Prostatitis refers to a purely male pathology of the urinary and reproductive systems. The disease can be acute or chronic, manifesting itself differently in each patient. Today, it is a common condition of the genitourinary system. At present, the disease has become much younger and already affects men over 25 years old. In this article we will consider the question: how is prostatitis manifested and its treatment.
Mandatory information
The nature of prostate dysfunction depends on a certain stage of sexual development in men:
- Lesions of the prostate gland in young men are possible. However, such a disease is not considered a separate disease due to the undeveloped gland;
- men who have violent sex lives are more likely to experience prostatitis in the form of an acute inflammatory process; Prostate disease
- in adult men manifests as one of three conditions: benign and malignant tumors, chronic prostatitis.
People who have had any type of reproductive organ harvesting do not have any prostate function.
The prostate is an accessory gland to the reproductive system in the strong half. It is located at the junction of the urinary tract and the ejaculatory tunnel. The importance of the prostate in adolescent males before puberty has challenged research. In an adult, the prostate is responsible for:
- the formation of a secretion that makes seminal fluid less viscous and allows sperm to survive on the way to the egg;
- formation of prostaglandin in the body. It is a component responsible for increasing blood flow to the genitals before an erection forms. It also promotes the production of the hormone testosterone;
- is responsible for the high rate of sperm release during ejaculation, and also participates in the onset of the final moment of intercourse associated with the peak of intimate pleasure;
- using reflexes does not allow penetration of urine into semen during intimate relations.
The prostate is an organ that is poorly protected from pathogenic microbes. It directly depends on the pathological conditions of the pelvic organs. A large flow of blood and lymph, which moves through the vessels of the damaged prostate, leads to the phenomenon of stagnation and edema, thereby aggravating the inflammation. The gland contains a large number of nerve fibers, so the pathology manifests itself in pain.
Prostatitis is an inflammatory lesion of the prostate. The most common cause of this disease is pelvic infections. But the trapped infection itself is not capable of causing inflammation; this requires the presence of predisposing factors. This category includes:
- measured lifestyle (people with sedentary work are at risk);
- regular bowel movement;
- numerous hypothermia;
- too active intimacy and long periods of abstinence;
The prostate is a small organ and weighs around 20-25 grams. But the secret of the gland has the ability to have a bad effect on microbes, therefore, inflammation of the prostate occurs during stagnation, then the secret loses its bactericidal property.
Manifestations of prostatitis
There are two stages of the disease:
The acute form is manifested by the stronger inflammation of the prostate. The patient has a fever of up to 39 degrees, there is pain in the groin area and in the process of excretion of feces and urine from the body. These are the first characteristic symptoms of prostatitis.
In a chronic course, these symptoms are alleviated, therefore, many men do not pay attention to the characteristic manifestations of the disease. The patient may have a temperature rise of up to 37 degrees, painful sensations during urination and defecation. However, the main symptom of chronic prostatitis is the discharge of a small amount of mucous or purulent contents from the urethra.
Predisposing factors
There are 6 first symptoms of prostatitis - this is a failure of the deurination process due to complicated urine outflow from the bladder when the urethra is compressed by the enlarged prostate (dysuria syndrome):
- excretion of urine drip;
- painful sensations;
- jet of urine without pressure and not more than 20 cm;
- discontinuity of the jet;
- frequent deurination at night;
- feeling of incomplete emptying of the bladder.
Important! It is forbidden to diagnose prostatitis when these symptoms are detected without a thorough examination. This disease has a very complex process of creation and development, which includes various mechanisms.
Do not treat a disease based solely on clinical manifestations. You should immediately contact a specialist for an accurate diagnosis and the prescription of therapeutic measures. Diagnosis and therapy are prescribed taking into account the organs and systems affected by the disease. In some cases, you need to consult other specialists.
Signs of illness
Prostatitis can manifest itself as an acute form of the inflammatory and chronic process. The acute course is characterized by inflammation of the mucous membrane, follicle and parenchyma, but they should not be confused with the symptoms of prostate adenoma. And chronic - is manifested by concomitant ailments.
Symptoms of prostatitis in men, identified by clinical and functional examinations:
- Frequent urination
A normal man may want to eat up to 12 times a day, usually 5 times. The volume of urine in a healthy patient per day is 1-2 liters. Desires for deurination in a healthy man arise when the bladder is filled with a volume of 120-170 ml. An accumulation of urine of more than 350 ml creates the strongest urge to urinate.
