Urethroprostatitis: causes and clinical picture of the disease

As men age, problems with the functioning of the genitourinary system appear.

This development of events is completely justified. The fact is that a man does not need the reproductive system throughout his life.

Therefore, mainly after 40 years, its extinction and the active development of various diseases begin. One of the most common ailments that most often affects the male genitourinary system is urethroprostatitis.

Causes of the disease in men

Urethroprostatitis is a male disease that is accompanied by pain in the pelvic area, as well as impaired sexual desire, urination and decreased male power.

Typically, older men suffer from this disease. However, medicine knows of cases where the disease affected the body of young people who were in their early 20s.

The reasons that can cause the development of urethroprostatitis include the following circumstances:

Also, the cause of the development of the disease can be hormonal changes in a man’s body caused by age, third-party factors, or various types of infections.

Signs and symptoms of urethroprostatitis

Common symptoms indicating the development of the disease include:

However, the final set of symptoms will depend on what form of the disease the man suffers from: acute or chronic urethroprostatitis.

Acute form

It is not as common as the chronic form. As a rule, it begins with subtle discomfort in the groin and perineum area, as well as the need to frequently visit the toilet. Over time, the symptoms intensify.

If you look at the manifestations of acute prostatitis, you can understand that you are suffering from this particular form of the disease by the following symptoms:

• temperature increase;
• chills;
• acute pain in the groin and perineum;
• the need to frequently visit the toilet (especially at night);
• painful urination;
• acute urinary retention;
• whitish mucopurulent discharge from the urethra.

The listed signs may appear separately from each other or simultaneously.

Chronic form

Chronic urethroprostatitis is much more common than acute.

• The reason for this state of affairs is the intimate nature of the disease.
• Having noticed that something is wrong, most representatives of the stronger sex are embarrassed to turn to a specialist for help, so the disease takes root in the body, taking on a chronic form.
• The reasons for the development of chronic urethroprostatitis can be frequent hypothermia, irregular sex life, a passive lifestyle, late visits to the toilet and many other factors.
• As a rule, chronic pathology is indicated by a frequent need to visit the toilet, a feeling of an incompletely emptied bladder after urination, pain in the perineum and groin.

The chronic form of urethroprostatitis is characterized by a sluggish course with periodic exacerbations and attenuation of symptoms.

Diagnostic methods

1. To identify urethroprostatitis, the specialist sends the patient for numerous tests, based on the results of which he can form an objective opinion about the patient’s state of health.
2. The diagnostic process begins with a conversation with the patient, during which the doctor listens to the man’s complaints and finds out whether there are factors predisposing to the development of the disease.

3. 
   The patient receives a referral for the following types of examination:

The patient may also be given a referral for STD testing. If pathological organisms are detected in a man, treatment will also be prescribed to his sexual partner.

Possible complications and consequences for the male body

The most dangerous complication that can result from untreated urethroprostatitis is urinary stagnation.

This manifestation can be eliminated only through surgical intervention. In addition to disturbances in the process of urination, the disease can also negatively affect the functioning of the nervous system.

The patient cannot urinate normally, so he experiences constant nervous tension and discomfort, which over time can develop into full-fledged neurosis.

In order not to provoke the development of complications, timely contact with a doctor and mandatory treatment are necessary.

Complex treatment of urethroprostatitis

Unfortunately, it is not possible to completely and permanently get rid of urethroprostatitis.

However, by taking timely treatment measures, you can significantly improve your own condition and reduce the manifestation of painful symptoms.

As a rule, to achieve optimal effect, specialists use a set of measures aimed at healing the patient. We are talking about the use of medications, physiotherapy and traditional recipes.

Antibiotics and other drugs

To make the right prescriptions, a specialist studies research results and determines the cause of the disease. Depending on the type of pathogen, the choice of antibiotic is made.

In addition to antibiotic drugs, the patient may also be prescribed muscle relaxants, alpha-blockers and immunomodulators. If the patient has a nervous disorder, he may also be prescribed sedatives.

The choice of drugs, as well as their dosage, intensity and duration of the treatment period should be determined only by the attending physician.

Physiotherapeutic procedures

They are a powerful enhancer of the therapeutic effect.

Physiotherapeutic measures include prostate massage, which is prohibited in acute cases of the disease.

Also, feasible physical activity and simple exercises can be a good help in restoring health. The listed methods will help ensure a rush of blood to the pelvis and significantly speed up the healing process.

