Prostatitis - Causes, Signs, Symptoms And Treatment Of Prostatitis

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Video: Prostatitis - Causes, Signs, Symptoms And Treatment Of Prostatitis

Video: Prostatitis - Causes, Signs, Symptoms And Treatment Of Prostatitis
Video: Prostate Pain (Prostatitis) | Causes, Symptoms, and Treatments | Pelvic Rehabilitation Medicine 2023, March
Prostatitis - Causes, Signs, Symptoms And Treatment Of Prostatitis
Prostatitis - Causes, Signs, Symptoms And Treatment Of Prostatitis
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Prostatitis: Causes, Signs and Symptoms

What is prostatitis?

Prostatitis is an inflammation of the prostate gland called the prostate. The prostate gland is a minor part of the male reproductive organs. It is located under the bladder, around the neck. The fact is that the urethra passes through the prostate, that is, the prostate is located around the urinary tube. As a result of this, with an enlarged prostate, the urinary canal is compressed, which interferes with the passage of urine.

In men over 35, the prostate is often enlarged. This is a typical occurrence. Most of the diseases in men over 50 are just a consequence of a malfunction of the genitourinary system, that is, as a result of inflammation of the prostate gland. It must be remembered that the more prostate gland, the more urine will be blocked, thereby the body will be more and more poisoned by this urine.

What is prostatitis
What is prostatitis

The disease is quite common and is diagnosed in more than 80% of sexually mature men, of which about 30% is detected in the age group from 20 to 40 years. If we refer to statistical studies, then we can say that prostatitis is detected in every 10 patients.

[Video] I. A. Izmakin, the chief urologist of the Euromedica clinic, talks about what prostatitis is:

Content:

  • Causes of prostatitis
  • Signs of prostatitis
  • Prostatitis symptoms
  • Diagnosis of prostatitis
  • Treatment of acute bacterial prostatitis
  • Chronic prostatitis treatment

    Specific treatment regimen

  • Operative and other clinical methods of treatment
  • Complications of prostatitis and consequences
  • Answers to some questions about methods of treating prostatitis

    • What happens if prostatitis is not treated?
    • Can prostatitis be treated with herbs?
    • In chronic prostatitis, is it necessary to perform rectal prostate massage?
    • Does hirudotherapy, acupuncture help?
    • Can chronic prostatitis trigger prostate cancer?
  • Preventive measures

Causes of prostatitis

The causes of prostatitis are as follows:

  • The main cause of prostatitis is impaired blood circulation, which leads to an enlarged prostate. The cause of impaired blood circulation is a sedentary lifestyle, as well as being overweight.
  • Another cause of prostatitis is infection. Often, infection can result from gonorrhea or urethritis, less often - as a result of complications of sore throat, flu, tuberculosis.
  • Inflammation of the prostate of a bacterial nature begins when infectious contractors enter the prostate gland through the blood, lymph, during unprotected intercourse, in other words, through the biological fluids of the body. Various microorganisms that are constantly present on the skin of a person, or even in the organs of the abdominal cavity, for example, the intestines, under certain conditions can provoke the development of the disease.

  • Injury to organs and soft tissues of the small pelvis, impaired blood circulation are often the cause of prostatitis. As a rule, most of all this concerns drivers whose work is associated with occupational hazards - constant vibrations, shaking, increased load on the muscles of the perineum.
  • Also, the development of the disease is facilitated by frequent hypothermia and low physical activity, the presence of chronic diseases of the genitourinary sphere or hormonal imbalance, urinary retention and irregular sex life.

With violent sexual activity in men, nervous and physical exhaustion quickly sets in, the hormonal system and the secretion of the gonads are disrupted, leading to a gradual decrease in potency. Interrupted sexual intercourse also affects men's health not in the best way.

[Video] Program Live Healthy! "Is interrupted intercourse good or bad?":

  • A sedentary lifestyle affects the work of the endocrine, nervous and cardiovascular systems. There is a deterioration in the blood supply to the pelvic organs with stagnation, oxygen starvation of the prostate tissues - all this predisposes to the growth and reproduction of pathogenic microorganisms, which in turn can cause the development of prostatitis. All these factors are not the primary cause of the formation of the inflammatory process, but serve as an entrance gate for infection to enter the prostate gland.

