The prostate gland, or prostate, is an external secretion gland of the complex of male genital organs of mammals, including humans, through which the urethra passes, due to which it blocks it during erection.; her secret is ejected during ejaculation and becomes part of the semen. Sometimes it becomes inflamed, in connection with which prostatitis develops..

What is prostatitis? Prostatitis is an inflammatory lesion of the prostate gland (from lat.. prostata is the prostate gland, and -itis is the medical suffix for inflammation). The causes of inflammation can be both infectious and non-infectious in nature: a sedentary lifestyle, prolonged sexual abstinence or excessive sexual activity, alcoholism, hypothermia, genital infections and foci of chronic infections. This is the reason for every 100 visits to emergency and emergency care and the diagnosis of every thirteenth patient by a urologist in developed countries.. This frequency characterizes this disease as a folk. Of all the medicines used for CP, one of the leading places is occupied by suppositories, in other words, candles..

Classification Prostatitis is acute and chronic, which in turn can occur in an asymptomatic form and in the form of pelvic pain - here is a general list:.

Chronic pelvic pain syndrome, also known as noninfectious prostatitis, is the most common form, accounting for 90 to 95% of cases. In turn, this form can be inflammatory or non-inflammatory.. This syndrome occurs in one in fifty men according to the most optimistic estimates.;

Chronic infectious prostatitis - in contrast, the least common, while within this form, most cases are caused by infection with E. coli;

Acute prostatitis - the most severe, requires emergency or emergency care;

Asymptomatic prostatitis does not manifest itself in any way, except for an increase in the number of leukocytes in the blood (a sign of any inflammation): from 6 to 19% of patients have leukocytes in the semen, while not having any other symptoms.

Prostatitis as a syndrome of pelvic pain This disease occurs in all age groups in men, with a peak in 35-45 years. In general, it manifests itself as soreness in the pelvis and during urination, while it does not carry signs of infection.. In general, the cause of this form is unknown and its diagnosis is reduced to differentiation with other similar diseases: infectious prostatitis, benign prostatic hyperplasia, overactive bladder and bladder cancer - if these diseases are not the cause of pain, this diagnosis is made.. This complicates not only diagnosis, but also treatment, since the exact target is not clear, so drugs with a wide range of effects are preferred.. One way or another, the target is localized or associated with the prostate gland, so the most accurate treatment is possible with the use of suppositories..

CausesDespite the fact that the exact cause is unknown, a group of reasons has been identified that may be associated with its development:.

Constant anxiety and stress lead to a constant contraction of the muscles of the pelvic floor, resulting in the formation of pain points, and they, in turn, escalate anxiety and stress, closing the vicious circle of pathogenesis.;

Violation of the " It can also be caused by stress.;

In some cases, it may be associated with cystitis - an inflammation of the bladder, the filling of which causes pain..

Symptoms The main symptom is persistent pain in the pelvic region for three or more months.. Pain may wax and wane intermittently, be debilitating or mild, and radiate to the back, rectum, perineum, testicles, pubis, penis, and bladder area; nearby joints and muscles may hurt. Frequent urination and weakening of its control, on the contrary, are symptoms of cystitis, but not prostatitis. Another typical symptom is pain after ejaculation.. Sexual desire and erection may also be reduced..

Treatment of prostatitisLong-term prostatitis is difficult to treat. The situation is aggravated by doctors' misunderstanding of the exact causes of the disease, since the impossibility of influencing the root cause also means the impossibility of reliably effective therapy.. Treatment begins with psychotherapy, stress management, changes in living conditions and especially the rejection of bad habits.. Since surgical methods for the treatment of this form of prostatitis have not shown their effectiveness, after psychotherapy and self-management, medications should be resorted to.. Treatment of CP in most cases is complex, t. several drugs with different mechanisms of action are used simultaneously.

Antibacterial agents On the one hand, the use of antibiotics for a reliably non-infectious disease is controversial, it is well known. On the other hand, some antibacterial agents work even in the absence of infection, as they have independent anti-inflammatory properties.. Thus, fluoroquinolones, tetracyclines and macrolides block the action of pro-inflammatory cytokines, which justifies their treatment..

The alpha blockers tamsulosin and alfuzosin, which are commonly used for benign prostatic hyperplasia (BPH), have also been shown to be effective in treatment, but when taken continuously for at least three consecutive months.

Psychotropic antidepressant amitriptyline, hypnotic benzodiazepines, anticonvulsant gabapentin - they all affect the central and peripheral nervous systems, thus removing the pathological dominant and weakening the constantly tense muscles of the pelvic region, which determines their role in treatment.

Anti-inflammatory NSAIDs have been proven to help with prostatitis, however, they have a lot of undesirable side effects and show less effectiveness compared to the groups of medicines indicated above..

In addition, there are other substances with anti-inflammatory activity, such as bovine prostate extract and gypsy moth biomass, whose mechanisms of action differ from those of NSAIDs, and therefore their role in the treatment increases..

Suppositories against prostatitis Since the prostate gland borders on the ampulla of the rectum, its most directed treatment is possible rectally, with the help of suppositories. In addition, this dosage form has the highest bioavailability, which is close to injectable drugs and far ahead of any drugs in tablets and capsules.. Here is a list of drugs that can be in the home medicine cabinet of a patient with prostatitis:.

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