Prostatitis in men

Prostatitis in men belongs to the Andrological Group (exclusively masculine), 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 manifests itself only at the age of 45 to 65, now, more and more often the diagnosis of prostatitis, doctors make young people from 20 to 30 years of age.The disease was significantly "younger."

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

1. The defeat of the prostate gland in children, until its puberty, can be theoretically, but the inflammation of the unveloped gland is not considered an independent disease.
2. In men who lead an active sex life, prostatitis often proceeds as acute inflammation.
3. The pathology of the gland, in people of mature and elderly, can manifest itself in the form of three independent diseases (chronic prostatitis, adenoma - benign hyperplasia, adenocarcinoma - malignant hyperplasia).
4. In castration people (chemistry, physics, radiation), iron atrophy.

The iron of the prostate (prostate) is the subordinate plate of the male genital area.It is found in the anastomic of the urethra and the showcases 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 on the sexual routes of a woman;
• It produces prostaglandins, the substances that contribute to the increase in the supply of blood to the penis before the beginning of an erection, together with testicles, participates in the production of the hormone testosterone;
• It provides rapid evacuation (liberation) of urethra sperm and participates in the formation of orgasm;
• Through reflex mechanisms, it prevents urine from entering sperm during sexual excitement, participates in a complex erection mechanism.

The prostate is a vulnerable organ for pathogens.It is inevitably involved in the pathology of the walls of the urethra, the bladder and the storms of the ducts.A powerful blood flow, lymph, which circulates along an extensive vascular system of the damaged gland, causes the phenomena of stagnation, edema of the organ, aggravates the pathology.Iron is well innervated, the damage is accompanied by pain.

What should men know about prostatitis?

Prostatitis is an inflammatory disease of the prostate (prostate) gland, more frequently caused by an infectious agent who enters the prostate from the urethra, the bladder and a close rectum.However, infection 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 work and sedentary lifestyle.The risk group includes drivers, programmers and all who spend their workday without getting up from a chair to walk and stretch.
2. Regular violation of stool in the form of constipation.
3. Strong or repeated hypothermia of the entire organism.
4. Excessively active sex life or prolonged abstinence.Both in no way are useful for the normal functioning of the prostate gland.
5. Eating in excess, abuse of spicy foods and alcohol, constant stress.

The prostate is a very small organ of 3 and a width 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 only develop if there is congestion in this organ, when its secret loses its properties.

How prostatitis manifests in men

Distinguish chronic and acute forms of prostatitis:

• The symptoms of acute prostatitis are characterized by severe inflammation in the prostate.In this case, the patient has severe heat (body temperature increases to 38-39 degrees), groin pain and perineum, painful urine and defecation.
• Chronic prostatitis less concerns a man, so it is possible that he does not pay attention to the characteristic signs.The patient occasionally rises to 37 degrees of temperature, sometimes he is concerned about unpleasant sensations when he goes to the bathroom, a little mucus or urethra pus is released.This high is one of the typical signs of chronic prostatitis.

Men's prostatitis signs

Six signs (herpescaters) of prostatitis are distinguished: dysuria syndrome.Use as conditionally clinical markers.However, the presence of two of the six symptoms: one occasion will become a urologist.

1. A current of urine slopes down or its range is less than 20 cm.
2. Difficult, fall, urine.
3. Pain during urination.
4. Intermittency, bifurcation, spraying of the stream, the duration of the process.
5. A feeling of not a complete emptying of the bladder.
6. Urine very heart at night.

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

Prostatitis symptoms in men

Prostatitis can occur in the form of acute and chronic inflammation.Acute forms are developed by the type of catarral inflammation, follicular, parenchyma.The manifestations of chronic prostatitis are associated with a concomitant disease.

Prostatitis symptoms, detected by clinical methods and functional tests.The following symptoms are of the greatest importance to recognize the nature of pathology, causes and mechanisms of body protective reactions.

