According to BME, prostatitis is an inflammatory process that appears in the prostate gland in men with damage to the parenchyma and interstitium. Treating prostatitis in men is a long and difficult event, most often due to complete lack of knowledge of the disease from the beginning. What is prostatitis, what are their causes and first signs, what you need to know about the topic of "diagnosis" and what modern methods of treating prostatitis exist. All men should know about prostatitis in this review article.
Ab ovo - nga veza
We are not talking about Horace's satires, in this case we are interested in everything that has to do with prostatitis, from the beginning to the last "soul" of treatment. Symptoms of prostatitis are found in men during the period of active sexual activity, from 25 to 45 years, in a thematic video you can study in detail everything related to the foundations of the disease, its causes and symptoms, features of diagnosis and treatment.
The reasons for the development of prostatitis are wide. With prostatitis, infectious factors have the greatest weight in the development of the disease:
- Acute form. Coca flora acts as a provocative reason.
- Chronic form. The reasons for its development are broader, as the main factors of such a prostatitis in men are: gonococci, Trichomonas, Gr + and Gr-bacteria, mycobacterium tuberculosis. In rare cases, the diagnosis reveals mycoplasmas, viruses, fungi, chlamydia, etc.
It is worth noting that chronic prostatitis, caused by a pathogen that has penetrated the prostate gland, can later have a pathogenic factor and have a bacterial nature. The acute form is most often provoked by external causes: hypothermia, urethral trauma or bladder damage as a result of endoscopic examinations or various manipulations, hypodynamics and, as a result, a violation of blood and lymph circulation in the pelvis (congestive prostatitis), hormonal or autoimmune disorders.
You can often hear only one type of prostatitis - infectious, however, according to the WHO, bacterial prostatitis accounts for no more than 10% of all cases of the disease, while chronic bacterial prostatitis is recorded in 90% of cases.
Table no. 1. Brief characteristics of the pathology
| Categories for prostatitis | Acute infection | The presence of the pathogen in the secretion of the prostate or in the third part of the urine | Leukocyte level (increase) with m / s secretion or urine |
| 1 cat. Acute bacterial | + | + | + |
| 2 cats. Chronic bacteria | - | + | Insecure (whether or not) |
| 3 a. Chronic pelvic pain syndrome of an inflammatory, non-bacterial nature | - | - | + |
| 3 b. Prostatodinia, non-inflammatory pelvic pain syndrome | - | - | - |
| 4 cats. Asymptomatic inflammatory process | - | Insecure (yes or no) | Insecure (yes or no) |
The etiology of bacterial prostatitis in acute and chronic manifestations has been studied more extensively, in most cases the causative agents of the disease become family bacteria. Enterobacteriaceae (E. coli bacillus). The role of atypical microorganisms as the cause of prostatitis (ureplasma, chlamydia, mycoplasma) is currently considered not fully proven. Symptoms of prostatitis in men with signs of weakened immunity, especially HIV, can be caused by yeast (Candida spp. ) Or mycobacterium tuberculosis.
Before the advent of the antibiotic age, the gonococcal flora (Neisseria gonorrhoeae) played an important role in the development of prostatitis, especially often it became the cause of its abscess form.
The causes of the bacterial form of prostatitis have not been fully studied, although urologists have thoroughly studied the list of possible pathogenetic factors (provoking prostatitis) that play an important role in the occurrence of inflammation in the prostate without the presence of microorganisms. So at the heart of the causes of non-bacterial prostatitis are stagnant processes in the pelvis, circulatory disorders, intraprostatic reflux of urine, and an aseptic autoimmune inflammatory process.
Sick or not - that's the question
What does a man with a prostate look like? For a person far from medicine, and even more so incapable of urology problems, an individual's masculine appearance does not differ from the crowd of others. And only an experienced specialist, from the first complaints of the patient, will understand where the root of the problem has matured and what ways to eliminate it will have to go.
The symptoms of prostatitis are often described in a few phrases, emphasizing the brightest moments, and this plays a cruel joke with a man. Relying on such inaccurate definitions, he ignores the really important bells, believing that the disease does not exist, although in fact the clinical picture depends on the nature of the morphological changes in the prostate.
The earliest symptoms can be attributed to the following types of prostatitis:
- Catarrhal prostates. Dull pain in the perineum, radiating to the sacrum, frequent stimulation at night.
- Follicular prostates. Difficulty and frequent urination, sometimes late. Pain during "urination", aggravated at the end of the urination process, as well as defecation. Low-grade fever.
