Prostatitis

How to treat prostatitis in men: medications 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, this is the most common urological disease in men of all ages.According to statistics, after 30 years the prostatitis disease affects 30% of the male population, after 40 - 40%, after 50 - 50% and then it increases.

However, taking into account the diagnostic features and the possibility that the disease appears in a latent form, the real figures are much higher.

Reasons for development

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

1. Infectious - (sexually transmitted infections (the penetration of pathogens into the prostate tissue - 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 and hormonal disorders (absolute or relative lack of androgen).

Thus, it is emphasized that the isolated entry of a pathogen into the tissues of organs is not always and cannot necessarily be the cause of the development of the disease.The most frequent pathogen identified 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).

Distribution

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

1. Category I. Acute prostatitis;
2. Category II.Chronic bacterial prostatitis;
3. Category III.Chronic non-bacterial prostatitis/chronic pelvic pain syndrome - disease in which infection is not detected, lasting more than 3 months;
• Subcategory III A. Chronic pelvic inflammatory pain syndrome (leukocytes are detected in prostate secretion);
• Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (no leukocytes in prostate secretion);
4. Category IV.Asymptomatic chronic prostatitis (leukocytes are present in the secretion of the prostate, the patient has no complaints, the disease is discovered by chance).

The first signs

The main signs of acute prostatitis are increased 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 nervousness of the body.

Difficulty urinating with prostate 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 sexual desire, 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 suitable for 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 pay much attention 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 flow can become slow, thin or intermittent.To defecate, the patient must make an effort, which normally should not be the case.Sometimes the urine literally has to be squeezed 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 the enlargement of the 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 waist area.The pain can occur suddenly and also pass 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, your sexual desire will decrease significantly.Second, problems with erection may occur.Thirdly, due to problems with ejaculation (ejaculation), the average duration of intercourse will change: it may become short due to early ejaculation or, conversely, very 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 prostate, fertilization becomes impossible due to lack of stability or insufficient mobility of sperm.
5. Discharge from the urethra.They are usually white in color and have a slippery consistency and are most often seen in the morning.
6. In acute cases, an increase in body temperature (up to 38-39°), fever, worsening of the general condition, weakness, maltreatment and other similar manifestations are observed.Such symptoms of prostatitis usually occur suddenly, without any preconditions.

In addition, many people have psychological problems associated with the symptoms listed above.A man may become insecure about himself, his self-esteem will decrease greatly, he will be depressed or irritable and irritable.Many representatives of the stronger sex are embarrassed by such subtle problems 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 unremarkable pains in the bladder area, the frequent desire to go to the toilet.The stronger sex accompanies the cessation of ejaculation and normal erection with age and does not rush to consult a doctor.Such a frivolous attitude leads to the development of chronic prostatitis.

So, we list the general symptoms of different forms of chronic prostatitis:

1. Feeling of discomfort and pain in the urethra during urination or sexual intercourse, light serous-purulent discharge from the urethra (mainly after prolonged retention of urine).
2. Moderate discomfort and/or pain in the form of "soreness" and heaviness in the perineal area, arising or intensifying after drinking alcohol, physical activity or sexual intercourse.Sometimes they are of a transitory, paroxysmal nature.
3. A decrease in the ability to fertilize, which is caused by the increase in the acidity of the secretion, the decrease or lack of sperm motility and the agglutination (sticking) of their heads.
4. Sudden frequent urge 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 the orgasm or deleted sensations of the orgasm, ejaculation disorders, expressed in its prematurity or, conversely, in the excessive duration of sexual intercourse.These phenomena are associated with an inflammatory process in the area of seminal tuberculosis or with its scars as a result of inflammation.

To diagnose the disease, you should consult a urologist.Using tests, the doctor makes a diagnosis and prescribes a course of medication.

Diagnosing

To make an accurate diagnosis, a man 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 collecting an anamnesis, the patient should undergo a detailed blood analysis for the presence of excessive proteins, increased levels of leukocytes and prostatic antigen.

To rule out infection, the patient should undergo a urethral smear.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 too much, then on an ultrasound you can see the presence of urine remaining in the bladder.

