Prostatitis in men

Healthy prostate and prostatitis

Prostatitis in men belongs to the andrological group (exclusively male), urogenital pathologies.The disease takes place in the form of acute or chronic inflammation.This is the most common urological disease today.It was previously believed that it only appeared at the age of 45 to 65, now, more often the diagnosis of prostatitis, doctors are 20 to 30 years old young people aged 20 to 30.The disease was significantly "younger".

The nature of damage to the prostate gland depends on the sexual gabitus of a person.

  1. The defeat of the prostate gland in boys, until their puberty, can theoretically be, but inflammation of the unlikely gland is not considered an independent disease.
  2. In men leading an active sex life, prostatitis often takes place in the form of acute inflammation.
  3. The pathology of the gland, in mature and elderly people, can manifest itself in the form of three independent diseases (chronic prostatitis, adenoma - benign hyperplasia, adenocarcinoma - malignant hyperplasia).
  4. In castration (chemical, physics, radiation), iron is atrophied.

Prostate iron (prostate) is the subordinate plate of the male genital zone.It is located on the anastomic of the urethra and the vitreous conduits.The value of the gland, before puberty, is little studied.A mature man has a prostate iron:

  • He produces a secret that loses sperm, provides the viability of sperm in a woman's sexual ways;
  • Produced prostaglandins, substances contributing to an increase in blood supply to the penis before the start of an erection, as well as testicles, are involved in the production of hormonal testosterone;
  • Provides a rapid evacuation (release) of the sperm of the urethra and participates in the formation of orgasm;
  • Thanks to reflex mechanisms, it prevents urine from penetrating sperm during sexual excitement, participates in a complex erection mechanism.

Prostate is a vulnerable organ for pathogens.It is inevitably involved in the pathology of the walls of the urethra, the bladder and the erytromes of the conduits.A powerful blood flow, the lymph, circulating along a vast vascular system of the damaged gland, causes the phenomena of stagnation, edema of the organ, aggravates pathology.The iron is well innervated, the damage is accompanied by pain.

What should men know about prostatitis

Prostatitis is an inflammatory disease of the prostate gland (prostate), most often caused by an infectious agent entering the prostate of the urethra, bladder and a neighboring rectum.However, infection in itself does not mean the development of the disease, for that, as they say, a "favorable combination of circumstances" is necessary.

What factors predispose prostatitis:

  1. Long -term sitting work and sedentary lifestyle.The risk group includes drivers, programmers and all those who spend their working day without getting up a chair to walk and stretch.
  2. Regular violation of the stool in the form of constipation.
  3. Strong or repeated hypothermia of the whole organism.
  4. Excessively active sex life or prolonged abstinence.Both are in no way useful for the normal operation of the prostate gland.
  5. Over-feeding, abuse of spicy foods and alcohol, constant stress.

The prostate is a very small organ of 3 and a width 4 cm long.It only weighs 20-25 grams.However, the prostate secret has bactericidal properties, so that the inflammatory process in the gland can only develop if there is congestion in this organ, when its secret loses its properties.

How prostatitis manifests in men

Distinguish chronic and acute forms of prostatitis:

  • Symptoms of acute prostatitis are characterized by severe inflammation in prostate.In this case, the patient has severe heat (body temperature increases to 38-39 degrees), pain in groin and perineum, painful urination and defecation.
  • Chronic prostatitis less worried a man, so he may not pay attention to the characteristic signs.The patient is occasionally rising to 37 degrees, sometimes he is concerned about unpleasant sensations when he goes to the toilet, a little mucus or the urethra is released.Such an outing is one of the typical signs of chronic prostatitis.

Signs of prostatitis in men

Six signs (preCarts) of prostatitis are distinguished - Dysuria syndrome.Use as clinical markers conditionally.However, the presence of two of the six symptoms - an opportunity turns to an urologist.

  1. A flow of urine slopes down or its range is less than 20 cm.
  2. Difficult, abandoned, urinate.
  3. Pain during urination.
  4. Intermitation, bifurcation, spraying of the jet, duration of the process.
  5. A feeling of not being to empty the bladder.
  6. The farm distant from the night.

It is strictly prohibited to draw clinical conclusions when identifying these characteristics.Prostatitis has a complex pathogenesis, with the inclusion of various mechanisms.You cannot treat the disease, focusing on general clinical symptoms.Contact the urologist, to determine the symptoms, the nature of the damage, the stage of the disease and the prescription of the treatment.The diagnosis and treatment are carried out taking into account the organs and systems involved in pathogenesis.In some cases, the consultations of a venereologist, a surgeon and an oncologist are necessary.

