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prostatitis

Signs and Symptoms of Prostatitis

Prostatitis is an acute or chronic inflammatory disease of the prostate. The acute form is characterized by pronounced symptoms. Without proper treatment, it can become chronic. This variant of prostatitis is difficult to treat and can lead to malignant degeneration of glandular tissue.

At the medical center, everyone 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. An experienced urologist with the highest qualification category will develop an individual treatment plan that takes into account the characteristics of each clinical case.

About disease

Prostatitis is a common problem that affects about 40% of men over the age of 40. It does not directly threaten a person's life, however, by reducing efficiency, affecting the neuropsychological domain of the patient, and limiting freedom, prostatitis can significantly worsen the quality of life.

Prostate inflammation can occur as an independent pathology or in combination with adenomas or cancers of this organ.

type

A classification was established in 1996, according to which male prostatitis is divided into 4 categories:

  • Acute prostatitis.
  • Bacterial chronic prostatitis.
  • Chronic inflammation of the prostate of a nonbacterial nature.
  • Top three. There are signs of inflammation (white blood cells and any microorganisms are found in prostate secretions).
  • IIIB. Chronic nonbacterial prostatitis without an inflammatory component (absence of leukocytes and microorganisms in prostate secretions).
  • Chronic asymptomatic prostatitis (a person has no complaints, but white blood cells are found in the secretions of the prostate).

symptoms of prostatitis

Depending on the form of the disease, prostatitis may develop suddenly, manifest with vivid clinical symptoms, or progress in alternating periods of exacerbation and remission.

Common symptoms of prostatitis in men:

  • Pain of varying intensity in the perineum, radiating to the groin and sacrum;
  • low back pain;
  • Urinary disturbances (pain at the onset and throughout the behavior, intermittent urine flow, possible dripping, frequent urination);
  • Reduced potency and libido;
  • painful ejaculation;
  • pain after sex;
  • erectile dysfunction;
  • Toxic syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.

Not necessarily all of these symptoms are determined by the same person—perhaps a different combination of them. As chronic prostatitis worsens, they are often less pronounced than the acute form of the disease, and they are practically indeterminate in remission. Men with chronic prostatitis for more than 5 years often experience sexual dysfunction.

If prostatitis is ignored, there is an increased risk of adenoma and prostate cancer, infertility, and difficult-to-treat impotence. After identifying the first symptoms of the disease, it is necessary to contact a urologist as soon as possible. This will allow a comprehensive treatment to stop the pathological process.

Causes of Prostatitis

Assign the causes of infectious and non-infectious prostatitis.

Acute infectious prostatitis is caused by bacteria, more commonly Enterobacter, Escherichia coli, Pseudomonas, Proteus, and sexually transmitted infections, and less commonly Mycobacterium tuberculosis. The range of microorganisms that can exacerbate chronic prostatitis is broader and can include opportunistic and atypical (Candida) infections.

Microbes enter the prostate from the urethra and bladder, with little influx of blood or lymph from distant sites of infection.

Factors that increase your risk:

  • venereal disease;
  • Chronic infectious diseases (dental caries, sinusitis, lung abscesses) located in remote areas;
  • congenital and acquired immune deficiencies;
  • Manipulation and surgery of pelvic organs;
  • Prostate biopsy;
  • A sedentary lifestyle with stagnant blood in the pelvic area;
  • promiscuous sex;
  • Same-sex contact.

The cause of noninfectious prostatitis is not fully understood. It is thought to be associated with a clandestine stagnation in the prostate due to violation of the venous outflow of the pelvic organs. The vessels of the prostate fill with blood, swell, all functions of the gland are disturbed, and signs of inflammation appear. Risk factors for developing this type of prostatitis are:

  • autoimmune process (attack by antibodies of prostate cells);
  • long-term inactivity;
  • prolonging or interrupting sexual intercourse;
  • a sedentary lifestyle;
  • unfavorable working conditions (effect of vibration);
  • Chronic poisoning of certain chemicals;
  • Spinal cord injury;
  • hemorrhoid;
  • constipate;
  • Men lack androgens in their bodies.

