Symptoms and signs of prostatitis in men and its treatment

Urologist prescribing treatment for patients with signs of prostatitis

Diseases of the genitourinary system in men are difficult to treat and are recurrent in nature. Prostate pathologies affect hormonal levels, emotional state, erectile and genitourinary function.

Treatment of prostatitis in men is complicated by the fact that in the early stages of development the disorders practically do not manifest themselves symptomatically. The first signs appear when the disease is advanced. Early diagnosis and an adequately prescribed course of therapy are the key to a favorable prognosis in the fight against pathology.

What is prostatitis

With a few exceptions, the term "prostatitis" refers to chronic or acute inflammation of the prostate gland. Manifestations of prostatitis in men are similar to the symptoms of other pathologies of the genitourinary system. The process leads to obstruction of glandular tissues and the appearance of the following disorders:

  • Dysuric disorders.
  • Decreased sexual desire.
  • Erectile dysfunction.
  • Pain syndrome.

The disease provokes the formation of adhesions and scars. Metabolism and blood circulation in tissues gradually deteriorate. Irreversible changes occur that can only be corrected through surgery. There are several types of disorders depending on the etiology and stage of development.

Categories of prostatitis

Inflammation of the prostate gland matures against the background of congestion in the pelvic area. The process quickly becomes chronic. The favorable time for treatment is the early stage of the disease.

Medical reference books describe 4 types of the disease, with characteristic symptoms and manifestations:

  • Category IAcute prostatitis.The catalyst is infection that has entered the tissue, injury, and hypothermia of the gland. Inflammation occurs suddenly and lasts 3-4 days. Without the necessary therapy it becomes chronic. Manifestations:
    1. heat,
    2. fever,
    3. pain in the pelvis and lumbar region,
    4. intoxication of the body.
    If the course is unfavorable, the disease continues in a purulent form, dangerous to human life.
  • Category IIChronic bacterial prostatitis.It starts with an exacerbation. Reason for appearance: interrupted course of antibiotics, self-medication. Inflammation occurs in a latent form, without visible manifestations, until the immune system weakens so much that the infection triggers an exacerbation of the disease. Treatment begins with antibiotics and NSAIDs.
  • Category IIIChronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).A disease mutated from acute inflammation of the prostate gland. Disturbances develop slowly, irreversible changes occur, leading to tissue obstruction. Congestive inflammation, in turn, is divided into two subgroups:
    1. Category IIIa - Chronic prostatitis/chronic pelvic pain syndrome with signs of inflammation.It is characterized by pronounced manifestations: low-grade fever, increasing during an exacerbation to 38-38. 5°. Characteristic symptoms of male prostatitis: deterioration of erection, hemospermia, prolonged sexual intercourse without orgasm, impaired urination.
    2. Category IIIb - Chronic prostatitis/chronic pelvic pain syndrome without signs of inflammation.In this case, the manifestations are diagnosed exclusively using instrumental research methods.
  • Category IVAsymptomatic (asymptomatic) chronic prostatitis.It is considered a poorly understood disease with an incompletely understood etiology. Some leading urologists have suggested an age-related cause of the disease. There are no symptoms of pathology.
Healthy prostate and changes in the prostate gland due to inflammation

It is difficult to cure prostatitis even at an early stage. To achieve stable remission, it will be necessary to eliminate the causes - catalysts, cope with complications and consequences that arise.

Why is prostatitis dangerous?

Inflammation of the prostate gland is a serious pathology that affects men's health. Possible complications and consequences of the disease:

Against the background of prostatitis, a man may experience erectile dysfunction
  • erectile disfunction- scars and adhesions, the result of inflammation, prevent normal blood flow in the cavernous vessels. At the same time, the prostate's ability to process testosterone deteriorates. Sexual desire decreases. In the acute period, friction and ejaculation bring pain. All of the above causes deterioration of erection. In some cases, complete sexual impotence is diagnosed.
  • Infertility— chronic inflammation affects not only the prostate, but also spreads to adjacent parts and organs of the genitourinary system. Often degenerative disorders manifest themselves in the ligament: testicles + glandular tissues. The quality and volume of spermatogenesis deteriorates. Getting pregnant from a man with advanced prostatitis is problematic.
  • Development of related diseases- inflammation can spread to neighboring organs of the genitourinary system:
    1. urethral canal,
    2. bladder,
    3. kidneys,
    4. scrotum
    Launched processes negatively affect the body’s activity, causing problems with urination, including acute urine retention. Develops: renal failure, varicocele, hydrocele, urethritis, cystitis, etc.
  • Death— the danger of death exists with a purulent disease. If treatment for acute male prostatitis does not begin in a timely manner and purulent formations appear that develop into an abscess, the patient’s life is at risk. A ruptured cavity towards the rectum leads to general intoxication and can result in death.

