Symptoms of prostatitis can make a man's life unbearable. Experienced doctors will help you quickly solve the problem.
Inflammation of the tissues of the prostate (prostate) is called prostatitis. The prostate is an endocrine organ that affects several processes of the male genitourinary system. With its inflammation, there is a violation of urinary function, difficulties with potency, libido and ejaculation. Manifestations of prostatitis significantly worsen the quality of life, affect reproductive function. According to statistics, inflammation of the prostate today is the most common disease of the genitourinary system in men.
Signs of prostatitis
Symptoms of the disease can be both acute and almost invisible. If you experience the following symptoms, although minor, it is best to consult a doctor immediately to confirm or refute the diagnosis.
- Urination disorders: frequent urges, especially during the nocturnal sleep period, weak or intermittent jet, pain, accompanied by difficulty in urinating.
- Pain in the lower abdomen, which gives into the anus, scrotum, perineum.
- Decreased libido, decreased potency or sexual dysfunction.
- Change in consistency, color, amount of ejaculate, difficulty in ejaculation.
When identifying the signs and symptoms of prostatitis in men, do not self-medicate or use recommendations from the Internet. At best they won't help you, at worst they can harm you. In addition, untimely access to a doctor provokes a worsening of the condition.
Signs of different types of prostatitis
Depending on the nature of the flow, there are:
Typical symptoms of acute prostatitis:
- fever, sharp increase in body temperature (up to 40 degrees);
- severe headaches, weakness, fatigue, irritability;
- pain in the groin, back, when urinating, frequent urge;
- change in the quality of urine (it becomes more cloudy, viscous, mixed with blood), unusual discharge from the urethral canal occurs.
If you don't see a doctor in time, acute prostatitis can lead to complications:
- abscess in the body of the prostate;
- vesiculitis (inflammation of the seminal vesicles);
- colliculitis (inflammation of the seminal tubercle);
- the appearance of scars and adhesions in the gland and the spermatic cord;
- stagnant processes in the tissues of the prostate;
A feature of the chronic form is the blurring of clinical manifestations and symptoms of prostatitis. Manifestations are similar to the acute form, but have a slow character. The causes of the pathology are usually abacterial prostatitis, prostatosis (stagnation of blood in the vessels).
Diagnosis and treatment
Inflammation of the prostate has a characteristic clinical picture. An experienced urologist can easily make a diagnosis after conducting an anamnesis, examination and palpation, laboratory and instrumental studies (general and bacterial urine and blood tests, blood tests for PSA, sampling of prostatic secretions, spermogram, ultrasound).
In the event that the patient turns to a specialist in time, the treatment of prostatitis involves an integrated approach and gives excellent results.
The modern clinic is equipped with modern high-tech equipment for the diagnosis and treatment of diseases of the genitourinary system. Qualified delicate doctors will provide you with efficient and most appropriate assistance.
Symptoms of prostatitis: pain, burning, discharge, pain, incontinence
The symptoms of prostatitis are most often of 3 types:
- violation of urination: difficult, frequent and nocturnal urination.
- painful symptoms: pain in the perineum, lower abdomen, groin. The pain can radiate (give) to the scrotum or sacrum.
- mixed form, in which there are both urination disorders and pain.
Causes of prostatitis?
For bacterial prostatitis
The infection enters the prostate from neighboring organs: through blood and lymphatic vessels from a distant inflammatory focus (tonsillitis, sinusitis, caries).
The bacteria most commonly detected in prostatitis are: Escherichia coli, Klebsiella, Proteus, Staphylococcus aureus, Enterococcus.
The role of sexually transmitted infections is discussed: chlamydia, mycoplasma, Trichomonas.
The activity and, accordingly, the manifestations of the inflammatory process depend on the properties of the microorganism, the condition of the pelvic organs, their blood circulation, concomitant diseases and other predisposing factors.
For nonbacterial prostatitis
Stagnation plays an important role. Violation of blood flow causes swelling, exudation of prostate tissues and creates conditions for the development of an inflammatory process that is not associated with a bacterial agent.
STDs and prostatitis
The question of the involvement of sexually transmitted infections in the development of prostatitis is widely debated in medical scientific circles. There is no single opinion on this issue.
We consider ourselves to be supporters of a direct link between infections, the appearance and evolution of prostatitis.
Why is prostatitis dangerous?
Prostatitis does not pose a threat to the patient's life, the process is chronic, worsening the quality of life.
Beginning of prostatitis. How to determine? First signs
The first signs of prostatitis are a change in the nature of urination: difficult and frequent urination, frequent urge to urinate, especially at night. Discomfort when urinating and pain of varying intensity in the groin.
