In men, prostatitis is a common inflammatory disease that, if left untreated, causes irreversible changes in the tissues of the prostate.The chronic form of the disease does not have clear symptoms, but they may appear during the exacerbation of the pathology.Symptoms and treatment largely depend on the severity of the disease and the involvement of other organs of the urogenital system in the inflammatory process.
The urologist must make a diagnosis, determine the form of the disease and prescribe treatment.
Signs of acute prostatitis
Different forms of acute prostatitis have similar symptoms.It can be catarrhal, parenchymal, follicular and abscess.With the development of acute inflammation of the prostate, the general state of health deteriorates quite quickly.In men, the first signs of prostatitis are pain in the groin area.The body temperature can reach 40 degrees.During this period, the patient feels chills, headache and muscle weakness.
A slight relief of the condition and a decrease in discomfort is observed when a man lies on his back and presses his knees to his stomach.
Many patients with acute prostatitis experience pain in the rectum, some of them feel as if there is a foreign object inside.Inflammation of the prostate can also manifest as bowel problems.
Acute prostatitis can be accompanied by symptoms similar to intestinal infections and inflammatory diseases of the lower intestine.
This is explained by the enlargement of the prostate gland due to inflammation and the increasing swelling of the tissues, which puts pressure on the intestines.Therefore, the symptoms of acute prostatitis sometimes manifest themselves as stool retention, bloating and false stools.
In some cases, patients experience severe pain during bowel movements.Manifestation of the disease in the central region of the abdomen is also possible with an increase in discomfort.Acute prostatitis can often be accompanied by symptoms such as discharge from the anus in the form of mucus, which is related to the inflammation in the anus itself.Since acute prostatitis is very often accompanied by symptoms related to the involvement of the intestine in the pathological process, sometimes it is not possible to conduct a rectal palpation due to severe pain in the rectum.
The first symptoms of acute prostatitis may look like urinary tract inflammation.Before a prostate problem becomes apparent, you may have difficulty emptying your bladder.
Urinary problems of various types almost always accompany acute prostatitis.
The man may feel pressure in it, as well as a feeling of incomplete emptying.During inflammation of the prostate, the flow of urine is often weakened.Some patients complain of a complete inability to urinate.In men, such symptoms of prostatitis indicate the need for quick medical intervention, since in case of acute urinary retention, poisoning increases, which manifests itself in severe headache, loss of appetite, vomiting and yellowing of the skin.This condition is dangerous and requires immediate hospitalization.
Signs of chronic prostatitis
Chronic prostate problems are not always obvious;the symptoms can be so vague that men attribute the appearance of fatigue and weakness to other conditions.Most often, the patient learns that such a disease exists during a medical examination or during a visit to the doctor for another disease.
Chronic prostatitis often accompanies other urinary tract diseases, for which the patient consults a doctor.
What are the symptoms of chronic inflammation of the prostate?These are a feeling of discomfort and heaviness in the perineum, a burning sensation and pressure in the urethra when emptying the bladder.Discharge from the urethral canal and purulent threads may appear in the urine.Such signs and symptoms should alert you and give you a reason to visit your urologist.
Very often, chronic glandular diseases are accompanied by problems in the intimate area.
Prostatitis can cause accelerated ejaculation, slow orgasm and reduced potency.Sometimes a person completely loses interest in sex, becomes more aggressive, and becomes depressed.Some patients suffer from insomnia and general fatigue.Fears about sexual activity and sexual failures also appear, sometimes leading to a nervous breakdown.Treatment is also necessary, so in some cases the attending physician may refer the patient to a psychotherapist consultation.
Constant nervous stress reduces immunity, which further worsens the course of the disease.
Therapeutic measures
Before treating prostatitis, the urologist prescribes an examination for the patient.The man must give blood to determine the PSA level, iron and a general urinalysis.Prostate juice is also the subject of investigation.
Prostatitis cannot be cured by itself.Some men try to improve the condition of the gland with the help of non-traditional or folk methods, which can reduce the symptoms of the disease.In general, prostatitis worsens, and without further treatment, the disease leads to complications - hardening of glandular tissues, violation of urination and loss of reproductive function.
Treatment prescribed in the initial stages of prostatitis is much more effective.The rapid improvement of the patient's condition is facilitated only by a comprehensive approach.
It is important to consult a doctor in time to prescribe treatment.
They attach great importance to the causes that caused the dysfunction of the prostate.If the provoking factors are not identified, the probability of relapse of the disease is very high.