In severe conditions, surgery is required. Unlike adenoma or malignant hyperplasia, surgery is prescribed extremely rarely and does not guarantee the prevention of relapse.

Which doctor treats prostatitis

It all depends on the manifestations of the disease. The urologist remains the main one. It is this specialist who deals with pathologies of the male genitourinary system, including inflammation of the prostate. In case of some violations, it will be necessary to involve doctors of other specialization.

A man with symptoms of prostatitis should first consult a urologist

Current clinical guidelines indicate the need to promote:

  • Psychiatrist— help is needed if pain and other manifestations create psychological rejection of sexual relations, impotence without physical disorders.
  • Immunologist— long-term antibacterial and drug therapy causes a strong blow to the body. Protective functions and the ability to resist infection are reduced. Some forms of prostatitis begin with autoimmune diseases. In each of these situations, the help of an immunologist will be required.
  • Surgeon— opening purulent abscesses, performing TUR, prostatectomy, and removing calcifications is done by a specialist. The help of a surgeon will be required to remove adhesions in the seminal ducts and restore reproductive function.

Such a number of specialists required for complete healing of the patient convincingly proves that it is impossible to cure prostatitis on your own, much less get rid of complications. Qualified assistance is required.

How to recognize prostatitis

The insidiousness of the disease lies in the fact that for a long period the inflammation develops asymptomatically in a latent form. The first signs of prostatitis are often attributed to: fatigue, radiculitis, diseases of the genitourinary system. The pain stops after taking an analgesic or antispasmodic tablet. But inflammation of the prostate gland continues until the disorders become global. A man goes to the doctor, where he is given an unpleasant diagnosis.

Still, the most effective way to get rid of prostatitis is early diagnosis and immediate treatment. The chances of complete healing are about 80%.

To differentiate inflammation from other diseases, several diagnostic tests are performed:

Determining the condition of the prostate by palpation for the diagnosis of prostatitis
  • Rectal method— the doctor probes the structure of the gland by inserting a finger into the anus, which allows identifying any anomalies and deviations.
  • Ultrasound and TRUS— Ultrasound diagnostics remains the standard of research due to its low cost and availability. The monitor shows a loose structure of the gland, indicating inflammation; it is possible to detect calcifications and other signs of prostatitis.
  • Clinical and biochemical tests of blood and urine- show the presence of inflammation, and also identify an infectious agent.
  • Spermogram- decreased vitality and speed of sperm, characteristic signs of congestive prostatitis and obstruction of glandular tissues. Bacteria and pathogens are found in the ejaculate during an infectious disease.
  • MRI and PET-CT- the most reliable diagnostic methods. Due to the high cost, examination is prescribed only if the results of previously performed tests are unclear, as well as if cancer is suspected.

Tomography reveals signs of early-stage prostatitis, which is unattainable with other diagnostic methods. If abnormalities in the functioning of the prostate gland are suspected, MRI remains the preferred type of instrumental examination.

How long does it take to treat

Stories of miraculous deliverance in a few days are nothing more than tales. There is no quick way to treat prostatitis. After diagnosing inflammation, you need to tune in to long-term therapy and radical changes in eating habits and lifestyle. Only in this case will it be possible to defeat the disease.

Modern and effective methods of treating prostatitis have made it possible to shorten the period of therapy. With an integrated approach, significant improvements can be achieved within 2-3 months.

Doctors have learned to cope with the consequences of prostatitis. Unique methods of therapy help eliminate infertility, restore normal erection, and increase sexual desire.

