The symptoms of prostatitis can make a man's life unbearable. Experienced doctors will help you quickly solve the problem.
Inflammation of the tissues of the prostate gland (prostate) is called prostatitis. The prostate is an endocrine organ that affects several processes in the male genitourinary 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, affect reproductive function. According to statistics, today inflammation of the prostate is the most common disease of the genitourinary system in men.
signs of prostatitis
Symptoms of the disease can be acute and almost invisible. If you experience the following symptoms, even minor ones, it is best to immediately consult a doctor to confirm or refute the diagnosis.
- Urination disorders: frequent urgency, especially during the period of night sleep, weak or intermittent stream, pain, accompanied by difficulty urinating.
- Pain in the lower abdomen, giving to the anus, scrotum, perineum.
- Decreased libido, decreased potency, or sexual dysfunction.
- Change in consistency, color, amount of ejaculate, difficulty with ejaculation.
Identifying the signs and symptoms of prostatitis in men, do not self-medicate and do not use Internet recommendations. At best they won't help you, at worst they can harm you. In addition, untimely access to a doctor causes an aggravation of the condition.
Signs of different types of prostatitis.
According to the nature of the flow, there are:
Typical symptoms of acute prostatitis:
- fever, a sharp increase in body temperature (up to 40 degrees);
- severe headaches, weakness, fatigue, irritability;
- pain in the groin, back, when urinating, frequent urgency;
- change in the quality of urine (it becomes more cloudy, viscous, mixed with blood), an unusual discharge from the urethral canal occurs.
If you do not seek medical help in time, acute prostatitis can lead to complications:
- abscess in the body of the prostate;
- vesiculitis (inflammation of the seminal vesicles);
- colliculitis (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 gland;
A feature of the chronic form is confusion of clinical manifestations and symptoms of prostatitis. Manifestations are similar to the acute form, but have a slow character. The causes of pathology, as a rule, are abacterial prostatitis, prostatosis (stagnation of blood in the vessels).
Diagnosis and treatment
Inflammation of the prostate has a characteristic clinical picture. An experienced urologist can easily establish a diagnosis after taking anamnesis, examination and palpation, laboratory and instrumental studies (general and bacterial analyzes of urine and blood, blood tests for PSA, sampling of prostate secretion, spermogram, ultrasound).
In the event that the patient turns to a specialist in time, the treatment of prostatitis involves an integrated approach and gives excellent results.
The modern clinic is equipped with modern high-tech equipment for the diagnosis and treatment of diseases of the genitourinary system. Qualified sensitive doctors will provide you with the most effective and appropriate assistance.
Symptoms of prostatitis: pain, burning, discharge, pain, incontinence
The symptoms of prostatitis are usually of 3 types:
- violation of urination - difficult, frequent and night urination.
- pain symptoms: pain in the perineum, lower abdomen, groin. The pain may radiate (give) to the scrotum or sacrum.
- mixed form, in which there are disorders of urination and pain.
Causes of prostatitis?
For bacterial prostatitis
The infection enters the prostate gland from neighboring organs: through blood and lymphatic vessels from a distant inflammatory focus (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, consequently, the manifestations of the inflammatory process depend on the properties of the microorganism, the state of the pelvic organs, their blood circulation, concomitant diseases and other predisposing factors.
For nonbacterial prostatitis
Stagnation plays an important role. Violation of blood flow causes swelling, exudation of prostate tissues 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 single opinion on this matter.
We consider ourselves supporters of a direct connection between infections, the onset and the course of prostatitis.
Why is prostatitis dangerous?
Prostatitis does not represent a threat to the patient's life, the process is chronic, worsening the quality of life.
Starting prostatitis. How to determine? first signs
The first signs of prostatitis is a change in the nature of urination: difficult and frequent urination, frequent urination, especially at night. Discomfort when urinating and pain of varying intensity in the groin.
Age of prostatitis? Is this a disease of the young and/or old?
Prostatitis is an inflammatory disease, so it can occur at any age. But prostatic adenoma or hyperplasia is an age-related disease in men over 50 years of age and is associated with the development of a benign prostate tumor.