The urologist selects the types of treatment depending on the form and stage of prostatitis.The doctor takes into account the presence of concomitant diseases, some of which may become contraindications when prescribing certain drugs.
In case of bacterial prostatitis
Antibacterial agents are the basis of therapy for the acute form of the disease.It is very important that the patient stays in bed during the treatment.In the case of this type of prostatitis, the prostate gland should not be massaged under any circumstances.Even collecting prostate juice in this way is prohibited.The reason for this is the high probability of septic complications.
In the case of acute prostatitis caused by an infection, physical activity should be limited as much as possible.
In case of bacterial prostatitis, agents for improving the microcirculation in the tissues of the gland are indicated.
The effectiveness of the drugs is due to the fact that they restore the outflow of lymphatic fluid and blood from the prostate, helping to reduce the symptoms of poisoning.
Since bacterial prostatitis is almost always accompanied by acute pain, patients are prescribed NRVS and pain relievers that reduce discomfort and pressure in both the perineum and rectum.Patients are shown pain-relieving drugs, which not only reduce pain, but also help reduce the severity of the inflammatory process.
Rectal suppositories have a good effect, due to the proximity of the rectum and the prostate, they exert their effect quite effectively.Suppositories may contain natural ingredients such as honey, propolis, bovine prostate extract.All these ingredients are safe, but at the same time very effective.
In case of significant poisoning, solutions are given to patients.If the examination reveals a prostate abscess or the patient shows urinary retention, surgical treatment is recommended.
The therapy of bacterial prostatitis is based on the use of antibacterial drugs belonging to the group of fluoroquinolones.This type of drug effectively activates gram-negative pathogenic flora.
For the most accurate prescription of treatment, a culture test should be performed to determine antibiotic sensitivity.
Doctors say that such drugs should be prescribed only after identifying the type of microorganisms that cause prostate disease.Fluoroquinolones can cause side effects if the patient has liver or kidney failure.Sometimes patients develop changes in the digestive system and nervous system.Possible drop in blood sugar level, heart problems.
If pathogenic microorganisms are identified that are insensitive to fluoroquinolones, the patient is prescribed macrolides or cephalosporins.These drugs are also indicated if the patient experiences side effects from previous drugs.If there is no improvement after two weeks, the urologist should reconsider the treatment regimen.
In case of chronic disease
The therapeutic methods of chronic prostatitis largely depend on its stage.In case of exacerbation of the disease, the treatment is carried out in exactly the same way as for the acute bacterial form.
Antibiotics are often prescribed in tablet form for chronic prostatitis.
Antibiotics, herbal antiseptics, non-steroids, as well as drugs that improve the outflow of lymph from the gland can be prescribed for symptoms characteristic of a remission state.
Medicines that improve the functioning of the immune system are also of great importance.Natural herbal preparations help reduce the swelling of the prostate tissue.The same drugs reduce the pain that sometimes occurs with chronic prostatitis.
Since the disease is often accompanied by depression and nervousness, the patient may be prescribed sedatives and antidepressants.
Physiotherapy has a good effect.Special exercises help to restore blood supply to the gland, increase muscle tone and improve mood.
Exercise therapy classes are best conducted under the guidance of a coach with a medical qualification.
As an additional measure, patients undergo physiotherapy procedures that restore microcirculation, relieve tension in the pelvis and relieve pain.Laser therapy, electrophoresis, magnetic treatment have a good effect.
Rectal massage has a positive effect on prostate health.This procedure can be performed both in the clinic and at home.If such treatment is prescribed for the first time, then it is best to conduct the first course with a specialist.Massage is very effective for glandular congestion.Prostate massage may cause some discomfort, but only during the first days of treatment.In the future, there should be no pain, and patients feel relief, because after the procedure, the difficulty often observed in chronic prostatitis disappears.
There are special devices that replace rectal massage of the prostate.Improvement of microcirculation, relief of swelling and congestion is ensured by the effect of acoustic waves.The sensor of such a device acts through the skin, so there is no need to insert a massager into the rectum.Such devices can be purchased in specialized medical stores.First you need to consult a urologist and study the instructions.
Massagers can be used for preventive purposes;the duration of the procedures is determined by the doctor.
Any treatment prescribed by a urologist should be accompanied by proper nutrition and abstinence from alcohol.It is important to note that hypothermia can lead to an exacerbation of the disease.