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Causes, signs and symptoms of prostatitis in men

Definition of the disease

Contents:

Prostatitis in men refers to a group of andrological (men only), and urogenital abnormalities. The disease occurs in the form of acute or chronic inflammation. This is the most common to date urological disease. It used to be that it manifests itself only at the age of 45-65 years, are now increasingly diagnosed with "prostatitis"doctors put young people at the age of 20-30 years. The disease has become much"younger".

The nature of the lesion of the prostate gland depends on the sexual habitus of the person.

  • The defeat of the prostate gland in boys until puberty, it can theoretically be, but the inflammation of the undeveloped gland is not considered as an independent disease.
  • The men who lead active sexual life, the prostate often occurs as an acute inflammation.
  • Pathology cancer, in persons of Mature and old age, can manifest in the form of three separate diseases (chronic prostatitis, adenoma – benign hyperplasia, adenocarcinoma – malignant hyperplasia).
  • In individuals exposed to (chemical, physical, radiological) of castration, the gland atrophied.

Prostate gland (prostate) is adventitious iron male genitalia. It is located at the anastomosis of the urethra and ejaculatory duct. The value of the gland, before puberty, little studied. In Mature males, the prostate gland:

  • produces a secret, semen thinning, ensure the viability of spermatozoa in the genital tract of women;
  • produces prostaglandins, substances conducive to the enhanced blood flow to the penis before the onset of erection, together with the testicle, is involved in the production of the hormone testosterone;
  • provides rapid evacuation (expulsion) of semen from the urethra and takes part in the formation of orgasm.
  • through the reflex mechanism prevents the urine in the semen during sexual arousal, is involved in the complex mechanism of erection.

The prostate is a vulnerable organ for pathogenic agents. It is inevitably involved in the pathology of the walls of the urethra, the bladder, the ejaculatory ducts. Powerful the flow of blood, lymph, circulating through a branched vascular system is damaged gland, produces the phenomena of stagnation, swelling of the body, exacerbates the pathology. Iron is well innervated, damage accompanied by pain.


What men should know about prostate?

Prostatitis is an inflammatory disease of the prostate gland (prostate), most commonly caused by infectious agents entering into the prostate from the urethra, bladder and located near the rectum. However, the infection itself does not mean the development of the disease, for this, as they say, you need "favorable circumstances".

What factors are predisposing to the occurrence of prostatitis:

  • Prolonged sedentary work and sedentary lifestyle. The risk groups are drivers, programmers and everybody who is your working day, not getting up from his chair to walk around and stretch

  • Regular violation of the chair in the form of constipation

  • Strong or repeated hypothermia of the entire body
  • An over-active sexual life or long-term abstinence. Both is not good for the normal functioning of the prostate gland

  • Overeating, abuse of spicy food and alcohol, constant stress.

Prostate is very small in size body length 3 and width 4 cm Weighs 20-25 grams. However, the prostate secretion has bactericidal properties, so the inflammatory process in the gland may develop only in the presence of congestion in that organ, when the secret loses its properties.


What is prostatitis in men?

There are chronic and acute forms of prostatitis:

  • Symptoms of acute prostatitis are characterized by severe inflammation in the prostate area. In this case, the patient observed a high fever (body temperature rises to 38-39 degrees), pain in the groin and perineum, painful urination and defecation.
  • Chronic prostatitis is less concerned about the man, socharacteristic of the disease signs can and not to pay attention. Occasionally, the patient body temperature rises to 37 degrees, sometimes it is disturbed by discomfort when going to the toilet, stands out a bit of mucus or pus from the urethra. Such allocation and are one of the typical signs of chronic prostatitis.

Symptoms of prostatitis in men

There are six signs (precursors) of prostatitis – dysuria syndrome. Use as clinical markers of probation. However, the presence of two of the six symptoms is a reason to appeal to the urologist.

  • Sluggish stream of urine falls down or the range of less than 20 cm
  • Difficult, drop by drop urination.
  • The pain when urinating.
  • Discontinuous, split, splashing, the duration of the process
  • The feeling of not fully emptying your bladder.
  • Frequent urination at night.

