How is prostatitis treated? Based on the results of clinical and laboratory examinations, andrologists in the urology department formulate a treatment plan, which should include a series of treatment measures. A comprehensive treatment plan usually includes antibacterial and antiviral treatments, as well as medications that improve vascular tone. Physiotherapy methods are widely used (magnetic laser induction therapy, ultrasound, reflexology, leech therapy), as well as intensifiers, prescribed prostate massage treatments. In each case, the choice and strategy of treatment is still determined by the urologist and andrologist.
The role of the prostate in men's life
prostate-Part of the male reproductive system that produces specific secrets to nourish and protect sperm. When the smooth muscle fibers of the prostate capsule and seminal vesicle contract, semen is ejected into the urethra-ejaculation (ejaculation).
anatomy:The prostate is located below the bladder and covers the upper urethra. Therefore, as the size increases, various urinary system diseases will appear. The size, shape, and density vary from person to person and will change with age. The glands have a complicated nervous system, and even slight pathological changes can cause local and systemic diseases.
Features:The main function of the prostate is secretion. The secret (or juice) it produces consists of liquid and dense parts, including protein, carbohydrates, electrolytes, fats and hormones. The gland not only transports the sperm, but also dilutes the sperm to ensure the vitality and vitality of the sperm. The prostate is an important organ involved in regulating the production of testosterone, as well as a guarantee for the normal operation of the erectile mechanism.
Classification of prostatitis
- acute;
- Asymptomatic inflammation;
- Chronic bacteria;
- Chronic pelvic pain inflammation syndrome.
Complaint about prostatitis
- Various urinary system diseases related to urethral stenosis:
- Difficulty starting to urinate
- Intermittent urination;
- Weak urine flow;
- Urinate drop by drop;
- Feeling of incomplete bladder emptying;
- Unconsciously leaking urine.
- Symptoms caused by nerve ending irritation:
- Increased urination;
- Increased urination at night;
- Urgency;
- Urinate in small amounts;
- Urinary incontinence is accompanied by the urge to urinate.
- There may be pain in the lower abdomen, groin area, inner thigh or lower back, and various sexual dysfunctions.
Remember that urinary violations and painful symptoms will not only appear in prostatitis, but also in prostate adenomas (benign hyperplasia). Unfortunately, prostate cancer is also often diagnosed. This is why in order to diagnose possible prostate pathology early, it is recommended that all men after the age of 50 donate blood for prostate-specific antigen (PSA) testing.
Causes of prostatitis
- Sexually transmitted infections: Chlamydia, Ureaplasma urealyticum, Mycoplasma, Herpes virus, Cytomegalovirus, Trichomonas, Neisseria gonorrhoeae, Candida, Escherichia coli can infect the urethra and be detected in prostate tissue;
- Violation of the blood circulation of the pelvic organs (prostate congestion leads to inflammation);
- Sedentary lifestyle (drivers, office workers, officials);
- Long-term abstinence, interruption of sexual intercourse or artificial prolongation of sexual intercourse;
- Frequent hypothermia (extreme entertainment enthusiasts: diving, surfing, kayaking and skiing);
- Stress: mental and physical overload.
Prostatitis and potency.Inflammation of the prostate itself does not cause impotence. However, untreated chronic prostatitis, such as inflammation of the seminal vesicles, can lead to suppression of libido, insufficient erection, premature ejaculation or accelerated ejaculation, pain during ejaculation, and disappearance of the so-called orgasm.
Prostatitis and male infertility.Among other factors, the prostate also affects sperm motility, and in some cases, the inflammatory process can lead to infertility.
In developed countries, most men over the age of 45 must undergo regular preventive examinations by urologists and andrologists. Examination of the prostate has become commonplace in these countries. Our compatriots have a different position: they only go to the doctor if they "completely press".
The results are as follows: 40% to 60% of men of childbearing age are needed to treat prostatitis in my country.
