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Prostatitis

symptoms and signs of prostatitis

Prostatitis is an acute or chronic inflammatory disease of the prostate gland. The acute form is characterized by pronounced symptoms. In the absence of adequate treatment, it becomes chronic. This variant of prostatitis is less treatable, which can lead to malignant degeneration of glandular tissues.

At the medical center, every man can undergo a comprehensive examination to identify any form of prostatitis. The center is equipped with modern high-precision equipment. In the laboratory, you can pass all the tests prescribed by your doctor. Experienced urologists of the highest caliber will develop an individual treatment plan that takes into account the characteristics of each clinical case.

About illness

Prostatitis is a common problem that affects about 40% of men over the age of 40. It is not a direct threat to the patient's life, however, due to reduced effectiveness, affecting the patient's nerve field, limiting freedom, prostatitis significantly worsens the quality of life. life.

Prostatitis can occur as an independent disease or in combination with adenoma or cancer of this organ.

Types

In 1996 a classification was developed, according to which there are 4 types of prostatitis in men:

  • Acute prostatitis.
  • Chronic prostatitis of a bacterial nature.
  • Chronic prostatitis is not caused by bacteria.
  • IIIA. In the presence of inflammatory markers (leukocytes and any microorganisms found in the secretion of the prostate gland).
  • IIIB. Chronic non-bacterial prostatitis has no inflammatory component (no white blood cells and microorganisms in the secretions of the prostate).
  • Asymptomatic chronic prostatitis (a person does not complain, but leukocytes are found in the secretions of the prostate).

Symptoms of Prostatitis

Depending on the type of disease, prostatitis can occur suddenly, manifest with vivid clinical symptoms, or alternate between exacerbations and remissions.

Common symptoms of prostatitis in men:

  • varying intensity of pain in the perineum, spreading to the groin and sacrum;
  • lower back pain;
  • dysuria (pain at the onset of action and during its duration, the flow of urine is interrupted, possible dribbling, frequent urination);
  • decreased potency and libido;
  • painful ejaculation;
  • pain after intercourse;
  • erectile dysfunction;
  • toxic syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.

Not necessarily all of these symptoms will be identified by the same man - there could be a different combination of them. With exacerbations of chronic prostatitis, as a rule, they are less pronounced than with the acute form of the disease, and their remission is practically not determined. Sexual dysfunction is more common in men with chronic prostatitis for more than 5 years.

Prostatitis if not noticed will increase the risk of developing adenomas and prostate cancer, infertility, and impotence that is difficult to treat. Once the first symptoms of the disease have been identified, a urologist should be contacted as soon as possible. This will allow comprehensive treatment to stop the pathological process.

Causes of prostatitis

Distribution of infectious and non-infectious causes of prostatitis.

Acute infectious prostatitis is caused by bacteria, more often - Enterobacter, Escherichia coli, Pseudomonas, Proteus and sexually transmitted infections, less often - Mycobacterium tuberculosis. The range of microorganisms that can cause exacerbations of chronic prostatitis is much broader and can include both opportunistic and atypical infections (candida).

Microorganisms enter the prostate gland from the urethra or bladder, less often with the outflow of blood or lymph from distant foci of infection.

Factors that increase the risk of developing the disease:

  • STDs;
  • remote chronic infectious diseases (dental caries, sinusitis, lung abscess);
  • congenital and acquired immunodeficiency;
  • manipulations and manipulations on the pelvic organs;
  • prostate biopsy;
  • sedentary lifestyle, accompanied by stagnation of blood in the pelvic region;
  • promiscuous sex life;
  • same-sex contacts.

The causes of non-infectious forms of prostatitis are not fully understood. It is believed that it is associated with stagnation of the secret in the prostate gland due to a violation of the venous outflow from the pelvic organs. The veins of the prostate gland overflow with blood, swelling, all gland functions are disturbed, signs of inflammation appear. The risk factors for the development of this form of prostatitis are:

  • autoimmune processes (attack by the body's antibodies to prostate cells);
  • no prolonged sexual activity;
  • prolonged or interrupted sex;
  • sedentary lifestyle;
  • unfavorable working conditions (impact of vibration);
  • chronic intoxication with certain chemicals;
  • spinal cord injury;
  • hemorrhoids;
  • constipation;
  • androgen deficiency in the body of a man.

Diagnosis of prostatitis

Prostatitis was diagnosed based on patient complaints, physical examination data, medical history, and results of additional studies. To detect the disease, apply:

  • general blood and biochemical tests;
  • study of secretions of the prostate gland;
  • biological fluid analysis for urogenital infections;
  • transvaginal ultrasound of the prostate gland (TRUS);
  • prostate-specific antigen test;
  • determine the level of testosterone;
  • Urine analysis.

