Prostatitis in men

a healthy prostate and prostatitis

Prostatitis in men belongs to the group of male hormonal diseases, genital urinary. The disease occurs in the form of acute or chronic inflammation. This is the most common urinary disease today. Previously, it was believed to manifest only at the age of 45-65, now more and more doctors are diagnosing "prostatitis" in young people 20-30 years old. Disease increasingly rejuvenated.

The nature of prostate damage depends on the sexual habits of each person.

  1. In theory, the prostate gland in pre-pubertal boys can be damaged, but theoretically undeveloped inflammation of the gland is not considered an independent disease.
  2. In sexually active men, prostatitis often progresses as an episode of acute inflammation.
  3. Pathology of the gland, in adults and in old age, can manifest itself as three independent diseases (chronic prostatitis, adenoma - benign hyperplasia, adenocarcinoma - increasedmalignant properties).
  4. In people with castration (chemistry, physics, radiation), the gland is atrophy.

The prostate gland (prostate gland) is the accessory gland of the male genitals. It is located at the junction of the urethra and the ejaculate tube. The importance of the pre-pubertal gland is not well understood. In an adult man, the prostate gland:

  • produces sperm-thinning secretions, ensuring sperm vitality in the female genital tract;
  • produces prostaglandins, substances that increase the blood supply to the penis before erection begins, along with the testicles, which are involved in the production of the hormone testosterone;
  • helps to quickly evacuate (release) sperm from the urethra and participate in orgasm formation;
  • by a reflex mechanism prevents urine from entering the sperm during sexual stimulation, participating in complex erection mechanisms.

The prostate gland is an organ that is vulnerable to pathogens. It is definitely related to the pathology of the urethral wall, the bladder, the vas deferens. A strong electric current of blood, lymph, circulates through the branch vessel system of the damaged gland, causing stagnation, edema of the organ, aggravating the pathology. The glands are well internalized, with pain accompanied by pain.

What men should know about prostatitis

Prostatitis is an inflammatory disease of the prostate gland (prostate gland), usually caused by an infectious agent that enters the prostate gland from the urethra itself, the bladder and nearby rectum. However, the infection itself is not meant to develop into an illness, as this, as it is said, a "favorable circumstance combination" is necessary.

What are the factors that lead to the onset of prostatitis:

  1. Prolonged sedentary work and a sedentary lifestyle. The risk group includes drivers, programmers, and everyone else who spends an entire day working without getting up from their seats to walk and warm up.
  2. Frequent stool disorders in the form of constipation.
  3. Severe or repeated hypothermia across the entire organism.
  4. Excessive sex life or prolonged abstinence. Both are not as helpful for the normal functioning of the prostate gland.
  5. Overeating, spicy food and alcohol abuse, constant stress.

The prostate gland is a very small organ 3 cm long and 4 cm wide, weighing only 20-25 grams. However, the bile of the prostate gland has bactericidal properties, so the inflammatory process in the gland can only develop when there is a stagnation in this organ, when the bile loses its properties.

What is prostatitis in men?

Chronic and acute forms of prostatitis are distinguished:

  • Symptoms of acute prostatitis are characterized by severe inflammation in the prostate area. In this case, the patient has a strong fever (body temperature increases to 38-39 degrees), pain in the groin and perineum, painful urination, defecation.
  • Chronic prostatitis makes a man less anxious, so he may not immediately notice the characteristic symptoms of the disease. The patient's body temperature sometimes rises to 37 degrees, sometimes he is disturbed by discomfort when going to the toilet, a little bit of mucus or pus oozing from the urethra. Such exudate is one of the typical signs of chronic prostatitis.

Signs of prostatitis in men

There are six signs (precursors) of prostatitis - dysuria syndrome. Use as a clinical marker is conditional. However, the presence of two out of six symptoms is the reason to consult a urologist.

  1. Slow urine flow to less than or within 20 cm.
  2. Difficult urination, drop by drop.
  3. Pain when urinating.
  4. Interrupting effects, splitting, jet splashes, process timing.
  5. Feelings of not completely emptying the bladder.
  6. Frequent urination at night.

