Treatment of prostatitis

Prostatitis is inflammation of the prostate gland caused by various infections. It often occurs in an acute form and is accompanied by an increase in temperature up to 37-38⁰ C, pain in the perineum, and problems with urination.

Acute prostatitis that is not treated becomes chronic and in this condition is the most common. In this case, the symptoms are less pronounced (pain in the lower abdomen, when urinating, sexual disturbances, general weakness of the body) or are completely absent. However, the consequences can be very serious. The inflammatory process is directly related to the problem of potency and is expressed in a decrease in libido, the destruction of orgasm.

Ignored infections dramatically increase the chance of developing complications. In particular, these are diseases such as:

• pyelonephritis;
• cystitis;
• prostate abscess;
• BPH;
• infertility.

Such consequences can be avoided if you consult a doctor in time. Take care of your health now - and in return you will get excellent health, psychological comfort and increased self-esteem, quality of sexual relations.

Causes of prostatitis

This question is relevant not only because many men are faced with this problem, but also because most of them do not understand where they got this disease.

Causes of prostatitis in men:

1. Sexually transmitted infections.
2. Inflammatory diseases of the urethra caused by conditionally pathogenic flora.
3. Sexual dysrhythmia is an irregular and unbalanced sex life.
4. Physical inactivity is an inactive lifestyle.
5. Urolithiasis disease.
6. The presence of a focus of chronic infections in the body (chronic tonsillitis, pharyngitis, sinusitis, proctitis and paraproctitis, etc. ).
7. Abuse of alcohol and spicy food.
8. constipation.
9. Hypothermia.
10. Pathology of the lumbosacral spine and spinal cord - caused by a violation of innervation and trophism of the prostate.

Why does prostatitis occur when infected with an STI. The causative agents of genital infections, especially such as gonococcus, trichomonas, chlamydia, ureaplasma and mycoplasma, initially affect the urethra in men, causing venereal urethritis. But, like any living microorganism, this infection actively reproduces in favorable conditions for them, which is the mucous membrane of the urethra and prostate duct.

Of course, if the patient turns to a urologist or venereologist in time, passes the test for STD, reveals the presence of a sexually transmitted infection and cures it, then there will be no reason for the occurrence of prostatitis. Everything will end with recovery at the stage of anterior urethritis. But with more advanced forms of the disease, with an official approach to the treatment of venereal diseases, when they try to be cured only by taking broad-spectrum antibiotics in tablets and are not cured as a result, microbes penetrate into the posterior urethra. and the prostate gland, causing inflammation, namely prostatitis, and more often primary-chronic. In this case, it is very easy to avoid the development of prostatitis, absolutely everything depends on the patient himself.

All you need is:

• Seek immediate medical attention at the first sign of urethral discomfort
• Pass tests recommended by urologists for STIs
• Undergo comprehensive treatment of identified sexually transmitted infections
• Make a control test after treatment to determine the presence of sexually transmitted infections not only in the urethra, but also in prostate secretions
• And the best is through medical prophylaxis in the clinic after casual sex even before the onset of STD symptoms and protect yourself and your loved ones from sexually transmitted diseases in general, and as a cause of prostatitis, in particular

Symptoms of prostatitis

How to recognize or suspect prostatitis to ordinary people, because the symptoms are very similar to many diseases of the genitourinary system and also other organs? How does prostatitis manifest itself? What are the first signs, and how do they behave with the development of the disease. We will discuss this in this article.

What other diseases can be confused with prostatitis:

1. Sexually transmitted infection (STD) is the most common situation when a man comes to see a venereologist after casual intercourse, thinking that he has an STI. And in fact, the prostate gland has become inflamed.
2. Urolithiasis can give similar symptoms, but at the same time, it itself can trigger an inflammatory process in the prostate.
3. Cystitis is rare in men, but the symptoms are very similar to prostatitis.
4. Pyelonephritis - inflammation of the renal pelvis has some similarities in symptoms with inflammation of the prostate gland.
5. Diseases of the scrotum (epididymitis, orchitis, varicocele) - heaviness and pain in the scrotum can be with these diseases, including prostatitis.
6. Diabetes mellitus - the patient notes an increase in urination, as in prostate disease, but there is no sluggish flow and the amount of urine is normal or increased.
7. Other prostate diseases: cancer and adenoma (benign hyperplasia) of the prostate.
8. Urethritis.
9. Rectal diseases - fissures, hemorrhoids, tumors.
10. Diseases of the lumbosacral spine.

