Prostatitis and prostate adenoma

Prostatitis is an inflammation of prostate tissue and swelling.This is the term for prostatitis.

Prostate- part of the male reproductive system that produces a special secretion to nourish and protect sperm.When the smooth muscle fibers of the prostate capsule and seminal vesicles contract, semen 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 dawn of the 21st century, it affects almost half of the male population on Earth between the ages of 20 and 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 bacteria;
• chronic pelvic inflammatory syndrome.

Complaints with prostatitis:

1. Various urinary disorders associated with narrowing of the urethral lumen:
   • difficulty starting to urinate;
   • intermittent urination;
   • weak urine stream;
   • urinate drop by drop;
   • feeling of incomplete bladder emptying;
   • involuntary urine leakage.
2. Symptoms due to irritation of nerve endings:
   • frequent urination;
   • frequent urination at night;
   • Urgent urination;
   • urinate in small portions;
   • Incontinence when urinating.
3. Pain in the lower abdomen, groin, inner thighs or lower back;Various sexual disorders may also occur.

There are several causes of prostatitis:

• sexually transmitted diseases: chlamydia, ureaplasma, mycoplasma, herpes virus, cytomegalovirus, trichomonas, gonococcus, Candida, E. coli can affect the urethra and are detected in prostate tissue;
• poor circulation in the pelvic organs (blockage in the prostate leading to inflammation);
• sedentary lifestyle (drivers, office workers, officials);
• Abstain from prolonged sexual intercourse, interrupted sexual intercourse or artificially prolonged sexual intercourse;
• impaired immunity;
• frequent hypothermia (lovers of adventurous recreational activities: diving, surfing, kayaking and skiing);
• stress: mental and physical overload;
• violation of allergic conditions;
• hormonal imbalance;
• lack of vitamins and trace elements.

Treatment of acute and chronic prostatitis

Although, as a rule, there are no difficulties in treating acute prostatitis, chronic prostatitis is not always treatable.

There are general treatment strategies for managing patients with acute prostatitis:

• Maintain bed rest.
• Prescribe antibacterial medication.
• It is forbidden to massage the prostate even for the purpose of obtaining prostatic secretions.The ban is due to the high risk of sepsis.
• Prescribing the drug is aimed at normalizing blood microcirculation, increasing its fluidity and viscosity.Thanks to the action of these drugs, it is possible to achieve drainage of lymph and venous blood from the inflamed gland, reduce toxic manifestations and remove decomposition products from the body.
• Take oral NSAIDs or other pill pain relievers.They are prescribed for pain relief.
• In fact, urologists widely use rectal suppositories to provide pain relief and reduce inflammation.They contain the same ingredients as the tablet preparation, but thanks to topical use, the effectiveness is enhanced.You can use prostatitis suppositories with propolis.
• If the patient has severe intoxication of the body, the use of rheological solutions, as well as detoxifying agents and electrolytes in a hospital environment will be indicated.
• Surgery is necessary if there is a complete inability to empty the bladder independently or a prostatic abscess forms.

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

The doctor chooses drugs from the fluoroquinolones group.This can be Levofloxacin, Ciprofloxacin.Such empiric therapy is due to the fact that fluoroquinolones are active against bacteria that often cause prostatitis - these are gram-negative pathogenic bacteria and enterococci.In addition, fluoroquinolones have adverse effects on gram-positive and anaerobic bacteria, as well as on atypical infectious agents, such as chlamydia.By introducing themselves into the protein metabolism of bacteria, antibiotics destroy their nucleus, leading to the death of the microorganism.

In addition, these drugs are very effective in the treatment of prostatitis because they have the ability to quickly penetrate into prostate tissue and seminal vesicles, accumulating there in high concentrations.The effectiveness of treatment is also enhanced because the prostate gland in an inflammatory state has very high permeability.

This group of drugs must also be replaced if after 24-48 hours from the start of use, the patient's condition does not improve or is not well tolerated.The drug of choice in this case is macrolide, cephalosporin antibiotic or lincosamide.

Increasingly, the bacteria that cause prostatitis are becoming less sensitive to most modern antibiotics.Therefore, prostatitis often cannot be completely cured and the disease becomes chronic.

If recovery does not occur after 14 days from the start of taking the drug, the treatment regimen should be adjusted, but prostatitis therapy cannot last less than 14-30 days.But the prescription of antibiotics is carried out by the doctor, focusing on data on the clinical picture of the disease and the results of bacterial culture of substances in the prostate with the determination of the sensitivity of cultured microorganisms to certain antibiotics.

Complications of prostatitis

Untreated acute prostatitis has every possibility of developing into a chronic form of prostatitis, and men over 40 years old can develop prostate adenoma associated with hormonal imbalance (after 40 years, testosterone production in men decreases and estrogen secretion increases).

Prostate tumor– Benign prostatic hyperplasia is the presence of pathological benign growth of the prostate located within the circumference of the urethra.

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

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

Symptoms of prostate tumor

The growth of prostate tissue with age leads to hypertrophy of this organ, causing narrowing of the urethra and manifested by the following symptoms:

• increased frequency and difficulty urinating – urination becomes especially frequent at night.
• Weakened urine flow is one of the first symptoms of the disease, which often goes unnoticed until other symptoms of the disease appear.
• feeling of incomplete bladder emptying - often disguised by frequent morning urination.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.
• Urgent urge to urinate (sudden, difficult to control) is one of the symptoms that forces men to see a doctor.
• urinary incontinence and urinary incontinence.

Key differences between prostatitis and prostate adenoma:

	Prostate tumor	Prostatitis
What happens in the prostate?	One or more small nodules form, gradually growing and compressing the urethra.	Inflammation develops in prostate tissue.
At what age does it most often occur?	Usually after 40 years.Less often - at a younger age.	Most common in people aged 20-40.
Why does it happen?	The exact reasons have not been fully established.It is considered one of the manifestations of menopause in men.	Main reasons: pathogens, infections; reduced immunity; sedentary lifestyle; having sex infrequently or too often.
Characteristics of treatment	Medications are used, and in severe cases, surgical treatment (removal of overgrown prostate tissue).	Antibiotics, anti-inflammatories, and pain relievers are often prescribed.

Preventive measures

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

• Physical activity.You should spend at least 10 minutes in the morning doing some simple exercises.The same rule applies to sedentary work.
• Contrast showers are also a great way to improve your health.
• As for food, you need to include raw pumpkin seeds in your diet (herbal medicine made from pumpkin seeds, nettle extract, palm extract + zinc and selenium in capsules. Normalizes testosterone metabolism and hormone levels, reduces the growth of glandular tissue of the prostate. Take in the morning and evening, 1 capsule for 1 month, if necessary, can be used several times. Normalizes urination, relieves pain, restores potency. Improves potency.blood circulation in the prostate, reduces inflammation and, in combination with antibiotic therapy, reduces the treatment time for this disease 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 of various sauces with the addition of vinegar - mayonnaise, ketchup, pickles, marinades, etc.
• Fights overweight (improves metabolism throughout the body).
• Avoid wearing tight clothing in the groin area: underwear, long pants.

Avoid casual sex as a means of preventing sexually transmitted diseases.Sex life must go smoothly.Incomplete sexual intercourse and failure to achieve erection are very harmful.