In the inflammatory process, the walls of the bladder are systematically irritated and the deurination becomes:
- is not uncommon, although the amount of urine is within normal limits;
- in small quantities: the products of the inflammatory process irritate the receptors of the bladder, and there are false urges to urinate, a feeling of full bladder, after it is emptied, a feeling of fullness remains;
- painful due to a narrowing of the urethra;
- difficult due to compression of the urethra by the gland, sometimes manifested by the inability to empty the bladder when it is overcrowded;
- frequent at night;
- temperature.
As a rule, the temperature rises from 37 to 38 degrees. At the initial stage of sepsis with purulent inflammation of the gland, the temperature rises by more than 39 degrees. At the last stage of septic shock, the temperature, on the contrary, drops to 35 degrees. Low temperatures pose a threat to human life due to platelet coagulation disorders. The course of prostatitis with complications of sepsis is unfavorable.
- Blood in the urine
It is quite rare, but it is a dangerous sign of the progression of the disease. It is almost impossible to stop constant bleeding. There are several reasons for the development of hematuria:
- with perforation of the vessel in the urethra;
- trauma suffered during the research;
- malignant hyperplasia;
- pain.
Inflammation of the prostate with an associated complication is accompanied by constant pain. It can rarely be intermittent. Most often, the pain is dull or aching and manifests in the perineum and anus.
Laboratory methods
Named to clarify the stage of the disease:
- Blood test. With the prostate, an increased content of leukocytes is detected, an increase in the rate of sedimentation of erythrocytes and a shift of the leukocyte formula to the cutting cells;
- Urinalysis. Determines the purulent content of urine and the presence of bacteria. A 3-jar study is used: 3 portions of urine are taken at the start, middle and end of deurination. Numerous urine studies with an interval of several days reveal a change in the bacterial flora;
- Bacteriological blood culture. It is prescribed for developing blood poisoning with a daily temperature fluctuation of 3-5 degrees.
Instrumental research
- Ultrasound scan through the rectum. Clarifying the diagnosis is the most informative method. This study has contraindications.
- X-ray method. Before the examination, a contrast agent is injected into the bladder.
- Excision of a piece of tissue for microscopic examination is used for limited indications.
Reasons for prostatitis
Experts identify several classifications of why a man might have prostatitis:
- complication of symptoms of any disease that has affected a person before or a negative effect of gynecological diseases in a partner;
- urethral reflex. The failure of the prostate to function is hampered by the inability to stop the backflow of urine. When this fluid reaches the genital tract, it is called a urethral reflex. Subsequently, a bacterial seeding of the gland is formed. Such a disease is a consequence of inflammatory processes in the urethra or improper insertion of the catheter. There is also an expansion of the lumen of the urethral canal;
- an unusual intimate way of life. If a man has a significant increase or decrease in the number of sexual relations, this can contribute to the development of prostatitis. The constant delays in ejaculation are also of concern;
- plug of venous blood in the genitals of the pelvic region. This occurs in the absence of a sufficient number of active movements, sports;
- hormonal disorders caused by low production of hormones formed in the gonads. Due to this pathology, general malaise of the skeletal and smooth muscles and other ailments occur.
Types of prostatitis
There are two divisions of this disease: bacterial and non-bacterial.
The first type is characterized by the fact that the disease results from the presence of pathogenic microbes that have entered the body from the external environment. Staphylococci, streptococci, Escherichia coli and many others fall under the category of harmful microorganisms. In addition, this classification of prostatitis includes cases when the disease is caused by a transferred disease transmitted by sex.
For the second non-bacterial species, there are also several divisions:
- Congestive prostatitis. In this case, the disease of the gland is caused by congestion in the pelvic area. This result is usually led by incomplete ejaculation, excessive number of acts of intimacy, long abstinence, incomplete sexual intercourse.
- Sclerotic prostatitis. It is characterized by a decrease in the size and function of the prostate. There is a thickening of the tissue membrane due to the death of prostate cells and their degeneration into hard connective tissue. The reasons for this type are frequent defecation disturbances in the form of obstructed and slow defecation, taking certain drugs and many infections. This type of inflammation of the prostate is incurable.
- calculous prostatitis. With this type of inflammation, the presence of stones in the gland is revealed. Having reached a large size, they cause severe pain in the urethra. Therapy consists of removing stones by surgical or therapeutic methods.
- Prostatodynia. It is characterized by the presence of constant pain in the pelvic region, the causes of which have not been studied. Presumably, it can be caused by backward flow of secretions, disease of the neck of the bladder, damage to the muscle tissue between the anus and the genitals, and a psychological factor is also possible.