Diagnosis of Prostatitis

The diagnosis of prostatitis is based on the patient's complaint, examination data, past history, and findings from other studies. To detect disease, apply:

  • General and biochemical blood tests;
  • Prostate secretion research;
  • Analysis of biological fluids for genitourinary infections;
  • Transurethral prostate ultrasound (TRUS);
  • Prostate specific antigen test;
  • Determination of testosterone levels;
  • Urinalysis.

treat prostatitis

After the diagnosis was established, the man was placed on complex medication. It includes antimicrobials, enzymes, herbs, immunomodulators. Acute prostatitis can be fully recovered from outpatient treatment of acute prostatitis if the patient follows all the recommendations of the urologist. Conversely, violations of treatment protocols can lead to the emergence of highly resistant microbes that cannot be destroyed by conventional antibiotics. As a result, inflammatory and malnutrition processes are exacerbated and the disease becomes chronic.

Chronic prostatitis is difficult to cure. It requires an integrated approach, prescribing long-term medication and specific treatment procedures. The clinic's urologist develops an individual treatment plan for the patient, which includes:

  • up to one month of antibiotic therapy;
  • Vascular protectants;
  • enzymatic treatment;
  • Non-steroids that block the inflammatory response;
  • Immunomodulatory therapy (selected by the immunologist);
  • prostate massage;
  • drip into the urethra if the inflammatory process is located in the urethra;
  • physiotherapy.

Patients can be treated in hospital or outpatient clinic. In the first case, the chances of a positive result increased because the man followed a strict regimen, followed all doctor's prescriptions and was under close medical supervision.

In the case of complications of prostatitis (suppuration of seminal vesicles, prostate abscess), men may be treated surgically.

Physiotherapy

Specialized centers are fitted with unique modern equipment for locally affecting the prostate. Physiotherapy increases the effectiveness of complex treatments, reduces microbial resistance to antibiotics and decongestion in the body. For the treatment of prostatitis, experienced physicians use:

  • "A device that has a complex effect on the muscles of the prostate and pelvis, accelerates the treatment of prostatitis and relieves its symptoms. The therapeutic effect is due to electrical stimulation, lasers and magnetic radiation. It improves the drainage of the glands and activates the blood flow to the pelviscirculation, eliminates the inflammatory process and improves the penetration of the drug into the organ tissues.
  • The vacuum massage device restores the vascular nutrition of the corpus cavernosum and improves the blood circulation of the pelvic organs. It is used in the treatment of prostatitis with marked erectile dysfunction, as well as in the complex treatment of impotence. Eliminate the cause of congestion, tk. Regulate blood vessels.
  • A device for localized heating of the prostate. Heating the tissue to 39-42°C inhibits the proliferation of microorganisms, initiates metabolic processes in the prostate and improves its blood supply. It is used to treat various forms of prostatitis.

Modern clinics help men cope with chronic prostatitis in the shortest possible time. An experienced specialist will definitely identify the pathological cause and choose an effective treatment. By signing up for physiotherapy, you will speed up your recovery and get rid of pain and discomfort quickly.

prevention

Specific preventive measures against prostatitis in men have not been developed. Nonspecific measures include patient compliance with some recommendations:

  • drink enough fluids;
  • intolerable, emptying your bladder regularly if you want to go to the toilet;
  • have an active sex life;
  • avoid hypothermia;
  • avoid lack of motivation;
  • observe privacy hygiene rules;
  • Prompt treatment of genitourinary infections and other bodily infections;
  • Reduce the intake of spicy foods, caffeine, and alcoholic beverages in your diet because of their stimulating effects on the urinary tract.

recovery

In a short period of time, an active lifestyle, adhering to the advice of the attending physician on maintenance therapy and proper nutrition, will help men recover from an exacerbation of acute or chronic prostatitis in a short period of time.

To avoid stagnant blood flow to the pelvic organs, a person should exercise more if his job involves physical inactivity (for example, sitting at the steering wheel for long periods of time) - whenever possible, get out of the car and move, and go to the gym.

Properly organized nutrition will speed recovery and reduce the risk of disease progression. It's important to eat lots of plant-based foods—vegetables, oils, and dairy and fiber.

Questions and Answers

Which doctor should I contact if I suspect prostatitis?

Urologists are responsible for the diagnosis and treatment of prostatitis.

Can prostatitis be fully recovered?

Depends on the form of the disease that occurs in a particular patient. Acute prostatitis, if a person consults a doctor promptly and follows all treatment recommendations, can quickly go away without a trace. Alas, chronic prostatitis is incurable. However, the right treatment strategy and a person's responsible attitude towards the problem will significantly increase the chances of achieving long-term stable remission.

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