Prostatitis and prostate adenoma

Prostatitis is an inflammation of the prostate tissue, its swelling.This is a term for inflammation of the prostate gland.

Prostate gland- part of the male reproductive system that produces a specific secretion that nourishes and protects sperm.When the smooth muscle fibers of the prostate capsule and seminal vesicles contract, the seminal fluid is released into the urethra - ejaculation (ejaculation).

Prostatitis can only develop in men.According to statistics, in the last 20 years, the incidence of prostatitis has approximately doubled and now, at the dawn of the 21st century, it affects almost half of the male population of the Earth aged 20 to 50 years.It is generally accepted that after 30 years, 30% of men suffer from prostatitis, after 40%, 50 - 40%, etc.

Classification of prostatitis:

• spicy?
• asymptomatic inflammation;
• chronic bacterial;
• chronic pelvic pain inflammatory syndrome.

Complaints about prostatitis:

1. Various urination disorders associated with urethral stricture:
   • difficulty starting to urinate.
   • intermittent urination;
   • weak urine stream;
   • urinating drop by drop;
   • feeling of incomplete emptying of the bladder.
   • involuntary leakage of urine.
2. Symptoms caused by irritation of nerve endings:
   • Frequent urination;
   • Frequent urination at night.
   • urgent need to urinate;
   • urination in small portions.
   • urinary incontinence during urination.
3. Pain in the lower abdomen, groin areas, inner thighs or lower back.various sexual disorders may also occur.

There are several causes of prostatitis:

• sexually transmitted infections: chlamydia, ureaplasma, mycoplasma, herpes virus, cytomegalovirus, trichomonas, gonococcus, Candida fungus, E. coli can affect the urethra and be detected in prostate tissue.
• poor circulation in the pelvic organs (congestion in the prostate leads to its inflammation).
• sedentary lifestyle (drivers, office workers, employees);
• prolonged sexual abstinence, cessation of sexual intercourse or artificial prolongation of sexual intercourse.
• weakened immunity;
• frequent hypothermia (fans of extreme recreation: diving, surfing, kayaking and skiing);
• stress: mental and physical overload.
• violation of the allergic state.
• hormonal imbalance;
• deficiency of vitamins and trace elements.

Treatment of acute and chronic prostatitis

While, as a rule, there are no difficulties in treating acute prostatitis, chronic prostatitis cannot always be corrected.

There are general therapeutic strategies for the management of patients with acute prostatitis:

• Maintaining bed rest.
• Prescription of antibacterial drugs.
• Prohibition of prostate massage even for the purpose of obtaining prostate secretions.The ban is due to the high risk of rotting.
• Prescription of drugs aimed at normalizing blood microcirculation, increasing its fluidity and viscosity.Thanks to the effect of these drugs, it is possible to achieve the outflow of lymph and venous blood from the inflamed gland, reduce toxic manifestations and remove decay products from the body.
• Oral administration of NSAIDs or other analgesics in tablets.They are prescribed to reduce pain.
• In their practice, urologists widely use rectal suppositories to provide analgesic effects and reduce inflammation.They contain the same ingredients as tablet preparations, but thanks to local administration, the effect is enhanced.You can use suppositories for prostatitis with propolis.
• If the patient suffers from severe intoxication of the body, administration of rheological solutions, as well as detoxification agents and electrolytes in a hospital setting is indicated.
• Surgery is necessary if the ability to empty the bladder independently is completely absent or if a prostate abscess has formed.

The use of antibiotics to treat bacterial prostatitis is mandatory.If the disease begins acutely and there are symptoms of poisoning, then antibacterial drugs are prescribed as soon as possible.Waiting for the results of tests for bacterial flora in this case is impractical and dangerous.

The doctor chooses drugs from the group of fluoroquinolones.This can be Levofloxacin, Ciprofloxacin.Such empirical treatment is due to the fact that fluoroquinolones are active against bacteria that most often cause prostatitis - these are gram-negative pathogenic flora and enterococci.In addition, fluoroquinolones have a detrimental effect on gram-positive and anaerobic bacteria, as well as on atypical pathogens, such as chlamydia.By entering the metabolic processes of protein metabolism of bacteria, the antibiotic destroys their nucleus, leading to the death of the microorganism.