- Atypical prostatitis. The patient may complain of pain in the lower limbs, lumbar region and sacrum, which is not present in the typical forms of prostatitis. The result of treatment is directly related to the duration of the course of the disease, the presence of complications and the severity of the inflammatory process.
If the treatment is started at the wrong time or if there is a repeated exacerbation of prostatitis, the inflammation turns into a severe form, which is fraught with serious complications: decrease in potency, incapacityto conceive, depressive conditions, severe pain, prostate adenoma in men.
Complications
Everything will directly depend on the age, immunity, bad habits and speed of treatment. So, in the elderly with a weakened immune system, complicated by excessive consumption of products containing alcohol, the consequences will be very serious.
Action on the power. The damaged gland reduces the production of hormones responsible for the appearance of an erection. Complications are lack of fullness of sensation during intimacy, poor ejection of seminal fluid, signs of prostate adenoma in men, and impotence.
Influence on the conception of a child. An inflamed prostate dramatically reduces the production of normal secretions needed for sperm activity in female reproductive organs for fertilization. The secret, getting into the girl's birth canal with privacy, is exposed to immune rejection, which leads to the inability to fertilize the egg.
Other complications. With an exacerbation of prostatitis, the risk of pus accumulation in the tissues of the gland increases. Pain with prostatitis increases. When a secondary infection is attached, the epithelium melts, followed by the appearance of a capsule near the inflammation. In addition, the consequences include an acute form of urinary retention, urolithiasis, the appearance of prostate adenoma in men and others.
Intimacy with inflammation
The main causes of prostatitis have already been proven to be lack of sex with increased excitability or excessive sexual activity. Regular ejaculation with normal frequency has a beneficial effect in the early stages of prostatitis. In some procedures and stages of the disease, it is temporarily forbidden to engage in privacy. More detailed information can be found in consultation with a specialist.
Important! During the treatment of prostatitis, you can have sex, but only in safety and moderation in the relationship, unless otherwise prescribed by the doctor.
Prostatitis is a purely male disease. But the inflammation of the gland poses a risk to the health of the partner. This poses a threat to conception and the bearing of an unborn child. A healthy lifestyle and reliable contraception are an effective way to protect partners from complications.
Treatment of prostatitis
It is possible to make a full recovery and stop the further development of the disease only with a timely referral to a specialist. In this case, you will get a positive result. When irreversible changes appear, it is not possible to completely get rid of the disease. As a rule, repeated inflammation occurs with a transition to a chronic type.
Along with drug treatment, an important point is whether the patient is ready for a lifestyle change (for example, irregular intimate relationships or a sedentary lifestyle). If the patient does not want to change his usual way of life, the disease will soon make itself felt again. It is precisely with the fact that the patient does not want to change these negative factors, and the concept is related that prostatitis cannot be treated.
Treatment options, its duration will be prescribed by a specialist after a full examination and establishment of the cause of the event. Antibiotics are the main medicine used during treatment. Vitamins, physiotherapy, pain relievers and anti-inflammatory drugs are also recommended. Exacerbation of prostatitis takes a longer period of treatment.
Diet
With the right diet and the use of certain foods, you can achieve:
- reduce pain;
- improving the movement of blood and lymph in the vessels of the prostate;
- strengthen the immune system;
- normalization of bowel function;
- reduced urine output at night.
The following foods should be excluded from the diet:
- Coffee and spicy foods - increase blood flow to the prostate, increase pain.
- Fats, fatty meats, eggs, flour products - increase the formation of cholesterol plaques on the walls of blood vessels, reduce the movement of blood flow.
- Alcoholic products - lowers the body's immune system.
- Food with coarse and salty fibers - violates the undulating contractions of the intestinal walls.
- Excessive Fluid Intake (especially at night) - increases fluid content in the body, resulting in puffiness.
Recommended foods: fresh vegetable salads with olive oil, fruits, boiled lean meats, vegetables, fruit juices and nuts.
Prevention
Recommended:
- walk with a wide step (physiological walking);
- rational nutrition;
- healthy lifestyle;
- use of male contraceptives;
- moderate privacy and more.
Conclusion
You don't need to wait for disease to appear, but you need to see a doctor once a year for preventive purposes. Treatment of a secondary exacerbation of prostatitis is much more difficult and time-consuming, and also has its own complications.
In this article we have learned how prostate inflammation manifests itself, and what pains there are with prostatitis, how to treat this disease.