The prostate, or prostate, is an important organ that only males have. It performs several functions at the same time and the slightest failures in its work negatively affect the entire body. Let's consider in detail what the prostate is, where it is located and what functions it performs.
Structure and anatomical location of the prostate
The gland has a rounded shape and small size-about 3 cm high, 4 cm wide. it Consists of two lobes, between which is located the isthmus connecting them, and right in the center of it penetrates the urethra.
In addition, the prostate is divided into these zones:
- the base – its smoothed, slightly concave surface tightly touches the bladder;
- the top of the gland is a narrower zone with a slightly elongated shape. It is deployed in the direction of the urogenital diaphragm;
- the anterior area is convex, smooth, facing the pubic lobe;
- the posterior area is also smooth, slightly convex, facing the rectum;
- side sections-differ in a rounded shape and small size, slightly protrude into the lumen of the rectum.
The prostate is located in the middle of the pelvis-between the rectum and the pubic joint. Behind the gland, seminal vesicles are formed, and from below, the seminal ducts pass through the organ with lymphatic vessels located along them. Around the prostate is a network of blood arteries and nerve fibers that are closely connected to the veins and nerve endings of the penis.
Prostate tissue is soft and elastic, due to the predominance of glandular and muscle cells in its structure. At the same time, the consistency, shape and size of this organ change throughout life, depending on the age of the man.
Changes can also be caused by physiological characteristics, this is considered absolutely normal. Fears should be caused by changes that occur too abruptly: a sudden increase in the prostate, a compaction of its lobes, a violation of the structure.
Such signs indicate the development of pathological processes in the body, and therefore require careful analysis.
Despite its small parameters, the prostate gland simultaneously performs three important functions – it provides secretion, gives control over urination and erection, and acts as a barrier to pathogenic microorganisms.
Generation of secret
The direct task of the prostate gland is to ensure sexual function by producing a specific fluid-a secret. In a normal state, the prostate produces approximately 2 ml of this fluid per day (one third of the daily volume of sperm). The secret contains a number of organic substances and compounds necessary for the activation of spermatozoa.
Thanks to the secretory fluid, the sperm acquires the optimal consistency for the germ cells, in addition, the sperm get the necessary resources to move outside the male body, which protects them on the way to the egg. In case of violations of the secretory fluid composition, a man's ability to fertilize is significantly reduced.
Additionally, the secret promotes the exchange of sex hormones necessary for the full operation of the male body.
In addition, the study of the secret helps in the diagnosis of diseases: fluid analysis makes it possible to identify the pathogens of infection in a timely manner and choose the most effective method of treatment.
The process of producing secretory fluid is regulated by testosterone, and if the amount of this hormone in the blood decreases, then the activity of the prostate also decreases. This is one of the most common causes of erectile dysfunction.
With the help of motor functions of the prostate, the processes of ejaculation and urination are controlled.
These functions are performed by reducing the smooth muscle in the gland: when a signal is received through the nerve fibers, the muscles begin to contract rhythmically and close the sphincter, through which urine enters.
The same effect is given by the release of secretory fluid into the urinary channel, which is also provided by muscular contractions. Due to the overlap of the sphincter, mixing of urine with the ejaculate and its output outside during sexual contact is excluded.
In addition to the main functions, the prostate plays the role of a protective barrier that prevents pathogens from spreading through the urethra through the genitourinary system.
Pathogenic bacteria and viruses are destroyed by substances contained in the secretory fluid.
Antibacterial properties are also due to the presence of zinc in the prostate, and the lower its concentration, the weaker the protective reaction of the gland.
The Council. Zinc accumulation is facilitated by regular consumption of foods containing sufficient amounts of this element, such as seafood, nuts, and pumpkin seeds.
Frequent diseases of the prostate
The prostate is a very vulnerable organ: violations in its work can cause not only infections, but various injuries, overheating and hypothermia of the body, improper nutrition in combination with bad habits, as well as stress and nervous overstrain. Most often, men are diagnosed with the following prostate diseases:
- prostatitis (chronic, calculous);
- prostate adenoma;
- prostate sclerosis;
- cancer tumour.
