A man's second heart

A man's "second heart" - the prostate gland or prostate gland - is an indicator of his sexuality and fertility. So it's up to each man to decide for himself if it's dangerous for him not to monitor the state of the organ. And with the development of prostatitis, you will have to ask yourself an important question - how to live with prostatitis?

Prostatitis- a disease characterized by the presence of localized inflammation and / or infection in the prostate gland.

May present with a variety of clinical signs and complaints.

Let's first consider prostate function:

  • production of bile, which is an integral part of sperm and is involved in the liquefaction of sperm, as well as saturating it with nutrients, such as various enzymes and vitamins, citric acid, zinc ions, helps to improve sperm motility and activity;
  • The prostate gland contains smooth muscle fibers that help release sperm from the urethra during ejaculation, prevent sperm from entering the bladder and participate in the mechanism of urinary retention.
  • produce hormones and active substances that regulate the activity of the sex organs.

Prostatitis, benign prostatic hyperplasia and prostate cancer are the 3 main pathologies of this organ.

All three diseases can coexist in the same prostate at the same time. That is, the presence of prostatitis does not exclude the presence of prostate hyperplasia and prostate cancer in the patient and vice versa.

Diagnosis and treatment of prostatitis

Causes of prostatitis and risk factors

According to statistics, prostatitis is the most common urinary tract disease after hyperplasia (enlargement) and prostate cancer in men under 50 years old and the third most common in men over 50 years old.

At least 30% of urological outpatient visits are due to prostatitis.

For all the men who have had prostatitis, and whose numbers have increased in recent years, it is clear that there will be no simple and carefree life with such a disease. Many factors influence the onset of the disease. This is both a deteriorating ecosystem and a frenetic pace of life, whereby men experience stress and depression - these reasons sometimes cannot be changed, but there are factors that are completely dependent on nature. male body.

The most common causes of the disease:

  • sedentary lifestyle, sedentary work, rest in front of TV;
  • abstinence from prolonged sexual activity;
  • erratic diet leads to improper metabolism;
  • bad habits: smoking, drinking alcohol, beer;
  • chronic diseases of the genitourinary system;
  • frequently changing sexual partners increases the risk of prostatitis;
  • sexually transmitted diseases and genital infections;
  • delayed ejaculation and ejaculation during intercourse;
  • excessive consumption of spicy, fatty, salty, spicy foods;
  • frequent constipation, hemorrhoids;
  • reduced immunity.

Possible causes of prostatitis also include:

  • Intrastatic reflux of urine due to urinary dysfunction (urine, with certain predisposing factors, can enter the prostate gland through the ducts of the prostate gland, causing an inflammatory process);
  • unprotected anal sex;
  • narrowing of the foreskin (phimosis);
  • autoimmune diseases;
  • changes in the function and anatomy of the pelvic floor muscles;
  • changes in the central nervous system, including functional and anatomical changes in the brain;
  • trauma and abnormal sexual activity;
  • psychological factors (in some studies, the influence of psychological stress on the onset of symptoms of chronic prostatitis has been demonstrated - in some patients diagnosed with a psychological disorder, in which treatment has been shown to reduce the symptoms of prostatitis and its recurrence).


  • pain or burning when urinating (dysuria);
  • urinary disorders;
  • discoloration of urine and/or semen;
  • the presence of blood in the urine and / or semen;
  • pain and/or discomfort in the abdomen, groin, or lower back;
  • pain and/or discomfort in the perineum;
  • pain and/or discomfort in the penis and testicles;
  • pain and/or discomfort with ejaculation;
  • increased body temperature (with acute bacterial prostatitis).


According to the NIH (National Institutes of Health) generally recognized classification of prostatitis, there are four types of the disease, traditionally represented by Roman numerals:

I - acute bacterial prostatitis;

II - chronic bacterial prostatitis;

III - chronic bacterial prostatitis/chronic pelvic pain syndrome (CP/CPPS):

IV - asymptomatic chronic prostatitis (asymptomatic).

The diagnosis of prostatitis involves a digital rectal exam (rectal examination), which involves feeling (palpating) the prostate gland with the index finger through the anus (rectum).

Digital Rectal Examination (DRE)- an important diagnostic maneuver when any pathology on the part of the prostate is suspected. Therefore, advice for men is not to refuse to have sex.

First of all, the laboratory diagnosis consists of a general urinalysis, in which an increase in the number of white blood cells is noted. Bacterial cultures are recommended in urine, prostate secretions, and semen, as well as a urethral smear to look for STIs. Based on the results of the analysis, it is possible to determine the presence of bacteria and their susceptibility to antibiotics, thereby adjusting antibiotic therapy as prescribed. General blood tests are also performed to evaluate the general condition of the body and its response to the inflammatory process.

Identification of the cancer marker (PSA), its segments is also discouraged - due to the low information content and distorted data against the background of inflammation.

Prostatitis treatment

The main thing in the treatment of the disease is an integrated approach and strict implementation of all the recommendations of the specialist. Medicine has achieved good results in eliminating prostatitis. After the patient has found "his" urologist, whom he trusts unconditionally, it is important not to interrupt the algorithm of therapeutic actions. In all cases, treatment should not be interrupted after the onset of remission that occurs after the administration of anti-infective drugs that have entered the body.

This initial success must be consolidated and continued. Treatment includes not only killing harmful bacteria, but also restoring damaged prostate tissue, increasing immunity, and correcting other changes that occur in the body as a result of inflammation. At the beginning of the article, it was said that with prostatitis, life would not be carefree. Unfortunately, some patients, noticing an improvement in their well-being, stop midway with the specialist and dejectedly come to the clinic for the procedure, and then join themselves again. into healing. So doing this is not only impossible but also very dangerous.

How to treat prostatitis in the clinic?

Urologists treat prostatitis and other diseases of the genitourinary system, based on international clinical guidelines. This means that he not only uses his expertise but also focuses on diagnostic and therapeutic methods that are scientifically proven and accepted worldwide.

Our doctors do not prescribe ineffective drugs and provide "just in case" medical care, not treating non-existent diseases. When making a diagnosis, the urologist relies on data obtained from the physical exam, the clinical picture, the data of laboratory and instrumental studies.

About the dangers of self-medication

Without sufficient knowledge in the field of medicine, self-medication can only cause harm. No folk method, independently specified, will not be worth using. The urologist should become a man's main friend and advisor in the fight against scourge. Only a specialist can tell you what methods can be used to complement drug treatment. Besides traditional medicine, which has a significant effect on curing the disease, but only with traditional treatment methods, there are also a series of dietary supplements that flood the drugstores. An ignorant person naively believes that using functional foods will reduce prostatitis. Remember that self-medication can lead to chronicity and progression of the disease!