The symptoms of prostatitis can make a man's life unbearable. Experienced doctors will help you to quickly solve the problem.
Inflammation of the tissue of the prostate (prostate) is called prostatitis. The prostate is an endocrine organ that influences several processes in the male urogenital system. With its inflammation there is a violation of urinary function, difficulties with potency, libido and ejaculation. Manifestations of prostatitis significantly worsen the quality of life and impair reproductive function. According to statistics, today the inflammation of the prostate is the most common disease of the genitourinary system in men.
signs of prostatitis
Symptoms of the disease can be both acute and almost invisible. If you find that the following symptoms appear, albeit minor ones, it is better to consult a doctor immediately to confirm or refute the diagnosis.
- Urination disorders: frequent urge to urinate, especially during night sleep, weak or intermittent stream, pain accompanied by difficulty in urinating.
- Pain in the lower abdomen, giving into the anus, scrotum, perineum.
- Decreased libido, impaired potency, or sexual dysfunction.
- Change in consistency, color, amount of ejaculate, difficulty ejaculating.
When identifying signs and symptoms of prostatitis in men, you should not self-medicate and use recommendations from the Internet, which at best will not help you, at worst can harm you. In addition, untimely access to a doctor leads to an aggravation of the condition.
Signs of different types of prostatitis
Depending on the type of flow, there are:
Typical symptoms of acute prostatitis:
- fever, a sharp increase in body temperature (up to 40 degrees);
- severe headache, weakness, fatigue, irritability;
- pain in the groin, in the back, when urinating, frequent urination;
- Change in urine quality (cloudier, more viscous, mixed with blood), unusual discharge from the urethral canal.
If you do not seek medical help in a timely manner, acute prostatitis can provoke complications:
- abscess in the body of the prostate;
- vesiculitis (inflammation of the seminal vesicles);
- collulitis (inflammation of the seminal tubercle);
- the appearance of scars and adhesions in the gland and spermatic cord;
- stagnant processes in the tissues of the prostate;
A feature of the chronic form is the blurring of the clinical manifestations and symptoms of prostatitis. The manifestations are similar to the acute form, but have a sluggish character. The causes of pathology, as a rule, are nonbacterial prostatitis, prostatosis (blood congestion in the vessels).
diagnosis and treatment
Inflammation of the prostate has a characteristic clinical picture. An experienced urologist can easily make a diagnosis after anamnesis, examination and palpation, laboratory and instrumental studies (general and bacterial urine and blood tests, blood tests for PSA, prostate secretion sampling, spermiogram, ultrasound).
If the patient turns to a specialist in a timely manner, then the treatment of prostatitis involves an integrated approach and gives excellent results.
The modern clinic is equipped with modern high-tech devices for the diagnosis and treatment of diseases of the genitourinary system. Qualified sensitive doctors will provide you with effective and most appropriate help.
Symptoms of prostatitis: pain, burning, discharge, pain, incontinence
Symptoms of prostatitis are most commonly of 3 types:
- Violation of urination: difficult, frequent, nocturnal urination.
- Symptoms of pain: pain in the perineum, lower abdomen, groin. The pain may radiate (give) into the scrotum or into the sacrum.
- Mixed form, in which there are both problems with urination and pain.
Causes of prostate inflammation?
For bacterial prostatitis
Infection penetrates into the prostate from neighboring organs: through the blood and lymphatic vessels from a distant focus of inflammation (tonsillitis, sinusitis, caries).
The most common bacteria detected in prostatitis are: Escherichia coli, Klebsiella, Proteus, Staphylococcus aureus, Enterococcus.
The role of sexually transmitted infections is discussed: chlamydia, mycoplasma, trichomonas.
The activity and, accordingly, the manifestations of the inflammatory process depend on the characteristics of the microorganism, the state of the pelvic organs, their blood supply, concomitant diseases and other predisposing factors.
For non-bacterial prostatitis
Standstill plays an important role. Violation of blood flow causes swelling, exudation of prostate tissue and creates conditions for the development of an inflammatory process that is not associated with a bacterial agent.
STDs and prostatitis
The question of the involvement of sexually transmitted infections in the development of prostatitis is widely discussed in scientific medical circles. There is no unanimous opinion on this subject.
We see ourselves as advocates of a direct connection between infections, the occurrence and course of prostatitis.
Why is prostatitis dangerous?
Prostatitis does not pose a threat to the patient's life, the process is chronic and worsens the quality of life.
Beginning inflammation of the prostate. how to determineFirst signs
The first signs of prostatitis are a change in the way you urinate: difficult, frequent urination, frequent urges to urinate, especially at night. Discomfort with urination and pain of varying intensity in the groin.
