Prostatitis

How to treat prostatitis in men: medications and the 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, this is the most common urological disease among men of all ages.According to statistics, after 30 years the disease prostatitis affects 30% of the male population, after 40 - 40%, after 50 - 50% and then increasing.

However, taking into account the diagnostic features and the possibility of the disease occurring in a latent form, the real numbers 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 lymph circulation in the pelvic organs, and hormonal disorders (absolute or relative androgen deficiency).

Thus, it is emphasized that isolated entry of a pathogen into organ tissue does 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.Regarding streptococci, staphylococci, chlamydia, mycoplasmas, and ureaplasmas, researchers have different opinions about their significance in the development of the disease.It is extremely rare that prostatitis is caused by specific pathogens (treponema pallidum, Koch's bacillus).

Classification

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

1. Category I. Acute prostatitis;
2. Category II.Chronic bacterial prostatitis;
3. Category III.Non-bacterial chronic prostatitis/chronic pelvic pain syndrome - a disease in which infection is not detected, lasting more than 3 months;
• Subcategory III A. Chronic inflammatory pelvic pain syndrome (leukocytes are detected in the prostate secretion);
• Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (there are no leukocytes in the prostate secretion);
4. Category IV.Asymptomatic chronic prostatitis (leukocytes are present in the prostate secretion, the patient has no complaints, the disease is detected by chance).

First signs

The main signs of acute prostatitis are an increase in body temperature and frequent urination, which is accompanied by pain and weak pressure.In addition, signs of prostatitis include burning of the perineum and pain in the rectum during bowel movements.In the stage of purulent inflammation, spontaneous opening of the abscess and leakage of pus from the urethra or rectum is 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, which, if not treated in a timely manner, can lead to acute urinary retention.Men should not ignore such indirect signs of the development of prostatitis as a complete or partial decrease in libido, accelerated ejaculation, sometimes painful, and prolonged erection at night.All these symptoms are characteristic of inflammation of the prostate gland, even in an uncomplicated stage and amenable to adequate treatment.

Symptoms

If acute prostatitis is simply impossible not to notice, then with 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. Problems with urination.Due to the narrowing of the lumen of the urethra, the stream may become sluggish, thin or intermittent.In order to have a bowel movement, the patient has to make an effort, which should not normally be the case.Sometimes urine literally has to be squeezed 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), this is due to irritation of the nerve endings.Even after going to the toilet, many people have the feeling that the bladder is not completely emptied, this is due to an enlarged prostate and compression of the bladder.In severe cases, involuntary urine leakage or incontinence may occur.
2. Painful sensations.As a rule, they are localized in the perineum, pubis or testicles, in the groin or in the lumbar area.The pain can occur suddenly and also pass quickly, often it is quite severe, but more often it is dull or aching in nature.
3. Problems of a sexual nature will certainly arise.Firstly, your sex drive will decrease significantly.Secondly, problems with erection may occur.Thirdly, due to problems with ejaculation (ejaculation), the average duration of sexual intercourse will change: it may become short due to early ejaculation or, conversely, too long due to delayed ejaculation.Fourthly, the sensations will also change, since the orgasm will not be bright.Fifthly, the volume of sperm will be significantly reduced (only a few drops may be released, which is not normal).
4. Another characteristic symptom is problems with conception.If a man is planning a child, then with prostatitis fertilization becomes impossible due to the non-viability or insufficient motility of sperm.
5. Discharge from the urethra.They are usually white in color and have a slimy consistency and are observed most often in the morning.
6. In acute cases, there is an increase in body temperature (up to 38-39°), fever, deterioration in general condition, weakness, malaise and other similar manifestations.Such symptoms of prostatitis usually occur suddenly, without any prerequisites.

In addition, many people have psychological problems associated with the symptoms listed above.A man may become unsure of himself, his self-esteem will greatly decrease, he will be depressed or irritable and nervous.Many representatives of the stronger sex are embarrassed by such delicate problems 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.These are unobtrusive pain in the bladder area, frequent urge to go to the toilet.The stronger sex associates 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 area, arising or intensifying after drinking alcohol, physical activity, or sexual intercourse.Sometimes they are of a transient, paroxysmal nature.
3. A decrease in the ability to fertilize, which is caused by an increase in the acidity of the secretion, a decrease or absence of sperm motility, and their agglutination (gluing) of the heads.
4. Sudden frequent urge to urinate (sometimes up to 3 times within 1 hour) and a 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 erased sensations of orgasm, ejaculation disorders, expressed in its prematureness or, conversely, in excessive duration of sexual intercourse.These phenomena are associated with the inflammatory process in the area of the seminal tubercle or its scarring as a result of inflammation.

