The prostate or the prostate iron is located at the base of the bladder.The organ generates seed fluid that is thrown into the urethra during ejaculation.The secret of the prostate creates optimal conditions for the lifespan of spermatozoa outside of a man's body.
Facts about the prostate
The activity of the prostate is checked by men's sex hormones.During puberty, the testosteronnonnonnonnn is increasing, which leads to an active growth of the prostate gland.The prostate has the maximum volume in 20-40 years.
Prostatitis
The causal means of infectious prostatitis in most cases are bacteria or viruses.Less often, the disease can be a complication of inflammatory urological diseases - epididymitis, urethritis, flower inflammation.
In their manifestations, non -infectious prostatitis practically does not differ from the infections.The differences relate to the results of the examination: In this type of illness, the pathogen is not detected.
Symptoms
In most cases, prostatitis begins acutely.There are three forms of acute prostate damage:
- Katarrhal, accompanied by a slight disturbance of urination and slight pain behind the Schubis and in the area of the anus.
- The following in which urination and pain are expressed more.
- Purisier, accompanied by severe pain, fever, deterioration in the general condition and problems with urine discharge.The spread of the infection to the scrotum leads to inflammation of the testicles (orchitis).Sometimes purulent abscesses occur in the pool.
Without treatment, the disease goes in a chronic form.Acute symptoms can be regularly divided into hypothermia in the low season (spring schnitzel).
Sometimes the disease immediately gains a chronic course.In this case, the symptoms of the disease are gradually increasing, which forces many men not to connect them with prostatitis, but with age -related changes.
In chronic prostatitis, there is:
- Frequent urination, the appearance of a sudden urge, especially at night;
- Slow, intermittent, weak primeval pressure;
- Pain during ejaculation;
- Potency problems.
Pathological changes influence the walls of the bladder, kidneys and nerve plexus that go to the prostate.This leads to the occurrence of pain in the lower back and difficulties in unloading urine.There is pain during erection and ejaculation.
Unpleasant phenomena decrease in the prescription of adequate treatment.The earlier the patient begins to treat, the higher the chance to completely restore health.
To diagnose prostatitis:
- General examination, prehistory of anamnesis, assessment of complaints and the severity of the symptoms;
- a fingerrectal examination in which the size of the prostate, its density and other parameters are determined;
- The examination of the smear, urine and seed fluid on the SpPP.
Treatment of prostatitis
The treatment is selected depending on the causes of chronic inflammation in the prostate.In the event of an infection, a well -selected drug course can completely eliminate the cause of the inflammatory process.
In the event of complications, the treatment aims to eliminate them.The patient prescribes medication and procedures that improve microcirculation, relieve edema, eliminate the pain and normalize the function of the gland.
It is easier to treat inflammation of the prostate gland if they are diagnosed at the beginning of the development of the disease.Modern medicine, however, enables patients who have become chronic in whom the disease has become chronic.
In order to prevent deterioration in the chronic form of the disease, air defense treatment is carried out in order to control the course of prostatitis, which avoids complications.
For this purpose, prostate massage, recording and anti -inflammatory medication are prescribed.In advanced chronic cases, surgical removal of the prostate gland is carried out if the treatment does not have the desired effect.
Important factors about prostatitis
- The appointment of the treatment is only possible after a precise diagnosis.
- In advanced cases, you can significantly improve the patient's condition and improve the quality of life.
- The disappearance of symptoms of prostatitis is not an indication for the end of treatment.
- The disease does not go into cancer.
- Prostatitis is no reason to refuse sex, apart from an acute time, accompanied by pain during erection and ejaculation.
Prostate -adenom
Adenom - benign hyperplasia (increase) of the prostate.In recent years, the disease has been "younger".Cases of an increase in prostate are even determined by patients aged 30 years.In this group, the likelihood of recognizing adenoma is about 10%.
At the age of 65, an increased prostate is found in every second man.In patients over the age of 70, the dimensions of the prostate exceed the norm in almost 90% of cases.
A dangerous manifestation of the prostate adenoma is the formation of nodes that compress the urethra.Knot formations are growing slowly because a violation of urination gradually develops.
According to the most common theory, the development of the prostate adenoma is a result of a hormonal imbalance that develops with the age in the body of a person.
Symptoms
Every fourth patient finds difficulties in urinating.The strong muscles of the bladder can first push the urine outwards.In the course of the adenoma, however, compensation mechanisms stop dealing with it, and the patient has problems with urination:
- intermittent electricity;
- weak "pressure" urine;
- Attach the urine process;
- A feeling of incomplete emptying of the bladder;
- Pain cramped.
The more the adenoma becomes, the more pronounced the symptoms become.The urge becomes more often and begins to disturb at night.In advanced cases, a paradoxical phenomenon is formed: the constant irritation of the wall of the bladder leads to its uncontrolled reduction and urinary incontinence.
The stagnant phenomena of the bladder lead to their inflammation (cysti) and provoke the formation of stones.Gradually, the infection increases to the kidneys and causes their purulent inflammation - pyelonephritis.The expansion of the gala lighting artery of renal hydronephrosis can develop.As a result, the patient has kidney failure.
The constant effort while urinating in older patients leads to heart and blood vessels.Even cases of strokes that arise when trying to "squeeze" urine are described.
Diagnosis
During the examination, the urologist evaluates the physical condition of the patient and his prostate.The prostate assessment includes determining its size, consistency and form.
The patient describes a general analysis of the urine, an ultrasound of the pelvic organs, an ultrasound of the bladder, to determine the level of the resturine, ultrasound of the prostate gland using a rectal sensor, cystoscopy and a UFLUometry.The number of examinations required can vary depending on the characteristics of the course of the disease.
Treatment
You can reduce the severity of the symptoms in different ways.The most effective of them is to adapt the drinking regime, the rejection of coffee and alcohol.In this case, the calls will disturb the patient much less at night.
Two drug groups are used to treat the prostate adenoma:
- Alpha blocker that improve the urine outflow along the urinary tract.The patients notice an improvement in the condition almost immediately after the start of the treatment.Side effects are dizziness, reduced blood pressure, general weakness.
- Preparations that block testosterone reduce the gland.The effect is noticeable after a few months.
The most effective and safest purpose is currently the combined purpose of alpha blockers and testosterone blockers.
The transpetrals excision of the prostate is the most effective way to remove the adenoma and restore normal urination.By carrying out surgical interventions, no skin slopes can be carried out.All tools and camera are inserted via the urethra.Prostate fabrics are removed from a manipulator that is equipped with an electric loop.