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Prostatitis

symptoms and signs of prostatitis

Prostatitis is an acute or chronic inflammatory disease of the prostate gland. The acute form is characterized by pronounced symptoms. In the absence of adequate therapy, it becomes chronic. This variant of prostatitis is less treatable, can lead to malignant degeneration of gland tissues.

In the medical center, every man can undergo a comprehensive 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 draw up an individual therapy 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, by reducing efficiency, affecting the neuropsychic sphere of the patient, 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.

Kinds

In 1996a 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 gland 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 gland).
  • IIIB. Chronic non-bacterial prostatitis without an inflammatory component (there are no leukocytes and microorganisms in the secretion of the prostate).
  • Chronic asymptomatic prostatitis (a person does not complain, but leukocytes are found in the secretion of the prostate gland).

Symptoms of prostatitis

Depending on the form of the disease, prostatitis can occur suddenly, manifesting itself with vivid clinical symptoms, or proceed with alternating periods of exacerbation and remission.

Common signs of prostatitis in men:

  • varying intensity of pain in the perineum, radiating to the groin and sacrum;
  • lower back pain;
  • urination disorders (pain at the beginning of the act and throughout its duration, intermittent urine stream, possibly drip 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 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 often occur in men suffering from chronic prostatitis for more than 5 years.

If the prostatitis is neglected, the risk of developing adenoma and prostate cancer, infertility, impotence that is difficult to treat increases. Having identified the first symptoms of the disease, it is necessary to contact a urologist as soon as possible. This will allow for a 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, more 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 wider and can include both opportunistic and atypical (candida) infections.

The microorganism enters the prostate gland 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;
  • chronic infectious diseases located remotely (caries, sinusitis, lung abscess);
  • congenital and acquired immunodeficiencies;
  • manipulations and operations on the pelvic organs;
  • prostate biopsy;
  • sedentary lifestyle, accompanied by stagnation of blood in the pelvic area;
  • promiscuous sex life;
  • same-sex contacts.

The causes of non-infectious forms of prostatitis are not fully understood. It is believed that it is associated with stagnation of the secret in the prostate gland due to a violation of the venous outflow 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 the development of 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;
  • haemorrhoids;
  • constipation;
  • androgen deficiency in the body of a man.

Diagnosis of prostatitis

Prostatitis is diagnosed on the basis of the patient's complaints, examination data, anamnesis and the results of additional studies. In order to detect the disease, apply:

  • general and biochemical blood tests;
  • study of prostatic secretion;
  • analysis of biological fluids for urogenital infections;
  • transurethral ultrasound of the prostate (TRUS);
  • prostate-specific antigen test;
  • determination of testosterone levels;
  • Analysis of urine.

Treatment of prostatitis

When the diagnosis is established, the man is prescribed a complex drug treatment. It includes antibacterial drugs, enzymes, herbal medicine, immunomodulators. If the patient follows all the recommendations of the urologist, the treatment of acute prostatitis on an outpatient basis leads to a complete recovery. Conversely, a violation of the therapy 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 urology specialists of the clinic draw up an individual therapeutic plan for the patient, which includes:

  • antibiotic therapy for up to a month;
  • angioprotectors;
  • 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 localized 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, since the man strictly observes the regimen, adheres to all doctor's prescriptions and is under close medical supervision.

In the case of complications of prostatitis (suppuration of the seminal vesicles, abscess of the prostate gland), a man may be shown 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. It improves the drainage of the gland, 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 the 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 the blood vessels.
  • Device for local heating of the prostate. Heating tissues up to 39-42°C inhibits the reproduction of microorganisms, starts metabolic processes in the prostate and improves its blood supply. It is used to treat various forms of prostatitis.

A modern clinic helps men cope with chronic prostatitis in the shortest possible time. Experienced specialists will definitely establish the causes of the pathology and select an effective treatment. By signing up for physiotherapy, 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 compliance with a number of recommendations:

  • drink enough fluids;
  • do not tolerate, if you want to go to the toilet, 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 recommendations of the attending physician regarding maintenance therapy and proper nutrition will help a man recover from acute or exacerbation of chronic prostatitis in a short time.

To avoid stagnation of blood in the pelvic organs, a person should move more, and if his work involves physical inactivity (for example, a long stay at the wheel) - whenever possible, get out of the car and move, visit the gym.

Properly organized nutrition will speed up recovery and reduce the risk of exacerbation of the disease. It is important to consume a large amount of plant foods - vegetables, oils, as well as dairy products 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 what 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 recommendations for treatment, may soon pass without a trace. Chronic prostatitis, alas, is not curable. However, the correct treatment tactics and the responsible attitude of a man to the problem will significantly increase the chances of achieving a long-term stable remission.

Chronic prostatitis can be defeated! To get quality care, do not delay treatment.