In order to diagnose the disease, you need to consult a urologist.Using tests, the doctor makes a diagnosis and prescribes a course of medication.

Diagnostics

To make an accurate diagnosis, a man needs to be examined by a doctor and undergo tests.With prostatitis, the patient experiences pain from palpation in the perineal area.Internal palpation of the rectum shows the presence of swelling in the area of the prostate gland; it becomes dense to the touch.The patient complains of problems with the genitourinary system.After collecting an anamnesis, the patient must undergo a detailed blood test for the presence of excess protein, increased levels of leukocytes and prostatic 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 examination of the pelvic organs is performed.It clearly shows inflammation and enlargement of the prostate.If the gland has grown greatly, then on an ultrasound you can see the presence of residual urine in the bladder.

After all the tests and studies have been completed, the man will be given a full diagnosis and prescribed treatment.

Drugs 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 drugs, including antibiotics:

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

When treating with antibiotics, preference is given to fluoroquinols and macrolides, since they are able to accumulate in the required concentration in the prostate tissue.Penicillins and tetracyclines are used less frequently.

Prostate massage

Prostate massage shows good results.The gland receives a complex effect.First of all, it becomes possible to remove from the body the inflammatory secretion that has accumulated in the prostate (it is released during the massage).Improving blood circulation through these manipulations makes it possible to combat various types of stagnation, and also promotes good penetration of antibiotics into the gland tissue.

Set of exercises

Prostate exercises:

1. This absolutely simple exercise is used for both treatment and prevention.It consists of squeezing and relaxing the muscles of the anus.It is these muscles that are responsible for holding back the stream during urination.Try squeezing and unclenching a group of muscles.This will increase blood flow in the gland area.
2. To improve blood circulation, use a contrast shower.To do this, direct the stream of water to the perineum.First, 30 seconds of very warm water, then 10 seconds of cool water.
3. In the absence of acute symptoms, you can massage yourself.This is done to improve blood flow.The exercise is best done in a lying position.The massage point is between the anus and scrotum.Pressing should be confident, but not aggressive.Time 3-5 minutes.

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

Immunocorrection

Decreased immunity negatively affects health.

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

Physiotherapy

Physiotherapy for chronic prostatitis is aimed at activating blood circulation.

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

Candles

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

Traditional methods of treating prostatitis

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

1. Pumpkin seeds have long been used by healers in the treatment of prostatitis.They are a good and very affordable folk remedy for the treatment of this disease.Since these seeds contain a lot of zinc, which is necessary for any man at any age, they quickly treat prostatitis.You just need to eat 30 seeds a day before meals.This is exactly the daily share 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 amount of decoction is drunk in equal portions instead of water.Seeds are brewed 4 teaspoons per glass of boiling water.Infuse for 40 minutes in a saucepan or 15 minutes in a thermos.Consume approximately 3-5 times a day, a tablespoon.
3. The main ingredient is hazel.To treat prostatitis, you need to take either hazel bark or hazel leaves.You can brew both ingredients alternately, alternating them.Just know that the bark needs to be brewed twice as long, as it is tougher.So, take one tablespoon of hazel leaves (or bark) and brew it in a glass of boiling water.Close the lid tightly and wait half an hour.Then strain and take 1/4 cup 4 times a day.It is better to use fresh twigs each time, but you can also use already used ones several times.Usually a week of such procedures is enough – and the prostatitis goes away.
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 with an interval of 10 days.
5. Celandine is used carefully.The plant is poisonous, an overdose leads to severe poisoning.At the same time, the medicine from celandine will cleanse the body of polyps, neoplasms, cysts, and will prevent prostate adenoma.Freshly squeezed juice is diluted with alcohol in equal parts.Drink daily, diluted in 50 ml of water.Begin treatment with 1 drop, increasing the concentration by 1 drop every 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 herbal remedies lasts longer due to their mild effects than medication, but is safer for the body, especially in the presence of concomitant diseases of the intestines and stomach.Treatment must be accompanied by gymnastics: leg raises, squats.Intensive walking of 15-30 minutes daily 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;
• narrowing of the urethra;
• pyelonephritis;
• prostate abscess;
• sepsis.

Some of the above conditions require urgent surgical intervention!

Prevention measures

Prevention comes down to avoiding provoking factors.A healthy lifestyle, protected sexual contact, and having one partner will reduce the likelihood of infection of the genitourinary system.General strengthening of the body and increasing immune defense are also preventive measures against prostatitis.