The symptoms of prostatitis can make a man's life unbearable. Experienced doctors will help you quickly deal with the problem.
Inflammation of the tissues of the prostate (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, potency, libido and ejaculation difficulties. Manifestations of prostatitis significantly worsen 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
The symptoms of the disease can be acute and almost invisible. If you are experiencing the following symptoms, albeit minor, it is best to immediately see a doctor to confirm or disprove the diagnosis.
- Urination disorders: frequent urge, especially during nighttime sleep, weak or intermittent flow, pain, accompanied by difficulty urinating.
- Pain in the lower part of the abdomen, which gives into the anus, scrotum, perineum.
- Decreased libido, decreased potency or sexual dysfunction.
- Change in consistency, color, amount of ejaculation, difficulty in ejaculation.
When identifying signs and symptoms of prostatitis in men, do not self-medicate and do not use internet recommendations, at best they will not help you, at worst they can harm you. In addition, premature access to a doctor causes a worsening 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 rise in body temperature (up to 40 degrees);
- severe headaches, weakness, fatigue, irritability;
- groin pain, back pain, when urinating, frequent urge;
- change in the quality of urine (becomes more cloudy, viscous, mixed with blood), unusual discharge from the urethral canal occurs.
If you do not seek medical help in time, acute prostatitis can provoke complications:
- abscess in the body of the prostate;
- vesiculitis (inflammation of the seminal vesicles);
- coliculitis (inflammation of the seminal tubercle);
- the occurrence of scars and adhesions in the spermatic gland and cord;
- stagnant processes in the tissues of the prostate;
A characteristic of the chronic form is the elusiveness of the clinical manifestations and symptoms of prostatitis. Manifestations are similar to the acute form, but have a slow character. The causes of the pathology, as a rule, are abacterial prostatitis, prostatosis (stagnation of blood in the vessels).
diagnosis and treatment
Prostate inflammation 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 urine and blood tests, blood tests for PSA, sampling of prostate secretion, spermogram, ultrasound).
In the event that the patient seeks a specialist in time, the treatment of prostatitis involves an integrated approach and presents excellent results.
The modern clinic is equipped with modern high-tech equipment for the diagnosis and treatment of diseases of the genitourinary system. Qualified gentle doctors will provide the most appropriate and effective assistance.
Symptoms of prostatitis: pain, burning, discharge, pain, incontinence
Symptoms of prostatitis are most often of 3 types:
- Violation of urination: Difficult, frequent nocturnal urination.
- pain symptoms: pain in perineum, lower abdomen, groin. The pain may radiate (give) to the scrotum or sacrum.
- mixed form, in which there are disturbances of urination and pain.
Causes of prostatitis?
for bacterial prostatitis
The infection enters the prostate from neighboring organs: through blood and lymph 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, blood circulation, concomitant diseases and other predisposing factors.
For non-bacterial 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.
STD 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 in favor of a direct link between infections and the occurrence and 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.
Initial prostatitis. How to determine? first signs
The first signs of prostatitis are a change in the nature of urination: difficult and frequent urination, frequent urge to urinate, especially at night. Discomfort when urinating and pain of varying intensity in the groin.
Prostatitis age? Is this a disease of the young and/or the elderly?
Prostatitis is an inflammatory disease, so it can occur at any age. But adenoma or prostatic hyperplasia is an age-related disease in men over 50 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 proceeds with 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 complaints will never bother the patient again.
Bacterial prostatitis and other types
There are several classifications, the most used was developed by the US Institute of Health in 1995:
- Category IAcute prostatitis.
- Category II.Chronic bacterial prostatitis.
- Category III.Nonbacterial Prostatitis/Chronic Pelvic Pain Syndrome - no obvious signs of infection and lasting 3 months or longer.
- Subcategory III A.Chronic inflammatory pelvic pain syndrome (with leukocytes in prostate secretion and pathogen release).
- Subcategory III B.Chronic non-inflammatory pelvic pain syndrome (no leukocytes in the prostate secretion).
