Prostatitis is an acute or chronic inflammatory disease of the prostate. The acute form is characterized by pronounced symptoms. Without adequate therapy, it becomes chronic. This variant of prostatitis is less treatable and can lead to malignant degeneration of the glandular tissue.
In the medical center, any man can undergo a comprehensive examination to detect 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 with the highest level of qualification create an individual therapy plan that takes into account the specifics of each clinical case.
About the disease
Prostatitis is a common problem affecting about 40% of men over 40. It does not directly threaten a person's life, but by reducing performance, affecting the patient's neuropsychic sphere, restricting freedom, prostatitis significantly worsens the quality of life.
Inflammation of the prostate can occur as an independent pathology or combined with an adenoma or cancer of this organ.
In 1996A classification was developed according to which there are 4 categories of prostatitis in men:
- Acute prostatitis.
- Chronic prostatitis of a bacterial nature.
- Chronic inflammation of the prostate non-bacterial in nature.
- IIIA. In the presence of signs of inflammation (leukocytes and possible microorganisms are found in the secretion of the prostate gland).
- IIIB. Chronic non-bacterial prostatitis without an inflammatory component (no leukocytes and microorganisms in the prostate secretion).
- Chronic asymptomatic prostatitis (a person does not complain, but leukocytes are found in the secretion of the prostate).
Symptoms of prostate inflammation
Depending on the form of the disease, prostatitis can appear suddenly and manifest with vivid clinical symptoms, or proceed with alternating periods of exacerbation and remission.
Common signs of prostatitis in men:
- different intensity of pain in the perineum radiating to the groin and sacrum;
- lower back pain;
- Disorders when urinating (pain at the beginning of the act and throughout its duration, intermittent stream of urine, possibly dripping water, frequent urge to urinate);
- decreased potency and libido;
- painful ejaculation;
- pain after intercourse;
- erectile dysfunction;
- Intoxication syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.
Not all of these symptoms are necessarily determined by the same man - perhaps a different combination of them. With an exacerbation of chronic prostatitis, they are usually less pronounced than with the acute form of the disease and are practically undetectable in remission. Sexual dysfunction is common in men who have had chronic prostatitis for more than 5 years.
If prostatitis is neglected, the risk of developing an adenoma and prostate cancer, infertility and difficult-to-treat impotence increases. After identifying the first symptoms of the disease, it is necessary to contact a urologist as soon as possible. This allows for a comprehensive treatment that will stop the pathological process.
Causes of prostatitis
Allocate infectious and non-infectious causes of prostatitis.
Acute infectious prostatitis is more often caused by bacteria - 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 broader and can include both opportunistic and atypical (Candida) infections.
The microorganism penetrates into the prostate from the urethra, bladder, less often with blood or lymph flow from distant foci of infection.
Factors that increase the risk of developing the disease:
- sexually transmitted diseases;
- chronic infectious diseases remotely localized (caries, sinusitis, lung abscess);
- congenital and acquired immunodeficiencies;
- manipulations and operations on the pelvic organs;
- prostate biopsy;
- Sedentary lifestyle, accompanied by congestion of blood 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 that it is associated with stagnation of the secret in the prostate due to a violation of venous outflow from the pelvic organs. The vessels of the prostate overflow with blood, swell, all the functions of the gland are disrupted, signs of inflammation appear. Risk factors for the development of this form of prostatitis are:
- autoimmune processes (attack by antibodies of the body of prostate cells);
- prolonged absence from sexual activity;
- prolonged or interrupted sexual intercourse;
- sedentary lifestyle;
- unfavorable working conditions (vibration effects);
- chronic poisoning with certain chemicals;
- spinal cord injury;
- Androgen deficiency in a man's body.
diagnosis of prostatitis
The diagnosis of prostatitis is made on the basis of the patient's complaints, examination data, anamnesis and the results of additional studies. To recognize the disease apply:
- general and biochemical blood tests;
- Examination of prostate secretion;
- analysis of biological fluids for urogenital infections;
- transurethral ultrasound of the prostate (TRUS);
- prostate-specific antigen test;
- determination of testosterone levels;
- Analysis of the urine.
treatment of prostatitis
When the diagnosis is established, the man is prescribed complex drug treatment. It includes antibacterial drugs, enzymes, herbal medicine, immunomodulators. If the patient follows all the recommendations of the urologist, outpatient treatment of acute prostatitis will lead to a full recovery. Conversely, a violation of the therapy regimen leads to the emergence of highly resistant forms of microorganisms that cannot be destroyed by conventional antibiotics. As a result, inflammatory and dystrophic processes are exacerbated, the disease becomes chronic.
