Prostate, or prostate iron is located at the base of the bladder.The organs produce seed fluid, which during ejaculation is thrown into the urethra.The secret of the prostate gland creates an optimal condition for spermatozoa life outside of a man's body.
Facts about prostate
Prostate activity is controlled by male sex hormones.During puberty, testosterone levels increase, which causes the active growth of the prostate gland.The prostate has a maximum of 20-40 years.
Prostatitis
The agent of the infectious prostatitis in most cases is bacteria or virus.Less commonly, this disease can be a complication of inflammatory urological disease - epididymitis, urethritis, cystitis.
The endless prostatitis in its practical manifestation is no different than contagious.Differences related to examination results: In this type of disease, pathogens are not detected.
Symptom
In most cases, prostatitis begins with acute.There are three forms of acute prostate damage:
- Catarrhal, accompanied by a slight urinary tract and pain in the back of the pubis and in the anus.
- Folicular, where urination and pain are expressed stronger.
- Purulent, accompanied by severe pain, fever, general deterioration and problems with urine release.The spread of infection to the scrotum leads to inflammation of the penis (orchitis).Sometimes purulent abscesses in the pelvis occur.
Without treatment, the disease goes into a chronic form.Acute symptoms subside, apparently periodically during hypothermia, in the offseason (spring-fast).
Sometimes the disease immediately has a chronic course.In this case, the symptoms of the disease gradually increase, which forced many men to associate it with prostatitis, but with age -related changes.
In chronic prostatitis, there are:
- frequent urination, the emergence of sudden impulse, especially at night;
- slow, instant, poor urine pressure;
- pain during ejaculation;
- Problems with potential.
Pathological changes affect the bladder walls, kidneys and nerve plexus to the prostate.This leads to the appearance of back pain and difficulties with urine release.There is pain during erection and ejaculation.
The unpleasant phenomenon subsides when prescribing adequate treatment.The faster the patient begins to be treated, the higher the chance to recover full health.
To make a diagnosis of prostatitis ,:
- general examination, history of anamnesis, assessment of complaints and severity of symptoms;
- Finger rectal examination, where the size of the prostate, its density and other parameters are determined;
- Studies of smear, urine and seed fluid on SPPP.
Treatment of prostatitis
Treatment is selected depending on the cause of chronic inflammation in the prostate gland.In the case of infection, a well -selected course of drug can completely eliminate the inflammation process.
In the event of complications, the treatment is intended to eliminate it.Patients are prescribed drugs and procedures that improve micro -circulation that relieve edema that eliminate pain and normalize gland function.
It is easier to treat inflammation of the prostate gland when diagnosed at the onset of the development of the disease.However, modern medicine allows for helping patients where the disease becomes chronic.
To prevent chronic diseases, anti -treatments are performed to control the course of prostatitis, preventing complications.
For this, prostate massage, intake and anti -inflammatory drugs are prescribed.In advanced chronic cases, when treatment does not have the desired effect, the removal of the prostate gland surgery is performed.
An important factor about prostatitis
- Appointment of treatment is only possible after making an accurate diagnosis.
- In the case of advanced, you can significantly improve the patient's condition and improve the quality of life.
- Losing symptoms of prostatitis is not a clue to the end of treatment.
- The disease does not go into 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 (improvement) of the prostate gland.In recent years, the disease has been "younger".The case of prostate increases was found despite the 30 -year -old patient.In this group, the probability of detecting adenomas is about 10%.
At the age of 65, prostate increases were detected in every second male.In patients over the age of 70, the dimensions of the prostate gland exceed the norm in almost 90% of cases.
The dangerous manifestation of prostate adenoma is the formation of nodes that compress the urethra.The formation of the knot is slowing down, as the urinary tract is gradually developing.
According to the most common theory, the development of prostate adenoma is due to hormone imbalance, which develops with age in a man's body.
Symptom
Each fourth patient records difficulty in urinating.Strong muscles in the bladder can initially squeeze the urine out.However, when the adenoma lasts, the compensation mechanism stops to overcome, and the patient has a problem with urination:
- instant flow;
- weak "pressure" of urine;
- tighten the urinary process;
- the feeling of emptying the bladder is incomplete;
- Pain.
The more adenoma becomes, the more symptoms become symptoms.The encouragement becomes more frequent and begins to disturb at night.In the case of advanced phenomena, the phenomenon of paradoxes is formed: continuous irritation of the bladder wall leads to uncontrolled reduction and urinary incontinence.
The stagnant phenomenon of the bladder leads to its inflammation (cysti) and triggers stone formation.Gradually, the infection rises to the kidneys, causing their purulent inflammation - pyelonephritis.The development of light bowls of bowl-hydronephrosis may develop.As a result, the patient has kidney failure.
Persistent arrest during urination in older patients causes liver and blood vessels.Even the stroke cases arose while trying to "squeeze" the urine.
Diagnostics
At the examination, the urologist assesses the physical condition of the patient and his prostate gland.Prostate evaluation involves determining the size, consistency and shape.
Patients prescribe general analysis of urine, ultrasound of pelvic organs, bladder ultrasound to determine the level of urine, ultrasound of the prostate gland using rectal sensors, cystoscopy and urofluometry.The number of exams required may vary depending on the characteristics of the disease.
Treatment
You can reduce the severity of symptoms in many ways.The most effective is the adjustment of drinking regime, refusal of coffee and alcohol.In this case, the call at night will interfere with the patient.
For the treatment of prostate adenoma, two groups of drugs are used:
- Alpha blockers increase urinary flow throughout the urinary tract.Patients recorded an increase in conditions nearly after the onset of treatment.Side effects include dizziness, decreased blood pressure, general weakness.
- Preparations that prevent testosterone reduce the gland.The effect can be seen after a few months.
Currently, the most effective and safe is the purpose of alpha and testosterone blockers.
Prostate transuretral isolation is the most effective way to get rid of adenoma and restore normal urination.Handling surgical intervention does not require skin cutting performance.All tools and cameras are introduced through the urethra.The prostate fabric is removed by a manipulator equipped with an electric loop.