Symptoms of prostatitis in men

Prostatitis can occur in the form of acute and chronic inflammation.Acute forms develop by the type of catarrhale, follicular and parenchymal inflammation.The manifestations of chronic prostatitis are associated with a concomitant disease.

Symptoms of prostatitis, detected by clinical methods and functional tests.The following symptoms are of the greatest importance in recognizing the nature of the pathology, causes and mechanisms of the protective reactions of the body.

  • Frequent urilation with prostatitis.In a healthy person, the maximum number of utmost environments does not exceed 10 to 12 times a day, generally 4 to 5 times.The daily volume of urine in an adult of a healthy person is 1000 to 2,000 ml.The volume of urine in which demand occurs is 120 to 170 ml, the accumulation of urine of more than 350 ml causes a strong desire to empty the bladder.Prostatitic inflammation products constantly irritate receptors in the walls of urinary organs, following which urination:
    • Frequent urination (pollakiuria), while daily urine is not increased;
    • The urination in small portions, the inflammation products are provided to the receptors of false signals concerning the filling of the bladder half empty, after the emptying, the feeling of its fullness remains;
    • Painful (wandering) urination, due to the narrowing of the urethra with a fiery prostate;
    • Difficulty urinating due to the compression of the urethral section with a fiery gland, sometimes prostatitis is accompanied by the inability to empty the bladder (Ishuria);
    • Mining at night (nicture), the irritated walls of the bubble give a constant signal for the production of urine.
  • Temperature with prostatitis.A characteristic increase in body temperature to the subfue and febrile value is characteristic.The high temperature accompanies purulent prostatitis at an early stage of septic shock.At the late stage of septic shock, on the contrary, a reduced temperature (hypothermia) is characteristic of 35-36 ° C. The low temperature is dangerous for a person due to the trend of blood platelets to disseminate intravascular coagulation (DIC syndrome).The prognosis of prostatitis complicated by sepsis, in the presence of an internal combustion engine syndrome, is prudent or unfavorable.
  • Blood in the urine with prostatitis.The symptom of hematuria (blood in the urine) is rare, but very dangerous, a sign.Persistent bleeding is difficult to stop.Several causes of hematuria are distinguished by prostatitis, in particular:
    • Maisse purulent of the gland with a section of the blood vessel and the sampling of the vessel in the urethra;
    • accidental injury during instrumental studies on genitarinian bodies;
    • Prostatitis, complicated by hyperplasia, is more often malignant.
  • Pain syndrome.Complicated prostatitis is accompanied by pain outside the urination.Sometimes the pain manifests periodically, for example, during defecation.The cause of pain is constant irritation of the gland with inflammation products.Often note dull pain (painful) in the perineum and anus.

Laboratory studies confirming the symptoms of prostatitis.They are used to clarify the presence of inflammation, determine the severity of the inflammatory and septic process.

  • General blood test.The indicators confirming prostatitis are: an increase in the number of leukocytes, the leukocogram moves in the direction of increasing the number of rod blood cells, an increase in ESR.
  • Urine analysis.Reveals hidden piuria (pus in the urine) and bacteriuria (bacterial obstruction) in the first part of the urine.The three glasses method is used to identify the pus and the bacteria hidden at the beginning, in the middle or at the end of the urination.Several, with a frequency of several days, a bacteriological study of urine is carried out to determine a change in the species belonging to the bacterial flora.
  • Blood sowing tank.The method is indicated for the symptoms of progressive septicemia, accompanied by an exhausting (hectic) fever.
  • The study of the cellular link in immunity with prostatitis completes the idea of the nature of pathogenesis, to predict the probability of sepsis development.

Instrumental methods used to clarify the symptoms of prostatitis.The following methods have diagnostic value.

  • The transrectal method (through the rectum) of ultrasound (Truzi).Its high diagnostic value.The method has contraindications associated with the prohibition of gland massage at certain stages of the disease.
  • X -ray pictures with the bladder.Choose practical projections for prostate search.Before the image, an urographic is introduced into the bladder - an inert radiocontractic substance for the body.
  • The prostate puncture biopsy has strictly limited indications for prostatitis.