Age of prostatitis? Is it a disease of the young and/or the old?
Prostatitis is an inflammatory disease, so it can occur at any age. But prostatic adenoma or hyperplasia is an age-related disease in men over 50 and is associated with the development of a benign prostate tumor.
Chronic prostatitis. Is it possible to cure?
The presence of a diagnosis of chronic prostatitis implies the presence of changes in the structure of the tissues of the prostate gland, which remain for life. Like any chronic disease, prostatitis proceeds by alternating periods of exacerbation and remission, a period during which nothing bothers the patient. With the right treatment and lifestyle, periods of remission can be very long and complaints will never bother the patient again.
Bacterial prostatitis and other types of prostatitis
There are different classifications, the most commonly used was developed by the US Institute of Health in 1995:
- Category IAcute prostatitis.
- Category II.Chronic bacterial prostatitis.
- Category III.Nonbacterial prostatitis/chronic pelvic pain syndrome - without obvious signs of infection and lasting 3 months or more.
- Subcategory III A.Chronic inflammatory pelvic pain syndrome (with leukocytes in the prostate secretion and the release of the pathogen).
- Subcategory III B.Chronic non-inflammatory pelvic pain syndrome (without leukocytes in prostate secretion).
- Category IV.Asymptomatic prostatitis (with leukocytes in the secretion of the prostate, but without complaints).
To facilitate understanding, the classification can be represented from 3 types:
Acute prostatitis- occurs with severe pain, fever, impaired urination. In the secret of the prostate - a large number of leukocytes, which indicates a clear inflammatory process. Occurs, as a rule, for the first time in this patient. If these symptoms occur in a patient with chronic prostatitis, then it is called an exacerbation of chronic prostatitis.
Chronic bacterial prostatitis- As a rule, the disturbing symptoms of the patient are less pronounced than in acute prostatitis. When diagnosing, there is also an increase in leukocytes in the secretion of the prostate, it is possible to identify the causative agent of inflammation.
The most difficult to diagnose isnonbacterial prostatitis, or the so-calledchronic pelvic pain syndrome. This is due to the fact that complaints are very similar to prostatitis, but associated with diseases of other organs and systems, in which it is not possible to detect signs of inflammation and pathogenic bacteria: spasm of musclespelvic, impaired interaction between the muscles of the bladder and its sphincter, anatomical disorders - strictures (narrowing) of the urethra, lead to inflammation due to increased pressure inside the lobules of the prostate.
Who treats prostatitis - andrologist or urologist?
Prostatitis is treated by both a urologist and an andrologist.
An andrologist is a urologist who specializes in diseases of the male sexual and reproductive sphere.
Methods and schemes of treatment of prostatitis
All prostate treatment regimens consist of drugs: drugs that improve prostate and bladder contraction while relaxing the sphincter.
Good results are achieved by the simultaneous administration of drugs and physiotherapy (prostate massage, complexes for the treatment of prostatitis).
What tests are given for prostatitis?
Fordiagnosis of prostatitisconsultation with a urologist (andrologist) is necessary to collect patient complaints, medical history, microscopy of prostatic secretion and ultrasound diagnosis.
For diagnosis, transrectal ultrasound of the prostate (TRUS) and prostatic secretion obtained after prostate massage are used for microscopic examination.
In addition, sowing the secret of the prostate on the bacterial flora with the determination of the sensitivity of the inoculated microflora to antibiotics can be used.
Surgeries and operations for prostatitis
With prostatitis, operations are practically not used. With the exception of prostate abscess - a process in which foci with purulent contents are formed.
Can you cure prostatitis yourself?
In the presence of severe symptoms, it is better to be treated by a specialist, the time factor is of great importance in the treatment, since the longer the inflammation lasts, the greater the likelihood of irreversible changes in the organ.
But it is better to do prevention yourself, no doctor will do it for you.
Avoid hypothermia, congestion due to prolonged sitting, sexually transmitted infections, irregular sexual activity - all this is the way to effective prevention of prostatitis.
Drugs for prostatitis
Drugs for the treatment of prostatitis are divided into groups according to the mechanism of action:
Antibacterial agents (antibiotics)are prescribed only in the presence of a diagnosis: chronic bacterial prostatitis. The most commonly used are fluoroquinolones, macrolides and the doxycycline group of drugs.
Alpha blockers:are prescribed to restore impaired urination, increasing bladder contraction and relaxing its detrusor.
big groupbiogenic stimulants and herbal preparations.
Effective treatment is possible only with the correct diagnosis, since there are no universal drugs for all types of prostatitis. Often patients take drugs to treat prostatitis, if they have a completely different disease, but with similar symptoms.
