treat prostatitis

In the middle of the last century, it was thought that prostatitis developed in old age. Today, the disease has become "younger" and is diagnosed in fertile men aged 30-40. Inflammation tends to become chronic, making treatment more difficult. Doctors successfully address any complex men's health problem. Urologists at the medical center develop a personal treatment plan, use the best medicines, and have a modern approach to prostate disease.

"The Heart of the Second Man"

The prostate is a small unpaired external secretory gland controlled by hormonal activity. This organ is located at the bottom of the small pelvis, below the bladder. The wider rim of the prostate covers the neck of the bladder. The back is adjacent to the anterior wall of the rectum. The anterior part of the gland is located in the pubic region where the pelvic bone joins. In men, the prostate performs three key functions:

• Motor - controls the separation of urine and semen (so sperm does not enter the bladder;
• Secretion - produces the secrets responsible for semen quality and maintaining a stable erection;
• Barrier - Prevents upper urinary tract infections.

The function of the prostate begins to manifest during puberty, gaining its full value by the age of 18-20. Men who span fifty-year milestones document decline in body-positive work.

Types and forms of prostatitis

The type of disease is determined by why it occurs:

1. Bacterial prostatitis. It is a complication of urogenital infections and inflammatory processes (less common in other body systems).
2. Nonbacterial prostatitis. It develops in the context of neurology, psychoneurological etiology, chronic disease, physical exhaustion of unhealthy lifestyle.

The trigger for the inflammatory process is the phenomenon of hyperemia (stasis) in the glandular tissue, caused by organic disease or infection.

Forms are classified according to the nature and course of the symptomatic presentation:

1. acute inflammation. Characteristics of bacterial type diseases. It is accompanied by a strong performance of specific signs.
2. Chronic prostatitis. Unstable operation. The incubation period is replaced by relapse with severe symptoms. In 95% of cases, it has a non-bacterial source.

The symptoms of chronic prostatitis usually go away, while the inflammatory process continues to develop. The ups and downs of the disease are the reasons for the untimely visit to the urologist, followed by expensive treatment of complications.

Causes of Prostatitis

The causes of stagnation of blood circulation and prostate secretion correspond to specific classifications of the disease.

Causes of Infectious Species	cause of bacterial species
Sexually Transmitted Infections (STIs): Bacteria (syphilis, gonorrhea, ureaplasmosis, Gardner's disease); Viruses (papilloma, cytomegalovirus, genital herpes); Parasites (chlamydia, trichomoniasis); fungi (candidiasis). Bacterial diseases of the intestines, skin, and respiratory organs caused by activities such as Staphylococcus, Enterococcus, Escherichia coli, Proteus, Klebsiella, etc.	Neuralgia, rheumatism, neurosis, mechanical damage to the spine and reproductive organs, intraprostatic reflux, chronic constipation (constipation), pain, history of urological disorders (cystitis, urethritis, etc. ), lack of motivation, disorders of the endocrine system

Provocative factors include irregular intercourse (absence of sex at all), systemic hypothermia of the body, and chronic alcoholism.

symptoms of acute illness

Acute prostatitis is characterized by severe manifestations of prostate inflammation. Neighboring organs and systems are involved in this process, and psychoemotional stability is disturbed.

The main symptoms:

1. from the urinary system. Frequent urination (frequent urination) with dripping urine, burning pain, and urethral spasms. Urine becomes cloudy. The urge to empty the bladder is often wrong.
2. from the reproductive system. Perineal pain, decreased potency, painful ejaculation. Discomfort can occur in the glans and testicular areas during (or after) an intimate relationship.
3. from the nervous system side. Acute muscle pain in the lumbar and sacral regions of the lower abdomen.
4. Psycho-emotional disorders. Increased tension, anxiety, and irritability.
5. from the digestive system. Constipation, aggravated hemorrhoids.
6. from the autonomic nervous system side. Loss of appetite, headache, hypothermia (37-38°C), symptoms of body poisoning. Habitual behavior can lead to rapid fatigue and a desire to lie down.

Existing chronic diseases are exacerbated in the context of inflammation.

signs of chronic prostatitis

Prolonged inflammation of the prostate can lead to disruption of the morphological structure and performance of the organ. During the remission phase, the pathology reminds oneself of increased fatigue and decreased performance. Urinary disorders are characterized by repeated (often false) urges to empty the bladder, which become more frequent at night.

Moderate pain with urination and a feeling of incomplete destruction after urination. From the urethra, a secret of the prostate with a yellow mucus consistency, spontaneously exudes an unpleasant odor (prostorrhea).

