Prostatitis is characterized by a complex inflammatory process in the prostate gland. The risk group is made up of men aged 40 and over who lead a sedentary lifestyle. The first signs in the acute form occur with purulent discharge in the urine, severe pain syndrome and an increase in body temperature up to 40 degrees. Chronic prostatitis is no less dangerous than acute, but it has a more hidden picture of development. Its danger lies in irreversible disorders associated with the activity of sexual function.
Characteristics of the course of prostatitis
The signs of prostatitis begin to bother men due to a sedentary lifestyle, hypothermia, due to malnutrition.
The course of the disease can be characterized by one of two forms:
- Acute prostatitis- is determined by purulent discharge in the urine. Specific causes are associated with the pathogenic microflora. Treatment without antibiotics is ineffective.
- Chronic- develops as a result of improper or ineffective treatment. The signs are not as pronounced as in the acute course.
During the period of remission, the symptoms of the pathology often disappear completely. The exacerbation of chronic prostatitis does not bother the patient as clearly as in the primary acute form. In most cases, a stagnant course of the disease is diagnosed as a consequence of a sedentary lifestyle against a background of chronic diseases, due to low blood circulation in the pelvic organs.
The main signs of prostatitis are divided by doctors into three groups:
- malfunctions of the urinary system, manifested by disturbances in the excretion of urine;
- sexual disorders characteristic of an enlarged prostate;
- development of nerve pathologies.
Inflammation of the prostate causes a decrease in the production of a special secret that maintains sperm activity. As a rule, their resistance to negative effects decreases, and the chances of successful fertilization of a female egg are close to a minimum.
According to medical statistics, the disease affects not only the elderly, but also quite young men. The risk group is made up of the stronger sex from the age of 40. Doctors point out that the main emphasis should be on preventing the development of pathologies in the small pelvis and on preventive measures.
Symptomatic image
The symptoms of prostatitis are mainly represented by the pain syndrome. Unpleasant sensations in acute inflammation can be stabbing, sharp, or aching. They cause reduced performance, sleep disturbances. Enlargement of the prostate gland already in the early stages can be caused by pain in the pelvic area. In some patients, it develops during urination and defecation. During erection and ejaculation, pain sensations increase.
As a result of mechanical action on the walls of the urinary ducts, pain is almost always associated with movement.
Problems with urine flow disturb almost all patients and in any form. It displays:
- false urge to urinate;
- feeling of incomplete emptying of the bladder.
A man may need some effort to urinate and the flow is slow and intermittent. Acute inflammation causes frequent urge to urinate.
In addition to the listed symptoms of prostatitis in the acute development of the disease, the following are manifested:
- pain in muscles and joints;
- increase in body temperature up to 40 degrees;
- febrile condition, chills;
- feeling of swelling in the groin area;
- secretion from the urethra;
- burning and cramping when urinating;
- streaks of blood and pus in the urine.
Complications of the chronic course of prostatitis can be male infertility, scarring and narrowing of the tissues of the urethra, complex kidney damage, sepsis. The testicles, epididymis, and seminal canals become inflamed. A running course leads to suppuration of the prostate, which requires immediate surgical intervention. Surgical treatment without fail requires obstruction of the bladder, which is accompanied by acute urinary retention.
Provoking factors
The main causes of prostatitis can be summarized in the following list:
- Sexually transmitted infections. Trichomonas, mycoplasma, chlamydia, gonococcus, Escherichia coli, enterococci can cause lesions of the urethra and prostatic tissues.
- A sedentary and sedentary lifestyle contributes to the development of stagnant and inflammatory processes in the pelvic organs.
- Interruptions of lymphatic circulation and blood circulation.
- Constant interruption or artificial increase in sexual intercourse, prolonged abstinence cause disturbances in the functioning of the prostate gland.
- Regular mental stress, excessive physical exertion, stressful situations also affect men's health and cause the development of prostatitis.
- Hypothermia, frequent colds and, as a result, decreased immunity become the causes of inflammatory processes of the reproductive organs.
- Hormonal disorders.
Treatment
It will not be possible to eliminate the pathological signs of acute or chronic prostatitis in a short period of time.
When choosing certain therapies, it is important to identify the type and form of the disease through diagnostic studies.
Drugs
Antibiotics are indicated for the diagnosis of bacterial prostatitis. If the inflammatory process was not caused by an infection, then such therapy does not make sense. The choice of a specific antibiotic is made by the attending physician after identifying the microorganism that causes the bacterial damage to the prostate gland.
