It is generally believed that after the age of 30, 30% of men suffer from prostatitis, after 40-40%, after 50-50%, and so on. At the same time, the actual incidence is much higher than the registered incidence, which can be explained by the specificity of the diagnosis and the possibility of the potential course of the disease.
The prostate is a small glandular muscular organ located in the small pelvis below the bladder, covering the initial part of the urethra (urethra). The secret produced by the prostate is mixed with semen to maintain the activity of sperm and its resistance to various adverse conditions.
When suffering from prostatitis, there will be many urination problems, decreased libido, and impaired erectile function. The saddest thing is that, without proper treatment, about 40% of patients face some form of infertility, because the prostate can no longer produce a sufficient amount of high-quality secretions to ensure sperm motility. It is important to remember that similar symptoms can occur not only in prostatitis, but also in prostate adenoma and cancer.
Causes of prostatitis
There are four main forms of prostatitis: acute bacterial prostatitis, chronic bacterial prostatitis, non-bacterial prostatitis and prostatic pain.
In people under 35, the disease usually occurs in the form of acute bacterial prostatitis. When an infection is confirmed in the laboratory, it is called bacterial prostatitis. In most cases, it turns out to be chlamydia, trichomoniasis, mycelial disease or gonorrhea. The infection enters the prostate from the urethra, bladder, and rectum through the blood and lymphatic vessels in the pelvis.
However, recent studies have proved that, in most cases, the infection is superimposed on the existing prostate tissue structure and its blood circulation. In non-bacterial prostatitis, although the presence of bacteria cannot be ruled out, the bacteria cannot be isolated.
In older patients, chronic diseases are more often diagnosed. Prostatic pain is a clinical manifestation of prostatitis, which is the compaction of prostate tissue without signs of inflammation.
Symptoms of prostatitis
The symptoms of prostatitis can be divided into 3 groups:
- Urinary system diseases (frequent urination, pain, feeling of incomplete urination), lower abdomen pain;
- Sexual dysfunction (soreness along the urethra and rectum during ejaculation, erectile weakness, premature ejaculation, decreased orgasm, etc. );
- As patients' attention to the condition continues to increase, men's anxiety and neuroticism have increased.
Acute prostatitisUsually the body temperature rises to 39-40°C at first due to fever and chills. Difficulty and painful urination. Prostatic edema appears, which can cause acute retention of urine.
Chronic prostatitisThe progress of the disease is relatively calm, but under the influence of any unfavorable factors, the disease may be aggravated at any time. May be asymptomatic.
complication
Without timely treatment, prostatitis can cause the following complications:
- The transition from acute to chronic prostatitis;
- Bladder obstruction caused by acute urine retention requires surgical treatment and develops into male infertility;
- Urethral stricture and scarring;
- Recurrent cystitis
- Pyelonephritis and other kidney damage;
- Prostate abscess (suppuration), which requires surgery;
- Sepsis is a life-threatening complication that usually develops in people with weakened immunity (patients with diabetes, kidney failure).
what can you do
If you find yourself experiencing the above symptoms, try to see a urologist as soon as possible.
What can a doctor do
The library of modern diagnostic tools for prostate diseases is very extensive.
Your doctor will order a bacteriological study of urine and prostate secretions. In order to clarify the location of urinary tract infections, different parts of urine were studied. In addition, the mandatory diagnostic method is to conduct a digital examination of the prostate. This process is not very pleasant, but very useful.
Your doctor may refer you to ultrasound examinations of the prostate and pelvic organs. If necessary, please prescribe computer tomography or magnetic nuclear tomography, cystoscopy, urography and prostatase research.
At the time of diagnosis, your doctor must rule out the presence of benign prostatic hyperplasia and prostate cancer. In order to quickly relieve the pain of acute prostatitis, it is recommended to use painkillers and a warm bath.
Bacterial prostatitisIt is necessary to appoint antibiotics, and select antibiotics based on the results of bacterial seeding of bacterial secretions on nutrients and determining the sensitivity of the pathogen to chemotherapy.
Non-bacterial prostatitisTreat with anti-inflammatory drugs.
Prevent prostatitis
Don't let your body temperature get too low, don't sit on cold objects. Follow a light diet (excluding alcohol, spicy, fried and canned food).
Regular sex is also a way to prevent prostatitis (because one of the stimulating factors is sperm stagnation and frequent erections without subsequent ejaculation). Preventing sexually transmitted diseases is equally important.
After adulthood, every man should receive regular check-ups by a urologist (once a year). After suffering from prostatitis, preventive outpatient treatment is required at least twice a year, one month and one hydrotherapy treatment.