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congestive prostatitis – this is an inflammation of the prostate of non-infectious origin, associated with persistent congestion in the veins of the small pelvis, which leads to impaired drainage in the prostate lobules. The formation of the disease is also influenced by a number of factors, including metabolic disorders, physical inactivity, sexual abstinence, etc. Congestive prostatitis is also called congestive prostatitis.
Congestive prostatitis is not uncommon. It is diagnosed in 40% of all men with prostatitis. Moreover, both young people of childbearing age and men over 60 years of age and older are at risk.
Causes of congestive prostatitis
The causes of congestive prostatitis lie in a number of factors:
In the first place among the reasons for the development of congestive prostatitis, experts put sexual disorders and dysrhythmia of sexual life. Particularly dangerous in this regard are often repeated sexual arousal without subsequent physiological emptying of the secret. The same applies to incomplete ejaculation during interrupted sexual intercourse, as well as in the absence of emotional coloring during intimacy, during masturbation.
Doctors note that sexual excesses are dangerous, especially if they were preceded by prolonged abstinence.
anatomical reasons. Firstly, the presence of a network-like form of the urogenital venous plexus will lead to congestion. Secondly, the congenital weakness of the venous walls and insufficiency of the valves of the veins affect the malnutrition of the prostate gland.
Injuries. Any past spinal injury, spinal cord injury, and innervation disorders have a negative impact on the condition of the prostate gland.
Anomalies in the development of neighboring organs – the bladder, intestines.
Physical inactivity. If a man leads a sedentary lifestyle, this leads to the fact that the blood stagnates in the pelvic organs, venous stasis occurs and inflammation of the prostate gland develops.
The cause of the development of congestive prostatitis may be diseases of the spinal column. This is osteochondrosis, herniated discs. Such phenomena contribute to the formation of a prolonged spasm, or, on the contrary, lead to the expansion of the vessels of the prostate, which is the cause of its abacterial inflammation. In the event that the vessels remain constricted for a long time, this causes a violation of blood circulation, and if, on the contrary, they are dilated for a long time, this contributes to the formation of congestion. Both factors are equally dangerous in terms of the development of prostatitis.
Intoxication of the body negatively affects the state of the prostate gland – alcohol (causes paralysis of small vessels) and nicotine (causes a prolonged spasm of small vessels). Combined with a sedentary lifestyle, bad habits can lead to the development of congestive prostatitis.
The following factors can lead to a violation of salt metabolism in the body, which contributes to the development of congestive prostatitis: systematic hypothermia, excessive nutrition, hormonal disruptions, non-compliance with the drinking regime, chronic colitis with diarrhea, lack of potassium in the body.
An increase in local temperature in the pelvic area compared to body temperature as a whole can lead to the development of congestive prostatitis. This is especially dangerous if this phenomenon is observed on an ongoing basis, which is possible with diseases such as: varicocele, varicose veins, hemorrhoids.
Symptoms of congestive prostatitis
Symptoms of congestive prostatitis do not always clearly indicate problems with the prostate gland, which often misleads patients.
The clinical picture of the disease is as follows:
The discomfort that occurs in the perineal region comes to the fore. Pain can be mild, appear periodically. They radiate to the sacrum, to the pubic zone. Unpleasant sensations tend to increase after a long stay in a sitting position. Standing work has a similar effect.
Patients report mild daytime pollakiuria (frequent urination), nocturia (frequent urination at night), and in some cases stranguria (droplet urination). However, at the initial stages of the development of the disease, such urination disorders are mild, so men, as a rule, put up with them. Frequent urination is rare, but still sometimes comes to the fore, contributing to the emergence of imperative urges.
There may be a feeling of a full bladder, a feeling of a foreign body in the perineum and rectum.
At night, a man may be disturbed by prolonged and painful erections that occur unreasonably. Sexual intercourse, vigorous physical activity, emptying the bladder remove this erection.
The veins of the lower extremities are often dilated, hemorrhoids, dilatation of the scrotum veins are possible.
Congestive prostatitis is characterized by a decrease in libido, premature ejaculation, a sluggish erection, or its absence when there are adequate conditions for this.
Hemospermia interspersed with blood in the semen is also quite common.
Indirect signs indicating congestive prostatitis are increased fatigue, pain in the lower extremities, and neurotic disorders.
