treatment of prostatitis in men

Prostatitis is a disease associated with inflammation of the prostate gland. It can develop in men of any age and be chronic or acute in nature. There are diagnostic problems, so patients often seek help from a doctor when prostatitis is in an advanced form and traditional treatment does not help. The danger lies in the high probability of developing prostate cancer and complete infertility.

If prostatitis is diagnosed in a timely manner, treatment lasts only 2 weeks, after which the man will only need to follow the doctor's recommendations and periodically undergo follow-up examinations. In this case, there will be no complications after suffering prostate inflammation - reproductive abilities are preserved in full, even if prostatitis occurs with acute symptoms.

Prostatitis does not develop out of nowhere, the cause of the onset of the inflammatory process is E. coli, mycoplasma, streptococci, staphylococci, trichomonas and other pyogenic microorganisms. Its peculiarity is very rapid reproduction and rapid destruction of prostate tissue. The main causes of the disease are:

  • any inflammatory diseases of the urinary system - cystitis, pyelonephritis, urethritis;
  • chronic fecal disorders - in particular, constipation, in which men have the need to strain and prostatitis develops as an organ response to pressure;
  • infections from distant foci - severe forms of tonsillitis, pneumonia, flu, when prostatitis is directly related to the penetration of infectious agents into the glandular tissue;
  • frequent hypothermia or, conversely, overheating - may be associated with the characteristics of labor activity;
  • lack of regular sexual activity, physical inactivity - prostatitis causes stagnation of secretions in the prostate tissues and is often the cause of prostatitis in a 40-year-old man;
  • weakened immunity due to serious hormonal imbalances;
  • sexually transmitted infections - gonorrhea, trichomoniasis, chlamydia;
  • frequent urinary retention – an enlarged bladder puts strong pressure on the prostate;
  • injuries in the pelvic region.

Most often, prostatitis develops after the infection penetrates the prostate tissue through the urethra, and much less often through the bloodstream or lymphatic system. Prostatitis has a very important provoking factor - a general weakening of the immune system, if this occurs as the body's response to stress, constant fatigue, nervous exhaustion, emotional outbursts.

Men should have a regular sex life and their lifestyle should be active. Otherwise, stagnation of secretion occurs in prostate tissues, which is an ideal environment for the proliferation of pathogenic microorganisms - prostatitis develops quickly. Inevitably, prostate cells suffer from a lack of oxygen, which only increases the chances of prostatitis spreading beyond the organ - the inflammation will also affect nearby organs.

Types of prostatitis in men, features of the course

Depending on the cause of origin, there are several types of prostatitis:

  • bacterial prostatitis - begins against the background of the penetration of infection into the prostate tissue; the diagnosis of this type of prostatitis often occurs in young and elderly men;
  • congestive prostatitis - caused by a sedentary lifestyle, lack of regular sex life in men and pelvic injuries, often accompanied by infection and then prostatitis becomes a mixed type;
  • calculous prostatitis - develops as a consequence of an untreated chronic form of the disease; This prostatitis is most often found in older men.

According to the form of occurrence, prostatitis is divided into acute and chronic. Diagnosis of the acute form of the disease is rare; treatment should only be carried out in a hospital setting, as prostatitis occurs with severe symptoms. Chronic prostatitis is characterized by a "sluggish" clinical picture, periodic remissions, complete absence of specific symptoms and rapid transformation into serious problems - degeneration of healthy prostate cells into malignant ones, cessation of secretion production and decreased sperm secretion.

Symptoms and diagnosis of prostate inflammation

Symptoms directly depend on what type of prostatitis begins to develop in the prostate tissues:

  • bacterial prostatitis - high body temperature, presence of blood or pus in the urine, problems urinating (thin, weak stream, "dripping" urine production), acute pain in the perineum, general health problems;
  • calculous prostatitis - weak erection or complete absence, blood in the urine, these symptoms of prostatitis are most often present in men aged 50 and over;
  • congestive prostatitis - discomfort in the perineum and testicles, partial or complete absence of erection, inadequate urination.

