Symptoms of prostatitis in men: symptoms, description and treatment

Today, inflammation of the prostate ranks among the top men's diseases that are primarily sexually transmitted. Complications can lead to infertility, decreased libido, and impotence.Symptoms of prostatitis include more than just pain, urinary disturbances, and inflammation of the spermatic cord. Perhaps the most dangerous consequence of late-stage inflammation is prostate cancer. And the pathological process diagnosed in time can easily be stopped.

signs of disease

Men should contact a qualified specialist immediately if they notice at least two of the following symptoms of prostatitis:

• Urination disorder, characterized by an intermittent, weak, and abnormally short flow of urine that causes splashing, difficulty, and pain before urinating. Frequent urges to empty your bladder occur mostly at night.
• The pain is localized in the lower abdomen and radiates to the scrotum, perineum, and rectum.
• Sexual dysfunction.
• Ejaculation problems, sperm changes (consistency, quantity).

acute prostatitis

The disease begins with a sharp increase in body temperature (up to 40 degrees), headache and fever. Symptoms include groin, perineal, and back pain, urethral discharge, urinary frequency, and persistent urinary urgency.There will be a delay in emptying the bladder and a burning sensation. The urine itself becomes cloudy and may contain blood. Irritability and fatigue occur.The result of acute prostatitis can be complete resolution of the process (if treatment is started promptly). Since many pelvic organs will undergo changes, they cannot be left alone, otherwise corresponding complications will occur:

• Seminal vesiculitis is inflammation of the seminal vesicles and is responsible for the presence of pus in sperm, which not only reduces the quality of ejaculation but also leads to loss of reproductive function.
• Colonitis - inflammatory changes in the spermatozoa become the cause of severe pain during sexual intercourse, interrupted orgasm and psychogenic impotence.
• The formation and rupture of abscesses in the prostate and purulent lesions of the rectum can lead to worsening of symptoms, severe physical intoxication, and even death.
• Stagnation of prostate tissue causes changes in its structure, disrupting the innervation and blood supply of the gland itself and nearby organs, thereby disrupting its function. Erection is insufficient for adequate sexual intercourse, premature ejaculation and prolonged intercourse without orgasm are observed.
• Scarring changes to the glands and spermatic cord can lead to infertility, decreased sperm quality and sperm motility. Narrowing of the urethra can interfere with the normal urination process; bladder obstruction can lead to acute urinary retention, requiring emergency surgery.

chronic prostatitis

The main characteristics of this disease are unclear clinical symptoms and long and persistent course. More often, the chronic form occurs independently, as the main pathology in the context of stasis of blood in the vessels (prostatopathy), non-bacterial prostatitis. The main symptoms of chronic prostatitis are:

• fever;
• Pain occurs in the scrotum, perineum, anus, and back;
• Urination disorders;
• Mucus or mucopurulent discharge from the rectum or urethra even without urination or defecation;
• Erectile dysfunction, painful ejaculation, interrupted intercourse, prolonged intercourse without satisfaction.

Inaction and improper treatment of chronic prostatitis can cause complications:

• Infertility is the result of chronic inflammation of the spermatic cord, vesicles, testicles and their appendages.
• Cystitis, pyelonephritis (other diseases of the genitourinary system) are the result of hematogenous and mechanical spread of microorganisms.
• septicemia.
• Immunity continues to decline.
• Untreated prostatitis can lead to cancer in 35-40% of cases.

diagnosis

The clinical manifestations of the disease are typical and the diagnosis is not difficult. It is performed by a urologist based on medical history, patient examination, laboratory minimum and using the most modern medical equipment:

• Glandular rectal examination, aspiration of secretions for examination (culture to determine susceptibility to antibiotics).
• UAC, UAM, urine bacterial culture.
• STD smear test, upper gastrointestinal tract examination.
• The urinary rhythm is monitored daily and the urinary rate is measured (uroflowmetry).
• Perform ultrasound or TRUS for differential diagnosis.
• If tumor needs to be ruled out, a biopsy, urogram, and PSA (prostate-specific antigen) determination are performed.
• To diagnose infertility, a sperm test is performed - the analysis of semen to determine a man's fertility.

Based on the patient's examination results, an individualized plan for comprehensive treatment of prostatitis is formulated. When prescribing the drug, the pathological form and the presence of concomitant diseases are taken into account. Where treatment takes place (inpatient or outpatient) is decided by the doctor. The course of treatment is carried out through careful laboratory monitoring of the results.