In order to make a correct diagnosis, a urologist not only needs to know the symptoms of prostatitis very well, but also to be able to correctly prescribe tests and other diagnostic studies, as well as to be able to adequately evaluate the results.

So, consider the signs or symptoms of prostatitis:

Group 1 is pain syndrome. That is, the occurrence of pain in the perineum, groin, lower abdomen, scrotum, penis, rectum, sacrum, tailbone, inner thigh. It can be just aching, pulling, pressing sensation, or rather sharp, throbbing, severe pain. Sometimes a man just complains about some discomfort in this area, during urination and outside. Often, the painful pain increases when sitting for a long time in a chair or in a car.

In chronic moist prostatitis, pain may decrease after intercourse. If inflammation is strongly expressed in the prostate or large calcifications (stones) have formed in the gland, pain during ejaculation is possible.

Symptoms of group 2 - urinary disorders. There is an increase in urination, first at night, then throughout the day. The flow of urine becomes moist, the volume of each part decreases, the transparency of urine decreases, blood may appear. With severe swelling of the prostate or fibrosis of the gland around the urethra, there is obvious difficulty in emptying the bladder. A man has to strain, wait a while to urinate.

Group 3 - violation of sexual function. In the early stages of prostatitis, there is a slight increase in sexual desire, hyperexcitability and premature ejaculation. Further, due to a decrease in the production of sex hormones, a decrease in libido occurs, an erection falls. A man either cannot have sexual intercourse, or, having started, cannot finish it. But, even if ejaculation occurs, the orgasm is dull or almost not felt at all. If the erection or ejaculation is accompanied by pain, then the man himself rejects new acquaintances, which adversely affects his sexual function in the future due to prolonged abstinence. And this also leads to the development of congestive prostatitis. A vicious circle appeared.

Group 4 - this is a general symptom. There may be an increase in body temperature, fatigue, weakness, irritability, which is associated with both the presence of inflammatory processes and hormonal imbalance, and failure in sexual life. Some patients experience hyperhidrosis (excessive sweating) in the inguinal area, redness of the glans penis.

With a fairly significant inflammatory process in the prostate from the urethra, there may be mucus or purulent discharge.

The clinical picture of each patient with prostatitis is individual. Not all groups of symptoms are necessarily present and not all can be mentioned. With a chronic process in the prostate, the deleted clinic and minor symptoms are observed, but this does not make it the least dangerous for men's health.

Therefore, if you see any manifestation of prostatitis from the above, immediately make an appointment with a urologist. Do not delay in contacting the doctor, because even if the discomfort has passed, this does not mean that the inflammatory process has stopped. It has just entered the latent stage and will gradually affect your health and destroy the prostate gland.

The best option is a preventive examination every six months by a urologist with diagnostic palpation of the prostate, microscopy of its secretions, ultrasound and a blood test for PSA. Thus, you protect yourself from the negative consequences of not only advanced chronic prostatitis, but also prostate adenoma and cancer.

Treatment of prostatitis

Modern methods of treating prostatitis include the following types:

• drug treatment (prescription of antiviral and antifungal drugs);
• maintenance therapy (prescription of immunostimulating drugs, taking nutritional supplements);
• urological massage (prostate massage);
• LOD-therapy (a method using low pressure to restore potency);
• a set of special physical exercises for relaxation;
• doctor's recommendations in terms of nutrition, lifestyle, sexual relations.

In treatment, I use the best methods of leading medical centers and my own development, which gives excellent results.

Congestive prostatitis (congestive).

The treatment of congestive prostatitis poses certain difficulties, because the cause of this type of inflammation of the prostate gland is the lifestyle and sexual activity of this man. Therefore, only the patient himself, and not the doctor, can directly influence this process. But even in difficult situations, patients can be helped. For the treatment of congestive or congestive prostatitis, a special complex therapy has been developed that allows you to remove the effects of blood stagnation in the prostatic venous plexus and prostatic secretions in its ducts and acini.