If the patient has begun the process of acute stagnation of urine, no physiotherapeutic methods will help. In this case, the patient requires emergency hospitalization and surgical intervention.

Bladder catheterization

Catheterization allows you to avoid stagnant processes and exclude the development of acute inflammation.

Only a specialist should insert a catheter into the urethra, since any careless actions can injure the male organ.

Therapy with folk remedies at home

To eliminate the symptoms of urethroprostatitis, the same recipes are suitable as for ordinary prostatitis:

1. decoction of hazel leaves and bark . 1 tbsp. l. Leaves or bark of the plant are poured with a glass of boiling water. Take 4 times a day, 1/4 cup;
2. pumpkin seeds . It is necessary to eat 30 pumpkin seeds daily before meals;
3. red root decoction . 25 g of plant root are poured into a thermos with 1 liter of boiling water and infused for an hour. The medicine is drunk as tea, 3 times a day before meals.

You can also find some other “grandmother’s” recipes on the Internet that will be more acceptable or accessible to you.

Video on the topic

About the treatment of chronic urethroprostatitis in the video:

To prevent the disease from becoming chronic and causing complications, timely treatment of the disease is necessary. Self-medication for urethroprostatitis is prohibited.

Source: https://prostata.guru/prostata/uretroprostatit.html

Urethroprostatitis

But many patients ignore symptoms until serious complications develop. The causes of urethroprostatitis are almost always infectious. The course of most cases is sluggish and chronic. Examination and treatment of the disease require a special, individual approach for each case.

Urethroprostatitis: general characteristics of the disease

Naturally, urethroprostatitis is an exclusively male problem. The reason for this is the close proximity of the urethra and the prostate gland: the main duct of the prostate opens into the urethra, through which sperm is released. Hence, any infectious process that reaches the middle and posterior part of the urethra almost always passes to the prostate gland.

Inflammation first affects the internal lobules and glands that make up the prostate. Then it gradually moves to the parenchyma of the gland.

Pathogenic microorganisms firmly entrenched in tissues serve as fuel for inflammation. Because of what, urethroprostatitis can recur.

In the long term, it is lesions of the prostate gland that become the main element of urological pathology in men.

Urethroprostatitis: causes and provoking factors

Unlike isolated inflammation of the prostate, which can develop due to congestion in the pelvic organs, urethroprostatitis always has an infectious nature. The structure of pathogens is dominated by infectious agents from the category of nonspecific bacterial flora:

• staphylococci ≈ 33%;
• streptococci ≈ 29%;
• E. coli ≈ 24%;
• yeast fungi ≈ 14%.

And about 10 more different microorganisms that cause urethroprostatitis much less frequently, in the range of 3-8%. As for the causative agents of STDs in patients with acute and chronic urethroprostatitis, the picture is as follows:

• chlamydia ≈ 90%;
• herpes viruses ≈ 70%;
• ureaplasma ≈ 49%;
• Trichomonas ≈ 30%;
• diplococci (gonococci) ≈ 18%.

Moreover, in many patients, a thorough examination revealed 3 or more different pathogens at the same time. Self-medication and a superficial approach, when the spectrum of pathogenic flora is not established, are the main reasons for the frequent development of chronic forms of urethroprostatitis. Indeed, the most common combination is a bacterial agent (cocci) + viruses (herpes) + parasites (chlamydia).

There is no drug in nature that would be effective against three such dissimilar pathogens at once. Also, the composition of pathogens changes greatly with immune disorders. For example, with HIV, yeast and pyogenic flora take the leading role in inflammation.

 

Clinical manifestations of urethroprostatitis

The main route of infection is poor hygiene of the genital organs due to infection with nonspecific flora. And unprotected sex, if the cause of urethroprostatitis is caused by STDs.

You can also become infected through household means, through laundry and hygiene items (towels, washcloths) contaminated with pathogens.

Acute phase of urethroprostatitis

How soon the first signs of the disease appear depends on the nature of the infectious agent. For most of them, the incubation period ranges from 2 days (bacterial component) to 2 weeks (herpes, cytomegalovirus).

The first symptoms to appear are from urethritis:

• burning, itching in the urethra;
• discharge from the urethra from scanty in the form of a morning drop to abundant, purulent;
• the meatus (external opening of the urethra) swells, sticks together, and becomes covered with crusts;
• the urge to “small” becomes more frequent;
• urination causes burning and pain.

