Prostatitis: methods of diagnosis and treatment

Prostatitis medicine

Prostatitis in men is an inflammatory condition of the prostate gland, which can be caused by many different causes, from hypothermia, a sedentary lifestyle to infectious diseases. There are two main types, their symptoms are not the same: acute and chronic.

Acute prostatitis

Acute prostatitis is accompanied by the following symptoms:

  • Increased temperature;
  • severe pain in the perineum, groin, and upper pubic area.
  • frequent and painful urination;
  • discomfort after intercourse;
  • erectile dysfunction.

Chronic prostatitis

Men with chronic prostatitis may have no symptoms, except for erection problems. Most men tend to attribute erectile dysfunction and discomfort during and after intercourse to anything. They claim fatigue, increased physical activity, etc. v. is the cause of their problems, but not the illness, and they are not in a hurry to see a doctor. But the more neglected the case, the more difficult the disease is to treat. So it's extremely important to see your doctor from time to time for preventive checkups.

Symptoms of chronic prostatitis:

  • unusual and rapidly passing pain in the perineum, groin, and upper pubic area;
  • decreased sex drive;
  • rapid ejaculation or, conversely, prolong intercourse;
  • decrease the brightness of orgasm;
  • discharge from the urethra;
  • increased fatigue.

It is not necessary to have all of these signs at once. Different patients may have different manifestations of the disease.

Proper treatment of prostatitis involves not only eliminating the symptoms, but also eliminating the cause of the disease. Treatment of acute as well as chronic prostatitis certainly begins with a thorough physical diagnosis.

Causes and symptoms of prostatitis

Nearly 50% of men over the age of 30 have some signs of the disease. The prevalence of this disease is due to the fact that it can be caused not only by a bacterial infection, but also by stagnation of blood in the pelvic organs, which is caused by:

  • sedentary lifestyle and especially sedentary work;
  • prolonged sexual abstinence;
  • stress, psychological and physical overload, etc. v. ;
  • Malnutrition;
  • bad ecology;
  • Hypothermia;
  • bad habits;
  • underwear is too tight.

As such, the cause of prostatitis may simply be due to daily lifestyle. Honestly, to modify that, it's not too hard.

The best way to prevent prostatitis is a healthy lifestyle

To avoid signs of prostatitis, simply:

  • to beginwarm clothes;
  • stopalcohol abuse and smoking;
  • to begineat right(this doesn't mean you need to limit yourself to anything - on the contrary, you need to have three well-balanced meals a day that come in a variety of tastes and include protein, fat and carbohydrates);
  • at least put it in your rhythmminimal physical activity(Just doing a few simple exercises in the morning or at night is enough. )

All these measures are not only to prevent prostatitis. They will help to eliminate the causes of this disease and will contribute to the improvement of the general condition of the body.

You will be amazed at how fatigue is reduced, irritability and bad mood disappear, and how your body's resistance to viruses and infections increases.

Diagnosis of prostatitis

In the arsenal of modern doctors - a variety of diagnostic methods can identify this disease.

Diagnosis of diseases begins with the same methods as those used to begin diagnosing most diseases. This is a general clinical and biochemical blood test, a blood test for markers of HIV, RW, and hepatitis, as well as a urinalysis and a study for the presence of infectious diseases.

Types of research

Special methods to detect the disease include:

  • study of the secretion of the prostate gland;
  • blood test for prostate-specific antigen (PSA);
  • Prostate biopsy (if indicated) to rule out prostate cancer.

One of the most effective classical methods is a digital prostate exam. The effectiveness of this method is that it allows you to identify not only a certain disease, him and a number of other diseases of the prostate gland, including cancer.

Ultrasound examination of the kidneys, bladder, as well as transrectal ultrasound of the prostate and seminal vesicles is of great diagnostic importance.

Other methods are used to diagnose complex cases:

  • CT scan;
  • X-ray exam;
  • study of prostate enzymes, etcv. ).