Nuts, roots, parsley, cucumber, honey, bees, leeches and other folk remedies for prostatitis
Folk methods of treatment have a right to exist, but you need to understand that it is very difficult to choose a folk method that suits you. On request, the treatment of prostatitis with folk methods, the search engine produces 70 million results.
Folk methods, the effectiveness of which no one has studied. What helped a patient with such treatment (and whether it helped) does not at all mean that he will help you.
Exacerbation of prostatitis after treatment. remission, relapse
All chronic inflammatory processes have periods of exacerbation and remission, when nothing bothers the patient. The duration of remission can be different and depends on many factors, including whether or not the patient is on prophylactic treatment. Patients who periodically carry out prophylactic treatment, without waiting for a deterioration in well-being, as a rule, have less frequent exacerbations.
Prostate massage at home. Is massage always necessary for prostatitis?
Prostate massage can also be done at home if you are married to a urology nurse. Any medical manipulation has its subtleties and nuances. Only a doctor can determine the indications for this procedure, so for some diseases: prostate adenoma (in the presence of acute urinary retention), prostate massage is undesirable, and for tumors it is contraindicated-noted.
alcohol and prostatitis
Alcohol, in itself, does not cause the development of prostatitis, but is a factor that increases stagnation and swelling of the prostate gland and, therefore, contributes to its development.
Sex life and prostatitis
There is a direct relationship between the intensity of sexual activity and prostate disease. With prolonged abstinence, stagnation occurs in the prostate gland, which worsens metabolic processes and disrupts blood microcirculation, contributing to the development of inflammatory processes. Regularity is more important for prostate health than the intensity of sex. Excessive sex, especially with different and unprotected partners from infection, is the fastest way to prostatitis.
Does prostatitis affect women?
The impact on the health of a woman with prostatitis in a partner is of course available. The prostate, together with the seminal vesicles, produces the liquid component of semen, which during intercourse enters the partner's genital tract. The main danger may be the presence of a sexually transmitted infection or bacterial prostatitis, which can cause inflammatory diseases in a woman.
Pregnancy and prostatitis
Since the prostate produces the liquid part of semen, which contains nutrients for sperm, prostatitis often leads to a decrease in semen quality, making it difficult to get pregnant.
Prevention. What to do to avoid prostatitis?
Prevention is directly linked to the climate in which the patient lives and to his profession.
Prevention of prostatitis involves avoiding and minimizing the factors that contribute to the development of prostatitis. Avoid hypothermia, alternate sedentary work with periods of physical activity. Important for prostatitis is a regular sex life.
Prostate. What it is and how its health affects male fertility
A diseased prostate is often the cause of many unpleasant ailments, can make it difficult for a man to have sex and even impair his fertility. Not to mention that every year, in every European country, tens of thousands of men contract prostate cancer.
Many men are embarrassed by their prostate problems and do not go to a urologist. Learn more about the prostate itself, its diseases, and its relationship to infertility in this article.
What is the prostate for?
The prostate, also known as the prostatic gland, is modest in size, about the size of a walnut, but has a very important reproductive function. The gland is located at the intersection of the urinary tract - under the bladder, just at the mouth of the urethra, which, moreover, passes through the center of the organ.
The prostate is a gland, that is, like the sweat glands secrete sweat and the liver secretes bile, the prostate secretes a substance that performs a specific function in the body. This substance is a cloudy whitish liquid in semen. In other words, the secret produced by the prostate is part of the sperm and performs the function of nutrition. It is thanks to her that the sperm can maintain the necessary parameters - to be quite viable and mobile.
In addition, the protein substance PSA is formed in the prostate, which is involved in the process of fertilization. Thus, there is no doubt that male fertility largely depends on the condition of the prostate, and any prostate problem can make it difficult to conceive a child, as it is associated with a decrease in sperm parameters.
The size of the prostate changes throughout life
A boy was born with a prostate the size of a pea. Over the next few years, the gland slowly increases to the correct size for an adult male around the age of 30. A middle-aged man's prostate is about 2. 5 cm high, 4 cm wide and 3 cm thick, and weighs between 15 and 20 g.
30 years is a period of relative stabilization, during which the prostate does not grow as quickly as before. It increases again around age 45. This is due to a decrease in the level of male sex hormones, including the most important of them - testosterone.
When changing the size of the prostate, we are talking about the so-called benign prostatic hyperplasia, which already at this stage can be associated with unpleasant symptoms.
Benign prostatic hyperplasia - what are the symptoms?
The most common symptoms that men with benign prostatic hyperplasia complain about are:
A man may also feel like his bladder hasn't been completely emptied. Also, urine may leak out of the bladder uncontrollably.