It is strictly forbidden to make clinical conclusions when detecting these signs. Prostatitis has a complex pathogenesis mechanism, consisting of many different mechanisms. It is impossible to treat the disease but focus on general clinical symptoms only. Contact a urologist to determine symptoms, nature of the injury, stage of the disease, and indications for treatment. Diagnosis and treatment are carried out taking into account the organs and systems involved in the pathogenesis. In some cases, it is necessary to consult a dermatologist, surgeon, or oncologist.

Symptoms of prostatitis in men

Prostatitis can occur in the form of acute and chronic inflammation. Acute forms develop as inflammation of the tissue, follicles, or tissues. Manifestations of chronic prostatitis are associated with a concomitant disease.

Symptoms of prostatitis are detected by subclinical and functional tests. The following symptoms are of greatest importance to recognize the nature of the pathology, the cause and mechanism of the body's defense response.

  • Frequent urination when you have prostatitis.In healthy people, the maximum number of urination attempts should not exceed 10-12 times a day, usually 4-5 times. The daily volume of urine in healthy adults is 1000-2000 ml. The volume of urine during cravings is 120-170 ml, the amount of urine accumulating over 350 ml causes a strong desire to empty the bladder. The products of prostatitis continuously stimulate the receptors of the walls of the urinary organs, leading to urination:
    • Frequent urination (proteinuria), while daily urine volume did not increase;
    • Small partial urination, inflammatory products send false signals to the receptors of the filling of an empty half of the bladder, after emptying the feeling of fullness remains;
    • Painful urination (painful urination) caused by an inflamed prostate that narrows the urethra;
    • Difficult urination due to compression of the urethra by the inflamed gland, sometimes prostatitis accompanied by an inability to empty the bladder (less urination);
    • Urinating at night (nocturia), the wall of the bladder is stimulated to generate a constant signal to produce urine.
    • The temperature associated with prostatitis.Characterized by an increase in body temperature to the fever and fever values. High temperature is associated with purulent prostatitis in the early stages of septic shock. In contrast, in the late stage of septic shock, a low temperature (hypothermia) is characteristic of 35-36 ° C. Low temperature poses a danger to humans due to the tendency to diffuse blood clotting in the lumen ofplatelets (DIC syndrome). Prognosis of prostatitis complicated by sepsis in the presence of diffuse intravascular clotting syndrome is conservative or unfavorable.
    • Blood in urine accompanied by prostatitis.Hematuria (hematuria) is a rare but very dangerous symptom. Persistent bleeding that is difficult to stop. There are several causes of hematuria in prostatitis, including:
      • purulent fusion of the gland with a vascular part and perforation into the urethra;
      • accidental injury during an instrumental examination of genital organs;
      • Prostatitis
      • is complicated by hyperplasia, often a malignant form.
      • Pain syndrome.Complicated prostatitis with pain when urinating. Sometimes the pain occurs intermittently, such as during a bowel movement. The cause of the pain is that the inflammatory products are constantly irritating the glands. Dull pain (soreness) in the perineum and anus is often noted.

      Laboratory tests confirm prostatitis symptoms. They are used to clarify the presence of inflammation, to determine the severity of the inflammatory and infectious process.

      • Complete blood count. The indicators to confirm prostatitis are: an increase in the number of leukocytes, a change in leukocytes in the direction of increasing the number of stab cells, an increase in ESR.
      • Urine analysis. Revealing latent pus (pus in the urine) and bacteriuria (bacterial infection) in the first portion of urine. Use the triangle method to detect pus and latent bacteria in the beginning, middle, or end of the urination. Repeat, for a frequency of several days, bacteriological testing in the urine is performed to determine whether bacterial species has changed.
      • Blood tank. This method is indicated for symptoms of progressive sepsis accompanied by fever (fever) weakness.
      • Immune cell binding studies in prostatitis supplement an understanding of the nature of the pathogenesis, to predict the likelihood of sepsis developing

      Instrumental methods are used to clarify the symptoms of prostatitis. The following methods are valid for diagnosis.

      • Ultrasound method of the rectum (through rectum) (TRUS). Its high diagnostic value is well documented. The method has contraindications related to the prohibition of glandular massage, at certain stages of the disease.
      • X-ray of the bladder. Choose the slides that are convenient for the prostate exam. Before the X-ray, the urografin is injected into the bladder, a radioactive plaque substance that is inert to the body.
      • Prostate aspiration biopsy has strictly limited indications for prostatitis.

