
Prostatitis in men belongs to the andrological (exclusively male) group, urogenital pathologies.The disease continues in the form of acute or chronic inflammation.This is the most common urological disease today.Previously, it was believed that it was manifested only at 45 to 65, now, more and more often the diagnosis of prostatitis, doctors make young people from 20 to 30 years.The disease was significantly "younger".
The nature of damage to the prostate gland depends on a person's sexual gabite.
- The defeat of the prostate in boys, even puberty, may theoretically be, but inflammation of the undeveloped gland is not considered an independent disease.
- In men who lead an active sex life, prostatitis usually continues as acute inflammation.
- The gland pathology, in mature and elderly people, can manifest in the form of three independent diseases (chronic prostatitis, adenoma - benign hyperplasia, adenocarcinoma - malignant hyperplasia).
- In people of subject (chemistry, physics, radiation) castration, iron is atrophied.
Prostate iron (prostate) is the subordinate plate of the male genital area.It is located in the anastomic of the urethra and in the vitters 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 in a woman's sexual routes;
- It produces prostaglandins, the substances that contribute to increased blood supply to the penis before the beginning of an erection, along with testicles, are involved in the production of hormone testosterone;
- provides rapidly evacuation (release) of urethra sperm and participates in orgasm formation;
- Through reflex mechanisms, it prevents urine from entering sperm during sexual arousal, participating 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, bladder and erisforms of the ducts.A powerful blood flow, the lymph, circulating along an extensive vascular system of the damaged gland, causes the phenomena of stagnation, edema of the organ, aggravates the pathology.The iron is well innervated, the damage is accompanied by pain.
What men should know about prostatitis
Prostatitis is an inflammatory disease of the prostate gland (prostate), most often caused by an infectious agent entering the urethra prostate, bladder and a near rectus.However, the infection itself does not mean the development of the disease, as this, as is said to be a "favorable combination of circumstances."
What factors are predisposing prostatitis:
- Long -term work and sedentary lifestyle.The risk group includes drivers, programmers and all who spend the business day without getting up from a chair for walking and stretching.
- Regular violation of stools in the form of constipation.
- Strong or repeated hypothermia of the whole body.
- Excessively active sex life or prolonged abstinence.Both are not useful for the normal functioning of the prostate gland.
- Eating too much, abuse of spicy foods and alcohol, constant stress.
The prostate is a very small organ of 3 and a width of 4 cm long.It weighs only 20-25 grams.However, the secret of the prostate has bactericidal properties, so that 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 itself in men
Distinguish chronic and acute forms of prostatitis:
- Symptoms of acute prostatitis are characterized by severe inflammation in the prostate.In this case, the patient has severe heat (body temperature rises to 38-39 degrees), groin and perineum pain, painful urination and defecation.
- Chronic prostatitis worries less a man, so that he does not pay attention to the characteristic signs.Occasionally, the patient rises to 37 degrees of temperature, sometimes he cares about unpleasant sensations when going to the bathroom, a little mucus or pus of the urethra is released.This discharge is one of the typical signs of chronic prostatitis.
Signs of prostatitis in men
Six signs (precursors) of prostatitis are distinguished - Dysuria Syndrome.Use as clinical markers conditionally.However, the presence of two of the six symptoms - one occasion will become a urologist.
- A flow of downward inclinations or its range is less than 20 cm.
- Difficult, fall, urinate.
- Pain during urination.
- Intermitment, bifurcation, jet spraying, the duration of the process.
- A feeling of not emptying complete of the bladder.
- Very hearty urination at night.
It is strictly forbidden to draw clinical conclusions by identifying these characteristics.Prostatitis has a complex pathogenesis, with the inclusion of various mechanisms.You cannot treat the disease by 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 treatment.Diagnosis and treatment are performed taking into account the organs and systems involved in pathogenesis.In some cases, consultations of a venereologist, surgeon and oncologist are required.