Chronic pelvic pain syndrome afflicts patients - pain sensations of a painful nature, located in the lower third of the abdomen, pelvic and external genital organs, perineum, lumbar spine and sacral regions.

Chronic prostatitis with sexual health disorders:

• Unstable erections, accompanied by pain;
• libido suppression;
• Accelerated or difficult (usually painful) ejaculation.

In the context of sexual disorders, psycho-emotional instability develops. Men are prone to depression and dramatic mood swings—from aggressive to aloof. Ultimately, this leads to absolute impotence (impotence).

During relapse, the symptoms correspond to the acute form of the disease, but are less intense. Deterioration is caused by:

1. General hypothermia. Any chronic inflammatory disease, including prostatitis, is exacerbated by prolonged exposure to cold or cold water.
2. Limit mobility. Due to lack of exercise, blood circulation to the pelvic organs is disturbed. The stagnant blood can cause the prostate to swell, which can compress nerve endings and the urethra.
3. Abuse of alcohol. Chronic processes of inflammatory processes are activated under the influence of alcohol.
4. Stay away from intimacy for a long time. Lack of sexual intercourse can lead to stagnation of prostate secretion, which can lead to deterioration.
5. tights. Mechanical compression of the external genitalia disrupts the normal blood supply to the prostate.

The recurrence of the disease is caused by unhealthy eating habits. A diet rich in fatty foods is one of the causes of hypercholesterolemia (increased concentration of cholesterol in the blood), which can develop into atherosclerosis. Cholesterol plaques interfere with free blood flow and cause prostate congestion. A large menu of products that cause constipation can cause excessive tension in the perineal muscles.

Complications of Prostatitis

With untreated acute inflammation, purulent masses accumulate in prostate tissue and form glandular abscesses. The condition is characterized by fever (39°C), chills, severe pain in the perineum, and ischia (inability to empty the bladder on its own). The only treatments are surgery to open the urethra and a probe (a special metal probe to dilate the urethra).

Lack of correct diagnosis, neglect of symptoms, long-term self-treatment of chronic prostatitis are the reasons for the development of dangerous complications:

• Prostate adenoma - a benign tumor that is prone to developing malignant tumors (malignancies) when not treated correctly;
• formation of stones in the glands;
• Epididymis - orchitis - inflammation of the testis;
• Seminal vesiculitis - inflammation of the seminal vesicles;
• Infertility (the first disease requires long-term treatment, the second is almost incurable);
• impotence;
• Prostate sclerosis is the death of prostate cells.

Prompt examination of the male prostate can help avoid serious consequences of inflammatory disease.

prostate examination

A rectal examination of the prostate is an unpleasant but extremely necessary procedure. It allows you to detect adenoma, prostatitis, malignant tumor and other serious diseases early.

Indications for Rectal Prostate Exam

Every man over the age of 40 should see a urologist at least once a year. The earlier the inflammatory process, benign and malignant tumors are diagnosed, the greater the chance of a complete recovery of the prostate. Patients receive milder treatments that maintain libido, sexual activity, and ability to fertilize.

Sometimes men under the age of 40 show warning signs but delay seeing a urologist. Indications for urgent prostate examination are:

• Pain of any intensity in the perineum;
• erectile dysfunction;
• premature ejaculation;
• A decrease in the amount of semen released;
• Discomfort during sex and bowel movements.

Don't ignore urination problems - too frequent urges, cramps, empty bladder, unpleasant changes in urine smell and color. Be sure to make an appointment with a urologist if you notice at least one sign.

How is a digital prostate exam performed?

In the hours before surgery, you must avoid:

• sexual contact;
• masturbation;
• do excercise;
• ride a bike;
• physical labor.

Before seeing your doctor, you will need to empty your bladder and perform a cleansing enema with saline or chamomile decoction.

Before examining the prostate, the man takes a knee-elbow position, lying on his side, with his legs bent or standing, leaning forward with his hands on a table. The doctor puts on sterile gloves and lubricates his index finger and the patient's anus with petroleum jelly or lubricant.

During a rectal examination of the prostate, the doctor massages the prostate lobes from both sides to the center. With the help of palpation, you can evaluate:

• size and shape;
• texture and elasticity of organs;
• the symmetry of its elements;
• Severity of contour and longitudinal grooves;
• The presence of pain, seals and knots.

These data make it possible to determine whether there are pathological changes in the prostate.

Also, during the procedure, the secrets of the prostate are obtained. This fluid is sent for analysis, which shows the content of bacteria, white blood cells, red blood cells, pathogenic microorganisms.

