Congestion in andrology is the accumulation of excess blood volumes in the pelvic area due to slower blood flow in the genitourinary venous plexus.
Congestive prostatitis (stagnant) is inflammation of the prostate gland, disruption of its functioning and regeneration processes due to overflow of the ducts. Infectious agents are initially absent.
The course of the disease is long, almost asymptomatic.
Causes
The cause of congestive prostatitis is a failure in the immune defense system of the gland due to impaired blood supply . As a result of the increased pressure caused by the accumulation of blood, the prostate ducts become filled with secretions.
Normally, it is excreted unhindered, mostly with sperm. Due to stagnation, the body begins to produce antibodies (autoimmune reaction), which attack the gland’s own cells.
As a result, degenerative phenomena occur: due to inflammation, normal functional tissue changes to connective tissue.
The mechanism of development of congestive prostatitis:
- Violation of metabolic processes.
- Oxygen starvation of tissues (prostate hypoxia).
- Accumulation of toxic products of intercellular metabolism.
- Damage to the histohematic barrier (this is a kind of biofilter system that allows you to maintain the balance of blood contents and interstitial fluid).
What is associated with congestive prostitis and how to treat it, says dermatovenerologist, urologist Lenkin Sergey Gennadievich
- The prostate is isolated from the general blood flow.
- The permeability of the walls of blood vessels increases.
- Histamine accumulates, a substance that causes tissue swelling. As a result, the nerves are compressed, and the innervation (nervous regulation) of the prostate and the veins surrounding it is disrupted.
- The receptors are damaged, as a result of which the prostate ceases to respond adequately to hormones.
- Areas of non-infectious (aseptic) inflammation are formed.
Simultaneously with congestive prostatitis, testicular tissue is affected (in 70% of men) - spermatogenesis is disrupted, and the synthesis of male hormones may decrease . Erectile dysfunction gradually appears.
The following factors contribute to the development of congestive prostatitis::
- Sedentary lifestyle: sedentary work, lack of regular physical activity, weak pelvic floor muscles;
- Disorders of the rhythm of sexual intercourse: frequent interruptions of sexual intercourse, suppression of ejaculation, long-term abstinence. Blood stagnation is promoted by arousal without subsequent discharge - blood remains in the pelvis for much longer than after ejaculation;
- Frequent constipation (the dilated intestine compresses the veins);
- Oncological processes;
- Violation of the nervous regulation of the veins due to surgical interventions on the pelvic organs and lower back;
- Chronic infectious prostatitis. Inflammation automatically continues even after the pathogen is destroyed - the tissues are no longer capable of normal regeneration;
- Varicose veins of the pelvic veins, blood clots, reticular venous plexus (congenital feature), weakness of the venous walls and valve dysfunction, decreased vascular tone (when pressure increases, they stretch without contracting back). Hereditary predisposition to varicose veins plays an important role.
Congestive prostatitis affects mainly middle-aged and elderly men, but inflammation can also occur in young people due to lack of ejaculation and low physical activity.
Symptoms
In half of men with congestive prostatitis, pathological changes in the spermogram are recorded, which reduces the chances of conception . Hypotrophy (dystrophy caused by impaired blood flow) of the prostate is also often detected.
¾ of men develop sexual disorders and associated neuroses. An erection may be accompanied by pain (about the causes of pain during erection).
In some men, it occurs spontaneously during the day and disappears only after defecation, ejaculation, or physical activity.
Among the main symptoms of congestive prostatitis are urinary disorders (frequent urge, difficulty in the outflow of urine), pain in the pelvic area (directly in the perineum or above the pubis).
A man feels a constant fullness of his bladder, although in reality it is almost empty.
Pain in the perineum increases with prolonged sitting, with sexual abstinence, and after drinking alcohol.
Urologist Roman Mazo Borisovich will tell you why urination may worsen with prostatitis
Against the background of congestive prostatitis, libido decreases. Orgasms become blurred, sex does not bring the same satisfaction. Sperm may contain blood impurities (read about the treatment of hemospermia).
Chronic congestive prostatitis can occur without pronounced symptoms. Pathology is revealed only by test results.
In men with congestive prostatitis, pathological changes are often recorded not only in the pelvic veins, but also in other veins. Frequent companions are varicose veins of the lower extremities, varicocele (dilation of the veins supplying the testicle), and hemorrhoids.