  • The presence of inflammation in the rectum or urethra often causes a secondary infection of the prostate gland - in the ascending pattern, if the microbes rise up from the external urethral canal, or in the descending pattern, when the microbes enter the prostate from infected urine.

  • Constipation, which is chronic in nature, is a predisposing factor for the development of prostatitis. Constant stool disturbances can lead to inflammation in the prostate.
  • The immune system plays an important role in the development of this disease. Due to bad habits, emotional experiences, malnutrition, physical overwork, immunity weakens, and the human body becomes vulnerable to infectious pathogens of various kinds, including those causing inflammation of the prostate gland.
  • Among the causes of prostatitis are urological infections and some past venereal diseases, such as gonorrhea or urethritis. Even such chronic diseases in the body as bronchitis, tonsillitis, untreated carious teeth can be the cause of this disease.

Signs of prostatitis

Signs of acute prostatitis are an increase in body temperature and frequent urination, which is accompanied by cramps and weak pressure. In addition, signs of prostatitis include a burning sensation in the perineum and pain in the rectum during bowel movements. In the stage of purulent inflammation, spontaneous opening of the abscess and the outflow of pus from the urethra or rectum are likely.

A symptom of chronic prostatitis is burning in the urethra and perineum, discharge of pus at the end of the act of defecation or urination, increased fatigue and irritability of the body.

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[Video] I. A. Izmakin, the chief urologist of the Euromedica clinic, talks about the signs by which prostatitis can be determined:

Difficulty urinating with prostatitis is very dangerous, which in the absence of timely treatment can lead to acute urinary retention.

Men should not ignore such indirect signs of the development of prostatitis as a complete or partial decrease in sex drive, accelerated ejaculation, sometimes painful, prolonged erection at night. All these symptoms are characteristic of inflammation of the prostate gland, and even in an uncomplicated stage and amenable to adequate treatment.

If we talk about manifestations visible even to a non-specialist, then in most cases patients notice transparent or sometimes purulent discharge from the urethra, especially noticeable in the morning and the presence of white flakes and threads in the urine.

Related article - How to improve potency at home?

Prostatitis symptoms

Prostatitis symptoms
Prostatitis symptoms

Acute form. Like many diseases, prostatitis is divided into acute and chronic. General symptoms are typical for the manifestation of the acute form of the disease.

  • The patient develops general weakness, obvious malaise
  • Often accompanied by fever, headaches
  • As a rule, pain in the perineum is pronounced in nature, covers the groin area and increases during urination or defecation.
  • The feeling of frequent urge to go to the toilet, which does not bring relief due to incomplete emptying of the bladder, leads to increased irritability and nervous excitability of patients. In severe cases, acute urinary retention develops.

Chronic form. In contrast to the acute form, the chronic form of prostatitis has an asymptomatic course and is latent (that is, without pronounced characteristic signs). The clinical picture is often erased, with mild symptoms, patients do not pay due attention to the obvious discomfort and do not consider it necessary to seek medical help, confusing the symptoms of prostatitis with prostate adenoma, which is extremely dangerous. The principles of treatment for these diseases are completely different, as are the possible complications with undesirable consequences.

Often, the deterioration of general well-being, problems with potency and nervous disorders are attributed by men to fatigue and lack of rest, that is, a person simply does not want to realize that he is sick and needs treatment. An important role in the timely detection of this disease is played by annual preventive examinations, which make it possible to establish a diagnosis at the earliest stages.

White flakes in urine. The chronic form of inflammation of the prostate is expressed in fast-passing, mild pain in the perineum, in the area of the pubis and groin. As a rule, the duration of sexual intercourse changes, both in the direction of lengthening, and vice versa, and the brightness of sexual sensations. Discharge appears from the urethra, especially in the morning, or white flakes are visible in the urine with the naked eye (if you put it in a glass, you can see flakes in the form of white smoke).

Poor urination. Since the inflammatory process leads to the narrowing of the lumen of the urethra, urination disorders occur, which men should pay attention to first of all: the urine stream becomes weak, urination may be dropwise or difficult at the beginning or at the end. Many patients have a feeling of incomplete emptying of the bladder or uncontrolled urine leakage.