Then, some earlier, some later, symptoms of acute prostatitis appear:

• pain in the perineum, the point between the scrotum and anus;
• high body temperature;
• discomfort in the lower back, groin;
• pain from the scrotum, groin;
• signs of intoxication - fever, chills, weakness, sweating, fatigue.

The above symptoms of urethritis can be combined with a prostatic component. And so it will pass, turning into a torpid, sluggish current.

Risks of acute urethroprostatitis

Acute prostatitis does not always manifest itself as urinary disorders. Nevertheless, a number of patients experience such a serious complication as acute urinary retention. This is the absence of urination for more than 8-12 hours. The next dangerous complication of acute urethroprostatitis is prostate abscessation.

This rarely happens when infected with an STD; more often, abscesses are caused by nonspecific flora. The essence of the process is that a cavity filled with pus is formed in the prostate tissue. This may be one of the glands whose duct is blocked as a result of edema or direct seeding of an infectious agent into the prostate tissue.

Symptoms of the transition of inflammation to a prostate abscess are severe pain in the perineum, anus (bordering the prostate).

Body temperature 39°C or higher.

Urination is painful, the urge becomes more frequent. Acute urinary retention may develop. If sexual desire persists, then erection causes pain.

Prostate abscess is a very dangerous complication. The cavity with pus may burst and open. If this happens towards the urethra, then a fistula tract will form in this place.

In cases of opening into the pelvic cavity, a severe and very dangerous process develops - pelvic cellulitis.

Chronic urethroprostatitis

Dysuric phenomena are more typical for the chronic process. When, along with a burning sensation when urinating, there is difficulty in the outflow of urine and a weakening of the pressure of the stream.

Signs of urethritis are mild, the symptoms are rather prostatic:

• moderate intensity pain in the testicles, perineum, rectum;
• increased urge at night;
• scant leakage from the urethra;
• libido initially increases, but after a few months it decreases;
• erection may disappear during sex before ejaculation;
• pain occurs in the lower back, similar to radiculitis;
• Gradually, over the course of several months or years, dysuric disorders increase - a weak stream of urine, nocturia (getting up at night), frequent daytime urges, incomplete emptying of the bladder.

Temperature and pain in the perineum are rare, suggesting an exacerbation of the disease.

Risks of a chronic process with urethroprostatitis

The main negative consequences of chronic urethroprostatitis are associated with damage to the prostate.

The most dangerous thing is acute urinary retention, which can occur both during an exacerbation and during a long-standing process. The bladder becomes full, distended, the urge to urinate is unbearable, but urination does not come out. There is a threat of organ rupture.

The next point is the outcome of chronic inflammation of the prostate glands into fibrosis. When the functional epithelium secreting prostate juice dies from inflammation, it is replaced by scar, fibrous tissue. As a result, sperm synthesis suffers, it becomes thick, with lumps, mixed with pus or blood.

The endocrine function of the prostate is also disrupted: the synthesis of sex hormones in the gland is disrupted, and the synthesis of prostaglandins decreases.

In some men with urethroprostatitis several years old, stones and calcifications form at the site of foci of inflammation and unopened abscesses. The outcome of prostate calcification is dangerous due to the formation of bedsores.

The stones compress the gland, deform its ducts, and disrupt the blood supply.

The result of chronic urethroprostatitis is always androgen deficiency and spermatogenesis pathology. Potency is reduced to a minimum, and infertility occurs in the background. The consequences for long-standing urethroprostatitis from the urethra may be the formation of narrowings (strictures) of the urethra. This is also a very painful condition when urination and ejaculation suffer due to the narrowing of the lumen.

Urethroprostatitis: diagnostic measures

A very important stage on which the effectiveness of treatment of urethroprostatitis depends.

Regardless of whether the process is acute or chronic, it is necessary to clarify the following points:

• spectrum of microbial flora that caused the disease;
• the degree of damage to the urethra and prostate tissue;
• severity of urination disorders;
• sensitivity of pathogenic microorganisms to antibiotics.

• Each case of the disease has its own individual characteristics.
• Therefore, the list of examinations should also be compiled separately for a specific patient.
• Almost always, the first step is a digital examination of the prostate through the wall of the rectum.

The manipulation is not the most pleasant, especially against the background of acute inflammation.

But if you consult a professional dermatovenerologist or urologist, the discomfort will be minimal.