All of these symptoms are the result of the pressure exerted by the enlarged prostate on the urethra, which makes it difficult to pass urine properly. Stasis of urine in the bladder, in turn, can cause recurrent urethral infections, bladder infections and stone formation, and in the worst case, even kidney failure.
But the worst thing is that similar signs accompany other dangerous pathologies - prostatitis and prostate cancer. That is why it is so important for a man to contact a urologist as soon as he notices the first alarming symptoms.
Acute and chronic prostatitis mainly affects young men
Prostatitis can be of bacterial or non-bacterial origin. It can be caused by germs or stagnation of secretions produced by the prostate. It mainly affects young men between the ages of 20 and 40.
- increased urge to urinate;
- burning sensation when urinating;
- sometimes an increase in body temperature.
The treatment of prostatitis is not the easiest, since many antibiotics do not penetrate the prostate well.
Prostatitis is one of the main causes of male infertility. Treatment of this pathology is strictly necessary.
Prostate cancer is another prostate disease.
In Europe, prostate cancer is one of the most common cancers in men. Every year, in all countries, doctors diagnose it in tens of thousands of people. According to statistics, this cancer affects about 30% of 50-year-old men and 80% of 80-year-old men. At the same time, it is the third leading cause of death from cancer.
Prostate cancer
A characteristic of prostate cancer is that it grows quite slowly and is usually asymptomatic - at least at first. If symptoms are present, they are very similar to those associated with benign prostatic hyperplasia.
Are there men at increased risk of developing this cancer? Yes! Predisposition to prostate cancer will be obesity and a sedentary lifestyle, untreated inflammation of the urinary tract, excessive sexual abstinence, as well as genetic factors.
Prostate cancer is curable if detected early. Unfortunately, many men postpone a visit to the urologist, most often out of embarrassment and fear of a painful and unpleasant diagnosis. In the meantime, all you need to do is pass a few simple tests to protect yourself from this dangerous disease.
As far as fertility is concerned, with advanced prostate cancer, infertility is guaranteed. Therefore, a timely examination by a urologist is the key to a man's reproductive health.
prostate massage
Prostate massage is a useful urological manipulation aimed at maintaining men's health. It helps to restore blood supply to the pelvic organs, normalize metabolic processes, improve tissue regeneration, increase the effectiveness of drug treatment, outflow of accumulated toxins and pus residues, increase resistancebody's immune system and solve potency problems.
In a specialized medical clinic, you can take a course of therapeutic prostate massage to eliminate unpleasant symptoms or restore potency at a comfortable price. The procedure is performed by urologists of the highest qualification category. The rich experience of specialists allows us to perform a delicate procedure with minimal discomfort for patients. The cost of massage is calculated individually, depending on the patient's condition.
Purpose of therapeutic prostate massage
Therapeutic massage is an effective prevention of the development of various prostate diseases (including cancer). It promotes the outflow of prostate secretion, reduces inflammation, improves muscle tone.
The procedure helps to get rid of discomfort and pain in the perineum, and also increases sexual activity and potency. It is usually combined with drug treatment, which makes it more effective.
The price of prostate massage depends on the duration of the course, which is selected individually by a professional urologist from the medical center, depending on the patient's condition.
If you want to make an appointment with a specialist or clarify the price of the service, use the feedback form or call the 24-hour phone number listed on the site. Our consultants are always ready to answer all questions as detailed as possible.
Indications for prostate massage
The main indication for therapeutic prostate massage is diagnosed prostatitis of infectious or non-infectious origin. It is also prescribed for:
- chronic pain in the pelvic region;
- congestion in the prostate;
- hereditary predisposition to prostatitis;
- erectile dysfunction caused by pathologies of the prostate;
- decrease in male sexual activity.
The effectiveness of prostate massage for these problems has been confirmed by numerous clinical studies. Our patients tolerate the manipulation very well, because it takes 1-2 minutes and is as painless as possible. The doctor always controls the force of pressure on the prostate, depending on the individual sensations of the man.
How is a prostate massage performed?
Results of the procedure:flow of prostatic secretion
The patient takes a knee-elbow position or lies on his side. The doctor puts on gloves and inserts a finger into the rectum to a depth of 4-5 cm, then gently massages the prostate until a secret begins to come out.
In chronic prostatitis, the doctor will prescribe a course of prostate massage. As a rule, it consists of 10-15 procedures, administered at intervals of 2-3 days. After the end of the course, a break is made for 2-3 weeks, after which the procedures are repeated.
Useful information
In some cases, exposure to the prostate is undesirable. Manipulation is not carried out during acute bacterial prostatitis and other infections of the genitourinary system, with stones, abscesses, malignant tumors of the prostate, hemorrhoids, urinary retention.