After achieving stable remission, you will have to regularly take herbal medicines, attend physical therapy sessions for prevention, and maintain men’s health in other ways.

How is prostatitis treated?

There is no effective pill, after taking which all unpleasant symptoms will go away. Among traditional medicine there is also no such miraculous remedy. The best methods of treating prostatitis in men with proven effectiveness include an integrated approach: medication + physical therapy + unconventional methods.

Official medicine offers conservative treatment. After completing the course, unpleasant symptoms and negative manifestations of the disease disappear. At the second stage, the task is to eliminate the complications that have arisen.

Advanced non-invasive methods have increased the chances of a favorable outcome of the disease. Surgery is required in no more than 10-15% of cases.

With the help of drugs

Conservative therapy is carried out aimed at eliminating symptoms. The following groups of drugs are prescribed:

Medicines to relieve inflammation in the prostate gland
  • NSAIDs- relieve inflammation, heat and fever. They have a slight analgesic effect. When prostatitis begins, short-term treatment with anti-inflammatory drugs and vitamins are required to maintain the gland in normal condition. The drugs are available in suppositories, tablets, and injections.
  • Antibiotics- designed to eliminate infectious or bacteriological inflammatory factors. The treatment regimen for prostatitis is prescribed after the pathogen has been identified and its resistance to antibiotics has been tested. The course of treatment is 7-10 days. In severe cases, therapy is extended to two weeks.
  • Hormones- recommended if the usual course of medications has not brought any benefit, as well as with a decrease in sexual desire due to an advanced disease. Treatment with hormones at an early stage is prohibited. The medications are taken under the strict supervision of a urologist.
  • Symptomatic drugs— to eliminate pain, take acetylsalicylic acid tablets. Spasms are removed by an antispasmodic agent. For persistent intense pain, blockade with an anesthetic is indicated.
  • Vitaminsand medications to maintain prostate function. During the period of remission, it is recommended to take medications to normalize metabolism and improve blood supply to glandular tissues and juice production. For this purpose, herbal medicines are prescribed. To strengthen the immune system, a complex of vitamins and minerals is indicated.

Self-medication is dangerous and does more harm than good. Before taking any of these drugs, you should consult a urologist.

Using physiotherapy

Prostatitis is characterized by extensive congestion in the pelvic area, which significantly complicates therapy. Taking medications turns out to be ineffective, since the active components simply cannot be delivered by blood vessels to the prostate gland.

To increase the effectiveness of drug therapy, immediately after the exacerbation is relieved, physiotherapy is included in the course of treatment of prostatitis in men.

In addition to traditional electrophoresis, the following techniques are prescribed:

  • UHF and microwave.
  • Magnetotherapy.
  • Mud therapy.
  • Galvanization.
  • Ultraphonophoresis.
  • Laser treatment.
  • Heat therapy.

Most of the listed procedures are included in the complex of techniques used in spa treatment. Contraindications to physiotherapy remain: acute period of inflammation, development of tumor tumors, individual intolerance in the patient.

Natural remedies

Modern methods of treating prostatitis increasingly combine official methods with alternative medicine. In ancient times, our ancestors treated prostatitis with herbal infusions, decoctions and bee products. The disease itself did not go away, but the unpleasant symptoms were relieved.

Some methods have survived to this day:

  • Apitherapy— beekeeping products are used to eliminate inflammation and strengthen the immune system. Honey is a natural antibiotic. Used in treatment: death, propolis, wax, pollen, poison. Compresses and honey massage, tinctures are made.
  • Herbal collections- urological compounds are sold in pharmacies and you can prepare them yourself. Herbs treat urinary disorders, relieve inflammation and relieve pain. Some plants are good antiseptics. Decoctions and teas are prepared from the collections, and added when preparing compotes and tinctures.

In the old days there were no hospitals or pharmacies. Ailments were dealt with using the gifts of "Mother Nature. "After prescribing a course of medications, the urologist will definitely recommend one of the alternative medicine recipes: herbal medicine or apitherapy.

Herbs and herbs in alternative medicine that improve the condition of patients with prostatitis

Only an integrated approach to the fight against prostatitis will help get rid of the disease once and for all. The success of treatment depends on early diagnosis and careful adherence to the urologist’s recommendations.