Prostate inflammation is one of the most common male diseases. In most cases, the development of diseases is provoked by stagnant processes in the gland, which reduces the intake of nutrients, reduces the outflow of lymph, and causes foci of inflammation.
In turn, stagnation in the prostate leads to lack of physical activity, alcohol abuse and Smoking, hormonal failures due to endocrine diseases or taking certain medications.
Those who are obese or constantly subject their bodies to excessive physical exertion are also at risk.
How do I detect prostate abnormalities? Usually, at an early stage, prostate pathology is more or less the same:
- the urge to urinate becomes more frequent;
- reduced erection and sexual desire;
- there are pain in the perineum, which can increase when the bladder is emptied, defecation or ejaculation.
Symptoms of prostatitis and prostate adenoma
In the future, if you do not take any measures, the severity of symptoms increases, there may be bloody discharge in the urine and sperm, and the pain syndrome increases significantly.
The success of treatment directly depends on how timely the treatment was to a specialist. Even worse, if the patient is engaged in self-diagnosis and tries to fix the problem with the use of folk remedies.
In this case, in addition to the main disease, doctors have to deal with complications caused by such treatment.
Important! It is always worth remembering that the symptoms of many diseases are similar, and you can not independently determine the cause of the disease by them. Only a specialist can make a correct diagnosis, and even then after a detailed examination and delivery of tests by the patient.
How prostate diseases are treated
If you suspect problems with the prostate, you should contact a urologist or andrologist. To make a diagnosis, the doctor performs a rectal examination and additionally prescribes ultrasound, MRI, and blood, urine, and secretory fluid tests. To detect sexual infection, a smear is usually taken from the patient.
An ultrasound diagnosis
The results of the survey allow you to determine the cause of the disease and choose the right type of treatment.
Table. Methods of treatment of prostate diseases
|Kind of therapy||Description|
|Medication||It is prescribed for acute inflammatory processes, infectious lesions. If the disease is caused by an infection, the patient is indicated to take antibiotics, such as levofloxacin or Sumamed. For prostate edema, medications from the group of alpha-blockers are prescribed: "Terazosin", "Alfuzosin", and others.additionally, means that increase the immune system, vitamin complexes can Be used.|
|Prostate massage||This method of treatment is used for erectile dysfunction, chronic prostatitis and as a prevention of congestion in the gland. There are several massage techniques that differ in the degree of impact on the prostate, under certain conditions, the massage can be performed independently.|
|Medical gymnastics||Special exercises are indicated for prostate adenoma and prostatitis. Proper working of the muscles allows you to improve blood circulation and eliminate fluid stagnation, which helps to relieve inflammation, swelling, pain and other unpleasant symptoms. Kegel exercises designed specifically for men are the most effective.|
|Physiotherapy||Physiotherapy procedures can be prescribed as an auxiliary treatment for inflammatory processes in the gland, bacterial infections, and BPH. Usually, magnetic therapy, laser therapy, and transrectal microwave hyperthermia are prescribed.|
In addition to therapy, it is important to give up bad habits and normalize the diet. A comprehensive approach speeds up recovery, the main thing is to strictly adhere to medical recommendations.
Prostate health is the main condition for the full functioning of the genitourinary system in men. Neglected diseases are very difficult to cure, so timely diagnosis is of great importance. How to detect violations at an early stage, what preventive measures are needed, as well as the causes of prostate diseases can be found on our website.
What is the prostate gland responsible for in men-the main functions of the organ
Sooner or later, a man wonders what the prostate is, why it is needed, and what its effect on health is. Unfortunately, interest in this topic manifests itself when the work of the gland is disrupted.
This immediately affects the quality of life, decreases potency, weakens reproductive capabilities, begins debilitating pain and other problems.
After all, the functions of the prostate gland are diverse, it has a huge impact on men's health and is responsible for vital processes.
The purpose of the prostate in the male body: what is responsible for?
