Prostatitis and prostate adenoma

Prostatitis is inflammation and swelling of the prostate tissue.This term refers to inflammation of the prostate.

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

Prostatitis can only develop in men.According to statistics, during the last 20 years, the incidence of prostatitis has approximately doubled, and today, at the dawn of the 21st century, it affects almost half of the world's male population aged 20-50.It is generally accepted that 30% of men suffer from prostatitis after 30 years, 5% after 40-50%, etc.

Classification of prostatitis:

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

Complaints related to prostatitis:

1. Various urinary disorders associated with narrowing of the lumen of the urethra:
   • difficulty urinating;
   • periodic urination;
   • poor urine flow;
   • passing urine drop by drop;
   • a 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;
   • urgent urination;
   • urination in small amounts;
   • urinary incontinence during urination.
3. Pain in the lower abdomen, groin areas, inner thighs, or lower back;various sexual disorders may also occur.

There are many causes of prostatitis:

• sexually transmitted infections: chlamydia, ureaplasma, mycoplasma, herpes virus, cytomegalovirus, trichomonas, gonococcus, Candida fungus, E. coli can affect the urethra and can be detected in prostate tissue;
• poor circulation in the pelvic organs (congestion of the prostate leads to its inflammation);
• sedentary lifestyle (managers, office workers, officials);
• prolonged sexual abstinence, interrupted sexual intercourse or artificial prolongation of sexual intercourse;
• reduced immunity;
• frequent hypothermia (fans of extreme recreation: diving, surfing, kayaking and skiing);
• stress: mental and physical overload;
• violation of the allergic condition;
• hormonal imbalance;
• lack of vitamins and microelements.

Treatment of acute and chronic prostatitis

While acute prostatitis is usually not difficult to treat, chronic prostatitis cannot always be corrected.

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

• Maintaining bed rest.
• Prescribing antibacterial drugs.
• Prostate massage is prohibited, even for the purpose of extracting prostate secretions.The reason for the ban is the high risk of developing sepsis.
• Prescribing drugs aimed at normalizing blood microcirculation, increasing its fluidity and viscosity.Thanks to the effect of these drugs, the outflow of lymph and venous blood from the inflamed gland can be achieved, toxic manifestations can be reduced and decomposition products can be removed from the body.
• Oral use of NSAIDs or other tablet pain relievers.They are prescribed to reduce pain.
• Urologists widely use rectal suppositories in their practice to provide pain relief and reduce inflammation.They contain the same ingredients as tablet preparations, but the effect is enhanced thanks to local administration.You can use suppositories for prostatitis with propolis.
• If the patient suffers from severe intoxication, hospital administration of rheological solutions and detoxification agents and electrolytes is recommended.
• Surgery is required if the ability to empty the bladder on its own is completely absent or if a prostate abscess has developed.

The use of antibiotics is mandatory for the treatment of bacterial prostatitis.If the disease begins acutely and there are symptoms of poisoning, then antibacterial drugs are prescribed as quickly as possible;waiting for the test results of the bacterial flora is impractical and dangerous in this case.

The doctor selects 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 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.By entering the metabolic processes of protein metabolism of bacteria, the antibiotic destroys the cell nucleus, which leads to the death of the microorganism.

In addition, these drugs are very effective in the treatment of prostatitis, as they are able to quickly penetrate the tissue of the prostate and seminal vesicles and accumulate there in high concentration.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 changed if the patient's condition does not improve or they are poorly tolerated after 24-48 hours from the start of treatment.The drugs of choice in this case are macrolides, cephalosporin antibiotics or lincosamides.

The bacteria that cause prostatitis are increasingly resistant to most modern antibiotics.Because of this, prostatitis often cannot be completely cured and the disease becomes chronic.

If recovery does not occur within 14 days from the start of taking the medication, the treatment regimen must be modified again, but prostatitis therapy should not last for 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 the contents of the prostate, 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, men's testosterone production decreases, estrogen secretion increases).

Prostate adenoma- Benign prostatic hyperplasia is the presence of an abnormal benign growth of the prostate in the vicinity of the urethra.

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

With a detailed examination, signs of prostate adenoma are found in 25% of men at the age of 40-50, at the age of 50-60 - 50%, at the age of 60-70 - 65%, at the age of 70-80 - 80%, over 80 - at more than 90% of men.

Manifestations of prostate adenoma

The growth of prostate tissue with advancing age leads to enlargement of the organ, which causes a narrowing of the urethra and manifests itself in the following symptoms:

• more frequent and difficult urination - urination becomes especially frequent at night.
• weakening of the urine stream 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 morning urination.Such men complain that, despite the usual daily frequency of urination, they have to urinate 3-4 times in the morning, at intervals of 10-15 minutes.
• a compulsive (sudden, difficult to control) urge 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 are:

	Prostate adenoma	Prostatitis
What happens in the prostate gland?	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 occur?	The exact reasons are not entirely clear.It is considered one of the manifestations of male menopause.	Main reasons: pathogens, infection; reduced immunity; sedentary lifestyle; infrequent or too frequent sexual intercourse.
Features of the treatment	Medicines and, in severe cases, surgical treatment (excision of overgrown prostate tissue) are used.	Antimicrobial, anti-inflammatory and pain relievers are usually prescribed.

Preventive measures

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

• Physical activity.Take at least 10 minutes of your morning time to do a simple exercise.The same rule applies to sedentary work.
• A contrast shower is an excellent way to improve your well-being.
• As for food, raw pumpkin seeds should be included in the diet (pumpkin seed-based herb, nettle extract, palm extract + zinc and selenium in capsules. Normalizes testosterone metabolism and hormone levels, reduces the proliferation of prostate gland tissue. 1 capsule in the morning and evening for 1 month, if necessary, pain reliever, urination, repeated use. Improves the prostateblood circulation, relieves inflammation and, in combination with antibiotic therapy, reduces the treatment time of prostatitis and prevents the formation of prostate adenoma), honey, garlic, prunes, parsley, walnuts or herbs based on these.
• Marinated foods should be avoided, this is especially true of various sauces with the addition of vinegar - mayonnaise, ketchup, pickles, marinades, etc.
• Fight against excess weight (improves metabolism throughout the body).
• Avoid wearing tight-fitting items in the area between the thighs: panties, pants.

Avoid casual sex to prevent sexually transmitted infections.Sex life should be smooth.Incomplete intercourse and an unfulfilled erection are very harmful.