Prostatitis

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

Prostatitis is characterized by 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 disease of prostatitis affects 30% of the male population, then 40 - 40%, then 50 - 50% and then it increases.

However, taking into account the diagnostic characteristics and the possibility that the disease occurs in a latent form, the real 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 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 injuries, impaired blood and lymph circulation in the pelvic organs and hormonal disorders (absolute or relative androgen deficiency).

Therefore, it is highlighted 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.Regarding streptococci, staphylococci, chlamydia, mycoplasmas and ureaplasmas, researchers have different opinions about their importance in the development of the disease.It is extremely rare for prostatitis to be caused by specific pathogens (treponema pallidum, Koch's bacillus).

Classification

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

1. Category I. Acute prostatitis;
2. Category II.Chronic bacterial prostatitis;
3. Category III.Chronic nonbacterial prostatitis/chronic pelvic pain syndrome: a disease in which no infection is detected and that lasts more than 3 months;
• Subcategory III A. Chronic inflammatory pelvic pain syndrome (leukocytes are detected in prostate secretion);
• Subcategory III B. Non-inflammatory chronic pelvic pain syndrome (no leukocytes in prostate 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 an increase in body temperature and frequent urination, which is accompanied by pain and weak pressure.Additionally, signs of prostatitis include burning in the perineum and pain in the rectum when defecating.In the stage of purulent inflammation, the abscess is likely to open spontaneously and pus will leak from 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 defecation or urination, increased fatigue and irritability of the body.

Difficulty urinating with prostatitis is very dangerous and, if not treated in time, 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, even in a simple stage and susceptible to adequate treatment.

Symptoms

If acute prostatitis is simply impossible not to notice, then with 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 urinating.Due to the narrowing of the lumen of the urethra, the stream may become slow, thin or intermittent.In order to defecate, the patient has to strain, which should not normally be the case.Sometimes urine has to be squeezed out literally drop by drop, especially at the initial stage of urination.Painful sensations often occur.Many patients experience a frequent urge to urinate (especially at night), this is due to irritation of the nerve endings.Even after going to the bathroom, many people have the feeling that the bladder is not emptying completely, this is due to the enlargement of the 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, pubis or testicles, in the groin or in the lower back.The pain can occur suddenly and also pass quickly, it is often quite intense, but more often it is dull or aching in nature.
3. Problems of a sexual nature will surely arise.First of all, your sex drive will decrease significantly.Secondly, erection problems can 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 late ejaculation.Fourthly, the sensations will also change, since the orgasm will not be bright.Fifth, the volume of sperm 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 to have 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 viscous consistency and are seen more frequently in the morning.
6. In acute cases, there is an increase in body temperature (up to 38-39°), fever, deterioration of general condition, weakness, general malaise and other similar manifestations.These prostatitis symptoms usually appear suddenly, without any prerequisites.

Additionally, many people have psychological problems associated with the symptoms listed above.A man may become insecure about himself, his self-esteem will decrease considerably, he will be depressed or irritable and nervous.Many representatives of the stronger sex feel embarrassed by such delicate problems 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 a nervous breakdown.

chronic prostatitis

Many men do not pay much attention to the manifestations of prostatitis in the early stages.It is a discrete pain in the bladder area and a frequent need to go to the bathroom.The stronger sex associates 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. Feeling of discomfort and pain in the urethra when urinating or having 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, which arises or intensifies after drinking alcohol, performing physical activity or having sexual relations.Sometimes they are transitory and paroxysmal in nature.
3. A decrease in the ability to fertilize, which is caused by an increase in the acidity of the secretion, a decrease or absence of sperm motility and their agglutination (sticking) of the heads.
4. Sudden and frequent urge 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 prematureness or, conversely, in excessive duration of sexual intercourse.These phenomena are associated with the inflammatory process in the area of the seminal tubercle or its scarring as a result of inflammation.

To diagnose the disease it is necessary to consult a urologist.Through tests, the doctor makes a diagnosis and prescribes medication treatment.

