Prostatitis is an inflammatory disease of the male prostate gland. A large number of men are aware of the presence of organs such as the prostate gland, but not everyone understands its role in their body. The prostate gland is a small but important organ in the male reproductive system. It is located below the bladder and surrounds the upper part of the urethra. The prostate gland has several functions.
Secretariat functionvery important for the prostate gland. It produces secretions that make up two -thirds of the fluid that ejaculates during orgasm and ensures sperm motor activity. The secret is a nutrient solution for male germ cells and contains everything needed for their difficult journey to the egg - fructose for nutrition, water, minerals sodium, potassium, zinc and magnesium.
Motor functionlies in the ability of the prostate to hold urine due to smooth muscle fibers. And during ejaculation, prevent mixing of semen and urine.
Barrier functionconsists of preventing pathogenic microorganisms from penetrating the lower urethra into the bladder and kidneys.
The prostate gland, like other organs, is vulnerable. Prostate disease is any medical problem found in the prostate gland.
These issues include:
- benign prostatic hyperplasia (BPH), also called prostate adenoma;
- stones in the prostate;
- prostate cancer.
Types of prostatitis
Prostatitis is an inflammation of the prostate gland caused by an infection or other cause. This is the most common cause of premature loss of sexual function. Treatment for prostatitis is determined according to its type. There are 4 main types of this disease. Each has its own symptoms and causes.
- Acute bacterial prostatitis.
- Chronic bacterial prostatitis.
- Prostatitis is not chronic bacterial.
- Chronic prostatitis without symptoms.
Acute bacterial prostatitis
This type of prostatitis is relatively rare. This type of prostatitis is often associated with bacterial invasion of prostate tissue. Affects men of reproductive age from 35 to 50 years. Acute prostatitis is characterized by a sudden onset, an acute course with marked symptoms, which causes a rapid deterioration of the patient's condition.
Acute bacterial prostatitis is more easily identified than chronic prostatitis because of the monotonous clinical picture. The reason is the penetration of pathogenic organisms into the prostate gland. These are the same bacteria that cause urinary tract infections and venereal diseases. These include the following pathogens:
- E. coli (Escherichia coli), which is always present on the external genitalia and is the leading cause of infection in most cases;
- Chlamydia and mycoplasma, venereal disease;
- Klebsiella and Pseudomonas aeruginosa;
- Enterococci, enterobacteria;
Causes of Acute Bacterial Prostatitis
This pathogen enters the prostate gland from the urethra through the excretory tract or from other neighboring organs: bladder, kidneys, rectum. A large number of these microorganisms are pathogenic, that is, they live on a person’s skin and mucous membranes and do not harm him.
The immunity of a healthy person is strong enough to prevent microorganisms from multiplying. Even an infection of the prostate gland goes unnoticed. In order for the infection to manifest itself in the form of bacterial prostatitis, provoking factors are needed, called triggers. Namely:
- decreased immunity due to inactive lifestyle, abuse of bad habits, prolonged use of antibiotics;
- hours of inactive work;
- sharp sexual intercourse, the presence of chronic inflammatory diseases in the partner (bacterial vaginosis, chronic salpingo-oophoritis);
- prolonged sexual abstinence or excessive sexual activity;
- focus of chronic infection;
- transmitted venous and urological infections;
- surgical intervention on the urethra;
- constant stress, overwork, lack of sleep;
- stool disorders (constipation, diarrhea).
The type of acute prostatitis is identified by the following characteristics:
- chills, fever, general malaise;
- pain in the lower back, in the genital area, in the rectum, sometimes throughout the body;
- frequent urination, especially at night;
- painful urination, poor flow, burning sensation, strong smell of urine;
- blood in urine or semen;
- painful ejaculation;
Treatment of acute bacterial prostatitis
Urinary tract infections are confirmed by the presence of white blood cells and bacteria in the urine.
The course of therapy for acute bacterial prostatitis involves:
- Stationary mode;
- Complete rejection of alcohol and tobacco;
- Broad -spectrum antibiotics (ampicillin, cephalosporins, macrolides);
- Painkillers and anti-inflammatory drugs (intravenous or intramuscular);
- If necessary, detoxify with saline solution.
The duration of therapy is from two to four weeks.
The acute form lasts no more than 1-2 months. If no treatment is carried out, then the disease will become chronic. The most common complication of acute prostatitis is chronic overflow.
Exclusion of prostate gland abscess - focal purulent inflammation with an increase in temperature to 40 ° C is not excluded.
Chronic bacterial prostatitis
Chronic prostatitis, as a rule, runs without obvious characteristic signs. In contrast to the acute form, which is characterized by general weakness, malaise, fever and pain in the groin area, with chronic bacterial prostatitis, the clinical picture is vague, not well expressed. If, in the acute form, poor health literally forces the patient to consult a urologist, then with the chronic form, everything is different.
Exacerbation of prostatitis is replaced by a remission period, sometimes very long and visits to the doctor are delayed indefinitely. Often, the signs of prostatitis are perceived by a man as an age-related inevitability, and not a reason to see a doctor. Without facing obstacles in its path, the disease "blooms".
Symptoms of chronic bacterial prostatitis
- Frequent urination, which is painful. A weak jet appeared only after a few attempts.
- There is a feeling of incomplete emptying of the bladder.
- Painful pain in the lower abdomen, in the back, in the perineum.
- The sexual drive is getting weaker.
- Sleep and attention are disturbed, apathy develops, headaches and ringing in the ears may appear.
- Excessive sweating is one of the atypical symptoms of this disease that you need to watch out for.
