The most commonly inflammation prostatural gland caused by various infections that belong from the bladder, urethra or rectum.Prostatitis can also be a complication of tonsilitis, flu, tuberculosis.
Prostatitis treatment requires an integrated approach to solve the symptoms of this disease and avoid complications, you must consult with a doctor, not self-esteem.
What is it?
Prostatitis - inflammation of seeds (prostate) glands - prostate.It is manifested by frequent urination with the addition of blood, pus in the urine, pains in the area of penis, scrotum, rectum, sexual disorder (breach of erection, early ejaculation, etc.), sometimes delayed urine.Maybe I'm abscessing the prostate, the inflammation of the testicles and supplements, which threatens infertility.The rise of the infection leads to inflammation of the upper parts of the genitourin system (cystitis, pilonefritis).
The treatment of prostatitis varies depending on which form of disease occurs in man.Thus, bacterial prostatitis can also occur in acute form and as a chronic disease.Often a non-hard prostatitis is not diagnosed as a chronic disease.Such a variety of prostatitis is also called chronic poultry pain syndrome.In such patients, all symptoms characteristic of prostatitis were observed, but in the secrecy of the prostate there is no bacteria.
Prostatitis is developing with the penetration agent penetration that enters the prostate tissue from the Genitourinary System (urethra, bladder) or from a remote inflammatory focus (from inflammation, flu, tonsilitis, furunculosis).
There are several risk factors that increase prostatitis probability.

Why is the prostatitis develop?
Currently, the reasons for prostatitis development divided into two large groups:
- Contagious(Infections are sexually (penetrator in the tissue pathogen - microbes, viruses, bacteria, fungi, etc.): also the presence of chronic infection focus (chronic tonsilitis, sinusitis, home pathology, etc.).
- Uninfectively (stagnint)(Reduction of immunity, hypothermia, reducing physical activity, sitting sitting lifestyle, long-term sexual abstinence and, vice versa, excessive sexual activity, alcohol abuse, etc.).
It therefore emphasizes that the isolated goal of pathogens in the organ tissue is not always and does not necessarily have to be the cause of disease development.The most commonly determined pathogen is E. coli (86%), then - Klebsielly, Proteus, Enterococci, Pseudomonas Stick.As for streptococci, Staphylococci, chlamydia, mycoplasmas, ureplasms of researchers about their importance in disease development differ.It is extremely rare for the causes of prostatitis that specific pathogens become (pale treponemas, stick koch, etc.).
Classification
For the alleged reason, prostatitis inflammation is divided into:
- Acute bacterial - Pathogenic microflora causes serious damage to the prostate of tissues with a pronounced inflammatory reaction.It is most often developed with infection with gonoscole and other pathogens.
- The chronic bacterial - association of pathogenic or conditionally pathogenic bacteria causes contentious inflammation, of which the activity remains longer than 2 months.As a rule, they are pathogens streptococks, Stafilokoki, E. Coli, Klebsiella, Mycoplasma, ureplapma, chlamydia, herpesvirus and a mushroom in the form of yeast candidates.
- Chronic acacterial - In the presence of the inflammatory process in the prostate, it is not possible to detect the causal-causal microflor.A similar form of the disease is developed when the urine is thrown in prostate channels, stagnation of venous blood in the pelvis, violating its discharge (rare or overchool ejaculation).In the latter case, the disease is called stagnite prostatitis.
Symptoms of prostatitis and first signs
In man, the first prostatis signs are very diverse and involve a breach complex in the seed:
- involuntary urination;
- the occurrence of discomfort and pain during urination;
- Frequent urination;
- painfulness with extended sitting in the Perina;
- A reduction in potency;
- Problems with urination, violation of erection and sexual desire, infertility;
- difficulties in urination, obstacles to obstacles during urination;
- Weak flow during urination;
- The sensation is incomplete by bladder bladder after urinating;
- Inability to erect or decrease in the duration of the erection;
- Libid reduction;
- In some cases, male infertility is the main symptom of prostatitis.
Symptoms of acute prostatitis
There are three phases of acute prostatitis, which characterizes the presence of a particular clinical picture and morphological changes:
- Acute katarchal prostatitis.Patients complain about fast, often painful urination, pain in the cross and perineum.
- Acute follicular prostatitis.The pain becomes more intense, sometimes radiates on the anus, amplifying during defecation.The morion is heavy, urine stream with a thin stream.In some cases, urine delay was recorded.Subfeigrite or moderate hyperthermia.
