The prostate or iron of the prostate is at the base of the bladder.The organ produces seed fluid, which is thrown into the urethra during ejaculation.The secret of the prostate gland creates optimal conditions for the life of sperm outside a man's body.
Prostate events
Prostate activity is controlled by men's sex hormones.During adolescence, the level of testosterone increases, which causes active growth of the prostate gland.The prostate has the maximum volume in 20-40 years.
Prostatitis
The causative agent of infectious prostatitis in most cases is bacteria or viruses.Less often, the disease can be a complication of inflammatory urological diseases - epididymitis, urethritis, cystitis.
Non -infection of prostatitis in its manifestations is practically no different from infectious.The differences are related to the results of the examination: in this type of disease, the pathogen is not detected.
Symptoms
In most cases, prostatitis begins strongly.There are three forms of acute prostate damage:
- Catarrhal, accompanied by a small disorder of urination and mild pain behind the pubis and the anus area.
- Folicular, in which urination and pain are expressed stronger.
- Pydy, accompanied by severe pain, fever, deterioration of general condition and urine discharge problems.The spread of infection in the scrotum leads to inflammation of the testicles (orchitis).Sometimes purulent abscesses appear in the pelvis.
Without treatment, the disease comes in chronic form.Acute symptoms recede, expressing magazines during the hypothermia, to the offseason (Spring-Fast).
Sometimes the disease immediately gets a chronic course.In this case, the symptoms of the disease are gradually increasing, which forces many men to associate them not with prostatitis, but with age -related changes.
In chronic prostatitis, there are:
- Frequent urination, the appearance of sudden push, especially at night.
- Slow, intermittent, weak urine pressure.
- pain during ejaculation.
- Problems with power.
Pathological changes affect the walls of the bladder, kidneys and nerve knittings that go to the prostate.This leads to the appearance of pain below back and difficulties by rejecting the urine.There is pain during erection and ejaculation.
Unpleasant phenomena recede when they prescribe adequate treatment.The sooner the patient begins to be treated, the greater the opportunity to fully restore health.
To make a diagnosis of prostatitis,:
- General examination, history of the analogous, evaluation of complaints and the severity of symptoms;
- An examination of the rectum finger, which determines the size of the prostate, its density and other parameters.
- The study of liquid abrasion, urine and seeds in SPPP.
Treatment of prostatitis
The treatment is selected according to the causes of chronic inflammation in the prostate gland.In the case of infection, a well -selected course of drugs can completely eliminate the cause of the inflammatory process.
In the event of complications, the treatment is intended to eliminate them.The patient has prescribed medicines and procedures that improve microcirculation that relieve edema that eliminates pain and smooth the function of the gland.
It is easier to cure the inflammation of the prostate gland when diagnosed at the beginning of disease development.However, modern medicine allows to help patients in whom the disease has become chronic.
To avoid exacerbations of the chronic form of the disease, a treatment against aircraft is performed to control the course of prostatitis, avoiding complications.
Therefore, prostate massage, intake and anti -inflammatory drugs are prescribed.In advanced chronic cases, when treatment does not give the desired result, the prostate gland is removed surgically.
Important factors for prostatitis
- Treatment is only possible after a precise diagnosis.
- In advanced cases, you can significantly improve the patient's condition and improve the quality of life.
- The disappearance of the symptoms of prostatitis is not an indication of the end of the treatment.
- The disease does not go to cancer.
- Prostatitis is no reason to deny sex, except for an acute period, accompanied by pain during erection and ejaculation.
Prostate adenoma
ADenoma - benign hyperplasia (increase) of the prostate gland.In recent years, the disease has been "younger".Prostate growth dumps are even 30 years old patients.In this group, the probability of adenoma detection is about 10%.
At the age of 65, an increased prostate is detected in every second human being.In patients over 70 years, the dimensions of the prostate gland exceed the rule in almost 90% of cases.
A dangerous manifestation of prostate adenoma is the formation of nodes that compress the urethra.Nodes formations increase slowly because the urination violation gradually develops.
According to the most common theory, the development of prostate adenoma is a consequence of hormonal imbalance, which develops with age in a human body.
Symptoms
Each fourth patient has difficulties in urination.The powerful bladder muscles are initially able to push the urine outward.However, as the adenoma progresses, compensatory mechanisms cease to face and the patient has problems with urination:
- Intermittent current;
- Weak urine "pressure".
- tightening the urination process;
- a feeling of inadequate bladder evacuation.
- Spasting aches.
The more the adenoma becomes, the more intense the symptoms become.The impulse becomes more often and begins to disturb the night.In advanced cases, a paradoxical phenomenon is formed: the constant irritation of the bladder wall leads to the uncontrolled decrease and urinary incontinence.
The stagnant phenomena of the bladder lead to its inflammation (Cysti) and cause stones to form.Gradually, the infection increases in the kidneys, causing purulent inflammation - pyelonephritis.The extension of the renal-hydrobia cup-to-feet can grow.As a result, the patient has kidney failure.
Continuous erection during urination in elderly patients causes hearts and blood vessels.Even cases of strokes that occurred when trying to "squeeze" the urine are described.
Diagnosis
During the examination, the urologist evaluates the patient's physical condition and the prostate gland.Prostate evaluation includes the determination of its size, consistency and form.
The patient defines a general urine analysis, an ultrasound of the pelvic organs, an ultrasound of the bladder to determine the level of residual urine, the prostate ultrasound using a rectum sensor, cystoscopy and urophyte.The number of necessary tests may vary depending on the characteristics of the course of the disease.
Treatment
You can reduce the severity of the symptoms in a variety of ways.The most effective of these are the adjustment of the drinking regime, the rejection of coffee and alcohol.In this case, calls at night will annoy the patient much less.
Two groups of drugs are used to treat the prostate adenoma:
- Alpha inhibitors enhance urine outflow along the urinary tract.Patients have improved in the condition almost immediately after initiation of treatment.Side effects include dizziness, reduced blood pressure, general weakness.
- Fridays that prevent testosterone reduce the gland.The result is remarkable after a few months.
Currently, the most effective and safe is the combined purpose of alpha inhibitors and testosterone inhibitors.
Perforative prostate resection is the most effective way to remove adenoma and restore normal urination.Conducting surgery does not require skin cuts.All tools and camera are inserted through the urethra.The prostate fabrics are removed from an operator equipped with an electric loop.