Prostatitis

How to treat prostatitis in men: medications and first signs of prostatitis.

Prostatitis is characterized as inflammation of the prostate tissue, which occurs due to the development of stagnation in it.

In the modern world, it is the most common urological disease among men of all ages.According to statistics, after 30 years, the disease of prostatitis affects 30% of the male population, after 40-40%, after 50-50% and then increases.

However, taking into account the diagnostic features and the possibility that the disease manifests itself in a latent form, the real figures are much higher.

Reasons for development

Currently, the causes of prostatitis are divided into two large groups:

1. Infectious - (sexually transmitted infections (penetration of pathogens into the prostate tissue - microbes, viruses, bacteria, fungi, etc.): also the presence of foci of chronic infection (chronic tonsillitis, sinusitis, kidney pathology), operations on the pelvic organs).
2. Non-infectious (stagnant) (decreased immunity, hypothermia, decreased physical activity, sedentary lifestyle, prolonged sexual abstinence and, conversely, excessive sexual activity, alcohol abuse).

The development of prostatitis is facilitated by injuries, impaired blood and lymphatic circulation in the pelvic organs and hormonal disorders (absolute or relative androgen deficiency).

Thus, it is emphasized that the isolated entry of a pathogen into organ tissues is not always and cannot necessarily be the cause of the development of the disease.The most frequently identified pathogen is Escherichia coli (86%), followed by Klebsiella, Proteus, Enterococcus and Pseudomonas aeruginosa.Concerning streptococci, staphylococci, chlamydia, mycoplasma and ureaplasma, researchers have different opinions on their importance in the development of the disease.It is extremely rare for prostatitis to be caused by specific pathogens (treponema pallidum, Koch's bacillus).

Ranking

Currently, an international classification of prostatitis has been adopted, which is the most comprehensive and covers all types of inflammation:

1. Category I. Acute prostatitis;
2. Category II.Chronic bacterial prostatitis;
3. Category III.Chronic nonbacterial prostatitis/chronic pelvic pain syndrome – a condition in which infection is undetected and lasts more than 3 months;
• Subcategory III A. Chronic inflammatory pelvic pain syndrome (leukocytes are detected in prostate secretion);
• Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (there are no leukocytes in the prostate secretion);
4. Category IV.Chronic asymptomatic prostatitis (leukocytes are present in prostatic secretion, the patient does not complain, the disease is detected by chance).

First signs

The main signs of acute prostatitis are an increase in body temperature and frequent urination, accompanied by pain and low pressure.Additionally, signs of prostatitis include burning of the perineum and pain in the rectum during bowel movements.At the stage of purulent inflammation, spontaneous opening of the abscess and leakage of pus from the urethra or rectum are likely.

A sign of the chronic form is a burning sensation in the urethra and perineum, discharge of pus at the end of defecation or urination, increased fatigue and irritability of the body.

Difficulty urinating with prostatitis is very dangerous and, if not treated in time, can lead to acute urinary retention.Men should not ignore indirect signs of the development of prostatitis, such as a complete or partial decrease in libido, accelerated, sometimes painful ejaculation, and prolonged erection at night.All these symptoms are characteristic of inflammation of the prostate, even at a simple stage and amenable to adequate treatment.

Symptoms

If it is simply impossible not to notice acute prostatitis, then in chronic prostatitis many do not notice certain signs or do not attach much importance to them.

We list the main symptoms of prostatitis in men:

1. Urination problems.Due to narrowing of the lumen of the urethra, the stream may become slow, thin, or intermittent.To have a bowel movement, the patient must make an effort, which should not normally be the case.Sometimes urine literally has to be passed out drop by drop, especially at the initial stage of urination.Painful sensations often occur.Many patients experience a frequent urge to urinate (especially at night), due to irritation of the nerve endings.Even after going to the toilet, many people feel that the bladder is not completely emptied, this is due to an enlarged prostate and compression of the bladder.In severe cases, involuntary urinary leakage or incontinence may occur.
2. Painful sensations.As a rule, they are located in the perineum, pubis or testicles, in the groin or in the lumbar region.The pain can come on suddenly and also disappear quickly, it is often quite intense, but more often it is dull or aching.
3. Sexual problems will certainly arise.First, your libido will decrease significantly.Second, erection problems may occur.Thirdly, due to problems with ejaculation (ejaculation), the average duration of sexual intercourse will change: it may become short due to premature ejaculation or, conversely, too long due to delayed ejaculation.Fourth, the sensations will also change, since the orgasm will not be bright.Fifth, the volume of sperm will be significantly reduced (only a few drops can be released, which is not normal).
4. Another characteristic symptom is design problems.If a man is planning to have a child, in case of prostatitis, fertilization becomes impossible due to non-viability or insufficient motility of sperm.
5. Discharge from the urethra.They are generally white in color and have a viscous consistency and are most often observed in the morning.
6. In acute cases, an increase in body temperature (up to 38-39°), fever, deterioration in general condition, weakness, malaise and other similar manifestations is observed.Such symptoms of prostatitis usually occur suddenly, without any preconditions.

