Prostatitis is an inflammation of the prostate gland caused by various infections. It often occurs in an acute form and is accompanied by an increase in temperature to 37–38⁰ C, pain in the perineum and problems with urination.
Untreated acute prostatitis turns into chronic, and in this condition it occurs most often. In this case, the symptoms are less pronounced (pain in the lower abdomen, when urinating, sexual disorders, general weakening of the body) or are completely absent. However, the consequences can be very serious. The inflammatory process is directly related to the problems of potency and is expressed in a decrease in libido, deletion of orgasm.
Neglected infection dramatically increases the chances of developing complications. In particular, these are diseases such as:
- pyelonephritis;
- cystitis;
- prostate abscess;
- DHP;
- infertility.
Such consequences can be avoided if you consult a doctor in time. Take care of your health now - and in return you will receive excellent health, psychological comfort and increased self-confidence, the quality of sexual relations.
Causes of prostatitis
This question is relevant not only because many men face this problem, but also because most cannot understand where they got this disease.
Causes of prostatitis in men:
- Sexually transmitted infections.
- Inflammatory diseases of the urethra caused by conditionally pathogenic flora.
- Sexual arrhythmia is an irregular, unbalanced sex life.
- Lack of physical activity is a sedentary lifestyle.
- Urolithiasis disease.
- The presence of foci of chronic infection in the body (chronic tonsillitis, pharyngitis, sinusitis, proctitis and paraproctitis, etc. ).
- Abuse of alcohol and spicy food.
- constipation
- Hypothermia.
- Pathology of the lumbosacral spine and spinal cord - due to a violation of the innervation and trophism of the prostate.
Why does prostatitis occur when infected with an STI? The causative agents of genital infections, especially gonococci, trichomonads, chlamydia, ureaplasma, and mycoplasma, initially affect the urethra in men, causing venereal urethritis. But, like any living microorganism, these infections actively multiply in favorable conditions for them, which are the mucous membranes of the urethra and prostate ducts.
Of course, if the patient turns to a urologist or venereologist in time, passes tests for sexually transmitted diseases, reveals the presence of a sexual infection and cures it, then there will be no reason for the appearance of prostatitis. Everything will end with recovery of the stage of anterior urethritis. But with an advanced form of the disease, with a formal approach to the treatment of sexually transmitted diseases, when they try to be cured only by taking broad-spectrum antibiotics in tablets and as a result are not treated, microbes penetrate the posterior urethra and prostate gland, causinginflammation, that is, prostatitis, and more often it is primary-chronic. In this case, it is very easy to avoid the development of prostatitis, absolutely everything depends on the patient himself.
All you need is:
- Seek immediate medical attention at the first sign of urethral discomfort
- Pass the tests recommended by the urologist for STIs
- Undergo comprehensive treatment for identified sexually transmitted infections
- Do control tests after treatment to determine the presence of venereal infection not only in the urethra, but also in the prostate secretion
- And it is best to go through medical prophylaxis in the clinic after casual sex even before the symptoms of sexually transmitted diseases appear and protect yourself and your loved ones from sexually transmitted diseases in general and as a cause of prostatitis, in particular
Symptoms of prostatitis
How to recognize or suspect prostatitis in an ordinary person, because its symptoms are very similar to many diseases of the genitourinary system and even other organs? How does prostatitis manifest itself? What are its first signs and how do they behave with the progression of the disease. We will talk about it in this article.
What other diseases can be confused with prostatitis:
- Sexually transmitted infections (STIs) are the most common situation when a man comes to a venereologist after a casual relationship, thinking he has an STI. And actually the prostate gland was inflamed.
- Urolithiasis can give similar symptoms, but at the same time it itself can provoke an inflammatory process in the prostate.
- Cystitis is rare in men, but the symptoms are very similar to prostatitis.
- Pyelonephritis - inflammation of the renal pelvis has some common symptoms with inflammation of the prostate gland.
- Diseases of the scrotum (epididymitis, orchitis, varicocele) - heaviness and pain in the scrotum can be in these diseases, including prostatitis.
- Diabetes mellitus - patients note increased urination, as in prostate diseases, but there is no slow stream and the volume of urine is normal or even increased.
- Other diseases of the prostate: cancer and adenoma (benign hyperplasia) of the prostate.
- Urethritis.
