Prostatitis

How to treat prostatitis in men: medications and the first signs of prostatitis.

Prostatitis is an inflammation of the prostate tissue that occurs due to the development of stagnation in the prostate tissue.

In the modern world, this is the most common urological disease in men of all ages.According to statistics, after 30 years the disease prostatitis affects 30% of the male population, after 40 - 40%, after 50 - 50% and then increasing.

However, taking into account the diagnostic features and the possibility that the disease occurs in a latent form, the actual figures are much higher.

Reasons for development

Currently, the causes of prostatitis are divided into two large groups:

1. Infectious - (sexually transmitted infections (penetration of pathogens into the prostate tissue - microbes, viruses, bacteria, fungi, etc.): also the presence of chronic foci of infection (chronic tonsillitis, sinusitis, renal pathology), operations on the pelvic organs).
2. Non-infectious (stagnant) (decreased immunity, hypothermia, reduced physical activity, sedentary lifestyle, prolonged sexual abstinence and, conversely, excessive sexual activity, alcohol abuse).

The development of prostatitis is promoted by injuries, impaired blood and lymph circulation in the pelvic organs, and hormonal disorders (absolute or relative androgen deficiency).

It is therefore emphasized that the isolated entry of a pathogen into organ tissue cannot always or necessarily be the cause of the development of the disease.The most frequently identified pathogen is Escherichia coli (86%), followed by Klebsiella, Proteus, Enterococcus and Pseudomonas aeruginosa.Regarding streptococci, staphylococci, chlamydia, mycoplasma and ureaplasma, there are different opinions among researchers about their importance in the development of the disease.It is extremely rare for prostatitis to be caused by certain pathogens (Treponema pallidum, Koch's bacillus).

Classification

Currently, an international classification of prostatitis has been adopted, which is the most comprehensive and covers all types of inflammation:

1. Category I. Acute prostatitis;
2. Category II. Chronic bacterial prostatitis;
3. Category III.Nonbacterial chronic prostatitis/chronic pelvic pain syndrome – a disease in which infection is not recognized and lasts more than 3 months;
• Subcategory III A. Chronic inflammatory pelvic pain syndrome (leukocytes are detected in prostatic secretion);
• Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (no leukocytes in prostatic secretion);
4. Category IV. Asymptomatic chronic prostatitis (leukocytes are present in the prostatic secretion, the patient has no complaints, the disease is discovered accidentally).

First signs

The main symptoms of acute prostatitis are an increase in body temperature and frequent urination, which is accompanied by pain and weak pressure.Signs of prostatitis also include burning in the perineum and pain in the rectum during bowel movements.In the stage of purulent inflammation, it is likely that the abscess will open spontaneously and pus will flow out of the urethra or rectum.

A sign of the chronic form is a burning sensation in the urethra and perineum, discharge of pus at the end of bowel movements or urination, increased fatigue and irritability of the body.

Difficulty urinating with prostatitis is very dangerous and, if not treated in a timely manner, can lead to acute urinary retention.Men should not ignore such indirect signs of the development of prostatitis as a complete or partial decrease in libido, accelerated, sometimes painful ejaculation and prolonged erection at night.All of these symptoms are characteristic of inflammation of the prostate, even in an uncomplicated stage and with adequate treatment.

Symptoms

If acute prostatitis simply cannot be missed, with chronic prostatitis many do not notice certain signs or do not attach great importance to them.

We list the main symptoms of prostatitis in men:

1. Problems urinating.Due to the narrowing of the urethral lumen, the stream may become sluggish, thin or intermittent.The patient has to strain to have a bowel movement, which normally should not be the case.Sometimes urine has to be squeezed out literally drop by drop, especially in the initial stages of urination.Painful sensations often occur.Many patients experience frequent urge to urinate (especially at night), which is due to irritation of the nerve endings.Even after going to the toilet, many people have the feeling that the bladder is not completely emptied, this is due to an enlarged prostate and compression of the bladder.In severe cases, involuntary loss of urine or incontinence may occur.
2. Painful sensations.As a rule, they are located in the perineum, pubic bone or testicles, in the groin or in the lumbar region.The pain can come on suddenly and go away quickly; it is often quite severe, but more often it is dull or aching.
3. Problems of a sexual nature will certainly arise.First, your sex drive will decrease significantly.Secondly, erection problems can occur.Thirdly, due to problems with ejaculation (ejaculation), the average duration of sexual intercourse changes: it can become short due to early ejaculation or, conversely, too long due to delayed ejaculation.Fourth, the sensations will also change, since the orgasm will not be bright.Fifth, the amount of sperm is significantly reduced (only a few drops can be released, which is not normal).
4. Another characteristic symptom is problems with conception.If a man is planning a child, with prostatitis fertilization becomes impossible due to non-viability or insufficient motility of sperm.
5. Discharge from the urethra.They are usually white in color and have a slimy consistency and are most commonly observed in the morning.
6. In acute cases, there is an increase in body temperature (up to 38-39°), fever, a deterioration in the general condition, weakness, malaise and other similar phenomena.Such symptoms of prostatitis usually appear suddenly and without any prerequisites.