Treatment of congestive prostatitis

After the initial diagnosis, which includes:

• Prostate secretion analysis for microscopy, STI, culture
• Blood test for PSA
• General blood and urine tests
• Blood chemistry
• Ultrasound of the prostate, its venous plexus
• renal ultrasound

The diagnosis of chronic congestive prostatitis is established, the drug treatment complex and the necessary procedures are determined, which include:

• Prostate massage through the rectum is necessary to remove leukocyte plugs, mucus and prostatic congestive inflammatory secretions from the ducts of the gland. It is the main treatment procedure that also increases blood flow in the prostate gland, which serves as a factor in combating blood stasis.

Massage is performed by a urologist. Session duration from 30 seconds to 2 minutes. Quantity from 10 per course. The cost is 600 rubles.

Even if the patient does not have the opportunity to complete the full course of treatment for congestive prostatitis, he must attend at least 10 massage sessions. Taking medication alone does not provide the desired effect in the treatment of congestion in the prostate.

• Vibromassage of the prostate is an excellent and effective procedure for the treatment of congestive prostatitis. With the help of special devices that create vibrations, thermal and magnetic fields, the blood supply to the gland is improved, the attachment of the leukocyte plug to the wall of the prostate duct is weakened, which facilitates its removal during the next finger massage. It is usually done before the massage session.
• Magnetic laser therapy increases blood flow and trophism of the gland, removes inflammatory products from it, relieves swelling. Many patients feel the effect in the first days of treatment in the form of a decrease in pain and a feeling of tension in the prostate area.

This treatment of congestive prostatitis is well-established and has been successfully used for many years, constantly updated, including new modern methods and approaches. Chronic congestive prostatitis can and should be treated, achieve long-term remission and significantly improve the quality of life of a modern man.

BPH

Prostate adenoma, or as it is now commonly called, benign prostatic hyperplasia (BPH) is a chronic disease that occurs mainly in older men, at least after 50 years. After 70 years, more than 50% of men already have complications of this disease. Although there are cases of early development.

Prostate adenoma is accompanied by the growth of glandular and stromal (connective) tissue. As a result, nodules are formed in the thickness of the gland, which, when they reach a large size, begin to compress the surrounding tissue - the bladder, urethra, rectum, and sometimes the ureter, disrupting the normal functioning of these organs.

Reasons for the development of prostate adenoma

The development of prostate adenoma is associated with hormonal imbalance in older and older men, that is, a kind of manifestation of "male menopause". Over the years, there is a decrease in the production of the main male hormone testosterone by the testicles and an increase in the content of the female hormone estradiol (especially in men with a high body fat mass). The direct negative effect of female hormones on the prostate gland has been proven, as well as the increased production of dihydrotestosterone in prostate cells, which causes the active growth of its tissue and the development of benign prostatic hyperplasia, i. e. adenoma.

Reasons that lead to the development and progression of BPH can also include:

• hypodynamia - inactive lifestyle
• alcohol abuse and smoking
• fatty, cholesterol-rich, spicy, spicy food
• low sexual activity

Chronic prostatitis, in principle, is not the cause of prostate adenoma, but with a simultaneous course, it contributes to more significant symptoms and the rapid development of complications of prostatic hyperplasia.

Symptoms of prostate adenoma

Symptoms of prostate adenoma depend on the stage of the disease, its decompensation, the development of complications and the direction of tumor growth.

• First, there are signs of difficulty urinating, slow urine flow, constant urge up to 15-20 a day, nocturia - night urination.
• Then, when the muscles of the bladder weaken, the pain in the lower abdomen is worrying, the feeling of incomplete emptying of the bladder, urine is excreted in parts, drop by drop, you need to tighten the abdominal muscles. It ends with the complete loss of the detrusor - the bladder muscle that expels urine.
• When combined with chronic prostatitis, there is pain in the perineum, rectum, fever, discharge of mucus and pus from the urethra.
• Urine changes color, becomes cloudy, drops of blood may be present.
• Sexual function is affected.
• With the growth of prostate adenoma towards the triangle of the bladder formed by the mouth of the ureter and the urethra, blockage of the ureter and violation of the outflow of urine from the kidney occurs, which ends in the development of chronic kidney disease more rapidly. failure and urolithiasis.

The main complications of prostate adenoma:

• Acute urinary retention - requiring emergency bladder catheterization.
• As a result of urine stagnation, urolithiasis and inflammation of the kidney (pyelonephritis), bladder (cystitis) and urethra develop.
• The appearance of blood in the urine.

