The prostate or iron of the prostate is at the base of the bladder.The organ produces semen, which is thrown into the urethra during ejaculation.The secret of the prostate gland creates optimal conditions for the life of sperm outside the body of a person.
Facts about the prostate
Prostate activity is controlled by men's sex hormones.During puberty, testosterone levels increase, which causes active prostate growth.The prostate has a maximum volume for 20-40 years.
Prostatitis
The causative agent of infectious prostatitis is in most cases bacteria or viruses.More rarely, the disease can be a complication of inflammatory urological diseases - epididymitis, urethritis, cystitis.
Non -infectious prostatitis in its manifestations is virtually indistinguishable from infectious.The differences are the results of the study: in this type of disease, the pathogen is not detected.
Symptoms
In most cases, prostatitis begins acute.There are three forms of acute prostate damage:
- Catarrhal, accompanied by a mild urination disorder and mild tenderness behind the pubis and in the anus.
- Foil, in which urination and soreness are expressed more strong.
- Purulent, accompanied by severe pain, fever, worsening of the general condition and problems with the release of urine.The spread of the infection to the scrotum leads to inflammation of the testes (orchitis).Sometimes purulent abscesses appear in the pelvis.
Without treatment, the disease goes into chronic form.Acute symptoms disappear, manifesting periodically during hypothermia, in the off-season (spring).
Sometimes the disease immediately acquires a chronic course.In this case, the symptoms of the disease increase gradually, which forces many men to associate them not with prostatitis but with age -related changes.
In chronic prostatitis there are:
- Frequent urination, the appearance of a sudden call, especially at night;
- Slow, periodic, low urine pressure;
- pain during ejaculation;
- Potential problems.
Pathological changes affect the walls of the bladder, kidneys and nerve plexuses that go to the prostate.This leads to the appearance of lower back pain and the difficulty with the release of urine.There is pain during erection and ejaculation.
Unpleasant phenomena disappear when prescribing adequate treatment.The earlier the patient begins to heal, the greater the chance of completely restoring health.
To diagnose prostatitis,:
- General study, history of history, assessment of complaints and severity of symptoms;
- Rectal finger examination during which the size of the prostate, its density and other parameters are determined;
- The exploration of spreading, urine and seed fluid on SPP.
Prostatitis
The treatment is chosen depending on the causes of chronic inflammation in the prostate gland.In the case of infection, a well -chosen course of medicines can completely eliminate the cause of the inflammatory process.
In case of complications, treatment is aimed at eliminating them.The patient is prescribed medicines and procedures that improve microcirculation, which relieve edema, which eliminates pain and normalize gland function.
It is easier to treat prostate inflammation when diagnosed at the onset of the disease.Modern medicine, however, allows to help patients with the disease have become chronic.
In order to prevent exacerbation of the chronic form of the disease, treatment is carried out against an aircraft to control the course of prostatitis, avoiding complications.
Prostate massage, administration and anti -inflammatory drugs are prescribed for this.In advanced chronic cases, when treatment does not give the desired effect, surgical removal of the prostate gland is performed.
Important factors for prostatitis
- The appointment of treatment is only possible after an accurate diagnosis.
- In advanced cases, you can significantly improve the patient's condition and improve the quality of his or her life.
- The disappearance of prostatitis symptoms is not an indication of the end of treatment.
- The disease does not go into cancer.
- Prostatitis is not a cause of sex failure, except for an acute period, accompanied by pain during erection and ejaculation.
Prostate adenoma
Adenoma - benign hyperplasia (enlargement) of the prostate gland.In recent years, the disease has been "younger".Prostate enlargement cases have been found even in patients aged 30 years.In this group, the likelihood of detection of adenoma is about 10%.
At the age of 65, an increased prostate is found in every second person.In patients over 70, prostate size exceeds the norm in almost 90% of cases.
A dangerous manifestation of prostate adenoma is the formation of nodes compressing urethra.The formations of the node grow slowly as the disruption of urination develops gradually.
According to the most common theory, the development of prostate adenoma is a consequence of a hormonal imbalance that develops with age in a person's body.
Symptoms
One fourth patient notes difficulties in urination.The strong muscles of the bladder are initially able to pull out the urine out.However, as the adenoma progresses, compensatory mechanisms cease to cope and the patient has problems with urination:
- periodic flow;
- weak "pressure" of urine;
- tightening the urination process;
- feeling of incomplete emptying of the bladder;
- Spasmiting pain.
The more the adenoma becomes, the more pronounced the symptoms become.The impulse becomes more frequent and begins to worry at night.In advanced cases, a paradoxical phenomenon is formed: constant irritation of the bladder wall leads to its uncontrolled reduction and urinary incontinence.
Standing bladder phenomena lead to its inflammation (CYSTI) and provoke the formation of stones.Gradually, the infection increases to the kidneys, causing their purulent inflammation - pyelonephritis.The expansion of the apparatus of the bowl of the kidneys-hydronephrosis may develop.As a result, the patient has renal failure.
Constant tension during urination in adult patients causes hearts and blood vessels.Even cases of strokes arising from an attempt to "squeeze" urine.
Diagnostics
When examined, the urologist evaluates the patient's physical condition and his prostate gland.Prostate evaluation involves determining its size, consistency and shape.
The patient prescribes general urine analysis, pelvic ultrasound, bladder ultrasound to determine the level of residual urine, ultrasound of the prostate gland using rectal sensor, cystoscopy and urofluometry.The number of examinations required may vary depending on the characteristics of the course of the disease.
Treatment
You can reduce the severity of symptoms in different ways.The most effective of these are the adaptation of the drinking regimen, the rejection of coffee and alcohol.In this case, calls at night will worry the patient much less.
Two groups of medicines are used to treat prostate adenoma:
- Alpha blockers that improve urine leakage along the urinary tract.Patients reported an improvement in the condition almost immediately after the onset of treatment.Side effects include dizziness, decreased blood pressure, general weakness.
- Preparations that block testosterone reduce the gland.The effect is noticeable in a few months.
Currently, the most effective and safe is the combined goal of the alpha blockers and testosterone blockers.
Transurethral prostate excision is the most effective way to remove adenoma and restore normal urination.Surgery does not require the effectiveness of skin contraction.All tools and camera are introduced through the urethra.Prostate tissues are removed from a manipulator equipped with an electric contour.