Laboratory tests for urethroprostatitis

A typical algorithm stipulates that you need to undergo the following tests:

• general urine;
• samples of sperm, prostate juice;
• smear/scraping from the urethra from different depths;
• a portion of blood for serological studies.

1. The urine is centrifuged and the sediment is searched for pathogenic microorganisms and signs of inflammation (leukocytes).
2. They also inoculate it on nutrient media to identify the spectrum of pathogenic flora; subsequently, the same analysis makes it possible to select effective antibiotics.
3. A smear from the urethra, sperm and prostate juice are needed for the same thing.
4. Immunological tests (ELISA, RIF) and PCR are required.
5. Studying these diagnostic materials separately allows you to more accurately establish the localization of the process.
6. The patient collects the sperm independently.
7. To obtain prostate juice, the doctor gently massages the prostate gland through the rectum, and the secretion of the gland is released from the urethra.
8. Blood is donated for antibodies to some STDs that are not available for standard bacteriological analysis: chlamydia, genital herpes, mycoplasma, trichomonas.

In recent years, interest in prostate-specific antigen (PSA) testing has increased. The level of this protein in the blood rises with active inflammation (exacerbation of urethroprostatitis) and prostate cancer. A PSA test is prescribed in case of chronic changes in the prostate gland.

Allows you to distinguish prostate adenoma (PSA level is normal) from its infectious lesion in urethroprostatitis or cancer (PSA is significantly elevated).

Source: https://prosifilis.ru/content/uretroprostatit

Urethroprostatitis: symptoms and treatment

Urethroprostatitis is a disease of the male genitourinary system, characterized by inflammation of the urethra, which subsequently causes an inflammatory process in the prostate gland.

This disease occurs quite often in young and mature adults, less often in the elderly. It occurs mainly in a latent form, and if untreated it can lead to serious consequences - impotence, infertility, cancer.

Causes

Urethroprostatitis is a secondary disease of infectious etiology, developing in the prostate gland and caused by inflammation of the urethra, or transmission of an infection localized in other organs through the lymphatic system.

According to WHO, more than 40% of men suffer from this disease. Such a large percentage of cases is formed due to a variety of reasons that can contribute to its development:

• long-term abstinence from sexual intercourse (stagnation of seminal fluid due to lack of ejaculation contributes to the appearance of a focus of inflammation in the urethra, and then in the prostate gland);
• prolonged stagnation of urine, disruption of its outflow, untimely urination;
• a sedentary lifestyle (office work, lack of sports and exposure to air in some cases can provoke inflammatory processes due to poor circulation in the pelvis);
• chronic infections (genitourinary, such as cystitis, or infections transmitted through the lymphatic system, such as tonsillitis);
• lack of testosterone, androgens (disruption of the endocrine function of Leydig cells and testes);
• stress;
• bad habits (smoking, alcohol abuse, drug abuse);
• reduced immunity;
• hypothermia (general or local);
• various infections (mycoplasma, chlamydia, trichomonas, staphylococcus are transmitted sexually during unprotected sexual intercourse, or through shared personal hygiene items).

Types and symptoms of urethroprostatitis

In medical practice, the chronic form of urethroprostatitis is most often encountered due to the absence of symptoms and the frivolous attitude of men towards this disease. The acute form is diagnosed quite rarely due to the prevalence of self-medication without consulting a specialist. Patients begin taking painkillers, which greatly distorts the clinical picture of the disease. As a result, the focus of the disease remains, but the symptoms are blurred, and urethroprostatitis becomes chronic with recurrent exacerbations.

The chronic form is not accompanied by specific symptoms or they are very mild and vague:

• slight purulent discharge when urinating;
• plaque formation on the foreskin;
• minor pain during urination and ejaculation.

The acute form of the disease is combined with a varied palette of symptoms:

• pain in the groin;
• chills;
• elevated temperature;
• sharp pain during urination;
• disturbance of urine outflow;
• copious purulent discharge from the urethra;
• headache;
• sweating;
• premature ejaculation;
• decreased libido.

All these symptoms entail the emergence of psychological problems, the solution of which is possible with complete relief from the disease. Ejaculation disorders, situational impotence, pain during sexual intercourse, burning in the urethra - all this causes increased irritability and subsequent prolonged depression.