In most cases, the drug should be taken for at least 7 days. Alpha blockers and antispasmodics help relieve pain. Systematic intake of this group of drugs helps to relax the muscles of the bladder and the prostate itself. This improves the flow of urine and reduces the manifestation of the general clinical picture.
For men with particularly severe conditions, intravenous fluids and diuretics are indicated. This improves the flow of urine. Also, in this way, you can stop the process of intoxication of the body.
The non-bacterial form of prostatitis is treated with antipyretic, analgesic and anticholinergic drugs. In case of constipation, it is necessary to use laxatives and suppositories based on vaseline oil.
Supportive care
The important steps of adjunctive therapy in drug treatment are:
- bed rest;
- complete rest;
- drinks lots of fluids, at least 2 liters per day;
- sitz baths for hot baths.
In case of acute urinary retention, a temporary suprapubic fistula is prescribed. An alternative approach is regular bladder catheterization. Doctors only prescribe such treatments when drug therapy is ineffective. Patients should not forget about the contraindications to hypothermia of the body during treatment, cycling and prolonged sitting on hard surfaces.
From the first days of prostate diagnosis, prostate massage is prescribed. This method helps to reduce the pressure of the enlarged gland on the urethra, thereby improving urination and decreasing hardening.
Compliance with a diet that excludes spicy and fatty foods, as well as alcoholic and carbonated drinks, allows you to normalize your general health.
Surgery
In cases where drug therapy has had no effect in the treatment of prostatitis, surgery is required. In exceptional cases, with stagnant flow, the flow of urine is blocked. Surgical treatment is also indispensable here. A contraindication to surgery is the patient's reproductive age. In young men, surgery can lead to infertility.
Transurethral resection of the prostate is a surgical removal of all inflamed tissue. Prostatectomy is performed to completely remove the prostate, adjacent tissues, and seminal vesicles. The negative consequences of such surgery are urinary incontinence and impotence. This type of medical assistance is necessary due to the malignant nature of the pathology. It allows you to get rid of the problem with the inflammatory process in the prostate gland once and for all.
Prostatitis is considered a complex and insidious disease, with persistent remissions in the chronic form. It is not always possible to completely cure it, so eliminating the main symptoms is a task that every attending physician tries to perform. How long will it take before their complete disappearance is impossible to determine exactly. In most situations, urologists give comforting predictions.
Alternative therapy
In the treatment of the disease, not only medical methods are used, but also folk remedies.
Dead bee
Alcohol tincture is prepared from 2 tsp. podmore and 200 ml of alcohol or vodka. It is taken 3 times a day on an empty stomach, 40-60 drops, depending on the patient's weight. Therapy course - 25 days. The composition of the bee worm contains unique components that have a therapeutic effect on problems with the male reproductive system.
Broth with the addition of 2 tsp. honey, 1 tsp. podmora for 1 glass of hot water is cooked on low heat for 10 minutes. Then the remedy must be insisted for about 3-4 hours. The use is shown in 2 tbsp. L. twice a day before meals. The optimal period of treatment with this remedy is 1 month. Then it is necessary to take a break for 7-10 days and, if there is no improvement, to resume therapy.
Pumpkin seeds
Pumpkin seeds must be ground in a coffee grinder before use. Take 2 tablespoons a day on an empty stomach. L. , washed with a glass of water diluted in it 2 tsp. natural honey.
You can add fresh parsley juice to honey in a few drops.
Chestnut
The raw materials are mixed in equal proportions (10 g each):
- dried licorice roots;
- berry leaves, chestnut, knotweed and castor oil.
To enhance the effect, you can add 15g each of dandelion, comfrey and beans. You need to prepare a fresh decoction of 1 tablespoon every day. L. mixed vegetable raw materials and 0, 5 liters of water. Boil for 10 minutes, then leave for another half hour. Drink 4 servings immediately before meals. The course lasts 30 days.
Prevention
The manifestation of symptoms in the clinical picture of prostatitis contributes to the formation of inferiority complexes. This causes stressful situations and depressed moods in men. Many patients are characterized by irritability, a tendency to conflict. Aggressive behavior interferes with normal communication.
In most cases, you should seek the help of an experienced psychologist. After all, disorders of the sexual sphere have a very negative effect not only on a man's mood, but also on his entire life. Therefore, psychological rehabilitation is no less important than drug therapy.
Doctors recommend avoiding hypothermia and excessive physical exertion. An effective means of preventing prostatitis is an active sex life with a constant partner. Prolonged abstinence, incomplete ejaculation are contraindicated. It is necessary to limit the use of alcoholic beverages from the age of 40 and to stop smoking. The main emphasis should be on moderate exercise and vitamin therapy.