In addition, many people have psychological problems that accompany the symptoms mentioned above.A man may become insecure, his self-esteem will decrease sharply, he will be depressed or irritable and nervous.Many representatives of the stronger sex are embarrassed by such delicate problems, they do not consider it necessary to talk about them and keep everything to themselves.And this puts a lot of pressure on the psyche, changes behavior and in some cases can lead to depression or a nervous breakdown.

Chronic prostatitis

Many men do not pay much attention to the manifestations of prostatitis in the early stages.These are subtle pain in the bladder area, frequent urge to go to the toilet.The stronger sex associates disruption of normal ejaculation and erection with age and is in no hurry to see a doctor.Such a frivolous attitude leads to the development of chronic prostatitis.

Therefore, we list the general symptoms of various forms of chronic prostatitis:

1. Malaise and pain in the urethra during urination or sexual intercourse, slight serous-purulent discharge from the urethra (mainly after prolonged urinary retention).
2. Discomfort and/or moderate pain in the form of “ache” and heaviness in the perineal area that occurs or increases after drinking alcohol, physical activity, or sexual intercourse.Sometimes they are temporary, paroxysmal in nature.
3. A decrease in the ability to fertilize, caused by an increase in the acidity of the secretion, a decrease or absence of sperm motility and their agglutination (adhesion) of the heads.
4. Sudden frequent urge to urinate (sometimes up to 3 times within 1 hour) and the feeling of insufficient emptying of the bladder, which is explained by a violation of the nerve regulation of the prostate, its muscle fibers and the bladder.
5. Pain during orgasm or extinguished orgasmic sensations, ejaculation disorders, which are manifested in their prematureness or, conversely, in an excessive duration of sexual intercourse.These phenomena are associated with the inflammatory process in the area of the seminiferous tubercle or its scarring as a result of inflammation.

To diagnose the disease, you must consult a urologist.The doctor uses tests to make a diagnosis and prescribe medication.

diagnosis

To make an accurate diagnosis, a man must be examined by a doctor and undergo tests.With prostatitis, the patient feels pain on palpation in the perineal area.Internal palpation of the rectum reveals the presence of swelling in the prostate area;it feels tight.The patient complains of problems with the genitourinary system.After taking a medical history, the patient must undergo a detailed blood test for the presence of excess protein, elevated leukocyte levels and prostate antigens.

To rule out infection, the patient must undergo a urethral swab.The laboratory will culture the identified bacteria and test their sensitivity to certain types of antibiotics.For an accurate picture, an ultrasound scan of the pelvic organs is performed.It clearly shows inflammation and enlargement of the prostate.If the gland has grown significantly, you can see the presence of residual urine in the bladder on ultrasound.

After completing all tests and studies, the man receives a complete diagnosis and prescribed treatment.

Drugs for the treatment of prostatitis in men: list

Complex treatment of various types of prostatitis may include various combinations of the following methods:

• immunocorrective therapy;
• antibiotic therapy;
• hormone therapy;
• various physiotherapeutic procedures;
• prostate massage;
• lifestyle changes;
• surgery etc.

Drug treatment of prostatitis includes taking various medications, including antibiotics:

• alpha blockers;
• hormonal medications;
• muscle relaxants;
• immunomodulators;
• rectal suppositories;
• antibacterial drugs.

When treating with antibiotics, fluoroquinols and macrolides are preferred because they can accumulate in the prostate tissue in the required concentration.Penicillins and tetracyclines are used less frequently.

Prostate massage

Prostate massage shows good results.The gland receives a complex effect.First of all, it becomes possible to remove from the body the inflammatory secretion accumulated in the prostate (which is released during massage).Improving blood circulation through these manipulations makes it possible to combat various types of stagnation, and also promotes the good penetration of antibiotics into the glandular tissue.