Diagnosis of congestive prostatitis
If there are signs of disease, contact a urologist . First of all, blood, urine and gland juice are examined . Deviations of indicators from the norm indicate the presence of an inflammatory process.
To exclude an infectious factor, biological fluids are analyzed by bacterial culture, microscopy, and PCR (test for sexually transmitted infections). With congestive prostatitis, bacteria are usually not detected, as are sexually transmitted infections.
An important diagnostic measure is the assessment of blood flow in the prostate area. This is done using venography - X-ray examination after the administration of a contrast agent. It is injected into the superficial vein of the penis or into the corpora cavernosa. Contrast allows you to accurately identify the pattern of the vascular network and determine the presence of blood clots.
To determine the size and structure of the prostate and identify areas of fibrosis, a rectal ultrasound is performed . With congestive prostatitis, the gland appears either enlarged due to swelling or reduced due to atrophy. During the procedure, the doctor pays attention to the location of the seminal vesicles and their condition.
Transrectal ultrasound of the prostate gland
For erectile disorders against the background of congestive prostatitis, cavernosography is performed - a study of the structure of the porous bodies of the penis. The firm erection necessary for this is achieved by administering papaverine.
Palpation examination of the prostate through the rectum with congestive prostatitis often shows crescent-shaped atrophy - retraction of the middle part of the gland. Its sensitivity can be either reduced or increased.
Urine flow rate is measured using uroflowmetry. Bladder reflexes are also examined.
For congestive prostatitis, a spermogram may be prescribed. Against the background of pathology, the following changes occur:
- The volume of ejaculate decreases.
- Spermatozoa are inactive.
- Sperm viscosity increases (due to gland dysfunction).
To determine the effect of congestive prostatitis on the testicles, a hormone test is prescribed. If there are disorders, the level of androgens will be reduced, and the amount of pituitary hormones will increase.
Treatment
In the treatment of chronic congestive prostatitis, not only medications play an important role, but also lifestyle correction . The main task is to eliminate stagnant processes and prevent the development of infection.
Medicines
The drug therapy for congestive prostatitis includes the following drugs:
- Antibiotics (to exclude undetected infection): cephalosporins, macrolides, aminoglycosides.
- Nonsteroidal anti-inflammatory drugs (to relieve pain and swelling).
- Antiplatelet agents are drugs that thin the blood (Eskuzan, nicotinic acid, injection of heparin).
- Venotonics are agents that strengthen the structure and improve the elasticity of the venous walls.
- Muscle relaxants and alpha-blockers to normalize urine outflow.
- Hepatoprotectors to improve liver function (for the purpose of timely removal of toxins).
Hepatoprotectors are drugs that are used for various liver diseases
- Hormonal agents (antiandrogens) to reduce the activity of prostate juice production.
- Nervous system stimulants (phosphorus preparations).
- Immunomodulators to reduce antibody activity.
- Means for improving blood microcirculation (“Halidor”).
- Sedatives if congestive prostatitis leads to the development of neurosis.
For urination problems and spontaneous erections, Pantogam is prescribed. If congestive prostatitis is accompanied by urine leakage (due to muscle atrophy), then Imezin is used.
Herbal preparations, dietary supplements
In the treatment of congestive prostatitis, drugs based on plant extracts are actively used: “Prostamol uno”, “Prostanorm”. They effectively improve blood flow, relieve inflammation, and regulate metabolic processes.
The price of the drug in the Russian Federation is from 662 rubles
To accelerate the regeneration of prostate tissue, suppositories based on peptides are used : “Prostatilen”, “Vitaprost”, “Samprost”. ichthyol suppositories are also prescribed , which have a local irritating effect, thereby improving blood flow.
Physiotherapy
Of the physiotherapeutic methods (types of physiotherapy for prostatitis), the most commonly used is magnetic therapy , which allows for a decrease in blood viscosity. The low-inductive field stimulates lymph and blood flow.
For congestive prostatitis, rectal and external massage of the prostate (not during exacerbation), physical activity (swimming, walking) are indicated . At home, you can massage the prostate using a special massager (sold in intimate goods stores).
Magnetic laser therapy is also used in the treatment of congestive prostatitis . After 10 procedures, there is a reduction in spasms, inflammation and pain, and an improvement in erection.
Normalization of hormonal levels is facilitated by laser puncture - exposure to bioactive points of the lower back with helium-neon laser radiation.
To improve blood flow and blood saturation with antithrombic substances, hirudotherapy (leech treatment) is useful. During the procedure, excess blood is removed and active components are injected.