The prostate is the exocrine gland of the male body.
Iron belongs to the reproductive system and is responsible for the production of a number of specific substances:
- the main one is the secret (prostatic juice), which provides the necessary viscosity of the ejaculate and, accordingly, normal sperm motility. When the sperm is too thick, fertilization is difficult, and a woman simply can't get pregnant from a seemingly healthy man;
- other components support the normal composition of sperm. This includes biologically active substances, immunoglobulins, enzymes, vitamins, trace elements, etc. the Norms of these substances are individual, and it is the prostate that regulates their content.
Thus, it is responsible for the reproductive abilities of men, for the ability to lead a regular and full sexual life and have children. This is the main function of the gland, but there are other equally important functions.
It is easy to disrupt the prostate, and it can take years to restore it, so it is so important for a man to protect his health.
What functions does the prostate gland perform in men?
The gland participates in a variety of biological and physiological processes and performs different functions:
If these functions are disrupted, failures occur in many systems.
Production of prostatic secretions (secretory)
The prostate is a male sex gland that performs a secretory exocrine function. This is a hormonal glandular organ of internal secretion that reacts to androgens. In adults, its tissues are capable of an endocrine response. That is, the epithelium of the gland produces a special secret.
This process is regulated by the endocrine system, which responds to stimulation (arousal) by the release of specific complex substances that directly and actively affect the fertilization of the egg.
The most studied components of the secret are:
- The secretory functional ability of the gland is regulated by testosterone. If the level of the hormone in the blood drops, the prostate itself begins to produce it strenuously.
- The secret not only dilutes the sperm and reduces its viscosity, but also is responsible for the activity and viability of sperms, protecting them from harmful effects and providing food and energy resources.
- This creates the necessary conditions for fertilization of the egg and subsequent normal embryogenesis in the woman's body. On average, a healthy man's secret is at least 1/3 of the ejaculate.
It is the prostate that is responsible for a man's reproductive ability, so for any problems (prostatitis, adenoma), treatment should be started immediately.
Control of the outflow of urine (motor)
The prostate includes muscle tissue, which provides the motor function of the gland. Smooth muscle fibers form the urethral sphincter, which prevents spontaneous outflow of urine into the urethral canal. In addition, the motor provides the emission of prostatic secretions during ejaculation.
Protective properties (barrier)
The prostate gland prevents infection from entering the upper urinary tract from the urethra.
- This is provided by the secret content of the zinc-peptide complex, as well as other biologically active substances (lysozyme, spermin, spermidin, putrescine).
- Due to this function, the prostate is part of the male immune system, which produces secretory immunoglobulins.
- The antibacterial activity of the prostate gland is due to the presence of free zinc ions in it.
Development of prostaglandin E
Prostoglandin E, produced in the seminal vesicles and entering the seminal fluid from them, ensures the activity and mobility of sperms. It also affects the contractile capacity of smooth muscles located in the prostate gland and throughout the body.
Regulation of a man's psychoemotional state
Dysfunction of the prostate gland affects not only sexual function. There are General somatic and, as a consequence, psychoemotional changes.
This is associated with mental disorders due to problems in the intimate sphere, as well as with a General failure in the human hormonal background.
It should be noted that this effect on the body is currently not fully studied. In some cases, men with prostate disorders really need the advice and assistance of a psychologist.
Problems in the intimate sphere can cause severe depression, so it is important not to delay treatment.
The role of the prostate in reproductive function
The prostate itself secretes testosterone and other biologically active substances that affect spermogenesis and the entire reproductive system.
Due to this complex effect and relationship with other organs and systems this gland is one of the most important components of the body and plays a dominant role in the reproductive ability of men
Violations in work
The importance of the functions that the prostate is responsible for is so great that a man should carefully monitor its condition. The gland is very vulnerable to various types of pathological processes, and it is difficult to restore its operation. But you should at least know what to fear.
- There are prostate dysfunctions that occur:
- The reasons that lead to such pathological changes are very diverse and individual in each case.