- Diseases of the rectum - fissures, hemorrhoids, tumors.
- Diseases of the lumbosacral spine.
In order to make a correct diagnosis, the urologist must not only know the symptoms of prostatitis very well, but also be able to correctly prescribe tests and other diagnostic studies, as well as be able to adequately evaluate their results.
So, consider the signs or symptoms of prostatitis:
Group 1 is pain syndrome. That is, the appearance of pain in the perineum, groin, lower abdomen, scrotum, penis, rectum, sacrum, coccyx, inner thighs. It can be just pain, pulling, pressing, or rather sharp, throbbing, strong pains. Sometimes a person simply complains of some discomfort in these areas, both during urination and outside of it. Often the aching pain intensifies when you sit for a long time in a chair or in a car.
In chronic slow prostatitis, the pain may decrease after intercourse. If the inflammation is very pronounced in the prostate or large calcifications (stones) have formed in the gland, pain during ejaculation is possible.
Symptoms of group 2 - urination disorders. There is increased urination, first at night, then throughout the day. The stream of urine becomes slow, the volume of each portion decreases, the transparency of urine decreases, blood may appear. With a strong swelling of the prostate or fibrosis of the gland around the urethra, there is marked difficulty in emptying the bladder. One has to strain, wait for some time to urinate.
Group 3 - sexual dysfunction. In the initial stage of prostatitis, there is a certain increase in sexual desire, hyperexcitability and premature ejaculation. In addition, due to a decrease in the production of sex hormones, there is a decrease in libido, a fall in erection. A person is either unable to have sexual intercourse or, once started, unable to complete it. But even when ejaculation occurs, the orgasm is dull or hardly felt. If the erection or ejaculation is accompanied by pain, then the man himself refuses new contacts, which adversely affects his sexual function in the future due to prolonged abstinence. And this also leads to the progression of congestive prostatitis. A vicious cycle ensues.
Group 4 – these are general symptoms. There may be an increase in body temperature, fatigue, weakness, irritability, which are associated with both the presence of an inflammatory process and hormonal imbalance, as well as failures in sexual life. Some patients experience hyperhidrosis (profuse sweating) of the inguinal area, redness of the glans penis.
With a sufficiently pronounced inflammatory process in the prostate, there may be mucous or purulent discharge from the urethra.
The clinical picture of each patient with prostatitis is individual. Not all clusters of symptoms are necessarily present, and not all of them may be expressed. With a chronic process in the prostate, an erased clinic and insignificant symptoms are observed, but this does not make it the least dangerous for a man's health.
Therefore, if you notice any of the above manifestations of prostatitis, urgently make an appointment with a urologist. Do not delay in contacting a doctor, because even if the discomfort has passed, this does not mean that the inflammatory process has stopped. It just went into a latent stage and will gradually undermine your health and destroy the prostate gland.
The best option is a preventive examination every six months by a urologist with diagnostic palpation of the prostate, microscopy of its secretion, ultrasound and blood test for PSA. Thus, you protect yourself from the negative consequences not only of advanced chronic prostatitis, but also of adenoma and prostate cancer.
Treatment of prostatitis
Modern methods of treating prostatitis include the following varieties:
- drug treatment (prescription of antiviral and antifungal drugs);
- supportive therapy (prescribing immunostimulating drugs, taking nutritional supplements);
- urological massage (prostate massage);
- LOD-therapy (method using low pressure to restore potency);
- a set of special physical exercises for relaxation;
- doctor's recommendations on nutrition, lifestyle, sexual relations.
In the treatment, I use the best methods of leading medical centers and my own developments, which give excellent results.
Congestive prostatitis
The treatment of congestive prostatitis presents certain difficulties, because the causes of this type of inflammation of the prostate gland are the lifestyle and sexual activity of this person. Accordingly, only the patient himself, and not the doctor, can directly influence these processes. But even in such a difficult situation patients can be helped. For the treatment of congestive or congestive prostatitis, a special complex therapy has been developed that allows you to eliminate the effects of blood stagnation in the prostatic venous plexus and prostate secretion in its channels and acini.
