Prostatitis: Symptoms, Treatment

Prostatitis is an inflammatory disease of the male prostate gland located directly under the bladder and is a secondary part of the genitals.

Everyone 7 people over 35 suffers from prostate, and with any naked risk of developing an inflammatory process in the prostate grows under the influence of external and internal factors.

Reason

Inflammation of the prostate gland can develop for various reasons, doctors differ from them:

Violation of blood microcyrulation in the pelvic organs - this leads to stagnant processes and helps increase the prostate gland in size. Stagnant processes are facilitated by being overweight and bringing a sedentary lifestyle. Introducing bacteria, viruses or protozoa into tissues against the backdrop of an acute or chronic inflammatory process in other organs flowing into the body - diseases such as angina, gonorrhea, urethritis, cystitis, flu, pyelonephritis can provoke the prostate. The causative agents of the infection can enter the prostate with a blood flow and lymph if there is an infection in remote areas and organs. Injuries and bruises of the soft tissue of the abdomen, perineum and external genitals - this leads to edema and damaged blood circulation in the area of damage; Hypothermia of the body. Chronic constipation. Disordishes hormonal disorders. Stormy or, conversely, sex life in absentia is harmful, such as frequent sex (more than once a day), as well as rare intimate relationships (less frequently once a week), as this leads to the impoverishment of sex glands or prostate stagnation.

Symptoms of prostatitis

Distinguish between the acute and chronic form of the disease.

Acute prostate is characterized by a sudden onset against the backdrop of general well -being, which is clinically associated with the following symptoms:

chills and weaknesses; general mistreatment; increased nervousness and irritability; increased body temperature (not higher than 37. 5 degrees); pulling or cutting pain in the lower abdomen and perineum; frequent requirement to urinate while maintaining the feeling of incomplete bladder emptying; River pain and difficulties with bowel movements.

In the absence of diagnosis and timely treatment, acute prostatitis can be complicated by a purulent process and the release of pus from the urethra during urination.

Signs of chronic prostatitis

In the transition of the disease to a chronic form of the course, the clinical signs of prostatitis are descended and the patient appears to be a recovery. The characteristic features of the chronic inflammatory process in the prostate gland are burning along the urethra with radiation in the claws, which can be improved during urination and defecation. Gradually, the disease progresses and causes powerlessness. Chronic prostate means periods of forgiveness and deterioration, but also in times of irritation, the symptoms will be hidden, not as pronounced as in an acute form. The following symptoms appear clinically:

difficulty with a rise; the inability to complete sex with spills; lowering the sex machine; secretion from the urethra mucosa with a mixture of white rye; a feeling of incomplete bladder emptying; Pain drawing in the lower back, pubis and groin; A poor urine flow - this is observed as a result of narrowing of the urethra lumen against the background of its compression of an enlarged prostate.

The slow chronic inflammatory process in the urethra is irritating to the pelvic nerve endings and provokes constant urination, especially at night. Many men are embarrassed to see a doctor with such a delicate problem that increases the risk of developing such serious complications as complete erectile dysfunction, infertility and even prostate cancer.

Moreover, from the focus of a chronic infection in a prostate with a blood flow and lymph, pathogens enter the kidneys, causing acute inflammation, urinary retention and increases the risk of kidney failure.

Continuous accumulation of urine in the bladder and urethra creates favorable conditions for the formation of salts crystals, and then stones - very often prostatitis in men continues in parallel with urolithiasis.

Diagnostic methods

Diagnosis, treatment and prevention of prostatitis is made by a doctor's urologist. To make a diagnosis, determine the form and cause of the inflammatory process in the prostate gland, a number of examinations are described:

Prostate palpation - performed through the rectum and allows you to detect an increase in size, pain, pus or mucus release after palpation; Small discharge from the urethra - the resulting material is sent to study in the laboratory; Urine analysis is general, etc. ; Ultrasound of the pelvic organs and the prostate gland.

If the pathological process is suspected of spreading the pathological process in the patient, the patient is also performed by cystoscopy - examination of the bladder walls using a flexible device equipped with an optical system at the bottom.

In the diagnosis of prostatitis, it is very important to distinguish the pathological process from prostate adenoma and other urological diseases with a similar clinical course.

Treatment

The treatment of acute and chronic prostatitis form changes, so patients are strongly recommended not to be spoiled.

Acute non -bacterial form of prostatitis is treated comprehensively using herbal preparations and anti -inflammatory drugs.

Treatment of acute bacterial prostatitis

The principles of therapy for the acute form of bacterial prostatitis depend directly on how pronounced the symptoms of the disease are.

A distinctive feature of bacterial prostate is the acute onset and the rapid increased signs of body intoxication - nausea, vomiting, headaches, high body temperature. The bladder emptying process is accompanied by cutting pain in the lower abdomen and perineum, which are given to the lower back. Very often the purulent process joins and the abscess develops.

