Prostatitis

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

Prostatitis is characterized as an inflammation of the prostate tissue, which occurs due to the development of stagnation in it.

In the modern world, this is the most common urological disease among men of all ages.According to statistics, after 30 years the prostatitis disease 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 manifests itself in a latent form, the real numbers 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 foci of chronic infection (chronic tonsillitis, sinusitis, kidney pathology), operations on the pelvic organs).
2. Non-infectious (stagnant) (decreased immunity, hypothermia, decreased physical activity, sedentary lifestyle, prolonged sexual abstinence and, conversely, excessive sexual activity, alcohol abuse).

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

Therefore, it is emphasized that the isolated entry of a pathogen into the organ tissue does not always and cannot 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.As for streptococci, staphylococci, chlamydia, mycoplasmas and ureaplasmas, researchers have different opinions about their significance in the development of the disease.It is extremely rare for prostatitis to be caused by specific pathogens (treponema pallidum, Koch 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.Chronic non-bacterial prostatitis/chronic pelvic pain syndrome - a disease in which the infection is not detected, lasting more than 3 months;
• Subcategory III A. Chronic inflammatory pelvic pain syndrome (leukocytes are detected in the prostate secretion);
• Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (no leukocytes present in prostatic secretion);
4. Category IV.Chronic asymptomatic prostatitis (leukocytes are present in the secretion of the prostate, the patient has no complaints, the disease is detected by chance).

First signs

The main signs of acute prostatitis are increased body temperature and frequent urination, accompanied by pain and weakness of pressure.Additionally, signs of prostatitis include burning in the perineum and pain in the rectum during bowel movements.In the purulent inflammation stage, the spontaneous opening of the abscess and the discharge of pus from the urethra or rectum are likely.

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

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

Symptoms

If acute prostatitis is simply impossible to miss, then in chronic prostatitis many do not notice certain signs or do not attach much importance to them.

We list the main symptoms of prostatitis in men:

1. Problems with urination.Due to narrowing of the lumen of the urethra, the flow may become slow, thin, or intermittent.In order to have a bowel movement, the patient must make an effort, which normally should not happen.Sometimes urine has to be literally squeezed out drop by drop, especially in the initial phase of urination.Painful sensations often occur.Many patients experience a frequent need to urinate (especially at night), this is due to irritation of the nerve endings.Even after going to the toilet, many people feel that the bladder is not completely emptied, this is due to the enlargement of the prostate and compression of the bladder.In more severe cases, involuntary leakage of urine or incontinence may occur.
2. Painful sensations.As a rule, they are located in the perineum, pubis or testicles, groin or lower back.The pain can come on suddenly and even pass quickly, it is often quite severe, but more often it is dull or aching in nature.
3. Problems of a sexual nature will definitely arise.First, your sex drive will decrease significantly.Secondly, erection problems may occur.Thirdly, due to problems with ejaculation (ejaculation), the average duration of sexual intercourse will change: it may become short due to premature ejaculation or, conversely, too long due to delayed ejaculation.Fourthly, the sensations will also change, since the orgasm will not be bright.Fifth, the sperm volume will be significantly reduced (only a few drops may 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 often seen in the morning.
6. In acute cases, an increase in body temperature (up to 38-39°), fever, worsening of the general condition, weakness, malaise and other similar manifestations is observed.Such symptoms of prostatitis usually occur suddenly, without any prerequisites.

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

Chronic prostatitis

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

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

1. Sensation of discomfort and pain in the urethra during urination or sexual intercourse, mild serous-purulent discharge from the urethra (especially after prolonged urinary retention).
2. Moderate discomfort and/or pain in the form of “aching” and heaviness in the perineal area, which occurs or intensifies after drinking alcohol, physical activity or sexual intercourse.Sometimes they are transitory and 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 (gluing) of the heads.
4. Sudden and frequent need to urinate (sometimes up to 3 times in 1 hour) and a feeling of insufficient emptying of the bladder, which is explained by a violation of the nervous regulation of the prostate, its muscle fibers and the bladder.
5. Pain during orgasm or erased sensations of orgasm, ejaculation disorders, expressed in its prematurity or, conversely, excessive duration of sexual intercourse.These phenomena are associated with the inflammatory process in the area of the seminal tubercle or its healing due to inflammation.

To diagnose the disease, you need to consult a urologist.Using tests, the doctor makes a diagnosis and prescribes a course of medications.