- Acute parenchymatic prostatitis.General intoxication, hyperthermia up to 38-40 ° C, cold.DiZuric disorders, often acute delay in urination.Sharply, pulsating pain in the perineum.Defense difficulties.
Symptoms of chronic prostatitis
In rare cases, chronic prostatitis becomes the outcome of an acute process, however, as a rule, chronic prostatitis with deleted symptoms is developing primarily.The temperature is occasionally growing on subfeigrile values.The patient with chronic prostatitis notes unpleasant sensations or weak pain in the perineum, discomfort during the act of urinating and defecation.The most recent symptom of chronic prostatitis is a scarce discharge from the urethra during the act of defecation.
It should be borne in mind that the primary chronic prostatitis is developing in a significant period of time.It precedes the prostatosis (stagnation of blood in capillaries), gradually converts into acacterial prostatitis (initial phase of inflammation).
Chronic prostatitis is often a complication of a chronic inflammatory process caused by causation caused by the agent of certain infections (chlamydia, trichomons, ureaplasm, gonoscopes).The symptoms of the specific inflammatory process in many cases mask masked chronic prostatitis.A slight increase in pain during urination, poor pain in the perine, scarlet discharge from the urethra during the defecation.A slight change of clinical picture and fastening chronic prostatitis, the patient often pass unnoticed.
Chronic prostatitis can be manifested by burned sensation in urea and perineum, desser, sexual disorders, increased general fatigue.The consequence of the violation of potential (or fear of these violations) often becomes mental depression, anxiety and irritability.The clinical picture of chronic prostatitis does not always include everything, without exception, the specified symptom group, varies in different patients and change over time.
There are three main syndrome characteristic of chronic prostatitis:
- Diysuran syndrome (urination disorder).
As a result of inflammation in chronic prostatitis, the prostate strengthening strength in the ureter increases.Lumen ureter decreases.The patient with prostatitis has a common urination urine, a sense of incomplete bladder discharge.As a rule, the disregular phenomena is expressed in the early stages of chronic prostatitis.The compensatory hypertrophy of the muscular bladder and ureter is then developed.Dizeria symptoms in this period are weakening, and then re-increases during the decolation of adaptive mechanisms.
- The syndrome of pain in chronic prostatitis.
No pain receptor in prostate fabric.The cause of pain in chronic prostatitis becomes almost inevitable, due to abundant pelvis, involvement in the inflammatory process of nerve trails.
Patients with chronic prostatitis complain about pain of different intensities - from a weak, fearing sleeping intensely.There is a change in pain of pain (improvement or weakening) with ejaculation, excessive sexual activity or sexual abstinence.Pains radiate in the scrotum, cross, groin, sometimes in the lumbar region.It should be borne in mind that the pain in the lower back happens not only in prostatitis.The cause of pain in this area can be osteochondrose and a number of other diseases.
- Sexual disorders in chronic prostatitis.
In the initial phases of chronic prostatitis, the dispositions can be developed, which has been manifested differently in different patients.Patients can complain about frequent ерекце урекце, erased orgasm or erecting erection.Accelerated ejaculation is associated with reducing the threshold of the organic center.The pain for ejaculation can cause the patient to reject prostatitis from sexual activity.In the future, sexual disorders become more pronounced.In the advanced phase of chronic prostatitis, impotence is developed.
The degree of sexual disorder in chronic prostatitis is determined by many factors, including the sexual constitution and the patient's psychological mood.Breaches of potency and dissertions can be caused by both changes in the prostate and the suaging of the patient who, when he discovered chronic prostatitis expects the inevitable development of sexual disorders and motor disorders.In particular, the psychogenic display and desseries are often developed in suggestive, alarming patients.
Impotence, and sometimes a threat to possible sexual disorders, it is difficult to transfer to patients with prostatitis.There is often a change in character, irritability, murmeness, excessive concerns for their health, and even "deviation in the disease."
Complications
As complications of acute and chronic prostatitis occurs through serious diseases and conditions.So, in a man who was ill with prostatitis, the number of male sex hormones can be significantly reduced, which causes a reduction of sexual desire.As a result, a person has constant problems with erection.In addition, difficulties with potent in a man suffering from prostatitis can occur as a result of a series of psychological problems.
Another serious complication of chronic prostatitis is infertility that is noticed in about 40% of patients who suffer from chronic disease form.
