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Prostatitis

prostatitis symptoms and signs

Prostatitis is an acute or chronic inflammatory disease of the prostate. The acute form is characterized by pronounced symptoms. In the absence of appropriate therapy, it becomes chronic. This version of prostatitis is less treatable and can lead to malignant degeneration of glandular tissue.

At the medical center, all men can undergo a comprehensive examination to identify any form of prostatitis. The center is equipped with modern, high-precision equipment. In the laboratory, you can pass all the tests prescribed by the doctor. Experienced urologists of the highest certification category prepare an individual therapy plan that takes into account the specifics of each clinical case.

About the disease

Prostatitis is a common problem that affects about 40% of men over the age of 40. It does not directly endanger a person's life, but prostatitis significantly worsens the quality of life by reducing efficiency, influencing the patient's neuropsychic sphere, and limiting freedom.

Prostatitis can occur as an independent pathology, or it can be combined with adenoma or cancer of this organ.

Types

In 1996, a classification was developed according to which there are 4 categories of prostatitis in men:

  • Acute prostatitis.
  • Chronic bacterial prostatitis.
  • Non-bacterial chronic inflammation of the prostate.
  • IIIA. With the presence of signs of inflammation (leukocytes and any microorganisms can be found in the secretion of the prostate).
  • IIIB. Chronic non-bacterial prostatitis without an inflammatory component (no leukocytes and microorganisms in the prostatic secretion).
  • Chronic asymptomatic prostatitis (a person does not complain, but leukocytes are found in the secretion of the prostate).

Symptoms of prostatitis

Depending on the form of the disease, prostatitis can occur suddenly, manifest itself with vivid clinical symptoms, or continue with alternating periods of exacerbation and remission.

Common symptoms of prostatitis in men:

  • pain of varying intensity in the perineum, radiating to the groin and sacrum;
  • lower back pain;
  • urination disorders (pain at the beginning of the act and during its entire duration, intermittent flow of urine, possibly dripping urine, frequent desire);
  • reduced potency and libido;
  • painful ejaculation;
  • pain after intercourse;
  • erectile dysfunction;
  • poisoning syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.

It is not necessarily the same man who defines these symptoms - perhaps a different combination of them. With the exacerbation of chronic prostatitis, they are usually less pronounced than in the acute form of the disease, and in remission they are practically not determined. Sexual dysfunction often occurs in men who have had chronic prostatitis for more than 5 years.

If prostatitis is neglected, the risk of developing adenoma and prostate cancer, infertility, and difficult-to-treat impotence increases. After identifying the first symptoms of the disease, you should contact a urologist as soon as possible. This allows for a comprehensive treatment that stops the pathological process.

Causes of prostatitis

Identification of infectious and non-infectious causes of prostatitis.

Acute infectious prostatitis is caused by bacteria, more often - Enterobacter, Escherichia coli, Pseudomonas, Proteus and sexually transmitted infections, less often - Mycobacterium tuberculosis. The spectrum of microorganisms causing exacerbation of chronic prostatitis is much wider and may include both opportunistic and atypical (candida) infections.

The microorganism enters the prostate gland from distant foci of infection from the urethra, bladder, and less often with blood or lymph flow.

Factors that increase the risk of developing the disease:

  • STDs;
  • remote chronic infectious diseases (caries, sinusitis, lung abscess);
  • congenital and acquired immune deficiencies;
  • manipulations and surgeries on the pelvic organs;
  • prostate biopsy;
  • a sedentary lifestyle accompanied by stagnation of blood in the pelvic area;
  • promiscuous sex life;
  • same-sex relationships.

The causes of non-infectious forms of prostatitis are not fully understood. It is believed to be associated with stagnation of prostate secretion due to violation of the venous outflow of the pelvic organs. The vessels of the prostate overflow with blood, swell, all the functions of the gland are disturbed, and signs of inflammation appear. Risk factors for the development of this form of prostatitis are as follows:

  • autoimmune processes (antibodies attack the body of prostate cells);
  • prolonged lack of sexual activity;
  • prolonged or interrupted sexual intercourse;
  • sedentary lifestyle;
  • unfavorable working conditions (effect of vibration);
  • chronic poisoning with certain chemicals;
  • spinal cord injury;
  • hemorrhoids;
  • constipation;
  • androgen deficiency in the male body.

Diagnosis of prostatitis

Prostatitis is diagnosed based on the patient's complaints, examination data, anamnesis and the results of further examinations. To detect the disease, use:

  • general and biochemical blood tests;
  • examination of prostate secretion;
  • analysis of biological fluids for urogenital infections;
  • transurethral ultrasound (TRUS) of the prostate;
  • prostate-specific antigen test;
  • determination of testosterone level;
  • Analysis of urine.