After all the tests and studies have been completed, the man will be given a complete diagnosis and treatment will be prescribed.

Medicines for the treatment of prostatitis in men: list

Complex treatment for 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.

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

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

When treated with antibiotics, preference is given to fluoroquinols and macrolides, as they are able to accumulate in the required concentration in the prostate tissue.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 from the body the inflammatory secretion that has accumulated in the prostate (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 glands.

Exercise set

Exercises for the prostate:

1. This absolutely simple exercise is used for both treatment and prevention.It consists in squeezing and relaxing the muscles of the anus.It is these muscles that are responsible for stopping the flow during urination.Try tightening and loosening 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 flow of water to the perineum.First, 30 seconds of very warm water, then 10 seconds of cold water.
3. In the absence of acute symptoms, you can massage yourself.This is done to improve blood circulation.The exercise is best done in a lying position.The massage point is between the anus and the scrotum.The pressure should be firm but not aggressive.Time 3-5 minutes.

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

Immunocorrection

Decreased immunity negatively affects health.

This factor is one of the fundamental factors in the development of the disease and its worsening.Long courses of antibiotics, necessary for protracted prostatitis, also reduce the body's defenses.Therefore, the patient is recommended to consult an immunologist to choose a strategy for immunocorrection.

Physiotherapy

Physiotherapy for chronic prostatitis aims to activate blood circulation.

For this purpose, the patient is exposed to laser, ultrasound and magnetic vibrations are used.In some cases, these procedures are replaced by warm medical enemas, which are regularly given to the patient.Sitz baths, mud treatment and mineral waters are recommended.

Candles

All suppositories for the treatment of prostatitis have one of the following properties: pain relief (nonsteroidal drugs), spasm relief (based on papaverine), elimination of the inflammatory process (contain an antibiotic).

Traditional methods of prostatitis treatment

Treatment of prostatitis at home is carried out only for 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 doctors in the treatment of prostatitis.They are a good and very affordable folk medicine for the treatment of this disease.Since these seeds contain a lot of zinc, which is necessary for every man at any age, they quickly treat prostatitis.You just need to eat 30 seeds a day before meals.This is exactly the daily portion 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 glass of raw material per 1 liter of water.The entire amount of decoction is drunk in equal parts instead of water.The seeds are boiled 4 teaspoons for a glass of boiling water.Boil for 40 minutes in a pot or 15 minutes in a thermos.Consume approximately 3-5 times a day, one tablespoon.
3. The main ingredient is hazelnut.To treat prostatitis, you should take either hazelnut bark or hazelnut leaves.You can create both components alternatively, alternating them.Just know that the bark needs to be boiled twice as long, as it is stronger.So, take a tablespoon of hazelnut leaves (or bark) and boil it in a glass of boiling water.Close the lid tightly and wait half an hour.Then strain it and take 1/4 cup 4 times a day.It is best to use fresh sprigs every time, but you can also use several times already used ones.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 refrigerator.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 with caution.The plant is poisonous, an 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.The freshly squeezed juice is diluted with alcohol in equal parts.Drink every day, diluted in 50 ml of water.Start 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 herbal remedies made at home lasts longer due to their mild effects than medication, but it is safer for the body, especially in the presence of accompanying diseases of the intestines and stomach.Treatment should be accompanied by gymnastics: leg lifts, squats.Intensive walking of 15-30 minutes a day is recommended.

Complications of prostatitis

In the absence of timely and adequate treatment, prostatitis can be complicated by the following conditions:

• the development of chronic prostatitis;
• bladder obstruction;
• the development of infertility;
• recurrent cystitis;
• narrowing of the urethra;
• pyelonephritis;
• prostate abscess;
• sepsis.

Some of the above conditions require urgent surgical intervention!

Preventive measures

Prevention boils down to avoiding provoking factors.A healthy lifestyle, protected sexual contact and having a partner will reduce the likelihood of genitourinary infection.The general strengthening of the organism and the increase of the immune defense are also preventive measures against prostatitis.