Causes of prostatitis in men

There are several groups of causes of prostatitis, including:

  1. The complication of men (PPP infections, cold inflammation of pelvic organs, complicated by staphylococcal organs, other bacterial infections, viral and fungal agents, in particular in the context of reduced immunity and the general resistance of the body), chronic gynecological infections in a sexual partner.
  2. Uretral reflux.Violation of the prostate capacity to prevent the reverse current of the urine, its ingestion is called urethral reflux.Consequently, bacterial contamination of the prostate occurs.Uretral reflux - consequence of an inappropriate catheterization, as well as the previously adopted inflammations of the urethra.At the same time, urethraagie occurs - a pathological increase in the light of the urethra.Uretral reflux - Vesicultural, bacterial contamination is combined with the formation of calculations (stones) in prostate and erystorming channels.
  3. Violation of the pace of sexual activity, including absence or excess sex, regular delay in ejaculation.
  4. Stagnation of venous blood in the genitarinian organs of the small men's basin - a consequence of a sedentary lifestyle (hemorrhoids, sexual life disorder, other causes);
  5. The hormonal imbalance associated with insufficient production of the sexual glands of male hormones, consequently, there is a general weakening of the tone of the skeletal and smooth muscles, the violation of the erectile function and other disorders.

Prostatitic classification

Distinguish between bacterial and non -bacterial prostatitis:

  1. Bacterial prostatitis is caused by pathogenic microorganisms that enter the gland of prostate from the outside.These include streptococci, staphylococci, E. coli, proteus and others.Many bacteria are the usual flora of our body, but under certain conditions, they enter the prostate and cause an inflammatory process.Prostatitis can also develop as a result of sexual diseases such as chlamydia, ureaplasmosis, gardnerellosis, trichomonase, gonorrhea, mycoplasmosis.
  2. The non -infectious prostatitis group includes:
    • Congestic prostatitis (stagnant).It is caused by stagnant phenomena in the basin.Incomplete ejaculation, sexual excess, prolonged abstinence, interrupted sex - all this contributes to venous stagnation in the pelvic organs.
    • Sclerotic prostatitis.It is characterized by a decrease in the size and functions of the prostate gland, the compaction of its tissues following the death of the prostate cells by their sclerotic replacement tissue.One of the reasons for the development of this form of the disease is frequent constipation, taking certain drugs, several infections.Such prostatitis, unfortunately, should not be treated.
    • Calcular prostatitis.The result of the development of calculating prostatitis is the presence of phosphate and oxalate stones in the gland.Reaching large sizes, they cause strong pain in the urethra.The treatment technique consists in dissolving formed stones.
    • Prostatopote prostatopotic.This disease causes chronic pain in the basin, but its etiology has not been entirely studied.It is believed that it can be caused by an inverted current of secrecy, from damage to the muscles of the perineum, a pathology of the neck of the bladder and psychological factors.
    • Atypical forms.In an atypical form, the patient can complain about pain in the legs, lower back and sacrum, which are unusual characteristic symptoms of prostatitis.The result of treatment depends on the duration of the disease, the activity of inflammatory processes, the presence of complications.

If you do not engage in the treatment of prostatitis, then in a neglected form, this leads to a decrease in power, infertility, depression, exhausting pain in the perineum and other complications.

What is dangerous prostatitis, the consequences of prostatitis

The consequences depend on age, the state of the immune system, the presence of bad habits.Thus, in people from an older age group, with weakened immunity, having alcoholism, drug addiction and acquired immunodeficiency syndrome, the consequences of the disease are more difficult.

  • The effect of prostatitis on power.The damaged gland, with decompensation of functional activity, reduces the production of substances involved in the formation of an erection of the sexual organ of a man.The consequence of prostatitis is a slow emission of seed fluid during sexual intercourse, a decrease in the exhaustiveness of sensations during sexual intercourse, in advanced erectile dysfunction forms.
  • The effect of prostatitis on design.The damaged prostate greatly reduces the activity of the production of a quality secret necessary to maintain the activity of sperm in the birth channel of a woman.The secret of the ignited prostate gland, entering sexual contact in a woman's family ways reacts with the immune rejection of the female body, the development of gynecological diseases and the impossibility of design.
  • Prostatitis causes damage inside the gland and the body.Inflammation complicated by microflora increases the risk of prostate abscesses.ABSCSING - Purulent mixture of part of the parenchyma of the gland with the formation of a capsule around the hearth.The disease with the formation of mineralized calculations in the cavity - a consequence of the prostate complicated by the damaged reflux the prostate.The consequence of prostatitis is also: acute ishuria, urolithiasis, renal failure, inflammation of the genitorerinary organs and other diseases.

