Prostatitis and prostate adenoma

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

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

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

Classification of prostatitis:

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

Complaints about prostatitis:

1. Various urinary disorders associated with narrowing of the lumen of the urethra:
   • difficulty starting to urinate;
   • intermittent urination;
   • poor urine flow;
   • dribbling of urine;
   • a feeling of incomplete emptying of the bladder;
   • involuntary leakage of urine.
2. Symptoms caused by irritation of nerve endings:
   • frequent urination;
   • frequent urination at night;
   • urgency to urinate;
   • urine in small portions;
   • incontinence while urinating.
3. Pain in the lower abdomen, groin, inner thigh, or lower back;various sexual disorders can 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 can be detected in prostate tissue;
• poor blood circulation in the pelvic organs (blockage in the prostate causes its inflammation);
• sedentary lifestyle (drivers, office workers, officials);
• long-term abstinence from intercourse, interrupted intercourse or artificial prolongation of intercourse;
• weakened immunity;
• frequent hypothermia (fans of extreme recreation: diving, surfing, kayaking and skiing);
• stress: mental and physical overload;
• violation of the allergic state;
• hormonal imbalance;
• lack of vitamins and trace elements.

Treatment of acute and chronic prostatitis

As a rule, while there is no difficulty in treating acute prostatitis, chronic prostatitis cannot always be corrected.

There are general treatment tactics for the treatment of patients with acute prostatitis:

• Adhere to bed rest.
• Determination of antibacterial drugs.
• Prohibition of even prostatic massage to obtain prostatic secretions.The ban is due to the high risk of developing sepsis.
• Prescribing 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 decay products from the body.
• Oral administration of NSAIDs or other analgesics in the form of tablets.They are prescribed to reduce pain.
• Urologists widely use rectal suppositories in their practice to have an analgesic effect and reduce inflammation.They contain the same components as tablet preparations, but the effect is enhanced due to local administration.You can use suppositories for prostatitis with propolis.
• If the patient suffers from severe intoxication of the body, the application of rheological solutions, as well as detoxification agents and electrolytes in hospital conditions is indicated.
• If the ability to empty the bladder independently is completely absent or if a prostate abscess forms, surgery is necessary.

The use of antibiotics is mandatory for the treatment of bacterial prostatitis.If the disease begins acutely and there are signs of intoxication, then antibacterial drugs are prescribed as soon as possible;In this case, it is impossible and dangerous to wait for the results of tests for bacterial flora.

The doctor chooses drugs from the group of fluoroquinolones.It can be Levofloxacin, Ciprofloxacin.Such empiric therapy is due to the fact that fluoroquinolones are most active against bacteria that cause prostatitis - these are gram-negative pathogenic flora and enterococci.In addition, fluoroquinolones have a harmful effect on gram-positive and anaerobic bacteria, as well as atypical infectious agents such as chlamydia.The antibiotic enters the metabolic processes of protein metabolism of bacteria, destroys their nucleus and causes the death of the microorganism.

Also, these drugs are very effective in the treatment of prostatitis, because they have the ability to quickly penetrate the tissue of the prostate gland and seminal vesicles, where they accumulate in high concentrations.The fact that the prostate gland has a very high permeability in an inflamed state also increases its therapeutic effect.

This group of drugs should be changed if the patient's condition does not improve or is not tolerated well after 24-48 hours of starting their administration.In this case, the drugs of choice are macrolides, antibiotics from the cephalosporin group, or lincosamides.

Bacteria that cause prostatitis are increasingly sensitive to modern antibiotics.For this reason, prostatitis is often not fully treated and the disease becomes chronic.

If there is no recovery after 14 days after starting to take the drug, the treatment regimen should be readjusted, but therapy for prostatitis cannot last less than 14-30 days.However, the appointment of antibiotics is carried out by a doctor who pays attention to the data of the clinical picture of the disease and the results of the bacteriological culture of the contents of the prostate by determining the sensitivity of cultured microorganisms to certain antibiotics.

Complications of prostatitis

Untreated acute prostatitis has every chance to turn into a chronic form of prostatitis, and men over 40 may develop prostate adenoma due to hormonal imbalance (after 40 years, testosterone production in men decreases, estrogen secretion increases).

Prostate adenoma- benign hyperplasia of the prostate gland is a pathological benign growth of the prostate gland located around the urethra.

Adenoma of the prostate gland is one of the most common diseases in elderly men.

During detailed examination, signs of prostate adenoma are observed in 25% of men aged 40-50, 50% in 50-60, 65% in 60-70, 80% in 70-80, and 25% in men over 80.

Manifestations of prostate adenoma

With age, the growth of prostate tissue leads to the expansion of the organ, which leads to the narrowing of the urethra and is manifested by the following symptoms:

• Urinary frequency and difficulty - frequent urination, especially at night.
• decreased urine flow is one of the first symptoms of the disease, which is often not noticed until other symptoms of the disease appear.
• a feeling of incomplete emptying of the bladder - often masquerading as frequent urination in the morning.Such men complain that despite urinating normally during the day, they have to urinate 3-4 times in the morning with an interval of 10-15 minutes.
• Urgent (sudden, difficult to control) urge to urinate is one of the symptoms that force a man to consult a doctor.
• incontinence and urinary incontinence.

The main differences between prostatitis and prostate adenoma:

	Prostate adenoma	Prostatitis
What happens in the prostate gland?	One or more small nodules are formed that gradually grow and compress the urethra.	Inflammation develops in prostate tissue.
At what age is it most common?	Usually after 40 years.Less often - at a young age.	Most often it happens at the age of 20-40.
Why does it happen?	The exact causes have not been fully determined.It is considered one of the manifestations of male menopause.	Main reasons: pathogens, infection; decreased immunity; sedentary lifestyle; infrequent or excessively frequent intercourse.
Features of treatment	Medicines are used, and in severe cases, surgical treatment (excision of enlarged prostate tissue).	Antimicrobial, anti-inflammatory and painkillers are usually prescribed.

Preventive measures

Here are some tips to improve men's health:

• Physical activity.You should devote at least 10 minutes of your morning time to 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, you should include raw pumpkin seeds in your diet (pumpkin seeds in capsules, nettle extract, date extract + herbal medicine based on zinc and selenium. Normalizes testosterone metabolism and hormonal levels, reduces the proliferation of prostate gland tissue. Used in the morning and evening, repeated for 1 month if necessary, for possible repeated urination).relieves pain, restores potency, improves blood circulation in the prostate, relieves inflammation and, together with antibiotic therapy, reduces the duration of treatment of prostatitis and prevents the development of prostate adenoma), honey, garlic, plum, parsley, walnut or herbal preparations based on them.
• Acidic foods should be avoided, this is especially true for various sauces added to vinegar - mayonnaise, ketchup, pickles, marinades, etc.
• Fight excess weight (improves metabolism in the body).
• Avoid wearing tight-fitting clothes in the crotch area: panties, pants.

Avoid casual sex to prevent sexually transmitted infections.Sex life should be smooth.Incomplete sexual intercourse and unfulfilled erection are very harmful.