It is strictly forbidden to do clinical insights in identifying these signs. Of prostatitis complicated pathogenesis, with the inclusion of a variety of mechanisms. You cannot cure the disease, focusing on clinical symptoms. Contact your urologist, to determine the symptoms, nature of damage, stage of disease, treatment. Diagnosis and treatment considering involved in the pathogenesis of organs and systems. In some cases the required consultation, the surgeon, the oncologist.


Symptoms of prostatitis in men

Prostatitis can occur in the form of acute and chronic inflammation. Acute forms develop on the type of catarrhal, follicular, parenchymatous inflammation. Manifestations of chronic prostatitis is associated with recurrent disease.

1. The symptoms of prostatitis, detected by clinical methods and functional tests. Most important to recognize the nature of the pathology, causes and mechanisms of protective reactions of an organism have the following symptoms.

Frequent urination in prostatitis. In a healthy person the maximum number of urination does not exceed 10-12 times a day, usually 4-5 times. Daily urine volume in an adult healthy person is 1000-2000 ml urine Volume, which causes the urge is 120-170 ml, urine concentration of more than 350 ml causes a strong desire to empty the bladder. Products of inflammation of prostatitis constantly irritate the receptors of the wall of the urinary organs, causing urination:

  • Frequent urination(pollakiuria), while the daily amount of urine not increased;
  • Urination in small portions, the products of inflammation, and serves on the receptors of the false signals about filling the half-empty bladder, after emptying it there is a feeling of fullness;
  • Painful urination(strangury), due to constriction of the urethra by the inflamed prostate;
  • Difficulty in urination due to the compression area of the urethra inflamed gland, and sometimes prostatitis is accompanied by the inability to empty the bladder (ischuria);
  • Urination at night (nocturia), irritated bladder wall give a constant signal to produce urine;

Temperature for prostatitis. Characteristic increase in body temperature to subfebrile and febrile values. High fever accompanied by purulent prostatitis at an early stage of septic shock. In the late stage of septic shock, conversely, are characterized by low temperature (hypothermia) to 35-36 0 C. the Low temperature is dangerous to humans because of the tendency of blood platelets to disseminirovannogo intravascular coagulation (DIC). The prognosis of prostatitis, complicated with sepsis in the presence of DIC, cautious, or unfavorable.

Blood in the urine when the prostate. The symptom of hematuria (blood in urine) is a rare but very dangerous sign. Persistent bleeding difficult to stop. There are several causes of hematuria in prostatitis, including:

  • purulent fusion of cancer of the blood vessel and perforation of the vessel in the urethra;
  • accidental trauma during instrumental studies of the urinary organs;
  • prostatitis complicated by prostatic hyperplasia, most malignant form.

The pain syndrome. Complicated prostatitis accompanied by pain out of urination. Sometimes the pain occurs periodically, for example during defecation. The cause of the pain – the constant irritation of the gland by the products of inflammation. Often note dull (aching) pain in the perineum and the anus.

2. Laboratory studies confirming the symptoms of prostatitis. Used to verify the presence of inflammation, determining the severity of the inflammatory and septic process.

  • General analysis of blood. Indicators confirming the prostate are: an increase in the number of leukocytes, leukogram shift in the direction of increasing the number of band cells in the blood, increased ESR.
  • The analysis of urine. Reveals hidden pyuria (pus in urine) and bacteriuria (bacterial colonization) in the first portion of the urine. Using the method of three glassesto identify the hidden pus and bacteria in the beginning, middle or end of urination. Repeated, every few days, urine culture performed to determine changes in species of bacterial flora.
  • Tank blood cultures. Method is indicated for symptoms of progressive sepsis, followed by exhausting (hectic) fever.
  • Study of cellular immunity in prostatitis supplements the understanding of the nature of the pathogenesis, predict the probability of development of sepsis.

3. Instrumental methods are used to Refine the symptoms of prostatitis. Diagnostic value have the following methods.

  • The method is transrectal(through the rectum) ultrasound examination (TRUS). Note its high diagnostic value. The method has contraindications associated with the prohibition of massage cancer, at certain stages of the disease.

  • X-ray images c of the bladder. Choose projection, convenient for exploring the prostate. Before the into the bladder, injected urografin is inert to body a radio-opaque substance.
  • Needle biopsy of the prostate have strictly limited indications for prostatitis.