Set of exercises

Prostate exercises:

1. This absolutely simple exercise serves both treatment and prevention.It consists of tensing and relaxing the anus muscles.It is these muscles that are responsible for holding back the stream during urination.Try tensing and relaxing a muscle group.This increases blood circulation in the gland area.
2. To improve blood circulation, use a contrast shower.To do this, direct the water jet towards the dam.First 30 seconds of very warm water, then 10 seconds of cold water.
3. If there are no acute symptoms, you can massage yourself.This is done to improve blood circulation.The exercise is best done lying down.The massage point is between the anus and scrotum.Pressing should be done confidently but not aggressively.Time 3-5 minutes.

Be sure to consult your doctor before using the exercises.Sometimes their use is absolutely unacceptable.

Immune correction

Reduced immunity has a negative impact on health.

This factor is one of the fundamental factors in the development of the disease and its exacerbation.Taking antibiotics, which are necessary for prolonged prostatitis, also weakens the body's defenses.Therefore, the patient is recommended to consult an immunologist to select an immune correction strategy.

Physiotherapy

Physiotherapy for chronic prostatitis is aimed at activating blood circulation.

For this purpose, the patient is exposed to laser, ultrasound and magnetic vibrations.In some cases, these procedures are replaced by warm medical enemas that are periodically administered to the patient.Sitz baths, mud and mineral water treatments are recommended.

Candles

All suppositories for the treatment of prostatitis have one of the following properties: relieve pain (non-steroidal drugs), relieve spasms (based on papaverine), eliminate the inflammatory process (contain an antibiotic).

Traditional methods of treating prostatitis

Treatment of prostatitis at home is carried out only in uncomplicated forms or chronic relapses.Traditional methods can increase the body's resistance to infections and relieve pain.

1. Pumpkin seeds have long been used by healers to treat prostatitis.They are a good and very affordable folk remedy for treating this disease.Since these seeds contain a lot of zinc, which is necessary for every man at any age, they can quickly treat prostatitis.All you need to do is eat 30 seeds a day before meals.This is exactly the daily amount of zinc for the body.
2. The seeds and roots of the plant are suitable.The crushed roots of the plant are boiled for 10 minutes at the rate of half a glass of raw material per 1 liter of water.Instead of water, the entire amount of broth is drunk in equal parts.The seeds are brewed with 4 teaspoons per glass of boiling water.Let it steep for 40 minutes in a pot or 15 minutes in a thermos.Consume one tablespoon about 3-5 times daily.
3. The main ingredient is hazelnut.To treat prostatitis, you need to take either hazelnut bark or hazelnut leaves.You can brew both ingredients alternately and alternate them.However, keep in mind that the bark needs to be brewed twice as long because it is tougher.So, take a tablespoon of hazelnut leaves (or bark) and brew it in a glass of boiling water.Close the lid tightly and wait half an hour.Then strain and take 1/4 cup 4 times a day.It is better to use fresh branches each time, but you can also use previously used branches several times.Usually a week of such procedures is enough - and the prostatitis disappears.
4. To treat the disease, candles are made and stored in the freezer.For the dough, take 1 teaspoon of honey, 1 egg and about 3 tablespoons of flour.The components are mixed smoothly and form candles.Use in two courses, morning and evening, 1 piece each, for 1 month, 10 days apart.
5. Celandine is used carefully.The plant is poisonous, an overdose leads to serious poisoning.At the same time, the celandine medicine cleanses the body of polyps, neoplasms and cysts and prevents prostate adenomas.Freshly squeezed juice is diluted with alcohol in equal parts.Drink daily, diluted in 50 ml of water.Start treatment with 1 drop and increase the concentration by 1 drop daily for 60 days.After 10 days the course is repeated.

Most folk remedies are used one to three times daily in courses of 20 to 30 days.Treatment with homemade herbal remedies lasts longer than medications due to their mild effect, but is safer for the body, especially in the presence of concomitant diseases of the intestines and stomach.Treatment must be accompanied by gymnastics: leg raises, squats.We recommend intensive walking for 15-30 minutes every day.

Complications of prostatitis

Without timely and adequate treatment, prostatitis can be complicated by the following diseases:

• development of chronic prostatitis;
• bladder congestion;
• development of infertility;
• recurrent cystitis;
• narrowing of the urethra;
• pyelonephritis;
• prostate abscess;
• Sepsis.

Some of the above diseases require urgent surgical intervention!

Prevention measures

Prevention is about avoiding triggering factors.A healthy lifestyle, protected sexual contact and a partner reduce the likelihood of infection of the genitourinary system.A general strengthening of the body and an increase in immune defense are also preventive measures against prostatitis.