Prostatitis

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

Prostatitis is characterized as 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 prostatitis affects 30% of the male population, after 40 - 40%, after 50 - 50% and then increasing.

However, taking into account the diagnostic characteristics and the possibility of the disease occurring latently, 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 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).

Thus, it is emphasized that the isolated entry of a pathogen into the organ tissue is 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 non-bacterial prostatitis/chronic pelvic pain syndrome - disease in which no infection is detected, lasting more than 3 months;
• Subcategory III A. Chronic inflammatory pelvic pain syndrome (leukocytes are detected in prostate secretion);
• Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (there are no leukocytes in prostate secretion);
4. Category IV.Asymptomatic chronic prostatitis (leukocytes are present in the prostate secretion, 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, accompanied by pain and weak pressure.Additionally, signs of prostatitis include burning in the perineum and pain in the rectum during bowel movements.In the stage of purulent inflammation, spontaneous opening of the abscess and leakage of pus from the urethra or rectum are likely.

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 a timely manner, can lead to acute urinary retention.Men should not ignore indirect signs of prostatitis development, such as total or partial decrease in libido, accelerated ejaculation, sometimes painful, and prolonged erection at night.All of these symptoms are characteristic of prostate inflammation, even at an uncomplicated stage that can be treated appropriately.

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 with urination.Due to the narrowing of the lumen of the urethra, the flow may become slow, thin, or intermittent.To evacuate, the patient has to make an effort, which normally should not happen.Sometimes urine needs to be squeezed out literally drop by drop, especially at the initial stage of urination.Painful sensations often occur.Many patients feel frequent urges to urinate (especially at night) due to irritation of nerve endings.Even after going to the bathroom, many people have the feeling that the bladder is not completely emptied, 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 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 certainly arise.Firstly, 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 can become short due to premature ejaculation or, conversely, very long due to delayed ejaculation.Fourthly, the sensations will also change, as the orgasm will not be bright.Fifthly, 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 the unviability or insufficient motility of sperm.
5. Discharge from the urethra.They are usually white in color and have a viscous consistency and are most often observed in the morning.
6. In acute cases, there is an increase in body temperature (up to 38-39°), fever, deterioration in general condition, weakness, malaise and other similar manifestations.Such symptoms of prostatitis usually occur suddenly without any prerequisites.

Additionally, many people experience psychological problems associated with the symptoms listed above.A man may become insecure, his self-esteem will greatly decrease, he will become depressed or irritable and nervous.Many representatives of the stronger sex are 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 nervous breakdown.

Chronic prostatitis

Many men do not pay much attention to the manifestations of prostatitis in the early stages.There are discreet pains in the bladder area, frequent urge to go to the bathroom.The stronger sex associates the interruption of normal ejaculation and erection with age and is in no hurry to see a doctor.This 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 during urination or sexual intercourse, slight serous-purulent discharge from the urethra (especially after prolonged urinary retention).
2. Discomfort and/or moderate pain in the form of “aching” and heaviness in the perineal region, appearing or intensifying after alcohol consumption, physical activity or sexual intercourse.Sometimes they are transient and paroxysmal in nature.
3. Decrease in fertilization capacity, which is caused by increased acidity of secretion, decreased or absent sperm motility and their agglutination (gluing) 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 gland, its muscle fibers and the bladder.
5. Pain during orgasm or dull sensations of orgasm, ejaculation disorders, expressed in their prematurity or, conversely, in excessive duration of sexual intercourse.These phenomena are associated with the inflammatory process in the region of the seminal tubercle or its healing due to inflammation.

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

Diagnosis

To make an accurate diagnosis, a man needs to be examined by a doctor and undergo tests.In prostatitis, the patient feels pain on palpation in the perineal region.Internal palpation of the rectum shows the presence of swelling in the prostate region;becomes dense to the touch.The patient complains of problems with the genitourinary system.After collecting the anamnesis, the patient must undergo a detailed blood test to check for the presence of excess proteins, increased levels of leukocytes and prostate antigen.

To exclude 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 examination of the pelvic organs is performed.It clearly shows inflammation and enlargement of the prostate.If the gland has grown a lot, on an ultrasound you will be able to see the presence of residual urine in the bladder.

Upon completion of all tests and studies, the man will receive a full diagnosis and prescribed treatment.

Medicines 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 physiotherapy procedures;
• prostate massage;
• lifestyle changes;
• surgery, etc.

Drug treatment of prostatitis includes the use of various medications, including antibiotics:

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

When treating with antibiotics, preference is given to fluoroquinols and macrolides, as they are able to accumulate in the required concentration in 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 that has 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 glandular tissue.

Set 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.These muscles are responsible for containing the jet 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 water jet towards the perineum.First, 30 seconds of very hot 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 must be confident, but not aggressive.Time 3-5 minutes.

Be sure to consult your doctor before using the exercises.Sometimes their 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.Long courses of antibiotics, necessary for prolonged prostatitis, also reduce the body's defenses.Therefore, it is recommended that the patient consult 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 (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 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 decoction is drunk in equal portions instead of water.Seeds are brewed 4 teaspoons per glass of boiling water.Infuse for 40 minutes in a pan or 15 minutes in a thermos.Consume approximately 3-5 times a day, one tablespoon.
3. The main ingredient is hazelnut.To treat prostatitis, you need to take hazelnut bark or hazelnut leaves.You can prepare both ingredients alternately, alternating them.Just know that the skin needs to be fermented twice as long, as it is harder.So, take a tablespoon of hazelnut leaves (or bark) and brew it in a cup of boiling water.Close the lid tightly and wait half an hour.Then strain and take 1/4 cup 4 times a day.It's best to use new branches every time, but you can also use ones you've already used several times.Typically, a week of these 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 until homogeneous, 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 with caution.The plant is poisonous, an overdose leads to serious poisoning.At the same time, the celandine remedy 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 courses of 20-30 days.Treatment with homemade herbal medicine lasts longer due to its mild effects than medications, but it is safer for the body, especially in the presence of concomitant diseases of the intestine and stomach.Treatment must be accompanied by gymnastics: raising the legs, squats.Intensive walking of 15 to 30 minutes daily 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 surgical intervention!

Prevention measures

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