Also, these drugs are very effective in the treatment of prostatitis, as they have the ability to quickly penetrate the prostate tissue and seminal vesicles, accumulating there in high concentrations.The therapeutic effect is also enhanced by the fact that the prostate in an inflamed state has a very high permeability.

This group of drugs should also be replaced if, after 24-48 hours from the start of taking them, the patient's condition has not improved or if he does not tolerate them well.The drugs of choice in this case are macrolides, cephalosporin antibiotics or lincosamides.

Increasingly, the bacteria that cause prostatitis are becoming insensitive to most modern antibiotics.Because of this, prostatitis often cannot be completely cured and the disease becomes chronic.

If recovery does not occur after 14 days from the start of taking drugs, then the treatment regimen should be adjusted again, but the treatment for prostatitis cannot last less than 14-30 days.But the prescription of antibiotics is carried out by a doctor, focusing on the data of the clinical picture of the disease and the results of the bacteriological culture of the contents of the prostate with determination of the sensitivity of the cultured microorganisms to certain antibiotics.

Complications of prostatitis

Untreated acute prostatitis has every chance of developing into a chronic form of prostatitis, and men over 40 may develop prostate adenoma associated with hormonal imbalance (after 40 years, testosterone production in men decreases and estrogen secretion increases).

Prostate adenoma– benign prostatic hyperplasia is the presence of pathological benign growth of the prostate gland located in the periphery of the urethra.

Prostate adenoma is one of the most common diseases in older men.

After a detailed examination, signs of prostate adenoma at the age of 40-50 years are observed in 25% of men, at the age of 50-60 years - at 50%, at the age of 60-70 years - at 65%, at the age of 70-80 years - at 80%, over 80 years - at more than 90% of men.

Manifestations of prostate adenoma

The growth of the prostate tissue with age leads to swelling of the organ, which causes a narrowing of the urethra and is manifested by the following symptoms:

• increased frequency and difficulty urinating – urination becomes especially frequent at night.
• Impaired urine flow is one of the first symptoms of the disease, which most often goes unnoticed until other symptoms of the disease appear.
• feeling of incomplete emptying of the bladder - often disguised as frequent urination in the morning.Such men complain that, despite the normal frequency of urination during the day, in the morning they have to urinate 3-4 times with an interval of 10-15 minutes.
• Urgent (sudden, difficult to control) urge to urinate is one of the symptoms that make a man see a doctor.
• incontinence and urinary incontinence.

The main differences between prostatitis and prostate adenoma:

	Prostate adenoma	Prostatitis
What happens to the prostate gland?	One or more small nodules are formed, which gradually grow and compress the urethra.	Inflammation develops in the prostate tissue.
At what age is it most common?	Usually after 40 years.Less often - at a younger age.	Most often at the age of 20-40.
Why does it happen?	The exact reasons have not been fully ascertained.It is considered one of the manifestations of male menopause.	Main reasons: pathogens, infection; reduced immunity; sedentary lifestyle; infrequent or excessively frequent intercourse.
Features of treatment	Medicines are used, and in severe cases, surgical treatment (excision of overgrown prostate tissue).	Antimicrobials, anti-inflammatories and pain relievers are usually prescribed.

Preventive measures

There are also several recommendations that will improve men's health:

• Physical activity.You should set aside at least 10 minutes of your morning time to do some simple exercise.The same rule applies to sedentary work.
• A contrast shower is also a great way to improve your well-being.
• As for food, you should include raw pumpkin seeds in your diet (herbal medicines based on pumpkin seeds, nettle extract, palm extract + zinc and selenium in capsules. Normalizes testosterone metabolism and hormone levels, reducing the proliferation of prostate glandular tissue. Used in the morning and evening, repeat 1capsule, if necessary repeated 1 capsule. urination, relieves pain, restores potency Improves blood circulation in the prostate, relieves inflammation and, in combination with antibiotic treatment, reduces the treatment time for prostatitis and prevents the development of prostate adenoma), honey, garlic, prunes, parsley, walnuts or herbal medicines based on them.
• You need to avoid pickles, this is especially true of various sauces with the addition of vinegar - mayonnaise, ketchup, pickles, marinades, etc.
• Fight excess weight (improves metabolism throughout the body).
• Avoid wearing tight-fitting items in the crotch area: underwear, pants.

Avoid casual sex as a means of preventing sexually transmitted infections.Sex life should be smooth.Imperfect intercourse and unfulfilled erections are very harmful.