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 treated less often, it can lead to malignant degeneration of glandular tissues.
In a medical center, every man can undergo a comprehensive examination to determine any form of prostatitis. The center is equipped with modern high-precision equipment. You can pass all the tests prescribed by the doctor in the laboratory. Experienced urologists of the highest specialty category will draw up an individual therapy plan that takes into account the characteristics of each clinical case.
About the disease
Prostatitis is a common problem affecting about 40% of men over the age of 40. It does not directly threaten a person's life, but by reducing the effectiveness, affecting the neuropsychic field of the patient, limiting freedom, prostatitis significantly worsens the quality of life.
Inflammation of the prostate can occur as an independent pathology or it can be combined with adenoma or cancer of this organ.
Species
In 1996, a classification with 4 categories of prostatitis in men was developed:
- Acute prostatitis.
- Chronic bacterial prostatitis.
- Chronic inflammation of the prostate gland of a non-bacterial nature.
- IIIA. With the presence of signs of inflammation (leukocytes and any microorganisms are detected in the secretion of the prostate gland).
- IIIB. Chronic non-bacterial prostatitis without an inflammatory component (prostate secretion does not contain leukocytes and microorganisms).
- Chronic asymptomatic prostatitis (the person does not complain, but there are leukocytes in the secretion of the prostate gland).
Symptoms of prostatitis
Depending on the form of the disease, prostatitis can occur suddenly, manifest itself with bright clinical symptoms, or continue with periods of exacerbation and remission.
Common symptoms of prostatitis in men:
- different intensity of pain in the perineum, spreading to the groin and sacrum;
- lower back pain;
- urinary disorders (pain at the beginning and throughout the movement, intermittent flow of urine, possible dribbling of urine, frequent urge);
- decrease in potency and libido;
- painful ejaculation;
- pain after intercourse;
- erectile dysfunction;
- intoxication syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.
Not necessarily that all these symptoms will be identified by the same man - perhaps a different combination of them. With exacerbation of chronic prostatitis, they are, as a rule, less pronounced than in the acute form of the disease and are practically not identified in remission. Sexual dysfunction often occurs in men who have suffered from chronic prostatitis for more than 5 years.
If prostatitis is ignored, the risk of adenoma and prostate cancer, infertility, impotence, which is difficult to treat, increases. After identifying the first symptoms of the disease, it is necessary to consult a urologist as soon as possible. This will allow comprehensive treatment that stops the pathological process.
Causes of prostatitis
Distinguish between 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 wider and can include both opportunistic and atypical (candida) infections.
The microorganism enters the prostate gland through the urethra, bladder, less often from distant sites of infection with blood or lymph flow.
Factors that increase the risk of developing the disease:
- STD;
- remote chronic infectious diseases (caries, sinusitis, lung abscess);
- congenital and acquired immunodeficiency;
- manipulations and operations on pelvic organs;
- prostate biopsy;
- sedentary lifestyle accompanied by stagnation of blood in the pelvic region;
- disordered 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 gland due to impaired venous flow from the pelvic organs. The veins of the prostate fill with blood, swell, all the functions of the gland are disturbed, 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);
- lack of sexual activity for a long time;
- prolonged or interrupted sexual intercourse;
- sedentary lifestyle;
- unfavorable working conditions (vibration effect);
- chronic intoxication with certain chemicals;
- spinal cord injury;
- hemorrhoids;
- constipation;
- androgen deficiency in the male body.
Diagnosis of prostatitis
The diagnosis of prostatitis is 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 level;
- Urinalysis.
Treatment of prostatitis
When the diagnosis is made, the man is prescribed complex drug treatment. It includes antibacterial preparations, enzymes, herbal medicines, immunomodulators. If the patient follows all the recommendations of the urologist, treatment of acute prostatitis in an outpatient setting leads to complete recovery. On the contrary, 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 worsen, the disease becomes chronic.
Treatment of chronic prostatitis is difficult. This requires an integrated approach with the appointment of a long course of medication and special treatment procedures. Urologists of the clinic draw up an individual therapeutic plan for the patient, which includes:
- antibiotic therapy for up to one month;
- angioprotectors;
- enzyme treatment;
- non-steroids that stop the inflammatory response;
- immunomodulatory treatment (selected by an immunologist);
- prostate massage;
- if the inflammatory process is localized in the urethra, instillation into the urethra;
- physiotherapy.
The patient can receive treatment in a hospital or polyclinic. In the first case, the chance of a positive result increases because the man strictly adheres to the regime, follows all the doctor's prescriptions and is under close medical supervision.
In case of complications of prostatitis (smelling sperm vesicles, abscess of the prostate gland), a man can be treated surgically.
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 removes congestion in the body. For the treatment of prostatitis, experienced doctors use:
- "Complex effect on prostate and pelvic muscles, device for accelerated treatment of prostatitis and relief of symptoms. The therapeutic effect is related to 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 organ tissues.
- The 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 congestion, tk. tones blood vessels.
- Device for local heating of the prostate. Heating the tissues to 39-42°C inhibits the reproduction of microorganisms, starts metabolic processes in the prostate gland and improves its blood supply. It is used to treat various forms of prostatitis.
The modern clinic helps men to cope with chronic prostatitis in the shortest possible time. Experienced specialists will definitely determine the causes of the pathology and choose an effective treatment. By enrolling in physical therapy, you will speed up recovery and get rid of pain and discomfort quickly.
Prevention
Specific prevention of prostatitis in men has not been developed. Non-specific measures include patient compliance with a number of recommendations:
- drink enough fluids;
- do not tolerate, if you want to go to the toilet, empty the bladder regularly;
- have an active sex life;
- avoid hypothermia;
- prevent hypodynamia;
- to observe the rules of intimate hygiene;
- timely treatment of urogenital infections and any other infectious diseases of the body;
- reduce the amount of spicy foods, caffeine, alcohol in the diet, because they have an irritating effect on the urinary tract.
Rehabilitation
In the short term, following the recommendations of the attending physician regarding an active lifestyle, maintenance therapy, and proper nutrition will help a man recover from acute or exacerbation of chronic prostatitis in a short time.
To prevent stagnation of blood in the pelvic organs, a person should move more, and if his work involves physical inactivity (for example, staying behind the wheel for a long time) - if possible, get out of the car and move, visit the gym.
Proper nutrition will speed up recovery and reduce the risk of disease flare-ups. It is important to consume large amounts of plant foods - vegetables, fats, as well as dairy products and fiber.
Questions and answers
Which doctor should I see if I suspect prostatitis?
A urologist deals with the diagnosis and treatment of prostatitis.
Is it possible to fully recover from prostatitis?
Depending on the form of the disease in a particular patient. Acute prostatitis can soon pass without a trace if a person consults a doctor on time and follows all recommendations for treatment. Chronic prostatitis, unfortunately, is not curable. However, the correct treatment tactics and a person's responsible attitude to the problem will significantly increase the chances of achieving long-term stable remission.
Chronic prostatitis can be overcome! Do not delay treatment to get quality treatment.