Prostatitis in men

healthy prostate and prostatitis

Prostatitis in men belongs to the group of andrological (male only), urogenital pathologies. The disease occurs in the form of acute or chronic inflammation. It is the most common urological disease today. Previously, it was believed that it appeared only at the age of 45-65, but now more and more doctors diagnose "prostatitis" in young people aged 20-30. The disease is very young.

The nature of a prostate lesion depends on a person's sexual habits.

  1. Defeat of the prostate gland in boys before puberty is theoretically possible, but immature glandular inflammation is not considered an independent disease.
  2. In sexually active men, prostatitis often develops as an acute inflammation.
  3. In adults and the elderly, the pathology of the gland can manifest itself in the form of three independent diseases (chronic prostatitis, adenoma - benign hyperplasia, adenocarcinoma - malignant hyperplasia).
  4. (chemical, physical, radiation) In people undergoing castration, the gland atrophies.

The prostate gland (prostate) is an accessory gland of the male genitalia. Located at the junction of the urethra and ejaculatory ducts. The importance of the pancreas before puberty is not well understood. Prostate gland in an adult:

  • produces a secretion that dilutes sperm and keeps sperm alive in a woman's genitals;
  • , prostaglandins, substances that promote increased blood supply to the penis before an erection begins, are involved in the production of the hormone testosterone along with the testicles;
  • provides rapid release of sperm from the urethra and participates in the formation of orgasm;
  • Prevents sperm from entering the urine during sexual arousal through reflex mechanisms, participates in a complex erection mechanism.

The prostate is a sensitive organ to disease-causing substances. Involuntarily involved in the pathology of the urinary tract, bladder, vas deferens walls. A strong blood flowing through the branched vascular system of the damaged gland provokes lymph flow, stagnation, edema of the body, aggravates the pathology. The gland is well innervated, the damage is accompanied by pain.

What men need to know about prostatitis

Prostatitis is an inflammatory disease of the prostate gland (prostate) caused by an infectious substance that often enters the prostate from the urethra itself, the bladder, and the adjacent rectum. However, an infection in itself does not mean the development of a disease, it requires, as they say, "a favorable combination of conditions. "

What are the factors that cause the onset of prostatitis:

  1. Long-term sedentary work and sedentary lifestyle. The risk group includes drivers, programmers and anyone who spends the working day without getting up from a chair to walk and warm up.
  2. Regular stool discomfort in the form of constipation.
  3. Severe or recurrent hypothermia of the whole organism.
  4. Abstain from an excessively active sex life or for a long time. Both are in no way beneficial for the normal functioning of the prostate gland.
  5. Overeating, spicy food and alcohol abuse, constant stress.

The prostate is a very small organ, 3 cm long and 4 cm wide, weighing only 20-25 grams. However, the secretion of the prostate has bactericidal properties, so the inflammatory process in the gland can develop only when there is stagnation in this organ, when it loses its secretory properties.

How prostatitis manifests itself in men

There are chronic and acute forms of prostatitis:

  • Symptoms of acute prostatitis are characterized by severe inflammation in the prostate area. In this case, the patient has a strong fever (body temperature rises to 38-39 degrees), pain in the groin and perineum, painful urination and bowel movements.
  • Chronic prostatitis is less troubling for a man, so he may not immediately notice the symptoms of the disease. The patient's body temperature sometimes rises to 37 degrees, sometimes he is bothered by unpleasant sensations when going to the toilet, a little mucus or pus comes out of the urethra. This discharge is one of the typical symptoms of chronic prostatitis.

Symptoms of prostatitis in men

Prostatitis has six symptoms (predecessor) - dysuria syndrome. Use as clinical markers is conditional. However, the presence of two of the six symptoms is a reason to consult a urologist.

  1. Urine flow slowly decreases or the distance is less than 20 cm.
  2. Difficulty urinating, dripping.
  3. Pain during urination.
  4. Interval, splitting, jet jump, process duration.
  5. The feeling of not emptying the bladder completely.
  6. Do not urinate often at night.

It is strictly forbidden to draw clinical conclusions when these symptoms are detected. Prostatitis has a complex pathogenesis with the involvement of various mechanisms. It is not possible to treat the disease by focusing on general clinical symptoms. Consult a urologist to determine the symptoms, the nature of the damage, the stage of the disease, the appointment of treatment. Diagnosis and treatment are based on the organs and systems involved in the pathogenesis. In some cases it is necessary to consult a venereologist, surgeon, oncologist.