Chronic prostatitis. Is it possible to cure?
The presence of a diagnosis of chronic prostatitis implies the presence of changes in the structure of the prostate tissues, which remain for life. Like any chronic disease, prostatitis develops with alternating periods of exacerbation and remission, a period when nothing bothers the patient. With the correct treatment and lifestyle, remission periods can be very long, and complaints will never bother the patient again.
Bacterial and other prostatitis
There are several classifications, the most used was developed by the United States Institute of Health in 1995:
- Category Iacute prostatitis.
- Category II.Chronic bacterial prostatitis.
- Category III.Nonbacterial prostatitis/chronic pelvic pain syndrome: without obvious signs of infection and lasting 3 months or more.
- Subcategory IIIA.Chronic inflammatory pelvic pain syndrome (with leukocytes in the prostate secretion and release of the pathogen).
- Subcategory III B.Chronic non-inflammatory pelvic pain syndrome (without leukocytes in the secretion of the prostate).
- Category IV.Asymptomatic prostatitis (with leukocytes in the secretion of the prostate, but without complaints).
To facilitate understanding, the classification can be represented by 3 types:
acute prostatitis- Proceeds with severe pain, fever, difficulty urinating. In the secret of the prostate, a large number of leukocytes, indicating a clear inflammatory process. It is found, as a rule, for the first time in this patient. If these symptoms occur in a patient with chronic prostatitis, they are called an exacerbation of chronic prostatitis.
Chronic bacterial prostatitis- Periodically disturbing patient symptoms, as a rule, are less pronounced than in 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 isnonbacterial prostatitis, or the so-calledchronic pelvic pain syndrome. This is due to the fact that the complaints are very similar to prostatitis, but are associated with diseases of other organs and systems, in which it is not possible to detect signs of inflammation and pathogenic bacteria: spasm of the pelvic muscles, disturbance of the interaction between muscles. of the bladder and its sphincter, anatomical disorders: stricture (narrowing) of the urethra, causes inflammation due to increased pressure within the lobes of the prostate gland.
Who treats prostatitis, the andrologist or the urologist?
Prostatitis is treated by both a urologist and an andrologist.
An andrologist is a urologist who specializes in diseases of the male sexual and reproductive sphere.
Methods and schemes for the treatment of prostatitis.
All prostate treatment regimens consist of medications: medications that enhance the contraction of the prostate and bladder while relaxing the sphincter.
Good results are obtained by the simultaneous administration of drugs and physiotherapy (prostate massage, complexes for the treatment of prostatitis).
What tests are given for prostatitis?
Fordiagnosis of prostatitisa consultation with a urologist (andrologist) is required to collect the patient's complaints, medical history, microscopy of prostatic discharge and ultrasound diagnosis.
For diagnosis, transrectal ultrasound of the prostate (TRUS) and prostatic secretion obtained after prostate massage are used for microscopic examination.
In addition, the seeding of the secret of the prostate on the bacterial flora can be used with the determination of the sensitivity of the inoculated microflora to antibiotics.
Surgical interventions and operations for prostatitis.
With prostatitis, operations are practically not used. With the exception of prostate abscess, a process in which foci with purulent contents are formed.
Can you cure prostatitis yourself?
In the presence of severe symptoms, it is better to be treated by a specialist, the time factor is of great importance in treatment, since the longer the inflammation goes on, the greater the probability of irreversible changes in the organ.
But it is better to do prevention yourself, no doctor will do it for you.
Avoid hypothermia, congestion from sitting for a long time, sexually transmitted infections, irregular sexual activity - all these are the way to effective prevention of prostatitis.
medications for prostatitis
Drugs for the treatment of prostatitis are divided into groups according to the mechanism of action:
Antibacterial agents (antibiotics)they 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:they are prescribed to restore impaired urination, increasing the contraction of the bladder and relaxing its detrusor.
Big groupbiogenic stimulants 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, if they have a completely different disease, but with similar symptoms.
Nuts, roots, parsley, cucumber, honey, bees, leeches and other home remedies for prostatitis.