Causes of prostatitis in men

There are several groups of causes of prostatitis, including:

  • A complication of diseases men (infection of the SPT, a catarrhal inflammation of the pelvic organs, complicated by Staphylococcus, another bacterial infection, viral, fungal agents, particularly against the background of reduced immunity and General resistance of the body), chronic gynaecological infections in female sexual partners.
  • Urethral reflux. An impaired ability of the prostate to prevent a reverse current of urine hit her in the sex ducts is called urethral reflux. The result is bacterial colonization of the prostate. Urethral reflux – caused by improper catheterization, and previous inflammation of the urethra. When this occurs urethrorrhea – pathological widening of the lumen of the urethra. Urethral-vesicoureteral reflux, bacterial contamination combined with the formation of calculi (stones) in the prostate and the ejaculatory duct channels.
  • A rhythm of sexual life, including the lack of or excess of sex, regular ejaculation delay.
  • Stagnation of venous blood in the genitourinary pelvic organs of men – a consequencesedentary lifestyle (hemorrhoids, disorder of sexual activity, other reasons);
  • Hormonal imbalance is associated with insufficient production of sex glands of male hormones, resulting in the General weakening of the tone of skeletal and smooth muscles, impaired erectile function, and other disorders.

Classification of prostatitis

Distinguish between bacterial and non-bacterial prostatitis:

1.Bacterial prostatitis is called pathogens that enter into the prostate gland from the outside. These include streptococci, staphylococci, E. coli, Proteus and others. Many bacteria are normal flora of our body but under certain conditions they get into the prostate and cause inflammation. Prostatitis can develop as a result of such sexually transmitted diseases as chlamydia , ureaplasmosis, gardnerellosis, trichomoniasis, gonorrhea, mycoplasmosis.

2.In the group of non-infectious prostatitis include:

  • Congestive (congestive) prostatitis

    It is caused by congestive phenomena in the pelvis. Incomplete ejaculation, sexual excesses, prolonged abstinence, coitus interruptus – all contribute to venous stagnation in the pelvic organs.

  • Sclerotic prostatitis

    It is characterized by a decrease in the size and functions of the prostate gland, induration of its tissues resulting in the death of prostate cells with replacement by sclerotic tissue. One of the reasons for the development of this form of diseases are the frequent constipation, taking some medicines, multiple infection. Such prostatitis, unfortunately, is not treatable.

  • Calculous prostatitis

    The result of the development of calculous prostatitis is the presence in the gland of phosphate and oxalate stones. Reaching large size, they cause a sharp pain in the urethra. The treatment method consists in dissolving the formed stones.

  • Prostatopathy prostatitis

    This disease causes chronic pelvic pain, but its etiology is not fully understood. I assume it can be triggered by the reverse current of the secret, damage to the muscles of the perineum, pathology of the bladder neck and psychological factors.

  • Atypical forms

    In atypical form, the patient may complain of pain in the legs, lower back and the sacrum that is unusual for typical symptoms of prostatitis. The outcome of treatment depends on duration of disease, active inflammatory processes, the availability of the joined complications.

If you do not do treatment of prostatitis, in running form, it leads to a decrease of potency, infertility, depression, excruciating pain in the perineum and other complications.


How dangerous is prostatitis? Consequences of prostatitis

The effects depend on age, immune system, presence of bad habits. So the older age group, are immunocompromised with a history of alcoholism, drug abuse, acquired immunodeficiency syndrome, the effects of the disease harder.

The effect of prostatitis on the potency of the Damaged iron in decompensation of the functional activity, reduces production of substances involved the formation of an erection of the penis men. The consequence of prostatitis is sluggish the release of seminal fluid during intercourse, lower fullness sensations during intercourse, in advanced forms of erectile dysfunction.

The effect of prostatitis on conception. Damaged prostate drastically reduces the activity of producing quality secret needed to maintain the activity of sperm in the birth canal of a woman. Secret inflamed prostate gland, entering through sexual contact in the birth canal women reacts immune rejection of the female body, development of gynecological diseases and the inability of conception.

Prostatitis causes damage to the inside of the gland and the body. Complicated microflora inflammation increases the risk of an abscess of the prostate. The abscess – purulent fusion of the parenchyma of the gland with the formation of a capsule around the lesion. The disease to form in the cavity of the mineralized concrements – a consequence of the prostate complicated with prostate reflux damaged. The consequence also of prostatitis: acute ischuria, urinary tract disease, kidney failure, inflammation of the urinary organs, and other diseases.


