Cumulative prostatitis is a disease in which stony inclusions (or stones) form in the ducts of the prostate gland. It occurs as a consequence of chronic prostatitis. Stones appear from lime salts, phosphates and prostate secretions. The problem is faced by patients of different age categories: 30 - 40 years (due to chronic prostatitis), 40 - 60 years (due to prostate adenoma), after 60 years (due to a decrease in intimate function).
There are exogenous and endogenous types of stones. The composition of exogenous stones can be compared to those found in the urinary system. They can result from prostatic adenoma and chronic inflammation and are most often found in the distal parts of the prostate. The patient can live with endogenous stones for many years, since they do not cause discomfort, much less pain. Their cause is congestive prostatitis. Symptoms and treatment of prostatitis suffocation require professional attention.
Causes of cumulative prostatitis
Chronic fatty prostatitis causes inflammation and congestion in the prostate gland. Benign prostatic hyperplasia, abstinence from intimate contacts or their abnormality, as well as insufficient physical activity cause inappropriate emptying of the prostate glands. If, in combination with these factors, an infection of the genitourinary system is observed, the nature of the prostate secretion gradually undergoes changes.
The disease can also be caused by urethro-prostatic reflux, in which, when urinating from the urethra, a small amount of urine enters the ducts of the prostate. The salts present in the urine gradually turn into stones. Urethro-prostatic reflux occurs as a consequence of trauma to the urethra, as a result of transurethral resection of the prostate, urethral stricture. Urine can enter the prostate after changes that occur during genital surgery, the use of catheters, or the presence of kidney or bladder stones. Stones are mainly urate, oxalate and phosphate.
Chronic fatty prostatitis can impair reproductive function.
Prostatitis suffocation symptoms
A sign of suffocating prostatitis is pain in the lower abdomen, perineum, testicles, sacrum and scrotum. The diameter and number of stones directly affect the intensity of pain.
Often the pain becomes stronger during and after sexual intercourse, after sitting on something hard, when walking or vibration. The pain may radiate to the penis and scrotum.
Signs of prostatitis suffocation can be the following phenomena:
- frequent urination;
- urinary incontinence;
- the appearance of a small amount of blood in the semen.
- anphrodisia?
- erectile dysfunction.
A month after the appearance of the first symptoms, the patient may experience a disturbance in his general condition: malaise, reduced performance, depression, irritability and a slight increase in temperature.
Diagnosis of cumulative prostatitis
When examining a patient, a specialist can only assume that the patient has a disease. Prostate ultrasound, magnetic resonance imaging, and computed tomography help detect and confirm the diagnosis of cumulative prostatitis.
The next stage is a series of laboratory tests that determine the presence of stones in the prostate gland, as well as the presence and degree of the inflammatory process. The following tests are most often needed:
- general examination of urine (confirmation is the presence of blood, a large number of leukocytes, protein, epithelial cells).
- general blood test (increased ESR, increased number of leukocytes).
- spermogram (blood is observed, the motility and number of spermatozoa decrease).
- determination of the level of prostate specific antigen for the purpose of detecting oncological tumors.
- examination of prostate secretions (amyloid bodies, more leukocytes and epithelium are noted).
Later, during the instrumental examination, some points make it possible to confirm the diagnosis:
- You can find out if there are stones directly in the prostate by doing an ultrasound.
- A CT scan of the prostate gland will help you find out the location and determine the size.
- With an MRI of the prostate gland, it is also possible to obtain information about the method of stone formation.
Treatment of prostatitis asphyxiation
Treatment of stone prostatitis is prescribed and carried out by a specialist, using surgery or medication.
The doctor usually chooses a medicinal method for the treatment of passive prostatitis, provided that the size of the stone does not exceed 4 mm. The patient receives anti-inflammatory drugs, antibiotics and drugs that normalize blood circulation orally and by injection. Herbal medicine is also used. During medication, constant monitoring by the attending physician is important.
Physiotherapy is effective, facilitating in many cases the process of passing the stone. For example, magnetic therapy is successfully used, which significantly improves blood microcirculation and has an analgesic and calming effect. Ultrasound therapy is often prescribed; during the procedure, the emitter comes into contact with the skin through a special gel.
Good results are shown by drug electrophoresis, in which the drug is administered through the surface of the skin or mucous membrane using an electric current. In this case, you should abandon the prostate massage procedure, unlike the treatment of chronic prostatitis, in which it is effectively used.
Relatively recently, in combination with medication, the use of low-frequency laser prostate treatment began. During the course of such treatment, the stones are gradually crushed and excreted in the urine.
For large stones, medication does not bring results; surgery is performed to treat pathological prostatitis. The surgeon removes the stones through an incision in the perineum or suprapubic area.
Cumulative prostatitis is often accompanied by BPH. With this option prostatectomy, adenosectomy or TUR of the prostate is chosen.
Prostatectomy refers to the removal of the prostate gland, which is performed under general anesthesia. During the operation, the seminal vesicles are also removed. The operation can be abdominal. In this case, the perineum or the anterior abdominal wall is dissected. After removal, sutures are applied.
It is also possible to operate using an endoscope by making several punctures in the abdominal cavity. In this case, recovery is faster.
Adenomectomy is used for large adenomas. Access is through the abdominal cavity. The operation can have a number of complications: bladder fistulas, genitourinary infection, urinary incontinence, etc.
Transurethral resection of the prostate involves resection of a hyperplastic area of the prostate through the urethra using a resectocystoscope. This operation is less likely to cause side effects and the recovery period is shorter.
Proper nutrition is important not only for prevention, but also for the treatment of chronic pathological prostatitis. The diet is prescribed by the attending physician, based on various criteria and factors. Basically, meat, fish and mushroom broths, as well as sauces, spicy dishes, spices, garlic, onions, radishes, are excluded from the daily diet. Limit consumption of legumes, white cabbage, whole milk and other foods that promote flatulence. The doctor recommends drinking plenty of fluids.
The sooner the patient consults a specialist, the more favorable the prognosis for the treatment of this disease. If a prostatitis stone is not treated, loss of reproductive function, erectile dysfunction, urinary incontinence, hardening or abscess of the prostate gland, and injury to tissues near the stone are possible.
Prevention of suffocative prostatitis
Prevention of this disease is important for men at any age and includes:
- preventive examinations, lack of self-medication.
- the elimination of nicotine from life and reasonable alcohol consumption.
- maintaining an age-appropriate sex life.
- prevention of genital infections.
- physical activity;
- carrying out treatment of infectious diseases.