Diagnosis

To make an accurate diagnosis, a man must be examined by a doctor and undergo tests.With prostatitis, the patient experiences pain on palpation in the perineal area.Internal palpation of the rectum shows the presence of swelling in the prostate area;it becomes dense to the touch.The patient complains of problems with the genitourinary system.After taking a history, the patient should undergo a detailed blood test for the presence of excess protein, elevated levels of leukocytes and prostate antigen.

To exclude infection, the patient should undergo a urethral smear.The laboratory will grow the identified bacteria and test their sensitivity to certain types of antibiotics.To obtain an accurate picture, an ultrasound examination of the pelvic organs is performed.It clearly shows inflammation and enlargement of the prostate.If the gland has grown a lot, an ultrasound can show the presence of residual urine in the bladder.

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

Medications for the treatment of prostatitis in men: list

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

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

Treating prostatitis with medications includes taking several medications, including antibiotics:

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

In antibiotic treatment, preference is given to fluoroquinols and macrolides, since they can 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 of all, it is possible to remove the inflammatory secretion accumulated in the prostate from the body (it is released during massage).Improving blood circulation through these manipulations makes it possible to combat various types of stagnation, and also promotes good penetration of antibiotics into the gland tissue.

set of exercises

Prostate exercises:

1. This absolutely simple exercise is used for both treatment and prevention.It consists of tightening and relaxing the muscles of the anus.These muscles are responsible for stopping the stream when urinating.Try tightening and loosening a muscle group.This will increase blood flow to the gland area.
2. To improve blood circulation, use a contrast shower.To do this, direct the stream of water towards the perineum.First, 30 seconds of very warm water, then 10 seconds of cold water.
3. In the absence of acute symptoms, you can massage yourself.This is done to improve blood flow.The exercise is best performed 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 doing the exercises.Sometimes its use is strictly unacceptable.

Immunocorrection

Decreased immunity negatively affects health.

This factor is one of the fundamental factors in the development of the disease and its exacerbation.Prolonged antibiotic treatments, necessary for prolonged prostatitis, also reduce the body's defenses.Therefore, the patient is recommended to consult with an immunologist to choose an immunocorrection strategy.

Physiotherapy

Physiotherapy for chronic prostatitis aims to activate blood circulation.

To do this, the patient is exposed to laser, ultrasound and magnetic vibrations.In some cases, these procedures are replaced by hot medicinal enemas, which are regularly administered to the patient.Sitz baths, mud treatments 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 (they 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 infection and relieve pain.

1. Healers have long used pumpkin seeds in the treatment of prostatitis.They are a good and very affordable folk remedy for the treatment of this disease.Since these seeds contain a large amount of zinc, which is necessary for any man of any age, they quickly treat prostatitis.You only need to eat 30 seeds a day before meals.This is exactly the daily dose 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 materials per 1 liter of water.The entire amount of broth 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 treat prostatitis, it is necessary to take hazelnut bark or hazelnut leaves.You can prepare both ingredients alternatively, alternating them.Just know that the crust should be cooked twice as long since it is harder.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 best to use fresh twigs each time, but you can also use ones already used several times.Usually a week of such procedures is enough and the prostatitis disappears.
4. To treat the disease, candles are made and kept in the freezer.For the dough, take 1 teaspoon of honey, 1 egg and about 3 tablespoons of flour.The components are mixed until smooth, forming candles.Use in two courses, morning and night, 1 piece each, for 1 month with an interval of 10 days.
5. Celandine is used with caution.The plant is poisonous, an overdose causes severe poisoning.At the same time, the 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 each day for 60 days.After 10 days the course is repeated.

Most home remedies are used daily 1 to 3 times in 20 to 30 day cycles.Treatment with herbal folk remedies lasts longer due to its mild effects than medications, but is safer for the body, especially in the presence of concomitant diseases of the intestines and stomach.Treatment should be accompanied by gymnastics: leg raises, squats.It is recommended to walk intensely for 15 to 30 minutes daily.

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;
• septicemia.

Some of the above conditions require urgent surgical intervention!

Preventive measures

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