Diagnosis of prostatitis
Chronic prostatitis is an insidious disease. In many cases, the disease develops latently and gradually becomes chronic. If you don't pay attention in time, then a seemingly insignificant discomfort can develop into a real nightmare. In the worsening stage, it sometimes produces quite high temperatures (38-39°C), and perineal pain makes the process of urination and defecation a feat. Abscesses may form, that is, purulent fusion of prostate tissue, and all the consequences that follow.
In its advanced form, prostatitis can cause the most serious complications, causing many problems not only for the man himself, but also for his entire family. For prostatitis, not only the libido is decreased, but erectile function is also impaired. The saddest thing is that about 40% of patients are threatened by some form of infertility, because the prostate can no longer produce enough high-quality secretions to ensure sperm motility. Therefore, it is very important to treat prostatitis in the early stages of development. The success of prostatitis treatment depends largely on this.
Urology examination
- General examination methods for urology patients: blood tests (clinical, biochemical, HIV, RW, and hepatitis B and C markers) and urine tests.
- Special examination methods for urological patients:
- Study the secretion of the prostate;
- Sexually transmitted infection testing;
- Digital rectal examination;
- Renal ultrasound, bladder ultrasound and transrectal ultrasound prostate urinary flow measurement (urination examination for suspected prostatitis);
- PSA blood test and prostate biopsy (if indicated) to rule out prostate cancer.
Treatment of prostatitis
After receiving all the results, the urologist will formulate a treatment plan. The prostatitis treatment plan should include a complete set of treatment measures. The development of prostatitis is always caused by multiple factors, so actions must be taken in multiple directions at the same time. The complex procedures for the treatment of prostatitis usually include antibiotic therapy, medications to improve vascular tone, physical therapy procedures, and general intensifiers, as well as prescribed prostate massage treatments.
Massage, although it can cause many unpleasant sensations, it is a necessary procedure. First of all, for diagnosis, when should the secretions of the prostate be taken for research? In addition, in some cases, massage is performed to relieve prostate congestion. This incident is usually handled carefully and selectively.
Prostatic adenoma or benign prostatic hyperplasia (BPH) is a disease that occurs in 50% of men over the age of 50. The cause of prostate hyperplasia is not clear enough. BPH is usually associated with inflammation. If left untreated, prostatitis will worsen, urine flow becomes more difficult, blood circulation in the bladder wall deteriorates, and the bladder wall hardens over time. These changes are irreversible.
Complications of prostate adenoma
- Urinary tract infection;
- Acute urinary retention;
- Bladder stones;
- Chronic renal failure.
Various inspection methods can assess which diseases are prevalent and their extent. Based on the results of the examination, the doctor and the patient decide which treatment to choose. Possible surgical and medical treatments for BPH.
Viral prostatitis
Herpes virus, cytomegalovirus, and human papillomavirus are often the reasons for the development of urethritis, which complicates the course of prostatitis and causes male infertility.
For example, in men without any signs of genital herpes on the skin and mucous membranes, the virus can only be detected in semen or prostate secretions during laboratory diagnosis. The patient infects a sexual partner, resulting in sperm disease, resulting in infertility. Usually, patients with non-bacterial prostatitis receive a variety of large-scale antibiotic treatments, but there is no expected positive effect. In fact, the virus may be the cause of the disease, which requires a completely different treatment strategy (antiviral therapy), Immunotherapy), etc. ).
Herpes:According to several authors, 2. 9-21. 8% of prostatitis is caused or supported by herpes simplex virus. In general, chronic prostatitis is characterized by frequent and persistent relapses. In clinical practice, urologists rarely make a diagnosis of chronic herpetic prostatitis. The reason is obviously that virological diagnosis methods are not included in the examination standards for patients with chronic prostatitis. The reason is the stereotype of doctors, who traditionally check patients for non-viral genital infections.
In the clinical course of prostatitis, functional changes-reproductive changes, pain (external genitalia, perineum, lower back radiation) and dysuria syndrome will be noted. Generally, in patients with recurrent genital herpes, prostatitis is subclinical: in these patients, the diagnosis of prostatitis is based on the presence of leukocytosis and a decrease in the number of lecithin particles in the prostate secretion.