Additionally, many people suffer from psychological problems associated with the symptoms listed above.A man may become unsure of himself, his self-esteem will significantly decrease, he will be depressed or irritable and nervous.Many representatives of the stronger sex are embarrassed by such delicate issues and do not consider it necessary to talk about them, keeping everything to themselves.And this puts a lot of pressure on the psyche, changes behavior and in some cases can lead to depression or a nervous breakdown.

Chronic prostatitis

Many men do not pay much attention to the manifestations of prostatitis in the early stages.This involves discreet pain in the bladder and a frequent urge to go to the toilet.The stronger sex associates the disruption of normal ejaculation and erection with age and is in no hurry to consult a doctor.Such a frivolous attitude leads to the development of chronic prostatitis.

So, we list the general symptoms of various forms of chronic prostatitis:

1. A feeling of discomfort and pain in the urethra during urination or sexual intercourse, slight serous-purulent discharge from the urethra (mainly after prolonged urinary retention).
2. Discomfort and/or moderate pain in the form of "ache" and heaviness in the perineal region, appearing or intensifying after alcohol consumption, physical activity or sexual intercourse.Sometimes they are of a transient and paroxysmal nature.
3. A decrease in the ability to fertilize, caused by an increase in the acidity of the secretion, a decrease or absence of motility of spermatozoa and their agglutination (sticking together) of the heads.
4. Sudden and frequent urge to urinate (sometimes up to 3 times in 1 hour) and the feeling of insufficient emptying of the bladder, which is explained by a violation of the nervous regulation of the prostate, its muscle fibers and the bladder.
5. Pain during orgasm or suppressed sensations of orgasm, ejaculation disorders, resulting in prematurity or, conversely, in excessive duration of sexual intercourse.These phenomena are associated with the inflammatory process at the level of the seminal tubercle or its scarring resulting from inflammation.

In order to diagnose the disease, you need to consult a urologist.With the help of tests, the doctor makes a diagnosis and prescribes drug treatment.

Diagnosis

To make an accurate diagnosis, a man must be examined by a doctor and undergo tests.With prostatitis, the patient feels pain on palpation in the perineal region.Internal palpation of the rectum shows the presence of swelling in the prostate;it becomes dense to the touch.The patient complains of problems with the genitourinary system.After collecting anamnesis, the patient must undergo a detailed blood test to detect the presence of excess protein, increased levels of leukocytes and prostate antigen.

To exclude infection, the patient must undergo a urethral smear.The laboratory will culture the identified bacteria and test their sensitivity to certain types of antibiotics.For an accurate picture, an ultrasound of the pelvic organs is performed.It clearly shows inflammation and enlargement of the prostate.If the gland has grown significantly, during an ultrasound scan you can see the presence of residual urine in the bladder.

After all tests and studies are completed, the man will receive a full diagnosis and prescribed treatment.

Medicines for the treatment of prostatitis in men: list

Complex treatment for various types of prostatitis may include different combinations of the following methods:

• immunocorrective therapy;
• antibiotic therapy;
• hormonal therapy;
• various physiotherapy procedures;
• prostate massage;
• lifestyle changes;
• surgery, etc.

Treatment of prostatitis with medications includes taking various medications, including antibiotics:

• alpha-blockers;
• hormonal drugs;
• muscle relaxers;
• immunomodulators;
• rectal suppositories;
• antibacterial drugs.

When treating with antibiotics, preference is given to fluoroquinols and macrolides, as they are capable of accumulating to the required concentration in prostate tissue.Penicillins and tetracyclines are used less frequently.

Prostate massage

Prostate massage gives good results.The gland receives a complex effect.First of all, it becomes possible to eliminate from the body the inflammatory secretion accumulated in the prostate (it is released during massage).Improving blood circulation thanks to these manipulations makes it possible to fight against different types of stagnation, and also promotes good penetration of antibiotics into the glandular tissues.

