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prostatitis

symptoms and signs of prostatitis

Prostatitis is an acute or chronic inflammatory disease of the prostate gland. The acute form is characterized by pronounced symptoms. In the absence of adequate therapy, it becomes chronic. This variant of prostatitis is less curable, it can lead to malignant degeneration of the gland tissues.

At the medical center, every man 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 the doctor. Experienced urologists of the highest qualification category will prepare an individual treatment plan that takes into account the characteristics of each clinical case.

About the 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, but by reducing efficiency, affecting the patient's neuropsychic sphere, limiting freedom, prostatitis significantly worsens the quality of life.

Inflammation of the prostate can occur as a separate pathology or be combined with an adenoma or cancer of this organ.

Kinds

In 1996, a classification was developed, according to which there are 4 categories of prostatitis in men:

  • Acute prostatitis.
  • Chronic bacterial prostatitis.
  • Chronic inflammation of the prostate gland of a non-bacterial nature.
  • IIIA. In the presence of signs of inflammation (leukocytes and any microorganisms are found in the secretion of the prostate gland).
  • IIIB. Chronic non-bacterial prostatitis without an inflammatory component (there are no leukocytes and microorganisms in the prostate secretion).
  • Chronic asymptomatic prostatitis (a person does not complain, but leukocytes are found in the secretion of the prostate gland).

Symptoms of prostatitis

Depending on the form of the disease, prostatitis can appear suddenly, manifest with bright clinical symptoms, or continue with alternating periods of exacerbation and remission.

Common signs of prostatitis in men:

  • varying intensity of pain in the perineum, radiating to the groin and sacrum;
  • backache;
  • urination disorders (pain at the beginning of the act and during its duration, intermittent stream of urine, possible droplet urination, frequent urges);
  • reduced potency and libido;
  • painful ejaculation;
  • pain after intercourse;
  • erectile dysfunction;
  • intoxication syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.

It is not necessary that all these symptoms are defined by the same person - perhaps a different combination of them. In exacerbation of chronic prostatitis, as a rule, they are less pronounced than in the acute form of the disease, and in remission they are practically not determined. Disorders of sexual function often occur in men suffering from chronic prostatitis for more than 5 years.

Neglecting prostatitis increases the risk of developing prostate adenoma and cancer, infertility, impotence, which is difficult to treat. 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 that stops the pathological process.

Causes of prostatitis

Classify infectious and non-infectious causes of prostatitis.

Acute infectious prostatitis is caused by bacteria, more often - Enterobacter, Escherichia coli, Pseudomonas, Proteus and sexually transmitted infections, less often - Mycobacterium tuberculosis. The spectrum of microorganisms that can cause an exacerbation of chronic prostatitis is much wider and can include both opportunistic and atypical (candida) infections.

The microorganism enters the prostate gland from the urethra, bladder, less often with blood or lymph flow from distant foci of infection.

Factors that increase the risk of developing the disease:

  • STDs;
  • chronic infectious diseases localized at a distance (caries, sinusitis, lung abscess);
  • congenital and acquired immunodeficiencies;
  • manipulations and operations of the pelvic organs;
  • prostate biopsy;
  • a sedentary lifestyle accompanied by blood stagnation in the pelvic area;
  • promiscuous sex life;
  • same-sex contacts.

The causes of non-infectious forms of prostatitis are not fully understood. It is believed to be associated with stagnation of secretions in the prostate gland due to impaired venous outflow from the pelvic organs. The vessels of the prostate overflow with blood, swell, all the functions of the gland are disturbed, signs of inflammation appear. Risk factors for the development of this form of prostatitis are:

  • autoimmune processes (attack by antibodies on the prostate cell body);
  • prolonged lack of sexual activity;
  • prolonged or interrupted sexual intercourse;
  • sedentary way of life;
  • adverse working conditions (impact of vibrations);
  • chronic intoxication with certain chemicals;
  • spinal cord injury;
  • hemorrhoids;
  • constipation;
  • androgen deficiency in the male body.

Diagnosis of prostatitis

Prostatitis is diagnosed based on the patient's complaints, examination data, anamnesis and the results of additional tests. To detect the disease, apply:

  • general and biochemical blood tests;
  • examination of prostate secretion;
  • analysis of biological fluids for urogenital infections;
  • transurethral ultrasound of the prostate (TRUS);
  • prostate specific antigen test;
  • determination of testosterone levels;
  • Urinalysis.