• Frequent urine with prostatitis.In a healthy person, the maximum urine impulse number does not exceed 10-12 times a day, usually 4 to 5 times.The daily urine volume in an adult of a healthy person is 1000-2000 ml.The urine volume in which the impulse occurs is 120-170 ml, the accumulation of urine of more than 350 ml causes a strong desire to empty the bladder.The prostatitis inflammation products constantly irritate the receptors of the walls of the urinary organs, as a result of the sentence:
• Frequent urine (Pollakiuria), while daily urine does not increase;
• Urine in small portions, inflammation products are supplied with false signals about filling the half -empty bladder, after emptying, the feeling of its fullness remains;
• Painful urine (wandering), due to the narrowing of the urethra with an inflamed prostate;
• Difficulty urinating due to the compression of the urethral section with an inflamed gland, sometimes prostatitis is accompanied by the inability to empty the bladder (Ishuria);
• Urine at night (Nicuria), the irritated walls of the bubble give a constant signal for urine production.
• The temperature with prostatitis.A characteristic increase in body temperature to subfile and febrile value is characteristic.High temperature accompanies purulent prostatitis at an early stage of septic shock.In the late stage of the septic shock, on the contrary, a reduced temperature (hypothermia) is characteristic at 35-36 ° C. The low temperature is dangerous for a person due to the tendency of blood platelets to disseminated intravascular coagulation (Dec Syndrome).The prognosis of complicated prostatitis by sepsis, in the presence of internal combustion motor syndrome, is careful or unfavorable.
• Blood in the urine with prostatitis.The hematuria symptom (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, which include:
• Purulent merger of the gland with a section of the blood vessel and the sampling of the glass in the urethra;
• accidental lesion during instrumental studies of genitourinary organs;
• Prostatitis, complicated by hyperplasia, is more evil.
• Pain syndrome.Complicated prostatitis is accompanied by pain outside urination.Sometimes, pain manifests periodically, for example, during defecation.The cause of pain is the constant irritation of the gland with inflammation products.Often keep in mind the opaque pain (pain) in the perineum and anus.

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

• General blood analysis.The indicators that confirm prostatitis are: an increase in the number of leukocytes, leukogram changes in the direction of increasing the number of blood cells in the bar, an increase in the ESR.
• Urine analysis.It reveals hidden piuria (pus in the urine) and bacteriuria (bacterial obstruction) in the first portion of urine.The three glasses method is used to identify pus and hidden bacteria at the beginning, medium or final of the urine.Multiple, with a frequency of several days, a bacteriological urine study is carried out to determine a change in the species that belongs to the bacterial flora.
• Blood sowing tank.The method is indicated for the symptoms of progressive sepsis, accompanied by an exhausting fever (agitated).
• The study of the cell bond in immunity with prostatitis complements the idea of the nature of pathogenesis, to predict the probability of sepsis development.

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 prohibition of gland massage in certain stages of the disease.
• X -Ray photographs with the bladder.Choose the convenient projections for prostate research.Before the image, a uroographic is introduced into the bladder: a substance of inert radiocontracy 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, which include:

1. The complication of men (PPP infections, cold inflammations of the pelvic organs, complicated by the staphylococcal organs, other bacterial infections, viral agents and fungi, especially in the context of reduced immunity and the general resistance of the body), chronic gynecological infections in a sexual couple of women.
2. Urethral reflux.Violation of the ability of the prostate to avoid the inverse current of the urine, its ingestion is called urethral reflux.As a result, bacterial contamination of the prostate occurs.Urethral reflux: a consequence of inappropriate catheterization, as well as the previously adopted inflammations of the urethra.At the same time, urethraagy occurs, a pathological increase in urethra light.The urethral reflux: the bacterial contamination of the vesicul seed is combined with the formation of calculations (stones) in the prostate and the storm channels.
3. Violation of the rhythm of sexual activity, including absence or excess 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, sexual life disorder, other causes);
5. The hormonal imbalance associated with the insufficient production of the sexual glands of male hormones, as a result, there is a general weakening of the tone of the skeletal and smooth muscles, the violation of the 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, uryplasmosis, gardening, trichomoniasis, gonorrhea, mycoplasmosis.
2. The non -infectious prostatitis group includes:
• Congestic (stagnant) prostatitis.It is caused by stagnant phenomena in the pelvis.Incomplete ejaculation, sexual excesses, prolonged abstinence, interrupted sexual relations: all this contributes to venous stagnation in pelvic organs.
• Sclerotic prostatitis.It is characterized by a decrease in the size and functions of the prostate gland, the compaction of their tissues as a result of the death of the prostate cells with their sclerotic replacement tissue.One of the reasons for the development of this form of disease is frequent constipation, taking some medications, multiple infections.Such prostatitis, unfortunately, should not be treated.
• Calcula prostatitis.The result of calculated prostatitis development is the presence of phosphate and oxalate calculations in the gland.Upon reaching large sizes, they cause acute pain in the urethra.The treatment technique is to dissolve the formed stones.
• Prostatopotic prostatitis.This disease causes chronic pains in the pelvis, but its etiology has not been completely studied.It is believed that it can be caused by an inverse current of the secret, damage to the perineum muscles, pathology of the bladder neck and psychological factors.
• Atypical forms.Atypically, the patient may complain about the pain in the legs, the lower back and sacrum, which is unusual characteristic symptoms of prostatitis.The result of the treatment depends on the duration of the disease, the activity of the inflammatory processes, the presence of complications of union.