Diagnostics

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 shows the presence of swelling in the prostate area;becomes thick to the touch.The patient complains of problems with the genitourinary system.After taking a medical history, the patient should undergo a detailed blood test for the presence of excess protein, increased levels of leukocytes and prostate antigen.

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

After all tests and studies are completed, the man will be given a full diagnosis and prescribed treatment.

Drugs for the treatment of prostatitis in men: list

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

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

Treatment of prostatitis with drugs involves taking various drugs, including antibiotics:

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

In treatment with antibiotics, preference is given to fluoroquinols and macrolides, as they are able to accumulate in the required concentration in the prostate tissue.Penicillins and tetracyclines are used less frequently.

Prostate massage

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

Series of exercises

Prostate exercises:

1. This absolutely simple exercise is used for both treatment and prevention.It consists of contracting and relaxing the muscles of the anus.It is these muscles that are responsible for holding back the flow during urination.Try contracting and relaxing a group of muscles.This will increase blood flow to the gland area.
2. To improve blood circulation, use a contrast shower.To do this, direct the flow of water towards the perineum.First 30 seconds of very hot water, then 10 seconds of cool water.
3. In the absence of acute symptoms, you can massage yourself.This is done to improve blood flow.It is best to perform the exercise in a lying position.The massage point is between the anus and the scrotum.The pressure should be safe, but not aggressive.Time 3-5 minutes.

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

Immunocorrection

Decreased immunity negatively affects health.

This factor is one of the fundamental in the development of the disease and its exacerbation.Long courses of antibiotics, necessary in case of prolonged prostatitis, also reduce the body's defenses.Therefore, the patient is advised to consult an immunologist to choose a strategy for immunocorrection.

Physiotherapy

Physiotherapy for chronic prostatitis is aimed at activating blood circulation.

For this purpose, the patient is exposed to lasers, ultrasound, and magnetic vibrations are used.In some cases, these procedures are replaced with warm medicinal enemas, which are regularly administered to the patient.Sitz baths, treatments with mud and mineral waters 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 for uncomplicated forms or chronic relapse.Traditional methods can increase the body's resistance to infections and relieve pain.

1. Pumpkin seeds have long been used by healers in the treatment of prostatitis.They are a good and very convenient folk remedy for the treatment of this disease.Since these seeds contain a lot of zinc, which is necessary for any man at any age, they quickly treat prostatitis.Just eat 30 seeds a day before meals.This is exactly the daily quota 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.The entire amount of decoction is drunk in equal portions instead of water.The seeds are brewed 4 teaspoons per glass of boiling water.Infuse for 40 minutes in a saucepan or 15 minutes in a thermos.Consume approximately 3-5 times a day, one tablespoon.
3. The main ingredient is hazelnut.To cure prostatitis, you need to take hazel bark or hazel leaves.You can prepare both ingredients alternately, alternating them.Just know that the bark needs to be fermented twice as long, as it is harder.Then, take a spoonful of hazelnut leaves (or bark) and infuse it in a glass of boiling water.Close the lid tightly and wait half an hour.Then filter and take 1/4 cup 4 times a day.It is best to use fresh sprigs each time, but you can also use the ones you have already used several times.Usually a week of such procedures is enough and prostatitis disappears.
4. To cure 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 until a homogeneous consistency is obtained, forming candles.Use in two courses, morning and evening, 1 piece each, for 1 month with an interval of 10 days.
5. Celandine is used carefully.The plant is poisonous, an overdose leads to serious poisoning.At the same time, celandine medicine will cleanse the body of polyps, neoplasms, cysts and prevent prostate adenoma.Freshly squeezed juice is diluted with alcohol in equal parts.Drink daily, diluted in 50 ml of water.Start treatment with 1 drop, increasing the concentration by 1 drop every day for 60 days.After 10 days the course is repeated.

Most folk remedies are used daily 1-3 times in cycles of 20-30 days.Treatment with homemade herbal remedies lasts longer due to their mild effects compared to drugs, 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 lifting, squats.An intensive walk of 15-30 minutes per day is recommended.

Complications of prostatitis

In the absence of timely and adequate treatment, prostatitis can be complicated by the following conditions:

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

Some of the above conditions require urgent surgery!

Prevention measures

Prevention boils down to avoiding provoking factors.A healthy lifestyle, protected sexual contact and the presence of a partner reduce the likelihood of infection of the genitourinary system.General strengthening of the body and increasing immune defenses are also preventive measures against prostatitis.