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

Prostatitis can only develop in men.According to statistics, in the last 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 on Earth between the ages of 20 and 50.It is generally accepted that after 30 years, 30% of men suffer from prostatitis, after 40 - 40%, after 50 - 50%, etc.

Classification of prostatitis:

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

Complaints with prostatitis:

1. Various urination disorders associated with narrowing of the lumen of the urethra:
   • difficulty starting to urinate;
   • intermittent urination;
   • weak stream of urine;
   • urinating drop by drop;
   • feeling of incomplete emptying of the bladder;
   • involuntary loss of urine.
2. Symptoms caused by irritation of nerve endings:
   • frequent urination;
   • frequent urination at night;
   • urgency to urinate;
   • urinating in small portions;
   • Urinary incontinence when urinating.
3. Pain in the lower abdomen, groin, inner thighs, or lower back;Various sexual disorders can also occur.

There are several causes of prostatitis:

• sexually transmitted infections: chlamydia, ureaplasma, mycoplasma, herpes viruses, cytomegalovirus, trichomonas, gonococci, Candida fungi, E. coli can affect the urethra and be detected in the prostate tissue;
• poor circulation in the pelvic organs (congestion in the prostate causes its inflammation);
• sedentary lifestyle (drivers, office workers, civil servants);
• prolonged sexual abstinence, interrupted sexual relations or artificial prolongation of sexual relations;
• impaired immunity;
• frequent hypothermia (fans of extreme activities: diving, surfing, kayaking and skiing);
• stress: mental and physical overload;
• violation of the allergic state;
• hormonal imbalance;
• deficiency of vitamins and microelements.

Treatment of acute and chronic prostatitis.

While, as a rule, there are no difficulties with the treatment of acute prostatitis, chronic prostatitis cannot always be corrected.

There are general treatment tactics for managing patients with acute prostatitis:

• Maintain bed rest.
• Prescription of antibacterial medications.
• 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 medications 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 lymph 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 components as tablets, but thanks to local administration, the effect is increased.You can use suppositories for prostatitis with propolis.
• If the patient suffers from severe intoxication of the body, the administration of rheological solutions, as well as detoxifying agents and electrolytes in the hospital environment, is indicated.
• Surgery is necessary if the ability to empty the bladder on its own is completely absent or if a prostate abscess has formed.

The use of antibiotics is mandatory to treat bacterial prostatitis.If the disease begins acutely and there are symptoms of poisoning, antibacterial drugs are prescribed as quickly as possible;In this case, waiting for the results of bacterial flora tests is impractical and dangerous.

The doctor selects drugs from the fluoroquinolone group.It can be levofloxacin, ciprofloxacin.This empirical therapy is due to the fact that fluoroquinolones are active against the bacteria that most often cause prostatitis: gram-negative pathogenic flora and enterococci.In addition, fluoroquinolones have a detrimental effect on gram-positive and anaerobic bacteria, as well as on atypical infectious agents, such as chlamydia.By entering the metabolic processes of the protein metabolism of bacteria, the antibiotic destroys its nucleus, causing the death of the microorganism.

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

This group of medications should also be replaced if, after 24-48 hours from the start of taking them, the patient's condition has not improved or if the patient does not tolerate them well.The drugs of choice in this case are macrolides, antibiotics from the cephalosporin group or lincosamides.

The bacteria that cause prostatitis become increasingly 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 drugs, then the treatment regimen must be adjusted again, but prostatitis therapy cannot last less than 14-30 days.But the prescription of antibiotics is carried out by a doctor, focusing on the data of the clinical picture of the disease and the results of bacteriological culture of the contents of the prostate with determination of the sensitivity of the cultured microorganisms to certain antibiotics.

Complications of prostatitis

Untreated acute prostatitis has a high chance of developing into a chronic form of prostatitis, and men over 40 years of age may develop prostate adenoma associated with hormonal imbalance (after 40 years, testosterone production in men decreases and estrogen secretion increases).

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

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

Upon detailed examination, signs of prostate adenoma are observed at the age of 40-50 years in 25% of men, at 50-60 years (50%), at 60-70 years - 65%, at 70-80 years - 80%, over 80 years - 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 urine stream is one of the first symptoms of the disease, which 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.These 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 (sudden, difficult to control) need to urinate is one of the symptoms that forces 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 form and gradually grow and compress the urethra.	Inflammation develops in the prostate tissue.
At what age does it occur most frequently?	Generally after 40 years.Less frequently, at a younger age.	Most often between 20 and 40 years old.
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, infection; decreased immunity; sedentary lifestyle; Infrequent or excessively frequent sexual relations.
Treatment features	Medications are used and, in severe cases, surgical treatment (excision of overgrown prostate tissue).	Antimicrobials, anti-inflammatories and analgesics are generally prescribed.

Preventive measures

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

• Physical activity.You should dedicate at least 10 minutes of your morning time to doing some 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, it is necessary to include raw pumpkin seeds in the 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 glandular tissue of the prostate. Used in the morning and evening, 1 capsule for 1 month, if necessary, repeated use is possible. Normalizes urination, relieves pain, 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, walnuts or herbal remedies 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 to prevent sexually transmitted infections.Sexual life should be calm.Incomplete sexual intercourse and unrealized erections are very harmful.