Prostate or prostate iron is located at the base of the bladder.The organ produces seed fluid which, during ejaculation, is thrown into the urethra.The secret of the prostate gland creates optimal conditions for the life of sperm outside the body of a man.
Facts on prostate
Prostate activity is controlled by men's sex hormones.During puberty, the level of testosterone increases, which causes active growth of the prostate gland.The prostate has the maximum volume in 20 to 40 years.
Prostatitis
The causal agent of infectious prostatitis in most cases is bacteria or viruses.Less frequently, the disease can be a complication of inflammatory urological diseases - epididymitis, urethritis, cystitis.
Non -infectious prostatitis in its manifestations does not differ from the infectious.The differences are linked to the results of the examination: in this type of disease, the pathogen is not detected.
Symptoms
In most cases, prostatitis begins acutely.There are three forms of acute prostate damage:
- Catarrhal, accompanied by a slight urination of urination and slight pain behind the pubis and in the anus area.
- Folicular, in which urination and pain are expressed stronger.
- Purulent, accompanied by intense pain, fever, deterioration of the general condition and urine discharge problems.The spread of scrotum infection leads to inflammation of the testicles (orchitis).Sometimes purulent abscesses in the basin occur.
Without treatment, the disease enters a chronic form.The acute symptoms calm down, manifesting itself periodically during hypothermia, during off-season (fast-mail).
Sometimes the disease immediately acquires a chronic course.In this case, the symptoms of the disease gradually increase, which forces many men to associate them not with prostatitis, but with age -related changes.
In chronic prostatitis, there is:
- Frequent urination, the appearance of a sudden desire, especially at night;
- Slow, intermittent and weak pressure of urine;
- pain during ejaculation;
- Power problems.
The pathological changes affect the walls of the bladder, the kidneys and the nervous plexus going to the prostate.This leads to the appearance of lower back pain and difficulties with the discharge of urine.There is pain during erection and ejaculation.
Unpleasant phenomena are calm during the adequate treatment prescription.The sooner the patient will start to be treated, the higher the possibility of restoring health.
To make a diagnosis of prostatitis,:
- General examination, history of anamnesis, assessment of complaints and severity of symptoms;
- A rectal examination of the finger, during which the prostate size, its density and other parameters are determined;
- The study of smear, urine and seed fluid on the SPPP.
Prostatitic treatment
The treatment is selected according to the causes of chronic inflammation in the prostate gland.In the case of infection, a well -selected medication lesson can completely eliminate the cause of the inflammatory process.
In the event of complications, the treatment aims to eliminate them.The patient is prescribed by drugs and procedures that improve microcirculation which relieves edema that eliminates pain and normalizes the function of the gland.
It is easier to treat inflammation of the prostate gland when diagnosed at the start of the development of the disease.However, modern medicine helps patients in whom the disease has become chronic.
To prevent exacerbations of the chronic form of the disease, anti-aircraft treatment is carried out to control the prostatitis price, avoiding complications.
For this, prostate massage, intake and anti-inflammatory drugs are prescribed.In advanced chronic cases, when the treatment does not give the desired effect, the surgical elimination of the prostatic gland is carried out.
Important factors on prostatitis
- The appointment of a treatment is only possible after having made a precise diagnosis.
- In advanced cases, you can considerably improve the patient's condition and improve the quality of their life.
- The disappearance of the symptoms of prostatitis is not an indication of the end of treatment.
- The disease is not going in cancer.
- Prostatitis is not a reason to refuse sex, with the exception of an acute period, accompanied by pain during erection and ejaculation.
Prostate adenoma
Adenoma - Benign hyperplasia (increase) of the prostate gland.In recent years, the disease has been "younger".Cases of prostate increase are even 30 -year -old patients.In this group, the probability of adenoma detection is around 10%.
At the age of 65, an increase in prostate was detected in each second.In patients over 70, the dimensions of the prostate gland exceed the standard in almost 90% of cases.
A dangerous manifestation of the prostate adenoma is the formation of nodes compressing the urethra.Nodes training increases slowly, because the violation of urination is developing gradually.
According to the most common theory, the development of the prostate adenoma is a consequence of hormonal imbalance, which develops with age in the body of a man.
Symptoms
Each fourth patient notes urination difficulties.The strong bladder muscles are first capable of pressing urine outwards.However, as the adenoma progresses, the compensatory mechanisms cease to face and the patient has problems of urination:
- intermittent flow;
- low "pressure" of urine;
- tightening of the urination process;
- A feeling of incomplete emptying of the bladder;
- Spasmian pain.
The more the adenoma becomes, the more the symptoms become pronounced.Envy becomes more often and begins to bother at night.In advanced cases, a paradoxical phenomenon is formed: the constant irritation of the bladder wall leads to its uncontrolled reduction and its urinary incontinence.
The stagnant phenomena of the bladder lead to its inflammation (cysti) and cause the formation of stones.Little by little, the infection rises to the kidneys, causing their purulent inflammation - pyelonephritis.The expansion of the bowl light device of renal hydronephrosis can develop.As a result, the patient suffers from kidney failure.
Constant tension during urination in elderly patients causes hearts and blood vessels.Even cases of strokes that have occurred when they try to "press" urine are described.
Diagnosis
On examination, the urologist assesses the physical condition of the patient and his prostatic gland.Prostate assessment is to determine its size, consistency and shape.
The patient prescribes a general analysis of urine, an ultrasound of the pelvic organs, an ultrasound of the bladder to determine the level of residual urine, ultrasound of the gland of the prostate using a rectal sensor, cystoscopy and urofluometry.The number of examinations required may vary depending on the characteristics of the disease.
Treatment
You can reduce the severity of symptoms in various ways.The most effective of them are the adjustment of the alcohol consumption diet, the rejection of coffee and alcohol.In this case, calls at night will disturb the patient much less.
For the treatment of the prostate adenoma, two groups of drugs are used:
- Alpha blockers improving the flow of urine along the urinary tract.Patients note an improvement in the disease almost immediately after the start of treatment.Side effects include dizziness, a decrease in blood pressure, general weakness.
- The preparations that block testosterone reduce the gland.The effect is noticeable after a few months.
Currently, the most efficient and surest is the combined objective of alpha blockers and testosterone blockers.
The transuretral excision of the prostate is the most effective way to eliminate adenoma and restore normal urination.Driving surgery does not require the performance of skin cuts.All tools and cameras are introduced via the urethra.Prostate fabrics are removed by a manipulator equipped with an electric loop.