If you don’t fight chronic prostatitis, you have to face more serious consequences that are difficult to treat. Chronic prostatitis can have the following complications:
- orchiepididymitis (inflammation of the testis and its appendages);
- vesiculitis (inflammation of the seminal vesicles);
- erectile dysfunction, infertility.
Diagnostics and treatment
Treatment of chronic prostatitis is prescribed based on laboratory tests. This includes:
- general blood analysis;
- three -glass urine samples;
- urine microbiological examination;
- transctal ultrasound of the prostate gland;
- digital rectal examination;
- microscopic and microbiological examination of prostate gland secretions;
- smear microscopy of the urethra to detect gonococci.
Medications for prostatitis inhibit the pathogenic flora and act on gram-negative and gram-positive bacteria. The therapy complex includes not only drug treatment, but also physiotherapy. Treatment of prostatitis includes:
- antibiotic therapy;
- anti-inflammatory therapy;
- immunomodulatory therapy;
- laser therapy;
- physiotherapy training;
- ozone therapy.
The duration of treatment is from 8 to 12 weeks.
Prostatitis is not chronic bacterial
This type is also called pelvic pain syndrome. It is characterized by spasm of the pelvic floor muscles. There is a version of its neurological origins.
Symptoms of non -bacterial prostatitis
- Pain in the pelvic and lower back area, also during urination;
- Pain in the joints and the whole body;
- Discomfort and itching during sex;
- Gastrointestinal disorders.
This type of prostatitis is not bacterial
Chronic non -bacterial prostatitis has 2 forms: inflammatory and non -inflammatory.
Increased leukocyte concentration and increased erythrocyte sedimentation indicate the inflammatory nature of the disease.
Non -inflammatory forms are more difficult to diagnose. It is found after a patient complains of pain in the pelvis during sexual intercourse.
The cause of chronic prostatitis is not bacteria
- unbalanced, monotonous diet;
- inactive lifestyle;
- irregular sex life;
- genetic predisposition;
- trauma to the genital organs;
- diffuse changes in the prostate gland.
With this type of prostatitis, a large number of inflammatory cells are present in the secretions of the prostate gland, but there is no urinary tract infection in the history of the disease.
Diagnostics and treatment
To diagnose the type of bacteria, the following instructions are needed:
- Urine analysis;
- general blood analysis;
- urine cultures to identify microorganisms;
- Ultrasound of the prostate gland;
- CT and MRI;
- smear bacteria.
Treatment of abacterial prostatitis
Antibiotics are sometimes effective even if tests show no signs of bacteria. For this reason, they are also often prescribed as the first stage in the treatment of chronic non -bacterial prostatitis. Alpha blockers help relax the smooth muscle tissue of the prostate and bladder neck.
Non-steroidal anti-inflammatory drugs help relieve pain and fever. It can be a suppository for prostatitis.
A regular prostate massage performed by a doctor can help drain fluid from the inflamed prostate duct and relieve stress.
Chronic prostatitis without symptoms
Few studied, asymptomatic and therefore the most dangerous species. As a rule, it is found by chance, during the inspection.
Symptoms Based on Research Results
- increased levels of PSA (prostate -specific antigen);
- leukocytes in the urine.
Complications of asymptomatic prostatitis are adenomas and prostate cancer.
Medication for asymptomatic prostatitis is selected depending on the etiology of the disease. When infected, the disease is treated with antibiotics or antiviral agents. And if the cause of the disease is not in bacteria, then the doctor may limit himself to an appointment for ultrasound therapy or massage.
Treatment of prostatitis with folk remedies
Treatment of prostatitis should be approached individually and must be comprehensive.
- Mixed healing.
To prepare a great mix, you need:
- fresh cucumbers;
- table bits (red);
The juice must be squeezed from these vegetables and mixed in equal parts. Drink 3 times a day, 100 ml half an hour before meals. We advise, in parallel with the intake of the mixture, to use propolis candles. Get into the rectum at night.
Buy spirulina powder from a pharmacy and add cranberry juice, mix well. For 100 ml. juice 2 g of powder. Drink the resulting mixture throughout the day.
The course of treatment is 7 days, then rest for 3 days and repeat again. For a positive effect, you need to go through 3-4 such courses.
- A mixture of lobster and honey.
Grind raw meadowsweet potatoes with honey. Take the resulting mixture 2 times a day (morning and evening) for 1 tsp.
- A mixture of parsley and honey.
Need to squeeze the parsley juice and mix in equal parts with honey. The resulting mixture is taken 3 times a day, 2 tbsp.
Prevention of prostatitis
The good old truth that prevention is the best treatment has proven itself to be the best with regards to prostatitis. However, prostatitis is promoted by violation of the basic rules of a healthy lifestyle. Lack of sleep, unbalanced diet, poor hygiene, rejection of sports, physical activity, smoking, alcohol - these are the surest methods for inflammation of the prostate gland. To never experience all the problems that cause prostatitis to "reward" in men, it is enough to take the following precautions:
- Don't abuse alcohol and quit smoking. Smoking, according to doctors, is the leading cause of blood stasis in the small pelvis;
- Exercise and physical exercise are useful, especially for strengthening the small pelvic muscles. Health jogging works well for prostate gland health and maintaining potential until maturity;
- Foods should consist of foods rich in vitamins, minerals, and fiber. Zinc is very beneficial for the prostate. It is abundant in pine nuts and sunflower seeds. It is better to give up fried and fatty foods;
- Drink plenty of clean water (2L);
- In winter, use warm linen;
- Check with your doctor once a year.
All of these things are quite simple and are aimed at prostatitis - a dangerous disease that masquerades as old age, impotence and can lead to life -threatening consequences.