Prostatitis is the most common disease of the male urogenital area. Inflammation of the prostate occurs as a result of a man's negligent attitude towards his health. Prostatitis causes many difficulties and can lead to serious complications.
The cause of the disease
The prostate gland produces secretions responsible for spermatozoa motor activity, normalization of urinary tract pH, and protection of the genitourinary system from infection.
Prostatitis most often affects men between the ages of 25 and 50 years. Pathology develops when an infectious agent enters the prostate tissue from the organs of the genitourinary system. Staphylococcus aureus, enterococcus, Escherichia coli can act as infectious agents. Inflammation occurs based on the following predisposing factors:
- hypothermia;
- an inactive lifestyle, a job that forces a person to be in a sitting position for a long time - drivers, office workers;
- transmitted urological diseases;
- sexually transmitted infections;
- violation of the normal intensity of sexual life - both excessive activity and frequent changes of sexual partners and prolonged abstinence are equally dangerous;
- violation of the body's defenses - chronic stress, insomnia, malnutrition, excessive physical activity;
- reduced immunity;
- inadequate personal hygiene.
Chronic poisoning such as smoking, drinking alcohol or drugs can also increase the risk of getting prostatitis.
Symptoms of the disease
Prostatitis can occur in acute or chronic forms. Symptoms of acute prostatitis include:
- pain in the lower back and inguinal area of varying intensity;
- difficulty urinating;
- burning sensation when trying to urinate;
- violation of erectile function - premature ejaculation, decreased severity of orgasm, weak erections;
- fever, chills, fever;
- disorders of psycho -emotional state - depression, increased anxiety, decreased self -esteem.
In the absence of proper treatment, acute prostatitis can become chronic with exacerbation and periodic remission. Patients experience pain of varying intensity, there may be problems in sexual life - pain during and after sex, decreased erections, feelings of helplessness and frustration.
In the inflammatory process, the focus of infection spreads to other organs of a man’s genitourinary sphere. The most common complications of prostatitis include:
- vesiculitis - inflammation of the seminal vesicles;
- posterior urethritis - inflammation of the seminal tuberculosis;
- prostate abscess - a serious bacterial disease;
- cysts and prostate stones;
- ejaculatory disorders;
- infertility caused by violation of the synthesis of prostate secretions.
Complications of prostatitis often occur as a result of self-medication. Uncontrolled intake of antibiotics and other drugs adversely affects the intestinal microflora, lower immunity, but does not have the desired effect on the condition of the prostate gland.
Diagnosis and treatment
The disease is characterized by a specific clinical picture, so usually the diagnosis is not difficult. In addition to the analysis of patient complaints, the following data were taken into account:
- examination of the prostate rectum;
- general analysis and biochemistry of urine;
- accumulation of glandular secretions;
- Ultrasound of the prostate;
- spermogram - to determine the risk of infertility;
- CT or MRI - to exclude the presence of benign or malignant neoplasms.
In the treatment of prostatitis, an integrated approach is used, including conservative therapy, use of physiotherapy, diet and lifestyle changes. A major role in treatment is given to drug therapy.
The main task of conservative therapy is the elimination of inflammatory processes. For this purpose, antibiotics are prescribed. The choice of medication depends on the type of bacteria that causes the pathological process. Antibacterial drugs provide a course of treatment for 4-6 weeks.
To normalize urination, alpha1 blockers are prescribed. The preparation of this group helps to relax the glandular muscles, relieve pain, relieve swelling.
The list of medications prescribed for the exacerbation of prostatitis includes non-steroidal anti-inflammatory drugs. Antidepressants are needed to normalize the psycho-emotional state of the patient, eliminating the symptoms of increased anxiety and depression.
massage
Prostate massage is one of the most effective physiotherapeutic methods for treating pathology. Finger massage is performed rectally, affecting the prostate tissue. During the massage, the patient should be in a sideways position. Massage consists of rubbing and pressing movements performed with the index finger. Prostate massage is done with a full bladder.
Physiotherapy treatment
Additional treatments include the following physiotherapy:
- laser therapy is a method of treatment based on the use of light beams for therapeutic purposes;
- acupuncture - the injection of medicinal substances into biologically active points on the human body;
- microwave hyperthermia - a method of treatment based on the use of electromagnetic wave energy;
- ultrasonic effects;
- medical microclysters - the introduction of a drug solution into the rectum, prescribed if it is not possible to carry out physiotherapeutic procedures.
With the development of complications, such as abscesses or suppuration of the seminal vesicles, surgery is indicated.
During treatment, patients are given recommendations on lifestyle changes: follow the principles of a healthy diet, normalize sleep, and ensure moderate physical activity.
Prevention
Preventive measures to prevent worsening of prostatitis include:
- compliance with the rules of personal hygiene;
- normalization of sexual life, exclusion of casual sexual intercourse;
- exclusion of bad habits - smoking, drinking alcohol and drugs;
- ensure regular emptying of the bladder;
- consumption of large amounts of fluid - contributes to more frequent urination, leaching of infectious agents from the prostate;
- consumption of foods with high protein and vitamin content;
- sedentary work alternating with moderate physical activity;
- timely detection and treatment of infectious diseases;
- reduce daily stress levels;
- increase immunity.
The appearance of the first signs of inflammation should always be the basis for contacting a doctor. First of all, it is important to identify and treat urological and venereal diseases. Treatment of prostatitis is possible only in medical institutions. Self -treatment at home can be dangerous and cause complications.