Folk methods of treatment have the right to exist, but you need to understand that it is very difficult to choose a folk method that suits you. Upon request, the treatment of prostatitis with popular methods, the search engine produces 70 million results.
Folk methods whose effectiveness no one investigated. What helped a patient with such treatment (and if it helped) does not at all mean that it will help you.
Exacerbation of prostatitis after treatment. remission, relapse
All chronic inflammatory processes have periods of exacerbation and remission, when nothing bothers the patient. The length of remission can be different and depends on many factors, including whether the patient is on prophylactic treatment. Patients who periodically carry out prophylactic treatment, without expecting a deterioration in well-being, have, as a rule, less frequent exacerbations.
Prostatic massage at home. Is massage always necessary for 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, so for some diseases - prostate adenoma (in the presence of acute urinary retention), prostate massage is undesirable, and for tumors it is contraindicated.
alcohol and prostatitis
Alcohol, in itself, does not provoke the development of prostatitis, but it is a factor that increases the stagnation and inflammation of the prostate gland, and therefore contributes to its development.
Sex life and prostatitis
There is a direct relationship between the intensity of sexual activity and prostate disease. With prolonged withdrawal, stagnation occurs in the prostate, which worsens metabolic processes and disturbs blood microcirculation, which contributes to the development of inflammatory processes. Regularity is more important for prostate health than the intensity of intercourse. Excessive sexual intercourse, especially with different partners and without protection against infection, is the fastest path to prostatitis.
Does prostatitis affect women?
The impact on the health of a woman with prostatitis in a partner, of course, is available. The prostate, together with the seminal vesicles, produces the liquid component of sperm that, during intercourse, enters the genital tract of the partner. The main danger may be the presence of a sexually transmitted infection or bacterial prostatitis, which can lead to inflammatory diseases in a woman.
Pregnancy and prostatitis
Since the prostate gland produces the liquid part of semen, which contains nutrients for sperm, often with prostatitis there is a decrease in sperm quality, which makes it difficult to get pregnant.
Prevention. What to do to avoid prostatitis?
Prevention is directly related to the climate in which the patient lives and her profession.
Prevention of prostatitis consists of avoiding and minimizing the factors that contribute to the development of prostatitis. It is necessary to avoid hypothermia, alternate sedentary work with periods of physical activity. Important for prostatitis is a regular sex life.
Prostate. What is it and how does your health affect male fertility?
A diseased prostate is often the cause of many unpleasant ailments, it can make it difficult for a man to have sexual intercourse and even affect his fertility. Not to mention that every year in all European countries, tens of thousands of men get prostate cancer.
Many men are ashamed of their prostate problems and do not see a urologist. Learn more about the prostate itself, its diseases, and its relationship 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 it 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 center of the organ.
The prostate is a gland, that is, just like the sweat glands secrete sweat, and the liver secretes bile, the prostate secretes a substance that fulfills a specific function in the body. This substance is a whitish cloudy liquid in semen. In other words, the secret that the prostate produces is part of the sperm and fulfills the function of nutrition. It is thanks to her that sperm can maintain the necessary parameters: to be quite viable and mobile.
Also, the protein substance PSA is formed in the prostate gland, which is involved in the fertilization process. Therefore, there is no doubt that male fertility largely depends on the state of the prostate, and any problems with the prostate gland can make it difficult to conceive a child, since they are associated with decreased sperm parameters.
The size of the prostate changes throughout life.
A boy is born with a prostate the size of a pea. In subsequent years, the gland slowly enlarges to the correct size for an adult male in his 30s. A "full" man's prostate is about 2. 5 cm tall, 4 cm wide, and 3 cm thick, and weighs 15 to 20 g.
30 years is a period of relative stabilization, during which the prostate does not grow as fast as before. It increases again around the age of 45. This is due to a decrease in the level of male sex hormones, including the most important of them - testosterone.
When changing the size of the prostate, we are talking about the so-called benign prostatic hyperplasia, which already at this stage can be associated with unpleasant symptoms.