Symptoms of prostatitis in men
Prostatitis can occur in the form of acute and chronic inflammation.Acute shapes develop by the type of phlegm, follicular and paradise inflammation.Manifestations of chronic prostatitis are associated with a concomitant disease.
Symptoms of prostatitis, detected by clinical methods and functional tests.The following symptoms are of the utmost importance to recognize the nature of the pathology, causes and mechanisms of protective reactions of the body.
- Frequent urination with prostatitis.In a healthy person, the maximum number of desire to urination does not exceed 10 to 12 times a day, usually 4-5 times.The daily volume of urine in an adult of a healthy person is 1000-2000 ml.The volume of urine in which desire occurs is 120 to 170 ml, urine accumulation more than 350 ml causes a strong desire to empty the bladder.Prostatitis inflammation products constantly irritate the receptors of the walls of the urinary organs as a result of which urination:
- Frequent urination (Pollakiuria), while daily urine does not increase;
- Urination in small portions, inflammation products are provided to false signal receptors about filling the half -empty bladder, after emptying, the feeling of its fullness remains;
- Painful urination (wander) due to narrowing of the urethra with an inflamed prostate;
- Difficulty urinating due to compression of the urethral section with an inflamed gland, sometimes prostatitis is accompanied by the inability to empty the bladder (ishuria);
- Night urination (nicturia), bubble irritated walls, provide a constant signal for urine production.
- The temperature with prostatitis.A characteristic increase in body temperature for subribil and feverish value is characteristic.High temperature accompanies purulent prostatitis at an early stage of septic shock.In the late stage of septic shock, on the contrary, a reduced temperature (hypothermia) is characteristic of 35-36 ° C. Low temperature is dangerous to a person due to the trend of blood platelets to disseminated intravascular coagulation (DIC syndrome).The prognosis of prostatitis complicated by sepsis, in the presence of internal combustion motor syndrome, is careful or unfavorable.
- Blood in the urine with prostatitis.The symptom of hematuria (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, including:
- purulent melting of the gland with a section of the blood vessel and the sampling of the vase in the urethra;
- Accidental injury during instrumental studies of genitourinary organs;
- Prostatitis, complicated by hyperplasia, is more frequently malignant.
- Pain syndrome.Complicated prostatitis is accompanied by pain out of urination.Sometimes pain manifests periodically, for example, during defecation.The cause of pain is the constant irritation of the gland with inflammation products.Often observe dull pain (painful) in the perineum and anus.
Laboratory studies confirming the symptoms of prostatitis.They are used to clarify the presence of inflammation, determine the severity of the inflammatory and septic process.
- General blood test.Indicators that confirm prostatitis are: an increase in the number of leukocytes, leukogram changes in the direction of increasing the number of blood blood cells from the rod, an increase in VHS.
- Urine analysis.Reveals hidden pyuria (pus in urine) and bacteriuria (bacterial obstruction) in the first part of the urine.The three glasses method is used to identify hidden pus and bacteria at the beginning, in the middle or end of urination.Multiple, with a frequency of several days, a bacteriological study of urine is performed to determine a change in species belonging to bacterial flora.
- Blood sowing tank.The method is indicated for the symptoms of progressive sepsis, accompanied by an exhaustive (agitated) fever.
- The study of cell connection in immunity with prostatitis complements the idea of the nature of pathogenesis, to predict the likelihood of sepsis development.
Instrumental methods used to clarify the symptoms of prostatitis.The following methods have diagnostic value.
- The transtree method (through rectum) of ultrasound (truzi).Its high diagnostic value.The method has against -indications associated with the prohibition of gland massage at certain stages of the disease.
- X -Ray pictures with the bladder.Choose convenient projections for prostate research.Prior to the figure, a urographic is introduced into the bladder - an inert radiocontract substance for the body.
- Prostate puncture biopsy has strictly limited indications for prostatitis.