      Causes of prostatitis in men

      There are several groups of causes of prostatitis, including:

      1. Complexity of a man's past diseases (PPP infections, colds and inflammation of the pelvic organs, staphylococcal complex and other bacterial infections, agentsviruses, fungi, especially due to a decrease in the immunity and general resistance of the body), chronic gynecological infections in women who are sexual partners.
      2. Urethral reflux. Violation of the prostate's ability to prevent urine from flowing back into the reproductive canal is called urethral reflux. The result is the bacteria that seed the prostate gland. Reflux is the result of incorrect catheterization, as well as a previously inflamed urethra. In this case, urethral pain occurs - a pathological increase in the lumen of the urethra. Urethral reflux - seminal vesicles, bacteria multiplying are associated with the formation of stones (stones) in the prostate gland and the ejaculate tube.
      3. Violation of the rhythm of sexual activity, including lack of or excess sex, frequent delay in ejaculation.
      4. Venous blood stasis in the genital organs of the small pelvis in men is a result of sedentary lifestyles (hemorrhoids, sexual disorders, other causes);
      5. Hormonal imbalances are associated with an inadequate production of male hormones by the gonads, leading to a general impairment of skeletal and smooth muscle tone, impaired erectile function andother disorder.

      Classification of prostatitis

      Distinguishing between bacterial and non-bacterial prostatitis:

      1. Bacterial prostatitis caused by pathogenic microorganisms that enter the prostate gland from the outside. These include streptococci, staphylococci, Escherichia coli, Proteus and others. Many bacteria are normal flora in our body, but under certain conditions they enter the prostate gland and cause inflammation. Prostatitis can also develop due to sexually transmitted diseases such as chlamydia, ureaplasmosis, gardnerellosis, trichomonas, gonorrhea, mycoplasmosis.
      2. The group of non-infectious prostatitis includes:
        • Congestive (congestive) prostatitis. It is caused by a blockage in the small pelvis. Incomplete ejaculation, excessive sex, prolonged abstinence, intermittent intercourse - all of these contribute to venous stagnation in the pelvic organs.
        • Sclerosing prostatitis. It is characterized by a decrease in the size and function of the prostate gland, the compaction of its tissues due to the death of prostate cells and their replacement with sclerenchyma. One of the reasons for the development of this form of the disease is frequent constipation, taking certain medications and superinfection. Unfortunately, such inflammatory prostate disease cannot be treated.
        • Calculated prostatitis. The result of the development of prostatitis that has a nature is the presence of phosphate stones and oxalates in the gland. In large size, they cause a sharp pain in the urethra. Treatment involves dissolving already formed stones.
        • Prostatitis. The disease causes chronic pelvic pain, but its cause is not fully understood. It is believed that it can be triggered by a backflow of excretion, perineal muscle damage, bladder neck pathology and psychological factors.
        • Atypical forms. In the atypical form, the patient may complain of pain in the legs, lower back, and sacrum, which are unusual manifestations of symptoms characteristic of prostatitis. The outcome of treatment depends on the duration of the disease, the activity of inflammatory processes and the presence of complications.

      If you do not completely treat prostatitis, prostatitis in a forgotten form will lead to decreased fertility, infertility, depression, anal fatigue and complicationsother.

      Why is prostatitis dangerous, the consequences of prostatitis

      The consequences depend on the age, the state of the immune system, the presence of bad habits. Therefore, in the elderly, with weakened immunity, a history of alcoholism, drug addiction, acquired immunodeficiency syndrome, the consequences of the disease are more severe.

      • Effect of prostatitis on efficacy.A damaged gland, decompensated function, reduces the production of substances involved in erectile formation of male genitalia. The consequence of prostatitis is slow secretion of semen during intercourse, a decrease in the feeling of fullness during intercourse, and in severe form, erectile dysfunction.
      • The effect of prostatitis on conception. A damaged prostate gland significantly reduces the production of high-quality secretions that are needed to maintain the functioning of sperm in a woman's birth canal. The secret of the inflamed prostate gland, which enters the female reproductive canal during sexual intercourse, reacts to the immune rejection of the female body, develops gynecological diseases and the inability to conceive.
      • Prostatitis causes damage inside the gland and body. Inflammation complicated by microflora increases the risk of prostate abscess. Abscess formation - purulent fusion of a part of the parenchyma gland with the formation of a cyst around the focal point. The disease with the formation of mineral deposits in the cavity is a result of prostate complications due to prostate reflux damage. The consequences of prostatitis include: caste, urolithiasis, kidney failure, genital infections and other diseases.