Sometimes the formation of stones and pure prostate pure ones are recorded as complications of prostatitis.Another great complication is the sclerosis of prostate: the state in which Iron decreases and stops fully functioning.In this case, the patient is convicted of constant pain, problems for urination, sexual disorders.
The adenum prostate, which is Benign education, is also often developed precisely as a result of prostatitis.With Aden, surgical intervention is inevitable.
The most survives the complication of prostatitis in men is a prostate cancer, which is full of the most serious consequences.
All these complications, as well as direct chronic prostatitis, are significantly worsening the life of a man.That is why the in-time competent prostatitis treatment is extremely needed.
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Diagnostics
Thanks to active agitation and ubiquitous advertising today, even schoolchildren do not know not only about symptoms, but also how to treat the prostate.However, the absence of any sign prevents not only to choose the right medications, but also to diagnose on time.The best way to prevent inflammation is more often visited by a clinic.Therefore, the fact that the diagnosis of prostatitis was carried out during the preventive inspection of urologists.
If there are complaints, an experienced doctor may already doubt the inflammation inflammation and prescribe appropriate tests, including:
- Rectal fingertip overview;
- Excretion analysis and seed liquid;
- Ultrasonic prostate overview;
- Urine and blood analysis;
- Spoiling from the urethra.
How to treat prostatitis?
Prostatitis in men is treated depending on the form of a disease.
Acute inflammation is an indicator for hospitalization of the patient in the Urological Hospital, with chronic patients undergo the course of therapy at home.If the cause of the disease was a sexually transmitted infection, both partners should take antibiotics.
Treatment of acute prostatitis
During acute inflammation, man shows peace, complete abstinence from sex and easily digestible diet.You should reject alcohol, smoking, spicy spicy dishes, preservatives, fatty foods.
Medications used to treat in hospital:
- AntibioticsThe cephalospan series - destructively affects the most famous pathogenic bacteria.The first 5 days are controlled by intravenous, from 5. to 10. days treatment intramuscularly;
- Antiprotozoal and antibacterial agents- accumulate in prostate, are active in relation to the most common pathogenic diseases;
- Anti -inflamatory medications(NSAID) - normalization of body temperature, eliminate pain, stop the inflammatory process.They are prescribed in the form of tablets, rectal candles, intramuscular injections (paracetamol, nimesil);
- Disiduation solutions- Accelerate the excretion of microbial toxins from the body, improve blood microcirculation in the prostate.Intravenous drilling are introduced;
- Blocks α1 adrenergic receptors- Relax smooth muscle fiber prostate, which is why urine restoration is the outflow.Taken inside in the form of tablets.
This is how the basic treatment regimen appears, which doctor adds, if necessary, other prostatitis medications.It is important to fully undergo the course of therapy to reduce the risk of a chronic process.
Treatment of chronic prostatitis
Chronic prostatitis therapy directly depends on which phase disease is located.If the disease deteriorates, then the treatment is similar to the treatment with acute bacterial prostatitis.
When the disease is in the remission phase, man will experience the following symptoms:
- Less painful sensations that occur rarely, but regularly;
- A sense of seriousness in the prostate area, lurbosacral zone, in the genital area;
- In some cases, disseminated disorders are associated: increased urination, pain during bladder discharge, etc.;
- Perhaps the exacerbation of psycho-repossessional welfare, depressed mood on the background of which sexual failures occur.
There are a number of contradictions in question chronic inflammatory therapy.Scientists have not yet come to consensus in this regard whether antibiotics are prescribed or that is not necessary.These experts who insist on taking antibacterial drugs believe that bacterial flora in secret to analysis would simply not be able to get.
Others, and most scientists show that the antibiotic must be taken only if the bacterial flora is isolated.Anakterial prostatitis with a lack of symptoms is not treated with antibacterial means.
Offer the next patient's tactics:
- NSAID item reception.
- Appointment of funds aimed at normalizing the outflow of the lymph and improve blood microcirculation in the organ.
- Receipt of immunomodulatory drugs.
- To remove the erection issues, the use of antidepressants and sedatives is displayed.
- In order to strengthen pelvic muscles, regular physical activity helps to normalize blood circulation.It is best if it is specially compiled by the complexes of the Physiotherapy Exercises.Physiotherapy procedures have good effect-rectal electrophoresis, transectran microwave hyperthermia, UHF, magnetic laser therapy, etc.These procedures help the oval in the pelvis syndrome.