Can I have sex with prostatitis?

It is proved that disritmia intimate life, one of the causes of inflammation of the gland. Regular ejaculation with reasonable frequency, positive impact on the pathogenesis of prostatitis subclinical and moderately expressed clinical manifestations of prostatitis. Some therapeutic manipulation and stage of disease suggesting a temporary ban on sex life. Detailed recommendations should be obtained from the attending physician. Have sex for prostatitis, observe moderation and safety intimatelife.

Is there any prostatitis sexually? Prostatitis is a male disease has no specific viral, bacterial, fungal origin. Meanwhile, inflammation of the prostate poses a risk for gynecological health. Seminal fluid, containing products of inflammation entering the female genital organs, on the background of reducing protective barriers birth canal – a real threat of conception and gestation. A healthy lifestyle, a reliable means of male contraception is a simple way to protect sexual partners from their mutual problems.


Is it possible to cure prostatitis once and for all?

Most of those men who has repeatedly treated for prostatitis interested in one question – is it possible to get rid of this unpleasant disease. According to experts, the effectiveness of the treatment largely depends on the presence and severity of the incident irreversible effects in the prostate. It can be scarring, stones, calcification.

To stop in the early stages of further development of the inflammatory process may be the only timely treatment to the doctor. In this case, no irreversible complications in the prostate does not develop and there is a possibility of complete cure. When there are areas of sclerotic tissue – scars, there are the calcification and small stones, from which to get rid of have no way, then most likely, you may experience repeated inflammation. This is chronic prostatitis.

In addition to the treatment an important factor in overcoming this illness is how the patient is willing to change his former way of life irregular sexual life and permanent seat on the stool. If he does not want such a change, with the big share of confidence it is possible to say that soon the inflammation will come back. It is with the unwillingness of the patient to eliminate these negative factors from your life and is connected with the idea that prostatitis is incurable.

Duration, treatment regimen determined by the physician, based on the results of physical, laboratory and instrumental studies. The basis treatment of prostatitis antibiotics. Shows the use of vitamins, physiotherapy, anti-inflammatory, painkillers, antibiotics.


Diet for prostatitis

Compliance with the diet, the use of a specific set of products:

  • reduces pain,
  • improves microcirculation of blood and lymph in the vessels of the gland,
  • strengthensprotective functions of the body,
  • normalizes the bowels,
  • reduces urine formation at night.

Products for prostatitis. Be excluded from use:

  • Strong coffee, spicy food – increase blood flow to gland, stimulate the pain;
  • Fat, fatty meat, eggs, flour – increase the deposition of cholesterol on the walls of the capillaries, reduces microcirculation of blood flow in the gland;
  • Alcoholic drinks– reduced immunity;
  • Products containing coarse fiber, salty, spicy foods – alter peristalsis;
  • A large amount of fluid (in the evening), salted, smoked products (during illness) to increase the volume of liquid, hold in the body.

It is desirable in the diet include: vegetable salads dressed with olive oil, vegetables and fruits grown in the region of residence, natural juices, nuts, dried fruit, low-fat boiled meat. Set of products for prostatitis you can check with a dietitian.


Preventive measures

Prevention is based on simple rules, keep them simple.

  • Go for a walk stride (this style of walking most physiological);
  • Eat right, lead a healthy lifestyle;
  • Use means of male contraception.

More detailed information read the article "Prevention of prostatitis"

To avoid the development of prostatitis and its complications should in all ailments of the genital organs immediately contact a urologist. Do not have to wait until manifest any symptoms, but at least once a year to see a doctor. In a medical facility, you will pass the examination and will know exactly what health in the genital area you have everything in order.

Do not delay a visit to the urologist and those who suffer from constipation, abusing alcohol, spicy and smoked food, to those who are not actively engaged in sports and who have a history of sexually transmitted diseases. Due to the high risk of disease such people should undergo a mandatory examination even if there's no evidence.

As you know, men are not fans of going to the doctor and when it will be unbearable, it turns out that the disease took a chronic course. But the treatment could go much earlier. Now in chronic prostatitis be treated will have at least 1-2 months.