Treatment of acute prostatitis

Acute prostatitis requires bed rest, a special salt-free diet and sexual rest.Treatment method:

• The most effective treatment for prostatitis is allotropic therapy. If the basis of prostatitis is infection, a course of antibacterial drugs is preferred to relieve the manifestations of inflammation.
• Pain syndromes can be relieved with analgesics, antispasmodics, rectal suppositories, microenemas containing warm analgesic solutions. Nonsteroidal anti-inflammatory drugs may be used.
• Combinations of immunostimulants, immunomodulators, enzymes, vitamin complexes and trace elements have proven their effectiveness.
• Physiotherapy methods are possible only in the subacute stage of the disease. They improve microcirculation and increase immunity: UHF, microwave, electrophoresis, laser, magnetic therapy.
• Massage is another effective way to affect the prostate. It opens the ducts and normalizes blood circulation in the scrotum and pelvis.
• Acute renal filtrate retention can be corrected with catheterization and trocar cystostomy.
• The purulent process involves surgical intervention.
• Consultation with a psychologist.

Treatment of chronic prostatitis

Due to long-term, course-of-treatment (at least one month) effects on the prostate, 100% cure is not guaranteed. Prioritize herbal medicine, immune correction, changing family habits:

• Herbal preparations are widely used in urological practice. They are able to accumulate at the sites of the most active pathological processes, protect cells from oxidation, scavenge free radicals and prevent glandular tissue proliferation.
• Antimicrobial treatment is selected individually based on the susceptibility of the microorganism to the drug.
• Immunity-boosting medications not only help deal with prostatitis but can also correct the negative effects of antibiotics that disrupt immune system function.
• Pain syndrome can be relieved by taking alpha-blockers and muscle relaxants.
• Prostate massage can mechanically remove "excess" secretions from the gland through the urethra, improve circulation, and minimize congestion.
• Physical therapy: laser, magnet, ultrasound, iontophoresis, warm sitz bath or herbal micro-enema.
• In severe cases, intravenous fluids containing diuretics may be needed. This stimulates the production of large amounts of urine, preventing the development of symptoms of intoxication, ascending cystitis, and pyelonephritis.
• For constipation, herbal laxatives can be used.
• Urologists and psychologists work with patients to develop a personal long-term plan that includes daily living, necessary rest, diet, moderate physical activity, and sexual activity.
• If the chronic process is resistant to treatment and the outflow of urine is blocked, surgical intervention is required: removal of all affected tissue (transurethral resection of the prostate) or complete removal of the gland and its surrounding tissue (prostatectomy). Practiced under special circumstances, it can lead to impotence and urinary incontinence. Young people do not undergo surgery because it can lead to infertility.

Symptoms and treatment of chronic prostatitis

Many men suffer from chronic prostatitis, but they attribute their symptoms to other illnesses or waste time on ineffective treatments. From our article you will get comprehensive information about this male problem: causes, exact symptoms and diagnosis, various treatments. Despite the great success of modern medicine, there are still certain difficulties in diagnosing diseases such as chronic prostatitis. This also had a negative impact on the effectiveness of his treatment.

Causes of chronic prostatitis

The causes of chronic prostatitis vary widely. Among the various negative factors that affect men's health, it is difficult to pinpoint those that trigger the development of the disease. Often, this is a complex set of situations and circumstances that accompanies a person throughout his or her lifetime.The main causes of chronic non-bacterial prostatitis are as follows:

• Coital rhythm disorder (irregular);
• Lack of physical activity, which is typical of overweight people;
• Being in a state of chronic stress;
• The predominance of fat-rich foods in the diet;
• Hazardous industries have negative effects on the body.

Bacterial chronic prostatitis is the result of incomplete cure of bacterial prostatitis. Or the man ignored the conditions and did not seek help from a urologist. Therefore, no treatment was performed.Nonbacterial chronic prostatitis occurs due to exposure to infectious agents in the context of compromised immunity. Typically, such patients are diagnosed with disorders of the endocrine system.Factors causing chronic bacterial prostatitis include:

• Prostate surgery (if antimicrobial treatment was not performed before surgery);
• Refusal to use contraception;
• Lack of habit of keeping the body clean.

