Prostatitis and prostate adenoma

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

Prostate- part of the male reproductive system that produces a specific secretion that nourishes and protects the sperm.When the smooth muscle fibers of the capsule of the prostate and seminal vesicles contract, seminal fluid is released into the urethra - ejaculation (ejaculation).

Prostatitis can develop only in men.According to statistics, in the past 20 years, the incidence of prostatitis has approximately doubled, and now, at the dawn of the 21st century, it affects almost half of the male population of the Earth aged 20 to 50 years.It is generally accepted that after 30 years, 30% of men suffer from prostatitis, after 40 - 50%, after 40 -50, etc.

Classification of prostatitis:

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

Prostatitis complaints:

1. Various urination disorders associated with narrowing of the urethral lumen:
   • difficult urination;
   • occasional urination;
   • weak stream of urine;
   • urinating drop by drop;
   • feeling of incomplete emptying of the bladder;
   • involuntary leakage of urine.
2. Symptoms caused by irritation of nerve endings:
   • frequent urination;
   • frequent urination at night;
   • urgency to urinate;
   • urination in small portions;
   • urinary incontinence during urination.
3. Pain in the lower abdomen, groin, inner thighs or lower back;various sexual disorders can 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 leads to its inflammation);
• sedentary lifestyle (drivers, office workers, clerks);
• prolonged sexual abstinence, interrupted sexual intercourse or artificial prolongation of sexual intercourse;
• weakened immunity;
• frequent hypothermia (fans of extreme recreation: diving, surfing, kayaking and skiing);
• stress: mental and physical overload;
• violation of allergic status;
• hormonal imbalance;
• lack of vitamins and microelements.

Treatment of acute and chronic prostatitis

While, as a rule, there are no difficulties in treating acute prostatitis, chronic prostatitis cannot always be corrected.

There are general treatment tactics for treating patients with acute prostatitis:

• Bed maintenance.
• Prescribing antibacterial drugs.
• Prohibition of prostate massage even to obtain 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.Thanks to the action of these drugs, it is possible to achieve outflow of lymph and venous blood from the inflamed gland, reduce toxic manifestations and remove decomposition products from the body.
• Oral administration of NSAIDs or other tableted analgesics.They are prescribed to reduce pain.
• Urologists in their practice widely use rectal suppositories to provide analgesic effects and reduce inflammation.They contain the same components as tablets, but thanks to local application, the effect is enhanced.You can use suppositories for prostatitis with propolis.
• If the patient suffers from severe intoxication of the organism, the use of rheological solutions, as well as detoxification agents and electrolytes in hospital conditions is indicated.
• Surgery is necessary if the possibility of independent bladder emptying is completely absent or if a prostate abscess has formed.

The use of antibiotics for the treatment of bacterial prostatitis is mandatory.If the disease begins acutely and there are symptoms of intoxication, then 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 chooses drugs from the group of fluoroquinolones.It can be Levofloxacin, Ciprofloxacin.Such empiric therapy is due to the fact that fluoroquinolones are active against the bacteria that most often cause prostatitis - these are gram-negative pathogenic flora and enterococci.In addition, fluoroquinolones have a harmful effect on gram-positive and anaerobic bacteria, as well as on atypical infectious agents, such as chlamydia.Entering into the metabolic processes of bacterial protein metabolism, the antibiotic destroys their nucleus, which leads to the death of the microorganism.

Also, these drugs are very effective in the treatment of prostatitis, because they have the ability to quickly penetrate the tissue of the prostate and seminal vesicles, accumulating there in high concentrations.The therapeutic effect is enhanced by the fact that the prostate in an inflamed state has a very high permeability.

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

More and more 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 from the start of medication, it is necessary to adjust the treatment regimen again, but prostatitis therapy cannot last less than 14-30 days.But prescribing antibiotics is done by a doctor, focusing on the data of the clinical picture of the disease and the results of the bacteriological culture of the contents of the prostate along with determining 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 may develop prostate adenoma associated with hormonal imbalance (after 40, testosterone production in men decreases, and estrogen secretion increases).

Prostate adenoma- benign prostatic hyperplasia is the presence of a pathological benign growth of the prostate located in the periphery of the urethra.

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

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

Manifestations of prostate adenoma

The growth of prostate tissue with age leads to the enlargement of the organ, which causes narrowing of the urethra and is manifested by the following symptoms:

• increased frequency and difficulty urinating - urination is especially frequent at night.
• Weakening of urine is one of the first symptoms of the disease, which usually goes unnoticed until other symptoms of the disease appear.
• a feeling of incomplete emptying of the bladder - often disguised as frequent urination in the morning.Such men complain that, despite the normal frequency of urination during the day, they have to urinate 3-4 times in the morning with an interval of 10-15 minutes.
• An imperative (sudden, difficult to control) need to urinate is one of the symptoms that makes a man 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 are formed, which gradually grow and compress the urethra.	Inflammation develops in the prostate tissue.
At what age does it most often occur?	Usually after 40 years.Less often - at a younger age.	Most often at the age of 20-40.
Why does it arise?	The exact reasons have not been fully established.It is considered one of the manifestations of male menopause.	Main reasons: pathogens, infection; reduced immunity; sedentary lifestyle; infrequent or excessively frequent sexual relations.
Features of treatment	Medicines are used, and in more severe cases, surgical treatment (excision of overgrown prostate tissue).	Antimicrobial, anti-inflammatory and pain relievers 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 for simple exercise.The same rule applies to sedentary work.
• A contrast shower is also a great way to improve your well-being.
• As for nutrition, it is necessary to include raw pumpkin seeds in the diet (herbal medicines based on pumpkin seeds, nettle extract, palm extract + zinc and selenium in capsules. Normalizes testosterone metabolism and hormonal levels, reduces the proliferation of prostate glandular tissue. Use in the morning and evening, 1 capsule as needed normal use 1 capsule as needed in normal quantities. relieves pain, restores potency, improves circulation in the prostate, relieves inflammation and in combination withantibiotic therapy shortens the treatment time for prostatitis and prevents the development of prostate adenoma), honey, garlic, prunes, parsley, walnuts or herbal remedies based on them.
• Acidic foods should be avoided, especially various sauces with the addition of vinegar - mayonnaise, ketchup, pickles, marinades, etc.
• Fight against excess weight (improves metabolism in the whole body).
• Avoid wearing tight items in the crotch area: panties, pants.

Avoid casual sexual contact as a means of preventing sexually transmitted infections.Sex life should be smooth.Incomplete sexual intercourse and unfulfilled erection are very harmful.