Frequent urination. The inflammatory process irritates the nerve endings, leading to frequent urination, especially at night, usually in small portions. All these symptoms unambiguously indicate the development of the pathological process and require immediate medical attention. Only a specialist can establish the correct diagnosis and prescribe the correct treatment. Unfortunately, these symptoms can hide such a terrible disease as prostate cancer.

[Video] Dr. Evdokimenko "Chronic prostatitis - lie or truth?":

Diagnosis of prostatitis

The urologist is engaged in the identification of prostatitis. He diagnoses the very fact of damage to the prostate gland. Based on the symptoms of the disease, the doctor can determine the stage of its development already during the first appointment. The man will definitely be prescribed an ultrasound of the prostate.

Possible diagnostic measures:

  • Taking the juice of the prostate gland and analyzing it is the main method for diagnosing prostatitis.
  • Taking a smear from the urethra. The obtained secret is sent for bacteriological examination.
  • Delivery of urine for analysis.
  • Assessment of PSA level. It is a protein of the prostate gland.

If the obtained data are not enough to make a diagnosis, then the patient is placed in a hospital and a urodynamic examination is performed under its conditions.

Cystoscopy is a method for diagnosing diseases of the prostate gland, during which the doctor can perform some therapeutic manipulations. However, it is rarely used.

Treatment of acute bacterial prostatitis

Treatment of acute and chronic prostatitis
Treatment of acute and chronic prostatitis

Although a disease such as prostatitis has long been known and is widespread among men of all ages, it is difficult to treat it.

Treatment of acute bacterial prostatitis directly depends on how severe the symptoms of the disease are. Sometimes the patient's condition is extremely difficult, which often occurs when the body is intoxicated.

The disease manifests itself acutely, the body temperature rises sharply, chills appear, pain in the pelvic area, in the lower back, perineum. Perhaps the addition of nausea and vomiting, a violation of the process of emptying the bladder with cuts, a burning sensation, etc. Such a condition is dangerous for its complications. Perhaps the addition of a bacterial infection, the development of an abscess of the prostate gland, septicemia and septicopyemia. Most often, complications arise against the background of existing chronic diseases, for example, in the presence of diabetes mellitus.

If the disease is acute, the man must be hospitalized in a hospital, in the urological department. If this is not possible, then the patient is assigned to the general surgical department.

There is a general treatment tactics for managing patients with acute prostatitis:

  • Compliance with bed rest.
  • Prescribing antibacterial drugs.
  • Prohibition of prostate massage, even for the purpose of obtaining prostate secretions. The ban is due to the high risk of developing sepsis.
  • Prescribing drugs aimed at normalizing blood microcirculation, increasing its fluidity and viscosity. For this, drugs such as Detralex, Pentoxifylline, Cavinton, Trental are injected intravenously. Thanks to the effect of these drugs, it is possible to achieve an outflow of lymph and venous blood from the inflamed gland, reduce toxic manifestations and remove decay products from the body.
  • Oral NSAIDs: Ketoprofen, Indomethacin, Ibuprofen, Piroxicam. They are prescribed to relieve painful sensations.
  • It is possible to use other analgesics, for example, Nimesil, Nise, Tempalgin, Ketanov. In addition to relieving pain, these drugs reduce inflammation to some extent. In their practice, urologists and andrologists widely use rectal suppositories to provide an analgesic effect, to reduce inflammation. They include the same components as in tablet preparations, but due to local administration, the effect is enhanced. You can use suppositories for prostatitis with propolis.
  • If the patient suffers from severe intoxication of the body, the administration of rheological solutions, for example, Gemodez or Neocompensan, is indicated, as well as detoxifying agents and electrolytes, including solutions of Disol, Trisol, Laktosol, Ringer's solution, a solution of potassium chloride with the addition of glucose.

Surgical intervention is necessary if the possibility of self-emptying of the bladder is completely absent, or an abscess of the prostate has formed.

The use of antibiotics to treat bacterial prostatitis is a must. If the disease begins acutely, symptoms of intoxication are present, then antibacterial drugs are prescribed as soon as possible, waiting for the results of tests for bacterial flora in this case is impractical and dangerous.

