Prostatitis is an acute or chronic inflammatory disease of the prostate. The acute form is characterized by pronounced symptoms. In the absence of adequate therapy, it becomes chronic. This variant of prostatitis is less treatable, it can lead to malignant degeneration of glandular tissues.
At the medical center, every man can undergo a thorough examination to identify any form of prostatitis. The center is equipped with modern high-precision equipment. In the laboratory, you can pass all the tests prescribed by the doctor. Experienced urologists of the highest qualification category will design an individual treatment plan that takes into account the characteristics of each clinical case.
about the disease
Prostatitis is a common problem that affects about 40% of men over the age of 40. It does not directly threaten a person's life, however, reducing efficiency, affecting the patient's neuropsychic sphere, limiting freedom, prostatitis significantly worsens the quality of life.
Inflammation of the prostate can occur as an independent pathology or be combined with adenoma or cancer of this organ.
types
In 1996, a classification was developed, according to which there are 4 categories of prostatitis in men:
- Acute prostatitis.
- Chronic prostatitis of a bacterial nature.
- Chronic inflammation of the prostate of a non-bacterial nature.
- IIIA. With the presence of signs of inflammation (leukocytes and any microorganisms are found in the secretion of the prostate).
- IIIB. Chronic nonbacterial prostatitis without an inflammatory component (there are no leukocytes and microorganisms in the prostate secretion).
- Asymptomatic chronic prostatitis (a person does not complain, but leukocytes are found in the prostate secretion).
symptoms of prostatitis
Depending on the form of the disease, prostatitis may occur suddenly, manifesting with vivid clinical symptoms, or proceed with alternating periods of exacerbation and remission.
Common signs of prostatitis in men:
- pain of variable intensity in the perineum, radiating to the groin and sacrum;
- pain in the lower back;
- urination disorders (pain at the beginning of the act and throughout its duration, intermittent stream of urine, possibly dribbling urination, frequent urge);
- decreased potency and libido;
- painful ejaculation;
- pain after intercourse;
- erectile dysfunction;
- intoxication syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.
Not necessarily all of these symptoms will be determined by the same man - perhaps a different combination of them. With an exacerbation of chronic prostatitis, they, as a rule, are less pronounced than in the acute form of the disease, and in remission they are practically not determined. Disorders of sexual function usually occur in men who have had chronic prostatitis for more than 5 years.
If prostatitis is neglected, it increases the risk of developing adenoma and prostate cancer, infertility, impotence that is difficult to treat. Having identified the first symptoms of the disease, it is necessary to contact a urologist as soon as possible. This will allow comprehensive treatment that stops the pathological process.
Causes of prostatitis
Allocate infectious and non-infectious causes of prostatitis.
Acute infectious prostatitis is caused by bacteria, most often - Enterobacter, Escherichia coli, Pseudomonas, Proteus, and sexually transmitted infections, less often - Mycobacterium tuberculosis. The spectrum of microorganisms that can cause an exacerbation of chronic prostatitis is much broader and can include both opportunistic and atypical (candida) infections.
The microorganism enters the prostate from the urethra, bladder, less often with blood or lymph flow from distant foci of infection.
Factors that increase the risk of developing the disease:
- STDs;
- remotely located chronic infectious diseases (caries, sinusitis, lung abscess);
- congenital and acquired immunodeficiencies;
- manipulations and operations on Organs pelvic organs;
- prostate biopsy;
- sedentary lifestyle, accompanied by stagnation of blood in the pelvic region;
- promiscuous sex life;
- same-sex contacts.
The causes of non-infectious forms of prostatitis are not fully understood. It is believed to be associated with stagnation of the secret in the prostate due to a violation of venous flow from the pelvic organs. The vessels of the prostate overflow with blood, swell, all the functions of the gland are disturbed, signs of inflammation appear. Risk factors for developing this form of prostatitis are:
- autoimmune processes (attack by antibodies of the body of prostate cells);
- prolonged absence of sexual activity;
- prolonged or interrupted sexual intercourse;
- sedentary lifestyle;
- unfavorable working conditions (impact of vibration);
- chronic intoxication with certain chemicals;
- spinal cord injury;
- hemorrhoids;
- constipation;
- androgen deficiency in a man's body.
diagnosis of prostatitis
Prostatitis is diagnosed based on the patient's complaints, examination data, anamnesis, and the results of additional studies. To detect the disease, apply:
- general and biochemical blood tests;
- study of prostatic secretion;
- biological fluid analysis for urogenital infections;
- transurethral ultrasound of the prostate (TRUS);
- prostate-specific antigen test;
- determination of testosterone levels;
- Urine analysis.