Symptoms of prostatitis in men

Prostatitis can occur in the form of acute and chronic inflammation. Acute forms develop as catarrhal, follicular, parenchymal inflammation. Manifestations of chronic prostatitis are associated with an accompanying disease.

Symptoms of prostatitis detected by clinical methods and functional tests. The following symptoms are the most important to recognize the nature of the pathology, the causes and mechanisms of the body's defense reactions.

  • Frequent urination with prostatitis.In a healthy person, the maximum number of urges to urinate does not exceed 10-12 times a day, usually 4-5 times. In a healthy adult, the daily amount of urine is 1000-2000 ml. The volume of urine in which the urge occurs is 120-170 ml, and the accumulation of more than 350 ml of urine causes a strong urge to empty the bladder. The products of prostatitis constantly irritate the receptors on the walls of the urinary tract, and as a result, urine is excreted:
    • Frequent urination without increasing daily urine output (pollakiuria);
    • Sends false signals to the receptors about the filling of the semi-empty bladder after emptying the urine in small portions, inflammatory products, the feeling of fullness;
    • Painful urination (stranguria) due to narrowing of the urethra by an inflamed prostate;
    • Difficulty urinating due to compression of the urethra by an inflamed gland, sometimes accompanied by prostatitis and inability to empty the bladder (scurvy);
    • Nocturnal urination (nocturia), irritated bladder walls give a constant signal for urine production.
    • Heat with prostatitis.It is characterized by an increase in body temperature to subfebrile and febrile values. In the early stages of septic shock, purulent prostatitis is accompanied by fever. In the final stage of septic shock, by contrast, low temperature (hypothermia) is characteristic for 35-36 ° C. Low temperatures are dangerous for humans because blood platelets are prone to widespread intravascular coagulation (DIC syndrome). The prognosis of prostatitis complicated by sepsis in the presence of widespread intravascular coagulation syndrome is cautious or unfavorable.
    • Blood in the urine with prostatitis.Hematuria (blood in the urine) is a rare but very dangerous symptom. Persistent bleeding is difficult to stop. There are several causes of hematuria in prostatitis, including:
      • purulent connection of a gland with a part of a blood vessel and perforation of a vessel into a urethra;
      • accidental trauma during instrumental examination of the genitourinary system;
      • Prostatitis, aggravated by hyperplasia, is a more malignant form.
      • Pain syndrome.Complicated prostatitis is accompanied by pain outside the urine. Sometimes the pain occurs intermittently, as during bowel movements. The cause of pain is the constant irritation of the pancreas by inflammatory products. Dull (painful) pain in the perineum and anus is often noted.

      Laboratory tests to confirm the symptoms of prostatitis. They are used to clarify the presence of inflammation, to determine the severity of the inflammatory and septic process.

      • Complete blood count. Indications for prostatitis are: an increase in the number of leukocytes, a change in the leukogram with an increase in the number of knife cells, an increase in ESR.
      • urinalysis. In the first part of the urine reveals latent pyuria (pus in the urine) and bacteriuria (bacterial contamination). Use the three-bottle method to detect hidden pus and bacteria at the beginning, middle, or end of urination. Bacteriological examination of urine repeated over several days is performed to determine changes in the types of bacterial flora.
      • Blood transfusion tank. The method is indicated for symptoms of progressive sepsis accompanied by debilitating (intense) fever.
      • The study of the cellular relationship of immunity in prostatitis understands the nature of the pathogenesis to predict the likelihood of developing sepsis.

      Tools used to clarify the symptoms of prostatitis. The following methods are of diagnostic value.

      • Transrectal (through the rectum) ultrasound (TRUS) method. High diagnostic value is noted. The method has contraindications to the prohibition of glandular massage in certain stages of the disease.
      • X-rays from the bladder. Choose favorable prognoses for prostate examination. Prior to the X-ray, an ineffective radiopaque substance is injected into the bladder of the urograph.
      • Prostate puncture biopsy has strictly limited indications for prostatitis.