- Parenchymal prostates. There are symptoms of pronounced dysuria, often AUR, pain during natural recovery, general intoxication with temperature up to 40 C.
In the case of abscess-forming prostatitis, the symptoms are more pronounced with the possible opening of the abscess in the rectum or in the prostate part of the urethra. With such a discovery, the symptoms disappear. If the opening of an abscess occurs in the paraprostatic tissue or in the perineal region, visual symptoms may be observed: swelling, redness of the skin with pronounced fluctuations. At the same time, the husband's condition worsens significantly.
Comprehensive treatment of prostatitis can not be started without a thorough examination of the husband, diagnosis and analysis of symptoms that can directly indicate the type of disease.
In general, it is customary to distinguish between acute and chronic course of prostatitis; in an online thematic video, you can discover in detail which symptoms refer to one form or another. Let's examine this issue in more detail.
Acute - its typical symptoms are characterized by the manifestation of three stages: catarrhal, follicular and parenchymal. They are described in detail above.
Most interesting in terms of symptoms is the chronic form of prostatitis, as there are many variations in symptoms. In general, the effective treatment of prostatitis depends on the prostate, or rather on its type.
In the chronization phase, the following moments can be distinguished:
- Chronic prostatitis is rarely the result of an acute process.
- Primary prostatitis disappears with deleted symptoms.
- A characteristic symptom of chronicity is low discharge from the urethra during bowel movements.
- The first symptoms, as a rule, are not expressed, the pathological process itself develops over the years. It is preceded by prostatosis (load on the capillaries), which smoothly turns into an abacterial form of inflammation of the prostate gland.
- Specific pathogenic microflora is not the cause of chronic prostatitis, but the chronic process itself is a complication of the inflammatory process due to the effects of ureaplasma, trichomonas, chlamydia and gonococcus.
How does a man with chronic prostate feel? Patient reviews show that more often at first there is slight pain in the perineum, few discharges, to which most men simply do not pay attention. The next stage is the combination of the following symptoms: burning sensation in the urethra, sexual dysuria, general maltreatment. Frequent mistakes during sex make men depressed, nervous or depressed.
It is important to understand that all these signs do not necessarily appear in every particular case of chronicity, this is what complicates the diagnosis at an early stage of the disease, in addition, the symptoms tend to change places, which is even moredeceptive.
Long-term syndromes
What can you expect from chronic prostatitis? If there is no timely diagnosis and treatment - nothing good, any specialist will confirm this. This type of prostatitis is characterized by 3 syndromes:
Pain
The prostate itself does not hurt, but many nerve endings pass through it and are close, which inevitably get involved in the inflammatory process. The pain can be of varying intensity - from a slight pain, creating discomfort, to strong, not allowing you to sleep soundly. Radiation pain occurs in all nearby areas (scrotum, sacrum, perineum), pain from prostatitis should be differentiated from similar symptoms of other diseases.
dysuria
Dysuric syndrome always indicates a malfunction in the urinary system, but what caused it is discovered during diagnosis. Increased prostate volume inevitably compresses the urethra and urine flow is disrupted, followed by the development of a frequent urge to use the toilet, a feeling of incomplete emptying of the bladder. With advanced prostate, there is compensatory hypertrophy of the muscular layer of the bladder and ureters. At this time, the symptoms of dysuria disappear, but again return to an intensified form.
Sex without pleasure
A declining intimate life - these are the first symptoms that men notice and it is they, as reviews show, that force them to go to the doctor. Frequent nocturnal erections, erased orgasm, poor erection and rapid ejaculation, pain during it - this is what worries the stronger sex the most. In the advanced stage of chronicity, nothing good can be expected from the prostate; erectile dysfunction often develops.
The rate of sexual dysfunction in men is not the same, someone starts sexual intercourse and somehow ends it, removing the characteristic bells. For some, even the initial weak reaction of the penis to a sympathetic stimulus becomes a collapse and the onset of frightening experiences that turn into prolonged depression. The spectrum of impotence is difficult for patients with problems with the prostate gland, almost always experts and relatives notice that prostatitis spoils the character.
To learn more about the disease, you can study a thematic video, where experts explain many of the nuances of pathology.
What to write on the card
What data will appear on the patient's medical record and what final diagnosis will be made depends on a number of primary studies, ranging from the patient coming to the urologist and his complaints (history) to the final stage of diagnostic measures. What exactly is required depends on the type of prostatitis, its negligence, and the patient's consent to specific diagnostic procedures.