Treatment of prostatitis

When the diagnosis is made, the man prescribes a complex drug treatment. Contains antibacterial drugs, enzymes, herbs, immunomodulators. If the patient follows all the urologist's recommendations, outpatient treatment of acute prostatitis leads to complete recovery. On the other hand, violation of the therapeutic regimen leads to the emergence of highly resistant forms of microorganisms that cannot be destroyed by conventional antibiotics. As a result, inflammatory and dystrophic processes worsen, the disease becomes chronic.

Chronic prostatitis is difficult to cure. It requires an integrated approach, with the appointment of long medication and special treatment procedures. The clinic's urology specialists prepare an individual therapy plan for the patient, which includes:

  • antibiotic therapy for up to one month;
  • angioprotectors;
  • enzyme treatment;
  • non-steroids that stop the inflammatory response;
  • immunomodulating treatment (selected by an immunologist);
  • prostate massage;
  • instillations into the urethra, if the inflammatory process is localized in the urethra;
  • physiotherapy.

The patient can receive treatment in the hospital or at the outpatient clinic. In the first case, the chance of a positive result increases, since the man strictly adheres to the treatment regimen, follows all the doctor's prescriptions and is under close medical supervision.

In case of complications of prostatitis (proliferation of the seminal vesicles, prostate abscess), the man may prescribe surgical treatment.

Physiotherapy treatment

In the special center, unique, modern devices are installed in order to have a local effect on the prostate. Physiotherapy increases the effectiveness of complex treatment, reduces the resistance of microorganisms to antibiotics, and eliminates congestion in the body. For the treatment of prostatitis, experienced doctors use the following:

  • "A tool for a complex effect on prostate and pelvic muscles, accelerating prostatitis and relieving symptoms. The therapeutic effect is due to electrical stimulation, laser and magnetic radiation. It improves the drainage of the gland, activates blood circulation in the pelvis, eliminates the inflammatory process and improves the penetration of drugs into the tissues of the organ.
  • Device for vacuum massage, restores the vascular trophism of the cavernous bodies of the penis and improves the blood circulation of the pelvic organs. It is used in the treatment of prostatitis with obvious erectile dysfunction, as well as in the complex treatment of impotence. Eliminates the causes of congestion, tk. tones the blood vessels.
  • Device for local heating of the prostate. Heating the tissues to 39-42°C inhibits the growth of microorganisms, initiates metabolic processes in the prostate and improves its blood supply. It is used to treat various forms of prostatitis.

A modern clinic helps men cope with chronic prostatitis in the shortest possible time. Experienced specialists will certainly determine the causes of the pathology and select an effective treatment. By signing up for physiotherapy, you will speed up your recovery and get rid of pain and discomfort quickly.

Prevention

Specific prevention of prostatitis in men has not been developed. Non-specific measures include ensuring that patients comply with a number of recommendations:

  • drink enough fluids;
  • do not tolerate it, if you want to go to the toilet, empty your bladder regularly;
  • have an active sex life;
  • avoid hypothermia;
  • avoid hypodynamia;
  • observe the rules of intimate hygiene;
  • timely treat urogenital infections and any other infectious diseases of the body;
  • reduce the amount of spicy foods, caffeine, alcoholic beverages in the diet, as they have an irritating effect on the urinary tract.

Rehabilitation

An active lifestyle, adherence to the doctor's recommendations for maintenance therapy and proper nutrition will help a person to recover from an acute or exacerbation of chronic prostatitis in a short period of time.

To avoid stagnation of blood in the pelvic organs, a person should move more, and if his work requires physical inactivity (for example, a long stay at the wheel) - whenever possible, get out of the car and move, visit the gym.

Properly organized nutrition speeds up recovery and reduces the risk of worsening the disease. It's important to eat plenty of plant-based foods—vegetables, oils, and dairy products and fiber.

Questions and answers

Which doctor should I see if I suspect prostatitis?

A urologist deals with the diagnosis and treatment of prostatitis.

Is it possible to fully recover from prostatitis?

Depending on what form of the disease occurs in a particular patient. Acute prostatitis, if a person consults a doctor in time and follows all recommendations for treatment, will soon pass without a trace. Unfortunately, chronic prostatitis cannot be cured. However, the correct treatment tactics and the man's responsible attitude to the problem significantly increase the chance of achieving long-term stable remission.

Chronic prostatitis can be overcome! For quality care, do not delay treatment.