Urethroprostatitis is divided into subtypes depending on which pathogenic microorganisms caused it:

• The cause of this disease may be bacteria that have migrated from other areas of inflammation.
• The disease can develop due to neglect of hygiene rules. Various bacteria that are part of the microflora (Escherichia coli, enterococci) constantly live on the mucous membranes and skin, but due to decreased immunity and lack of proper hygiene, they can affect the human systems and organs into which they enter.
• Theoretically, the etiology of urethroprostatitis may be parasitic, but this fact has no clinical evidence.
• Genital infections (chlamydia, trichomonas) can also provoke the development of urethritis, and then urethroprostatitis.

Diagnostics

Diagnosis of urethroprostatitis includes a number of studies that can be used to determine its cause and the degree of impairment:

• collecting anamnesis (an important point in diagnosis; information about lifestyle, duration of the disease and the nature of the manifestation will help the specialist prescribe further studies);
• visual examination (examination of the penis is carried out, as well as manual rectal examination of the prostate);
• biochemical and general tests of the patient’s blood and urine;
• tests for HIV and other STDs (sexually transmitted diseases);
• Ultrasound of the prostate.

Additional diagnostic measures, such as a spermogram, smears from the urethral canal, and detailed studies of the urination process are carried out to identify problems in the body if the main measures did not help determine the cause of the inflammation in the prostate gland.

Complications and consequences of urethroprostatitis

This disease is a complication in itself. Lack of treatment for urethritis and other inflammatory processes in the genitourinary system leads to the spread of infection to the prostate and the development of urethroprostatitis. The main complication is its transition from acute to chronic form. The main danger is that the chronic form of the disease is difficult to treat and requires long-term complex therapy.

An untreated disease threatens frequent relapses and repeated self-infections (if urethroprostatitis is caused by genital infections, the primary disease must first be cured, otherwise pathogenic microorganisms will again migrate into the prostate gland and cause inflammation).

Common complications are:

• impotence (situational, but as the disorders worsen, persistent permanent impotence is observed);
• infertility;
• prostate carcinoma (a malignant tumor that significantly reduces life expectancy even with a positive result of conservative and radical therapy).

Treatment

It is important to remember that the treatment of this disease should be a complex of measures. Local neutralization of the source of inflammation is not enough. Based on the diagnostic results, therapy should be carried out to eliminate the causes of urethroprostatitis. An important role in the successful course of treatment is played by the restoration of immunity and a radical change in lifestyle.

If the patient has a sexual partner, he also needs to undergo examination and a course of therapy. During treatment, sexual rest or the use of condoms during sexual intercourse is recommended.

Treatment includes the use of:

• antibiotics (broad spectrum, if the exact cause of the disease has not been established);
• antispasmodics and muscle relaxants (to reduce tone in the pelvic organs and eliminate congestive processes);
• non-steroidal anti-inflammatory drugs;
• immunomodulators.

Accompanying measures of primary therapy include:

• vitamin therapy (a lack of vitamins can provoke a decrease in immunity and a decrease in the body’s ability to resist pathogens);
• physiotherapy (massage, exercise therapy prevent blood from stagnating in the pelvis);
• diet;
• sexual rest.

Prevention of urethroprostatitis

Preventive measures aimed at reducing the risk of relapse are:

• following the principles of a healthy lifestyle, rich in active sports, spending time in the fresh air, getting rid of bad habits;
• following a diet based on the principles of proper nutrition, rich in vitamins and microelements;
• contacting a specialist when the first symptoms appear, signaling a relapse of the disease;
• strict adherence to the urologist’s recommendations, adherence to the prescribed treatment regimen.

It is important to remember that prevention of urethroprostatitis is no less important than its treatment.

To avoid complications, as well as the occurrence and development of malignant tumors, it is important to promptly contact a qualified specialist for diagnosis and treatment of the disease. Men should remember that the delicacy of the problem is not a reason to ignore its signs, which can lead to severe and incurable secondary diseases.

Source: https://prostatitz.ru/simptomy-i-lechenie-uretroprostatita/

Urethroprostatitis in men: symptoms, treatment, causes and diagnosis

Associated inflammation of the urethral canal and prostate is called urethroprostatitis. The disease in men is caused by pathogenic and opportunistic microorganisms. Primary cases of inflammation occur suddenly (acute urethroprostatitis).

Neglecting to see a doctor and lack of adequate treatment lead to a long course of the disease - chronic urethroprostatitis.

