Prostatitis is an acute or chronic inflammatory disease of the prostate. The acute form is characterized by pronounced symptoms. In the absence of adequate therapy, it becomes chronic. This variant of prostatitis is less curable, it can lead to malignant degeneration of the gland tissue.
In the medical center, every man can undergo a comprehensive examination to determine any form of prostatitis. The center is equipped with modern high-precision equipment. In the laboratory, you can pass all tests prescribed by your doctor. Experienced urologists of the highest qualification category will create an individual therapy plan that takes into account the characteristics 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 threaten a person's life, however, reducing efficiency, affecting the patient's neuropsychic sphere, limiting freedom, prostatitis significantly worsens the quality of life.
Inflammation of the prostate can appear as an independent pathology or be combined with an adenoma or cancer of this organ.
Species
In 1996, a classification was developed according to which there are 4 categories of prostatitis in men:
- Acute prostatitis.
- Chronic bacterial prostatitis.
- Chronic prostatitis of a non-bacterial nature.
- IIIA. With the presence of signs of inflammation (prostate secretions contain leukocytes and any microorganisms).
- IIIB. Chronic non-bacterial prostatitis without an inflammatory component (no leukocytes and microorganisms in the prostate secretion).
- Chronic asymptomatic prostatitis (the person does not complain, but there are leukocytes in the secretion of the prostate).
Symptoms of prostatitis
Depending on the form of the disease, prostatitis can appear suddenly, manifesting with strong clinical symptoms, or it can go on with alternating periods of exacerbation and remission.
Common signs of prostatitis in men:
- different intensity of pain in the perineum, which spreads to the groin and sacrum;
- lower back pain;
- urination disorders (pain at the beginning of the act and during its duration, occasional stream of urine, possible urination drop by drop, frequent urge);
- reduced potency and libido;
- painful ejaculation;
- pain after intercourse;
- erectile dysfunction;
- intoxication syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.
It is not necessary that all these symptoms will be determined by the same man - perhaps a different combination of them. With the worsening of chronic prostatitis, they are, as a rule, 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 suffer from chronic prostatitis for more than 5 years.
If prostatitis is neglected, the risk of developing prostate adenoma and cancer, infertility, and impotence, which is difficult to treat, increases. After the first symptoms of the disease are detected, it is necessary to contact a urologist as soon as possible. This will enable a comprehensive treatment that stops the pathological process.
Causes of prostatitis
Determine the 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 that can cause exacerbation of chronic prostatitis is much wider and can include both opportunistic and atypical (candida) infections.
The microorganism enters the prostate from the urethra, bladder, less often through the flow of blood or lymph from distant foci of infection.
Factors that increase the risk of developing the disease:
- sexually transmitted diseases;
- chronic infectious diseases located at a distance (caries, sinusitis, lung abscess);
- congenital and acquired immunodeficiencies;
- manipulations and operations on the pelvic organs;
- prostate biopsy;
- a sedentary lifestyle, accompanied by blood stagnation in the pelvic area;
- promiscuous sex life;
- same-sex contacts.
The causes of non-infectious forms of prostatitis are not fully understood. It is believed to be associated with stagnation of secretions in the prostate due to violation of the venous outflow from the pelvic organs. Prostate vessels overflow with blood, swell, all gland functions are disrupted, signs of inflammation appear. Risk factors for the development of this form of prostatitis are:
- autoimmune processes (attack of antibodies on the body of prostate cells);
- prolonged absence of sexual activity;
- prolonged or interrupted sexual intercourse;
- sedentary lifestyle;
- unfavorable working conditions (impact of vibrations);
- chronic intoxication with certain chemicals;
- spinal cord injury;
- hemorrhoids;
- prison;
- lack of androgens in the male body.
Diagnosis of prostatitis
Prostatitis is diagnosed based on the patient's complaints, examination data, anamnesis and the results of additional studies. To detect the disease, apply:
- general and biochemical blood tests;
- study of prostate secretion;
- analysis of biological fluids for urogenital infections;
- transurethral ultrasound of the prostate (TRUS);
- prostate-specific antigen test;
- determination of testosterone levels;
- Urinalysis.
Treatment of prostatitis
Once the diagnosis is established, the man is prescribed a complex drug treatment. Includes antibacterial drugs, enzymes, herbal drugs, immunomodulators. If the patient follows all the urologist's recommendations, treatment of acute prostatitis on an outpatient basis leads to complete recovery. On the other hand, violation of the therapy regime leads to the appearance of highly resistant forms of microorganisms that cannot be destroyed by traditional 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 a long course of drugs and special treatment procedures. The clinic's urology specialists create an individual therapeutic plan for the patient, which includes:
- antibiotic therapy for up to one month;
- angioprotectors;
- enzymatic treatment;
- non-steroids that stop the inflammatory reaction;
- immunomodulatory treatment (selected by an immunologist);
- prostate massage;
- instillations in the urethra, if the inflammatory process is localized in the urethra;
- physiotherapy.
The patient can be treated in a hospital or outpatient clinic. In the first case, the chances of a positive result increase, because the person strictly follows the regimen, adheres to all the doctor's prescriptions and is under strict medical supervision.
In case of complications of prostatitis (suppuration of the seminal vesicles, prostate abscess), a man may be shown surgical treatment.
Physiotherapy treatment
The specialized center has installed unique modern devices 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:
- "Apparatus for complex action 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. It improves drainage of the gland, activates blood circulation in the pelvis, eliminates the inflammatory process and improves the penetration of drugs into the tissuesorgans.
- The vacuum massage device restores the vascular trophism of the cavernous bodies of the penis and improves blood circulation in the pelvic organs. It is used for the treatment of prostatitis associated with obvious erectile dysfunction, as well as in the complex treatment of impotence. Removes the causes of congestion, tk. tones blood vessels.
- Device for local heating of the prostate. Heating the tissue 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.
The modern clinic helps men to deal with chronic prostatitis in the shortest possible time. Experienced specialists will definitely determine the causes of the pathology and choose 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 range of recommendations:
- drink enough fluids;
- you can't stand it, if you want to go to the toilet, empty your bladder regularly;
- lead an active sex life;
- avoid hypothermia;
- avoid hypodynamia;
- adhere to the rules of intimate hygiene;
- timely treat urogenital infections and all other infectious diseases of the body;
- reduce the amount of spicy food, caffeine, alcoholic beverages in the diet, because they have an irritating effect on the urinary tract.
Rehabilitation
In a short time, an active lifestyle, adherence to the doctor's recommendations on maintenance therapy and proper nutrition will help a man to recover from acute or worsening chronic prostatitis 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) - whenever possible, get out of the car and move, visit the gym.
A properly organized diet will speed up recovery and reduce the risk of worsening of the disease. 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 fully recover from prostatitis?
Depending on which form of the disease occurs in a particular patient. Acute prostatitis, if a person consults a doctor in a timely manner and follows all recommendations for treatment, can soon pass without a trace. Unfortunately, chronic prostatitis cannot be cured. However, correct treatment tactics and a responsible attitude of a person towards the problem will significantly increase the chances of achieving a long-term stable remission.
Chronic prostatitis can be defeated! To receive quality care, do not delay treatment.