Chronic kidney failure is a formidable complication that can lead to death.

Treatment of prostate adenoma

This clinic treats prostate adenoma without surgery, which is drug therapy, which is most effective for benign prostatic hyperplasia stage 1 and sometimes 2.

Surgical treatment of prostate adenoma is carried out with decompensation, a large amount of growth of prostate adenoma towards the triangle of the bladder. It comes in different types:

• starting from open transvesical adenomectomy - removal of the tumor through the bladder
• ends with a minimally invasive method, when through the urethra with the help of an electric knife, radio waves and laser techniques, the urethra is freed from adenoma tissue or the hyperplastic area of the prostate is completely removed.

In order not to get so that on the first visit to the urologist you will immediately be offered an operation for prostate adenoma, it is necessary to undergo an annual examination of the prostate gland, ultrasound and a blood test for PSA.

prostate massage

One of the most common and effective treatments and diagnostic procedures in urology and venereology is prostate massage (prostate). This manipulation has long been used by urologists and is common to almost all patients with diseases of the prostate gland, seminal vesicles and STIs.

Why is prostate massage used?

Prostate massage can be used in two cases:

for diagnostic purposes for:

• Obtain prostate secretions for microscopic analysis
• Determination of the presence of sexual infections (chlamydia, ureaplasmas, mycoplasmas, gonorrhea, etc. ) in the prostate by PCR, PIF and others
• To take material for culture with the determination of microflora and sensitivity to antibiotics
• Obtaining subjective data on pain, density, size of the gland - the so-called diagnostic palpation of the prostate

for therapeutic purposes:

• to release glandular ducts from plugs of leukocytes and mucus
• to improve blood circulation in the prostate, which leads to better penetration of the drug into its tissues and the elimination of congestion

When is a prostate massage prescribed?

Prostate massage is prescribed for various men's health problems, for example:

• chronic bacterial and abacterial prostatitis
• chronic vesiculitis - prostate and seminal vesicle massage
• chronic and moist urethritis
• prostatitis caused by genital infection
• erectile dysfunction and infertility related to prostate disease
• with the aim of prevention in STD treatment in the final stage

Prostate massage is not performed in the presence of acute purulent inflammation of the genital organs!

How is prostate massage done?

There are several classic prostate massage positions.

The most common is the knee-elbow position, when the patient stands on the sofa on his knees and arms bent at the elbow joints, bending at the waist.

In diseases of the spine, old age, large body weight, it is possible to position on the left side with the legs bent at the knees, brought to the stomach.

When massaging the seminal vesicles, the patient stands with his feet on the sofa with his back to the doctor and is in a semi-squatting position.

During prostate massage, the urologist's index finger is inserted into the patient's rectum and begins to alternately massage the right and left lobes of the prostate, ending with the interlobar groove (isthmus). During this manipulation, which lasts from 30 seconds to 2 minutes, the doctor receives information about the pain of the gland, its size, consistency, surface, severity of the groove, and can take prostate secretions for analysis.

During prostate massage, there may be some discomfort, the urge to urinate, a feeling of pressure in the lower abdomen, penis. With severe pain, the massage stops.

It is very important that this procedure is performed by a qualified urologist or venereologist so as not to harm the man and not injure the prostate.

Prostate vibromassage massage

Vibromassage of the prostate - the use of vibration, magnetic fields and heating in the treatment of chronic prostatitis. This type of physiotherapy improves blood flow and nutrition of the prostate tissue. Vibromassage helps remove leukocyte plugs from glandular ducts. With calculus prostatitis - one of the alternatives to finger massage. Session duration is from 10 to 20 minutes.

Prevention of prostatitis

Prevention of prostatitis consists of avoiding predisposing factors that cause prostatitis, as well as:

• Try not to freeze for a long time, if you stay for a long time in a cold room or on the street, keep appropriate clothes.
• For constipation, use laxatives and don't torture yourself.
• If you have a sedentary job, give yourself a "gym break" every hour (or at least just get up and walk around).
• Try to live a regular sex life, because this is completely consistent with a person's normal lifestyle and allows you to avoid many problems, not only prostatitis.
• Try to eat regularly and healthily, maintain an active lifestyle, do not get sick and, finally, think about your health from time to time.

And also don't forget to visit urologist regularly.