Diagnosis of congestive prostatitis
Diagnosis of congestive prostatitis without fail includes a palpation examination of the prostate gland, the posterior urethra. In this case, the doctor reveals their increased or decreased sensitivity. It is possible to allocate a meager aseptic secret.
Another informative method for diagnosing congestion in the prostate gland is organ rheography. The procedure is well tolerated by patients and takes no more than 15 minutes. It allows you to judge the violations of the venous outflow, the state of vascular tone, their elasticity. The presence of dystrophic changes in the tissues of the gland indicates the difficulty of blood flow to it.
Additional information about the state of the organ can be obtained through echotomography of the gland, ultrasound of the pelvic organs.
As for laboratory diagnostic methods, the patient will need to pass the following tests:
Ultrasound of the prostate. The doctor in the picture will understand what state the chair gland is in. It is done first, before taking the secret. After taking the secret, it is pointless to do an ultrasound.
Secret of the prostate gland and ejaculate. At the same time, leukocytosis is not secretly expressed, however, layers of stratified squamous and cylindrical epithelium are present.
Blood for coagulogram, thromboelastography.
Treatment of congestive prostatitis
Treatment of congestive prostatitis involves anti-inflammatory therapy. For this purpose, patients are prescribed Acetylsalicylic acid, Trental. It is also able to relieve inflammation of a drug such as Aescusan.
To achieve a long-term remission, to get rid of congestion in the prostate gland allows heparin therapy. The drug is administered intravenously, the dosage is selected by the doctor. You need two courses of treatment for 4 days with a break in the same period.
If patients suffer from severe pain, which happens infrequently, painkillers are prescribed. The complex treatment regimen must include drugs aimed at blood thinning (Kurantil, Acetylsalicylic acid, Nictinic acid, Aescusan).
Compliance with the general regime is shown. It is important for patients to adhere to a diet with a restriction of fatty and spicy foods. Food should be balanced with the obligatory inclusion in the diet of vegetables, fruits, butter, dairy products. The intestines and bladder should be emptied in a timely manner.
Equally important is the sexual regimen, with regular sexual intercourse. The same applies to sexual hygiene. It is important to stop drinking alcohol, smoking, as this leads to increased congestion. Harmful professional factors should be minimized – these are vibrations, hypothermia, physical inactivity, prolonged physical exertion.
Doctors recommend to their patients daily exercises from the complex of physiotherapy exercises (the best exercise for prostatitis). They should include loads aimed at improving breathing, but an increase in the tone of the pelvic floor muscles, abdominals, the higher the physical activity, especially when prostatitis is the result of physical inactivity, the better. You need to go in for walking, swimming, sports games. If work, on the contrary, is associated with increased physical exertion, then it is necessary to alternate it with periods of rest. During this time, the legs should be kept in an elevated position. Wearing elastic stockings with varicose veins is mandatory.
Vitamin therapy is an important component of treatment. Patients are recommended to take vitamin complexes – Unicap, Pangeksavit, Undevit, Gendevit, etc. Phosphorus preparations (Fitin, Lipocerebrin, etc.) can normalize the activity of the central nervous system. With depressive moods, Glutamic acid can be taken. Tincture of valerian, calendula, motherwort is used for increased irritability. If disorders of the nervous system are more pronounced, then a consultation with a neurologist is indicated.
Drugs that help strengthen the walls of blood vessels, improve blood circulation – these are Venoruton, Trental, Complamin. Normalization of microcirculation in the pelvic organs is achieved through a monthly course of taking Galidor.
Surgical intervention is carried out if congestive prostatitis is caused by valvular insufficiency of the veins of the lower extremities.
If the patient complains of dysuric disorders, then Pantogam may be prescribed. This drug allows you to reduce the frequency of the urge to urinate, get rid of inadequate nocturnal erections without compromising erectile function in general.
As for physiotherapeutic methods, a positive result can be achieved by the complex use of magnetic laser exposure.
In general, congestive prostatitis responds well to treatment and has a favorable prognosis. However, the longer a man delays contacting a specialist, the higher the risk of developing various complications, including: chronic prostatitis, bacterial prostatitis, prostate adenoma, varicocele, infertility, impotence, etc.
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