Set of exercises

Prostate exercises:

1. This absolutely simple exercise is used for both therapeutic and preventive purposes.It consists of contracting and relaxing the muscles of the anus.It is these muscles that are responsible for holding back the stream during urination.Try tightening and loosening a group of muscles.This will increase blood flow to the gland area.
2. To improve blood circulation, use a contrast shower.To do this, direct the jet of water towards the perineum.First 30 seconds of very lukewarm water, then 10 seconds of cool water.
3. In the absence of acute symptoms, you can massage yourself.This is done to improve blood circulation.It is best to do the exercise while lying down.The massage point is between the anus and the scrotum.Pressing should be confident, but not aggressive.Duration 3 to 5 minutes.

Be sure to consult your doctor before using the exercises.Sometimes their use is strictly unacceptable.

Immunocorrection

A decrease in immunity negatively affects health.

This factor is one of the fundamental factors in the development of the disease and its exacerbation.Long courses of antibiotics, necessary in cases of prolonged prostatitis, also reduce the body's defenses.Therefore, the patient is recommended to consult an immunologist to choose an immunocorrection strategy.

Physiotherapy

Physiotherapy for chronic prostatitis aims to activate blood circulation.

For this purpose, the patient is exposed to laser, ultrasound and magnetic vibrations.In some cases, these procedures are replaced by warm medicinal enemas, which are regularly administered to the patient.Sitz baths, mud treatments and mineral waters are recommended.

Candles

All suppositories for the treatment of prostatitis have one of the following properties: relieving pain (non-steroidal drugs), relieving spasms (based on papaverine), eliminating the inflammatory process (containing an antibiotic).

Traditional methods of treating prostatitis

Treatment of prostatitis at home is carried out only for simple forms or chronic relapses.Traditional methods can increase the body's resistance to infections and relieve pain.

1. Pumpkin seeds have long been used by healers in the treatment of prostatitis.They are a good, very affordable folk remedy for the treatment of this disease.Since these seeds contain a lot of zinc, necessary for every man at any age, they quickly treat prostatitis.It is enough to eat 30 seeds per day before meals.This is exactly the daily amount of zinc for the body.
2. The seeds and roots of the plant are suitable.The crushed roots of the plant are boiled for 10 minutes at the rate of half a glass of raw material per 1 liter of water.The entire decoction is drunk in equal portions instead of water.The seeds are brewed 4 teaspoons per glass of boiling water.Infuse for 40 minutes in a saucepan or 15 minutes in a thermos.Consume about 3 to 5 times a day, one tablespoon.
3. The main ingredient is hazelnut.To treat prostatitis, you need to take either hazel bark or hazel leaves.You can prepare the two ingredients alternately, alternating them.Just be aware that the bark needs to be steeped twice as long because it is harder.So, take a tablespoon of hazel leaves (or bark) and infuse it in a glass of boiling water.Close the lid tightly and wait half an hour.Then filter and take 1/4 cup 4 times a day.It is best to use fresh twigs each time, but you can also use previously used ones several times.Usually a week of such procedures is enough – and prostatitis disappears.
4. To treat the disease, candles are made and stored in the freezer.For the dough, take 1 teaspoon of honey, 1 egg and about 3 tablespoons of flour.The components are mixed until smooth, forming candles.Use in two courses, morning and evening, 1 piece each, for 1 month 10 days apart.
5. Celandine is used with caution.The plant is toxic, an overdose leads to serious poisoning.At the same time, the medicine based on celandine will cleanse the body of polyps, neoplasms, cysts and prevent prostate adenoma.Freshly squeezed juice is diluted with alcohol in equal parts.Drink daily, diluted in 50 ml of water.Start treatment with 1 drop, increasing the concentration by 1 drop each day for 60 days.After 10 days, the course is repeated.

Most folk remedies are used daily 1-3 times in courses of 20-30 days.Treatment with homemade medicinal plants lasts longer due to their mild effects than medications, but is safer for the body, especially in the presence of concomitant diseases of the intestines and stomach.Treatment should be accompanied by gymnastics: leg lifts, squats.Intensive walking of 15 to 30 minutes per day is recommended.

Complications of prostatitis

In the absence of timely and adequate treatment, prostatitis can be complicated by the following conditions:

• development of chronic prostatitis;
• bladder obstruction;
• development of infertility;
• recurrent cystitis;
• stricture of the urethra;
• pyelonephritis;
• prostate abscess;
• sepsis.

Some of the above conditions require urgent surgery!

Prevention measures

Prevention means avoiding the provoking factors.A healthy lifestyle, protected sexual contact and having only one partner will reduce the risk of infection of the genitourinary system.General strengthening of the body and increasing immune defenses are also preventive measures against prostatitis.