Every year more and more men are faced with a common disease - prostatitis. Until recently, it was believed that this problem occurs only in elderly people, but over the past decades, the number of very young men who show signs of inflammatory lesions of the prostate gland has increased significantly. We will try to figure out what this disease is, what are its symptoms, methods of diagnosis, methods of effective treatment.
What is prostatitis?
Prostatitis - a disease of the prostate or prostate gland - is a very common disease of the male genitourinary system. Its reasons can be both infectious and caused by other factors. For example, weakening of the immune system, hypothermia, a sedentary lifestyle, irregular or overly intense sex life, nervous overload, various infections, the use of alcohol, spices and fatty foods.
The prostate gland - one of the organs of the male reproductive system - is about the size of a walnut and is located at the beginning of the urethra. Its function is to produce a secret that is responsible for the viability of sperm.
As a rule, there are four types of prostatitis: acute, chronic abacterial, chronic bacterial and asymptomatic chronic. The first type is the rarest and most severe inflammation of the prostate gland that occurs due to infection. Has pronounced symptoms: high fever, fever, acute pain in the pelvic region, blood in the urine, painful ejaculation and others. When a disease is detected, urgent medical attention is required, often hospitalization.
The remaining forms are chronic and have less severe symptoms, but are more common and more difficult to diagnose. Signs of chronic prostatitis are: pain in the lower abdomen and back, dysuria, sexual dysfunction, purulent or clear discharge from the urethra. With an asymptomatic course of the disease, there may not be any noticeable manifestations of it, diagnosis is possible only based on the results of tests.
Prostatitis in men occurs, as a rule, after 25 years, and the most at risk are representatives of the "strong half" who have reached 30–35 years. With each passing decade, the risk of getting sick increases. After forty-five, according to statistics, almost 50% of males are susceptible to the disease, therefore at this age it is recommended to undergo regular examination in order to detect prostatitis at an early stage.
When contacting a medical institution, the first thing to do is to undergo an examination by a urologist, who will either be able to accurately diagnose the disease or prescribe additional studies. The following diagnostic methods can accurately identify the presence of inflammation of the prostate gland:
- physical examination, which includes palpation of the gland by a doctor to determine its size and condition;
- transrectal ultrasound examination of the prostate - in other words, an ultrasound scan performed with a special probe through the rectum;
- examination of prostate secretion, urethral smear for leukocytes and the presence of pathogenic bacteria in the microflora;
- ejaculate examination;
- general urinalysis - primarily for leukocytes, protein and bacteria contained;
- cytological and bacteriological examination of urine;
- detecting the level of PSA - a special protein produced by prostate cells;
- urodynamic examination - in difficult cases, for a more accurate diagnosis;
- cystoscopy - it is used according to strict indications, mainly for trauma and before surgery.
The need for specific diagnostic methods is determined by the doctor, and the list can be significantly reduced or, conversely, increased. The most important thing is to accurately and timely identify the presence of the disease and determine how to cure prostatitis.
Treatment methods for prostatitis
Modern methods of treating prostatitis in men are very diverse and depend both on the degree and type of the disease, the presence of complications, its duration, and on the characteristics of the patient's body.
Procedures are carried out on an outpatient basis and in a hospital - the method depends on the specific situation, on the patient's well-being. You should contact a specialist urologist and preferably a clinic, where you can first undergo diagnostics and pass the necessary tests, and then, based on the results, you will be assigned an appropriate course. It should be remembered that the disease can be defeated only with an integrated approach to treatment, one cannot neglect any doctor's advice.
Medication for prostatitis includes: antibiotics, non-steroidal pain relievers, and alpha blockers. Antibiotics are used primarily as a treatment for bacterial prostatitis. Most often, doctors prescribe drugs that have active ingredients such as ciprofloxacin, penicillin. Alpha-adrenergic blockers are prescribed in chronic cases of the disease as an analgesic and relieving prostate edema agent, non-steroidal drugs are used in acute forms of inflammation.
It is important to remember that medications should only be prescribed by a urologist, self-medication and self-medication may not only not alleviate the condition, but also worsen the course of the disease.
Surgical manipulations have been prescribed for the treatment of prostatitis for a long time, but the results are mixed, therefore, the popularity of radical methods has not been so high lately.
Transurethral resection of the prostate (TUR)
This involves removing part or all of the prostate tissue in order to relieve pressure on the urethra. The result of the operation is getting rid of the symptoms of inflammation - painful sensations. It is produced in the so-called "closed" way - using a special apparatus, which reduces the risk of complications.
"Open" surgery is a method of removing a gland using conventional surgical instruments. It differs in a longer, compared to TUR, rehabilitation period, but in some cases it is the only possible method. Leads to complete impotence of the patient.
In recent years, minimally invasive methods of treating prostatitis in men have become very popular - as the most effective and at the same time not too painful.
- Thermal methods, the most common of which is microwave thermotherapy. Shrinking of the prostate is achieved by exposure to high temperatures.
- Ultrasoundis one of the most effective methods of therapy. It consists in the action of ultrasonic waves directly on the prostate gland. The advantages of this technique are not only in the positive results of treatment, but in the convenience and absence of pain for the patient.
- Cryodestructioninvolves the removal of inflamed tissue using liquid nitrogen.
- Laser techniquesare indicated for the treatment of chronic prostatitis. When using them, coagulation and evaporation of water from the tissues of the prostate occurs. Also, laser exposure enhances the body's protective functions and promotes tissue renewal.
- Magnetic laser induction therapyis a complex effect of a magnet and a laser that has a beneficial effect on blood circulation, accelerates the healing process of damaged tissues, and has an analgesic effect. In addition, this method enhances the effect of drugs.
- Balloon dilatation of the urethra. When using this method, the urethra is mechanically expanded by introducing a special catheter with a balloon at the end, which is inflated.
- Stentingof the prostatic urethra also involves the expansion of the walls of the urethra, but already by introducing a stent - a cylindrical frame made of polymer materials. Can be assigned in conjunction with the previous method.
- Massageis prescribed in conjunction with other treatments and can greatly enhance their effects.
- Methods of traditional Chinese medicine, in particular reflexology - the impact on biologically active points of the patient's body with needles, heat and other physical factors. The proven effect of reflexology is to restore the balance of the endocrine system, improve the functioning of the central nervous system, normalize blood flow and metabolic processes in the body, eliminate neuralgic pain, and prevent inflammatory processes. Like massage, it can be used in combination with other methods.
As you know, men are often negligent about their health and especially avoid visiting clinics for such a sensitive problem as urological diseases. However, it is better to see a doctor and get rid of the disease early than to deal with its consequences later.