Prostatitis treatment
When the diagnosis is established, the man receives a complex drug treatment. Includes antibacterial drugs, enzymes, herbal medicine, immunomodulators. If the patient follows all the recommendations of the urologist, treatment of acute prostatitis on an outpatient basis leads to a complete recovery. On the other hand, a violation of the therapeutic regimen leads to the emergence of highly resistant forms of microorganisms that cannot be destroyed by traditional antibiotics. As a result, inflammatory and dystrophic processes are aggravated, the disease becomes chronic.
Chronic prostatitis is difficult to cure. It requires an integrated approach with the appointment of a long course of medication and special treatment procedures. The clinic's urology specialists design an individual treatment plan for the patient, which includes:
- antibiotic therapy for up to one month;
- angioprotectants;
- enzyme treatment;
- non-steroids that stop the inflammatory reaction;
- immunomodulatory treatment (selected by an immunologist);
- prostate massage;
- instillations into the urethra, if the inflammatory process is located in the urethra;
- physiotherapy.
The patient can receive treatment in the hospital or outpatient clinic. In the first case, the chances of a positive result increase, as the man strictly observes the regimen, follows all medical prescriptions and is under strict medical supervision.
In the case of complications of prostatitis (suppuration of the seminal vesicles, prostate abscess), a man may be indicated for surgical treatment.
physiotherapy treatment
Unique modern devices for local impact on the prostate are installed in the specialized center. Physiotherapy increases the effectiveness of complex treatment, reduces the resistance of microorganisms to antibiotics and eliminates congestion in the body. For the treatment of prostatitis, experienced doctors use:
- "A device for a complex effect on the prostate and pelvic muscles, accelerated treatment of prostatitis and relief of its symptoms. The therapeutic effect is due to electrical stimulation, laser and magnetic radiation. Improves gland drainage, activates blood circulation in the pelvis , eliminates the inflammatory process and improves the penetration of drugs into the tissues of the organ.
- Device for vacuum massage, restores vascular trophism of the cavernous bodies of the penis and improves blood circulation in Organs pelvic organs. It is used to treat prostatitis associated with obvious erectile dysfunction, as well as in the complex treatment of impotence. Eliminates the causes of congestion, tk. tones blood vessels.
- Device for local heating of the prostate. Warming tissues to 39-42°C inhibits the reproduction of microorganisms, initiates metabolic processes in the prostate and improves its blood supply. It is used to treat various forms of prostatitis.
A modern clinic helps men to deal with chronic prostatitis in the shortest possible time. Experienced specialists will definitely establish the causes of the pathology and select an effective treatment. By enrolling in physical therapy, you will speed up recovery, quickly get rid of pain and discomfort.
Prevention
Specific prevention of prostatitis in men has not been developed. Non-specific measures include patient adherence to a number of recommendations:
- drink plenty of fluids;
- do not tolerate, if you want to go to the bathroom, empty your bladder regularly;
- lead an active sex life;
- avoid hypothermia;
- avoid hypodynamia;
- observe the rules of intimate hygiene;
- timely treat urogenital infections and any other infectious diseases of the body;
- reduce the amount of spicy foods, caffeine, alcoholic beverages in the diet as they have an irritating effect on the urinary tract.
Rehabilitation
In a short time, an active lifestyle, adherence to the attending physician's recommendations regarding maintenance therapy and proper nutrition will help a man to recover from acute prostatitis or chronic exacerbation in a short time.
To avoid stagnation of blood in Organs pelvic organs, a person should move more, and if their work involves physical inactivity (for example, a long stay behind the wheel) - whenever possible, get out of the car and move around, visit the gym .
Properly organized nutrition will speed recovery and reduce the risk of disease exacerbation. It is important to consume a lot of plant foods - vegetables, oils, as well as dairy and fiber.
Questions and answers
Which doctor should I contact if I suspect prostatitis?
A urologist deals with the diagnosis and treatment of prostatitis.
Is it possible to completely recover from prostatitis?
Depending on which form of the disease occurs in a particular patient. Acute prostatitis, if a person consults a doctor in a timely manner and follows all the treatment recommendations, it can soon pass without a trace. Chronic prostatitis, unfortunately, is not curable. However, the right treatment tactics and a man's responsible attitude towards the problem will significantly increase the chances of achieving a long-term stable remission.
Chronic prostatitis can be defeated! To get quality care, don't delay treatment.