Prostatitis treatment

When the diagnosis is established, the man is prescribed a complex drug treatment. It includes antibacterial drugs, enzymes, herbal medicines, immunomodulatory drugs. If the patient follows all the recommendations of the urologist, the treatment of acute prostatitis on an outpatient basis leads to a complete recovery. Conversely, violation of the treatment regimen will lead to the emergence of highly resistant forms of microorganisms that traditional antibiotics cannot destroy. As a result, inflammatory and dystrophic processes are aggravated, the disease becomes chronic.

Chronic prostatitis is very difficult to cure. It requires an integrated approach with the appointment of a long course of medication and special treatment procedures. The clinic's urologists develop an individualized treatment plan for the patient, which includes:

  • antibiotic therapy for up to one month;
  • vasodilators;
  • enzyme treatment;
  • non-steroidal drugs that stop the inflammatory response;
  • immunomodulatory treatment (selected by an immunologist);
  • prostate massage;
  • instillation of the drug into the urethra, if the inflammatory process is localized in the urethra;
  • physical therapy.

Patients can be treated in a hospital or outpatient clinic. In the first case, the chances of a positive result increase, since the man strictly adheres to the treatment regimen, adheres to all the doctor's prescriptions and is under close medical supervision.

In the case of complications of prostatitis (compression of the seminal vesicles, prostate abscess), a man may be indicated for surgical treatment.

Physiotherapy treatment

Unique modern devices for local impact on the prostate are installed in a specialized center. Physiotherapy increases the effectiveness of complex treatment, reduces the resistance of microorganisms to antibiotics and eliminates blockages in the body. To treat prostatitis, experienced doctors use:

  • "A device for a complex effect on the prostate and pelvic muscles, rapidly treating prostatitis and reducing its symptoms. The therapeutic effect is due to electrical stimulation, laser and radiation. It improves the drainage of the gland, activates blood circulation in the pelvis, eliminates the inflammatory process and improves the penetration of drugs into the tissues of the organ.
  • Vacuum massage device, restores the vascular properties of the cavernous bodies of the penis and improves blood circulation in the pelvic organs. It is used to treat prostatitis associated with obvious erectile dysfunction, as well as in the complex treatment of impotence. Eliminate the causes of congestion, tk. strengthens blood vessels.
  • Prostate local heating device. Heating tissues up to 39-42 ° C inhibits the reproduction of microorganisms, starts metabolic processes in the prostate gland and improves its blood supply. It is used to treat various forms of prostatitis.

Modern clinic helps men cure chronic prostatitis in the shortest time. Experienced specialists will certainly determine the cause of the pathology and choose an effective treatment. Sign up for physical therapy, you will speed up your recovery, quickly get rid of pain and discomfort.

Prevent

Specific prevention of prostatitis in men has not been developed. Non-specific measures include patient compliance with several recommendations:

  • drink enough fluids;
  • intolerable, if you want to go to the bathroom, empty your bladder often;
  • have an active sex life;
  • avoid hypothermia;
  • avoid hypotension;
  • compliance with the rules of intimate hygiene;
  • timely treatment of urogenital infections and any other infectious diseases of the body;
  • reduce the amount of spicy foods, caffeine, alcoholic beverages in the diet, as they have a stimulating effect on the urinary tract.

Rehabilitation

In the short term, an active lifestyle, following the doctor's recommendations for maintenance treatment and proper nutrition will help men recover from acute chronic prostatitis or exacerbations in a short time.

To avoid stagnation of blood in the pelvic organs, a person should move more, and if his work involves physical activity (for example, sitting for a long time at the wheel) - whenever possibleIf you can, get out of the car and move, go to the gym.

Properly organized nutrition will speed recovery and reduce the risk of exacerbations. It is important to consume a large amount of plant foods - vegetables, oils, as well as dairy products and fiber.

Question and answer

Which doctor should I contact if I suspect prostatitis?

A urologist deals with the diagnosis and treatment of prostatitis.

Can prostatitis go away completely?

It depends on the form of the disease occurring in a particular patient. Acute prostatitis, if a person consults a doctor in time and follows all the recommendations for treatment, can soon pass without leaving a trace. Chronic prostatitis, alas, cannot be cured. However, the correct treatment tactics and a responsible attitude of a man towards the problem will greatly increase the chances of long-term stable remission.

Chronic prostatitis can be defeated! For quality care, don't delay treatment.