Prostatitis in men

Prostatitis in men belongs to the andrological group (exclusively male), urogenital pathologies.The disease proceeds in the form of acute or chronic inflammation.This is the most common urological disease today.It was previously believed that it is manifested only at the age of 45-65 years, now, more and more often the diagnosis of prostatitis, doctors make young people aged 20-30 years.The disease was significantly “younger”.

The nature of the damage to the prostate gland depends on the sexual gabitus of a person.

1. The defeat of the prostate gland in boys, until their puberty, can theoretically be, but inflammation of the undeveloped gland is not considered as an independent disease.
2. In men leading an active sex life, prostatitis often proceeds as acute inflammation.
3. The pathology of the gland, in people of mature and elderly, can manifest in the form of three independent diseases (chronic prostatitis, adenoma - benign hyperplasia, adenocarcinoma - malignant hyperplasia).
4. In persons of undergoing (chemical, physical, radiation) castration, iron is atrophied.

The prostate iron (prostate) is the subordinate plate of the male genital area.It is located on the anastomic of the urethra and the vitriors of the ducts.The value of the gland, before puberty, is little studied.A mature man has a prostate iron:

• It produces a secret that loses sperm, provides the viability of sperm in the sexual routes of a woman;
• produces prostaglandins, substances contributing to increased blood supply to the penis before the onset of an erection, together with testiculas, is involved in the production of the hormone testosterone;
• provides quick evacuation (release) of sperm from the urethra and takes part in the formation of orgasm;
• Through reflex mechanisms, it prevents urine from entering sperm during sexual arousal, participates in a complex erection mechanism.

Prostate is a vulnerable organ for pathogens.It is inevitably involved in the pathology of the walls of the urethra, bladder, and the erystorms of the ducts.A powerful blood flow, lymph, circulating along an extensive vascular system of the damaged gland, provokes the phenomena of stagnation, edema of the organ, aggravates the pathology.The iron is well innervated, damage is accompanied by pain.

What do men should know about prostatitis

Prostatitis is an inflammatory disease of the prostate gland (prostate), most often caused by an infectious agent entering the prostate from the urethra, bladder and a nearby rectum.However, the infection in itself does not mean the development of the disease, for this, as they say, a “favorable combination of circumstances” is necessary.

What factors are predisposing prostatitis:

1. Long -term sitting work and sedentary lifestyle.The risk group includes drivers, programmers and everyone who spends their working day without getting up from a chair to walk and stretch.
2. Regular violation of the stool in the form of constipation.
3. Strong or repeated hypothermia of the whole organism.
4. Excessively active sex life or prolonged abstinence.Both are by no means useful for the normal functioning of the prostate gland.
5. Overeating, abuse of spicy foods and alcohol, constant stress.

The prostate is a very small organ of 3 and a width of 4 cm long. It weighs only 20-25 grams.However, the secret of the prostate has bactericidal properties, so the inflammatory process in the gland can develop only if there are congestion in this organ, when its secret loses its properties.

How prostatitis manifests itself in men

Distinguish chronic and acute forms of prostatitis:

• Symptoms of acute prostatitis are characterized by severe inflammation in the prostate.In this case, the patient has severe heat (body temperature rises to 38-39 degrees), pain in the groin and perineum, painful urination and defecation.
• Chronic prostatitis less worries a man, so he may not pay attention to the characteristic signs.The patient occasionally rises to 37 degrees temperature, sometimes he is concerned about unpleasant sensations when going to the toilet, a little mucus or pus from the urethra is released.Such discharge is one of the typical signs of chronic prostatitis.

Signs of prostatitis in men

Six signs (harbingers) of prostatitis are distinguished - dysuria syndrome.Use as clinical markers conditionally.However, the presence of two of the six symptoms - an occasion will turn to a urologist.

1. A stream of urine slopes down or its range is less than 20 cm.
2. Difficult, dropping, urinating.
3. Pain during urination.
4. Intermitement, bifurcation, spraying of the jet, the duration of the process.
5. A feeling of not complete emptying of the bladder.
6. Far -hearted urination at night.

It is strictly forbidden to draw clinical conclusions when identifying these features.Prostatitis has a complex pathogenesis, with the inclusion of various mechanisms in it.You cannot treat the disease, focusing on general clinical symptoms.Contact the urologist, to determine, symptoms, the nature of the damage, the stage of the disease, and the prescription of treatment.Diagnosis and treatment is carried out taking into account the organs and systems involved in the pathogenesis.In some cases, consultations of a venereologist, surgeon, and oncologist are needed.