- Factors that disrupt the prostate can be both external (poor ecology, ionizing radiation, stress, passive lifestyle, exposure to infectious agents) and internal (genetic predisposition, concomitant chronic and acute diseases, bad habits).
Often, a timely examination helps to avoid serious problems and complications and thus return a man to a full life.
How can I tell if the hardware is not working correctly?
If you have problems with the prostate gland, you should pay attention to the following symptoms:
If such symptoms appear, you should immediately contact a urologist or andrologist. The doctor will tell you what tests you need to pass, advise you to do massage, prescribe medications and physiotherapy procedures. If there is no improvement, you may have to solve the problem more radically.
Why do I need preventive examinations from a urologist?
Unfortunately, men tend not to attach much importance to the initial symptoms that occur in the first stages of prostatitis.
This leads to a neglected form of the disease and serious complications. Many people avoid examination by a urologist, based on false moral principles and forgetting about their own health.
Such patients go to the doctor when the disease is neglected, and serious efforts are needed for healing.
Only systematic and planned examinations by a urologist will help to identify the problem in a timely manner and maintain full health.
The prostate gland is one of the most important male organs, responsible for many functions, including affecting sexual and reproductive activity. The prostate should be treated carefully and carefully, remembering that only regular examinations by a urologist will help to avoid serious problems and maintain health.
What is the prostate, where it is located and what functions it performs
The prostate (or prostate, which is the same thing) is an exclusively male unpaired sexual organ that is part of the male reproductive system. The location of the prostate is in the Central area of the pelvis between the rectum and the pubic bone directly under the bladder.
In shape, the prostate gland is similar to an inverted trapezoid with rounded edges, in size - a chestnut. The structure of the prostate includes:
- base and top. The base is a wide, concave edge of the prostate. The front part of the base fuses with the bladder, and the back part touches the seminal vesicles. The apex is the narrow part of the prostate that faces the perineal muscles;
- front, back, and lower side surfaces. The front surface faces the pubic bone. The posterior part of the prostate and the rectum border tightly, and this makes it possible to examine the prostate rectally;
- the right and left lobes, as well as the furrow and isthmus that separate them. The isthmus grows with age and becomes wider, so it is called the middle lobe.
75% of prostate tissue is prostatic glands, the rest is elastic muscle tissue. Fibrinolysin partition shared by all the glands of the lobules, the cells which produce prostate juice.
The number of slices is about fifty. Each lobule is provided with a separate duct. The secret is released during ejaculation due to the contraction of the muscle tissues surrounding the lobules.
The ducts of all glands merge and open in the urethra.
The prostate gland is enclosed in connective tissue, the so-called capsule. The consistency of the prostate is dense and elastic. It is supplied with blood mainly due to the urogenital arteries. The plexus of numerous veins surrounds the gland.
Glandular tissue is usually zoned depending on where it is located relative to the urethra:
- the Central zone (about 25 %). It is located around the ducts that release the seed. About 10% of cancer cases occur in this area;
- the peripheral zone (about 75%). Covers the Central back, sides and bottom;
- transition zone, or transit zone (up to 5% of glandular tissue).
Being the size of a pea in a newly born boy, the prostate continues to grow until about forty years old, then an age – related involution can occur-a decrease in size. Accordingly, the size of the prostate in men is individual. So, in men of 30 years of age, it weighs an average of 20 grams, its transverse size is 3 cm, longitudinal-4 cm, and the thickness is about 2 cm.
- Secret production-part of the seminal fluid. This most important function of the prostate affects a man's ability to procreate. Substances that make up the prostate juice nourish the sperm, dilute it and accelerate the movement of sperm. In secret, spermatozoa can maintain their mobility for a day (for comparison, in saline-no more than three hours). Inflammatory processes, any pathology of the prostate radically change the composition of the prostate juice, worsening its quality and reducing the amount. Accordingly, the fertilization capabilities of sperm are reduced until they are completely lost.