Benign prostatic hyperplasia: what are the symptoms?
The most common symptoms that men with benign prostatic hyperplasia complain of are:
A man may also feel that his bladder has not emptied completely. Also, urine can leak out of the bladder in an uncontrolled way.
All of these symptoms are the result of the enlarged prostate pressing on the urethra, making it difficult for urine to drain properly. Stasis of urine in the bladder, in turn, can cause recurrent urethral infections, bladder infections and stone formation, and in worst cases, even 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 contact a urologist as soon as he notices the first alarming symptoms.
Acute and chronic prostatitis mainly affects young men
Prostatitis can be of bacterial or non-bacterial origin. It can be caused by microbes or stagnation of the secretion produced by the prostate gland. It mainly affects young men between the ages of 20 and 40.
- increased need to urinate;
- burning sensation when urinating;
- sometimes an increase in body temperature.
Treatment of prostatitis is not the easiest, since many antibiotics do not penetrate the prostate well.
Prostatitis is one of the main causes of male infertility. The treatment of this pathology is strictly necessary.
Prostate cancer is another disease of the prostate.
In Europe, prostate cancer is one of the most common cancers in men. Every year in all countries, doctors diagnose it in tens of thousands of people. According to statistics, this cancer affects about 30% of 50-year-old men and 80% of 80-year-old men. At the same time, it is the third leading cause of cancer death.
prostate cancer
A characteristic feature of prostate cancer is that it develops rather slowly and is usually asymptomatic, at least initially. If symptoms are present, they are very similar to those associated with benign prostatic hyperplasia.
Are there men at higher risk of developing this cancer? Yes! The predisposition to prostate cancer will be obesity and a sedentary lifestyle, untreated inflammation of the urinary tract, excessive sexual abstinence, as well as genetic factors.
Prostate cancer is curable as long as it is detected early. Unfortunately, many men postpone a visit to the urologist, most often out of embarrassment and fear of a painful and unpleasant diagnosis. In the meantime, just pass a few simple tests to protect yourself from this dangerous disease.
As for fertility, with advanced prostate cancer, infertility is guaranteed. Therefore, a timely examination by a urologist is the key to a man's reproductive health.
prostate massage
Prostate massage is a useful urological manipulation aimed at maintaining men's health. Helps restore blood supply to the pelvic organs, normalizes metabolic processes, improves tissue regeneration, increases the effectiveness of drug treatment, removes accumulated toxins and pus residues, increases the body's immune resistance, and solves problems of power.
In a specialized medical clinic, you can take a course of therapeutic prostate massage to eliminate unpleasant symptoms or restore potency at a comfortable price. 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 for patients. The cost of 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 gland (including cancer). Promotes the outflow of prostatic secretion, 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, which makes 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, please use the feedback form or call the 24-hour phone number listed on the site. Our consultants are always ready to answer any questions in the most detailed way possible.
Prostate massage indications
The main indication for therapeutic prostate massage is diagnosed prostatitis of infectious or non-infectious origin. It is also prescribed for:
- chronic pain in the pelvic area;
- congestion in the prostate;
- hereditary predisposition to prostatitis;
- erectile dysfunction caused by pathologies of the prostate;
- Decreased 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, since it lasts 1-2 minutes and is as painless as possible. The doctor always controls the force of pressure on the prostate, depending on the individual sensations of the man.
How is a prostate massage performed?
Results of the procedure:prostatic secretion outflow
The patient takes a knee-elbow position or lies on his side. The doctor puts on gloves and inserts a finger into the rectum to a depth of 4-5 cm, then gently massages the prostate until a secret begins to protrude from it.
In chronic prostatitis, the doctor will prescribe a course of prostate massage. As a rule, it includes 10-15 procedures, administered at intervals of 2-3 days. After completing the course, a break is made for 2-3 weeks, after which the procedures are repeated.
Useful information
In some cases, exposure of the prostate is not desirable. Manipulation is not carried out during acute bacterial prostatitis and other infections of the genitourinary system, with stones, abscesses, malignant tumors in the prostate, hemorrhoids, urinary retention.