Prostatitis in men 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 obvious symptoms, but they can appear during a more severe pathological process.Symptoms and treatment largely depend on the severity of the disease, as well as the involvement of other organs of the genitourinary system in the inflammatory process.
The urologist must diagnose, determine the type of disease and prescribe treatment.
Signs of acute prostatitis
Acute prostatitis has similar symptoms in different forms.It can be catarrhal, parenchymal, follicular and abscessed.With the development of acute prostatitis, the general state of health will deteriorate quite quickly.The first signs of prostatitis in men are characterized by the appearance of pain in the groin area.Body temperature can reach 40 degrees.During this stage, the patient feels chills, headaches and muscle weakness.
The condition is relieved and discomfort is reduced when a man lies on his back and presses his knees to his abdomen.
Many patients with acute prostatitis experience pain in the rectum, and some feel like there is a foreign object in there.An inflamed prostate can also present as problems with bowel movements.
Acute prostatitis can be accompanied by symptoms similar to those of intestinal infections and inflammatory diseases of the lower intestine.
This is explained by the enlargement of the prostate due to increased inflammation and swelling of its tissues, which puts pressure on the intestines.Therefore, symptoms of acute prostatitis are sometimes manifested by fecal impaction, bloating, and false urge to defecate.
In some cases, patients feel severe pain when defecating.Symptoms of the disease can also be due to increasing discomfort in the central abdominal area.Typically, acute prostatitis can have symptoms such as discharge from the anus in the form of mucus, which is associated with the presence of inflammation in the rectum.Since acute prostatitis often has symptoms associated with the involvement of the intestine in the pathological process, sometimes rectal palpation is not possible due to severe pain in the rectum.
The first symptoms of acute prostatitis may resemble those of a urinary tract infection.Before a prostate problem becomes apparent, difficulty emptying the bladder may develop.
Urinary problems of various types almost always accompany acute prostatitis.
A man can feel pressure in it, as well as a feeling of incomplete emptiness.Urine flow during prostatitis is often impaired.Some patients complain of a complete inability to urinate.Such symptoms of prostatitis in men indicate the need for prompt medical intervention, since acute urinary retention will increase, manifested by severe headache, loss of appetite, vomiting and jaundice.This condition is very dangerous and requires immediate hospitalization.
Signs of chronic prostatitis
Chronic prostate problems are not always obvious;Symptoms may not be so obvious that men attribute the appearance of fatigue and weakness to other circumstances.Patients often learn that such a disease exists when they go to the doctor or when they see a doctor about another illness.
Often, chronic prostatitis is accompanied by other diseases of the genitourinary tract, for which the patient must consult a doctor.
What are the characteristic symptoms of chronic inflammation in the prostate?These are feelings of discomfort and heaviness in the perineum, burning and pressure in the urethra when emptying the bladder.Discharge from the urethral canal and strands of pus in the urine may appear.Such signs and symptoms should alert you and be a reason to visit a urologist.
Very often, chronic gland diseases are accompanied by problems in the private area.
Prostatitis can cause rapid ejaculation, delayed orgasm, and decreased potency.Sometimes a man completely loses interest in sex, he becomes more aggressive and develops depression.Some patients experience insomnia and general fatigue.Fears related to sexual activity and sexual failure also appear, sometimes leading to nervous breakdowns.Treatment is also necessary, so in some cases the treating doctor may refer the patient to a psychotherapist.
Constant nervous stress reduces immunity, which further aggravates the course of the disease.
treatment measures
Before treating prostatitis, the urologist prescribes an examination for the patient.A man must donate blood to check PSA, iron levels and a general urine test.Prostate juice may also be tested.
It is impossible to cure prostatitis on your own.Some men try to improve the condition of the glands using unconventional or folk methods that can reduce the symptoms of the disease.As a rule, prostatitis will subsequently worsen and without further treatment, the disease will lead to complications - sclerosis of glandular tissue, impaired urination and loss of reproductive function.
Treatment prescribed in the early stages of prostatitis will be much more effective.Rapid improvement of the patient's condition is facilitated by a comprehensive approach.
It is important to promptly consult a doctor to prescribe treatment.
The cause of prostate dysfunction is very important.If the trigger factor cannot be identified, the likelihood of the disease recurring is very high.