      Can prostatitis have sex

      It has been shown that arrhythmia in intimate life is one of the causes of gland inflammation. Frequent ejaculation with a moderate frequency positively affects the pathogenesis of prostatitis with moderate and subclinical clinical manifestations of prostatitis. Some therapeutic manipulations and stages of the disease involve temporary prohibition of sexual intercourse. For detailed recommendations consult your physician. Sex with prostatitis, observing moderation and safety of intimate life.

      Can prostatitis be sexually transmitted? Prostatitis is a male disease with absolutely no specific viral, bacterial, or fungal origin. At that time, prostatitis endangers gynecological health. Semen, containing the products of the inflammatory process, penetrates the female genitalia, on the basis of a reduction in the protective barrier of the birth canal, is a real threat to conception and pregnancy. A healthy lifestyle, reliable contraception for men is the easy way to protect your partner from common problems.

      Is it possible to cure prostatitis once and for all

      Most men who have been treated for prostatitis more than once are concerned with one question - whether it is possible to get rid of this unpleasant disease forever. According to experts, the effectiveness of treatment largely depends on the presence and severity of irreversible consequences that have occurred in the prostate gland. These can be scarring, stones, calcification.

      In order to prevent further development of the inflammatory process in the early stages, you can only see your doctor promptly. In this case, there are no irreversible complications in the developed prostate and there is a possibility of a complete cure. When areas of sclerenchyma have formed - scarring, calcification, and small stones that cannot be removed in any way, repeated inflammation is very likely. This is a chronic inflammatory prostate disease.

      In addition to treatment, an important factor in overcoming the disease is also the degree of willingness the patient is to change his previous lifestyle - irregular sex life and frequent sitting in a chair. . If he does not want such changes, then with great confidence we can say that the inflammatory process will soon return. It was the patient's unwillingness to exclude these negative factors from his or her life that led to the notion that prostatitis could not be cured.

      The time, treatment regimen is decided by the doctor, based on the results of physical, laboratory and instrumental studies. Antibacterial drugs are the focus of treatment for prostatitis. The use of vitamins, physiotherapy, anti-inflammatory procedures, analgesics, antibiotics are shown.

      Diet for prostatitis

      Follow the diet, use a certain set of products:

      • pain relief,
      • improves blood and lymph microcirculation in the vessels of the gland,
      • enhances the protective functions of the body,
      • normalizes intestinal function,
      • reduces nighttime urine production.

      Products for the treatment of prostatitis. Out of date:

      1. Concentrated coffee, spicy dishes - increase blood flow to the glands, stimulate pain relief;
      2. Fat, fatty meat, eggs, flour - increases the deposition of cholesterol on the capillary wall, reduces the microcirculation of blood flow in the gland;
      3. Alcoholic beverages - reduced immunity;
      4. Foods containing raw fiber, salty, spicy foods - altering bowel movements;
      5. A large amount of liquid (in the evening), salty, smoked food (during illness) - increases the volume of fluid, which is retained in the body.

      Recommended to include in the diet: vegetable salad mixed with olive oil, area grown vegetables and fruits, natural juices, nuts, dried fruit, boiled lean meats. A set of products for prostatitis can be checked with your dietitian.


      Precautions are based on simple rules, it's very easy to follow them.

      • Regularly hiking (this kind of walk is the most physiological);
      • Eat right, have a healthy lifestyle;
      • Using a male contraceptive.

      In order to avoid the development of prostatitis and its complications, you should immediately contact a urologist if there is any pathology of the genitals. It is also not necessary to wait for symptoms to appear, but at least see your doctor once a year. At a medical facility, you will undergo an examination and you will know for sure that your health in the genital area is okay.

      Do not delay seeing a urologist and people with constipation, alcohol abuse, spicy and smoked foods, people who are not active in sports and people with a history of infectious diseases. sexually transmitted. Due to the high risk of disease, such people should undergo a mandatory examination, even if there are no indications for this.

      As you know, men don't like going to the doctor and when they can't take it anymore, it turns out that the disease has turned to a chronic stage. But the treatment could have been completed much earlier. Now, with chronic prostatitis, it will take you at least 1-2 months to treat.