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 formation of stasis.

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%, 50-50%, and then increases.

However, taking into account the diagnostic features and the possibility of the disease occurring in a latent form, the real numbers are much higher.

Reasons for development

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

1. Infectious - (sexually transmitted infections (penetration of pathogens into the tissue of the prostate - microbes, viruses, bacteria, fungi, etc.): presence of foci of chronic infection (chronic tonsillitis, sinusitis, kidney pathology), operations on pelvic organs).
2. Non-contagious (stagnant) (reduced immunity, hypothermia, reduced physical activity, sedentary lifestyle, prolonged sexual abstinence and vice versa, excessive sexual activity, alcohol consumption).

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

Thus, they emphasize that the isolated entry of the pathogen into the organ tissue is not always and cannot necessarily be the cause of 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's bacillus).

Classification

Currently, the 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 the infection is not detected and lasts for more than 3 months;
• III.subcategory A. Chronic inflammatory pelvic pain syndrome (leukocytes can be detected in the secretion of the prostate);
• Subcategory III B.Chronic, non-inflammatory pelvic pain syndrome (no leukocytes in prostatic secretion);
4. ARC.category.Asymptomatic chronic prostatitis (leukocytes are present in the prostate secretion, the patient has no complaints, the disease is detected accidentally).

First signs

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

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

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

Symptoms

If acute prostatitis is simply impossible not to notice, then in chronic prostatitis many people do not notice certain signs or do not attach much importance 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 stream may be sluggish, thin or intermittent.In order to have a bowel movement, the patient must make an effort, which normally should not happen.Sometimes the urine has to be squeezed out literally drop by drop, especially in the initial stages of urination.Painful sensations often occur.Many patients experience a frequent urge to urinate (especially at night) due to irritation of the nerve endings.Even after going to the toilet, many people have the feeling that the bladder does not empty completely, the reason for this being the enlargement of the prostate and compression of the bladder.In severe cases, involuntary urine leakage or incontinence may occur.
2. Painful feelings.They are usually localized in the perineum, vulva or testicles, groin or groin area.The pain can come on suddenly and go away quickly, it is often quite severe, but more often it is dull or aching in nature.
3. Problems of a sexual nature will certainly arise.First of all, sexual desire is significantly reduced.Second, erectile problems may occur.Thirdly, due to problems with ejaculation, the average duration of sexual intercourse changes: it can be shortened due to premature ejaculation, or on the contrary, it can be too long due to delayed ejaculation.Fourth, the sensations will also change, since the orgasm will not be bright.Fifth, the amount of sperm is 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, in the case of prostatitis, fertilization becomes impossible due to the inviability or insufficient motility of the sperm.
5. Discharge from the urethra.They are usually white in color and slimy in texture and are most often observed in the morning.
6. In acute cases, an increase in body temperature (up to 38-39°), fever, worsening of the general condition, weakness, malaise and other similar manifestations occur.Such symptoms of prostatitis usually appear suddenly without any preconditions.

In addition, many people have psychological problems related to the symptoms listed above.A man may feel insecure about himself, his self-esteem drops greatly, he becomes depressed or irritable and nervous.Not many representatives of the stronger are embarrassed by such sensitive 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 inconspicuous pain in the bladder area, a frequent urge to go to the toilet.The stronger sex associates the disruption 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 general symptoms of various forms of chronic prostatitis:

1. Unpleasant feeling and pain in the urethra during urination or sexual intercourse, slight serous-purulent discharge from the urethra (especially after prolonged retention of urine).
2. Discomfort and/or moderate pain in the form of "pain" and heaviness in the perineal area that occurs or worsens after drinking alcohol, physical activity, or sexual intercourse.Sometimes they are temporary, paroxysmal in nature.
3. A decrease in the ability to fertilize, which is caused by an increase in the acidity of the secretion, a decrease or lack of sperm motility, and agglutination (gluing) of the heads.
4. A sudden frequent urge to urinate (sometimes up to 3 times within 1 hour) and a feeling of insufficient emptying of the bladder, which can be explained by a violation of the prostate, its muscle fibers, and the nerve control of the bladder.
5. Pain during orgasm or feelings of cessation of orgasm, ejaculation disorders, which are expressed in early or, on the contrary, excessive duration of sexual intercourse.These phenomena are related to the inflammatory process occurring in the area of the testis or its scarring due to inflammation.