In general, the diagnosis consists of:
- Anamnesis. The doctor will ask in detail about all the complaints and symptoms, the preconditions of the disease, etc.
- Urine analysis.
- Prostate massage (digital rectal examination + secretion collection).
- Prostate ultrasound.
- Spermograms.
- Prostate biopsy (if indicated).
What does diagnostics provide and is it so important? If you read patient reviews, you can often understand that most men try to avoid many stages of diagnosis while the motivations are very different. The price of such indifference is your health! It is important to remember that prostatitis is curable only if it is "caught" in time and the diagnosis is made accurately by determining the form of the disease and its cause.
How to be healthy forever
So does the man realize he has prostate, what awaits him in the future and is it possible to regain lost health? It is important to understand that you will need to get rid of prostatitis 2 times longer than it developed. Moreover, if the pathological process went almost beyond the attention of the man, then the treatment of prostatitis will be done with his direct participation. If acute or chronic prostatitis can be cured - yes, if you follow all the doctor's recommendations, in advanced cases of chronic form, during treatment, it is possible to achieve a lasting remission.
The treatment stages of prostatitis will depend directly on what the doctor eventually found during the examination, the type of disease, the patient's age and physical data.
The treatment regimen is always strictly individual, but the following points may be present in it:
- Antibacterial therapy.
- Physiotherapy methods.
- Phytotherapy.
- Appointment of immunocorrectors.
- Urological massage.
- Physiotherapy.
The price of each phase of treatment is different, depending on the total cost of the prescribed medication, additional methods and clinic. Preventive measures following treatment have an important reason - they prevent recurrence of the disease. Prevention has direct and close contact with treatment, the basics of prevention are as important as adhering to all the requirements of the doctor during the course of therapy.
Treatment of the acute form
The period of irritation requires taking antibiotics, which are taken in a course. In the presence of chlamydial infection, cephalosporin series drugs are indicated.
The duration of the course is important, on average, antibiotics are taken for at least 3-4 weeks to prevent a recurrence of the disease. Sometimes the doctor continues the treatment for a longer period, antibiotics are combined with analgesics to relieve the pain.
Antibiotic treatment is performed taking into account the following rules:
- Bacterial culture is required to determine the susceptibility of microorganisms to the drug.
- Side effects and contraindications of the drug are taken into account.
- They take into account the previous course of treatment, when it was, what tools were used and the result.
The need for additional methods of treatment is determined by the attending physician, it should be remembered that massage is contraindicated in the acute form of prostatitis, as it provokes the spread of bacterial infection throughout the body, followed by bacteremia and sepsis.
Treatment of the chronic form
It is important to remember that it is impossible to get rid of chronicity quickly, in principle, the disease has developed over the years and it is beyond the power of even the doctors in their field to destroy it within two weeks. there is no need to take the word of those who cured the disease in 2-3 days. The treatment aims to stop the focus of the infection, restore immunity in men and the work of the prostate gland, as well as prevent deterioration - this takes time.
The course of antibiotic therapy lasts from 4 to 12 weeks, with a low effectiveness of treatment, the drug continues to be taken. Most often, antibacterial drugs are prescribed in combination with other anti-inflammatory drugs. In advanced cases, surgery is offered with partial or complete removal of the prostate gland.
Free of bacteria and symptoms
A characteristic change of therapy is the lack of antibiotics, without the presence of pathogenic microflora, they are simply not needed. But sometimes experts prescribe a short course of medication in 2-4 weeks.
Treatment of bacterial prostatitis is based on the use of physiotherapeutic methods: iontophoresis, ultrasound, laser therapy, electromagnetic radiation and symptomatic therapy with strengthening the patient's immune system.
Changes in diet and lifestyle also underline the treatment of non-bacterial prostatitis, baths, alpha-blockers are indicated.
Asymptomatic prostatitis is difficult to detect; the PSA method is used in the diagnosis, followed by the appointment of a 2-week course of antibiotics as treatment. After that, individual symptomatic treatment is selected.
In general, the treatment of any type of prostatitis is a long-term phenomenon and not always pleasant for the patient himself. In addition to physical discomfort, the man also suffers psychologically, because he is affected by the most valuable part of the body - the intimate. Reviews of those who have cured the disease show that only strict adherence to doctor's prescriptions, along with diet and lifestyle changes, yields results. The price of a frivolous attitude to treatment is very high - a man loses not only health, but his whole life, character and relationships with others are changing. To prevent this, it is necessary to monitor the health of the prostate gland and eliminate the causes of the development of diseases.