- Category IV.Asymptomatic prostatitis (with leukocytes in the prostate secretion, but no complaints).
To facilitate understanding, the classification can be represented by 3 types:
acute prostatitis- continues with severe pain, fever, difficulty urinating. In the secret of the prostate - a large number of leukocytes, which indicates a clear inflammatory process. It usually occurs for the first time in this patient. If these symptoms occur in a patient with chronic prostatitis, they are referred to as an exacerbation of chronic prostatitis.
chronic bacterial prostatitis- Periodically disturbing the patient's 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 hardest thing to diagnose isnon-bacterial prostatitis, or the callchronic pelvic pain syndrome. This is due to the fact that the complaints are very similar to those of prostatitis, but 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, impaired interaction between the bladder muscles and its sphincter, anatomical disorders - stenosis (narrowing) of the urethra, leads to inflammation due to increased pressure within the lobules of the prostate.
Who treats prostatitis - andrologist or urologist?
Prostatitis is treated by 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 improve 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?
Perdiagnosis of prostatitisconsultation with a urologist (andrologist) is required to collect patient complaints, medical history, prostatic secretion microscopy and ultrasound diagnosis.
For diagnosis, transrectal ultrasound of the prostate (TRUS) and prostate secretion obtained after prostate massage are used for microscopic examination.
In addition, the sowing of the prostate secret in the bacterial flora with the determination of the sensitivity of the inoculated microflora to antibiotics can be used.
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 form.
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 the treatment, since the longer the inflammation continues, the greater the likelihood 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)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 by increasing bladder contraction and relaxing your detrusor.
big groupbiogenic stimulants and herbal preparations.
Effective treatment is only possible with a correct diagnosis, as there are no universal medicines for all types of prostatitis. Patients often take medication to treat prostatitis if they have a completely different disease with similar symptoms.
Nuts, roots, parsley, cucumbers, honey, bees, leeches and other folk remedies for prostatitis
Popular methods of treatment have a right to exist, but you must understand that it is very difficult to choose a popular method that suits you. Upon request, the treatment of prostatitis with popular methods, the search engine produces 70 million results.
Popular methods that no one has investigated for effectiveness. What helped a patient with such treatment (and if it helped) does not mean it will help him.
Exacerbation of prostatitis after treatment. remission, relapse
All chronic inflammatory processes have periods of exacerbation and remission, when nothing bothers the patient. The duration of remission can be different and depends on many factors, including whether the patient is on prophylactic treatment. Patients who periodically undergo prophylactic treatment, without expecting a deterioration in well-being, generally have less frequent exacerbations.
Prostate 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, therefore, for some diseases: prostate adenoma (in the presence of acute urinary retention), prostate massage is not desirable, and for tumors it is contraindicated.
alcohol and prostatitis
Alcohol, by itself, does not cause the development of prostatitis, but it is a factor that increases the stagnation and swelling of the prostate and thus contributes to its development.
Sex life and prostatitis
There is a direct relationship between the intensity of sexual activity and prostate disease. With prolonged abstinence, stagnation occurs in the prostate, which worsens metabolic processes and interrupts blood microcirculation, contributing 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 unprotected from infections, is the quickest path to prostatitis.
Does prostatitis affect women?
The health impact of a woman with prostatitis on a partner, of course, is available. The prostate, together with the seminal vesicles, produces the liquid component of sperm, which, during sexual intercourse, enters the partner's genital tract. 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
As the prostate produces the liquid part of semen, which contains nutrients for sperm, often with prostatitis there is a decrease in sperm quality, which makes pregnancy difficult.
Prevention. What to do to prevent prostatitis?
Prevention is directly related to the climate in which the patient lives and his profession.
Prevention of prostatitis 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. 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 diseases, it can make sexual intercourse difficult for a man and even impair his fertility. Not to mention that every year in every European country tens of thousands of men get prostate cancer.
Many men are embarrassed about their prostate problems and don't go to 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, in addition, passes through the center of the organ.