Prostatitis Age? Is this a disease of the young and/or the old?
Prostatitis is an inflammatory disease, so it can occur at any age. But adenoma, or prostatic hyperplasia, is an age-related condition found in men over 50 and is associated with the development of a benign prostate tumor.
Chronic prostate inflammation. Can you heal?
The presence of a diagnosis of chronic prostatitis implies the presence of changes in the structure of the tissues of the prostate, which persist for life. Like any chronic disease, prostatitis goes through alternating periods of exacerbation and remission - a period when nothing bothers the patient. With the right treatment and lifestyle, remission periods can be very long and the patient will never be bothered by the symptoms again.
Bacterial and other types of prostatitis
There are several classifications, the most commonly used was developed by the US Institute of Health in 1995:
- Category IAcute prostatitis.
- Category IIChronic bacterial prostatitis.
- Category III.Non-bacterial Prostatitis/Chronic Pelvic Pain Syndrome – without obvious signs of infection and lasting more than 3 months.
- Subcategory III A.Syndrome of chronic inflammatory pain in the lower abdomen (with leukocytes in the secretion of the prostate and the release of the pathogen).
- Subcategory III BSyndrome of chronic non-inflammatory pelvic pain (without leukocytes in prostatic secretion).
- Category IVAsymptomatic prostatitis (with leukocytes in the prostatic secretion, but without symptoms).
For easier understanding, the classification can be represented from 3 types:
Acute prostatitis- proceeds with severe pain, fever, impaired urination. In the secret of the prostate - a large number of leukocytes, which indicates a clear inflammatory process. Usually occurs in this patient for the first time. If these symptoms occur in a patient with chronic prostatitis, one speaks of an exacerbation of chronic prostatitis.
Chronic bacterial prostatitis- Periodically disturbing symptoms of the patient, as a rule, are less pronounced than with acute prostatitis. When diagnosing, there is also an increase in leukocytes in the secretion of the prostate, it is possible to identify the causative agent of inflammation.
The most difficult to diagnose isnon bacterial prostatitis, or the so-calledChronic Pelvic Pain Syndrome. This is because the complaints of prostatitis are very similar, but associated with diseases of other organs and systems, in which no signs of inflammation and pathogenic bacteria can be detected: spasms of the pelvic muscles, impaired interaction of the muscles of the bladder and its sphincter, anatomical disorders - strictures (narrowing) of the urethra, leading to inflammation due to increased pressure in the lobules of the prostate.
Who treats prostatitis - andrologist or urologist?
Prostatitis is treated by both a urologist and an andrologist.
An andrologist is a urologist who specializes in diseases of the male sex and reproductive system.
Methods and schemes for the treatment of prostatitis
All prostate treatment regimens consist of drugs: drugs that improve contraction of the prostate and bladder while relaxing the sphincter.
Good results are obtained with the simultaneous administration of drugs and physiotherapy (prostate massage, complexes for the treatment of prostatitis).
What tests are done for prostatitis?
To theDiagnosis of prostate inflammationA consultation with a urologist (andrologist) is required to collect patient complaints, anamnesis, microscopy of the prostate secretion and ultrasound diagnostics.
For diagnosis, the transrectal ultrasound of the prostate (TRUS) and the prostate secretion obtained after the prostate massage are used for microscopic examination.
In addition, seeding the secret of the prostate gland on the bacterial flora can be used with determining the sensitivity of the inoculated microflora to antibiotics.
Surgical interventions and operations for prostatitis
With prostatitis, operations are practically not performed. With the exception of prostate abscess - a process in which foci with purulent contents are formed.
Is it possible to cure prostatitis yourself?
With severe symptoms, it is better to seek treatment from a specialist, the time factor is of great importance in treatment, because the longer the inflammation progresses, the greater the likelihood of irreversible changes in the organ.
But it is better to prevent yourself, no doctor will do it for you.
Avoid hypothermia, constipation from long periods of sitting, sexually transmitted infections, irregular sexual activity - all this is the way to effective prostatitis prophylaxis.
Drugs for prostatitis
Drugs for the treatment of prostatitis are divided into groups according to the mechanism of action:
Antibacterial agents (antibiotics)are prescribed only in the presence of a diagnosis: chronic bacterial prostatitis. The most commonly used are fluoroquinolones, macrolides and the doxycycline group of drugs.
Alpha blockers:are prescribed to restore impaired urination, increase bladder contraction and relax its detrusor.
big groupbiogenic luxury foods and herbal preparations.
Effective treatment is possible only with a correct diagnosis, since there are no universal drugs for all types of prostatitis. Often patients take drugs to treat prostatitis when they have a completely different disease, but have similar symptoms.
