Prostatitis is an acute or chronic inflammatory disease of the prostate gland. The acute form is characterized by pronounced symptoms. In the absence of adequate therapy, it becomes chronic. This variant of prostatitis is less treatable, it can lead to malignant degeneration of the tissues of the glands.
In the medical center, every man 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 qualification category will develop an individual treatment plan that takes into account the characteristics of each clinical case.
About the disease
Prostatitis is a common problem that affects around 40% of men over the age of 40. It does not directly threaten a person's life, however, by reducing efficiency, affecting the patient's neuropsychic sphere, limiting freedom, prostatitis significantly worsens the quality of life.
Inflammation of the prostate can occur as an independent pathology or be combined with adenoma or cancer of this organ.
types
In 1996, a classification was drawn up, according to which there are 4 categories of prostatitis in men:
- Acute prostatitis.
- Chronic prostatitis of a bacterial nature.
- Chronic inflammation of the prostate gland of a non-bacterial nature.
- IIIA. With the presence of signs of inflammation (leukocytes and any microorganisms are found in the secretion of the prostate gland).
- IIIB. Chronic non-bacterial prostatitis without an inflammatory component (there are no leukocytes and microorganisms in the secretion of the prostate).
- Chronic asymptomatic prostatitis (a person does not complain, but leukocytes are found in the secretion of the prostate gland).
Prostatitis Symptoms
Depending on the form of the disease, prostatitis can appear suddenly, manifesting itself with vivid clinical symptoms, or proceed with alternating periods of exacerbation and remission.
Common signs of prostatitis in men:
- pain of varying intensity in the perineum, radiating to the groin and sacrum;
- lumbar back pain;
- urination disorders (pain at the beginning of the act and throughout its duration, intermittent urinary flow, possible drop urination, frequent urgency);
- decreased potency and libido;
- painful ejaculation;
- pain after intercourse;
- erectile dysfunction;
- intoxication syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.
Not necessarily all of these symptoms will be caused by the same man, perhaps by a different combination of them. With an exacerbation of chronic prostatitis, as a rule, they are less pronounced than in the acute form of the disease, and in remission they are practically not determined. Disorders of sexual function often occur in men who have been suffering from chronic prostatitis for more than 5 years.
If prostatitis is neglected, the risk of developing adenoma and prostate cancer, infertility, impotence difficult to treat increases. Having identified the first symptoms of the disease, it is necessary to contact a urologist as soon as possible. This will allow for a comprehensive treatment that stops the pathological process.
Causes of prostatitis
Assign infectious and non-infectious causes of prostatitis.
Acute infectious prostatitis is caused by bacteria, most often - Enterobacter, Escherichia coli, Pseudomonas, Proteus and sexually transmitted infections, less often - Mycobacterium tuberculosis. The spectrum of microorganisms that can cause an exacerbation of chronic prostatitis is much broader and can include both opportunistic and atypical infections (candida).
The microorganism enters the prostate gland from the urethra, bladder, less often with blood or lymphatic flow from distant foci of infection.
Factors that increase the risk of developing the disease:
- sexually transmitted diseases;
- chronic infectious diseases located remotely (caries, sinusitis, lung abscesses);
- congenital and acquired immunodeficiencies;
- manipulations and operations on the pelvic organs;
- prostate biopsy;
- sedentary lifestyle, accompanied by stagnation of blood in the pelvic area;
- promiscuous sex life;
- homosexual contacts.
The causes of non-infectious forms of prostatitis are not fully understood. It is believed that it is associated with the stagnation of the secret in the prostate gland due to a violation of the venous outflow from the pelvic organs. The vessels of the prostate overflow with blood, swell, all functions of the gland are disturbed, signs of inflammation appear. The risk factors for the development of this form of prostatitis are:
- autoimmune processes (attack of the body's antibodies of the prostate cells);
- prolonged absence of sexual activity;
- prolonged or interrupted sexual intercourse;
- sedentary lifestyle;
- unfavorable working conditions (impact of vibrations);
- chronic intoxication with some chemicals;
- spinal cord injury;
- hemorrhoids;
- constipation;
- deficiency of androgens in the body of a man.
