Prostatitis and prostate adenoma

Prostatitis is inflammation of the prostate tissue, its swelling.It is a term for inflammation of the prostate.

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

Prostatitis can only develop in men.According to statistics, over the past 20 years, the incidence of prostatitis has approximately doubled and today, at the dawn of the 21st century, it affects almost half of the Earth's male population aged 20 to 50 years.It is generally accepted that after 30 years, 30% of men suffer from prostatitis, after 40-40%, after 50-50%, 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 lumen of the urethra:
   • difficulty starting to urinate;
   • intermittent urination;
   • weak urine stream;
   • drip urination;
   • sensation of incomplete emptying of the bladder;
   • involuntary leakage of urine.
2. Symptoms caused by irritation of the nerve endings:
   • frequent urination;
   • frequent urination at night;
   • urgency to urinate;
   • urination in small portions;
   • urinary incontinence when urinating.
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, gonococci, 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, civil servants);
• prolonged sexual abstinence, interrupted sexual intercourse, or artificially prolonged sexual intercourse;
• impaired immunity;
• frequent hypothermia (extreme leisure enthusiasts: diving, surfing, kayaking and skiing);
• stress: mental and physical overload;
• violation of allergic status;
• hormonal imbalance;
• deficiency of vitamins and microelements.

Treatment of acute and chronic prostatitis

Although, as a rule, the treatment of acute prostatitis does not pose any difficulties, chronic prostatitis cannot always be corrected.

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

• Maintain bed rest.
• Prescription of antibacterial drugs.
• Prohibition of prostate massage even with the aim of obtaining prostate secretions.The ban is due to the high risk of developing sepsis.
• Prescription of drugs aimed at normalizing blood microcirculation, increasing its fluidity and viscosity.Thanks to the effect of these drugs, it is possible to achieve the outflow of lymphatic and venous blood from the inflamed gland, reduce toxic manifestations and remove decay products from the body.
• Oral administration of NSAIDs or other analgesics in tablet form.They are prescribed to reduce pain.
• In their practice, urologists widely use rectal suppositories to produce analgesic effects and reduce inflammation.They contain the same components as tablet preparations, but thanks 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, as well as detoxification agents and electrolytes in a hospital setting is indicated.
• Surgery is necessary if the ability to independently empty the bladder is completely absent or a prostate abscess has formed.

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

The doctor selects drugs from the fluoroquinolone group.It can be levofloxacin, ciprofloxacin.Such empirical therapy is due to the fact that fluoroquinolones are active against bacteria that most often cause 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 atypical infectious agents, such as chlamydia.By entering the metabolic processes of protein metabolism of bacteria, the antibiotic destroys their nucleus, leading to the death of the microorganism.

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

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

Increasingly, the bacteria that cause prostatitis are becoming impervious to most modern antibiotics.For this reason, prostatitis often cannot be completely cured and the disease becomes chronic.

If healing does not occur 14 days after the start of taking the drug, then the treatment regimen should be adjusted again, but the treatment of prostatitis cannot last less than 14-30 days.But the prescription of antibiotics is carried out by a doctor, focusing on the data of the clinical picture of the disease and the results of bacteriological culture of prostate contents with determination of 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 years old can develop prostate adenoma associated with hormonal imbalance (after 40 years, testosterone production in men decreases and estrogen secretion increases).

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

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

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

Manifestations of prostate adenoma

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

• increased frequency and difficulty urinating – urination becomes especially frequent at night.
• weakening of the urinary stream is one of the first symptoms of the disease, which most often 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.These men complain that, despite the normal frequency of urination during the day, they have to urinate in the morning 3-4 times with an interval of 10-15 minutes.
• The imperative urge (sudden, difficult to control) to urinate is one of the symptoms that forces a man to 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 form, which gradually enlarge and compress the urethra.	The inflammation develops in the prostate tissue.
At what age does this most often occur?	Usually after 40 years.Less often - at a younger age.	Most often between 20 and 40 years old.
Why is this happening?	The exact reasons have not been fully established.It is considered one of the manifestations of male menopause.	Main reasons: pathogens, infection; decreased immunity; sedentary lifestyle; infrequent or excessively frequent sexual intercourse.
Treatment characteristics	Medications are used and, in severe cases, surgical treatment (excision of overgrown prostate tissue).	Antimicrobials, anti-inflammatories and pain relievers are usually prescribed.

Prevention measures

There are also several recommendations that will improve men's health:

• Physical activity.You should spend at least 10 minutes of your morning doing simple exercises.The same rule applies to sedentary work.
• A contrast shower is also a great way to improve your well-being.
• As for nutrition, you should include raw pumpkin seeds in your diet (phytotherapy based on pumpkin seeds, nettle extract, palm extract + zinc and selenium in capsules. Normalizes testosterone metabolism and hormonal levels, reducing the proliferation of glandular tissue of the prostate. Used morning and evening, 1 capsule for 1 month, if necessary, repeated use is possible. Normalizes urination, relieves pain, restores thepotency Improves blood circulation in the prostate, relieves inflammation and, in combination with (antibiotic therapy, reduces the duration of treatment of prostatitis and prevents the development of prostate adenoma), honey, garlic, prunes, parsley, nuts or herbal remedies based on them.
• You should avoid pickled foods, this is especially true for various sauces with the addition of vinegar - mayonnaise, ketchup, pickles, marinades, etc.
• Fights excess weight (improves metabolism throughout the body).
• Avoid wearing tight-fitting items at the crotch level: panties, pants.

Avoid casual sexual contact to prevent sexually transmitted infections.Sex life should be smooth.Incomplete sexual intercourse and unrealized erections are very harmful.