Symptoms of chronic prostatitis

Today, there are many misconceptions about chronic prostatitis. Therefore, any temporary sexual dysfunction is attributed to this disorder. You'll often hear the idea that decreased libido and erectile dysfunction are caused by prostatitis, or in the case of older adults, chronic prostatitis.This is incorrect because there are many other causes of sexual dysfunction, and the main symptom of chronic prostatitis is pain. All other signs can be considered incidental and indirect.Chronic prostatitis is often confused with pelvic pain syndrome because the symptoms of these conditions are often similar. This is due to the formation of myofacial trigger zones near the prostate, which occur as a result of injury and surgical intervention. Pain in these areas may be mistaken for symptoms of prostate inflammation. Complaints of perineal and pelvic pain and discomfort, lasting at least 3 months, stand out in the diagnosis of the disease. The pain is localized near the prostate and radiates to the sacrum, rectum, and scrotum. Pain can be exacerbated by prolonged exposure to negative factors (lifting heavy objects, excessive physical activity, standing for long periods of time).A classic symptom of the disease is premature ejaculation. Patients may experience decreased libido and erectile dysfunction. These symptoms are also characteristic of other genitourinary disorders. Therefore, they cannot be said to be signs of chronic prostate disease.An important symptom is the loss of orgasm. If the patient begins to notice that the severe sensation during ejaculation disappears, this is a reason to take a more cautious approach to his health and is a sign that a visit to a urologist is needed.Inflamed prostate structures become denser, pressure on the urinary catheter increases, and the quality of urination worsens. Patients with chronic prostatitis often urinate at night. The process of passing urine can be accompanied by burning, stinging, and pain. Urinary incontinence often occurs.The signs of chronic prostatitis may be manifested in whole or in part. Much depends on the patient's health and the presence of other medical conditions. Chronic prostatitis is characterized by a wave-like course with gradually increasing and decreasing symptoms. In this disease, the inflammatory process is not acute.

laboratory research methods

If chronic prostatitis is suspected, the first thing to do is to find out its nature: bacterial or non-bacterial. In the first case, the pathogens need to be identified and find out which drugs they are sensitive to. For this purpose, laboratory tests of urine and prostate secretions are required.If, 10 days after DRE, the PSA test shows prostate-specific antigen levels above 4. 0 ng/ml, the patient needs to be referred for biopsy to rule out a neoplastic process.The following research methods are recommended:

• scraping from urethra;
• General and biochemical urinalysis;
• LHC cultures of prostate secretions.

Treatment of chronic prostatitis

Treatment of chronic prostatitis requires a comprehensive approach. Simply taking medication is not enough. Physical therapy procedures and therapeutic exercises are necessary. Generally speaking, chronic prostatitis is difficult to treat and requires radical changes in lifestyle, habits, and in some cases, a job change. Urologists insist that only a set of measures can help get rid of the disease for good or ensure long-term remission.Whether the disease is bacterial or non-bacterial in nature, prostatic congestion plays an important role in its development. The viscous secretions deposited within the glandular ducts provide a favorable environment for the growth of pathogenic and opportunistic microorganisms. Therefore, the main focus should be on eliminating stagnation. This problem can be solved by making lifestyle changes and incorporating physical therapy sessions into your daily schedule.Compound exercises have been developed to suit different life situations:

• For men who are forced to sit most of the time (drivers, office workers, managers);
• For people who are overweight;
• For those who don't have time to exercise.

After considering how to treat chronic prostatitis, you need to decide to seriously reconsider your attitude towards your health.

medical treatement

For chronic prostatitis, treatment is mainly performed on an outpatient basis. If the pathological process persists and relief cannot be achieved with this method, hospitalization is recommended. In a hospital, under the supervision of medical staff, there is greater opportunity to comply with the system and monitor changes in the patient's condition.Chronic prostatitis in men occurs against the background of endocrine disorders. For this, the drugs 5-alpha reductase inhibitors and alpha1-blockers are recommended. They help normalize hormonal levels and eliminate pathological symptoms.A comprehensive approach includes taking medications such as:

Treatment of bacterial chronic prostatitis

Bacterial chronic prostatitis is treated with antibiotics. The most effective medication for a specific patient is determined through preliminary laboratory studies of prostate secretions.There is no universal drug that can suppress and eliminate disease-causing microbiota. What helps one patient may not help another. Therefore, there are many negative reviews in advertisements for drugs that treat chronic prostatitis.The drugs recommended for antimicrobial treatment are fluoroquinolones. Most bacteria are sensitive to it.

herbal treatment

Many people doubt whether chronic prostatitis can be cured through herbal medicine. The answer to this question was gained through the use of these therapeutic agents in urological practice over many years.Today we recommend the following comprehensive treatments:All these drugs have a beneficial effect on the function of the male genitourinary system. As long as urinary function is normalized, chronic prostatitis may be effectively treated. Herbs contain ingredients that perform this task. They help reduce the frequency of urges and eliminate sluggish water syndrome. For patients with chronic prostatitis, it is recommended to use herbal mixtures containing pumpkin extract or pumpkin seeds. The latter has a unique chemical composition that works in three directions simultaneously:

• normalizes metabolism;
• Strengthen blood vessel walls;
• Activates blood circulation in the pelvic organs.