The urologist chooses the treatment method depending on the form and stage of prostatitis.The doctor takes into account the presence of comorbidities, some of which can become contraindications to prescribing certain drugs to the patient.
For bacterial prostatitis
The basis of treatment for the acute form of the disease is antibacterial drugs.It is very important that the patient remains in bed during treatment.With this type of prostatitis, in no case should you massage the prostate.Even collecting prostate juice in this way is prohibited.This is due to the high likelihood of infectious complications.
In case of acute prostatitis caused by infection, it is necessary to limit physical activity as much as possible.
For bacterial prostatitis, agents are prescribed to improve microcirculation in the tissues of the gland.
The effectiveness of the drugs is due to the fact that they restore the flow of lymph fluid and blood from the prostate, helping to reduce the symptoms of toxicosis.
Because bacterial prostatitis is almost always accompanied by acute pain, patients are prescribed NRVS and analgesics to reduce discomfort and pressure in both the perineum and rectum.Patients are given painkillers that not only relieve pain, but also help reduce the severity of the inflammatory process.
Rectal suppositories work well and are quite effective due to their proximity to the rectum and prostate.Suppositories may contain natural ingredients, for example, honey, propolis, bovine prostate extract.All these ingredients are safe but at the same time very effective.
In case of significant intoxication, solutions are administered to the patient.If examination reveals a prostatic abscess or the patient has urinary retention, surgical treatment is indicated.
Treatment of bacterial prostatitis is based on the use of antibacterial drugs of the fluoroquinolones group.This drug is effective in activating gram-negative pathogenic flora.
To prescribe the most accurate treatment, it is necessary to conduct a culture test for antibiotic sensitivity.
Doctors say that such drugs should be prescribed only after determining the type of microorganism that causes prostate disease.Fluoroquinolones may cause side effects if the patient has liver or kidney dysfunction.Sometimes patients have changes in the digestive tract and nervous system.May reduce blood sugar, heart problems.
If pathogenic microorganisms that are not sensitive to fluoroquinolones are identified, the patient will be prescribed macrolides or cephalosporins.These medications are also prescribed when patients experience side effects from previous medications.If there is no improvement after two weeks, the urologist should reconsider the treatment regimen.
For chronic diseases
Treatment for chronic prostatitis largely depends on its stage.In case of more severe disease, treatment is carried out in the same way as for the acute bacterial form.
For chronic prostatitis, antibiotics are often prescribed in pill form.
For symptoms characteristic of remission, antibiotics, herbal antiseptics, non-steroidal drugs as well as drugs that improve lymphatic drainage from the gland may be prescribed.
Great importance is also given to drugs that improve the function of the immune system.Natural herbal preparations help reduce swelling of prostate tissue.These same medications relieve the pain that sometimes occurs with chronic prostatitis.
Since the disease is often accompanied by depression and stress, patients may be prescribed sedatives and antidepressants.
Physical therapy works well.Special exercises help restore blood supply to the gland, increase muscle tone and improve mood.
Exercise therapy classes are best done under the guidance of a medically qualified trainer.
As additional measures, the patient undergoes a course of physiotherapy aimed at restoring microcirculation, reducing tension in the pelvic area and reducing pain.Laser therapy, electrophoresis and magnet therapy have good effects.
Massage performed rectally has a positive impact on prostate health.This procedure can be performed both in the clinic and at home.If such treatment is prescribed for the first time, it is best to carry out the first course with a specialist.Massage is very effective for blockages in the glands.Prostate massage may cause some discomfort but only during the first days of treatment.In the future, there will be no pain and the patient will have a feeling of relief because after the procedure the feeling of heaviness that is common in chronic prostatitis will disappear.
There are special devices that replace rectal massage of the prostate.Improvement of microcirculation, reduction of swelling and stagnation is ensured thanks to the action of sound waves.The sensor of such a device works through the skin, so there is no need to insert the massager into the rectum.Such devices can be purchased at special medical stores.You should first consult a urologist and study the instructions.
Massagers can be used for preventive purposes;The duration of the procedure is determined by the doctor.
Any treatment prescribed by a urologist must be accompanied by proper nutrition and abstinence from alcohol.It is important to remember that hypothermia can lead to a worsening of the condition.