Surgery
Surgical intervention for congestive prostatitis is aimed at eliminating complications of the disease and obstacles to normal blood flow . For example, it is used for the development of a prostate abscess - a source of suppuration, which must be eliminated by opening and subsequent drainage.
- For varicose veins of the extremities caused by valvular insufficiency, the affected areas are excised and the junctions with the veins of the genitourinary system are ligated.
- Surgical intervention is also used for varicose veins of the spermatic cord, inguinal-scrotal hernias, and hemorrhoids.
- If congestive prostatitis is caused by insufficiency of venous valves, pathologically dilated vessels, then you need to lead a healthy lifestyle and take a number of medications for life.
Complications
Congestive prostatitis is fraught with the following complications:
- Impotence.
- Infertility. Prostate juice is part of the ejaculate, diluting it to improve sperm motility. With congestive prostatitis, the structure of the gland is disrupted, the composition of the secretion does not meet the norms.
- Urethritis, cystitis.
Dermatovenereologist, urologist Sergey Gennadievich Lenkin about the symptoms of urethritis
- Abscess.
- Inflammation of the kidneys, formation of stones (including in the prostate).
- Scarring of prostate tissue.
- Urinary retention.
The most dangerous complication of congestive prostatitis is cancerous degeneration of the gland.
Prevention of congestive prostatitis
There are no measures that will 100% help prevent congestive prostatitis, since its development may be caused by congenital structural features of the vascular network. But even in this case, the manifestations of pathology can be smoothed out as much as possible, provided that a number of rules are followed :
- Avoid hypovitaminosis;
- Exercise regularly (3-4 active workouts per week);
- Control body weight, avoid obesity, which creates stress on blood vessels;
- When working sedentarily, periodically warm up, squat, walk, raising your knees high;
- Drink more water. 2/3 of the diet should be fruits and vegetables to prevent constipation. Spicy dishes and smoked foods are not recommended;
- Eliminate foci of infection (caries, tonsillitis);
- Do not use coitus interruptus as a method of contraception;
- Have a moderate but regular sex life (sex or masturbation);
- Quit alcohol and smoking.
If, simultaneously with congestive prostatitis, there are varicose veins in the legs, then it is necessary to wear special stockings. Flat feet are also an aggravating factor, so it is important to choose comfortable orthopedic shoes.
Conclusion
Congestive prostatitis causes no less trouble than infectious prostatitis. The danger lies in the practically asymptomatic long-term development, imperceptible transition to a chronic form.
The functionality of the gland, lost due to tissue destruction, is often impossible to restore.
Preventive measures and timely contact with a urologist will help prevent the irreversible consequences of congestive prostatitis.
Source: https://muzhchina.info/prostata/prostatit/kongestivnyj
Congestive (stagnant) prostatitis in men: chronic form, treatment, symptoms
Inflammation of the prostate gland can be infectious or stagnant. In the first case, the pathological process develops under the influence of pathogenic microorganisms - fungi, bacteria, viruses. Congestive prostatitis is a phenomenon in which the inflammatory process occurs as a result of impaired blood flow in the pelvic organs and excessive blood supply to the prostate gland. In the development of congestive prostatitis, as this disease is also called, factors such as insufficient physical activity, prolonged sexual abstinence, and metabolic disorders play an important role. Both young people and the elderly are at risk.
General characteristics and clinical picture of the pathology
Congestive prostatitis is a non-infectious inflammation of the prostate gland, in which there is stagnation of venous blood in the pelvic area and directly in the prostate. The pathological process can be asymptomatic for a long time. That is why patients may not be aware of the presence of any abnormalities in the functioning of the organs of the genitourinary system.
The mechanism of development of pathological changes is as follows:
- Against the background of the presence of predisposing factors, metabolic processes in the pelvic vessels slow down, which contributes to impaired circulation in the genital area;
- In the lobules of the prostate gland, a large amount of secretion accumulates, overwhelming it and promoting the development of the inflammatory process;
- Overfilling of the prostate with blood and secretions causes dysfunction of the genitourinary organs.
