The prostate, or prostate iron is located at the base of the bladder.The organ produces seed juice, which is poured into the urethra.The secret of the prostate gland creates optimal conditions for the life of sperm outside a human body.
Facts about prostate
Prostate activity is controlled by sex hormones for men.During puberty, testosterone levels rise, which causes active increase in the prostate gland.The prostate has the maximum volume in 20-40 years.
Prostatitis
The causative agent of infectious prostatitis is in most cases bacteria or viruses.Less often, the disease can be a complication of inflammatory urological diseases - epididimitis, urethritis, cystitis.
Non -infectious prostatitis in its manifestations practically does not differ from infectious.The differences are about the results of the examination: in this type of disease, the pathogen is not detected.
Symptoms
In most cases, the prostate begins acutely.There are three forms of acute prostate damage:
- Catarrhal, accompanied by a minor disorder of urination and mild pain after pubis and in the anus area.
- Follicular, in which urination and pain are expressed stronger.
- Purulent, accompanied by severe pain, fever, deterioration of the general condition and problems with urine discharge.The spread of infection in the scrotum leads to inflammation of the testicles.Sometimes purulent abscesses in the pelvis occur.
Without treatment, the disease goes into a chronic form.Acute symptoms are descended, periodically manifesting during hypothermia, in the outside season (fast spring).
Sometimes the disease immediately acquires a chronic course.In this case, the symptoms of the disease gradually increase, which forces many men to associate them not with prostate but with age -related changes.
In chronic prostatitis, there are:
- frequent urination, the appearance of a sudden request, especially at night;
- slow, interrupted, weak urine pressure;
- pain during shedding;
- Problems with power.
Pathological changes affect the bladder walls, kidneys and nerve plexuses that go to the prostate.This leads to the appearance of back pain and difficulties with urine discharge.There is pain during lifting and spilling.
Unpleasant phenomena decrease when prescribing adequate treatment.The sooner the patient begins to be treated, the higher the chance to completely restore health.
To make a prostate diagnosis ,:
- overall examination, history of anamnesis, evaluation of complaints and severity of symptoms;
- An examination of the finger rectum, during which the prostate size, its density and other parameters are determined;
- Study of staining juice, urine and seed in SPPP.
Treatment of prostatitis
Treatment is resolved depending on the causes of chronic inflammation in the prostate gland.In the case of infection, a well -chosen course of medication can completely eliminate the cause of the inflammatory process.
In case of complications, treatment is aimed at eliminating them.Patients are prescribed medicines and procedures that improve microcirculation that relieve edema that eliminate pain and normalize the function of the gland.
It is easier to treat inflammation of the prostate gland when diagnosed at the beginning of the development of the disease.However, modern medicine allows the help of patients in which the disease has become chronic.
To prevent the worsening of the chronic form of the disease, a treatment against the administration is performed to control the flow of prostatitis, avoiding complications.
For this, prostate massage, taking and anti -inflammatory drugs are prescribed.In advanced chronic cases, when treatment does not give the desired effect, surgical removal of the prostate gland is performed.
Important factors in relation to prostatitis
- The appointment of treatment is only possible after you have made an accurate diagnosis.
- In advanced cases, you can significantly improve the patient's condition and improve the quality of his life.
- The disappearance of prostatitis symptoms is not an indicator for the completion of treatment.
- The disease does not go to cancer.
- Prostatitis is not a reason to refuse sex, except for an acute period, accompanied by pain during elevation and spill.
Prostate adenoma
Adenoma - benign hyperplasia (growth) of the prostate gland.In recent years, the disease has been "younger".Cases of prostate growth are even found of patients aged 30 years.In this group, the probability of adenoma detection is about 10%.
At the age of 65, an adult prostate is discovered in every second person.In patients over 70 years of age, the dimensions of the prostate gland exceed the rate in almost 90% of cases.
A dangerous manifestation of prostate adenoma is the formation of joints that compress the urethra.Nodes formations are slowly increasing because urination violation develops gradually.
According to the most common theory, the development of prostate adenoma is a consequence of hormonal imbalance, which develops with the age in a human body.
Symptoms
Everyone fourth patient marks difficulty in urination.The strong bladder muscles are initially able to squeeze the urine from the outside.However, as Adenoma progresses, the compensatory mechanisms cease to cope, and the patient has problems with urination:
- interrupted flow;
- poor "pressure" of urine;
- tightening the urination process;
- a feeling of incomplete bladder emptying;
- Spasmodic pain.
The more adenoma becomes, the more pronounced the symptoms become.The demand is made more often and begins to worry at night.In advanced cases, a paradoxical phenomenon is formed: the constant irritation of the bladder wall leads to its uncontrolled decrease and urinary incontinence.
Stretched bladder phenomena lead to its inflammation (cyst) and provoke the formation of stones.Gradually, the infection grows in the kidneys, causing their purulent inflammation - pyelonephritis.The expansion of the kidney-hydronephrosis bowl can develop.As a result, the patient has kidney failure.
Continuous strain during urination in elderly patients causes hearts and blood vessels.Even cases of strokes that arise when trying to "squeeze" urine.
Troubleshooting
On examination, the urologist evaluates the patient's physical condition and his prostate gland.Prostate evaluation involves determining its size, consistency and shape.
The patient describes a general analysis of urine, an ultrasound of the pelvic organs, an ultrasound of the bladder to determine the remaining urine level, ultrasound of the prostate gland using a rectal sensor, cystoscopy and urofluometry.The number of examinations needed may vary depending on the characteristics of the course of the disease.
Treatment
You can reduce the severity of the symptoms in different ways.The most effective of them are the regime of drinking, refusal of coffee and alcohol.In this case, at night calls will disturb the patient much less.
For the treatment of prostate adenoma, two groups are used:
- Alpha blockers that increase urine flow along the urinary tract.Patients mark an improvement in the condition almost immediately after the onset of treatment.Side effects include dizziness, lower blood pressure, general weakness.
- Preparations that block testosterone reduce the gland.The effect is visible after a few months.
Currently, the most effective and secure is the combined goal of alpha blockers and testosterone blockers.
Transureral prostate extraction is the most effective way to remove adenoma and restore normal urination.Performing surgical intervention does not require the performance of skin cuts.All tools and camera are presented through the urethra.Prostate fabrics are removed by a manipulator equipped with an electric loop.