The prostate, or prostate iron is located at the base of the bladder.The body produces the seed fluid, which is thrown into the urethra during ejaculation.The secret of the prostate gland creates optimal conditions for spermatozoa for life outside the human body.
Facts about prostate
Prostate activities are controlled by male sex hormones.During puberty, testosterone levels rise, which results in the active growth of the prostate gland.The prostate has a maximum volume for 20-40 years.
Prostatitis
Infectious prostatitis agent in most cases is bacteria or viruses.Less often, the disease can be a complication of inflammatory urological diseases - epididymitis, urethritis, cystitis.
Non -infectious prostatitis in its manifestations is virtually no different from infections.Differences relate to the results of the examination: the pathogen has not been identified in these types of diseases.
Symptoms
In most cases, prostatitis begins with acute.There are three forms of prostate injury:
- Cataral, accompanied by urination and moderate pains in the back of the pub and in the area of the anus.
- Follicular, in which urination and pain are stronger.
- Purulent, accompanied by severe pain, fever, deterioration of general condition, and urinary discharge problems.The spread of infection on the scrotum causes inflammation of the tests (orchitis).Sometimes purulent abscesses occur in the pelvis.
Without treatment, the disease is transmitted to a chronic form.Acute symptoms stop, periodically manifested in hypothermia, offseason (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 be related not to prostatitis but with age -related changes.
There are chronic prostatitis:
- Frequent urination, sudden demand, especially at night;
- Slow urine, intermittent, weak pressure;
- Pain during ejaculation;
- Problems with potential.
Abnormal changes affect the walls of the bladder, kidneys and nerve plexus that go to the prostate.This results in the appearance of lower spinal pain and the difficulty of discharge of urine.Pain in erection and ejaculation.
Unpleasant phenomena stop when taking adequate treatment.The sooner the patient begins to treat, the higher the chance of fully recovering health.
To determine the diagnosis of prostatitis,:
- General examination, history of anamis, evaluation of complaints and severity of symptoms;
- Rectal finger examination, which determines the size of the prostate, its density and other parameters;
- Study of smear, urine and seed fluid on sppp.
Treatment of prostatitis
Treatment is selected in the prostate gland according to the causes of chronic inflammation.In the case of infection, a well -chosen course of medication can completely eliminate the cause of the inflammatory process.
In case of complications, the treatment is intended to eliminate them.The patient is prescribed medications and procedures that improve microcytic, which relieves swelling that eliminates pain and normalizes gland function.
Treatment of prostate gland inflammation is easier to determine the diagnosis at the beginning of the disease.However, modern medicine allows to help patients with the disease chronic.
To prevent exacerbation of chronic form of the disease, anti-air-air treatment is performed to control the course of prostatitis, to prevent complications.
To do this, prostate massage, administration and anti -remedies are prescribed.In advanced chronic cases, when treatment does not produce the desired effect, surgical removal of the prostate gland is performed.
Important factors on prostatitis
- Treatment can only be prescribed after an accurate 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 indicated on the completion of the treatment.
- The disease does not occur in the cancer.
- Prostatitis is not to give up sex, except for the acute period, accompanied by pain during erection and ejaculation.
Prostate adenoma
Adenoma - Benign hyperplasia (growth) of the prostate gland.In recent years, the disease has been "young".Prostate growth cases occur even in patients under 30 years of age.In this group, the likelihood of adenoma is about 10%.
At the age of 65, increased prostate is detected in every second man.In patients older than 70 years, prostate gland measures exceed 90% of cases.
A dangerous manifestation of prostate adenoma is the formation of compressed nodes of urethra.The node formations grow slowly as the urinary disorder is gradually developing.
According to the most common theory, the development of prostate adenoma is the result of a hormonal imbalance that develops with age in the human body.
Symptoms
Every fourth patient indicates difficulties in urination.The strong muscles of the bladder can initially weaken the outside of the urine.However, as adenoma develops, compensatory mechanisms cease to cope, and the patient has urination problems:
- Intermittent flow;
- Weak "pressure" of urine;
- Tightening of the urine process;
- Feeling incomplete emptying of the bladder;
- Spasming pains.
The more adenoma, the more pronounced symptoms.The desire happens more often and begins to bother at night.In advanced cases, a paradoxical phenomenon is created: the constant irritation of the bladder wall causes its uncontrolled reduction and urinary incontinence.
The stagnant phenomena of the bladder cause its inflammation (cysti) and provoke stones.Gradually, the infection increases to the kidneys, causing their purulent inflammation - pyelonephritis.The expansion of the adrenal-hydronephrosis cup light can develop.As a result, the patient has renal failure.
In older patients, constant tension during urination causes the heart and blood vessels.Cases of stroke are described as attempted to weaken the urine.
Diagnostics
During the examination, the urologist assesses the patient's physical condition and his prostate gland.Evaluation of the prostate involves determining its size, consistency and shape.
The patient will determine the general analysis of the urine, ultrasound of the pelvic organs, bladder ultrasound to determine the level of residual urine, ultrasound of the prostate gland with rectal sensor, cystoscopy and urofluometry.The number of necessary examinations may vary depending on the characteristics of the course of the disease.
Treat
You can reduce the severity of the symptoms in different ways.The most effective of these is the correction of the drinking regimen, the rejection of coffee and alcohol.In this case, the bells will be much less bothered by the patient at night.
Two groups of drugs are used to treat prostate adenoma:
- Alpha blockers that enhance the drainage of the urine along the urinary tract.Patients note the improvement of the condition almost immediately after treatment.Side effects include dizziness, low blood pressure, general weakness.
- Preparations that block testosterone reduce the gland.The effect is noticeable after a few months.
Currently, the most effective and safe is the joint purpose of alpha blockers and testosterone blockers.
Transuretic excretion of prostate is the most effective way to get rid of adenoma and restore normal urination.Surgical intervention does not require skin reduction.All instruments and cameras are introduced through the urethra.Prostate fabrics are removed by a manipulator equipped with an electric loop.