- The prostate gland produces prostoglandin E, which is involved in blood circulation and is responsible for the overall condition of the body and metabolic processes. Without it and other substances produced by the prostate, a full erection, full protein and carbohydrate metabolism is impossible. Prostatitis and other pathologies of the gland lead to weakness and fatigue, sleep disorders, erectile dysfunction, mental disorders, irritability.
- The prostate is needed so that the seminal fluid can not penetrate the bladder. Thus, the prostate is responsible for separating the two most important processes in a man: ejaculation and urination.
- An important role of the prostate in the process of urination: it is the prostate that controls this process with the help of muscle tissue, holding the urine. However, it is not an organ of the urinary system. The prostate is located around the upper part of the urethra, so when it becomes ill, swollen and increases in volume, it compresses it, resulting in impaired urination.
- The prostate gland serves as a barrier to various types of infections. A healthy prostate has excellent immunity due to the antiseptic substances contained in the secret. With them, it makes it difficult for infections to move from the urethra to the upper urinary tract.
How to find the prostate gland
You can find out exactly where the prostate is located on your own. To find it in the male body, it is enough to insert a finger into the anus about 5 centimeters.
Then gently touch your finger: the prostate, this is where a dense lump is recognized, located behind the front wall of the rectum. The prostate is easier to find when the bladder is full.
At the same time, you should be as comfortable as possible.
The prostate gland is lucky in the sense that due to the structure of the male pelvic organs and the proximity to the rectum, access to it is easy.
This opportunity is successfully used in medicine, diagnosing rectal diseases of the genitourinary system using ultrasound, MRI, and conducting therapy of various diseases with medications (candles, ointments) and physiotherapy, such as warming up or massage treatment of the prostate gland in men.
You can also examine and treat the prostate through the urethra.
Various types of prostate diseases are treated, including surgery. With it, damaged parts of the tissue or the organ are removed completely in order to avoid a fatal outcome.
The operation is indicated for abscesses, advanced prostatitis, adenoma, and prostate cancer.
Involuntary urination, delayed outflow of urine, hematuria, purulent processes, bladder stones, kidney failure, and other factors indicate the need for surgery.
There are four types of prostate surgery:
- open adenomectomy is an operation that removes part of the prostate gland. Access to the gland is opened through an incision in the lower abdomen of the patient. Adenomectomy can treat urinary symptoms, such as frequent or intermittent urination caused by large adenomas, stones in the bladder, or narrowing of the urethra. This is an effective therapy, but there is a risk of side effects such as erectile dysfunction, urinary incontinence, and profuse bleeding;
- an operation in which a part of the prostate is removed using endoscopic equipment. These are laser vaporization and transurethral resection. Transurethral resection is performed by inserting a loop through the urethra, and vaporization is performed with a laser. The surgeon controls the process on the monitor screen. The laser selectively removes parts of the tissue and simultaneously cauterizes the layers. The operation allows you to remove significant volumes of adenoma almost bloodless;
- an operation in which the prostate is completely removed is a radical prostatectomy. Indications for intervention-oncological neoplasms. When performing prostatectomy, two types of open access are mainly practiced: abdominal (an incision is made from the navel to the frontal bone) and perineal (a horizontal incision between the anal opening and the genitals). The technique of performing prostatectomy using endoscopic equipment has also started to be introduced, but it is not widely used yet;
- minimally invasive procedures: puncture of the prostate. Performed with needles through the perineum. It is used in the framework of antibacterial therapy, for the study of microflora, opening abscesses, and removing ulcers.
Influence of the prostate on reproductive function
Prostate inflammation is directly related to a man's ability to conceive.
The quality of the prostate secretion depends on how healthy it is, which means the quality of the seminal fluid: its volume, acid-base balance, viscosity, and sperm speed.
This organ alone, despite its small size, ceases to function normally and is able to completely disrupt the reproductive mechanism.
The importance of a healthy lifestyle is not entirely obvious today. Why be strong if you don't have to earn your living by hard physical labor? You don't need to walk, because you can use a car.
