Prostatitis in men is the most common urological disease in men. According to statistics, the number of men with this diagnosis is up to 8% of the male population worldwide, of which 1/3 are the owners of this form of chronic disease. In 40% of cases, chronic prostatitis in men is detected before the age of 40 years.
A special feature of prostatitis is that its acute form is almost non -existent. As soon as he appeared, he immediately took a chronic form.
Cases of complete recovery (spontaneous or as a result of treatment) after the acute early stage are small. The course of the disease is very slow, and the symptoms of prostatitis often disappear. Prostatitis manifests itself in three main syndromes: painful, sexual and disurik.
Causes of prostatitis in men
The causes of prostatitis are infection, stagnation of the prostate gland, and a combination of these two factors. One of the predisposing factors for the development of chronic prostatitis is also the presence of benign hyperplasia in patients.
Infections can enter the prostate gland as follows:
- through the urethra through sexual intercourse, as a complication after infectious urethritis;
- through blood from existing infections in the body (dental caries, sinusitis, pneumonia and others);
- through lymph from inflamed internal organs (intestinal dysbiosis, hemorrhoids, inflammation of the rectum).
Often, prostatitis in men is non -infectious (abacterial prostatitis). The main reason is a violation of blood circulation in the prostate and surrounding organs due to stagnation of secretions in it.
In the prostate gland, secretory stagnation can occur due to the following factors:
- prolonged sexual abstinence;
- unrealized sexual intercourse after sexual arousal;
- sexual dysfunction;
- defective ejaculation.
Factors that lead to the development of prostatitis:
- irregular sex life;
- hypothermia;
- hypodynamia;
- chronic stress;
- chronic alcoholism and others.
Symptoms of prostatitis in men
- pain in the genital area;
- pain in the groin, perineum, suprapubic region;
- frequent urination;
- painful sensation during urination;
- pain with ejaculation;
- lack of erection or lack thereof.
Often chronic prostatitis is prone to neurasthenia caused by the above disorders.
Pain in prostatitis, as a rule, is radiant, that is, radiates to the sacrum, perineum or scrotum. From the prostate there are nerve endings to all the small pelvic organs, so that pain is often given in the lower back. Their intensity varies - from subtle to obvious, which even disturbs sleep. Pain can increase, weaken with sexual abstinence, or, conversely, occur with excessive sexual activity or ejaculation. It should be noted that pain in the sacrum does not always indicate prostatitis - they can also indicate osteochondrosis.
How prostatitis manifests itself in men with a chronic form, here the situation is completely different. This course is like a wave; periodic exacerbations are replaced by prolonged reductions, in which the disease does not manifest itself in any way. In this case, men rarely go to the doctor, preferring to sit at home. However, this is not a way out of this situation, because prostatitis in men, its deterioration will continue over time. And, spreading through the genitourinary system, it will lead to the onset of cystitis and pyelonephritis.
Prostatitis in men: consequences
As a rule, patients with acute prostatitis seek timely medical help. But if you do not see a urologist in a timely manner, most likely there is a focal purulent inflammation - an abscess of the prostate gland. In this case, the body temperature can rise to 39-40 ° C, it becomes busy (decrease in body temperature above 1 ° C) and intense fever is periodically replaced by chills. The pain in the perineum is so marked that urination and defecation become very impossible. Gradually, the prostate gland swells and, as a consequence, urinary retention occurs. Fortunately for the men themselves, they rarely bring themselves into such a situation.
Vesiculitis is one of the most common complications of prostatitis, when the seminal vesicles become inflamed. And also epididymo-orchitis, which is characterized by inflammation of the testis and its appendages. Treatment of chronic prostatitis in men caused by this disease will be very difficult and time consuming.
Both of these diseases can cause infertility. All of the described are more related to chronic prostatitis, which has a specific etiology and which develops as a result of venereal disease. How to treat prostatitis in men and drug treatment in any form is prescribed by a urologist.
Treatment of prostatitis in men
How to treat prostatitis in men depends on the form of the disease and its appearance. In the treatment of acute prostatitis, antibiotics are used, which penetrate well into the prostate gland tissue. The contraceptive must take into account all the individual features of the disease, the state of the body's immune system and the presence of infectious agents. If the disease is not complicated by anything, patients with acute prostatitis are only treated on an outpatient basis. Only patients with severe and severe signs of poisoning will be hospitalized. Such physiotherapeutic methods are widely used: magnetic-laser-inductotherapy, reflexology, ultrasound, treatment of prostatitis with leeches. Good effect can be achieved by using herbal preparations (herbal medicine), enzymes, cytomediators, immunomodulators. Surgery for prostatitis is indicated in the following cases:
- prostate abscess (trans-urethral drainage or transrectal abscess);
- acute urinary retention (epicstostomy puncture).
Treatment of chronic prostatitis in men is done on an outpatient basis, but for a longer period of time. In addition to the use of antibiotics, suppositories and thermal treatments, prostate massage and reflexology are also performed. In addition, patients with prostatitis are recommended an active lifestyle and the exclusion of alcoholic beverages and spicy foods from its use.
Prevention of prostatitis in men
Timely treatment of prostatitis in men, as well as its prevention, contributes to a speedy recovery. As a preventive measure to prevent the development of chronic prostatitis, it is recommended:
- ordinary sex life;
- properly chosen diet (varied and nutritious foods except spicy and irritating foods);
- non -alcohol abuse;
- moderate physical activity aimed at improving blood circulation in the organs of the genitourinary system and strengthening the muscles, Kegel exercises (tension of the perineum muscles with anal retraction);
- adequate and timely treatment of infectious diseases of other organs;
- prevention of stagnation in the small pelvis using physiotherapy methods.
To exclude recurrence of the disease - prevention of secondary prostatitis, which includes primary prevention and:
- periodic preventive checkups with a urologist;
- pass a course of preventive treatment with the method of amplifiers, multivitamins;
- physiotherapy methods (especially in spring and autumn).