Causes of prostatitis in men
There are several groups of prostatitis causes, including:
- The complication of men (PPP infections, cold inflammation of the pelvic organs, complicated by staphylococcal organs, other bacterial infections, viral and fungal agents, especially against the reduced immunity backdrop and overall body resistance), chronic gynecological infections in a sexual partner - sexual.
- Urethral reflux.Violation of the prostate capacity from preventing the reverse current of urine, its ingestion is called urethral reflux.As a result, bacterial contamination of the prostate occurs.Urethral Reflux - A consequence of inadequate catheterization as well as previously adopted inflammation of the urethra.At the same time, urethrraagia occurs - a pathological increase in the lumen of the urethra.Urethral reflux - gallbladder, bacterial contamination is combined with the formation of calculations (stones) in the prostate and the erystorming channels.
- Violation of the rhythm of sexual activity, including absence or excess of sex, regular delay of ejaculation.
- Stagnation of venous blood in the genitourinary organs of the small pelvis of men - a consequence of a sedentary lifestyle (hemorrhoids, disorder of sex life, other causes);
- The hormonal imbalance associated with the insufficient production of the male hormones of the male hormones, as a result, there is a general weakening of skeletal and smooth muscles, violation of erectile function and other disorders.
Prostatitis Classification
Distinguish between bacterial and non -bacterial prostatitis:
- Bacterial prostatitis is caused by pathogenic microorganisms that enter the prostate gland from the outside.This includes 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, urreaplasmosis, gardnerelos, trichomoniasis, gonorrhea, mycoplasmosis.
- The non -infectious prostatitis group includes:
- Congested prostatitis (stagnant).It is caused by stagnant phenomena in the pelvis.Incomplete ejaculation, sexual excesses, prolonged abstinence, interrupted sex - all this contributes to venous stagnation in the pelvic organs.
- Sclerotic prostatitis.It is characterized by a decrease in the size and functions of the prostate gland, the compaction of its tissues as a result of the death of prostate cells with their sclerotic tissue of replacement.One of the reasons for the development of this form of the disease is frequent constipation, taking some medications, multiple infections.Unfortunately, this prostatitis should not be treated.
- Calculate prostatitis.The result of the development of calculating prostatitis is the presence of phosphate and oxalate stones in the gland.Reaching large sizes, they cause acute pain in the urethra.The treatment technique is to dissolve the stones formed.
- Prostatitis prostatopopic.This disease causes chronic pain in the pelvis, but its etiology has not been fully studied.It is believed that it can be caused by a reverse current of secret, harm damage, bladder neck pathology and psychological factors.
- Atypical forms.In an atypical way, the patient can complain of pain in the legs, lower back and sacred, which are unusual characteristic symptoms of prostatitis.The result of treatment depends on the duration of the disease, the activity of inflammatory processes, the presence of uniting complications.
If you do not get involved in the treatment of prostatitis, in a neglected way it leads to a decrease in power, infertility, depression, exhaustive pain in the perineum and other complications.
What is dangerous prostatitis, consequences of prostatitis
The consequences depend on age, state of the immune system, presence of bad habits.Thus, in people of an older age group, with weakened immunity, having alcoholism, drug dependence 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 sexual intercourse, a decrease in the integrity of sensations during sexual intercourse in advanced erectile dysfunction.
- The effect of prostatitis on conception.The damaged prostate markedly reduces the activity of production of a quality secret needed to maintain sperm activity on a woman's birth channel.The secret of the inflamed prostate gland, entering sexual contact in the family's family paths reacts with the immune rejection of the female body, the development of gynecological diseases and the impossibility of conception.
- Prostatitis causes damage within the gland and body.Complicated inflammation by microflora increases the risk of prostate abscess.ABSCISING - purulent melting from part of the gland parenchyma with the formation of a capsule around the fireplace.The disease with the formation of mineralized calculations in the cavity - a consequence of the prostate complicated by the prostate damaged reflux.The consequence of prostatitis is also: acute ishuria, urolithiasis, renal failure, inflammation of the genitourinary organs and other diseases.