The pathology is fraught with impotence, infertility, the spread of infection in the pelvic organs, involvement of the rectum (rectitis) and even prostate cancer.

Why the disease occurs Symptoms Diagnostic features How to treat Preventive measures

Why does the disease occur?

Young men are at risk for simultaneous inflammation of the prostate and urethra. Both forms of urethroprostatitis are detected in representatives of the stronger sex from 20 to 50 years old. About 80% of patients are in the age category of 25–35 years.

The disease is caused by microorganisms. Nonspecific bacterial urethroprostatitis develops with the activation of opportunistic microflora - Escherichia coli, Proteus, streptococcus or pathogenic - Staphylococcus aureus, Pseudomonas aeruginosa.

Specific forms are provoked by STI pathogens. Chlamydial urethroprostatitis is diagnosed more often than others. The causes of inflammation of the prostate and urethra are ureaplasma, mycoplasma, and trichomonas.

In exceptional cases, fungal, tuberculous and herpetic urethroprostatitis are recorded.

Increased activity of opportunistic microbes causes a decrease in immunity. Factors that provoke the disease include regular hypothermia, excessive physical activity, chronic diseases, immunodeficiencies (including HIV), and vitamin deficiency.

Predisposing factors also include a man’s exposure to stress, disturbances in hormone synthesis, and congestion in the pelvis due to a sedentary lifestyle. Specific urethroprostatitis is registered against the background of STI infection.

Men who are sexually promiscuous are at increased risk. 

Symptoms

The first episode of urethroprostatitis is manifested by intense symptoms. The man’s body temperature rises, signs of general intoxication of the body appear: weakness, drowsiness, body aches, lack of appetite.

The first to attract attention are the manifestations of urethritis - weak and painful urination, change in the color of urine (impurities of pus, blood, mucus). With severe swelling in the urethral canal, acute urinary retention develops, and the patient requires urgent hospitalization.

Further, the symptoms of inflammation of the prostate gland increase - pain in the groin, in the perineal area, discomfort radiates to the lower back.

The pain in the perineum is nagging, occurs periodically, and radiates to the groin and thigh. Due to disturbances in neurovegetative regulation, frequent urges to urinate appear, especially at night. In this case, complete emptying of the bladder does not occur.

During urination, a man feels a slight pain in the urethra, and a small amount of impurities in the urine often goes unnoticed.

External signs of urethroprostatitis are viscous, mucous or purulent discharge from the urethral canal. They provoke sticking of the foreskin to the head of the penis and are difficult to remove during hygiene procedures.

Diagnostic features

If symptoms of urethroprostatitis are detected, a man should consult a urologist as soon as possible. At the first consultation, the doctor will collect an anamnesis (the patient’s complaints and the timing of the onset of symptoms are important). Next, the specialist will examine the genitals and groin area.

The final stage will be a rectal examination of the prostate. The doctor will palpate the gland with his finger, determine its size, degree of density, and the presence of swelling. Diagnostic procedures will be required to gather additional information. They include laboratory and hardware tests:

• blood test - reflects the general condition of the body and the presence of an inflammatory process (leukocytosis is present and ESR is increased);
• urine analysis - provides information about the presence of foreign impurities (mucus, pus, blood, protein);
• smear from the urethra - necessary to identify the causative agent of the disease, determine the sensitivity of microorganisms to antibiotics;
• microscopy of prostate secretion - assessed for pathological flora and the number of leukocytes (their increase indicates an inflammatory process);
• spermogram - based on qualitative and quantitative indicators of sperm, the degree of involvement of the scrotum in the pathological process and the development of infertility are judged;
• uroflowmetry - assesses the rate of urination and the exact localization of inflammation in the urethra;
• transrectal ultrasound of the prostate is necessary to determine the degree of involvement of the gland in the pathological process.

Mild symptoms of chronic urethroprostatitis do not mean that the disease is harmless. If there is the slightest discomfort, a man should go to the clinic and undergo a full examination. Against the background of chronic inflammation, prostate adenoma often develops, which can transform into cancer.

How to treat

Urethroprostatitis is an infectious disease. Treatment with folk remedies is inappropriate, since there are no herbs and products that can destroy bacteria in the urogenital tract.

Attempts at herbal medicine end in the inability to be cured in principle, since chronic urethroprostatitis is extremely difficult to respond to even complex treatment.

A man can use folk remedies as an additional treatment and strictly after consultation with a doctor.

