Prostate Diseases - Adenoma and Prostatitis.Don't start the pathology

Prostate, or prostate iron is located at the base of the bladder.The organ produces seed fluid, which during ejaculation is thrown into the urethra.The secret of the prostate gland creates ideal conditions for the life of sperm outside a man's body.

Appeal to a specialist with symptoms of prostatitis

Prostate facts

Prostate activity is controlled by men's sex hormones.During puberty, the testosterone level increases, which causes active growth of the prostate gland.The prostate has a maximum volume in 20 to 40 years.

Prostatitis

The causative agent of infectious prostatitis in most cases are bacteria or viruses.Less commonly, the disease can be a complication of inflammatory urological diseases - epididymitis, urethritis, cystitis.

Non -infectious prostatitis in its manifestations hardly differs from infectious.Differences are related to exam results: In this type of disease, the pathogen is not detected.

Symptoms

In most cases, prostatitis begins sharply.There are three forms of acute prostate damage:

  • Qatarhal, accompanied by a slight urination disorder and light pain behind the pubis and in the anus area.
  • Follow, in which urination and pain are expressed stronger.
  • Purulent, accompanied by intense pain, fever, deterioration of the general condition and problems with urine discharge.The spread of the scrotum infection leads to inflammation of the testicles (orchitis).Sometimes purulent abscesses occur in the pelvis.

Without treatment, the disease enters a chronic form.Acute symptoms decrease, periodically manifesting during hypothermia, in the Spring (Spring-Fast).

Sometimes the disease immediately acquires a chronic course.In this case, the symptoms of the disease gradually increase, which forces many men to associate them not with prostatitis, but to age -related changes.

In chronic prostatitis, there are:

  • Frequent urination, the appearance of sudden desire, especially at night;
  • Slow, intermittent and weak pressure from urine;
  • pain during ejaculation;
  • Problems with power.

Pathological changes affect the walls of the bladder, kidney and nerve plexuses that go to the prostate.This leads to the appearance of low back pain and difficulties with the unloading of the urine.There is pain during erection and ejaculation.

Unpleasant phenomena disappear when prescribing proper treatment.The sooner the patient begins to be treated, the greater the chance to completely restore health.

To make a diagnosis of prostatitis ::

  • General examination, history of anamnesis, complaint evaluation and severity of symptoms;
  • A rectal examination of the finger, during which the size of the prostate, its density and other parameters are determined;
  • The study of smear, urine and seed fluid in sppp.

Prostatitis Treatment

Treatment is selected depending on the causes of chronic inflammation in the prostate gland.In the case of infection, a well -selected drug course can completely eliminate the cause of the inflammatory process.

In case of complications, treatment aims to eliminate them.The patient receives prescription drugs and procedures that improve microcirculation that alleviate edema that eliminate pain and normalize the function of the gland.

It is easier to treat prostate gland inflammation when diagnosed at the beginning of disease development.However, modern medicine allows you to help patients in whom the disease has become chronic.

To avoid exacerbations of the chronic form of the disease, anti -Aircraft treatment is performed to control the course of prostatitis, avoiding complications.

For this, massage with prostate, ingestion and anti -inflammatory drugs are prescribed.In advanced chronic cases, when treatment does not provide the desired effect, surgical removal of the prostate gland is performed.

Important factors about prostatitis

  • Treatment appointment is possible only after a precise diagnosis.
  • In advanced cases, you can significantly improve the patient's condition and improve the quality of your life.
  • The disappearance of symptoms of prostatitis is not an indication for the end of treatment.
  • The disease does not go into cancer.
  • Prostatitis is not a reason for refusing sex except for an acute period, accompanied by pain during erection and ejaculation.

Prostate adenoma

Adenoma - Benign hyperplasia (increase) of the prostate gland.In recent years, the disease has been "younger".Cases of prostate increase are found even in patients with 30 years of age.In this group, the probability of detecting adenoma is about 10%.

At 65, an increase in prostate is detected in every second man.In patients over 70 years old, the dimensions of the prostate gland exceed the standard in almost 90% of cases.

A dangerous manifestation of prostate adenoma is the formation of us that compress the urethra.Node formations are growing slowly because the violation of urination develops gradually.

According to the most common theory, the development of prostate adenoma is a consequence of hormonal imbalance, which develops with age in a man's body.

Symptoms

Each quarter patient observes difficulties in urination.The strong muscles of the bladder at first are capable of squeezing the urine out.However, as the adenoma progresses, compensatory mechanisms fail to deal with the patient, and the patient has problems with urination:

  • intermittent flow;
  • "Pressure" weak of urine;
  • tightening of the urination process;
  • a feeling of incomplete emptying of the bladder;
  • Spasmia pains.

The more the adenoma becomes, the more pronounced the symptoms become.Desire becomes more often and begins to worry at night.In advanced cases, a paradoxical phenomenon is formed: the constant irritation of the bladder wall leads to its uncontrolled reduction and urinary incontinence.

The stagnant phenomena of the bladder lead to their inflammation (Cysti) and cause stone formation.Gradually, the infection rises to the kidneys, causing its purulent inflammation - pyelonephritis.The expansion of the hydronephrosis bowl electricity apparatus in the kidney can develop.As a result, the patient has kidney failure.

Constantly searched during urination in elderly patients causes blood hearts and vessels.Even cases of blows that came up when trying to "squeeze" the urine are described.

Diagnosis

In the exam, the urologist evaluates the physical condition of the patient and his prostate.Prostate assessment involves determining its size, consistency and shape.

The patient prescribes a general analysis of urine, an ultrasound of the pelvic organs, a bladder ultrasound to determine the level of residual urine, prostate gland ultrasound using a rectal sensor, cystoscopy and urofluometry.The number of exams required may vary depending on the characteristics of the disease course.

Treatment

You can reduce the severity of symptoms in many ways.The most effective of these is the adjustment of the drink regime, the rejection of coffee and alcohol.In this case, the night calls will disturb the patient much less.

For the treatment of prostate adenoma, two groups of medicines are used:

  • Alpha blockers that improve urine output along the urinary tract.Patients observe an improvement in condition almost immediately after starting treatment.Side effects include dizziness, decreased blood pressure, general weakness.
  • Preparations that block testosterone reduce the gland.The effect is noticeable after a few months.

Currently, the most effective and safe is the combined goal of alpha blockers and testosterone blockers.

Transureral prostate excision is the most effective way to remove adenoma and restore normal urination.Surgical intervention does not require the performance of cuts on the skin.All tools and camera are introduced through the urethra.Prostate tissues are removed by a manipulator equipped with an electric loop.