Treatment BEFORE receiving test results. The drugs are selected from the group of fluoroquinolones. It can be Levofloxacin (Eleflox, Tavanik), Ofloxacin (Zanocin, Ofloxin), Ciprofloxacin (Tsiprobay, Tsifran, Tsiprinol). 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. In addition, fluoroquinolones have a detrimental effect on gram-positive and anaerobic bacteria, as well as on atypical infectious agents such as chlamydia. Penetrating into the metabolic processes of protein metabolism in bacteria, the antibiotic destroys their nucleus, leading to the death of the microorganism.

However, a number of scientists oppose the appointment of fluoroquinolones until the test results have been obtained. They indicate that if bacterial prostatitis is caused by Koch's bacillus, then this will lead to its resistance, mutations and the formation of a new, more pathogenic flora, which is very difficult to get rid of. Therefore, it is so important to make sure that there are no tuberculosis bacteria in the body.

Side effects. Depending on the clinical picture of the disease, fluoroquinolones can be administered both intravenously and intramuscularly. In case of impaired liver and kidney function, the risk of side effects is 3-17%. However, most often patients complain of a violation of the digestive processes, and also experience certain disorders from the central nervous system. A drop in blood glucose levels, the development of photosensitization (increased sensitivity of the skin to ultraviolet radiation), cardiac arrhythmias are all infrequent complications from the administration of fluoroquinolones and they occur in no more than 1% of cases.

Treatment AFTER receiving test results. When the results of laboratory tests are available, the therapeutic regimen can be revised if the identified inflammatory agent is not sensitive to fluoroquinolones. This group of drugs should also be replaced if, after 24-48 hours from the start of their intake, the patient's condition has not improved, or if he does not tolerate them well. The drugs of choice in this case are macrolides (Azithromycin, Sumamed), Trimethoprim, Doxycycline, antibiotics from the cephalosporin group (Cefepim, Cefotaxime, Kefzol, Cefazolin, Cefpir).

If recovery does not occur after 14 days from the start of taking medications, then the treatment regimen should be adjusted again.

Leading Russian and foreign urologists have a common point of view regarding the timing of therapy. They claim that it cannot last less than 14-30 days. After completing the intake of antibacterial agents, a repeated, in-depth diagnosis with ultrasound of the prostate and taking the secretion of the prostate gland for bacterial culture must be performed without fail. If the identified microflora can be controlled with the help of the drugs taken, and the patient feels well, then the treatment is extended for another 14-30 days. As a result, the total period of taking antibiotics will be from a month to two. When it is not possible to completely remove the inflammation, it is advisable to change the therapeutic tactics.

Patients who have a serious illness are subject to hospitalization in intensive care units.

Chronic prostatitis treatment

Chronic prostatitis treatment
Chronic prostatitis treatment

Therapy for chronic prostatitis directly depends on the stage of the disease. If the disease worsens, treatment is similar to that for acute bacterial prostatitis.

When the disease is in remission, a man will experience the following symptoms:

  • Minor painful sensations occurring rarely, but regularly;
  • Feeling of heaviness in the prostate, lumbosacral area, in the genital area;
  • In some cases, dysuric disorders join: increased urge to urinate, cramps during emptying of the bladder, etc.;
  • Possible deterioration of psycho-emotional well-being, depressive moods against the background of which sexual failures occur.

As a rule, the chronic form of the disease is treated with the following recommendations:

  • Prostatilen and Vitaprost help to relieve edema from the tissues of the prostate, eliminate the leukocyte jump, reduce the risk of blood clots, and normalize blood microcirculation. There are data from studies conducted by Professor Tkachuk V. N. He notes that when taking Vitaprost and Prostatilen, pain in the vast majority of patients (97% of patients) becomes less pronounced 3.2 times. Disorders of urination are reduced by 3.1 times. In addition, the form of drug release in the form of rectal suppositories is very convenient. This allows them to be prescribed even to those patients who have not been hospitalized. The course of therapy should be from 21 to 30 days.
  • In addition, it is recommended to take herbal preparations, for example, as: Speman, Likoprofit, Peponen.
  • Regular physical activity helps to strengthen the pelvic muscles and normalize blood circulation. It is best if it is a specially compiled complex of physiotherapy exercises. Physiotherapeutic procedures have a good effect - rectal electrophoresis, transrectal microwave hyperthermia, UHF, magnetic laser therapy, etc. These procedures are very effective in helping to get rid of pelvic pain syndrome.