Depending on the results of a digital prostate exam, your doctor may prescribe additional diagnostic measures. These include clinical analysis of urine and blood, studies of tumor markers, prostate ultrasound, and more.

Disease diagnosis

Making an accurate diagnosis involves several stages:

• an initial consultation with a urologist;
• a set of laboratory tests;
• Prostate hardware examination;
• Reschedule a doctor's appointment.

Urology consultations include:

• Identify symptoms and their characteristics (prescription, intensity);
• collection of medical records (past illnesses);
• Clarify information on working conditions, lifestyle characteristics, habits, regularity of sexual relations;
• Visually inspect the external genitalia for rash, redness, swelling, and urethral discharge;
• Palpate the inguinal lymph nodes;
• Prostate palpation rectal examination (determination of pain, contour, density, glandular elasticity, assessment of interlobular septal status);
• Sampling of biological material for laboratory research;
• Appoint analysts.

There are no strict time limits for medical appointments. In specialty clinics, each patient receives maximum time and attention.

For the differential diagnosis of bacterial and bacterial prostatitis, in order to determine the form of the disease, men need to collect blood, urine, prostate secretions, and urethral swabs.

During a rectal examination of the glands, doctors take samples of prostate secretions with their own hands. For examination, use disposable medical gloves, lubricants (Vaseline, gel lubricant, glycerin), which facilitate penetration into rectal ampoules, use sterile glasses. The penetration depth does not exceed 5 cm, and the professional qualifications and experience of the urologist ensure a safe and painless procedure.

Venous blood is drawn using modern vacuum blood collection tubes. The medical center strictly abides by the sterility regulations for the collection of biological materials.

lab testing

Studies are conducted by experienced specialists in clinical diagnostic laboratories. The laboratory department of the medical center is equipped with modern equipment that allows you to perform any complex analysis.

The list of analyses includes:

1. Bacteriological cultures of smears for the determination of sexually transmitted infections. Biomaterial samples are grown on nutrient media conducive to the growth of pathogenic microorganisms. Active reproduction and colony formation of a specific pathogen indicates the presence of infection. On the basis of bacterial culture, antibacterial profiling - determination of the resistance of pathogens to antibiotics is performed.
2. General urinalysis. Deviations from normal values (leukocyturia, bacteriuria, cylindrical urine, etc. ) indicate the presence of an inflammatory process.
3. A blood test for PSA (prostate-specific antigen) is a tumor marker in the male reproductive system. It is performed by the high precision ICLA method (chemiluminescence immunoassay).
4. Examination of prostate secretions (microscopy and culture). Allows you to determine inflammation, presence of microorganisms (E. coli, Staphylococcus, etc. )

A comprehensive STI test can be performed on a blood sample.

The hardware diagnosis is TRUS (Transrectal Ultrasound) of the prostate. It is performed using a cylindrical probe no larger than 1. 5 cm in diameter inserted into the rectum. The sensor is pre-lubricated and a special disposable nozzle (condom) is placed on top. The data is transmitted to a monitor on which the urologist visually assesses the pathological changes of the prostate.

readmission

On readmission, the doctor:

• evaluate test results;
• Develop an individual treatment plan, taking into account the type, form, nature, drug tolerance, patient age of the prostatitis course;
• Designated controlled studies.

We offer appointments for patients by telephone or by filling out an online form through our website at a convenient time.

Treatment of Prostatitis

In the clinic, men can receive complete prostatitis treatment. The course of acute inflammation of the prostate consists of three stages:

• Relieve symptoms and inflammation;
• Restore function and stabilize glandular state;
• Consolidate results and prevent complications.

The first stage

For infectious prostatitis, antibiotics are mainly used to destroy the pathogen of the infection. Drug selection was based on the results of the antibacterial spectrum. At the same time, drugs from several pharmacological groups were used:

1. Alpha blockers. These drugs help to relax the smooth muscle tissue of the prostate, bladder neck, lower the pressure inside the urethra, normalize the flow of urine, and reduce swelling of the glands.
2. enzymes. They liquefy prostatic secretions, increase the local immunity of the organ, enhance antibacterial action and reduce inflammatory manifestations.
3. Immunomodulators for restoring immunity.
4. Non-steroidal anti-inflammatory drugs (NSAIDs). Reduces inflammatory processes, stops pain syndrome.

