes, the presence of joining to complications.

If you do not participate in the treatment of prostatitis, then in neglected form it leads to a decrease in potency, infertility, depression, exhausting pain in the perineum and other complications.

What is dangerous prostatitis, consequences of prostatitis

The consequences depend on age, the condition of the immune system, the presence of bad habits.So in people of older age group with weakened immunity, alcoholism, drug addiction and acquired immunodeficiency syndrome, the effects of the disease are more difficult.

  • The effect of prostatitis on potency.The damaged gland, with decompensation of functional activity, reduces the production of substances involved in the formation of an erection of the sexual organ of a person.The consequence of prostatitis is a slow radiation of semen during sexual intercourse, reducing the completeness of sensations during sexual intercourse, in advanced forms of erectile dysfunction.
  • The prostatitis effect on conceptionSThe damaged prostate sharply reduces the activity of the production of a quality secret required to maintain the sperm activity in the woman's birth channel.The secret of the inflamed prostate gland, entering sexual contact on the woman's family paths, reacts with immune rejection of the female body, the development of gynecological diseases and the inability to conceive.
  • Prostatitis provokes damage inside the gland and bodySInflammation, complicated by microflora, increases the risk of prostate abscess.Abscsing - a purulent melting part of the parenchyma of the gland with the formation of a capsule around the hearth.The disease with the formation of mineralized calculas in the cavity - a consequence of the prostate complicated by a reflux, damaged prostate.The consequence of prostatitis is also: acute ishuria, urolithiasis, kidney failure, inflammation of the gennce and other diseases.

Is it possible to have sex with prostatitis

Intimate life is proven to be one of the causes of gland inflammation.Regular ejaculation with moderate frequency, positively affects the pathogenesis of prostatitis C subclinical and moderate clinical manifestations of prostatitis.Some therapeutic manipulations and stages of the disease suggest a temporary ban on sex life.Detailed recommendations from your doctor should be obtained.Have sex with prostatitis, observe the moderation and safety of intimate life.

Is prostatitis sexually transmitted?Prostatitis is a purely male disease that has no specific viral, bacterial, fungal origin.In the meantime, prostate inflammation is a risk to gynecological health.The semen containing inflammatory products falling into the female genital organs against the background of reducing the protective barriers of the birth canal - a real threat of conception and bearing of the fetus.A healthy lifestyle, the reliable means of contraception of men are a simple way to protect sexual partners from mutual problems.

Is it possible to recover from prostatitis once and for all

Most of those men who have undergone prostatitis are interested in one question - is it possible to get rid of this unpleasant disease forever.According to experts, the effectiveness of treatment largely depends on the presence and severity of the irreversible consequences in the prostate.There may be scars, stones, calculates.

The more current development of the inflammatory process can only be stopped in the early stages only in time, looking for a doctor.In this case, no irreversible complications in the prostate develop and there is a possibility of full treatment.When sclerotic tissue sections have already formed - rocks, there are calculations and small pebbles that can no longer get rid of, then re -inflammation can most likely occur.This is chronic prostatitis.

In addition to treatment, an important factor in overcoming this disease is how the patient is ready to change his previous lifestyle - an irregular sex life and constantly sitting in a chair.If he does not want such changes, then we can say with great confidence that soon the inflammatory process will return again.It is with the patient's unpreparedness to exclude these negative factors in his life and the idea that prostatitis is incurable.

The duration, treatment regimen is determined by the doctor based on the results of physics, laboratory and instrumental tests.At the heart of prostatitis therapy, antibacterial drugs.The use of vitamins, physiotherapy procedures, anti -inflammatory, painkillers, antibiotics is shown.

Prostatitis

Compliance with the diet, the use of a particular set of products:

  • reduces the pain
  • Improves blood and lymphatic microcirculation in the vessels of the gland,
  • Strengthens the body's protective functions,
  • normalizes bowel function,
  • Reduces urine at night.

Prostatite products.Turn off use:

  1. Strong coffee, sharp dishes - enhance blood flow to the gland, stimulate the pain;
  2. Fat, fatty meat, eggs, flour - enhancing the deposition of cholesterol on the walls of the capillaries, reduces the microcirculation of blood flow to the gland;
  3. Alcohol - reduction of immunity;
  4. Products containing rough fiber, salty, spicy products - change of intestinal mobility;
  5. A large amount of fluid (evening), salted, smoked products (during the disease period) - increase the volume of fluids, slow it down in the body.

It is advisable to include in the diet: vegetable salads, seasoned with olive oil, vegetables and fruits grown in the area of residence, natural juices, nuts, dried fruits, low fat content.A set of prostatitis products can be clarified by a nutritionist doctor.

Preventive measures

Prevention is based on simple rules to comply with them is simple.

  • You regularly take a wide step (this walking style is the most physiological);
  • Eat properly, lead a healthy lifestyle;
  • Use male contraceptives.

In order to avoid the development of prostatitis and its complications, with any disorders of the genitals, you should contact the urologist immediately.It is also not necessary to wait until any symptoms appear and at least once a year look to the doctor himself.You will undergo a medical institution, research and you will surely know that your health in the genital sphere is fine.

Do not delay the visit of the urologist and those who suffer from constipation, abuse alcohol, spicy and smoked food, those who do not actively exercise and who have had a history of sexually transmitted diseases.Due to the high risk of the disease, such people should undergo a mandatory examination, even if there is no indications.

As you know, men are not fond of touring doctors and when it is already unbearable, it turns out that the disease has taken a chronic course.But the course of treatment can be taken much earlier.Now, with chronic prostatitis, you will have to be treated for at least 1-2 months.