Read more: Medicines for prostatitis in men: a list

[Video] Dr. Evdokimenko "Prostatitis treatment is simple. Can prostatitis be cured forever?":

Specific treatment regimen

Treatment of chronic prostatitis is a lengthy process and requires an integrated approach. Next, a methodology for getting rid of this disease will be presented. You should not implement it in practice on your own, without medical advice. The fact is that such treatment will be effective only if the patient is diagnosed with congestive prostatitis, that is, the likelihood of infection is excluded. This can be verified only after a qualitative diagnosis with the study of the secretion of the prostate gland, scraping of the urethral epithelium (infectious prostatitis is diagnosed in 10-15% of cases).

It is important to remember that congestive prostatitis does not require antibiotic therapy. When the inflammation of the prostate gland is infectious, antibiotics are prescribed for prostatitis.

Chronic congestive prostatitis is most often treated by doctors with rectal massage. The point of its implementation is to improve blood microcirculation, normalize metabolic processes, and eliminate stagnation. However, this technique often causes not only physical but also psychological discomfort in patients. Therefore, men deliberately delay the trip to the doctor and aggravate the course of the disease.

The method presented below allows you to get rid of congestive prostatitis without rectal finger massage of the prostate.

In order to start therapy, you need to prepare in advance, for this you will need to purchase:

  • The drug Prostatilen for intramuscular injection and water for injection. The full course will require two packages of the drug.
  • Acoustic therapy device Vitafon.
  • Vitaprost preparation in the form of rectal suppositories. One package will be enough.
  • Wobenzym - tablets 90 pcs. The full course of treatment will require 2 whole packs and a quarter of the third.
  • Five packs of encapsulated vitamin E - Viardot.
  • Speman tablets - packaging.

You should make a reservation in advance about the Vitafon apparatus. This device will replace the doctor's finger, which he uses during the massage of the prostate gland, inserting it into the anus. The device does not need to be inserted anywhere, the therapeutic effect is achieved due to the impact of acoustic waves on the prostate gland. It is applied externally.

As for the price, on average it is 1,500 rubles. However, having spent one time, you can use the device for many years. It perfectly helps to remove inflammation during exacerbation of chronic prostatitis.

Instructions for use are attached to the device. It should be guided when using the device.

Attention! There is one important warning, although it is purely individual. The instructions indicate that during the first seven days of using the device, the stomach should be smeared with iodine to enhance the effect. In practice, it turns out that such an amount of iodine for the body turns out to be excessive and leads to its poisoning with vomiting and pain in the kidneys. Therefore, if unwanted symptoms occur, it is best to refuse iodine.

How should you take your medications?

How to take medications
How to take medications

Treatment begins from the day when all components are acquired:

  • We inject Prostatilen into the buttock once a day. It should be diluted as follows: 1-2 ml of water for injection is taken for 2 ampoules of the drug. If the injections seem very painful, you can dilute with Novocain. The course of injections is 10 days.
  • Speman should be taken 2 tablets 2 times a day. The full course of treatment is 25 days, if we consider that there are 100 tablets in the package, then it will go away completely.
  • Wobenzym is taken 3 tablets 3 times a day. This should be done 40 minutes before meals. The full course of treatment is 10 days. As for the number of tablets that will be required: there are 40 pieces in one package, that is, you need 2 full packs and another 10 pieces. You can ask the pharmacist to sell them separately, many of them are accommodating. If they refused, then you can limit yourself to 2 packages, since the drug is quite expensive. If you drink it not 10, but 9 days, then nothing terrible will happen.
  • Viardot is taken in 5 capsules with meals for 20 days.
  • At night, you need to insert 1 Vitaprost candle. It is great if the intestines are pre-cleansed. The course is 10 days.
  • The Vitafon device must be used according to the instructions for use. It is desirable to have 2 to 3 sessions of acoustic therapy. In this case, you should not stop treatment in the middle of the session, when there is a feeling of exacerbation of chronic prostatitis. This is the norm and it should be. The course will end with recovery.