Chronic prostatitis is distinguished by a "blurred" clinical picture, all symptoms are not expressed and can be periodically disturbing. But if men feel pain in the groin and testicles within 2 to 3 months, the general body temperature increases and the libido decreases, it means that you need to see a doctor, confirm the diagnosis of "chronic prostatitis" and undergo treatment. It is worth knowing the following nuances:

  • the symptoms of prostatitis in men aged 50 are weakened erections and a feeling of heaviness in the groin, but pain may be completely absent;
  • symptoms of prostatitis in men aged 30 always manifest themselves acutely and the first sign is a violation of urination: the enlarged prostate puts pressure on the bladder and men simply cannot go to the toilet;
  • Symptoms of prostatitis in men aged 60 may be absent - at this age prostatitis is often chronic, but the complete absence of an erection can be disturbing.

A doctor can prescribe effective treatment only after diagnosing the disease - prostatitis often has symptoms of other diseases of the genitourinary system. Therefore, the patient's complaints alone are not enough to make the diagnosis, and the following are prescribed:

  • rectal examination;
  • laboratory examination of prostate secretion;
  • analysis to identify/refute sexually transmitted infections;
  • ultrasound examination of the prostate;
  • computed tomography of the organ.

As additional examinations, ultrasound examinations of the pelvic organs and scrotum may be prescribed. It may be necessary to involve specialized specialists to exclude or confirm concomitant diseases.

Treatment - general principles, course duration

The symptoms of prostatitis in men and its treatment are directly related, because when prescribing therapy, the doctor must first of all alleviate the patient's general condition. Men often experience severe pain, which means treatment should begin with painkillers. How to treat prostatitis is determined by a urologist or andrologist, and most often the following medications will be prescribed:

  • non-steroidal anti-inflammatory drugs and diuretics - prostatitis is manifested by a violation of the urinary process;
  • antispasmodics and muscle relaxants - prostatitis is accompanied by severe pain in the groin;
  • supporting prostate functionality and alpha-blockers.

Is lack of erection due to prostatitis treated? Yes, for these complaints, the doctor prescribes specific medications that improve the blood supply to the genital organ and cleanse the prostate vessels of waste products and toxins. If symptoms of prostatitis are detected in men over 40 years of age, no additional medications are needed to restore an erection - as soon as the inflammatory process is stopped, all sexual abilities will be restored. But if the cause of prostatitis in men over 30 is sexually transmitted diseases (sexually transmitted infections), then to restore sexual activity you will need to undergo additional treatment for the identified infection.

The best treatment is comprehensive, and therefore, to stop prostatitis as quickly as possible, it is necessary to follow some doctor's recommendations:

  • drink at least 2 liters of fluid per day - prostatitis is characterized by stagnation of secretions and will need to be quickly removed from the tissues to reduce the load on the organ and reduce its swelling;
  • adhere to bed rest - treatment cannot be combined with physical activity, as this will irritate the organ, prostatitis will only progress, which will make the treatment long and ineffective;
  • exclude spicy, sour, fatty foods and alcohol from the diet - these are also irritants, which will only worsen prostatitis.

As soon as the signs of the disease become less pronounced, it will be necessary to restore sexual activity. Prostatitis will be cured much faster if you ensure regular drainage of the prostate gland and do not allow even a slight stagnation of secretions in its tissues.

If drug treatment does not give positive results, prostatitis occurs in a chronic form with frequent relapses, then this is a reason for surgical intervention. The operation can be of two types:

  • transurethral resection – the surgeon removes prostate tissue affected by prostatitis;
  • prostatectomy – prostatitis poses a real danger to a man's life, so the prostate and seminal vesicles with adjacent tissues are completely removed.

Operations are not performed at a young age, as they can lead to complete infertility - prostatitis is treated with therapeutic methods, physiotherapeutic procedures can be prescribed in addition to medications. The treatment time for prostatitis depends on the stage and form of the disease, the degree of neglect. Treatment usually lasts 2 weeks, but this number is very average.

It is possible to completely cure prostatitis, it is only important to consult a doctor in time. Treatment must be prescribed individually: traditional methods do not help at all to stop prostatitis, but they can accelerate the appearance of complications.