Symptoms of prostatitis in men

Prostatitis can occur in the form of acute and chronic inflammation.Acute forms develop by the type of catarrhal, follicular, parenchymal inflammation.Manifestations of chronic prostatitis are associated with a concomitant disease.

Symptoms of prostatitis, detected by clinical methods and functional tests.The following symptoms are of the greatest importance for recognizing the nature of the pathology, causes and mechanisms of protective reactions of the body.

• Frequent urination with prostatitis.In a healthy person, the maximum number of urge to urination does not exceed 10-12 times a day, usually 4-5 times.The daily volume of urine in an adult of a healthy person is 1000-2000 ml.The volume of urine in which the urge occurs is 120-170 ml, the accumulation of urine more than 350 ml causes a strong desire to empty the bladder.Prostatitis inflammation products constantly irritate the receptors of the walls of the urinary organs, as a result of which urination:
• Frequent urination (Pollakiuria), while the daily urine is not increased;
• Urination in small portions, inflammation products are supplied to the receptors false signals about filling the half -empty bladder, after emptying, the feeling of its fullness remains;
• Painful urination (wandering), due to the narrowing of the urethra with an inflamed prostate;
• Difficulty urinating due to compression of the urethral section with an inflamed gland, sometimes prostatitis is accompanied by the inability to empty the bladder (Ishuria);
• Urination at night (nicturia), irritated walls of the bubble give out a constant signal for urine production.
• The temperature with prostatitis.A characteristic increase in body temperature to subfebrile and febrile value is characteristic.High temperature accompanies purulent prostatitis at an early stage of septic shock.In the late stage of septic shock, on the contrary, a reduced temperature (hypothermia) is characteristic to 35-36 ° C.Low temperature is dangerous for a person due to the tendency of blood platelets to disseminated intravascular coagulation (DIC-syndrome).The prognosis of prostatitis complicated by sepsis, in the presence of internal combustion engine syndrome, is careful or unfavorable.
• Blood in the urine with prostatitis.The symptom of hematuria (blood in the urine) is rare, but very dangerous, a sign.Persistent bleeding is difficult to stop.Several causes of hematuria are distinguished with prostatitis, including:
• purulent melting of the gland with a section of the blood vessel and the sampling of the vessel in the urethra;
• accidental injury during instrumental studies of genitourinary organs;
• Prostatitis, complicated by hyperplasia, is more often malignant.
• Pain syndrome.Complicated prostatitis is accompanied by pain outside urination.Sometimes the pain manifests itself periodically, for example, during defecation.The cause of pain is constant irritation of the gland with inflammation products.Often note dull (aching) pain in the perineum and anus.

Laboratory studies confirming the symptoms of prostatitis.They are used to clarify the presence of inflammation, determine the severity of the inflammatory and septic process.

• General blood test.Indicators confirming prostatitis are: an increase in the number of leukocytes, leukogram shifts in the direction of increasing the number of rod -core cells of blood, an increase in ESR.
• Urine analysis.Reveals hidden piuria (pus in the urine) and bacteriuria (bacterial obstruction) in the first portion of urine.The method of three glasses is used to identify hidden pus and bacteria at the beginning, middle or end of urination.Multiple, with a frequency of several days, a bacteriological study of urine is carried out in order to determine a change in the species belonging of bacterial flora.
• Blood sowing tank.The method is indicated for the symptoms of progressive sepsis, accompanied by a exhausting (hectic) fever.
• The study of the cellular link in the immunity with prostatitis complements the idea of the nature of the pathogenesis, to predict the likelihood of the development of sepsis.

Instrumental methods used to clarify the symptoms of prostatitis.The following methods have diagnostic value.

• The transrectal method (through the rectum) of ultrasound (Truzi).Its high diagnostic value.The method has contraindications associated with the ban on the massage of the gland at certain stages of the disease.
• X -ray pictures with the bladder.Choose projections convenient for prostate research.Before the picture, a urographic is introduced into the bladder - an inert radiocontracy substance for the body.
• Prostate puncture biopsy has strictly limited indications for prostatitis.