If you do not participate in the treatment of prostatitis, in a careless way it leads to a decrease in power, infertility, depression, exhausting pain in perineum and other complications.

What is dangerous prostatitis, the consequences of prostatitis?

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

• The effect of prostatitis on power.The damaged gland, with decompensation of functional activity, reduces the production of substances involved in the formation of an erection of a man's sexual organ.The consequence of prostatitis is a slow emission of seed fluid during sex, a decrease in the integrity of sensations during sexual intercourse, in advanced forms of 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 the sperm in the birth channel of a woman.The secret of the inflamed prostate gland, coming into sexual contact in the family paths of a woman reacts with the immune rejection of the female body, the development of gynecological diseases and the impossibility of conception.
• Prostatitis causes damage inside the gland and body.Inflammation complicated by microflora increases the risk of prostate abscess.Axes: Purulent fusion by the parenchyma of the gland with the formation of a capsule around the home.The disease with the formation of mineralized calculations in the cavity, a consequence of the prostate complicated by the prostate damaged by reflux.The consequence of prostatitis is also: acute ishuria, urolitiasis, renal failure, inflammation of the genitourinary organs and other diseases.

Is it possible to have sex with prostatitis?

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

Is prostatitis sexually transmitted?Prostatitis is a purely masculine disease that does not have a specific viral, bacterial and fungal origin.Meanwhile, prostate inflammation is a danger to gynecological health.The seed fluid that contains inflammation products, which fall in the female genital organs, in the midst of a decrease in the protective barriers of the delivery channel, a real threat of conception and support of 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 men who have been receiving prostatitis treatment are interested in a question: is it possible to get rid of this unpleasant disease forever?According to experts, the effectiveness of treatment depends largely on the presence and seriousness of the irreversible consequences in the prostate.It can be scars, stones, calcined.

The additional development of the inflammatory process can only be stopped in the early stages only looking for a doctor.In this case, irreversible complications are not being developed in the prostate and there is the possibility of a complete cure.When the sclerotic fabric sections have already been formed: scales, there are calcination and small pebbles, which can no longer get rid of, then, most likely inflammation can occur.This is chronic prostatitis.

In addition to treatment, an important factor to overcome this ailment is also how the patient is ready to change his previous lifestyle: irregular and constant sexual life sitting in a chair.If you do not want such changes, then with a great degree of confidence we can say that the inflammatory process will return again.It is with the lack of patient preparation excluding these negative factors from his life and the idea that prostatitis is incurable.

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

Diet for prostatitis

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

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

Prostatitis products.Exclude from use:

1. Strong coffee, sharp dishes: improve blood flow to the gland, stimulate pain;
2. Fat, fatty meat, eggs, flour: Improve cholesterol deposition on the walls of the capillaries, reduce the microcirculation of blood flow in the gland;
3. Alcohol: reduce immunity;
4. Products that contain thick fiber, salty and spicy products: change intestinal motility;
5. A large number of liquid products (at night), salty and smoked (during the disease period), increases the volume of fluids, delays in the body.

It is advisable to include in the diet: salads of plants seasoned with olive oil, vegetables and fruits grown in the residence region, natural juices, nuts, dry fruits, boiled meat at low fat.A nutritionist doctor can clarify a set of products for prostatitis.

Preventive measures

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

• It takes a broad step regularly (this style of walking is more physiological);
• Eat correctly, lead a healthy lifestyle;
• Use the contraceptive of men.

To avoid the development of prostatitis and their complications, with any disease of the genitals, you must immediately communicate with the urologist.Nor is it necessary to wait until symptoms appear, and at least once a year to look like the doctor.In a medical institution, it will undergo an exam and know with certainty that your health in the genital sphere is fine.

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 practice sports and have a history of sexually transmitted diseases.Due to the high risk of the disease, such people must undergo a mandatory examination, even if there is no testimony of this.

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