Treatment of prostatitis

Upon establishing the diagnosis, the man is prescribed complex medical treatment. It includes antibacterial drugs, enzymes, herbal drugs, immunomodulators. If the patient follows all the recommendations of the urologist, the treatment of acute prostatitis on an outpatient basis leads to a complete recovery. Conversely, the violation of the therapeutic regime leads to the appearance of highly resistant forms of microorganisms that cannot be destroyed by traditional antibiotics. As a result, inflammatory and dystrophic processes worsen, the disease becomes chronic.

Chronic prostatitis is difficult to treat. It requires an integrated approach with the appointment of a long course of treatment and special treatment procedures. Urology specialists at the clinic prepare an individual therapeutic plan for the patient, which includes:

  • antibiotic therapy for up to one month;
  • angioprotectors;
  • enzyme treatment;
  • non-steroids that stop the inflammatory reaction;
  • immunomodulating treatment (selected by an immunologist);
  • prostate massage;
  • instillations in the urethra, if the inflammatory process is localized in the urethra;
  • physiotherapy.

The patient can receive treatment in a hospital or an outpatient clinic. In the first case, the chances of a positive result increase because the man strictly follows the regimen, follows all the doctor's prescriptions and is under strict medical supervision.

In case of complications of prostatitis (suppuration of the seminal vesicles, abscess of the prostate gland), a man may be shown surgical treatment.

Physiotherapy treatment

The specialized center has installed unique modern devices for local effects on the prostate. Physiotherapy increases the effectiveness of complex treatment, reduces the resistance of microorganisms to antibiotics and removes congestion in the body. To treat prostatitis, experienced doctors use:

  • "Apparatus for a complex effect on the prostate and pelvic muscles, accelerating the treatment of prostatitis and relieving its symptoms. The therapeutic effect is due to electrostimulation, laser and magnetic radiation. It improves the drainage of the gland, activates blood circulation in the small pelvis, eliminates the inflammatory process and improves the penetration of drugs into the tissues of the organ.
  • Device for vacuum massage, restores vascular trophicity of the cavernous bodies of the penis and improves blood circulation in the pelvic organs. It is used to treat prostatitis associated with obvious erectile dysfunction, as well as in the complex treatment of impotence. Eliminates the causes of traffic jams, becausetones blood vessels.
  • Device for local heating of the prostate. Heating the tissues to 39-42°C inhibits the reproduction of microorganisms, starts metabolic processes in the prostate and improves its blood supply. It is used to treat various forms of prostatitis.

A modern clinic helps men to cope with chronic prostatitis in the shortest possible time. Experienced specialists will definitely determine the causes of the pathology and choose an effective treatment. By signing up for physical therapy, you will speed up recovery, quickly get rid of pain and discomfort.

Prevention

Specific prevention of prostatitis in men has not been developed. Non-specific measures include compliance by the patient with a number of recommendations:

  • drink enough fluids;
  • do not tolerate if you want to go to the toilet, regularly empty the bladder;
  • have an active sex life;
  • avoid hypothermia;
  • avoid hypodynamia;
  • observe the rules of intimate hygiene;
  • timely treatment of urogenital infections and any other infectious diseases of the body;
  • reduce the amount of spicy foods, caffeine, alcoholic beverages in the diet, as they have an irritating effect on the urinary tract.

Rehabilitation

In a short time, an active lifestyle, compliance with the recommendations of the attending physician regarding maintenance therapy and proper nutrition will help a man recover from acute or exacerbation of chronic prostatitis in a short time.

To avoid stagnation of blood in the pelvic organs, a person should move more, and if his work is associated with a lack of physical activity (for example, a long stay behind the wheel) - whenever possible, get out of the car and move, visit the gym.

Properly organized nutrition will speed up recovery and reduce the risk of exacerbation of the disease. It is important to consume a large amount of plant foods - vegetables, oils, as well as dairy products and fiber.

Questions and Answers

Which doctor should I see if I suspect prostatitis?

The urologist deals with the diagnosis and treatment of prostatitis.

Is it possible to completely cure prostatitis?

Depending on what form of the disease occurs in a particular patient. Acute prostatitis, if a person consults a doctor in a timely manner and follows all treatment recommendations, can soon pass without a trace. Chronic prostatitis, alas, cannot be cured. However, the correct treatment tactics and the man's responsible attitude to the problem will significantly increase the chances of achieving a long-term stable remission.

Chronic prostatitis can be defeated! To receive quality care, do not delay treatment.