It is possible to have sex with prostatitis
It is proven that the discriminant of intimate life is one of the causes of inflammation of the gland.Regular ejaculation with moderate frequency positively affects the pathogenesis of prostatitis with subclinical and moderate clinical manifestations of prostatitis.Some therapeutic manipulations and stages of the disease suggest a temporary prohibition of sex life.Detailed recommendations should be obtained from the assistant doctor.Have sex with prostatitis, observe moderation and safety of intimate life.
Is prostatitis transmitted sexually?Prostatitis is a purely male disease that does not have a specific viral, bacterial and fungal origin.Meanwhile, prostate inflammation is a danger to gynecological health.The seed liquid containing inflammation products, falling into the female genitals, amid a decrease in the protective barriers of the birth canal - a real threat of conception and the fetus.A healthy lifestyle, reliable means of male contraception are a simple way to protect sexual partners from mutual problems.
It is possible to recover from prostatitis once and for all
Most men who are undergoing prostatitis are interested in a question - it is possible to get rid of this unpleasant disease forever.According to experts, the effectiveness of treatment depends largely on the presence and severity of the irreversible consequences in the prostate.It can be scars, stones, calcine.
The additional development of the inflammatory process can only be interrupted in the early stages only in search of a doctor.In this case, no irreversible complication in the prostate is developing and there is a possibility of a complete cure.When sclerotic tissue sections have already been formed - scales, there are calcincts and small pebbles, which can no longer get rid of, then probably re -inflammation can occur.This is chronic prostatitis.
In addition to treatment, an important factor to overcome this disease is also how the patient is ready to change his old lifestyle - irregular and constant sexual life sitting in a chair.If he does not want these changes, with a great degree of confidence, we can say that soon the inflammatory process will return again.It is with the patient's unpreparess to exclude 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 drugs.The use of vitamins, physiotherapeutic, anti -inflammatory, painkillers and antibiotics is shown.
Prostatitis diet
Compliance with diet, the use of a certain set of products:
- Reduces pain
- improves blood and lymphone microcirculation in the gland vessels,
- strengthens the protection functions of the body,
- normalizes the work of the intestines,
- Reduces urine at night.
Prostatitis products.Delete from use:
- Strong coffee, sharp dishes - Increase blood flow to the gland, stimulates pain;
- Fat, greasy meat, eggs, flour - Increase cholesterol deposition on capillaries walls, reduces microcirculation of blood flow in the gland;
- Alcohol - Reduce immunity;
- Products that contain thick fibers, salty and spicy products - change intestinal motility;
- A large amount of liquid (at night), smoked and salty products (during the disease period) - increases the volume of fluids, delayed in the body.
It is advisable to include in the diet: salads of plants seasoned with olive oil, vegetables and fruits grown in the region of the residence, natural juices, nuts, dried fruits, low fat cooked meat.A set of prostatitis products can be clarified by a nutritionist doctor.
Preventive measures
Prevention is based on simple rules to comply with them is simple.
- Take a large step regularly (this style of walking is more physiological);
- Eat properly, bring a healthy lifestyle;
- Use the male contraceptive.
To avoid the development of prostatitis and its complications, with any diseases of the genitals, you should immediately contact the urologist.It is also not necessary to wait until any symptoms appear and at least once a year seem to the doctor himself.In a medical institution you will pass, the exam and you will be sure that your health in the genital sphere is fine.
It does not delay the visit of the urologist and those who suffer from constipation, abuse alcohol, spicy and smoked food, those who do not actively play sports and who had a history of sexually transmitted diseases.Due to the high risk of the disease, these people should undergo a mandatory examination, even if there is no testimony for it.
As you know, men are not lovers to walk through doctors, and when it is already unbearable, it turns out that the disease has taken a chronic course.But the course of treatment can be approved long before.Now, with chronic prostatitis, you will have to be treated at least 1-2 months.