Causes of prostatitis in men

There are several groups of causes of prostatitis, including:

1. The complication of the men (PPP infections, cold inflammations of the pelvic organs, complicated by staphylococcal organs, other bacterial infection, viral, fungal agents, especially against the background of reduced immunity and general resistance of the body), chronic gynecological infections in a woman - sexual partner.
2. Urethral reflux.Violation of the capacity of the prostate to prevent the reverse current of urine, its ingestion is called urethral reflux.As a result, the bacterial contamination of the prostate occurs.Urethral reflux - a consequence of improper catheterization, as well as previously adopted inflammations of the urethra.At the same time, urethrraagia occurs - a pathological increase in the lumen of the urethra.Urethral - vesicul -seed reflux, bacterial contamination is combined with the formation of calculi (stones) in the prostate and the erystorming channels.
3. Violation of the rhythm of sexual activity, including the absence or excess of sex, regular ejaculation delay.
4. Stagnation of venous blood in the genitourinary organs of the small pelvis of men - a consequence of a sedentary lifestyle (hemorrhoids, disorder of sexual life, other causes);
5. The hormonal imbalance associated with insufficient production of the sex glands of male hormones, as a result, there is a general weakening of the tone of skeletal and smooth muscles, violation of erectile function, and other disorders.

Classification of prostatitis

Distinguish between bacterial and non -bacterial prostatitis:

1. Bacterial prostatitis is caused by pathogenic microorganisms that enter the prostate gland from the outside.These include streptococci, staphylococci, E. coli, Proteus and others.Many bacteria are the usual flora of our body, but under certain conditions they enter the prostate and cause an inflammatory process.Prostatitis can also develop as a result of sexual diseases such as chlamydia, ureaplasmosis, gardnerellosis, trichomoniasis, gonorrhea, mycoplasmosis.
2. The group of non -infectious prostatitis includes:
• Congestic (stagnant) prostatitis.It is caused by stagnant phenomena in the pelvis.Incomplete ejaculation, sexual excesses, prolonged abstinence, interrupted sexual intercourse - all this contributes to the venous stagnation in the pelvic organs.
• Sclerotic prostatitis.It is characterized by a decrease in the size and functions of the prostate gland, the compaction of its tissues as a result of the death of prostate cells with their replacement sclerotic tissue.One of the reasons for the development of this form of the disease is frequent constipation, taking some medications, multiple infections.Such prostatitis, unfortunately, is not to be treated.
• Calcular prostatitis.The result of the development of calculent prostatitis is the presence of phosphate and oxalate stones in the gland.Reaching large sizes, they cause a sharp pain in the urethra.The treatment technique is to dissolve the stones formed.
• Prostatopotic prostatitis.This disease causes chronic pains in the pelvis, but its etiology has not been fully studied.It is believed that it can be provoked by a reverse current of the secret, damage to the muscles of the perineum, pathology of the neck of the bladder and psychological factors.
• Atypical forms.In an atypical form, the patient can complain about pain in the legs, lower back and sacrum, which is unusual characteristic symptoms of prostatitis.The outcome of treatment depends on the duration of the disease, the activity of inflammatory processes, the presence of joining complications.

If you do not engage in treatment of prostatitis, then in a neglected form it leads to a decrease in potency, infertility, depression, exhausting pain in the perineum and other complications.

What is dangerous prostatitis, consequences of prostatitis

The consequences depend on the age, state of the immune system, the presence of bad habits.So in people of an older age group, with weakened immunity, having an alcoholism, drug addiction, and the acquired immunodeficiency syndrome, the consequences of the disease are harder.

• The effect of prostatitis on potency.Damaged gland, with decompensation of functional activity, reduces the production of substances involved in the formation of an erection of the sexual organ of a man.The consequence of prostatitis is a sluggish emission of seed fluid during intercourse, a decrease in the completeness of sensations during intercourse, in advanced forms erectile dysfunction.
• The effect of prostatitis on conception.The damaged prostate sharply reduces the activity of the production of a quality secret necessary to maintain the activity of sperm in the birth canal of a woman.The secret of the inflamed prostate gland, getting into sexual contact in the family paths of a woman reacts with immune rejection of the female body, the development of gynecological diseases and the impossibility of conception.
• Prostatitis provokes damage inside the gland and body.The inflammation complicated by the microflora increases the risk of prostate abscess.Abscsing - purulent melting of part of the parenchyma of the gland with the formation of a capsule around the hearth.The disease with the formation of mineralized calculi in the cavity - a consequence of the prostate complicated by reflux damaged prostate.The consequence of prostatitis is also: acute Ishuria, urolithiasis, renal failure, inflammation of the genitourinary organs and other diseases.

