Prostatitis and prostate adenoma

Prostatitis is inflammation of the prostate tissue and its swelling.This is the term for inflammation of the prostate.

prostate- The part of the male reproductive system that produces specific secretions that nourish and protect sperm.When the smooth muscle fibers of the prostatic and seminal vesicles contract, semen is released into the urethra - ejaculation (ejaculation).

Prostatitis can only occur in men.According to statistics, the incidence of prostatitis has roughly doubled over the past 20 years, and now, at the beginning of the 21st century, it affects almost half of the planet's male population between the ages of 20 and 50.It is generally believed that 30% of men will suffer from prostatitis after 30 years, 40-40%, 50-50% and so on.

Classification of prostatitis:

• hot;
• silent inflammation;
• chronic bacterial;
• Inflammatory syndromes of chronic pelvic pain.

Main complaint of prostatitis:

1. Various voiding disorders associated with urethral lumen stricture:
   • Begins to have difficulty urinating;
   • intermittent urination;
   • weak urine stream;
   • Urinate drop by drop;
   • A feeling that the bladder is not completely empty;
   • Involuntary leakage of urine.
2. Symptoms caused by irritation of nerve endings:
   • Frequent urination;
   • Frequent urination at night;
   • Urgency;
   • Small amounts of urination;
   • Incontinence during urination.
3. Pain in the lower abdomen, groin area, inner thighs, or lower back; various sexual dysfunctions may also occur.

The causes of prostatitis include the following:

• Sexually transmitted infections: Chlamydia, Ureaplasma, Mycoplasma, Herpesvirus, Cytomegalovirus, Trichomonas, Gonococcus, Candida, and Escherichia coli can affect the urethra and be detected in prostate tissue;
• Poor circulation in the pelvic organs (congestion of the prostate leading to inflammation);
• Sedentary lifestyle (drivers, office workers, officials);
• Long-term abstinence, interruption of sexual intercourse, or artificially prolonged sexual intercourse;
• Impaired immunity;
• Frequent hypothermia (extreme recreation enthusiasts: scuba diving, surfing, kayaking, and skiing);
• Stress: Mental and physical overload;
• Violation of allergic status;
• hormonal imbalance;
• Lack of vitamins and trace elements.

Treatment of acute and chronic prostatitis

Generally speaking, acute prostatitis is treated without difficulty, but chronic prostatitis cannot always be corrected.

There are general treatment strategies for treating patients with acute prostatitis:

• Maintain bed rest.
• Antimicrobial prescriptions.
• Prostate massage is prohibited, even to obtain prostate secretions.The ban is due to the high risk of developing sepsis.
• Medications are prescribed to normalize blood microcirculation, increase its fluidity and viscosity.Due to the action of these drugs, the outflow of lymphatic and venous blood from inflamed glands is achieved, reducing toxic manifestations and removing the products of putrefaction from the body.
• Oral NSAIDs or other tablet analgesics.They are used to relieve pain.
• In practice, urologists widely use rectal suppositories to provide analgesia and reduce inflammation.They contain the same ingredients as tablet formulations, but the effect is enhanced due to topical administration.You can use prostatitis suppositories that contain propolis.
• If the patient is severely poisoned, rheological solutions along with antidotes and electrolytes will be required in a hospital setting.
• If the ability to empty the bladder independently is completely lost, or a prostate abscess has developed, surgery may be necessary.

Antibiotics are necessary to treat bacterial prostatitis.If the disease is acute and symptoms of poisoning appear, antimicrobial drugs are prescribed as soon as possible; in this case, waiting for the results of bacterial flora testing is impractical and dangerous.

The doctor chooses the drug from the fluoroquinolones.This could be levofloxacin, ciprofloxacin.This empirical treatment is due to the activity of fluoroquinolones against the bacteria that most commonly cause prostatitis, which are Gram-negative pathogens and enterococci.In addition, fluoroquinolones have deleterious effects against Gram-positive and anaerobic bacteria as well as atypical infectious agents such as chlamydia.By introducing themselves into the metabolic process of bacterial protein metabolism, antibiotics damage their cell nuclei, causing the microorganism's death.

