Prostatitis is inflammation of the prostate gland, an organ so important to the male body that it is not without reason called the "second heart of a man".
This gland is shaped like an open pillow located under the bladder. The mouth of the bladder and (partially) the urethra pass through the gland cushion. Structurally, the prostate gland is made up of many tubulo-alveolar glands connected by muscle tissue.
Purpose of the prostate gland:
- produce the secretory fluid necessary for the liquefaction, storage and transport of sperm,
- regulation of the urination process.
Prostatitis is of two types: acute and chronic, with chronic prostatitis accounting for 95% of the total number of prostatitis diseases.
Foracute prostatitisall signs of a feverish state are characteristic:
- frequent painful desire to urinate;
- painful urination;
- painful bowel movements;
- increased sweating;
- fever and fever;
- a state of apathy and sleepiness;
- rapid fatigue and a feeling of general weakness;
- decrease in power.
Chronic prostatitismuch more insidious: producing destructive work in the prostate gland, it reveals little of its presence. As a rule, the urge to urinate at night (meaning getting out of bed in the middle of the night to go to the bathroom) and an unexpressed feeling of discomfort in the groin are typical of chronic prostatitis. Unfortunately, few men value these symptoms.
All of the above symptoms can be observed at the same time or can be selectively (only a few symptoms); There are, however, situations in which a man does not correlate these symptoms with a disease of the genitourinary sphere, but explains the malaise with an emotional state and fatigue.
Prostate health is, alas, very fragile. According to medical statistics, this gland becomes inflamed very easily. It is almost impossible to name a cause that will certainly not provoke inflammation of the prostate gland.
The causes of prostatitis
- penetration of infection; it can be an infection that has spread from a nearby organ (for example, an inflammatory process in the urethra, bladder, testicles, epididymis) or from a very distant one - from inflamed glands (tonsillitis), ear (otitismedia), teeth (caries), even nail and skin infections.
The causative agents of infection can be a wide variety of bacteria and viruses, as well as various pathogenic fungi and viruses.
- exacerbation of stagnant processes both in the prostate gland itself, and in general in the urogenital area of a man, i. e. inflammation without carrier of infection.
Stagnation in the genitourinary sphere is a common occurrence. It means that a man has problems with a correct lifestyle, and, as a rule, these problems are often caused by a sedentary lifestyle and are so connected that, according to authoritative scientists, the extent and completeness of prostatitis in our time is onetax on the benefits of civilization. In addition, prostatitis awaits those who are excessively sexually active and those who lead an ascetic lifestyle.
It is unequivocally possible to predict the appearance of prostatitis in men who have promiscuous sexual intercourse even if they observe barrier contraception.
Who is at risk?
The enemies of prostate health are excess weight, alcohol, smoking, the use of inappropriate clothing (tight, synthetic or out of season), hypothermia, frequent travel by means of transport (on anyvehicle, but especially on cars and motorcycles), and it doesn't matter, in what quality: a driver or a passenger. Those men who are forced to make frequent trips are exposed to the double threat of prostatitis: both from the constant shaking, and from the inability to empty the bladder and intestines at the first impulse.
Shaking prostatitis has become so common that doctors have called it the second coming of "Scythian disease" ("Scythian disease" - riding prostatitis). From constant shaking, microtrauma to the perineum occurs, which has a cumulative effect and, as a result, manifests itself as problems typical of a single severe injury.
Consequences of prostatitis
Complications of prostatitis: impotence and infertility, prostate adenoma, prostatic sclerosis (death of the gland), prostate cystsand many other diseases. To date, medicine has accumulated a sufficient number of examples demonstrating mutual addictionprostatitis and prostate cancer.
The frightening scale of prostatitis does not mean despair in the face of this very insidious disease. They only talk about the underdevelopment of the culture of visiting doctors. Statistics say that 90% of patients who see a doctor have developed prostatitis and there are few patients diagnosed with the early stage of the disease.
True, in recent years doctors have spoken of small, but distinct positive advances in this area: the number of patients requiring preventive treatment has increased. As a rule, these are young men with a so-called active lifestyle. The medical community welcomes this effort in every possible way.
Establishing the very fact that you have prostatitis is only half the battle. The main thing is to find the reason that caused it. For this, he should conduct a diagnostic examination.
A patient who comes to the clinic for the diagnosis of prostatitis will be offered to undergo:
- PCR for genital infections,
- Ultrasound and TRUS of the prostate, bladder and seminal vesicles,
- microscopy of prostatic secretion,
- sow the secretion of the prostate gland to determine the causative agent of infection (this is necessary to determine sensitivity to antibiotics and the choice of the appropriate antibiotic),
- various urine tests,
- palpation of the prostate.
All these tests are needed to select a treatment, otherwise it would become symptomatic (aimed only at relieving pain symptoms, without affecting the treatment itself).
Treatment of acute prostatitis and treatment of chronic prostatitis have significant differences.
Treatment of prostatitis
Treatment for acute prostatitis is generally complex and can include:
- antibacterial therapy,
- anti-inflammatory therapy,
- laser therapy,
- massage of the prostate gland.
Treatment of chronic prostatitis is always individual and depends on the medical history (the type of prostatitis) and the individual characteristics of the patient.
The most common type of prostatitis is bacterial prostatitis. Antibiotics for its treatment are prescribed taking into account the sensitivity of the microbes that caused them.
In order for the treatment to be as effective as possible, antibacterial therapy is combined with laser therapy, prostate massage, as well as anti-inflammatory and restorative therapy.
Prostate massage is necessary to squeeze purulent masses from the prostate, which are always present with inflammation of the prostate.
In chronic prostatitis, antibiotics are ineffective as the only form of treatment; a combination with other methods is required.
After the course of treatment, a control ultrasound of the prostate and a control analysis of the secretion of the prostate gland are required.
The prognosis of the treatment of prostatitis is favorable (the prognosis of the treatment of prostatitis at an early stage is successful).