Is it possible to have sex with prostatitis

It is proved that dysritomy of intimate life is one of the causes of inflammation of the gland.Regular ejaculation with moderate frequency, positively affects the pathogenesis of prostatitis with subclinical and moderate clinical manifestations of prostatitis.Some therapeutic manipulations and stages of the disease suggest a temporary ban on sexual life.Detailed recommendations should be obtained from the attending physician.Have sex with prostatitis, observe moderation and safety of intimate life.

Is prostatitis transmitted sexually?Prostatitis is a purely male disease that does not have a specific viral, bacterial, fungal origin.Meanwhile, inflammation of the prostate, is a danger to gynecological health.The seed fluid containing inflammation products, falling into the female genital organs, amid a decrease in protective barriers of the birth canal - a real threat of conception and bearing the fetus.A healthy lifestyle, reliable means of male contraception are a simple way to protect sexual partners from mutual problems.

Is it possible to recover from prostatitis once and for all

Most of those men who have been undergoing treatment from prostatitis are interested in one question - is it possible to get rid of this unpleasant illness forever.According to experts, the effectiveness of treatment largely depends on the presence and severity of the irreversible consequences in the prostate.It can be scars, stones, calcinates.

The further development of the inflammatory process can only be stopped in the early stages only timely seeking a doctor.In this case, no irreversible complications in the prostate are developing and there is the possibility of a complete cure.When sections of sclerotic fabric have already formed - scales, there are calcinates and small pebbles, which can no longer get rid of, then, most likely, re -inflammation may occur.This is chronic prostatitis.

In addition to treatment, an important factor in overcoming this ailment is also how the patient is ready to change his former lifestyle - irregular sex life and constant sitting on a chair.If he does not want such changes, then with a great degree of confidence we can say that soon the inflammatory process will return again.It is with the unpreparedness of the patient to exclude these negative factors from his life and the idea that prostatitis is incurable.

The duration, the treatment regimen is determined by the doctor based on the results of physics, laboratory and instrumental studies.At the heart of prostatitis therapy, antibacterial drugs.The use of vitamins, physiotherapeutic procedures, anti -inflammatory, painkillers, antibiotics is shown.

Diet for prostatitis

Compliance with the diet, the use of a certain set of products:

• reduces pain
• improves blood and lymph microcirculation in the vessels of the gland,
• strengthens the protective functions of the body,
• normalizes the work of the intestines,
• Reduces urine at night.

Prostatitis products.Exclude from use:

1. Strong coffee, sharp dishes - enhance blood flow to the gland, stimulate pain;
2. Fat, fatty meat, eggs, flour - enhance the deposition of cholesterol on the walls of the capillaries, reduces the microcirculation of blood flow in the gland;
3. Alcohol - reduce immunity;
4. Products containing coarse fiber, salty, spicy products - change intestinal motility;
5. A large amount of liquid (in the evening), salted, smoked products (during the period of illness) - increase the volume of fluids, delay it in the body.

It is advisable to include in the diet: plant salads seasoned with olive oil, vegetables and fruits grown in the region of residence, natural juices, nuts, dried fruits, low -fat boiled meat.A set of products for prostatitis can be clarified by a doctor of a nutritionist.

Preventive measures

Prevention is based on simple rules, to comply with them is simple.

• Regularly take a wide step (this style of walking is most physiological);
• Eat correctly, lead a healthy lifestyle;
• Use men's contraceptive.

To avoid the development of prostatitis and its complications, with any ailments of the genitals, you should immediately contact the urologist.It is also not necessary to wait until any symptoms appear, and at least once a year to seem to the doctor himself.In a medical institution you will undergo, examination and you will know for sure that your health in the genital sphere is all right.

Do not delay the visit of the urologist and those who suffer from constipation, abuse alcohol, spicy and smoked food, those who do not actively play sports and who had a history of sexually transmitted diseases.Due to the high risk of the disease, such people should undergo a mandatory examination, even if there is no testimony for this.

As you know, men are not lovers to walk around doctors and when there is already unbearable, it turns out that the disease took a chronic course.But the course of treatment could be passed much earlier.Now, with chronic prostatitis, you will have to be treated at least 1-2 months.