Prostatitis and prostatic adenoma

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

Prostate gland- part of the male reproductive system that produces a specific secretion that nourishes and protects sperm.When the smooth muscle fibers of the prostatic capsule and seminal vesicles contract, seminal fluid is released into the urethra - ejaculation (ejaculation).

Prostatitis can only develop in men.According to statistics, over the past 20 years, the incidence of prostatitis has almost doubled and now, at the dawn of the 21st century, it affects almost half of the Earth's male population between the ages of 20 and 50.It is generally accepted that after 30 years 30% of men suffer from prostatitis, after 40 - 40%, after 50 - 50%, etc.

Classification of prostatitis:

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

Complaints with prostatitis:

1. Various urination disorders associated with narrowing of the lumen of the urethra:
   • difficulty starting to urinate;
   • intermittent urination;
   • weak urine flow;
   • dropwise urination;
   • sensation of incomplete emptying of the bladder;
   • involuntary loss of urine.
2. Symptoms caused by irritation of nerve endings:
   • frequent urination;
   • frequent urination at night;
   • urgency to urinate;
   • urination in small portions;
   • urinary incontinence during urination.
3. Pain in the lower abdomen, groin area, inner thighs, 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 fungus, E. coli can affect the urethra and be detected in prostatic tissue;
• poor circulation in the pelvic organs (congestion of the prostate leads to its inflammation);
• sedentary lifestyle (drivers, office workers, officials);
• prolonged sexual abstinence, interrupted sexual intercourse or artificial prolongation of sexual intercourse;
• compromised immunity;
• frequent hypothermia (enthusiasts of extreme recreational activities: diving, surfing, kayaking and skiing);
• stress: mental and physical overload;
• violation of allergic state;
• hormonal imbalance;
• deficiency of vitamins and microelements.

Treatment of acute and chronic prostatitis

While 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 bed rest.
• Prescription of antibacterial drugs.
• Prostate massage is also prohibited for the purpose of obtaining prostatic secretions.The ban is due to the high risk of developing 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 gland, reduce toxic manifestations and remove decomposition products from the body.
• Oral administration of NSAIDs or other analgesics in tablets.They are prescribed to reduce pain.
• In their practice, urologists widely use rectal suppositories to provide analgesic effects and reduce inflammation.They contain the same components as tablet preparations, but thanks to local administration the effect is enhanced.You can use suppositories for prostatitis with propolis.
• If the patient suffers from severe intoxication of the body, the administration of rheological solutions, as well as detoxifying 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, antibacterial drugs are prescribed as quickly as possible;waiting for the results of bacterial flora tests in this case is impractical and dangerous.

The doctor selects drugs from the group of fluoroquinolones.It could be Levofloxacin, Ciprofloxacin.This empirical therapy is due to the fact that fluoroquinolones are active against the bacteria that very often cause prostatitis: these are the gram-negative pathogenic flora and enterococci.Furthermore, fluoroquinolones have a detrimental effect on gram-positive and anaerobic bacteria, as well as atypical infectious agents, such as chlamydia.Introducing itself into the metabolic processes of the protein metabolism of bacteria, the antibiotic destroys their nucleus, leading to the death of the microorganism.

In addition, these drugs are very effective in the treatment of prostatitis, as they have the ability to quickly penetrate the prostate tissue and seminal vesicles, accumulating there in high concentrations.The therapeutic effect is also strengthened by the fact that the inflamed prostate has a very high permeability.

This group of drugs must also be replaced if, after 24-48 hours from starting to take them, the patient's condition has not improved, or if he does not tolerate them well.The drugs of choice in this case are macrolides, antibiotics from the cephalosporin or lincosamide group.

The bacteria that cause prostatitis are becoming increasingly insensitive to most modern antibiotics.For this reason, prostatitis often cannot be cured completely and the disease becomes chronic.

If recovery does not occur within 14 days from the start of taking the drugs, the treatment regimen must be changed again, but therapy for prostatitis cannot last less than 14-30 days.But the prescription of antibiotics is carried out by a doctor, focusing on the data of the clinical picture of the disease and the results of bacteriological culture of the contents of the prostate with determination of the sensitivity of the cultured microorganisms to certain antibiotics.

Complications of prostatitis

Untreated acute prostatitis has all the chances of developing into a chronic form of prostatitis, and men over 40 may develop a 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 a benign pathological growth of the prostate gland located in the circumference of the urethra.

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

After a detailed examination, signs of prostate adenoma at the age of 40-50 years are observed in 25% of men, at 50-60 years - in 50%, at 60-70 years - in 65%, at 70-80 years - in 80%, over 80 years - in more than 90% of men.

Manifestations of prostatic adenoma

The growth of prostate tissue with age leads to an enlargement of the organ, which causes a narrowing of the urethra and is manifested by the following symptoms:

• increased frequency and difficulty urinating: urination becomes particularly frequent during the night.
• weakening of urine flow is one of the first symptoms of the disease, which most often goes unnoticed until other symptoms of the disease appear.
• a sensation of incomplete emptying of the bladder, often masked by frequent urination in the morning.Such men complain that, despite the normal frequency of urination during the day, in the morning they have to urinate 3-4 times with an interval of 10-15 minutes.
• The imperative (sudden, difficult to control) urge to urinate is one of the symptoms that forces a man to consult a doctor.
• incontinence and urinary incontinence.

The main differences between prostatitis and prostatic adenoma:

	Prostate adenoma	Prostatitis
What happens in the prostate gland?	One or more small nodules form and gradually grow and compress the urethra.	Inflammation develops in the prostate tissue.
At what age does it occur most often?	Usually after 40 years.Less often - at a young age.	Most often between the ages of 20 and 40.
Why does this occur?	The exact reasons have not been fully established.It is considered one of the manifestations of male menopause.	Main reasons: pathogens, infection; decreased immunity; sedentary lifestyle; infrequent or excessively frequent sexual intercourse.
Characteristics of the treatment	Drugs are used and, in more serious cases, surgical treatment (excision of overgrown prostate tissue).	Antimicrobials, anti-inflammatories and painkillers are usually prescribed.

Prevention measures

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

• Physical activity.You should dedicate at least 10 minutes of your morning to doing some simple exercises.The same rule applies to sedentary work.
• A contrast shower is also a great way to improve your well-being.
• As for food, it is necessary to include raw pumpkin seeds in the diet (medicine based on pumpkin seeds, nettle extract, palm extract + zinc and selenium in capsules. Normalizes testosterone metabolism and hormone levels, reducing the proliferation of prostate glandular tissue. Used in the morning and evening, 1 capsule for 1 month, if necessary, repeated use is possible. Normalizes urination, relieves pain, restores potency. Improves circulationblood in the prostate, relieves inflammation and, in combination with antibiotic therapy, reduces the treatment time of prostatitis and prevents the development of prostatic adenoma), honey, garlic, plums, parsley, nuts or herbal remedies based on them.
• It is necessary to avoid pickled foods, this is especially true for various sauces with the addition of vinegar: mayonnaise, ketchup, pickles, marinades, etc.
• Fights excess weight (improves metabolism throughout the body).
• Avoid wearing tight clothing in the crotch area: panties, trousers.

Avoid casual sexual contact as a means of preventing sexually transmitted infections.Sex life should be peaceful.Incomplete sexual intercourse and unrealized erections are very harmful.