Prostatitis and prostate adenoma

Prostatitis is an inflammation of the prostate tissue, its swelling.This is the term for inflammation of the prostate gland.

Prostate gland- part of the male reproductive system that produces specialized secretions that nourish and protect sperm.When the smooth muscle fibers of the prostate capsule and seminal vesicle contract, seminal fluid is released into the urethra - ejaculation (ejaculation).

Prostatitis can only develop in men.According to statistics, in the past 20 years, the incidence of prostatitis has approximately doubled, and now, at the beginning of the 21st century, it affects almost half of the male population on Earth aged 20 to 50. It is generally accepted that after 30 years, 30% of men have prostatitis, after 40 - 50%, etc.

Classification of prostatitis:

• spicy;
• asymptomatic inflammation;
• chronic bacteria;
• chronic pelvic pain inflammatory syndrome.

Complaints with prostatitis:

1. Various urinary disorders related to narrowing of the urethral lumen:
   • difficulty starting to urinate;
   • intermittent urination;
   • poor urine flow;
   • urinate drop by drop;
   • a feeling of incomplete emptying of the bladder;
   • accidental leakage of urine.
2. Symptoms caused by nerve ending irritation:
   • frequent urination;
   • frequent urination at night;
   • urge to urinate;
   • urinate in small portions;
   • urinary incontinence during urination.
3. Pain in the lower abdomen, groin area, inner thigh or lower back;various sexual disorders may 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 are detected in prostate tissue;
• poor circulation in the pelvic organs (congestion in the prostate leads to its inflammation);
• sedentary lifestyle (drivers, office workers, officials);
• prolonged sexual abstinence, interrupted sexual intercourse or artificial prolongation of sexual intercourse;
• impaired immunity;
• frequent hypothermia (fans of extreme recreation: diving, surfing, kayaking and skiing);
• stress: mental and physical load;
• violation of allergy status;
• hormonal imbalance;
• lack of vitamins and microelements.

Treatment of acute and chronic prostatitis

Although, 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 sleep.
• Prescription of antibacterial drugs.
• Prohibition of massaging the prostate even for the purpose of obtaining prostate secretions.The ban is due to the high risk of getting sepsis.
• Prescription of drugs 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 glands, reduce toxic manifestations and remove decay products from the body.
• Oral administration of NSAIDs or other tablet 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 the tablet preparation, but thanks to local administration, the effect is enhanced.You can use suppositories for prostatitis with propolis.
• If the patient has severe body intoxication, the administration of rheological solutions, as well as detoxification agents and electrolytes in a hospital setting is indicated.
• Surgery is necessary if the ability to empty the bladder independently is completely absent, or a prostate abscess has formed.

The use of antibiotics to treat bacterial prostatitis is mandatory.If the disease begins acutely and symptoms of intoxication are present, then antibacterial drugs are prescribed as soon as possible;waiting for test results for bacterial flora in this case is impractical and dangerous.

Doctors choose drugs from the group of fluoroquinolones.This may be Levofloxacin, Ciprofloxacin.Such empirical therapy is due to the fact that fluoroquinolones are active against the bacteria that most often cause prostatitis - these are gram-negative pathogenic flora and enterococci.In addition, fluoroquinolones have an adverse effect on gram-positive and anaerobic bacteria, as well as on atypical infectious agents, such as chlamydia.By introducing itself into the metabolic process of bacterial protein metabolism, the antibiotic destroys their nucleus, which leads to the death of the microorganism.

Also, these drugs are very effective in treating prostatitis, because they have the ability to quickly penetrate prostate tissue 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 must also be replaced if, after 24-48 hours from the start of taking it, the patient's condition does not improve, or if he does not tolerate it well.The drug of choice in this case is macrolides, antibiotics from the group of cephalosporins or lincosamides.

Increasingly, the bacteria that cause prostatitis are becoming 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 the drug, then the treatment regimen should be readjusted, but therapy for prostatitis should not last less than 14-30 days.But the prescription of antibiotics is carried out by the doctor, focusing on the data of the clinical picture of the disease and the results of the bacteriological culture of the prostate contents with the determination of the sensitivity of the cultured microorganisms to certain antibiotics.

Complications of prostatitis

Acute prostatitis that is not treated has a chance to develop into a chronic form of prostatitis, and men over the age of 40 may experience 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 pathological benign growth of the prostate gland located in the circumference of the urethra.

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

After a detailed examination, signs of prostate adenoma at the age of 40-50 years are observed in 25% of men, at the age of 50-60 years - in 50%, at the age of 60-70 years - in 65%, at the age of 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 enlargement of the organ, which causes narrowing of the urethra and is indicated by the following symptoms:

• increased frequency and difficulty urinating - urination becomes more frequent at night.
• weakening of the flow of urine is one of the first symptoms of this disease, which is most often not noticed until the symptoms of other diseases appear.
• a feeling of incomplete bladder emptying - often masquerading as frequent urination in the morning.Such men complain that, despite the frequency of urination during the day, in the morning they need to urinate 3-4 times with an interval of 10-15 minutes.
• urgency (sudden, uncontrollable) urge to urinate is one of the symptoms that forces a man to see a doctor.
• incontinence and urinary incontinence.

The main difference between prostatitis and prostate adenoma:

	Prostate adenoma	Prostatitis
What happens in the prostate gland?	One or more small nodules are formed, which gradually grow and compress the urethra.	Inflammation develops in the prostate tissue.
At what age does it most often occur?	Usually after 40 years.Less often - at a younger age.	Usually at the age of 20-40 years.
Why does it happen?	The exact reason has not been fully ascertained.It is considered one of the manifestations of male menopause.	Main reasons: pathogens, infections; decreased immunity; sedentary lifestyle; infrequent or too frequent sexual intercourse.
Treatment features	Medicines are used, and in severe cases, surgical treatment (removal of prostate tissue that is too large).	Antimicrobials, anti-inflammatories, and pain relievers are usually prescribed.

Preventive measures

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

• Physical activity.You should take at least 10 minutes of your morning time to do a 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, you need to 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, reduces the proliferation of prostate gland tissue. Used in the morning and evening, 1 capsule for 1 month, if necessary, repeated use, can relieve pain. circulation in the prostate, relieve inflammation and, in combination with antibiotic therapy, reduce treatment time for prostatitis and prevent the development of prostate adenoma), honey, garlic, prunes, parsley, walnut or herbal medicine basedthem.
• You need to avoid pickled foods, this is especially true for various sauces with the addition of vinegar - mayonnaise, ketchup, pickles, marinades, etc.
• Fights excess weight (increases the metabolism of the whole body).
• Avoid wearing tight items in the crotch area: underwear, pants.

Avoid casual sex as a way to prevent sexually transmitted infections.Sex life should be smooth.Incomplete sexual intercourse and unrealized erections are very dangerous.