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 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, over the past 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 of the Earth aged 20 to 50 years.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 in prostatitis:

1. Various urination disorders associated with narrowing of the urethral lumen:
   • difficulty starting to urinate;
   • frequent urination;
   • weak stream of urine;
   • urinating drop by drop;
   • a 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;
   • 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 virus, cytomegalovirus, trichomonas, gonococcus, Candida fungi, E. coli can affect the urethra and be found in prostate tissue;
• poor blood circulation in the pelvic organs (stasis in the prostate leads to its inflammation);
• sedentary lifestyle (drivers, office workers, employees);
• prolonged sexual abstinence, interrupted intercourse or artificial prolongation of intercourse;
• impaired immunity;
• frequent hypothermia (fans of extreme vacations: diving, surfing, kayaking and skiing);
• stress: mental and physical overload;
• violation of allergic status;
• hormonal imbalance;
• deficiency of vitamins and trace elements.

Treatment of acute and chronic prostatitis

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

There are general tactics for treating patients with acute prostatitis:

• Maintaining bed rest.
• Prescribing antibacterial drugs.
• Prohibition of prostate massage even for the purpose of prostatic discharge.The ban is due to the high risk of developing sepsis.
• Prescribing drugs aimed at normalizing blood microcirculation, increasing its fluidity and viscosity.Thanks to the effect of these drugs, it is possible to achieve 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 tableted 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 thanks to local application, the effect is enhanced.You can use suppositories for prostatitis with propolis.
• If the patient suffers from severe intoxication of the body, the application of rheological solutions, as well as detoxifying agents and electrolytes in hospital conditions is indicated.
• Surgery is necessary if the ability to self-empty the bladder is completely absent or an abscess of the prostate has formed.

The use of antibiotics to treat bacterial prostatitis is mandatory.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 research 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 detrimental effect on gram-positive and anaerobic bacteria, as well as on atypical infectious agents, such as chlamydia.Being introduced into the metabolic processes of the protein metabolism of bacteria, the antibiotic destroys their nucleus, which leads to the death of the microorganism.

Also, these drugs are very effective in the treatment of prostatitis, as 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 drugs should also be replaced if after 24-48 hours from the start of taking them the patient's condition has not improved or if he does not tolerate them well.The drugs of choice in this case are macrolides, cephalosporin antibiotics or lincosamides.

Increasingly, the bacteria causing prostatitis are becoming insensitive to most modern antibiotics.Because of this, prostatitis often cannot be completely cured and the disease becomes chronic.

If the recovery does not occur after 14 days from the start of taking drugs, then the treatment regimen should be adjusted again, but the treatment of prostatitis 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 the bacteriological culture of the contents of the prostate with the determination of the sensitivity of the cultured microorganisms to certain antibiotics.

Complications of prostatitis

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

Adenoma of the prostate- benign prostatic hyperplasia is the presence of a pathological benign formation of the prostate gland located in the circumference of the urethra.

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

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

Manifestations of prostate adenoma

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

• increased frequency and difficulty urinating – urinating is especially frequent at night.
• weakening of the stream of urine is one of the first symptoms of the disease, which most 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.Such 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.
• imperative (sudden, difficult to control) urges to urinate are one of the symptoms that force a man to go to the doctor.
• incontinence and urinary incontinence.

The main differences between prostatitis and prostate adenoma:

	Adenoma of the prostate	prostatitis
What happens in the prostate gland?	One or more small nodules are formed, which gradually grow and press the urethra.	Inflammation develops in the prostate tissue.
At what age is it most common?	Usually after 40 years.Less often - at a younger age.	Most often 20-40 years old.
Why does it occur?	The exact causes are not fully established.It is considered one of the manifestations of male menopause.	Main reasons: pathogens, infection; reduced immunity; sedentary lifestyle; infrequent or too frequent sexual contact.
Features of treatment	Medicines are used, and in severe cases, surgical treatment (excision of the enlarged prostate tissue).	Antimicrobial, anti-inflammatory and pain relievers are usually prescribed.

Prevention measures

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

• Physical activity.You should take at least 10 minutes of your morning time to do some simple exercises.The same rule applies to sedentary work.
• A contrast shower is also an excellent way to improve your well-being.
• As for food, you should include raw pumpkin seeds in your diet (herbal medicine based on pumpkin seeds, nettle extract, palm extract + zinc and selenium in capsules. Normalizes testosterone metabolism and hormone levels, reducing the proliferation of glandular tissue of the prostate. Use 1 capsule in the morning and evening for 1 month, if necessary, repeated use is possible. Normalizes urination, relieves pain, improvesblood 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 medicines based on them.
• You should avoid acidic foods, this applies especially to various sauces with the addition of vinegar - mayonnaise, ketchup, pickles, marinades, etc.
• Fight against excess weight (improves metabolism in the whole organism).
• Avoid wearing tight clothing in the crotch area: panties, pants.

Avoid casual sex as a means of preventing sexually transmitted infections.Sex life should be smooth.Incomplete intercourse and unrealized erections are very harmful.