Physicians personally choose medicines and dosages based on the symptoms, type, and form of the disease.

second stage

After eliminating acute symptoms, they turn to medications and methods that help stabilize the glands. Medical includes:

• Vascular drugs (to improve blood supply to the prostate);
• immunostimulants;
• Drugs that normalize the process of urinary excretion;
• anti-inflammatory drugs;
• Medications to restore an erection.

In complex treatment, oral drugs and rectal suppositories (regenerative, antibacterial, immunostimulatory, anti-inflammatory, analgesic) are used.

Special methods include prostate massage. Mechanical effects on the prostate allow:

• speed up blood circulation;
• Strengthens capillaries and blood vessel walls;
• activate the exchange process;
• establish a secret outflow;
• normalizes bladder emptying;
• improve the effectiveness of drug therapy;
• Restorative activities.

Massage procedures are used for both therapeutic and preventive purposes.

Type of massage:

• with the help of a dilator (sound bar);
• internal palpation;
• non-invasive (no penetration);
• Penetrating or external hardware (performed with special massagers).

The third phase

Treatment is done with ozone therapy and laser therapy. Rectal ozone therapy consists of taking a freshly prepared solution of ozonated isotonic sodium chloride daily.

Prostatitis treatment with lasers is a progressive physical therapy technique that allows you to gain positive momentum quickly and prevent the complications of prostatitis. Directional effect of rectal laser:

• regenerating glandular cells;
• reduce inflammation and pain;
• Enhance local immunity;
• Improves the blood supply to the prostate, the condition of the blood vessels.

The frequency of sessions is 2-4 times a week, and the duration of a program is 10-20 minutes. Laser treatment begins with the second stage of treatment, at the discretion of the attending physician.

Also, use phytotherapy.

Treatment characteristics of chronic prostatitis

This form of prostatitis is characterized by an ups and downs process, in which the exacerbation of chronic prostatitis is replaced by periods of complete absence of unpleasant symptoms. In some cases, these symptoms are constantly observed, but they have mild features that are erased. In most cases, men suffer long-term inconveniences in the form of urinary disturbances, dull pain in the lower abdomen and perineum, and diminished efficacy. Patients with this diagnosis often turn to their doctor during periods of worsening symptoms.

Treatment of chronic prostatitis begins with a detailed examination to find out what is causing the inflammatory process. Based on the diagnosis, the urologist selects drugs from the following groups:

• Antibiotics are prescribed for patients diagnosed with chronic bacterial prostatitis and for diseases of non-bacterial origin. The means of this group, in addition to inhibiting the activity of pathogenic flora, help to reduce inflammation.
• Drugs in the alpha-blocker group are prescribed to patients with severe voiding disorders. Medications can increase urine flow rate and relieve symptoms.
• Muscle relaxants are suitable for patients with chronic pelvic pain and acute symptoms of chronic prostatitis.
• Urologists recommend hormonal medications to promote active growth of prostate glandular tissue in the context of chronic inflammation.
• Immunomodulators are used for chronic inflammation of the prostate of any origin, whether allergic, bacterial or nonbacterial prostatitis.

In addition, drugs that stimulate blood circulation in the pelvic organs and directly in the prostate are used, as well as potency stimulants. Treatments such as prostate massage, physical therapy (electrophoresis, shockwave therapy, UHF, etc. ), a set of exercise therapy to relax the perineal and pelvic floor muscles, and laser therapy can also help improve outcomes.

All of these methods are widely used in the clinic and can achieve high therapeutic outcomes even in patients diagnosed with chronic calculous prostatitis (a form of complex chronic inflammation of the prostate). Specialists at the center pay special attention to the preservation of male genitourinary system functions, enabling patients after treatment to live fulfilling lives and even become parents. Only through complex treatments with the right choice of drugs, physiotherapy and prostate massage can achieve positive results in therapy.

Prevention of prostatitis process

Preventive measures include:

1. Change your eating habits. Eat a balanced diet, limiting fat and high-calorie foods. Enrich your diet with vegetables, fruits, men's health products (nuts, honey, seafood, etc. ).
2. Physical activity (regular exercise helps to normalize blood circulation in the genital area).
3. Protected Sex - Use barrier contraception (condoms) to prevent sexually transmitted diseases.
4. Regular sex is a pleasant and useful way to prevent prostate congestion.
5. Alcohol restriction. Alcohol abuse leads to decreased potency, libido, and suppression of testosterone synthesis.
6. Complete rest. Psycho-emotional overload, insomnia (insomnia), and physical overwork are the triggers for non-bacterial prostatitis.
7. Visit your urologist regularly and get tested for STIs. The disease is easier to prevent than to treat.

Urologists offer preventive examinations of the prostate.