Diagnosis of prostatitis
Prostatitis is diagnosed on the basis of patient complaints, examination data, medical history and the results of additional studies. To detect the disease, apply:
- general and biochemical blood tests;
- study of prostatic secretion;
- analysis of biological fluids for urogenital infections;
- transurethral ultrasound of the prostate (TRUS);
- prostate specific antigen test;
- determination of testosterone levels;
- Urine analysis.
Treatment of prostatitis
When the diagnosis is established, the man is prescribed a complex drug treatment. It includes antibacterial drugs, enzymes, herbal medicine, immunomodulators. If the patient follows all the recommendations of the urologist, the treatment of acute prostatitis on an outpatient basis leads to a complete recovery. On the contrary, a violation of the therapeutic regimen leads to the emergence of highly resistant forms of microorganisms that cannot be destroyed by traditional antibiotics. As a result, the inflammatory and dystrophic processes worsen, the disease becomes chronic.
Chronic prostatitis is difficult to cure. It requires an integrated approach with the appointment of a long course of drugs and special treatment procedures. The clinic's urology specialists draw up an individual treatment plan for the patient, which includes:
- antibiotic therapy up to a month;
- angioprotectors;
- enzymatic treatment;
- non-steroids that block the inflammatory reaction;
- immunomodulatory treatment (chosen by an immunologist);
- prostatic massage;
- instillations into the urethra, if the inflammatory process is localized in the urethra;
- Physiotherapy.
The patient can receive hospital or outpatient care. In the first case, the chances of a positive result increase, as the man strictly observes the regimen, adheres to all the prescriptions of the doctor and is under strict medical supervision.
In case of complications of prostatitis (suppuration of the seminal vesicles, abscess of the prostate gland), a man can be shown surgical treatment.
Physiotherapy treatment
In the specialized center, unique modern devices are installed for local impact 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:
- "A device for a complex effect on the prostate and pelvic muscles, accelerated treatment of prostatitis and relief of its symptoms. The therapeutic effect is due to electrical stimulation, laser and magnetic radiation. Improves gland drainage, activates circulation. blood in the pelvis, eliminates the inflammatory process and improves the penetration of drugs into the tissues of the organ.
- Vacuum massage device, restores the vascular trophism of the corpora cavernosa of the penis and improves blood circulation in the pelvic organs. It is used to treat prostatitis associated with obvious erectile dysfunction, as well as in the complex treatment of impotence. Eliminate the causes of congestion, tk. tones the blood vessels.
- Device for local heating of the prostate. Heating the tissues up to 39-42 ° C inhibits the reproduction 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 establish the causes of the pathology and select an effective treatment. By signing up for physiotherapy, you will speed up your recovery, quickly get rid of pain and discomfort.
Prevention
Specific prevention of prostatitis in men has not been developed. Non-specific measures include patient compliance with a set of recommendations:
- drink enough fluids;
- do not tolerate, if you want to go to the toilet, empty your bladder regularly;
- lead an active sex life;
- avoid hypothermia;
- avoid hypodynamy;
- 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
In a short time, an active lifestyle, adherence to the recommendations of the attending physician regarding maintenance therapy and proper nutrition will help a man recover from acute prostatitis or chronic exacerbation in a short time.
To avoid stagnation of blood in the pelvic organs, a person should move more and if his work involves physical inactivity (for example, a long stay behind the wheel) - when possible, get out of the car and move, visit the gym.
Properly organized nutrition will accelerate recovery and reduce the risk of disease exacerbation. It is important to consume a large amount of plant foods: vegetables, oils, as well as dairy products and fiber.
Questions and answers
Which doctor should i contact if i suspect prostatitis?
A urologist deals with the diagnosis and treatment of prostatitis.
Is it possible to completely recover from prostatitis?
Depending on the form of the disease that occurs in a particular patient. Acute prostatitis, if a person consults a doctor in a timely manner and follows all recommendations for treatment, it may soon pass without a trace. Chronic prostatitis, unfortunately, is not curable. However, the correct treatment tactics and a man's responsible attitude towards the problem will significantly increase the chances of achieving a stable long-term remission.
Chronic prostatitis can be defeated! To get quality care, don't delay treatment.