Nuts, roots, parsley, cucumbers, honey, bees, leeches and other folk remedies for prostatitis
Folk healing methods have the right to exist, but you need to understand that it is very difficult to choose a folk method that suits you. On request, treatment of prostatitis with folk methods, the search engine returns 70 million results.
Folk methods that no one has tested for effectiveness. What helped a patient with such treatment (and whether it helped) in no way means that it will help you.
Worsening of prostatitis after treatment. remission, relapse
All chronic inflammatory processes have phases of exacerbation and remission, during which nothing bothers the patient. The duration of remission can vary and depends on many factors, including whether the patient is undergoing prophylactic treatment. Patients who regularly carry out prophylactic treatment without waiting for a deterioration in well-being, as a rule, have less frequent exacerbations.
Prostate massage at home. Is a massage always necessary with prostatitis?
Prostate massage can also be done at home if you are married to a urology nurse. Any medical manipulation has its subtleties and nuances. Only a doctor can determine the indications for this procedure, therefore, with some diseases: prostate adenoma (with acute urinary retention), prostate massage is undesirable, and with tumors it is contraindicated.
alcohol and prostatitis
Alcohol by itself does not cause prostatitis, but it is a factor that increases stagnation and swelling of the prostate, thereby contributing to its development.
sex life and prostatitis
There is a direct correlation between the intensity of sexual activity and prostate disease. With prolonged abstinence, stagnation occurs in the prostate, which worsens metabolic processes and disrupts blood microcirculation, which contributes to the development of inflammatory processes. Regularity is more important to prostate health than the intensity of intercourse. Excessive sexual intercourse, especially with changing partners and unprotected from infection, is the fastest route to prostatitis.
Does prostatitis affect women?
The health implications of a woman with prostatitis in a partner are, of course, available. The prostate, together with the seminal vesicles, produces the liquid component of the sperm, which enters the partner's genital tract during intercourse. The main danger can be the presence of a sexually transmitted infection or bacterial prostatitis, which can provoke inflammatory diseases in a woman.
pregnancy and prostatitis
Because the prostate produces the liquid part of semen, which contains nutrients for sperm, prostatitis often results in a decrease in sperm quality, making pregnancy difficult.
Prevention. What to do to avoid prostatitis?
Prevention is directly related to the climate in which the patient lives and his profession.
Prostatitis prophylaxis consists of avoiding and minimizing the factors that contribute to the development of prostatitis. It is necessary to avoid hypothermia, alternating sedentary work with periods of physical activity. A regular sex life is important for prostatitis.
Prostate. What is it and how does their health affect male fertility?
A diseased prostate is often the cause of many unpleasant ailments, can make it difficult for a man to have sexual intercourse and even affect his fertility. Not to mention that tens of thousands of men are diagnosed with prostate cancer in every European country every year.
Many men are ashamed of their prostate problems and do not go to the urologist. Learn more about the prostate itself, its diseases, and how it relates to infertility in this article.
What is the prostate for?
The prostate, also known as the prostate gland, is modest in size, about the size of a walnut, but has a very important reproductive function. The gland is located at the intersection of the urinary tract - below the bladder, right at the mouth of the urethra, which, moreover, passes right through the middle of the organ.
The prostate is a gland, which means that just like the sweat glands secrete sweat and the liver secretes bile, the prostate secretes a substance that performs a specific function in the body. This substance is a cloudy, whitish liquid in semen. In other words, the secret produced by the prostate is part of the semen and performs the function of nutrition. It is thanks to her that sperm can maintain the necessary parameters - to be quite viable and mobile.
In addition, the protein PSA is formed in the prostate, which is involved in the process of fertilization. Thus, there is no doubt that male fertility is highly dependent on the state of the prostate, and problems with the prostate can make it difficult to conceive a child, as they are associated with a decrease in sperm parameters.
The size of the prostate changes throughout life
A boy is born with a prostate the size of a pea. In the years that follow, the gland slowly grows to reach the proper size for an adult male around the age of 30. The prostate of a man in his prime is about 2. 5 cm high, 4 cm wide and 3 cm thick and weighs between 15 and 20 g.
30 years is a period of relative stabilization when the prostate is not growing as fast as before. From around the age of 45 it increases again. This is due to a decrease in the level of male sex hormones, including the most important of them - testosterone.
A change in the size of the prostate is referred to as so-called benign prostatic hyperplasia, which can already be accompanied by unpleasant symptoms at this stage.
Benign prostatic hyperplasia - what are the symptoms?
The most common symptoms that men with benign prostatic hyperplasia complain about are:
A man may also feel that his bladder has not been emptied completely. In addition, urine can leak out of the bladder uncontrollably.