      Causes of prostatitis in men

      There are several groups of causes of prostatitis:

      1. Complications of a person's past illnesses (PPP infections, pelvic inflammatory disease, staphylococcal and other bacterial infections, viral, fungal agents, especially against the background of reduced immunity and general resistance of the body), gynecological infection in a woman with a chronic sexual partner.
      2. Urethral reflux. Urethral reflux is a disorder of the prostate's ability to prevent urine from flowing back into the reproductive tract. The result is a bacterial seed in the prostate. Urethral reflux is the result of improper catheterization and previous inflammation of the urethra. In this case, urethrorrhagia occurs - a pathological increase in the lumen of the urethra. Urethral - vesiculoseminal reflux, bacterial sepsis is associated with the formation of calculus (stones) in the prostate and ejaculatory ducts.
      3. Impairment of the rhythm of sexual activity, including sexual insufficiency or excess, regular delay in ejaculation.
      4. Stagnation of venous blood in the urogenital organs of the small pelvis in men is the result of a sedentary lifestyle (hemorrhoids, sexual dysfunction, other causes);
      5. Hormonal imbalance associated with low production of male hormones by the sex glands, generally weakening of skeletal and smooth muscle tone, erectile dysfunction and other diseases.

      prostatitis classification

      Distinguish between bacterial and non-bacterial prostatitis:

      1. Bacterial prostatitis is caused by pathogenic microorganisms that enter the prostate gland from outside. These include streptococcus, staphylococcus, Escherichia coli, Proteus and others. Many bacteria are normal flora in our body, but under certain conditions they enter the prostate and cause inflammation. Prostatitis can also develop as a result of sexually transmitted diseases such as chlamydia, ureaplasmosis, gardnerellosis, trichomoniasis, gonorrhea, mycoplasmosis.
      2. The group of non-infectious prostatitis includes:
        • Congestive (congestive) prostatitis. Causes blockage in the small pelvis. Incomplete ejaculation, sexual excess, prolonged abstinence, loss of intercourse - all this contributes to venous stagnation in the pelvic organs.
        • Sclerotic prostatitis. It is characterized by a decrease in the size and function of the prostate gland, the compression of tissues as a result of the death of prostate cells, their replacement by sclerotic tissue. One of the reasons for the development of this form of the disease is frequent constipation, taking certain medications and numerous infections. Such prostatitis, unfortunately, can not be cured.
        • Significant prostatitis. The result of the development of calcified prostatitis is the presence of phosphate and oxalate stones in the gland. When they reach a large size, they cause severe pain in the urethra. The treatment method consists of melting the formed stones.
        • Prostatopotic prostatitis. The disease causes chronic pelvic pain, but its etiology has not been fully elucidated. It is believed that this can be triggered by reverse secretion flow, damage to the perineum muscles, pathology of the bladder neck and psychological factors.
        • Atypical forms. In the atypical form, the patient may complain of pain in the legs, back and sacrum, which is unusual for the characteristic symptoms of prostatitis. The outcome of treatment depends on the duration of the disease, the activity of inflammatory processes and the presence of complications.

      If left untreated, prostatitis can lead to decreased potency, infertility, depression, debilitating pain in the perineum, and other complications.

      Why is prostatitis dangerous, the consequences of prostatitis

      Outcomes depend on age, the state of the immune system, the presence of bad habits. Thus, the consequences of the disease are more severe in people with weakened immunity, alcoholism, drug addiction, acquired immunodeficiency syndrome.

      • The effect of prostatitis on potency.Damaged gland, by decompensating functional activity, reduces the production of substances involved in the formation of an erection of the male genitalia. The result of prostatitis is a slow release of semen during sexual intercourse, a decrease in sensation during sexual intercourse, and advanced erectile dysfunction.
      • Effect of prostatitis on conception. A damaged prostate drastically reduces the production of a high-quality secretion needed to maintain a woman's sperm activity in the birth canal. The secret of the inflamed prostate gland, which enters a woman's birth canal during sexual intercourse, reacts with the immune rejection of the female body, the development of gynecological diseases and the impossibility of conception.
      • Prostatitis causes damage to the glands and inside the body. Inflammation aggravated by microflora increases the risk of prostate abscess. Abscess formation - a purulent fusion of part of the glandular parenchyma with the formation of a capsule around the focus. The disease associated with the formation of mineralized calculus in the cavity is the result of the prostate being aggravated by the return of the damaged prostate. The consequences of prostatitis are: acute ischuria, urolithiasis, renal failure, inflammation of the genitourinary system and other diseases.

