Prostatitis in men is a common inflammatory disease that, if left untreated, causes irreversible changes in the tissue of the prostate gland.The chronic form of the disease does not have clear symptoms, but it can appear during the exacerbation of the pathology.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.
A urologist must make a diagnosis, determine the form of the disease and prescribe treatment.
Symptoms of acute prostatitis
Acute prostatitis has the same symptoms in different forms.It can be catarrhal, parenchymal, follicular and abscess.With the development of acute inflammation of the prostate, the general state of health deteriorates rapidly.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 period, patients feel chills, headaches, 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 note pain in the rectum, some of them feel as if there is a foreign object in it.An inflamed prostate can also manifest itself as problems with bowel movements.
Acute prostatitis may be accompanied by symptoms similar to intestinal infections and inflammatory bowel disease.
This is explained by the enlargement of the prostate gland due to inflammation and increased swelling of its tissue, which puts pressure on the intestines.Therefore, the symptoms of acute prostatitis are sometimes shown by stool retention, flatulence, and a false desire to defecate.
In some cases, patients experience severe pain during bowel movements.The manifestation of this disease is also possible with an increase in unpleasant sensations in the central region of the stomach.Often, acute prostatitis may have symptoms such as discharge from the anus in the form of mucus, which is associated with the occurrence of inflammation in the rectum itself.Since acute prostatitis very often has symptoms related to the involvement of the intestine in the pathological process, sometimes it is not possible to palpate the rectum because of severe pain in the rectum.
The first symptoms of acute prostatitis may look like inflammation of the urinary tract.Before problems in the prostate become apparent, difficulty emptying the bladder may arise.
Problems with urination of various types almost always accompany acute prostatitis.
A man may feel pressure inside, as well as a feeling of incomplete emptiness.The flow of urine during inflammation of the prostate gland often becomes weak.Some patients complain of a complete inability to urinate.Symptoms of prostatitis in men indicate the need for quick medical intervention, because with acute urinary retention, intoxication increases, which is indicated by severe headache, lack of appetite, vomiting, and jaundice on the skin.This condition is dangerous and requires immediate hospitalization.
Symptoms of chronic prostatitis
Chronic problems with the prostate are not always clearly indicated;the symptoms can be so subtle that men attribute the appearance of fatigue and weakness to other conditions.Patients most often find out that such a disease exists during a medical examination or when visiting a doctor about another disease.
Often chronic prostatitis accompanies other genitourinary diseases, for which the patient consults a doctor.
What are the symptoms of chronic inflammation in the prostate?This is discomfort and heaviness in the perineum, burning and pressure in the urethra when emptying the bladder.Discharge from the urethral canal and purulent threads in the urine may appear.Such signs and symptoms should alert you and be a reason to visit a urologist.
Often, chronic glandular diseases are accompanied by problems in the intimate area.
Prostatitis can cause accelerated ejaculation, sluggish orgasm, and decreased potency.Sometimes a man completely loses interest in sexual relations, and he becomes more aggressive and depressed.Some patients experience insomnia and general fatigue.Fears related to sexual activity and failure during sexual intercourse also appear, which sometimes leads to nerve damage.The treatment is also necessary, so in some situations the attending physician may refer the patient to consult a psychotherapist.
Constant nervous stress reduces immunity, which worsens the course of the disease.
Therapeutic measures
Before treating prostatitis, the urologist prescribes an examination for the patient.A man must donate blood for PSA levels, iron, and general urine tests.Prostate juice is also subject to examination.
It is impossible to cure prostatitis on your own.Some men try to improve the condition of the glands by using unconventional or folk methods that can reduce the symptoms of the disease.As a rule, prostatitis then worsens, and without further treatment the disease leads to complications - hardening of glandular tissue, impaired urination, and loss of reproductive function.
Treatment prescribed in the early stages of prostatitis is more effective.A rapid improvement in the patient's condition is facilitated by an exclusively comprehensive approach.
It is important to consult a doctor in time to prescribe treatment.
Great importance is given to the causes of prostate dysfunction.If the provoking factor is not identified, the likelihood of disease recurrence is very high.