All of these symptoms are the result of the enlarged prostate putting pressure on the urethra, preventing urine from draining properly. A urinary blockage in the bladder, in turn, can lead to recurring urethral infections, bladder infections and stone formation up to and including kidney failure.
But the worst thing is that similar signs accompany other dangerous pathologies - prostatitis and prostate cancer. That is why it is so important for a man to visit a urologist as soon as he notices the first alarming symptoms.
Acute and chronic prostatitis mainly affects young men
Prostatitis can be bacterial or non-bacterial in origin. It can be caused by microbes or a stagnation of the secretion produced by the prostate. Young men between the ages of 20 and 40 are particularly affected.
- increased urination;
- burning when urinating;
- sometimes an increase in body temperature.
Treatment of prostatitis is not the easiest, since many antibiotics do not penetrate the prostate gland well.
Prostatitis is one of the main causes of male infertility. Treatment of this pathology is imperative.
Prostate cancer is another disease of the prostate.
In Europe, prostate cancer is one of the most common types of cancer in men. It is diagnosed in tens of thousands of people by doctors in every country every year. According to statistics, this cancer affects about 30% of 50-year-old men and 80% of 80-year-old men. It is also the third leading cause of death from cancer.
prostate cancer
It is characteristic of prostate cancer that it develops rather slowly and – at least initially – is mostly asymptomatic. When symptoms are present, they are very similar to those of benign prostatic hyperplasia.
Are there men at increased risk of developing this cancer? Yes! Predisposition to prostate cancer is determined by obesity and a sedentary lifestyle, untreated urinary tract infections, excessive sexual abstinence, and genetic factors.
Prostate cancer is curable if caught early. Unfortunately, many men postpone a visit to the urologist, mostly out of shame and fear of a painful and unpleasant diagnosis. In the meantime, it is enough to pass a few simple tests to protect yourself from this dangerous disease.
As far as fertility is concerned, infertility is guaranteed in advanced prostate cancer. Therefore, timely examination by a urologist is key to a man's reproductive health.
prostate massage
Prostate massage is a useful urological manipulation aimed at maintaining men's health. It helps to restore blood supply to the pelvic organs, normalize metabolic processes, improve tissue regeneration, increase the effectiveness of drug treatment, drain accumulated toxins and residues of pus, increase the body's immune defense and solve problems with potency.
In a specialized medical clinic, you can do a therapeutic prostate massage at a bargain price to get rid of unpleasant symptoms or restore potency. The procedure is performed by urologists of the highest qualification category. The rich experience of specialists allows us to perform a delicate procedure with minimal discomfort to patients. The cost of the massage is calculated individually depending on the patient's condition.
Purpose of therapeutic prostate massage
Therapeutic massage is an effective prevention of the development of various diseases of the prostate (including cancer). It promotes the outflow of prostatic secretions, reduces inflammation, improves muscle tone.
The procedure helps to eliminate discomfort and pain in the perineum, and also increases sexual activity and potency. It is usually combined with drug therapy, making it more effective.
The price of prostate massage depends on the duration of the course, which is selected individually by a professional urologist of the medical center, depending on the patient's condition.
If you want to make an appointment with a specialist or clarify the price of the service, use the feedback form or call the 24-hour telephone number provided on the website. Our consultants are always ready to answer any questions in as much detail as possible.
Indications for prostate massage
The main indication for therapeutic prostate massage is diagnosed prostatitis of infectious or non-infectious origin. It is also prescribed for:
- chronic pelvic pain;
- congestion in the prostate;
- hereditary predisposition to prostatitis;
- erectile dysfunction caused by pathologies of the prostate;
- Decrease in male sexual activity.
The effectiveness of prostate massage for these problems has been confirmed by numerous clinical studies. Our patients tolerate the manipulation very well, as it takes 1-2 minutes and is as painless as possible. The doctor always controls the pressure force on the prostate depending on the individual sensations of the man.
How is a prostate massage performed?
Procedure results:outflow of prostatic secretions
The patient assumes a knee-elbow position or lies on their side. The doctor puts on gloves and inserts a finger 4-5 cm deep into the rectum, then gently massages the prostate until a secret begins to stand out from it.
With chronic prostatitis, the doctor prescribes a prostate massage. As a rule, it includes 10 to 15 procedures, which are carried out with an interval of 2-3 days. After completing the course, a break of 2-3 weeks is taken, after which the procedures are repeated.
A useful piece of information
In some cases, exposure to the prostate is undesirable. Manipulation is not performed in acute bacterial prostatitis and other infections of the genitourinary system with stones, abscesses, malignant tumors in the prostate, hemorrhoids, urinary retention.