If you do not deviate from the proposed scheme, it will be possible to get rid of the disease for a long time. However, you should stop drinking alcohol. In this case, sex life is fully resumed.

During treatment, hypothermia of the prostate should not be allowed, so the pants should be warm and the coat should be long. It is worth refusing to swim in cold water during the summer months.

To improve blood microcirculation, get rid of stagnant processes, you need to move as much as possible. To do this, you should abandon a sedentary lifestyle, start running, walking.

There are many treatment regimens for congestive prostatitis and each practicing urologist uses his own technique. As a rule, they are all effective, as long as the absence of infection in the prostate gland is confirmed. In this case, success is guaranteed.

Source:

Operative and other clinical methods of treatment

Operative and other clinical methods of treatment
Operative and other clinical methods of treatment

Sometimes with prostatitis it is impossible to do without surgery.

It can be done in two ways:

  • Transurethral resection.
  • Prostatectomy.

Transurethral resection. Transurethral resection is a minimally invasive treatment. A resectoscope is inserted into the body through the urethra under general anesthesia. A high frequency current is fed through it. With its help, the altered tissue of the gland is cut off. If there is such a need, then it can be removed completely. During the operation, bleeding does not develop, since the currents cauterize the blood vessels. After such an intervention, the prostate tissue ceases to press on the urethra, and the person can normally empty the bladder.

The man is no longer haunted by pain. The procedure itself takes place under video control. The image is displayed on the screen, on which the doctor can track all his actions.

[Video] Patient's story about resection (TUR):

Prostatectomy. Prostatectomy is an abdominal operation. It carries a higher risk of complications. The recovery period will last longer than after transurethral resection. However, sometimes this procedure is the only way to help the patient.

Other treatments include:

  1. Cryodestruction. In this case, liquid nitrogen is used to treat prostatitis. Men have been treated this way for many years. Treatment and recovery are quite extended in time. Cryodestruction is indicated for those patients who cannot perform the operation. Despite all the difficulties of therapy, it is possible to get rid of the symptoms of the disease.

  2. Transurethral microwave therapy. This method is reduced to the effect on the prostate gland of electromagnetic waves. Under their influence, the inflamed tissues are destroyed, and the symptoms of the disease recede. The procedure is a minimally invasive technique, but not all patients can perform it. Sometimes, after such treatment, the disease recurs. In addition, there is a possibility of complications. If we evaluate the effectiveness of such treatment, then it is stronger than taking medications. However, it cannot be compared with surgical intervention.

  3. Ultrasound therapy. Exposure to the prostate tissue with ultrasound allows you to remove the inflammatory process. The procedure is possible at home, but after a detailed consultation with a doctor.

    It is forbidden to use ultrasound for cancerous organ tumors. If you use it as part of complex therapy, you will be able to achieve recovery.

  4. Treatment with leeches. Hirudotherapy is one of the ways to treat prostatitis. With its help, it is possible to achieve a good effect.

  5. Stenting and balloon dilatation. The procedure is reduced to the introduction of an endoscope with a small balloon into the prostate. During the operation, the urethra expands, after which a stent is placed in it. This helps to normalize the outflow of urine. The method is aimed at eliminating the symptoms of the disease.

Complications and consequences

The inflammatory process of the prostate gland, with timely treatment started, does not lead to gross violations in the genital area. However, in the absence of treatment, it most often causes depression of sexual desire and infertility in men of reproductive age. Among the fairly frequent complications of untreated prostatitis, various secondary infections of the urinary tract are distinguished, chronic renal failure may develop. No less dangerous are bladder stones and the development of acute urinary retention.

The disease progresses, covers the bladder - due to the deterioration of blood circulation, there is a violation of the outflow of urine and hardening of the walls, these pathological changes are irreversible.

Answers to some questions about methods of treating prostatitis

  • What will happen if prostatitis is not treated? Any acute prostatitis without special treatment always becomes chronic. But in any case, without treatment, both acute and chronic prostatitis can cause prostate abscess, cystitis, pyelonephritis, vesiculitis and even prostate adenoma. And a little later impotence and infertility will appear, which will be very difficult, long and expensive to cure.