Urologists choose the type of treatment depending on the form and stage of prostatitis.Doctors take into account the presence of concomitant diseases, some of which may be contraindications for prescribing certain drugs to patients.
For bacterial prostatitis
The basis of therapy for the acute form of this disease is antibacterial agents.It is very important that the patient remains in bed during treatment.With this type of prostatitis, you should not massage the prostate gland under any circumstances.Even collecting prostate juice in this way is prohibited.This is due to the high probability of septic complications.
In the case of acute inflammation of the prostate caused by infection, it is necessary to limit physical activity as much as possible.
For bacterial prostatitis, agents are shown to improve microcirculation in glandular tissue.
The effectiveness of the drugs is due to the fact that they restore the outflow of lymph fluid and blood from the prostate, helping to reduce the symptoms of hangover.
Since bacterial prostatitis is almost always accompanied by acute pain, patients are given NRVS and analgesics that reduce discomfort and pressure both in the perineum and in the rectum.Patients are shown analgesic drugs that not only reduce pain, but also help reduce the severity of the inflammatory process.
Rectal suppositories have a good effect, they work quite effectively because they are close to the rectum and the prostate gland.Suppositories may contain natural ingredients, for example, honey, propolis, bovine prostate extract.All these components are safe, but at the same time very effective.
In cases of significant intoxication, the solution is given to the patient.If the examination reveals a prostate abscess or the patient has urinary retention, surgical treatment is indicated.
Bacterial prostatitis therapy is based on the use of antibacterial drugs that belong to the fluoroquinolones group.This type of drug is effective in activating gram-negative pathogenic flora.
For the most accurate treatment prescription, it is necessary to conduct a culture test for sensitivity to antibiotics.
Doctors say that such drugs should be prescribed only after identifying the type of microorganism that causes prostate disease.Fluoroquinolones can cause side effects if the patient has liver or kidney dysfunction.Sometimes patients experience changes in the digestive tract and nervous system.Possible drop in blood sugar, heart problems.
If pathogenic microorganisms that are not sensitive to fluoroquinolones are identified, the patient is given macrolides or cephalosporins.These drugs are also indicated when patients experience side effects from previous drugs.If there is no improvement after two weeks, the urologist should reconsider the treatment regimen.
For chronic diseases
The therapeutic method of chronic prostatitis largely depends on its stage.In case of exacerbation of the disease, treatment is carried out in the same way as for the acute bacterial form.
For chronic prostatitis, antibiotics are often prescribed in tablet form.
For the characteristic symptoms of the remission state, antibiotics, herbal antiseptics, non-steroids, as well as drugs that help increase the outflow of lymph from the glands may be indicated.
Great importance is also given to drugs that help improve the function of the immune system.Natural preparations of herbs help reduce the swelling of prostate tissue.These same drugs reduce pain, which is sometimes present with chronic prostatitis.
Since this disease is often accompanied by depression and anxiety, patients may be prescribed sedatives and antidepressants.
Physical therapy has a good effect.Special exercises help restore blood supply to the glands, improve muscle tone, and improve mood.
Exercise therapy classes are best conducted under the guidance of a trainer with a medical education.
As an additional measure, patients undergo a course of physiotherapeutic procedures that restore microcirculation, relieve tension in the pelvic area, and relieve pain.Laser therapy, electrophoresis, and treatment with magnets have a good effect.
Rectal massage has a positive effect on prostate health.This procedure can be carried out in the clinic and at home.If such treatment is prescribed for the first time, it is better to conduct the first course with a professional.Massage is very effective for congestion in the glands.Prostate massage can cause some discomfort, but only in the first days of treatment.In the future, there should be no pain, and the patient experiences a feeling of relief, because after the procedure, the feeling of heaviness, which is often observed with chronic prostatitis, disappears.
There is a special device that replaces the rectal massage of the prostate gland.Improving microcirculation, relieving swelling and stagnation is ensured by the action of acoustic waves.The sensors of such devices act through the skin, so insertion of the massager into the rectum is not required.Such devices can be purchased at special medical stores.You should first consult with a urologist and also study his instructions.
Masseurs 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 an exacerbation of the disease.