Symptoms of congestive prostatitis include the following:
- Unpleasant sensations arising in the perineal area. The pain is intermittent and of low intensity;
- Pain in the lower abdomen, which intensifies with physical activity and can radiate to the lower leg, thigh or back;
- Feelings of a foreign body in the perineal area;
- Difficulty urinating (burning, stinging, frequent urge, feeling of incomplete emptying of the bladder);
Frequent urination in men without pain should alert you if more than 1.5 liters of urine are released per day, or six trips to the toilet. Watch the video below for more details:
- The appearance of traces of blood in the seminal fluid;
- Frequent urination and the appearance of painful erections at night;
- Deterioration in performance;
- Decreased sexual activity and libido, too rapid ejaculation. Pathology can lead to erectile dysfunction;
- Temperature increase;
- Difficulty emptying the stomach.
The consequences of congestive prostatitis, which is not treated adequately, include the development of various pathologies. This:
- Pyelonephritis, renal failure. A similar complication develops if the inflammatory process is aggravated by the addition of an infectious microorganism;
- Erectile dysfunction, which over time can lead to infertility;
- Formation of stones in the prostate gland. The development of this pathology is due to the fact that the seminal fluid thickens during inflammation and over time can cause blockage of the ducts;
- Urinary incontinence;
- Cyst formation. This occurs due to a slowdown in metabolic processes in tissues;
- Development of a malignant tumor.
The severity of complications caused by congestive prostatitis depends on the stage at which the pathological process was diagnosed and whether it was complicated by infection.
Reasons for the development of the disease
Congestive prostatitis occurs under the influence of factors such as:
- Restraining ejaculation during arousal;
- Incomplete ejaculation (which usually occurs during interrupted intercourse);
- Long-term abstinence;
- The presence of diseases associated with pathological changes in the veins (varicocele, hemorrhoids, varicose veins);
- Anatomical features: chronic venous valve insufficiency, congenital weakness of the vascular walls;
- Sedentary lifestyle;
Dermatovenerologist, urologist Sergey Gennadievich Lenkin will tell you more about the congestive form of the disease:
- Hypothermia of the body;
- Hormonal fluctuations;
- Obesity;
- Intoxication of the body with alcohol or nicotine;
- Increased psycho-emotional stress;
- Frequent masturbation, which does not contribute to complete emptying of the seminal tract;
- Lack of regular sex life;
- Constipation or prolonged diarrhea;
- Pathologies of the rectum.
With chronic congestive prostatitis, a man’s quality of life is significantly reduced, so the pathology requires treatment.
Diagnosis of pathology
If congestive prostatitis is suspected, the patient is prescribed the following diagnostic measures:
- A general blood test, which reveals signs of the inflammatory process;
- General urine analysis. This method determines the presence of inflammation in the organs of the genitourinary system;
- Biochemical blood test to exclude or confirm the presence of kidney disease;
- Digital examination of the prostate, which allows you to evaluate its shape, size and consistency;
Diagnosis of congestive prostatitis
- Ultrasound of the prostate, bladder, kidneys. Using this measure, the form of the disease is assessed;
- Sowing the secretion for flora and sensitivity to antibacterial drugs. This procedure is required if inflammatory changes are observed in the prostate secretion;
- Screening test for prostate cancer. The study is prescribed to men over 45 years of age if ultrasound results show focal changes.
Once the diagnosis is made, a course of treatment is determined.
Treatment approach
Treatment of congestive prostatitis is complex. The basis of therapy is taking medications.
Table 1. Medicines used for congestive prostatitis
| Group of drugs | Name and purpose |
| Antibiotics | Drugs are required to suppress the inflammatory process.
|
| Alpha blockers | Drugs in this group are bladder relaxants. They are used to normalize the process of urination and relieve bladder spasm. Such tablets do not eliminate the main cause of congestive prostatitis, therefore they perform an auxiliary function in the therapy process.
|
| Hormonal drugs | Medicines in this group are required for hormonal disorders that provoke congestion in the pelvic area. Hormonal drugs are also used to prevent prostate cancer, the development of which may be caused by congestive prostatitis.
|
| Muscle relaxants | Chronic congestive prostatitis causes severe pain, tension in the pelvic muscles, and spasms. Typically, muscle relaxants are administered intramuscularly.
|
In addition to medications, physiotherapeutic procedures are indicated for patients with congestive prostatitis:
- Electrophoresis;
- Galvanization;
- Light therapy (laser, ultraviolet, infrared rays);
- Magnetotherapy;
- Paraffin applications.
The photo shows a massage of the lower abdomen. When treating prostatitis, the sacropelvic and iliotibial regions are also massaged
Physiotherapeutic procedures improve the body's absorption of medications, accelerate the removal of waste products from the prostate, and stimulate metabolic processes in it.