In addition, these drugs are very effective in treating prostatitis because of their ability to rapidly penetrate the prostate tissue and seminal vesicles, where they accumulate in high concentrations.Since the prostate in an inflammatory state is very permeable, the therapeutic effect is also enhanced.

This group of drugs must also be changed if the patient's condition does not improve 24-48 hours after starting to take it, or if the patient does not tolerate it well.In this case, the drugs of choice are macrolide, cephalosporin, or lincosamide antibiotics.

The bacteria that cause prostatitis are increasingly less susceptible to most modern antibiotics.Because of this, prostatitis often cannot be completely cured and the condition becomes chronic.

If the condition is not cured after 14 days of taking the medication, the treatment plan should be readjusted, but prostatitis should not be treated for less than 14-30 days.But the prescription of antibiotics is made by a physician, focusing on data on the clinical manifestations of the disease and the results of bacteriological cultures of the prostate contents, and determining the susceptibility of the cultured microorganisms to certain antibiotics.

Complications of prostatitis

Untreated acute prostatitis is likely to develop into chronic prostatitis, and men over 40 may develop prostate adenomas related to hormonal imbalance (after 40 years, men produce less testosterone and more estrogen).

prostate adenoma– Benign prostatic hyperplasia is a pathological, benign growth of the prostate located around the urethra.

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

After detailed examination, 25% of men aged 40-50 show signs of prostate adenoma, 50% of men aged 50-60, 65% of men aged 60-70, 80% of men aged 70-80, and more than 90% of men over 80 years old.

Manifestations of prostate adenoma

As we age, prostate tissue grows, causing this organ to enlarge, resulting in a narrowing of the urethra and symptoms such as:

• Increased frequency and difficulty urinating – Urinating becomes particularly frequent at night.
• Weakened urinary flow is one of the first symptoms of the disease and is often ignored until other symptoms of the disease appear.
• A feeling of incomplete emptying of the bladder - usually manifested by frequent urination in the morning.These men complain that despite having a normal frequency of urination during the day, they have to urinate 3-4 times in the morning, with an interval of 10-15 minutes between each time.
• An urgent (sudden, uncontrollable) urge to urinate is one of the symptoms that forces a man to see a doctor.
• Urinary incontinence and urinary incontinence.

The main differences between prostatitis and prostate adenoma:

	prostate adenoma	prostatitis
What happens to the prostate?	One or more small nodules form, gradually growing and compressing the urethra.	Inflammation of the prostate tissue.
At what age does it occur most often?	Usually after 40 years.Less common - younger age.	The most common is 20-40 years old.
Why does this happen?	The exact cause has not yet been fully determined.It is considered one of the manifestations of male menopause.	main reason: pathogen, infection; Decreased immunity; sedentary lifestyle; Sexual intercourse is infrequent or too frequent.
Treatment characteristics	Treatment with medications and, in severe cases, surgery (removal of overgrown prostate tissue).	Antimicrobials, anti-inflammatory drugs, and pain relievers are often prescribed.

Precautions

Here are some tips to improve men's health:

• Physical activity.You should spend at least 10 minutes doing some simple exercise in the morning.The same rule applies to sedentary jobs.
• Contrast showers are also a great way to improve your health.
• As for food, you need to include in your diet raw pumpkin seeds (herbs based on pumpkin seeds, nettle extract, palm extract + zinc and selenium in capsules. Normalizes testosterone metabolism and hormonal levels, reduces the proliferation of prostate glandular tissue. Use morning and evening, 1 capsule for 1 month, if necessaryTo, can be used repeatedly. Normalizes urination, relieves pain, restores potency. Improves blood circulation to the prostate, reduces inflammation, and with antibiotic treatment, reduces the duration of treatment of prostatitis and prevents the development of prostate adenomas), honey, garlic, prunes, parsley, walnuts or herbs based on them.
• You want to avoid pickled foods, especially with any kind of sauce that has vinegar added to it - mayonnaise, ketchup, pickles, marinades, etc.
• Fights excess weight (improves body metabolism).
• Avoid wearing tight-fitting items in the crotch area: briefs, pants.

Avoid casual sexual contact as a means of preventing sexually transmitted infections.Sex should go smoothly.Incomplete sexual intercourse and unachieved erections are very harmful.