Prostatitis and prostate adenoma

Prostatitis is an inflammation of the prostate tissue, its swelling.This is the 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 seminal vesicles contract, seminal fluid is released into the urethra - ejaculation (ejaculation).

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

Classification of prostatitis:

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

Prostatitis complaints:

1. Various urination disorders associated with narrowing of the urethral lumen:
   • Difficulty starting to urinate;
   • intermittent urination;
   • weak flow of urine;
   • 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 urination;
   • urination in small portions;
   • Urinary incontinence during urination.
3. pain in the lower abdomen, groin, inner thigh, or lower back;Various sexual disorders can 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 (swelling of the prostate causes its inflammation);
• sedentary lifestyle (drivers, office workers, officials);
• Long-term sexual abstinence, cessation of intercourse or artificial prolongation of intercourse;
• reduced immunity;
• frequent hypothermia (fans 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

Although, as a rule, there are no difficulties in the treatment of acute prostatitis, it is not always possible to correct chronic prostatitis.

There is a general strategy for treating patients with acute prostatitis:

• Maintaining bed rest.
• Prescribing antibacterial drugs.
• Prohibition of prostate massage, even for prostatic secretion extraction.The ban is due to the high risk of developing sepsis.
• Prescribing medications aimed at normalizing blood microcirculation, increasing its fluidity and viscosity.Thanks to the action of these drugs, it is possible to achieve the outflow of lymph and venous blood from the inflamed gland, reduce toxic manifestations and remove decomposition products from the body.
• Oral administration of non-steroidal anti-inflammatory drugs or other tablet analgesics.They are prescribed to reduce pain.
• In their practice, urologists widely use rectal suppositories to provide an analgesic effect and reduce inflammation.They contain the same components as tablet preparations, but the effect is enhanced thanks to local administration.You can use suppositories with propolis in case of prostatitis.
• If the patient has severe intoxication of the body, it is indicated to administer rheological solutions, as well as detoxification agents and electrolytes in the hospital.
• Surgery is necessary if the ability to empty the bladder independently is completely absent, or if a prostate abscess has formed.

Antibiotics are mandatory for the treatment of bacterial prostatitis.If the disease begins acutely and there are symptoms of intoxication, then antibacterial drugs are prescribed as quickly as possible;Waiting for the results of bacterial flora tests in this case is impractical and dangerous.

The doctor chooses drugs from the group of fluoroquinolones.It 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.Entering the metabolic processes of bacterial protein exchange, the antibiotic destroys their nucleus, which causes the death of microorganisms.

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

Drugs of this group should also be changed if the patient's condition has not improved after 24-48 hours of starting their administration, or if he cannot tolerate them well.In this case, the drugs of choice are macrolides, antibiotics from the group of cephalosporins or lincosamides.

The bacteria that cause prostatitis are becoming increasingly resistant 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 medication, then the treatment regimen should be adjusted again, but prostatitis therapy cannot last less than 14-30 days.But the appointment 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 by determining the sensitivity of the cultured microorganisms to certain antibiotics.

Complications of prostatitis

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

Prostate adenoma- Benign prostatic hyperplasia is the presence of a pathological benign growth of the prostate located in the circumference of the urethra.

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

Upon detailed examination, signs of prostate adenoma are observed in 25% of men aged 40-50, 50% in 50-60, 65% in 60-70, 80% in 70-80, and more than 90% in men over 80.

Manifestations of prostate adenoma

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

• Frequent and difficult urination - urination is especially frequent at night.
• Weakening of the flow of urine is one of the first symptoms of the disease, which is often overlooked until other symptoms of the disease appear.
• Sensation 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, they have to urinate 3-4 times in the morning with an interval of 10-15 minutes.
• An urgent (sudden, difficult to control) need to urinate is one of the symptoms that prompts a man to consult a doctor.
• Incontinence and urinary incontinence.

The main differences between prostatitis and prostate adenoma:

	Prostate adenoma	prostatitis
What happens in the prostate gland?	One or more small nodules are formed, which gradually grow and shrink 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.
why does it appear	The exact reasons are not fully established.It is considered one of the manifestations of male menopause.	Main reasons: Pathogens, infection; reduced immunity; lifeless lifestyle; Infrequent or excessively frequent intercourse.
Peculiarities of treatment	Medicines are used, and in severe cases, surgical treatment (excision of enlarged prostate tissue).	Antimicrobial, anti-inflammatory and painkillers are usually prescribed.

Prevention measures

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

• physical activity.You should set aside at least 10 minutes in the morning for 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 the diet (a herbal medicine based on pumpkin seeds, nettle extract, palm extract + zinc and selenium in capsules. It affects testosterone metabolism and hormonal levels, reduces the proliferation of prostate glandular tissue. Used in the morning and evening, can be repeated for 1 month, 1 capsule can be repeated. Urination,Relieves pain, restores potency, improves blood circulation in the prostate, relieves inflammation, and together with antibiotic therapy, reduces prostatitis treatment time and prevents the development of prostate adenoma, honey, garlic, plums, parsley, walnuts or herbal remedies based on them.
• You should avoid pickled foods, this especially applies to various sauces with the addition of vinegar - mayonnaise, ketchup, pickles, marinades, etc.
• Fights excess weight (improves metabolism in the whole body).
• Avoid wearing tight-fitting items in the groin area: panties, pants.

Avoid casual sex as a way to prevent sexually transmitted infections.Sex life should be smooth.Incomplete intercourse and unrealized erection are very harmful.