Treatment of congestive prostatitis
After a preliminary diagnosis, which includes:
- Prostate secretion analysis for microscopy, STIs, cultures
- PSA blood test
- General tests of urine and blood
- Blood chemistry
- Ultrasound of the prostate, its venous plexus
- kidney ultrasound
A diagnosis of chronic congestive prostatitis is established, a complex of drug treatment and the necessary procedures are determined, which include:
- Massage of the prostate through the rectum is necessary to remove leukocyte plugs, mucus and congestive inflammatory secretion of the prostate from the ducts of the gland. This is the main treatment procedure that also improves blood flow in the prostate gland, which serves as a factor in combating blood stasis.
The massage is performed by a urologist. Session duration from 30 seconds to 2 minutes. Quantity of 10 per course. The price is 600 rubles.
Even if the patient does not have the opportunity to complete the full course of treatment for stagnant prostatitis, he should attend at least 10 massage sessions. Taking drugs alone does not give the desired effect in the treatment of congestion in the prostate.
- Vibromassage of the prostate is a very good and effective procedure for the treatment of stagnant prostatitis. With the help of a special device that creates vibrations, heat and a magnetic field, blood supply to the gland is improved, the attachment of leukocyte plugs to the walls of the prostate ducts is weakened, which facilitates their removal during subsequent finger massage. It is usually done immediately before a massage.
- Magnetic-laser therapy improves blood circulation and trophism of the gland, removes inflammatory products from it, relieves swelling. Many patients feel its effect already in the first days of treatment in the form of a reduction in pain and a feeling of tension in the prostate area.
This treatment of congestive prostatitis has long been established and has been used successfully for many years, being constantly updated, including new modern methods and approaches. Chronic congestive prostatitis can and should be treated, achieving long-term remission and significantly improving the quality of life of modern man.
BPH
Prostate adenoma, or as it is now called benign prostatic hyperplasia (BPH), is a chronic disease that occurs mostly in older men, at least after 50 years. After 70 years, more than 50% of men already have complications from this disease. Although there are cases of its earlier development.
Prostate adenoma is accompanied by growth of its glandular and stromal (connective) tissue. As a result, nodules are formed in the thickness of the gland, which, when they reach large sizes, begin to press the surrounding tissues - the bladder, urethra, rectum, and sometimes the ureters, disrupting the normal functioning of these organs.
Causes of prostate adenoma development
The development of prostate adenoma is associated with hormonal imbalance in older men, that is, a kind of manifestation of "male menopause". Over the years, there is a decrease in the production of the main male hormone testosterone by the testicles and an increase in the content of the female hormone estradiol (especially in men with a high body fat mass). A direct negative effect of female hormones on the prostate gland has been proven, as well as increased production of dihydrotestosterone in prostate cells, which leads to active growth of its tissue and the development of benign prostate hyperplasia, i. e. adenoma.
Causes leading to the development and progression of BPH may also include:
- hypodynamia - a sedentary lifestyle
- alcohol abuse and smoking
- fatty, cholesterol-rich, spicy, spicy foods
- low sexual activity
Chronic prostatitis is generally not the cause of prostate adenoma, but if it occurs simultaneously, it contributes to more pronounced symptoms and rapid development of the complications of prostatic hyperplasia.
Symptoms of prostate adenoma
Symptoms of prostate adenoma depend on the stage of the disease, its decompensation, the development of complications and the direction of tumor growth.
- First, signs of difficulty urinating appear, a slow stream of urine, constant urges up to 15-20 per day, nocturia - nocturnal urination.
- Then, as the muscles of the bladder weaken, pain in the lower abdomen is worried, the feeling of incomplete emptying of the bladder, urine is released in parts, drop by drop, you need to tense the abdominal muscles. It ends with a complete loss of the detrusor – the bladder muscles that expel urine.
- When combined with chronic prostatitis, there is pain in the perineum, rectum, fever, discharge of mucus and pus from the urethra.
- Urine changes color, becomes cloudy, there may be drops of blood.
- Sexual function is impaired.
- As the prostate adenoma grows to the triangle of the bladder formed by the mouths of the ureters and the urethra, there is obstruction of the ureters and a violation of the outflow of urine from the kidneys, which ends in a faster development of chronic renal failure. failure and urolithiasis.
The main complications of prostate adenoma:
- Acute urinary retention - requires urgent bladder catheterization.
- As a result of urine stagnation, urolithiasis and inflammation of the kidneys (pyelonephritis), bladder (cystitis) and urethra develop.
- The appearance of blood in the urine.
Chronic kidney failure is a dangerous complication that can lead to death.