Another therapeutic method is a contrast shower on the perineal area. The procedure helps stimulate blood flow. First, the perineal area is exposed to water at a temperature of 40-45 degrees (for 30 seconds), then with cool water at room temperature for 15 seconds.
Massage of the lower abdomen and back also has a positive effect on the prostate during congestion. The procedure must be carried out by specialists.
Another component of the treatment of congestive prostatitis is therapeutic exercises. It is recommended to perform the following exercises:
- Shallow squats and fixing the body in this position for 3-5 seconds;
- Push-ups from the floor or any surface - chair, wall;
Sports psychologist, top category coach Vyacheslav Gerasimov will show several exercises to eliminate prostatitis:
- Raising the buttocks from a supine position;
- “Bicycle” from a supine position;
- Shoulderstand, or “birch”.
Exercises should be performed on a regular basis, spending 10-20 minutes a day on them.
Treatment of pathology with folk remedies
Folk remedies are also used to eliminate the manifestations of congestive prostatitis. Recommended:
- Taking decoctions of lingonberry leaves, dill seeds, birch bark, parsley root. They reduce inflammation, have anti-edematous and diuretic effects;
- Taking warm baths with the addition of essential oils of pine, juniper, and cedar. It is enough to add just a few drops of oil to water;
- Adding a tablespoon of flaxseed oil to prepared foods on a daily basis;
- Eating pumpkin seeds raw (a handful every day).
Also, men suffering from congestive prostatitis are recommended:
- Eat right, maintaining a balance of proteins, fats and carbohydrates. You should give up smoked meats, spices, spicy foods and consume more fresh fruits and vegetables;
- Have sex regularly, do not practice withdrawal as a method of contraception;
- Exercise at least moderately. Swimming is considered the best sport to prevent the development of congestive prostatitis;
Physical exercise for prostatitis increases blood flow, bringing the prostate back to normal
- Avoid hypothermia;
- Contact a urologist in a timely manner when the first deviations appear;
- Monitor your weight and prevent obesity;
- Examine the prostate gland annually (men over 40 years old).
Congestive prostatitis is a dangerous phenomenon that not only reduces a man’s quality of life, but can also cause such serious problems as infertility and the development of a malignant tumor.
The disease must be treated.
In order for therapy to bring a positive result, it is necessary to contact a specialist as soon as possible when the first signs of dysfunction of the organs of the genitourinary system appear.
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Source: https://VashUrolog.com/prostata/prostatit/kongestivnyj.html
Congestive prostatitis: what it is, causes, symptoms and treatment
Prostatitis is a urological inflammatory disease that affects the prostate gland. Most often, middle-aged and older men are susceptible to this disease (sometimes it occurs in younger guys).
It is divided into two groups: infectious (when microbes, bacteria, microorganisms enter the prostate) and non-infectious (impaired blood circulation in the pelvic organs). Let's consider one of the types of non-infectious disease - congestive prostatitis.
Congestive prostatitis – what is it?
Congestive prostatitis is a non-infectious disease of the prostate gland that occurs as a result of congestive processes in the pelvic area.
The prostate gland plays an important role in male sexual function.
It produces secretions (responsible for sperm activity), substances ( prostaglandins ) that promote increased blood flow into the penis during erection.
Participates in the process of testosterone production, promotes the release of sperm during orgasm. Prevents the reverse flow of urine during sexual arousal.
Failure of these functions leads to impaired blood circulation in the veins of the pelvis. The prostate is compressed, leading to incomplete emptying of its lobes from the accumulated secretions. It remains overflowing with blood, which leads to disruption of its functions, changes in size and structure. This contributes to the appearance of congestive prostatitis.
Factors of occurrence
The main reasons leading to venous congestion in the prostate and the onset of the disease are:
- Dysfunction of the prostate gland.
- Genetic predisposition to congestion.
- Decreased physical activity (sedentary lifestyle)
- Having irregular sex or lack thereof.
- Interruption of sexual intercourse (ending with incomplete ejaculation)
- Complication after suffering inflammatory and infectious diseases of the pelvic organs.
- Extra pounds.
- Eating salty, fatty, fried, spicy, smoked foods;
- Excessive alcohol consumption.
- Wearing tight-fitting clothes and underwear.
Clinical manifestations
The course of the disease is not acute. Symptoms of congestive prostatitis do not appear immediately; they are characterized by slow development, so men may not be aware of the existence of this problem for a long time.