Only after receiving the results of all tests can the doctor come up with a treatment program, since there is not a single algorithm for everyone. Self-medication is not worth it. All that is encouraged to do it yourself is to prevent disease, which was described above.

Severe and painful condition of prostatitis

Exacerbations of prostatitis can occur for many reasons. If you have a chronic illness, a cold, extreme exercise, or alcohol abuse is enough for another episode of acute pain.

Pain in prostatitis occurs most often in the perineum and scrotum, in the lower back, can sometimes be noted in the anal region. Pain may be aggravated by prolonged sitting (eg, when driving a car), prolonged abstinence from sex, or during sex, or when urinating.

There is only one way out - to see a doctor as soon as possible and start treatment. Your doctor will most likely prescribe the necessary anti-inflammatory drugs. But to help your body, you need to follow certain rules.

For example, during an exacerbation of acute prostatitis, the frequency of sexual intercourse should be reduced. You should also improve your immunity in any way you can, eat well and consume more fluids.

Methods of treatment of prostatitis

There is no single answer to the question of how to treat prostatitis. Because each patient has its own characteristics and disease manifestations are also different from person to person, there is no specific treatment regimen for prostatitis.

Currently, a wide range of medications and medical procedures are used to treat prostatitis. However, the disease cannot be cured by taking medicine alone - you can only relieve the symptoms for a short time. As a rule, therapy for prostatitis is complex. As a result of the complex application of various procedures and drugs, the causes of prostatitis are eliminated and the body is restored.

For the successful treatment of prostatitis, first of all, the qualifications of the doctor and strict adherence to the doctor's recommendations are extremely important.

Massage therapy for prostatitis

According to most men, prostate massage is the most uncomfortable procedure that will face this disease. However, if this procedure is performed by a qualified physician, the patient will experience practically no discomfort.

With this disease, massage is one of the effective methods. It improves blood circulation in the prostate gland (and good blood circulation is one of the important conditions for its normal functioning), increases muscle tone, restores the duct system, enhances the effects ofantibiotic therapy and ultimately help reduce inflammation.

In addition, massaging the lumbosacral area is effective in treating prostatitis. Before performing, should perform general massage movements or perform nourishing exercises that promote better blood circulation.

There are also exercises for prostatitis that patients can do independently.

How to treat prostatitis?

Today's drug market offers a wide selection of drugs for treatment. Never prescribe medicine on your own! If you want your treatment to be truly successful, see your doctor. The specialist doctor will prescribe the medicine according to your condition and severity of the disease.

Antibiotics for prostatitis

The cost of treatment for prostatitis can vary depending on the severity of the disease. This is due to the fact that it includes the price of the drug and the cost of the procedures prescribed by the doctor.

The use of antibiotics for bacterial prostatitis is unavoidable, as it is required to clear the infection.

The effectiveness of antibiotic therapy will be effective in the case of a thorough diagnosis of the patient's condition and the appointment of the optimal dose, duration of treatment and method of drug administration.

The spectrum of antibacterial action of the drugs is no less important. So, if prostatitis is the result of an infectious disease (e. g. , tuberculosis, gonorrhea, chlamydia), then appropriate antibiotics will be prescribed.

When prescribing antibiotics, the doctor should also take into account the presence of allergic reactions, kidney failure. As a rule, along with antibiotics, drugs are prescribed to normalize the intestinal microflora.

It is important to remember that antibiotics are only used to treat bacterial prostatitis. Viral prostatitis is treated with antiviral drugs.

Surgical intervention

Contrary to popular belief, surgery is rarely indicated for prostatitis. Surgical intervention is an extreme measure and is used when other treatments fail to provide satisfactory results.

Surgical intervention includes resection of the inflamed area of the prostate gland. The chance of a complete cure is very low. In addition, various complications are inevitable, until the complete loss of potency.

In particular, surgical intervention is indicated in cases where the stone in the prostate cannot be removed and the prostate is deeply sclerosis. In all other cases, even when treatment time and cost is high, other methods are used.