They say a real man has to do three things in life: plant a tree, build a house and give birth to a son. The prostate is often called the "heart of a man" because it is this gland that helps to realize the main of the three goals: to reproduce a child. But at present, many men are faced with a serious problem - the prostate loses its function, potency is impaired, and the desire to have a baby becomes an unrealizable dream. Why does this happen and what to do in such cases? Read on!
Prostatitis is an inflammation of the prostate gland
Prostatitis is an inflammation of the prostate gland. The prevalence of the disease is very high: according to the latest data, about 45% of the male population of Europe suffers from prostatitis. Inflammation of the prostate gland or prostatitis implies the development of edema in the tissues of the gland and, as a result, a violation of the urinary and reproductive functions of the male body. The lack of timely effective treatment of edema should be done in such cases, it implies the development of edema develops: this happens and what to do in such cases of edema, what to do in such cases, it implies the development of edema develops: this happens and what to do in such cases of edema to do in such cases, it implies the development of edema, development is being developed: but this happens and what to do in such cases of edema, but in such cases it implies the development of edema, development is being developed: but this happens and what to do in such cases, prostatitis can lead to a chronic process and the development of persistent disorders in the prostate. That is why, when the first symptoms of prostatitis appear, the problem should be given due attention.
Causes of inflammation of the prostate gland
There are several main etiological factors in the development of prostatitis. The trigger mechanism for the development of the inflammatory process of the prostate is an infectious agent. Often, the infectious process initially develops in another area, and, in the absence of proper treatment, affects the prostate gland. Urethritis, coliculitis, epididymitis, vesiculitis, proctitis and even SARS can cause prostatitis. Other predisposing factors for the development of inflammation of the prostate gland include:
- hypothermia;
- interruption, artificial prolongation or other violations of sexual intercourse;
- sedentary lifestyle;
- traumatic injuries of the urethra and bladder.
Classification of prostatitis: three forms of inflammation of the prostate gland
Acute prostatitis can occur in three different forms, depending on the extent and type of inflammation:
- catarrhal prostatitis is an inflammatory process of the epithelium of the prostatic ducts of the prostate lobules. At the same time, serous fluid accumulates in the lobules, and, as a result, an edematous process develops;
- with follicular prostatitis, an inflammatory process develops in individual lobules of the prostate gland, leading to the appearance of infiltrates and even abscesses in them;
- parenchymal prostatitis is a purulent inflammation of the gland, which can affect both its individual lobules and the entire gland. The larger the volume of the lesion, the more voluminous the abscess is, and the more serious the complications of prostatitis can be.
Clinical picture of prostatitis: main symptoms
With catarrhal prostatitis, pain syndrome comes to the fore. The pain is localized in the perineum and lower abdomen, while the body temperature is subfebrile or normal, the general condition of the patient is slightly disturbed.
If prostatitis develops according to the type of follicular, the body temperature becomes febrile, in addition to pain, chills, dysuric manifestations are disturbing. Sometimes the act of defecation is disturbed, the process becomes difficult and painful for the patient, which is associated with an increase in the prostate gland and its pressure on the rectum.
The clinical picture of parenchymal prostatitis is pronounced: pain is acute, intense, radiating to the head of the penis, thighs and anus, aggravated by the slightest movement. Dysuric manifestations are even more pronounced than with follicular prostatitis, up to urinary retention. The act of defecation is also disturbed, there may be a delay in defecation and gas discharge, throbbing pain in the rectum. Body temperature reaches 40°C, symptoms of general intoxication of the body appear.
How to recognize prostatitis: diagnostic methods
Diagnosis of the disease is based on the data of an objective examination, laboratory tests, which indicate the presence of an acute inflammatory process - leukocytosis with a shift of the leukocyte formula to the left, acute phase proteins in the biochemical blood test. A digital rectal examination reveals a painful, enlarged, and hard prostate with a flattened longitudinal sulcus. In the event of an abscess, a fluctuation is determined by palpation. Ultrasonography confirms the diagnosis by visualizing an enlarged prostate with changes in echogenicity of the image if a prostate abscess has formed.
Conservative treatments for inflammation of the prostate
Treatment of acute prostatitis is often limited to conservative methods. First of all, for the purpose of local anesthesia, the patient is given a paraprostatic and supra-sacral novocaine blockade. Antispasmodics and painkillers are administered. A course of broad-spectrum antibiotics in combination with sulfonamides is prescribed. The appearance of urinary retention is a characteristic symptom of the development of prostate abscess. In this case, a urinary catheter is installed for the patient and, under local anesthesia, the abscess is punctured, followed by the introduction of antibacterial drugs and silver preparations into the bladder. With timely effective treatment of prostatitis, the prognosis for the patient is favorable. It is very important to remember that not started treatment on time, especially with prostate abscess,
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