They begin to become wary when certain symptoms appear:
- Painful sensations when urinating.
- Minor pain in the perineal area, transmitted to the lumbosacral region and radiating to the inner thighs.
- Increased pain with prolonged abstinence;
- Sexual dysfunction (weak erection, lack of sexual desire)
- Frequent and difficult urination.
- Feeling of incomplete emptying of the bladder.
- Defecation disorder.
- A burning sensation in the urethra.
- Dissatisfaction with sexual intercourse.
- Change in the consistency of sperm (there are clots and lumps);
- Temperature increase.
- The occurrence of depressive states.
When congestive prostatitis becomes chronic, the glandular tissue of the prostate is replaced with connective tissue.
To prevent this situation, you must immediately contact a urologist (if the slightest problem with urination occurs).
Diagnostic measures
Diagnosis of this disease consists of determining the nature and course of the disease.
It includes:
- Rectal examination of the prostate.
- Examination of hemorrhoidal veins of the rectum.
- Bacterial study of secretion and sperm analysis.
- Carrying out a blood test (to check the white blood cell count)
- Transrectal ultrasound examination to assess the condition of the prostate (size, shape, consistency).
Correct diagnosis plays an important role in prescribing treatment.
Methods to combat the disease
Treatment of congestive prostatitis is not particularly difficult, but to avoid complications (infertility, sexual disorders, impotence), you should not self-medicate; it is recommended to undergo a course of treatment strictly under the supervision of a doctor.
Treatment should be primarily aimed at normalizing blood circulation in the prostate gland and improving metabolic processes. This is facilitated by the use of the following methods:
- Establishing a regular sex life.
- The use of venotonics ( Aescusan , Ascorutin , Venza ) to improve blood circulation in the pelvis.
- The use of immunostimulants ( Pentoxyl , Splenin , Thymogen , Timalin ) to improve immunity.
- The use of a complex of vitamins.
- The use of antispasmodic drugs ( Mydocalma , Tolperil , Baralgin , etc.) to relieve pain, spasms and tension in the pelvic area.
- Warming up the prostate gland using electric current, ultrasound, microwave radiation (to improve blood circulation in the prostate);
- Prostate massage (by a specialist) to increase blood flow and relieve congestion in the prostate gland.
- Carrying out physiotherapeutic procedures (magnetic therapy, electrophoresis, laser and ultrasound therapy)
- The use of medicinal preparations in the form of microenemas (after consultation with a doctor).
Preventive measures
To prevent the occurrence of prostatitis and improve the quality of life, every man should follow some recommendations:
- Maintaining an active lifestyle (performing special exercises to strengthen the muscles of the perineum and anus)
- Regular sexual activity with a regular partner.
- Elimination of hypothermia.
- Compliance with drinking regime.
- Limiting the intake of spicy, salty, smoked foods.
- Elimination of bad habits (alcohol and smoking)
- Monitoring body weight.
- Regular preventive examinations (to identify abnormalities in the functioning of the prostate).
Following these recommendations should become the norm in the life of every man who cares about his health.
Source: https://prostatit-m.ru/kongestivnyj-prostatit-chto-eto-prichiny-simptomy-i-lechenie/
Congestive prostatitis, causes, symptoms, treatment
- From the article you will learn what congestive prostatitis is, the causes of the disease, how drug therapy with antibiotics and other types of drugs is carried out, drugs based on spread extracts are discussed separately.
- As well as treatment of congestive prostatitis with the help of physiotherapy and traditional methods, prevention of the disease.
- Please note that the materials in the article are advisory in nature and taking the medications listed below can only be done after consultation with a urologist or andrologist.
Another common name for the disease
Many men know firsthand about prostatitis. Not to mention the forms of this unpleasant disease in men, there are dozens of types of inflammatory reactions in the prostate gland, if the classification is based on the cause of the disease.
One of the types of prostatitis occurs without infection, but due to irregular sex life and a sedentary lifestyle.
In practice, this type is called congestive, and in the medical literature it is known as “congestive prostatitis.”
What is congestive prostatitis?
The development of congestion in the prostate leads to a slight emptying of the gland from its secretion.
The result of prolonged stagnation is a constant overflow of the prostate gland with blood. Low metabolic rate in the gland serves as the basis for the inflammatory process.
Congestive prostatitis is detected in 8-9 men who came to the clinic about unclear pain in the pelvic area. This type of disease is a type of chronic process in the prostate.
