How and in what ways you can cure the prostatitis. What do you need.
When it comes to prostatitis, all mean inflammation of the prostate gland. The disease appears as a result of infections bacterial infection. But not necessarily. When the man feels pain when urinating and ejaculation.
If the disease continued, it can occur and other unpleasant things. Men can have problems with sexual function. Sensation when orgasm lose brightness, they may appear painful ejaculation and poor erection.
The prevalence
Prostatitis is the third place among the diseases of the prostate and accounts for 20% of disease among men. Worse than his cancer and benign prostatic hyperplasia.
The disease appears in men of any age. 50% of men during life see certain disorders of the genitourinary system. Most of them are sick men older than 50 years. According to the National Institute of Health 25% of men in young and middle age go to the doctor for prostatitis.
The prevalence of non-bacterial type
Non-bacterial prostatitis is the most common form of the disease.
The prevalence of bacterial type
Bacterial prostatitis can be acute and chronic. These types are less common.
Acute bacterial form occurs predominantly in men under 35, and chronic bacterial prone men aged 40 to 70 years.
Types
In medicine there are the following types of prostatitis:
- Acute and chronic bacterial
- Chronic non-bacterial, which is divided into inflammatory and noninflammatory syndrome of chronic pelvic pain
- Asymptomatic inflammatory.
Acute bacterial
Inflammation of the prostate caused by microorganisms Escherichia coli, Pseudomonas aeruginosa, Proteus mirabilis and enterococci.
Some infections, such as gonorrhea, chlamydia, are common in men up to 35 years, as are sexually transmitted and can also cause the development of this type of prostatitis. In acute prostatitis, men often show cystitis.
Symptoms of acute bacterial
Acute prostatitis begins with inflammation of the testicles, mild discomfort in the abdomen and pain in the perineum.
Urination brings discomfort. In acute type not to do a prostate massage, as it will further spread the infection.
Treatment of acute type
Cure acute bacterial prostatitis can antibiotics. First hand over the sowing prostate secretion and determine the sensitivity of flora to antibiotics.
For the treatment of this disease is usually prescribe tetracycline, quinolone, and trimethoprim-sulfamethoxazole.
Chronicbacterial
Prostate gland and urinary tract become inflamed due to recurrent infections.
Often chronic bacterial prostatitis develops due to bad treatment of acute prostatitis.
The symptoms of chronic bacterial
Symptoms can be diverse, but they are weaker than in acute bacterial prostatitis. Man is constantly being tested aching pain in the back, the perineum, epididymis or in the sexual organ.
Many patients may be asymptomatic leak cystitis. Also, the symptoms of this prostatitis are hemospermia, discharge from the urethra and secondary epididymo-orchitis.
During rectal examination, the prostate is often normal, so an accurate diagnosis can be made after culture seeding of prostate secretion or urine.
Treatment of chronic bacterial
The treatment of this type should resolve the infection and normalize the immune system, reduce inflammatory changes and restore the functional activity of the prostate gland. How to deal with this kind of prostatitis?
Antibiotic therapy that lasts from 4 to 12 weeks. During this time cured more than half of cases of chronic bacterial prostatitis. If full recovery was not reached, then prescribe a longer therapy with small doses of antibiotics. Sometimes for a full treatment requires surgical removal of infected portions of the prostate.
Many antibiotics are not very effective, as it can not penetrate the epithelium of the prostate. This barrier perfectly overcome lipophilic antibiotics. Erythromycin and clindamycin have poor activity towards gram-negative microorganisms, which are often the cause of prostatitis.
Often prescribe trimethoprim-sulfamethoxazole and ciprofloxacin, carbenicillin, tetracycline, erythromycin, nitrofurantoin, rifampicin and fluoroquinolones. Also in the treatment of chronic bacterial prostatitis used anti-inflammatory drugs, alpha-blockers.
Chronic non-bacterial
Inflammation of the prostate, not caused by bacteria. This is the most common form of prostatitis.
It appears in men of any age. The symptoms have an irregular shape. They can suddenly appear and as suddenly disappear.
Syndrome inflammatory chronic pelvic pain
The pain occurs without infection, but the increase in white blood cells.
Noninflammatory syndrome of chronic pelvic pain
Symptoms appear without inflammation without bacterial infection.
In this type of prostatitis antibiotics do not help. But, many doctors prescribe short courses of antibiotics.
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Treatment of syndrome noninflammatory chronic pelvic pain
Prostatitis be treated with physiotherapy, bracing and symptomatic methods.
Physiotherapy helps to strengthen the blood circulation in the pelvic organs, which improves the effectiveness of antibiotic therapy. The main physiotherapy techniques include ultrasound, electromagnetic waves, iontophoresis, laser exposure, the temperature rise in the rectum.
To cure this prostate change diet patient, prescribe the adoption of warm baths, which can significantly improve the patient's condition. Also appointed alpha blockers for that muscle tissue in the prostate gland relaxed. The course of treatment lasts from 1 to 6 months. Every patient needs an individual approach.
Asymptomatic inflammatory
This type does not cause pain and discomfort, but in the seed of men is increased quantity of leukocytes.
Usually this type of prostatitis is the study of the causes of infertility or testing of the patient for prostate cancer. In this disease many men have observed elevated levels of PSA that is detected during testing of the patient.
Treatment of asymptomatic inflammatory
When a large amount of antigen of the prostate for the treatment prescribed a course of antibiotics that lasts 14 days.
After 4 to 6 weeks normalizerbase indicators, and selected symptomatic treatment.
Prevention
Prevention needs to normalize the lifestyle. So it will be possible to get rid of prostatitis. It is necessary to radically change the way of life.
The man needs to have an active lifestyle, engage in physical activity, sport, more fresh air, to arrange the correct mode of wakefulness and sleep, eat rationally, not abusing alcohol, spicy foods and Smoking.
The factors contributing to the development:
- Hypothermia;
- Frequent constipation;
- Sessile or sedentary lifestyle;
- Prolonged sexual abstinence;
- Excessive sexual activity;
- Chronic disease of the body;
- Transferred venereal and urological diseases;
- Weak immune system of the body.