Chronic prostatitis is difficult to cure. It requires an integrated approach with the appointment of a long medication and special treatment procedures. The urologists at the clinic create an individual treatment plan for the patient, which includes the following:
- antibiotic therapy for up to a month;
- enzyme treatment;
- nonsteroids that stop the inflammatory response;
- immunomodulatory treatment (selected by an immunologist);
- prostate massage;
- Instillations into the urethra when the inflammatory process is localized in the urethra;
- Physical therapy.
The patient can be treated in the hospital or in the outpatient clinic. In the first case, the chances of a positive result increase, since the man strictly follows the regime, complies with all medical prescriptions and is under strict medical supervision.
With complications of prostatitis (suppuration of the seminal vesicles, abscess of the prostate gland), a man can be shown surgical treatment.
Unique modern devices for local action on the prostate are installed in the specialized center. Physiotherapy increases the effectiveness of complex treatment, reduces the resistance of microorganisms to antibiotics and eliminates congestion in the body. To treat prostatitis, experienced doctors use:
- "A device for a complex effect on the prostate and pelvic muscles, accelerated treatment of prostatitis and alleviation of its symptoms. The therapeutic effect is based on electrical stimulation, laser and magnetic radiation. It improves the drainage of the gland, activates blood circulation in the pelvis, eliminates the inflammatory process and improves the penetration of drugs into the tissues of the organ.
- Device for vacuum massage, restores the vascular trophism of the cavernous bodies of the penis and improves blood circulation in the pelvic organs. It is used in the treatment of prostatitis associated with obvious erectile dysfunction, as well as in the complex treatment of impotence. Eliminates the causes of traffic jams, tk. tonifies the blood vessels.
- Device for local heating of the prostate. Tissue heating to 39-42°C inhibits the proliferation of microorganisms, starts metabolic processes in the prostate and improves its blood circulation. It is used to treat various forms of prostatitis.
A modern clinic will help men to cope with chronic prostatitis in the shortest possible time. Experienced specialists will definitely establish the causes of the pathology and choose an effective treatment. Enrolling in physical therapy will speed up recovery and quickly get rid of pain and discomfort.
A specific prostatitis prophylaxis in men has not been developed. Non-specific measures include compliance by the patient with a number of recommendations:
- drink enough fluids;
- intolerable, if you want to go to the toilet, empty your bladder regularly;
- lead an active sex life;
- avoid hypothermia;
- avoid hypodynamia;
- observe the rules of intimate hygiene;
- timely treatment of urogenital infections and other infectious diseases of the body;
- Reduce the amount of spicy foods, caffeine, and alcoholic beverages in your diet as they are irritating to the urinary tract.
In a short time, an active lifestyle, compliance with the recommendations of the attending physician regarding maintenance therapy and proper nutrition will help a man recover from acute or exacerbation of chronic prostatitis in a short time.
In order to avoid blood stagnation in the pelvic organs, a person should move more, and if his work involves physical inactivity (for example, a long stay at the wheel) - whenever possible, get out of the car and move, visit the gym.
Properly organized nutrition will speed recovery and reduce the risk of exacerbation of the disease. It is important to eat 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 what form of the disease occurs in a particular patient. Acute prostatitis, if a person consults a doctor in time and follows all the recommendations for treatment, can soon pass without a trace. Unfortunately, chronic prostatitis cannot be cured. However, the correct treatment tactics and a man's responsible approach to the problem significantly increase the chances of long-term stable remission.
Chronic prostatitis can be defeated! Do not delay treatment to receive quality care.