Although the disease is predominantly detected in those patients over 40 years of age who are characterized by physical inactivity and irregular sex life, more and more often, recently, the disease is diagnosed among young people 25-30 years old.
Causes of the disease
- Congestive prostatitis in the form of congestion in the prostate gland can cover both the secretion of the prostate follicles and the blood in the circulatory system of all its tissues.
- Based on the nature of stagnation, the causes of the disease are divided into 2 groups:
- 1.
The first group includes sources that lead to stagnation of fluid in the prostate:
- complete exclusion of sexual activity;
- long-term abstinence from sexual intercourse;
- rare sexual contacts;
- refusal of sexual life in favor of a long period of masturbation;
- incomplete ejaculation due to interruption of sexual intercourse.
2. Sources of blood stagnation in the prostate are:
- obesity of any degree;
- frequent acts that last too long;
- physical inactivity and spending long periods of time in a lying position;
- permanent protection from conception by interruption of sexual intercourse;
- excessive physical activity.
Drug therapy
- To treat congestive prostatitis, the urologist selects a comprehensive treatment regimen for the patient, the main focus of which is drug treatment.
- Antibiotics.
- With the development of stagnation in the prostate, bacteria are activated, accompanying and intensifying the inflammatory process.
- For the correct treatment regimen, it will be necessary to conduct a bacteriological analysis of prostate secretions, after which antibiotics are selected individually.
- Typically, antibacterial agents used in the treatment of prostatitis include:
- Aminoglycosides.
- If typical gram-positive microorganisms are detected, you can limit yourself to Kanamycin or Neomycin.
In case of a staphylococcal environment or an abundance of gram-negative bacteria, drugs of the 2nd generation (Gentamicin) or 3-4 generations (Isepamicin, Amikacin, Netilmicin, etc.) are required;
β-lactam agents.
The group of antibacterial agents is the most diverse, it includes several subgroups:
- Natural (Benzathine phenoxymethylpenicillin) and semi-synthetic origin (Ampicillin, Amoxicillin, etc.) penicillins;
- Cephalosporins 1st generation (Cefadroxyl), 2nd (Cefaclor), 3rd (Ceftriaxone), 4th (Cefepime);
- Carbapenems (Tienam, Mirexid, etc.) are used only in rare cases of severe congestive processes leading to complications;
- Monobactams are a new antibiotic group, so far represented by one representative - Aztreonam.
- Macrolides.
- Presented by 12 antibiotics, but the number of trade names of drugs is several times greater than the number of active ingredients, the most common of which are Azithromycin, Erythromycin, Clarithromycin and Oleandomycin.
- Fluoroquinolones.
- Norfloxacin, Levofloxacin, Perfloxacin, etc.
α-blockers
- They are relaxants for the smooth muscle cells of the bladder.
- The results of the use of α-blockers are found in the normalization of the urination process, an antispasmodic effect on the bladder, and a general improvement in the patient’s health.
- The list of α-blockers for the treatment of congestion in the prostate includes Tamsulosin, Terazosin, Doxazosin, Alfuzosin, etc.
- The therapeutic effect after using these drugs is observed 10-14 days after the start of the course of treatment.
- Since α-adrenergic blockers cannot eliminate the cause of the disease, their use in the course of treatment is considered a “second-line” task.
Hormonal drugs
- Before prescribing antiandrogen drugs, the andrologist carefully reads the results of a hormonal blood test and prescribes the appropriate hormonal drug.
- From the entire list of numerous hormonal drugs aimed at reducing the level of androgens in the blood, the doctor will select the most optimal drug for a certain amount of hormones.
- The list includes about 30 antiandrogenic agents: Androcur, Buserelin, Zerlon, Finasteride, Prosteride, etc.
- The need to use hormonal drugs is associated with the prevention of prostate cancer, a source for the development of which can be congestive prostatitis.
- In the practice of treating prostatitis, hormonal drugs of a non-andrological nature can be used: Dexamethasone, Prednisolone, etc.
- Hormonal drugs are started to be used in case of low effectiveness of non-steroidal anti-inflammatory drugs (derivatives of Nimesulide, Meloxicam, Diclofenac).
Muscle relaxants
With the help of muscle relaxants, it is possible to relieve pain, spasms and tension in the pelvic muscles.
Tolperil and Mydocalm can normalize urination and relieve pain in the perineum, urethra and bladder.