Treatment of acute bacterial prostatitis is performed in a hospital, as the patient's condition can be extremely serious. The therapy consists of complex access:

The patient should observe the rest of the bed; Antibiotics are prescribed - macrolides, fluoroquinolons, cephalosporins; Preparations that improve blood microcirculation in the pelvic organs are chosen. They provide lymp and venous blood flow, which reduces the severity of edema and the inflammatory process in the prostate; Inside the mouth, medicines are shown by a group of non -steroidal anti -inflammatory drugs. These medicines not only reduce the inflammatory process, but also eliminate pain syndrome; Analgesics - you can get tablets inside or present rectal candles in the rectum; To eliminate the body's intoxication, a physiological solution of sodium with glucose is described intravenously.

Important! Prostate massage is strictly prohibited, as the risk of sepsis is high.

Surgical treatment

Surgical intervention for prostatitis is only required if the patient develops a sharp delay in the urine and has no way to empty the bladder. You cannot do without surgery and in the event of a prostate gland abscess.

The prostate treatment course lasts 14 days, after which the patient again performs a comprehensive examination to assess the effectiveness of therapy. If necessary, the course of treatment is extended and adjusted.

Chronic treatment

The treatment of chronic prostatitis varies and largely depends on which stage of the course is the pathological process. In case of deterioration of the inflammatory process, therapy is performed similarly, as in acute prostatitis.

Treatment of chronic prostatitis during forgiveness is as follows:

Taking the course of non -steroidal anti -inflammatory drugs. Present medication 2 times a day at least 3 days, sometimes up to 5 days. Preparations that contribute to improving venous and lymph exit. Immunomodulators. Antidepressants and sedatives help normalize sleep, eliminate irritability. Polivitamine complexes rich in zinc, selenium, group V.

At the stage of remission of the inflammatory process of the prostate, the patient is shown physiotherapeutic treatment:

Prostate massage; ultrasound; electrophoresis; magnetotherapy; Microwave hyperthermia.

Surgical treatment of chronic prostatitis

With chronic neglected prostatitis, the patient sometimes needs surgery. Can be performed in two ways:

transurethral resection; Prostatectomy.

Reversion

This method of surgical treatment refers to minimum invasive interventions, although it is performed under general anesthesia. During the procedure, a resestoscope is inserted under the urethra, through which the pulses of the electric current are supplied. These electrical impulses act on the principle of an electrical noise and partially remove the tissue of the prostate gland. A large plus of this method of intervention is the lack of blood loss, as electric waves not only remove modified prostate tissue, but also treat blood vessels immediately, preventing bleeding.

Transurethral resection significantly relieves the patient's condition - after surgery, urination is restored, the man no longer burns in the claws, he is no longer thrown into the toilet at night. The erectile function and normal spill are also reset. The whole process of surgery is controlled by a doctor on the monitor screen, so the risk of complications during or immediately after it is minimal.

Prostatectomy

Prostatectomy is a serious abdominal surgery and is always associated with risks for the patient. During surgery, the doctor completely removes the prostate gland or most of it. The recovery period is 4-6 weeks, there is a high risk of developing post-operative complications, but sometimes this method of surgical intervention is the only way to relieve the patient's condition and eliminate the consequences of severe prostatitis.

Other methods of treatment of chronic prostatitis

Other methods of treatment of a chronic form of prostatitis include:

Hirudotherapy - or treatment with caterpillars. Medical streams are installed in the inflammation area, which in the process of their actions is released with salivary substance that places blood in order, which eliminates stagnant phenomena and quickly relieves the inflammatory process. Streams are used only special, medical, individual for each individual patient. After the procedure, the doctor places the caterpillar used in a vengeful in which he dies. Optimally optimal to spend at least 5 courses of hirudotherapy. Cryodestration is used - liquid nitrogen. This method of treatment is shown to patients who are poorly borrowed in drug therapy, and surgery is contraindicated for several reasons. Microwave therapy in a particular way - electromagnetic waves affect the prostate gland. After 1 procedure, tissue edema decreases, blood circulation is normalized and stagnation is eliminated. After performing the flow of electromagnetic therapy, the patient completely restores urination and erectile function. Treatment with ultrasound waves - allows you to quickly stop the inflammatory process that occurs at the remission phase, and ultrasound therapy is not performed during irritation. To increase the therapeutic effect, medicines can also be used, which, under the influence of ultrasound, penetrate directly into the prostate tissue. Urethra stenting - the essence of the procedure is to install a special stent in the urethra, which expands the lumen of the urethra and promotes normal urine flow. Despite the effectiveness of the procedure, urethra stenting only eliminates the clinical symptoms of prostatitis, but does not save the patient from the chronic inflammatory process.

Consequences and complications

In the absence of qualified therapy, the prostate progresses quickly, goes into the chronic form of current and threatens a man's health with his serious complications, including:

urolithiasis; pyelonephritis; development of abscess; spread of the inflammatory process in the testicles and ropes of the seed, which leads to infertility; erectile dysfunction and powerlessness; Necrotic changes in the prostate gland tissue.

Sometimes for a long time prostatitis and stagnant chronic processes give a impulse degeneration of the disease in adenoma, and then prostate cancer.