  • Can prostatitis be treated with herbs? Maybe. These can be plants such as St. John's wort, licorice root, echinacea, goldenrod. These herbs contain components that help with asymptomatic non-bacterial prostatitis. It is possible to purchase rectal suppositories that contain extracts of these herbs.

  • In chronic prostatitis, is it necessary to perform rectal prostate massage? The vast majority of urological clinics abroad have abandoned this procedure in favor of physiotherapy treatment, which is more effective. In addition to the fact that rectal massage causes physiological and psychological discomfort, it allows you to work exclusively on the lower part of the prostate. Nevertheless, in Russia the overwhelming majority of urologists practice this technique.

  • Does hirudotherapy, acupuncture help? If we take into account the theory of influence on energy fields and points, then we can say that this method works. However, there are no studies that could be cited in order to substantiate the effectiveness. The only thing that can be argued is a slight decrease in pain and a decrease in urinary disorders. Hirudotherapy helps to remove edema from the tissues of the prostate, normalize microcirculation in the organ, and reduce inflammation. This is possible thanks to the enzymes that are present in the saliva of leeches, according to V. A. Savinov and M. I. Kuznetsov. However, any unconventional treatments should be discussed with your doctor. They should not be used as a substitute for conventional therapy.

  • Can chronic prostatitis trigger prostate cancer? It can be argued that prostate cancer is the cause of the development of prostatitis. Inflammation of the prostate gland causes complications such as urethral strictures, prostate abscess, sclerosis of organ tissues. As for oncology, there is no such data. However, if a man is diagnosed with prostatitis, regardless of its form, he should be regularly examined by a urologist and, if necessary, undergo treatment.

Preventive measures

Preventive measures
Preventive measures

Prevention measures for chronic prostatitis are primarily aimed at preventing its exacerbation. In the event that this has already happened, the inflammation must be removed as soon as possible.

To minimize the risk of relapse, you must completely abandon, or reduce to a minimum the impact of the following negative factors:

  • Alcohol consumption. This does not mean that you need to abandon it altogether, but it is necessary to limit yourself. Nobody forbids a glass of red wine, but you shouldn't drink a whole bottle.
  • Smoking. The prostate gland is the organ that constantly experiences oxygen deprivation due to poor blood supply. When tobacco smoke is inhaled, vasospasm occurs and blood microcirculation is further disturbed. In addition, all smokers will sooner or later suffer from high blood pressure.
  • Lack of movement. You need to force yourself to break away from the sofa and start moving.
  • Stress. You should learn to remove from your head all the negative that was received during the day. In this case, the family will become the best antidepressant. Weekends spent next to loved ones will replace any sedatives.
  • Hypothermia, colds. These negative factors directly affect the prostate gland. If you have a car, you should make sure that the seat is heated.
  • Physical fatigue is no less dangerous than lack of movement. You should not lift weights if the body is not prepared for this.

[Video] Doctor Shukhrat Arabov, head of the urology department, will tell you about the prevention of prostatitis:

There are also several guidelines that can help improve men's health:

  • Physical exercise. You should take at least 10 minutes of morning time to exercise. You don't need to include heavy exercise in your workout. Let it be just light gymnastics that allows you to disperse stagnant blood. The same rule applies to sedentary work.
  • A contrast shower is also a great way to improve your well-being. It is very effective to take it before intercourse. Moreover, the effect of water on both the whole body and the prostate area is important. It is useful in this regard to visit the bath. But you should not leave the steam room immediately pour ice water - it will only bring harm.
  • As for food, you need to include in your diet raw pumpkin seeds, honey, garlic, prunes, parsley, walnuts.
  • You need to give up pickled products, this is especially true for various sauces with the addition of vinegar - mayonnaise, ketchup, pickles, marinades, etc.
  • Sex life should be adjusted. Incomplete intercourse, unrealized erections are very harmful. It is better to get rid of stagnant secretions on your own than to be treated for stagnant prostatitis for a long time.
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Author of the article: Lebedev Andrey Sergeevich | Urologist

Education: Diploma in the specialty "Andrology" received after completing residency at the Department of Endoscopic Urology of the Russian Medical Academy of Postgraduate Education in the urological center of the Central Clinical Hospital No. 1 of JSC Russian Railways (2007). Postgraduate studies were completed here by 2010.

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