Starting chronic prostatitis treatment at home, you should adjust to the long fight, as it is not always possible to cure it in a few weeks or even a month.It is recommended to combine different methods and tools for therapy, it is useful to improve the therapy of medicinal households.With stall prostatitis, regular sex is required, interrupt sexual acts are unacceptable.
Psycho-immemorial patient's background is important: depression, depression, personal life problems and sexual sphere can deny all the efforts of the doctor.
Physiotherapy and prostate massage
Prostate massage.It is currently one of the main techniques in the treatment of prostatitis.Many experts believe that the treatment of prostatitis without this procedure is impossible at all.However, there are no reliable clinical data on how effective massage is not.Many patients record significantly improvement in their own country according to many criteria after a massage course.Therefore, consider the methodology of this procedure and the mechanism of its therapeutic effect.
In order to perform the procedure, the patient occupies a pose of the knee-elbow.Thanks to this position, the pelvic muscles are relaxed as much as possible.The doctor puts rubber gloves, the index finger gloves lubricates with a special lubricant of gel.The index finger is neatly inserted in anus anus.You should then feel the front wall of the rectum.Introducing the prostate, urologist produces pressure stroke.
Thanks to the prostate pressure, the mechanical acquisition of the hollet glands in the urethra occurs.The ultony of the latter occurs on the ureth.Each time it is recommended after the prostate massage to conduct a microscopic analysis of the secret prostate for assessing the process dynamics.
However, the distribution of the secret prostate is not the only positive effect in the massage.Also, circulatory is activated in the prostate, leading to improving the resistance to the infection and acceleration of the reconstruction of damaged tissues.
Microwave microwave therapy.Local exposure to high frequency electric waves leads to an increase in temperature in the heated area.By increasing the local temperature to a level of 39-40 degrees, the blood flow expansion, blood flow, attracting immune cells into focus and their activation to combat infection.Also, the increase in temperature leads to a reduction in smooth muscle cramps, which leads to a better drainage of the secret prostate and reduction in pain.
Diet
Diet for prostatitis in men is based on the principles of healthy diet and restricting harmful foods.The diet is selected taking into account the severity of the disease manifestation and the characteristics of the body.All products that cause allergies or deterioration to symptoms fall under the ban.
Basic principles of diet:
- Adding garlic and port in dishes, mustard;
- Menu compilation, taking into account the aggravation phase;
- rejection of any type of alcohol and smoking;
- Exclusion from the diet of spices, preservatives, semi -tised products, sharp and salty dishes;
- Regular meals, preferably at the same time;
- complement the nutrition of physical exercise and walking;
- Fasting and smoked dishes;
- Vegetable consumption salad, plants;
- Minimal thermal treatment of fruits and vegetables;
- Salt and sweets limit;
- Continuous maintenance of nutrition and rejection of harmful products.
Useful food:
- Various soups (rich soups are undesirable);
- Cereals (oatmeals, gladav, buckwheat and others), pasta, spaghetti;
- Colon vegetables (olive oil is highly recommended);
- Fresh plants, fruits and vegetables (melons and watermelons, zucchini and pumpkins, parsley and salad, peas green and cauliflower, buckets and tomatoes, beets, potatoes and carrots);
- Products SOULL-MILK GROUP (bifido, yogurt, ayran, cottage, fermented, kefir, sour cream);
- Low -fat meat and ocean fish;
- Gray bread;
- Dried fruit;
- Honey.
One of the very important substances in prostatitis is zinc, so you often need to consume healthy seafood, pumpkin seeds that have a lot of zinc, white poultry, walnuts and beef.
How to prevent prostatitis development at any age?
- Use of contraception barrier (condom) methods, especially when it comes to anal sex;
- Timely treatment of STRI;
- Regular sex life, bringing the relationship to full ejaculation;
- Preventing injuries by interrogated transmission, when classes, traumatic sports should be used by all possible protection methods;
- Compliance with personal hygiene;
- Ensuring sufficient physical activity.
Despite the fact that today prostatitis is not associated with the risk of developing adenoma or prostate cancer, the disease brings a lot of suffering to their owner.The man is exhausted with chronic pain, feeling his sexual weakness, tired of extended treatment, are noticeably changing from the outside and experienced doctors at first glance define such patients.To avoid such fate, you should be careful on your health, carefully protected with all the new partner and treat sexually transmitted diseases in time.
Prostatitis is not fully treated in all cases, but an experienced urologist can significantly improve the patient's condition and the quality of his life.