Once the diagnosis is confirmed, treatment should be started immediately. It consists of a set of measures:

• drug therapy;
• lifestyle correction;
• physiotherapeutic measures;
• massage.

Drug treatment of urethroprostatitis begins with the selection of antibiotics. The doctor prescribes them taking into account the causative agent of the disease and its resistance to modern antibacterial agents.

Antimicrobial drugs (Metronidazole, Ornidazole), antifungal (Lamiphen, Pimafucin), antiviral (Acyclovir, Valavir) are used.

More often, urethroprostatitis is treated with broad-spectrum antibiotics that can suppress the development of several representatives of opportunistic microflora (Doxycycline, Azithromycin, Ciprofloxacin). In case of co-infection, combined treatment is carried out with several drugs at once.

To eliminate pain due to urethroprostatitis, analgesics with an antispasmodic effect are prescribed (Baralgin, Spazmalgon, Spazgan). To restore the outflow of urine and prostate secretions, a man is prescribed alpha-blockers (Tamsulosin, Doxazosin). Aloe extract, Timalin, Neovir are prescribed to support the immune system.

For external treatment of the genitals, Miramistin and Chlorhexidine are used. To quickly eliminate inflammation of the prostate, rectal suppositories with a combined composition (Vitaprost plus) are used. Intensive drug treatment of the disease lasts up to 2 weeks. All medications and their doses are selected by the doctor.

Physiotherapy in the treatment of urethroprostatitis is indicated to reduce inflammation and swelling of the prostate. For this purpose, ultrasonic and electromagnetic influences are used. Physiotherapeutic treatment is carried out in a hospital setting. Typically 10–14 treatments are required.

 Rectal prostate massage is prescribed during the subsiding phase of the inflammatory process. The procedure is designed to improve blood circulation in the prostate, activate the outflow of its secretions and prevent congestion.

To increase the effectiveness of the massage, a man should drink 0.5 liters of clean water half an hour before the procedure.

For treatment to be effective, the patient must follow all the doctor’s recommendations, balance the daily routine, eat healthy foods, and get proper rest. Until the disease is completely eliminated, the man is advised to have sexual rest.

Preventive measures

To prevent urethroprostatitis, a man should follow the rules of safe sex, and ideally, sleep with one partner. To prevent the disease, it is important to maintain the proper level of immunity. Proper nutrition, hardening, sports, and frequent walks help keep your defenses in good shape.

A man's diet should contain enough protein and plant fiber. The latter is best consumed in the form of fresh vegetables and fruits. As sources of vitamins, they can also support the immune system. To prevent repeated episodes of urethroprostatitis, the man’s regular sexual partner must also undergo diagnosis and treatment.

 

Source: http://Mprostata.ru/formy/uretroprostatit

Urethroprostatitis: causes, symptoms and treatment

The most common pathologies in men are diseases of the prostate, or prostate gland. Often, inflammatory diseases of this organ can be combined with inflammation of the urethra - the urethra. This disease is called urethroprostatitis. Let's consider the main factors contributing to its occurrence, characteristic signs and methods of treatment.

What is urethroprostatitis

This disease often occurs in representatives of the stronger half of humanity between the ages of 20 and 50 years. It usually begins with urethritis, that is, an inflammatory disease of the urethra. However, it often happens that a bacterial infection enters the prostate gland through the urethra, causing pathological changes in it.

The disease brings a lot of inconvenience and suffering to men. Their sex life suffers from this. In addition, the inflammatory process negatively affects both general well-being and labor productivity.

This can lead to chronic urethroprostatitis, which is difficult to get rid of.

Why does the disease occur?

The reasons why it develops are very diverse. Here are the most typical of them.

1. So-called unprotected sex, when a man does not use condoms.
2. Long periods of abstinence (they lead to the development of congestion in the prostate). This includes the practice of so-called interrupted intercourse, which often ends without ejaculation.
3. The sedentary lifestyle of most of our compatriots, the lack of proper attention to physical culture.
4. The presence of chronic foci of infection in the genitourinary system (and not only in it, since tonsillitis, sinusitis and other pathologies can contribute to the occurrence of the disease).
5. Insufficient formation of male sex hormones.
6. Immunity disorders caused primarily by bad habits (alcohol, smoking), frequent hypothermia, physical overload, stress).
7. Infection with E. coli, Staphylococcus aureus, chlamydia, etc. In this case, it is customary to say that the patient develops bacterial ureoprostatitis. Its main causes are precisely the presence of a bacterial inflammatory process in the genitourinary tract.