Is it possible to have sex with prostatitis

It is proven that dysritomy of intimate life is one of the causes of the inflammation of the gland.Regular ejaculation with a moderate frequency, positively affects the pathogenesis of prostatitis with subclinical and moderate clinical manifestations of prostatitis.Certain therapeutic manipulations and stages of the disease suggest a temporary ban on sex life.Detailed recommendations must be obtained from the attending physician.Have sex with prostatitis, observe moderation and security of intimate life.

Is prostatitis sexually transmitted?Prostatitis is a purely male disease that has no specific viral, bacterial origin.Meanwhile, inflammation of prostate is a danger to gynecological health.The liquid of seeds containing inflammation products, falling into the female genital organs, in the middle of a decrease in protective barriers of the birth channel - a real threat of design and carrying the fetus.A healthy lifestyle and reliable male contraception is a simple way to protect sexual partners from mutual problems.

Is it possible to recover from once and for all prostatitis

Most men who have followed prostatitis treatment are interested in a question - is it possible to get rid of this unpleasant disease forever.According to experts, the effectiveness of treatment largely depends on the presence and severity of the irreversible consequences in the prostate.It can be scars, stones, calculation.

The subsequent development of the inflammatory process can only be stopped in the first stages only in a timely manner of a doctor.In this case, no irreversible complications in the prostate develop and it is possible for a complete remedy.When sections of sclerotic tissue have already formed - scales, there are calcines and small stones, which can no longer get rid of reflammation, then, most likely, a reflammation can occur.This is chronic prostatitis.

In addition to treatment, an important factor to overcome this disease is also the way the patient is ready to change his old lifestyle - an irregular sex life and a constant seat on a chair.If he does not want such changes, then with a great degree of confidence, we can say that soon the inflammatory process will return.It is with the patient's non-preparation to exclude these negative factors from his life and the idea that prostatitis is incurable.

The duration, the treatment regime is determined by the doctor on the basis of the results of physics, laboratories and instrumental studies.At the heart of prostatitic therapy, antibacterial drugs.The use of vitamins, physiotherapeutic procedures, anti-inflammatory drugs, pain relievers, antibiotics is shown.

Diet for prostatitis

Compliance with the diet, the use of a certain set of products:

  • reduces pain
  • improves blood and lymphatic microcirculation in the vessels of the gland,
  • strengthens body protection functions,
  • normalizes the work of the intestines,
  • Reduces urine at night.

Prostatitis products.Exclude from use:

  1. Strong coffee, sharp dishes - Improve blood flow to the gland, stimulate pain;
  2. Fatty, oily meat, eggs, flour - improve cholesterol deposit on the walls of capillaries, reduces microcirculation of blood flow in the gland;
  3. Alcohol - Reduce immunity;
  4. Products containing coarse fibers, savory and spicy products - modify intestinal motility;
  5. A large amount of liquid (in the evening), salty, salty, smoked products (during the period of disease) - increase the volume of liquids, delay it in the body.

It is advisable to include in the diet: plant salads seasoned with olive oil, vegetables and cultivated fruits in the residence region, natural juices, nuts, dried fruits, weak boiled meat.A set of prostatitis products can be clarified by a doctor of a nutritionist.

Preventive measures

Prevention is based on simple rules, to respect them is simple.

  • Make a big step (this walking style is the most physiological);
  • Eat properly, lead a healthy lifestyle;
  • Use men's contraceptive.

To avoid the development of prostatitis and its complications, with any disease of the genitals, you must immediately contact the urologist.It is also not necessary to wait for symptoms to appear, and at least once a year to seem to the doctor himself.In a medical institution, you will undergo, examining and you will know with certainty that your health in the genital sphere is good.

Do not delay the visit of the urologist and those who suffer from constipation, alcohol abuse, spicy and smoke food, those who do not actively have sports and who had a history of sexually transmitted diseases.Due to the high risk of the disease, these people should undergo a compulsory examination, even if there is no testimony on this subject.

As you know, men are not lovers to walk in doctors and when it is already unbearable, it turns out that the disease has followed a chronic course.But the processing course could have passed much earlier.Now, with chronic prostatitis, you will have to be treated at least 1 to 2 months.