The "second heart of men" - the prostate or prostate gland - is an indicator of his sexuality and fertility. So each man must decide for himself whether it is dangerous for him not to monitor the state of this organ. And with the development of inflammation of the prostate gland, you will have to ask yourself an important question: how to live with prostatitis?
prostatitis- a disease characterized by the presence of inflammation and / or infection localized in the prostate gland.
It can present with a wide range of clinical signs and disorders.
Consider, to begin with, the function of the prostate gland:
- production of a secret, which is an integral part of the sperm and is involved in the liquefaction of the ejaculate, as well as saturating it with nutrients, such as various enzymes and vitamins, citric acid, zinc ions, which help improve the motility and activity of spermatozoa;
- The prostate contains smooth muscle fibers that help release sperm from the urethra during ejaculation, prevent sperm from entering the bladder, and are involved in the urinary retention mechanism.
- produces hormones and active substances that regulate the functioning of the genital area.
Prostatitis, benign prostatic hyperplasia and prostate cancer are the three main organ diseases.
All three diseases can coexist simultaneously in the same prostate. That is, the presence of prostatitis does not exclude the presence of prostatic hyperplasia and prostate cancer in the patient and vice versa.
Causes of prostatitis and risk factors
According to statistics, prostatitis is the most common urological disease after hyperplasia (enlargement) and prostate cancer in men under 50 and the third most common in men over 50.
At least 30% of outpatient urological visits are due to prostatitis.
For all men who have experienced prostatitis and their number has increased in recent years, it is clear that there will be no simple, carefree life with such a disease. Many factors influence the onset of the disease. This is both a deteriorating ecology and a hectic pace of life, as a result of which men are exposed to stress and depression - these reasons sometimes cannot be changed, but there are factors that completely depend on men themselves.
The most common causes of the disease:
- sedentary lifestyle, sedentary work, rest in front of the TV;
- prolonged abstinence from sexual activity;
- irregular diet leading to improper metabolism;
- bad habits: smoking, drinking alcohol and beer;
- chronic diseases of the genitourinary system;
- frequent change of sexual partners increases the risk of prostatitis;
- sexually transmitted diseases and genitourinary infections;
- delayed ejaculation and ejaculation during intercourse;
- excessive consumption of spicy, fatty, salty and spicy foods;
- frequent constipation, hemorrhoids;
- reduced immunity.
Possible causes of prostatitis also include:
- intraprostatic reflux of urine as a result of dysfunctional urination (urine, with some predisposing factors, can enter the prostate gland through the prostate ducts, causing an inflammatory process);
- unprotected anal sex;
- narrowing of the foreskin (phimosis);
- Autoimmune diseases;
- functional and anatomical changes in the pelvic floor muscles;
- changes in the central nervous system, including functional and anatomical changes in the brain;
- traumatic and unusual sexual activity;
- psychological factors (the influence of psychological stress on the onset of symptoms of chronic prostatitis was shown in a number of studies - psychosomatic disorders were diagnosed in some patients, in the treatment of which a decrease in symptoms of prostatitis and the likelihood of its relapse have been noted).
Symptoms:
- pain or burning when urinating (dysuria);
- urinary disorders;
- discoloration of urine and / or semen;
- the appearance of blood in the urine and / or semen;
- pain and / or discomfort in the abdomen, groin or lower back;
- pain and / or discomfort in the perineum;
- pain and / or discomfort in the penis and testicles;
- pain and / or discomfort during ejaculation;
- increased body temperature (with acute bacterial prostatitis).
Diagnostics:
According to the generally recognized classification of prostatitis NIH (US National Institutes of Health), there are four categories of diseases, traditionally indicated with Roman numerals:
I - acute bacterial prostatitis;
II - chronic bacterial prostatitis;
III - chronic abacterial prostatitis / chronic pelvic pain syndrome (CP / CPPS):
IV - chronic asymptomatic prostatitis (asymptomatic).
Diagnosis of prostatitis involves a digital rectal exam (rectal exam), which involves feeling (palpating) the prostate gland with the index finger through the anus (rectum).
Digital rectal exam (DRE)- an important diagnostic manipulation with suspicion of any pathology on the part of the prostate gland. Therefore, it is advisable that men do not refuse to lead it.
Laboratory diagnostics, first of all, includes a general urine test, in which an increase in the number of leukocytes is noted. Bacteriological culture of urine, prostate secretions and sperm is recommended, as well as a urethral smear for sexually transmitted diseases. Based on the results of the analysis, it is possible to determine the presence of bacteria and their sensitivity to antibiotics, and thus, to adjust the prescribed antibiotic therapy. A general blood test is also performed to assess the general condition of the body and its response to the inflammatory process.
Determination of the oncomarker (PSA), its fractions is also not recommended, due to the low information content and distortion of data against the background of inflammation.
Treatment of prostatitis
The main thing in the treatment of ailment is an integrated approach and strict implementation of all recommendations of a specialist. Medicine has achieved good results in eradicating prostatitis. After the patient has found "his about him" urologist, whom he unconditionally trusted, it is important not to interrupt the algorithm of therapeutic actions. In no case should the treatment be stopped after the onset of relief that occurs after taking drugs that fight the infection that has entered the body.
This first success must be consolidated and continued. Treatment involves not only the destruction of harmful bacteria, but also the restoration of damaged prostate tissues, the increase in immunity and the correction of other changes that have occurred in the body due to inflammation. At the beginning of the article, it was said that life with prostatitis would not be carefree. Unfortunately, some patients, noticing an improvement in their health, half-stop treatment with a specialist and boringly go to the clinic for procedures, and therefore are themselves engaged in recovery. Hence, doing this is not only impossible, but also dangerous.
How is prostatitis treated in the clinic?
The urologist treats prostatitis and other diseases of the genitourinary system, based on international clinical guidelines. This means that he not only uses his professional knowledge, but also focuses on scientifically proven and globally accepted methods of diagnosis and therapy.
Our doctors do not prescribe ineffective drugs and tests "just in case", they do not treat non-existent diseases. When making a diagnosis, the urologist is based on the data obtained from the examination of the patient, the clinical picture, the data of laboratory and instrumental studies.
On the dangers of self-medication
Without sufficient knowledge in the field of medicine, self-medication can only harm. No popular, independently named methods will be useless. The urologist should become man's main friend and advisor in the fight against the scourge. Only a professional can tell you which methods can be used to supplement drug treatment. In addition to traditional medicine, which significantly helps to cope with the disease, but only together with traditional treatment, there is also a mass of dietary supplements that have flooded the shelves of pharmacies. An ignorant person naively believes that the use of dietary supplements will relieve him of prostatitis. He reminds that self-medication can lead to chronicity and progression of the disease!