Typically, the doctor prescribes a course of intramuscular injections twice a day, 1 ml of drugs for 10 days. If necessary, the course is increased to 1 month.
Antispasmodics (No-spa, Baralgin, etc.) help enhance the effect of muscle relaxants.
The outflow of fluid from the prostate gland after antispasmodics is facilitated, the pain syndrome is relieved, and the metabolic rate and microcirculation in the smooth muscles increases.
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Medicines based on plant extracts
Herbal medicines enhance the effect of all groups of drugs, helping to reduce pain, normalize urination, relax smooth muscles, etc.
The main basis of the preparations is crushed pumpkin seeds and extracts of aspen leaves, goldenrod stems, etc. that enhance the effect of the main component.
- Modern drugs (Prostamol-Uno, Prostamed) are safe to use and do not cause toxic reactions or side effects.
- Histological changes in the prostate require the selection of other herbal remedies containing extracts of thuja, conium, staphysagria, and lycopodium.
- Complications of congestive prostatitis require the use of aloe, aconite, and belladonna.
- The most popular herbal remedies in these cases are considered to be Sabal-prostate and Sabal-gomaccord, Afala and Prostasan.
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Physiotherapy
Physiotherapeutic methods in the treatment of congestive prostatitis are diverse: galvanization and electrophoresis, diadynamic currents and ultra-high frequency currents, ultrasound, magnetic field, light therapy.
When using physiotherapy, transcellular transport of drugs is improved through increased permeability of cell membranes.
Lymphatic drainage and removal of decay products from prostate follicles increases. The muscle activity of individual fibers improves, so the tone and endurance of muscle groups increases.
- Most methods of physiotherapy have no contraindications, with the exception of intracavitary electrophoresis, when electrodes and medicinal substances are in direct contact through cracks in the rectum, damaged tissue by hemorrhoids.
- Galvanization is carried out by connecting direct current, during which it is possible to reduce pain and stimulate metabolic processes in the prostate.
- Drug electrophoresis usually involves the integrative effects of alternating electrical current and the effects of administered drugs.
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- With local electrophoresis, current and drugs penetrate the skin of the abdominal-sacral region.
- Rectal and endourethral methods involve faster penetration of medicinal substances through the mucous membranes of the urethra and rectum.
- Substances suitable for electrophoresis for congestive prostatitis include sodium bromide, calcium chloride, amidopyrine or novocaine.
- If the consistency of the prostate contents is dense or there is scar tissue, solutions of zinc sulfur, potassium iodide, an enzymatic complex and aloe are injected.
- With intracavitary electrophoresis, not only an electric current is passed through an electrode inside the ampoule of the rectum, but also a jet or drip infusion of a medicinal substance.
- Light therapy uses different types of rays: laser, infrared, ultraviolet.
- In the conditions of sanatorium-resort treatment, a good effect is achieved with therapeutic mud, balneotherapy, and applications of ozokerite and paraffin.
Treatment with traditional methods
- At home, congestion in the prostate is eliminated by several folk remedies, often used in combination.
- Remedy No. 1.
- In any sense, during the treatment of congestive prostatitis - crushed pumpkin seeds mixed with honey and rolled into balls, then stored in the refrigerator.
Before meals, take 2-3 of these balls half an hour. The number of balls taken is proportional to the number of meals.
- Remedy No. 2.
- Among other folk remedies, congestive prostatitis is eliminated by consuming an aqueous decoction and infusion of hazel (hazelnut) leaves, an alcoholic infusion of aspen bark, juice from black elderberries, a decoction and infusion of parsley seeds, and an infusion of garlic cloves.
- The use of any prescription should be agreed with your doctor.
Disease prevention
Failure to adhere to a daily routine and an unhealthy lifestyle reduce all therapeutic methods to a low effect.
For this reason, during the treatment period and for preventive purposes, the following rules are followed to prevent the development of congestive prostatitis:
- periodic tracking of body weight;
- annual prostate examination after 40 years of age;
- avoiding hypothermia;
- regular sex;
- the prevalence of fresh fruits and vegetables in the diet, supplying the body with 70 elements of the periodic table;
- systematic gymnastic exercises;
- timely treatment of infections not only of the genitourinary system, but also of other functional systems;
- rare inclusion of pickles, smoked foods, spicy and fatty foods in the diet;
- daily walking, running and just walking.
Additional information on this topic can be found in the article “Congestive prostatitis, treatment features.”
Source: https://ProstatitMedic.ru/kongestivnyj.html
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