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The causes of disease are both congenital and acquired.
According to urologist V. Varygin, diseases of the male genital organs, such as inflammation of the prostate, urethra, or testicles, are determined by anatomical and functional characteristics: weak antibacterial properties of the urinary mucosa and urine.
“One of the reasons may be lower urinary tract dysfunction (incomplete urination, neurogenic bladder dysfunction), birth defects, sexually transmitted diseases. Also the use of previously used antibiotics to replace normal flora. The disease may be caused due to weakened immunity, colds, infrequent urination, insufficient fluid intake, ”says the specialist the causes of prostatitis.
2 centimeters that can take the joy out of life
The main function of the prostate is to produce a discharge that dilutes the sperm and forms the base of the sperm. This organ is a chestnut-sized gland located just below the bladder. In the central part of the prostate passes a male urethra, the average length of which is about 2 cm. Those 2 centimeters are the weakest link in the urinary system that can take men’s joy away, according to the press release.
“The peripheral part of the prostate is made up of hundreds of thin, refractory tubules that store semen secretion. It is an excellent means of reproducing a wide variety of hair infectious agents. In case of urinary tract infection, sexually transmitted infection or other diseases, one or the other pathogen enters the prostate. This can eventually lead to urinary reflux when urine enters the prostate tubules. Even sterile urine causes scarring of the prostate tissues, stone formation, obstruction of the tubules, blockage. If an infection “gets stuck” in these tubules, then symptoms of prostatitis or chronic pelvic pain may begin, “explains the onset of the disease.
urologist Vitalijus Varyginas, doctor of the rology center.
Prostatitis: as a runny nose, only elsewhere
According to Varygin, prostatitis is like any other inflammatory disease that can cause colds: consult a urologist, although, in principle, prostatitis is the same runny nose, only elsewhere. “
In case of discomfort in the lower abdomen, perineum, the urologist recommends taking anti-inflammatory pain relievers, which generally calm the lymph nodes and the symptoms disappear. If these symptoms recur and worsen, it is necessary to consult a urologist.
“Unfortunately, but very often this disease remains undiagnosed or even adequately treated, men suffer for years. The biggest problem is that the causes of chronic prostatitis are not completely clear. As a result, treatment is becoming the largest challenge for urologists. Similar symptoms can be mimicked by sexually transmitted diseases, stones, benign prostatic hyperplasia, spinal problems, depression and many other diseases “, – V. Varyginas emphasizes the challenges of diagnosing prostatitis.
The treatment is often similar to hunting.
The urologist says that there is generally no unknown cause of chronic pelvic pain syndrome, so treatment becomes similar to hunting with eyes closed. Therefore, the patient’s patience and perseverance are necessary to overcome this disease.
“Very often, a patient runs to another urologist after a week of treatment and has not improved, but the European Association of Urologists has provided recommendations for the treatment of chronic prostatitis, which every urologist should follow.” Even without the growth of a pelvic microbe that causes pain, long-term antibiotic treatment is recommended. The antibiotics of first choice are fluoroquinolones. They must be used for at least a month. If this treatment does not help, second or third line antibiotics are prescribed, ”says a specialist who recommends strengthening the effect of antibiotics with alpha blockers.
“If there is severe pain, you need to use anti-inflammatory candles.” Hot bath supplements, vitamins and trace elements also improve the effectiveness of the treatment. Sometimes antidepressants and other chronic pain relievers are used to relieve pain, “says the doctor.
Often the symptoms are not due to the prostate itself, but to the reaction of the lymph nodes to inflammatory processes: “In this case, antibiotics may not help, but anti-inflammatory pain relievers generally help. Sometimes a psychosomatic component also appears, during which symptoms are worsened by fear, stress. In this case, psychiatric help is sought: medications that calm the body are prescribed. “
The prostate is the most mythical organ.
There are many myths among men that prostatitis is a particularly terrible disease that causes infertility and erectile dysfunction. The specialist is in a hurry to refute these myths, which is not true. Prostatitis cannot directly cause erectile dysfunction or infertility problems. However, prostatitis causes many fears and stress, which affect erectile dysfunction. Meanwhile, infertility can only be caused by recurrent, acute inflammation, during which sperm motility slows down markedly. Antibiotics generally solve this problem easily, “the doctor is convinced.
For people with chronic prostatitis, the urologist recommends having sexual intercourse as often as possible to eliminate as much of the infected sperm as possible: “During sexual intercourse, the prostate contracts, its metabolism and blood circulation improve. Therefore, it is recommended to have sex up to 3 times a week. “
Research no longer brings shame
According to V. Varygin, there are many studies available today that allow the diagnosis and evaluation of prostate diseases without a transrectal examination, which is performed by verifying the sensitivity of the prostate through the exit hole.
“This test is generally scary to go to urologists, but now we can examine the prostate without it: blood and urine examination during the visit, ultrasound of the prostate (ultrasound) through the abdomen, which is completely painless and not embarrassing ” When men find out about this, they often say they would have come for an exam sooner if they had known it wasn’t scary at all, ”says the doctor.
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