To diagnose the disease, you need to consult a urologist.With the help of the tests, the doctor makes a diagnosis and prescribes medication.

Diagnostics

To make an accurate diagnosis, a man must be examined by a doctor and undergo tests.In case of prostatitis, the patient feels 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 thick to the touch.The patient complains of problems related to the urogenital 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 prostate antigen.

To rule out infection, the patient should perform a urethral smear.The laboratory will culture the identified bacteria and test their sensitivity to certain types of antibiotics.In order to get 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 greatly enlarged, you can see the presence of residual urine in the bladder on ultrasound.

After completing all the tests and studies, the man receives a full diagnosis and treatment.

Medicines for the treatment of prostatitis in men: list

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

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

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

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

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

Prostate massage

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

A set of exercises

Prostate exercises:

1. This absolutely simple exercise can be used for both treatment and prevention.It consists of squeezing and relaxing the muscles of the anus.These muscles are responsible for holding back the stream during urination.Try to squeeze and twist a muscle group.This increases blood flow to the area of the gland.
2. Use a contrast shower to improve blood circulation.To do this, direct the stream of water into the perineum.First with very hot water for 30 seconds, then with cold water for 10 seconds.
3. In the absence of 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.

Immune correction

Reduced immunity negatively affects health.

This factor is one of the fundamental factors in the development and aggravation of the disease.The long antibiotic courses required for protracted prostatitis also reduce the body's ability to defend itself.Therefore, the patient is recommended to consult an immunologist to choose a strategy for immune correction.

Physiotherapy

Physiotherapy for chronic prostatitis is aimed at activating blood circulation.

For this purpose, the patient is provided with laser, ultrasound and magnetic vibrations.In some cases, these procedures are replaced by warm medicated enemas, which are regularly given to the patient.Sitz baths, mud and mineral water treatments are recommended.

Candles

All suppositories for the treatment of prostatitis have the following properties: pain relief (non-steroidal drugs), antispasmodic (based on papaverine), termination of the inflammatory process (contains an antibiotic).

Traditional methods of treating prostatitis

Home treatment of prostatitis is only carried out in case of 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.Good and very affordable folk remedies for the treatment of this disease.Since these seeds contain a lot of zinc, which is necessary for all men of all ages, they quickly treat prostatitis.You only need to eat 30 seeds a day before meals.This is exactly the ratio of daily 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, half a glass of raw material is calculated for 1 liter of water.Drink the entire amount of the concoction in equal portions instead of water.Boil 4 teaspoons of the seeds in a glass of boiling water.Set for 40 minutes in a pan or 15 minutes in a thermos.Eat about 3-5 times a day, one tablespoon.
3. The main ingredient is hazelnuts.You should take hazelnut bark or hazelnut leaves to treat prostatitis.You can cook both ingredients alternately.Just know that the crust needs to be cooked twice as long because it is tougher.So take a tablespoon of hazelnut leaves (or bark) and boil it in a glass of boiling water.Close the lid tightly and wait for half an hour.Then filter and take 1/4 cup four times a day.It is worth using fresh twigs every time, but we can also use used ones several times.Usually, a week of such procedures is enough - and the prostatitis goes away.
4. To treat the disease, candles are made and stored in the freezer.For the dough, take 1 teaspoon of honey, 1 egg and approx.3 tablespoons of flour.Mix the components until smooth, forming candles.Use in two courses, morning and evening, 1 piece, for 1 month, with an interval of 10 days.
5. Celandine is used with caution.The plant is poisonous, an overdose can cause serious poisoning.At the same time, the drug from celandine cleanses the body of polyps, neoplasms, cysts and prevents prostate adenoma.The freshly squeezed fruit juice is diluted in equal parts with alcohol.Drink daily, 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 1-3 times a day in 20-30 day courses.Due to their mild effect, treatment with homemade herbs lasts longer than drug treatment, but is safer for the body, especially in the case of intestinal and stomach diseases.The treatment should be accompanied by gymnastics: leg lifts, squats.An intensive walk of 15-30 minutes a day is recommended.

Complications of prostatitis

In the absence of timely and appropriate 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;
• blood poisoning.

Some of the above conditions require urgent surgical intervention!

Preventive measures

Prevention depends on avoiding provoking factors.A healthy lifestyle, protected sexual contact and only one partner reduce the likelihood of infection of the urogenital system.General strengthening of the body and enhancement of immune defense are also preventive measures against prostatitis.