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Prostatitis - Causes, Symptoms and Treatment

Prostatitis - Causes, Symptoms and Treatment

|  Urology

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Causes of prostatitis

 Prostatitis - an inflammation of the prostate tissue, its swelling. This is the most common urological disease in men aged 20-50 years. It is considered that after 30 years of suffering from prostatitis 30% of men over 40 - 40%, after 50 - 50%.

It is thought that the disease prostatitis in most cases due to the penetration of infection (contagious infestation). However, this is not entirely true. In a number of cases diseases have a not infectious in nature.

Prostate gland located under the bladder and covers the upper part of the urethra, and by increasing the size of its develops various disorders of urination. The size, shape and density are individual and undergo changes with aging men. Prostate gland has a complex nervous apparatus and even at minor pathological changes causes in both local and general disorder.

 The main cause of prostatitis is caused by the peculiarities of the anatomical structure of the prostate gland and its blood supply.

Other Causes of prostatitis

  • infections, sexually transmitted infections: chlamydia, ureaplasma, mycoplasma, herpes virus, cytomegalovirus, Trichomonas, gonococci can infect the urethra and detected in prostate tissue;
  • sedentary lifestyle;
  • frequent supercooling;
  • prolonged sexual abstinence, coitus interruptus or artificial lengthening of the sexual act;
  • stress: mental and physical overload.

Symptoms of prostatitis

In brief, can be identified  two main types of prostatitis: acute and chronic.

Acute prostatitis is different by chronic more bright symptom complex, treatment is carried out using large doses of antibiotics, and in some cases there is a need for surgery to remove the prostate abscesses.

Common complaints with prostatitis

  • Various urination disorders associated with narrowing of the lumen of the urethra (difficulty beginning urination, intermittent urination, weak stream of urine, feeling of incomplete emptying of the bladder, the involuntary dribbling of of urine);
  • Symptoms caused by irritation of the nerve endings: frequent urination; urgent urge to urinate; urination in small portions; urinary incontinence when urge to urinate.

Symptoms of chronic prostatitis:

  • Emerging and fast enough disappearing pain in the perineum, groin, over the pubis;
  • Decreased sex drive;
  • Changing the duration of of sexual intercourse (in some cases, rapid ejaculation, in other - a significant lengthening of of sexual intercourse);
  • The changing nature of sexual sensation (reduced orgasm);
  • The appearance of discharge from the urethra, especially in the morning.

Symptoms of acute prostatitis:

  • Heat;
  • Severe pain in the perineum, in the groin area, over the pubis;
  • Pain when urinating;
  • Poor general health;
  • Reduced potency and others.

    Diagnosis of prostatitis

    Remember that disorders urination and pain symptoms can occur not only in the prostate, but also at an adenoma prostate (benign prostatic hyperplasia), or even prostate cancer. That is why, for the purpose of early diagnosis of possible prostate pathology, all men over 45 years old are encouraged to donate blood to the prostate-specific antigen (PSA).

    Very often the disease develops  is hidden and gradually becomes chronic. If time does not pay attention, then a slight malaise can develop into a real nightmare. In the acute stage sometimes gives a fairly high temperature, pain in the perineum transform the process of urination and defecation in the feat. Can form an abscess - purulent fusion of tissues the prostate gland with all its consequences.

    In the advanced form Prostatitis leads to the most serious complications that create a lot of problems not only to man, but the whole family. When prostatitis is not only reduced libido and is disrupted erectile function. The saddest thing is that approximately 40% of patients threatens some form of infertility, because the prostate gland can not produce sufficient quantities of high-quality secret for sperm motility. Because it is so important to treat prostatitis in the early stages of development.

    Urological examination

    • Common methods of examination: blood tests (clinical, biochemical, HIV, RW and markers of hepatitis B and C) and urine test.
    • Research of the prostate secret;
    • Analyzes on a infections, sexually transmitted infections;
    • Digital rectal examination;
    • Ultrasound of the kidneys, bladder and transrectal ultrasound of the prostate uroflowmetry (research urination for suspected prostatitis);
    • Blood test for PSA and prostate biopsy to rule out prostate cancer.

    Treatment of Prostatitis

    Prostatitis treatment program should include a whole range of therapeutic measures. The development of prostatitis always provoke a number of factors, so it is necessary to act in several directions. The comprehensive program of treatment of prostatitis usually includes:

    • antibiotics,
    • physiotherapy,
    • drugs therapy, improving vascular tone, 
    • fortifying agents - multivitamin and mineral complexes, 
    • prostate massage.

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