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 the sperm.When the smooth muscle fibers of the prostate capsule and the seminal vesicles contract, the seminal fluid is released into the urethra - ejaculation (ejaculation).

Prostatitis can develop only in men.According to statistics, over the past 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 between the ages of 20 and 50.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.

Prostatitis complaints:

1. Various urination disorders associated with the narrowing of the urethral lumen:
   • difficulty starting to urinate;
   • intermittent urination;
   • poor flow of urine;
   • urination drop by drop;
   • the feeling of incomplete emptying of the bladder;
   • involuntary flow of urine.
2. Symptoms caused by irritation of nerve endings:
   • frequent urination;
   • frequent urination at night;
   • urgency 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 can also appear.

There are several causes of prostatitis:

• sexually transmitted infections: chlamydia, ureaplasma, mycoplasma, herpes virus, cytomegalovirus, trichomonas, gonococcus, Candida mold, E. coli can affect the urethra and be detected in prostate tissue;
• poor circulation in the pelvic organs (the load on the prostate leads to its inflammation);
• sedentary lifestyle (drivers, office workers, officials);
• prolonged sexual abstinence, interrupted sexual intercourse or artificial prolongation of sexual intercourse;
• impaired immunity;
• frequent hypothermia (lovers of extreme recreation: diving, surfing, kayaking and skiing);
• stress: mental and physical overload;
• violation of allergic status;
• hormonal imbalance;
• lack of vitamins and microelements.

Treatment of acute and chronic prostatitis

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

There are general treatment tactics for managing 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 developing sepsis.
• 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 lymphatic 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 increases.You can use suppositories for prostatitis with propolis.
• If the patient suffers from a severe intoxication of the body, the administration of rheological solutions, as well as detoxifying agents and electrolytes in a hospital setting is indicated.
• Surgery is necessary if the ability to empty the bladder independently is completely absent, or a prostate abscess has formed.

The use of antibiotics for the treatment of bacterial prostatitis is mandatory.If the disease begins acutely and symptoms of intoxication are present, 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 empiric therapy is due to the fact that fluoroquinolones are active against bacteria that most often provoke prostatitis - these are gram-negative pathogenic flora and enterococci.In addition, fluoroquinolones have a harmful effect on gram-positive and anaerobic bacteria, as well as on atypical infectious agents, such as chlamydia.Getting into 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 increased by the fact that the prostate in an inflamed state has a very high permeability.

This group of drugs should be replaced even 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, antibiotics from the cephalosporin group 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 medications, then the treatment regimen should be adjusted again, but therapy for prostatitis cannot last less than 14-30 days.But the prescription of antibiotics is carried out by the 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 the determination of the sensitivity of the cultivated microorganisms to certain antibiotics.

Complications of prostatitis

Acute untreated 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).

Adenoma of the prostate- benign prostatic hyperplasia is the presence of benign pathological growth of the prostate gland located in the perimeter of the urethra.

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

After 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 - in 50%, in 60-70 years - in 65%, in 70-80 years - in 80%, over 80 years - in more than 90% of men.

Manifestations of prostate adenoma

The growth of prostate tissue with age leads to an enlargement 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.
• weakening of the flow of urine is one of the first symptoms of the disease, which most often goes unnoticed until other symptoms of the disease appear.
• a 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.
• The imperative urge (sudden, difficult to control) to urinate is one of the symptoms that forces a man to go to the doctor.
• incontinence and urinary incontinence.

The main differences between prostatitis and prostate adenoma:

	Adenoma of the prostate	Prostatitis
What happens in the prostate gland?	One or more small nodes are formed, which gradually grow and press the urethra.	Inflammation develops in the prostate tissue.
At what age does it appear most often?	Usually after 40 years.Less often - at a younger age.	Most often at the age of 20-40 years.
Why does it happen?	The exact reasons have not been fully established.It is considered one of the manifestations of male menopause.	Main reasons: pathogens, infections; decreased immunity; sedentary lifestyle; infrequent or too frequent sexual intercourse.
Features of treatment	Medications and in severe cases surgical treatment (removal of the enlarged prostate tissue) are used.	Antimicrobials, anti-inflammatories and pain relievers are usually prescribed.

Preventive measures

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

• Physical activity.You should take at least 10 minutes of your morning time to do some simple exercises.The same rule applies to sedentary work.
• A contrast shower is also a great way to improve your well-being.
• In terms of food, you should include raw pumpkin seeds in your diet (herbal medicine based on pumpkin seeds, nettle extract, palm extract + zinc and selenium in capsules. Normalizes testosterone metabolism and hormonal levels, reducing the proliferation of prostate gland tissue. Used in the morning and evening, used in the morning and evening, it is not possible to repeat 1 capsule for 1 month. urination, easespain, restores potency Improves blood circulation in the prostate, relieves inflammation and, in combination with antibiotic therapy, reduces the treatment time of prostatitis and prevents the development of prostate adenoma), honey, garlic, prunes, parsley, nuts or herbal medicines based on them.
• You should avoid pickled foods, this is especially true for various sauces with the addition of vinegar - mayonnaise, ketchup, pickles, marinades, etc.
• Fight excess weight (improves metabolism throughout the body).
• Avoid wearing tight clothing in the crotch area: panties, pants.

Avoid casual sexual contact as a means of preventing sexually transmitted infections.Sex life should be calm.Incomplete sexual intercourse and unfulfilled erections are very harmful.