      Is it possible to have sex with prostatitis

      Rhythm in intimate life has been proven to be one of the causes of pancreatitis. Moderate-frequency regular discharge has a positive effect on the pathogenesis of prostatitis with subclinical and moderate clinical manifestations of prostatitis. Some therapeutic manipulations and stages of the disease include a temporary ban on sexual intercourse. Consult your doctor for detailed recommendations. Have sex with prostatitis, observe the gentleness and safety of intimate life.

      Is prostatitis sexually transmitted? Prostatitis is a completely male disease of a certain viral, bacterial, non-fungal origin. At the same time, inflammation of the prostate poses a threat to women's health. Against the background of a decrease in the protective barriers of the birth canal, semen, which is an inflammatory product that enters the female genitals, is a real threat to the conception and transport of the fetus. A healthy lifestyle, reliable male contraception is an easy way to protect sexual partners from mutual problems.

      Is it possible to get rid of prostatitis once and for all

      Most men who have been treated for prostatitis several times are interested in one question - is it possible to get rid of this unpleasant disease forever? According to experts, the effectiveness of treatment depends mainly on the presence and severity of irreversible consequences that occur in the prostate. These can be traces, stones, calcifications.

      In the early stages of the inflammatory process, you can only consult a doctor in time to stop its further development. In this case, an irreversible complication does not occur in the prostate and there is a possibility of a complete cure. When areas of sclerotic tissue are already formed - there are scars, calcifications and small stones that can not be removed in any way, most likely there may be recurrent inflammation. This is chronic prostatitis.

      In addition to treatment, an important factor in overcoming the disease is the patient's previous lifestyle - irregular sex life and the degree of readiness to sit in a permanent chair. If he does not want such changes, then we can say with great confidence that the inflammatory process will soon return. The idea that prostatitis is incurable is due to the patient's unwillingness to eliminate these negative factors from his life.

      Duration, treatment regimen is determined by the doctor based on the results of physical, laboratory and instrumental studies. Antibacterial drugs are at the heart of prostatitis therapy. The use of vitamins, physiotherapy procedures, anti-inflammatory, analgesics, antibiotics is indicated.

      Diet for prostatitis

      Dietary compliance, use of a certain set of products:

      • reduces pain,
      • improves blood and lymph microcirculation in the vessels of the gland,
      • strengthens the body's protective functions,
      • normalizes intestinal function,
      • reduces night urine production.

      Products for prostatitis. Outdated:

      1. Strong coffee, spicy foods - increases blood flow to the pancreas, increases pain;
      2. Fat, fatty meat, eggs, flour - increases the deposition of cholesterol in the walls of capillaries, reduces the microcirculation of blood flow in the gland;
      3. Alcoholic beverages - reduce immunity;
      4. Coarse fiber, salty, spicy foods - alters intestinal motility;
      5. Too much fluid (evening), salty, smoked foods (during illness) - increase fluid volume, keep it in the body.

      It is recommended to add to the diet: seasoned vegetable salads with olive oil, vegetables and fruits grown in the residential area, natural juices, nuts, dried fruits, lean boiled meat. A number of products for prostatitis can be checked by a dietitian.

      Preventive measures

      Prevention is based on simple rules, they are easy to follow.

      • Take long walks regularly (this walking style is the most physiological);
      • Eat right, lead a healthy lifestyle;
      • Use male contraception.

      To prevent prostatitis and its complications, you should immediately consult a urologist for diseases of the genitals. Also, you should not wait for any symptoms to appear, but you should see a doctor yourself at least once a year. You will undergo a medical examination and you will know for sure that you are in good health in the genital area.

      Don't delay a visit to the urologist and those suffering from constipation, alcohol, spicy and smoky foods, people who are not active in sports and people with sexually transmitted diseases. Due to the high risk of disease, such people must undergo a mandatory examination, although there are no instructions for this.

      As you know, men do not like to see a doctor, and when it is already unbearable, it turns out that the disease has become chronic. However, the course of treatment could have been completed earlier. Now treatment of chronic prostatitis will take at least 1-2 months.