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- part of the male reproductive system that produces a specific secretion that nourishes and protects sperm.When the smooth muscle fibers of the prostate 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 approximately doubled, and now, at the dawn of the 21st century, it affects almost half of the male population of the Earth aged 20 to 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;
• inflammatory syndrome of chronic pelvic pain.

Complaints with prostatitis:

1. Various urination disorders associated with narrowing of the lumen of the urethra:
   • difficulty starting to urinate;
   • intermittent urination;
   • weak stream of urine;
   • urination drop by drop;
   • 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;
   • urination in small portions;
   • urinary incontinence when urinating.
3. Pain in the lower abdomen, groin areas, 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 prostate tissue;
• poor circulation in the pelvic organs (congestion in the prostate leads to its inflammation);
• sedentary lifestyle (drivers, office workers, officials);
• prolonged sexual abstinence, interrupted sexual intercourse or artificial prolongation of sexual intercourse;
• impaired immunity;
• frequent hypothermia (fans of extreme recreation: diving, surfing, kayaking and skiing);
• stress: mental and physical overload;
• violation of allergic status;
• 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:

• Maintaining bed rest.
• Prescription of antibacterial drugs.
• A ban on prostate massage even for the purpose of obtaining prostate 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 medications, 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 tableted analgesics.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 detoxification 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, then antibacterial drugs are prescribed as quickly as possible; waiting for the results of tests for bacterial flora in this case is impractical and dangerous.

The doctor selects medications from the group of fluoroquinolones.This may be Levofloxacin, Ciprofloxacin. Such empirical therapy is due to the fact that fluoroquinolones are active against bacteria that most often provoke prostatitis - these are gram-negative pathogenic flora and enterococci.In addition, fluoroquinolones have a detrimental effect on gram-positive and anaerobic bacteria, as well as on atypical infectious agents, such as chlamydia.By introducing itself into the metabolic processes of protein metabolism of bacteria, the antibiotic destroys their nucleus, leading to the death of the microorganism.

Also, these drugs are very effective in treating 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 enhanced by the fact that the prostate in an inflamed state has a very high permeability.

This group of drugs must also be replaced if, after 24-48 hours from the start of taking 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 group of cephalosporins or lincosamides.

Increasingly, the bacteria that cause prostatitis are becoming insensitive to most modern antibiotics.Because of this, prostatitis often cannot be cured completely, and the disease becomes chronic.

If recovery does not occur after 14 days from the start of taking medications, then the treatment regimen should be adjusted 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 every chance of developing into a chronic form of prostatitis, and men over 40 may develop 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 pathological benign growth of the prostate gland located in the circumference of the urethra.

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

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

Manifestations of prostate 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 especially frequent at night.
• weakening of the urine stream is one of the first symptoms of the disease, which most often goes unnoticed until other symptoms of the disease appear.
• a feeling of incomplete emptying of the bladder - often disguised as 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.
• imperative (sudden, difficult to control) urge to urinate is one of the symptoms that forces a man to see 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 form, which gradually grow and compress the urethra.	Inflammation develops in the prostate tissue.
At what age does it most often occur?	Usually after 40 years.Less often - at a younger age.	Most often at 20-40 years old.
Why does it 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.
Features of treatment	Medications are used, and in severe cases, surgical treatment (excision of overgrown prostate tissue).	Antimicrobial, anti-inflammatory, and painkillers are usually prescribed.

Prevention measures

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

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

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