Taking herbal medicine should not be used as the primary treatment. These health-improving agents are considered to be administered concurrently with medication.

non-pharmacological treatment

Non-drug treatments can work directly on the prostate, increasing drug concentrations in its tissue and helping relieve congestion.Today, non-drug treatments focus on laser therapy. The possibilities of this technology are vast. Under the influence of laser, the following processes occur in the prostate:

• Activation of redox reactions;
• Improvement of blood microcirculation;
• New capillaries form;
• Pathogenic microbiota are suppressed;
• The process of cell division is activated, thereby promoting tissue regeneration.

During a study of the effects of laser therapy in patients with prostatitis, a side effect was noted that was positive for therapeutic purposes. Those who complete the course experience increased potency, elimination of erectile dysfunction and renewed energy. To achieve this result, a beam with a specific wavelength is used. Generally, low-level laser radiation is used to treat chronic prostatitis.This technology can have several positive impacts:If the attending doctor does not prescribe it, the patient can undergo laser treatment on his own.

Surgical treatment of chronic prostatitis

Chronic prostatitis does not pose a threat to the patient's life, but it will significantly reduce his or her quality of life. The most serious complication of this disease is the formation of stones in the glandular tissue. To remove prostate stones, transurethral resection is performed.Surgical intervention was performed under TRUS control.If complications such as prostatic sclerosis occur, transurethral electrosurgery may be necessary. If bladder neck sclerosis is observed in combination with this pathology, partial prostatectomy is performed.When the seminiferous ducts and excretory ducts are blocked, endoscopic surgery is required to remove obstacles to the smooth flow of secretions. To do this, an incision is made in the seminal vesicles and excretory ducts. If an abscess develops, the gland can be completely removed.

Exercise to treat chronic prostatitis

There are many exercises that can effectively stimulate the prostate and help relieve congestion. This complex was developed for patients suffering from hip joint problems. These exercises have also proven useful for people diagnosed with prostatitis. Lessons can be taken at a time that is convenient; it will take no longer than 15 minutes to complete.Exercise 1

1. Lie on a gymnastics mat with your arms extended upward.
2. Bend your knees and pull them toward you while spreading them out in different directions.
3. Elevate your pelvis as much as possible. Repeat 10-12 times.

Exercise 2Stand on the mat and do squats.Repeat 10-12 times.Exercise 3

1. Lie on your stomach.
2. Lift one leg, then the other. Repeat 10-12 times.

Exercise #4They lie on their sides.When performing this set of exercises, all movements should be smooth. This is the main condition for obtaining high therapeutic effect.

Treatment prognosis

Very few men are completely cured of chronic prostatitis. Prostatic inflammation often goes into long-term remission. But when pathologically activating conditions arise, relapse occurs. The exacerbation begins with prostate pain. They are often accompanied by urinary tract disease. When the first symptoms of relapse appear, you should seek expert help.Patients are advised to see a urologist regularly, at least every six months. They had prostate status checks and PSA tests done with the same frequency. By systematically monitoring the condition of the glands, processes causing disease recurrence can be identified in a timely manner. But even if you get long-term relief, there's no guarantee it won't be disturbed.Patients must follow the recommendations to prevent the disease from getting worse. It is recommended to balance the diet by eliminating fatty and spicy foods. The use of herbal and traditional medicines must be approved by the attending physician. This way you can minimize the risk of chronic prostatitis getting worse.

Can prostatitis be cured on its own?

If symptoms are severe, it is best to seek treatment from a specialist; the time factor plays a large role in treatment, since the longer the inflammation lasts, the greater the possibility of irreversible changes in the organs.But it's best to prevent it yourself, no doctor will do it for you.Avoiding hypothermia, sedentary stagnation, sexually transmitted infections, and irregular sex life are all effective ways to prevent prostatitis.