The prostate, or the iron of the prostate is at the base of the bladder.The organ produces seed fluid, which during ejaculation is thrown into the urethra.The secret of the prostate gland creates optimal conditions for the life of sperm outside the body of a man.
Facts about the prostate
The activity of the prostate is controlled by the sex hormones of men.During puberty, the testosterone level increases, which causes active growth of the prostate gland.The prostate has the maximum volume in 20-40 years.
Prostatitis
The causal agent of infectious prostatitis in most cases is bacteria or viruses.Less frequently, the disease can be a complication of inflammatory urological diseases: epididimitis, urethritis, cystitis.
Non -infectious prostatitis in its manifestations practically does not differ from the infectious.The differences are related to the exam results: in this type of disease, the pathogen is not detected.
Symptoms
In most cases, prostatitis begins acutely.There are three forms of acute prostate damage:
- Catarrhal, accompanied by a slight urine disorder and slight pain behind the pubis and in the area of the anus.
- 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 scrotum infection leads to the inflammation of the testicles (orchitis).Sometimes purulent abscesses occur in the pelvis.
Without treatment, the disease enters a chronic form.Acute symptoms decrease, manifesting periodically during hypothermia, in the low season (spring-rapid).
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 prostatitis, but with changes related to age.
In chronic prostatitis, there are:
- Frequent urine, the appearance of a sudden impulse, especially at night;
- Slow, intermittent and weak pressure of urine;
- pain during ejaculation;
- Power problems.
Pathological changes affect the walls of the bladder, kidneys and nerve plexus that go to the prostate.This leads to the appearance of lumbar pain and difficulties with urine discharge.There is pain during erection and ejaculation.
Unpleasant phenomena decrease by prescribing proper treatment.The sooner the patient begins to be treated, the greater the opportunity to completely restore health.
To make a diagnosis of prostatitis:
- General examination, history of anamnesis, complaint evaluation and the severity of symptoms;
- A rectal examination of the fingers, during which the size of the prostate, its density and other parameters are determined;
- The study of the smear, urine and seed fluid in the SPP.
Prostatitis treatment
The treatment is selected depending on the causes of chronic inflammation in the prostate gland.In the case of infection, a well -selected drug course can completely eliminate the cause of the inflammatory process.
In case of complications, the treatment aims to eliminate them.Medications and procedures are prescribed to the patient that improve the microcirculation that relieve edema that eliminate pain and normalize the function of the gland.
It is easier to treat the inflammation of the prostate gland when diagnosed at the beginning of the development of the disease.However, modern medicine allows patients to be helped in which the disease has become chronic.
To prevent exacerbations in the chronic form of the disease, an anti -avion treatment is carried out to control the course of prostatitis, avoiding complications.
For this, prostate massages, intake and anti -inflammatory medications are prescribed.In advanced chronic cases, when the treatment does not give the desired effect, surgical elimination of the prostate gland is carried out.
Important factors about prostatitis
- The treatment appointment is only possible after making an accurate diagnosis.
- In advanced cases, the patient's condition can significantly improve and improve the quality of his life.
- The disappearance of prostatitis symptoms is not an indication for the end of treatment.
- The disease does not enter cancer.
- Prostatitis is not a reason to reject sex, except for an acute period, accompanied by pain during erection and ejaculation.
Prostate adenoma
Adenoma: Benign hyperplasia (increase) of the prostate gland.In recent years, the disease has been "younger."The cases of an increase in the prostate are even of 30 -year -old patients.In this group, the probability of detecting adenoma is approximately 10%.
At 65, an increased prostate is detected in every second man.In patients over 70 years, the dimensions of the prostate gland exceed the standard in almost 90% of cases.
A dangerous manifestation of the prostate adenoma is the formation of nodes that compress the urethra.Knot formations are growing slowly, because urine violation develops gradually.
According to the most common theory, the development of the adenoma of the prostate is a consequence of the hormonal imbalance, which develops with the age in the body of a man.
Symptoms
Each patient indicates difficulties in the urine.Strong bladder muscles at the beginning can squeeze urine out.However, as adenoma progresses, compensatory mechanisms stop choosing, and the patient has problems with urination:
- intermittent transmission;
- weak "pressure" of urine;
- Urine process adjustment;
- an incomplete emptying of the bladder;
- Spasmant Dolores.
The more the adenoma becomes, the more pronounced the symptoms become.The impulse becomes more often and begins to bother at night.In advanced cases, a paradoxical phenomenon is formed: the constant irritation of the bladder wall leads to its non -controlled reduction and urinary incontinence.
The stagnant phenomena of the bladder lead to its inflammation (CISTI) and cause the formation of stones.Little by little, the infection rises to the kidneys, causing its purulent inflammation: pyelonephritis.The expansion of the light of the renal hydronephrosis bowl can be developed.As a result, the patient has renal failure.
The constant effort during the urine in elderly patients causes hearts and blood vessels.Even cases of strokes are described that arose when trying to "tighten" urine.
Diagnosis
In the exam, the Urologist evaluates the physical condition of the patient and his prostate gland.The evaluation of the prostate implies determining its size, consistency and form.
The patient prescribes a general urine analysis, an ultrasound of the pelvic organs, an ultrasound of the bladder to determine the level of residual urine, the ultrasound of the prostate gland using a rectal sensor, cystoscopy and urofluometry.The necessary number of exams may vary according to the characteristics of the disease course.
Treatment
It can reduce the severity of the symptoms in several ways.The most effective are the adjustment of the alcohol consumption regime, the rejection of coffee and alcohol.In this case, the calls at night will bother the patient much less.
For the treatment of prostate adenoma, two medications groups are used:
- Alpha blockers that improve urine outlets along the urinary tract.Patients indicate an improvement in the condition almost immediately after the start of treatment.Side effects include dizziness, decreased blood pressure, general weakness.
- Preparations that block testosterone reduce the gland.The effect is remarkable after a few months.
Currently, the most effective and safe is the combined purpose of alpha blockers and testosterone blockers.
The transureral split of the prostate is the most effective way to eliminate adenoma and restore normal urination.The realization of the surgical intervention does not require the performance of the skin cuts.All tools and the camera are introduced through the urethra.Prostate fabrics are removed by a manipulator equipped with an electric loop.