  Prostate hypertrophy: symptoms and treatment

How does the disease manifest itself?

Sometimes the first symptoms of the disease may not bother the patient much. The danger of this is that he often does not even pay attention to them and does not go to the doctor. Meanwhile, at this stage of development of the process, the disease is much easier to treat. These symptoms include:

• minimal discomfort during urination, erection and ejaculation;
• the presence of a small amount of discharge from the urethra;
• the appearance of signs of gluing of the external opening of the canal;
• the appearance of slight discomfort in the perineal area.

If the disease is not treated, then over time the infection spreads further down the urethra into the prostate. painful symptoms in such cases increase gradually. Unfortunately, the patient begins to be treated only when they become very bright.

Such bright and pronounced symptoms, indicating that the patient has developed acute ureoprostatitis, include:

• chills;
• temperature increase;
• sharp pain in the groin and perineum;
• urinary disturbances and severe pain during this process;
• lack of sensation of emptying the bladder, which causes mictions to become very frequent;
• disturbance of sexual life due to disorders of potency, sexual desire;
• disturbances in the normal process of ejaculation (it can occur very early, sometimes with painful sensations, which is why it does not bring feelings of usual pleasure);
• the appearance of irritability, imbalance due to the above problems.

What is bacterial and herpetic ureoprostatitis?

Herpetic urethroprostatitis develops against the background of the herpes virus joining the pathological process. Its symptoms are:

• local redness of the skin in the area of ​​the head, foreskin and external urethral opening;
• rashes in the specified area;
• mucous discharge from the urethra, with the appearance of burning and other unpleasant symptoms;
• jump in body temperature (sometimes even up to 39 degrees);
• strong unpleasant sensations (pain and pain) in the perineum, groin, lower abdomen);
• dysuria (impaired urination in the form of increased frequency and pain during the process);
• sometimes – defecation disorders.

The bacterial form of the disease develops due to the penetration of pathogenic microorganisms into the genitourinary organs and prostate. It often occurs in 40-45 year old men. The disease happens:

• acute;
• chronic;
• uncomplicated;
• complicated by prostate abscess, stones in it, blockage of blood vessels.

The causes of the disease are a number of pathogenic bacteria. They enter the prostate through the infected urethra, with the blood, through the lymph. Symptoms are acute (chills, fever, pain in the urethra. Sometimes the pain can radiate throughout the body. Blood appears in the urine and semen.

Chronic form of the disease

• Chronic ureoprostatitis often develops against the background of acute if a man did not consult a doctor in a timely manner or was treated incorrectly (often due to self-medication).
• 
• In this case, the following characteristic signs develop:

• erectile disfunction;
• decreased libido;
• ejaculation disorders;
• aching pain in the urethra and prostate;
• increased urination (this is most noticeable at night);
• short temper, irritability;
• depression.

Diagnosis and treatment

Diagnostics comes down to these methods.

1. A thorough history taking to determine factors predisposing to the disease.
2. Clinical blood tests (general and biochemistry), as well as urine.
3. Analysis for syphilis and HIV (to exclude pathologies).
4. Rectal digital examination of the prostate.
5. Examination of sperm, prostate secretion, mucus from the urethra (smear).
6. Cytological examination.
7. Ultrasound.
8. Study of the process of urination itself.

Treatment of this disease must be very careful and thorough. In the acute phase, antibiotics are prescribed.

In addition, therapeutic measures must necessarily include prostate massage, and, if necessary, the administration of antispasmodics, NSAIDs, muscle relaxants and alpha-blockers (only as prescribed and under the supervision of a doctor!). Physiotherapy also helps.

It is important to adjust your diet, exclude alcohol, salty, spicy and smoked foods from it. Vitamin products should be included in the menu.

Prevention

It comes down to the following measures:

• attention to your health;
• eliminating stress and bad habits;
• avoidance of casual unprotected sexual intercourse, hypothermia, excessive physical overload;
• regular medical examinations.

Remember that preventing such a disease is much easier than treating it. And if it does occur, then under no circumstances should you run it and try to cure it yourself, following the recommendations of friends.

Source: https://oprostatite.info/urologiya/prostatit/vidy/prichiny-simptomy-i-lechenie-uretroprostatita