Treatment of prostate adenoma
The clinic treats prostate adenoma without surgery, i. e. drug therapy, which is most effective in stage 1 and sometimes 2 benign prostatic hyperplasia.
Surgical treatment of prostate adenoma is performed with decompensation, a large volume of growth of prostate adenoma to the triangle of the bladder. Available in different types:
- starting from an open transvesical adenomectomy - removal of the tumor through the bladder
- ending with minimally invasive methods, when through the urethra with the help of an electric knife, radio waves and laser techniques, the urethra is freed from adenoma tissue or the hyperplastic areas of the prostate are completely removed.
In order not to be immediately offered surgery for prostate adenoma at the first visit to the urologist, it is necessary to undergo an annual examination of the prostate gland, an ultrasound and a PSA blood test.
prostate massage
One of the most common and very effective medical and diagnostic procedures in urology and venereology is prostate massage. This manipulation has long been used by urologists and is familiar to almost all patients with diseases of the prostate gland, seminal vesicles and STIs.
Why is prostate massage used?
Prostate massage can be used in two cases:
for diagnostic purposes for:
- Obtaining prostate secretion for microscopic analysis
- Determining the presence of sexually transmitted infections (chlamydia, ureaplasma, mycoplasma, gonorrhea, etc. ) in the prostate by PCR, PIF, etc.
- Taking material for culture with determination of microflora and sensitivity to antibiotics
- Obtaining subjective data on pain, density, size of the gland - the so-called diagnostic palpation of the prostate.
for therapeutic purposes:
- to free the ducts of the gland from leukocyte plugs and mucus
- to improve blood circulation in the prostate, which leads to better penetration of drugs into its tissue and elimination of congestion
When is prostate massage prescribed?
Prostate massage is prescribed for various men's health problems, for example:
- chronic bacterial and abacterial prostatitis
- chronic vesiculitis - massage the prostate and seminal vesicles
- chronic and slow urethritis
- prostatitis caused by genital infections
- erectile dysfunction and infertility associated with prostate diseases
- with a preventive purpose in the treatment of sexually transmitted diseases in the last stage
Prostate massage is not performed in the presence of acute purulent inflammation of the genital organs!
How is a prostate massage performed?
There are several classic poses for prostate massage.
The most common is the knee-elbow position, when the patient stands on the sofa on his knees and hands bent at the elbow joints, bending at the waist.
In case of diseases of the spine, old age, high body weight, it is possible to place on the left side with legs bent at the knees, brought to the stomach.
When massaging the seminal vesicles, the patient stands with his legs on the couch with his back to the doctor and is in a semi-squatting position.
During the prostate massage, the urologist's index finger is inserted into the patient's rectum and begins to alternately massage the right and left lobes of the prostate, ending with the interlobar groove (isthmus). During this manipulation, which lasts from 30 seconds to 2 minutes, the doctor receives information about the soreness of the gland, its size, consistency, surface, severity of the furrow, and can take the secretion of the prostate for analysis.
During prostate massage, there may be some discomfort, urge to urinate, feeling of pressure in the lower abdomen, penis. In case of severe pain, the massage stops.
It is very important that this procedure is performed by qualified experienced urologists or venereologists so as not to harm the man and not to injure the prostate
Vibromassage of the prostate
Vibromassage of the prostate - the use of vibration, magnetic field and heating in the treatment of chronic prostatitis. This type of physical therapy improves blood circulation and nutrition of the prostate tissue. Vibromassage helps to remove leukocyte plugs from the ducts of the gland. With calculous prostatitis - one of the alternatives to finger massage. The duration of the session is from 10 to 20 minutes.
Prevention of prostatitis
Prevention of prostatitis consists in avoiding the predisposing factors that cause prostatitis, as well as:
- Try not to freeze for a long time, if you have a long stay in a cold room or on the street, take care of the appropriate clothing.
- If you are constipated, use laxatives and don't torture yourself.
- If you have a sedentary job, take a "fitness break" every hour (or at least just get up and walk around).
- Try to have a regular sex life, as this is completely consistent with a person's normal lifestyle and allows you to avoid many problems, not only prostatitis.
- Try to eat regularly and wholesomely, maintain an active lifestyle, not get sick, and finally just think about your health from time to time.
And also do not forget to regularly visit a urologist.