Prostatitis and prostate adenoma

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

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 almost doubled and now, at the beginning of the 21st century, it affects almost half of the male population of the Earth aged between 20 and 50 years.It is generally accepted that after 30 years, 30% of men suffer from prostatitis, after 40 - 40%, after 50 - 50%, etc.

Prostatitis classification:

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

Complaints with prostatitis:

1. Various urinary disorders associated with narrowing of the lumen of the urethra:
   • difficulty starting to urinate;
   • intermittent urination;
   • weak flow of urine;
   • urinating drop by drop;
   • feeling 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;
   • urinate in small portions;
   • urinary incontinence when urinating.
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 prostate tissue;
• poor circulation in the pelvic organs (congestion of the prostate gland leads to its inflammation);
• sedentary lifestyle (drivers, office workers, employees);
• prolonged sexual abstinence, interruption of sexual intercourse or artificial prolongation of sexual intercourse;
• impaired immunity;
• frequent hypothermia (fans of extreme recreation: diving, surfing, canoeing and skiing);
• stress: mental and physical overload;
• violation of the allergic state;
• hormonal imbalance;
• deficiency of vitamins and microelements.

Treatment of acute and chronic prostatitis

Although, as a rule, there are no difficulties in treating 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 medications.
• Prohibition of prostate massage, even for the purpose of obtaining prostate secretions.The ban is due to the high risk of developing sepsis.
• Prescription of medications 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 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 body intoxication, the administration of rheological solutions, as well as detoxifying agents and electrolytes in a hospital environment, is indicated.
• Surgery is necessary if the ability to independently empty the bladder is completely absent or an abscess has formed in the prostate.

The use of antibiotics to treat bacterial prostatitis is mandatory.If the disease begins acutely and there are symptoms of intoxication, antibacterial drugs are prescribed as soon as possible;Waiting for the results of bacterial flora tests in this case is impractical and dangerous.

The doctor selects drugs from the fluoroquinolone group.It could be Levofloxacin, Ciprofloxacin.This 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.Furthermore, fluoroquinolones have a detrimental effect on gram-positive and anaerobic bacteria, as well as atypical infectious agents such as chlamydia.When introduced into the metabolic processes of bacterial protein metabolism, the antibiotic destroys its 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 enhanced by the fact that the prostate in an inflamed state has a very high permeability.

This group of drugs should also be replaced if, after 24-48 hours of starting use, the patient's condition does not improve or he does not tolerate them well.The drugs of choice in this case are macrolides, antibiotics from the cephalosporin group or lincosamides.

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

If recovery does not occur after 14 days of starting medication, the treatment regimen will have to be adjusted again, but prostatitis therapy cannot last less than 14 to 30 days.The prescription of antibiotics is made by a doctor, focusing on data on the clinical picture of the disease and the results of the bacteriological culture of the prostate contents 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 can 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 located in the circumference of the urethra.

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

After detailed examination, signs of prostate adenoma at 40-50 years old 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 increase in the organ, which causes narrowing of the urethra and is manifested by the following symptoms:

• increased frequency and difficulty urinating – urination becomes especially frequent at night.
• The weakening of the urinary stream is one of the first symptoms of the disease, which most of the time goes unnoticed until other symptoms of the disease appear.
• feeling of incomplete emptying of the bladder - often disguised as frequent urination in the morning.These men complain that, despite the normal frequency of urination during the day, in the morning they need to urinate 3-4 times with an interval of 10-15 minutes.
• The imperative (sudden and 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 prostate adenoma:

	prostate adenoma	Prostatitis
What happens in the prostate?	One or more small nodules form, which gradually grow and compress the urethra.	Inflammation develops in prostate tissue.
At what age does it occur most frequently?	Generally after age 40.Less often - at a younger age.	Most often between 20 and 40 years old.
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.
Features of treatment	Medications and, in severe cases, surgical treatment (excision of overgrown prostate tissue) are used.	Antimicrobials, anti-inflammatories and analgesics are usually prescribed.

Prevention measures

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

• Physical activity.You should set aside at least 10 minutes of your morning time to do some simple exercises.The same rule applies to sedentary work.
• A contrast shower is also an excellent way to improve your well-being.
• As for food, it is necessary to include raw pumpkin seeds in the 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 prostate glandular tissue. Used 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, plums, parsley, nuts 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.
• Fights excess weight (improves metabolism throughout the body).
• Avoid wearing tight-fitting items in the groin area: panties, pants.

Avoid casual sexual contact as a way to prevent sexually transmitted infections.Sex life should be peaceful.Incomplete sexual intercourse and unfulfilled erections are very harmful.