The prostate is a gland, that is, just as 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 sperm and plays the role of nutrition. It is thanks to her that the sperm can maintain the necessary parameters - be quite viable and mobile.
In addition, the protein substance PSA is formed in the prostate, which is involved in the fertilization process. Thus, there is no doubt that male fertility largely depends on the condition of the prostate, and any problems with the prostate can make it difficult to conceive a child as they are associated with a decrease in sperm parameters.
Prostate size changes throughout life
A boy is born with a prostate the size of a pea. Over the next few years, the gland slowly enlarges to reach the correct size for an adult male in his 30s. A man's "at his prime" prostate 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, during which the prostate does not grow as quickly as it used to. It increases again around age 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 been completely emptied. Also, urine can leak out of the bladder in an uncontrolled way.
All of these symptoms are the result of increased prostate pressure 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 the worst case, even kidney failure.
But the worst 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 mostly affect young men
Prostatitis can be bacterial or nonbacterial in origin. It can be caused by microbes or stagnation of the secretion produced by the prostate. It mainly affects young men between 20 and 40 years old.
- increased urge to urinate;
- burning sensation when urinating;
- sometimes an increase in body temperature.
Treatment of prostatitis is not the easiest, as many antibiotics do not penetrate the prostate well.
Prostatitis is one of the main causes of male infertility. Treatment of this pathology is strictly necessary.
Prostate cancer is another prostate disease.
In Europe, prostate cancer is one of the most common cancers in men. Every year, in every country, doctors diagnose it in tens of thousands of people. According to statistics, this cancer affects approximately 30% of men in their 50s and 80% of men in their 80s. At the same time, it is the third leading cause of cancer death.
Prostate cancer
A hallmark of prostate cancer is that it develops 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? Yea! The predisposition to prostate cancer will be obesity and a sedentary lifestyle, untreated urinary tract inflammation, excessive sexual abstinence, as well as genetic factors.
Prostate cancer is curable as long as it is detected early. Unfortunately, many men put off visiting the urologist, most often out of shame 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 far as fertility is concerned, 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. It helps to restore blood supply to the pelvic organs, normalize metabolic processes, improve tissue regeneration, increase the effectiveness of drug treatment, flush out accumulated toxins and pus residues, increase the body's immune resistance and solve potency.
In a specialized medical clinic, you can take a course of massage therapy for the prostate 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 the specialists allows us to carry out a delicate procedure with minimal discomfort to the patients. The cost of the massage is calculated individually depending on the patient's condition.
Purpose of therapeutic prostate massage
Massage therapy is an effective prevention of the development of various diseases of the prostate (including cancer). It promotes the output of prostate secretion, reduces inflammation, improves muscle tone.
The procedure helps to get rid of discomfort and pain in the perineum, as well as increase 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 from the medical center, depending on the patient's condition.
If you would like to make an appointment with a specialist or clarify the price of the service, please use the feedback form or call the 24-hour telephone number indicated on the website. Our consultants are always ready to answer any question in as much detail as possible.
Indications for prostate massage
The main indication for therapeutic massage of the prostate is diagnosed prostatitis of infectious or non-infectious origin. It is also prescribed for:
- chronic pain in the pelvic region;
- congestion in the prostate;
- hereditary predisposition to prostatitis;
- erectile dysfunction caused by prostate pathologies;
- decrease in male sexual activity.
The effectiveness of prostate massage for these problems has been confirmed by several clinical studies. Our patients tolerate manipulation very well, as it lasts from 1 to 2 minutes and is as painless as possible. The doctor always controls the strength of pressure on the prostate, depending on the man's individual sensations.
How is a prostate massage performed?
Procedure results:prostatic secretion output
The patient assumes 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 to 5 cm. Then gently massage the prostate until a secret starts to stand out.
In chronic prostatitis, the doctor will prescribe a course of prostate massage. As a rule, it includes 10 to 15 procedures, administered at intervals of 2-3 days. Upon completion of the course, a break is taken for 2-3 weeks, after which the procedures are repeated.
Useful information
In some cases, exposure to the prostate is undesirable. 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.