Prostatitis is an inflammation of the prostate gland that men aged 20 years and more suffer.
According to statistics, 1 in 4 men came across this disease in one form or another.In recent years, there has been a constant tendency to "rejuvenate" the process.This is due to sexual emancipation, an increase in sexually transmitted infections, tendencies to self -diagnosis and treatment on the Internet and stability of infectious agents to the action of antibacterial therapy.
This is especially true as the first signs of prostatitis are usually expressed in men, which does not allow to consult a doctor in time and in some cases lead to the development of advanced prostatitis.
Signs of prostatitis in men
The characteristics of the structure, blood supply and location of the prostate gland affect the nature of the symptoms that will lead during its inflammation.These include:
- Symptom of pain.
- Symptom of urination (disy).
- Symptom of erectile dysfunction.
Symptom of pain
The pain, which is different in intensity, refers to the person in the lower abdomen, in the perineum, genitals and lumbosacral spine.This pain location is determined by the presence of nerve connections and participation in the process of inflammation of the seed bubbles (vesicles).
Pain can vary in intensity, from an unexplained feeling of discomfort to severe pain, which affects a person's mental state and causes insomnia.The most important sensations depend on sexual behavior and arise on the lack of regular ejaculation or, conversely, with ejaculation that is related to the spread of the inflammatory process to the posterior urethra.
It should be noted that pain in the lumbosacral region may not be associated with the prostate gland, but be a consequence, such as osteochondrosis of the spine.To determine the cause of such pain, helps the result of conversation with the patient and urological examination.
The first sign of prostatitis in a person is a feeling of testicular pain (in the scrotum) with the spread of the testicles (right and left inguinal areas).The pain that leaks from the inner thighs, the back, which dictates the need to consult with neurological pathology, as for prostate pain, which is dictated by the inflamed prostate.Not characteristic.
In some cases, the irradiation of painful sensations is asymmetrical, allowing you to suspect the inflammatory process in the prostate localized in one of it.The site of pain is divided into genitals (in the genital area characteristic of congestive chronic prostatitis), extractal (above the genitals, is characteristic of neglected general prostatitis) and mixed (chronic prostatitis).
Symptoms of Dysuria or Disorder of Urination with Prostatitis
Urination disorders are expressed by false calls, a feeling of incomplete emptying of the bladder with frequent urination, which is associated with inflammation in the neck of the bladder and urethra.For a long time, the signs of dysuria with prostatitis show a chronic process.
Erectile Disorders of Prostatitis
Disorders of erectile function with prostatitis are represented by early ejaculation, erased sensations during orgasm, reduction of libido, weakening of erection.Sometimes a man's prostatitis can be suspected of the lack of morning erection.
Reducing potency as the first sign of prostatitis in a person is caused by a decrease in testosterone synthesis (male sex hormone).
The manifestations of inflammation in the prostate gland are not limited to three of the above symptoms.Often the first sign of prostatitis in a person is the distribution of the secret of the prostate from the urethra during an act of bowel movements (prostator), which shows a decrease in muscle tone of the erystars.
In addition, it cannot focus on the psychological signs of prostatitis in a person: Astheno-neurotic syndrome develops from the nervous system (depression, fatigue, lack of desire to do anything, physical weakness).
The first signs of acute prostatitis
All of the above signs are typical of chronic inflammation in the prostate, with acute prostatitis in a person, the picture is a little different.
The disease begins with acute severe pain in the perineum, the symptoms of urination disorder are more clearly traced.There is an increase in temperature to 38-39 C, chills, weakness, sweating, muscle pain and bones.During the bowel movement, pain in the anus is worried.There is no sex life.
If you do not undergo a timely examination and do not start to treat, the acute process will be complicated by purulent prostatitis, to an abscess, which will lead to emergency surgery.
If there are no other causes (immunodeficiency conditions, severe accompanying pathology, etc.) - purulent prostatitis in a person - neglected inflammatory process due to an untimely seeking doctor!
The causes of signs of prostate inflammation
The factors that affect inflammation in the prostate are conditionally divided into 3 groups.
Factors rejected impact include:
- Physics.
- Sexual constitution.
- Age factor.
- The presence of diseases.
- Environment (climate factor).
Partially controlled factors:
- Sexual habits.
- Profession.
- Main diseases of the male genital area.
- Attitude to the disease.
Finally, controlled factors:
- Reverse sex life.
- Alcoholism.
- Failure to comply with treatment recommendations.
- Enlightenment in power supply.
Who is at risk
Prostatitis threatens men who:
- Stick to a sedentary lifestyle.
- Suffer from chronic constipation.
- Half history of adverse infections.
- They have more than one sexual partner.
- They suffer from alcoholism, drug addiction.
- They work in cold conditions.
If there are signs of prostatitis, what do I do
Laboratory diagnostics for prostatitis
- In the UAC, the increase in the velocity of the erythrocyte settlement, the displacement of the leukocyte formula to the left.In OAM - leukocyturia, proteinuria, bacteriuria.
- Blood for HIV infection.
- Lubrication from urethra to flora.As a rule, the leukocytes in the smears are entirely.If no sexually transmitted cause is detected (Gonococci Neisser, Trichomonads), it is imperative that PCR diagnostics be performed.
- The secret of the prostate gland.After directing the secret of the prostate of the pathogen and determining the sensitivity to the antibiotic.
- PCR - diagnosis for sexually transmitted infections.The most reliable and fastest way to check the pathogen.
- Blood on the dog.The blood of the dog (specific to the prostate antigen) during an acute inflammatory process in the prostate gland should not be taken, the result will be unreliable.It is better to do this analysis 1 month after the end of therapy.It is not necessary for young people under 30, it is not necessary to examine the level of PSA in the blood.This analysis is important for a man over 40 years of age, as in some cases acute prostatitis can be a secondary and malignant tumor in the prostate gland is masked behind its clinical manifestations.
Instrumental diagnostic methods
As a rule, ultrasound prostate examination is transient (through the rectum) or transabdominal (through the stomach).
Signs of prostatitis for ultrasound
Enlargement of the gland by volume, change in texture, edema;With purulent prostatitis - areas of necrosis, deformity of the contours, increase of regional lymph nodes.
What should you pay attention to
First of all, in order to get rid of the symptoms of prostatitis forever, it is necessary to observe a certain diet.
The exacerbation of prostatitis in a person depends on the irritants that fall from the food: acute spices, vinegar, marinans, alcohol.
Alcohol should be said especially, even minimal use can reduce the action of prolonged complex therapy to zero.
Some patients believe that they should use alcohol less frequently or switch to lighter alcohol.This is their main mistake.
Divorced vinegar, KVASS, citrus fruits, sauerkraut, tomatoes and cucumbers have no harmful effects with prostatitis.
Nutrition of fiber -rich products will save a person from constipation - one of the main reasons for the development of congestion in the pelvis.
The assistants help prevention.Taking plant diuretics: leaves of leaves, dill, urological collection helps to improve urination during inflammation.
Sport, especially the application of exercises to improve blood circulation of the pelvic organs, contributes to the preservation of the prostate in the tone.
The development of inflammation in the prostate causes hypothermia.In the winter, it is worth dressing more warm, and in the summer, after bathing, it is not for a long time in damp floats.
Using condoms during sexual contact with an unknown partner will prevent sexually transmitted diseases, including HIV infection.
Long -term fatigue has a negative effect on the male immune system, as well as stressful situations that can activate a sleeping infection in the prostate gland.A regulatory prophylactic examination by a urologist will help maintain the health of men.