What's the point of cooking healthy food if fast food is faster and more affordable? Bad habits and constant stress aggravate the situation. Thus, the body begins to stagnate, blood circulation is disrupted, and inflammation appears. All this leads to prostatitis, and, as a result, to infertility.
Prostatitis has become a modern disease, the price for a comfortable life. The number of couples unable to have children is growing.
Listening to your body, paying attention to failures, you can prevent the development of the disease. The main complaints during diseases of the prostate:
- chronic pelvic pain, back pain;
- acute pain, accompanied by nausea, chills;
- problems with urination: frequent, painful, intermittent;
- decreased sexual desire, erectile dysfunction, pain during ejaculation;
- blood in urine or semen;
- General weakness, constant fatigue;
- mood swings, irritability, nervousness.
Many men do not consider these symptoms a serious reason to go to the doctor Most do not have enough knowledge about where the prostate is located in men, what this organ serves for, how to find the prostate, how important it is to maintain its health
Underestimating the impact of prostatitis, chronic or acute, on reproductive function, without reacting to inflammation, you can disrupt all the processes of fertilization. Reduced sexual activity, low potency, impotence-a direct consequence of prostate diseases.
That is why it is extremely important to make a diagnosis as early as possible, to understand the causes of the failure, to undergo a full course of therapy, to carry out preventive measures, to do everything to prevent the disease from returning.
The prostate (from the Latin term prostāta) or prostate is an important part of the reproductive system of the male body. The achievement of physiological and functional peak occurs in the period from 20 to 25 years. Next, involution processes begin to occur at different speeds. The speed of reverse processes, their intensity and the total duration of "extinction" are strictly individual for each man and depend on both genetic characteristics and the state of the body, as well as on external causes.
Structural and functional features of the prostate gland
In different periods of a man's life, the prostate gland, as an organ, is different-until the beginning of puberty-mainly muscle elements and a small volume prevail. At the peak of sexual activity, it is a developed glandular tissue. By old age-normal involution leads to a decrease in volume, and hypertrophic to an increase.
Anatomically, the prostate is an unpaired androgen-dependent (male) organ of approximate size 3*2.5*2.5 cm and a total weight of up to 20-25 g. in the form of iron, it looks like a chestnut or a rounded pyramid with the top pointing down. The initial part of the urethra or urethra passes through the thickness of the gland.
The gland itself is located in a wide part or base up, adjacent to the bladder. In the posterior part, the seminal vesicles are adjacent to the gland, and the prostate itself is separated from the wall of the rectum by a very thin leaf – the denonvillier fascia.
Due to this close location, it is possible to obtain certain information about the prostate during finger examination.
The top of the gland is covered with a fairly dense connective tissue capsule with strands or fibers going into the thickness of the prostate. They also penetrate deep into the feeding capillaries and nerve endings.
Blood circulation has common origins with the plexus of vessels of the end parts of the rectum and the vascular network of the penis.
It is for this reason that sexual arousal leads to increased blood flow and metabolic processes in the prostate.
Normally, in the absence of physiological or anatomic-structural changes, the prostate does not manifest itself in any way, and its function is not associated with the appearance of discomfort, pain, or any changes in the man's health…
Mechanical function of the prostate gland
Structurally, the prostate is predominantly glandular tissue with an uneven distribution of striated muscle fibers. Mostly muscle tissue is distributed in a kind of ring in the immediate vicinity of the urethra. This provides the iron with a mechanical function.
The permanent locking function is that the muscle fibers, being in a certain tone, serve as an additional barrier in the initial part of the urethra, strengthening the main sphincter of the bladder.
The valvular function is based on the fact that a part of the fibers is located in a special way, intertwining with the muscle layer near the excretory duct of the gland in the seminal mound of the urethra. During sexual arousal and sexual intercourse, this mound mechanically covers the space of the urethra, reliably isolating the sperm from getting urine into it.
Secretory function of the prostate gland
The prostate is an exocrine gland, that is, secreting not into the blood, but into the external environment, the gland of the male body.
The secret of the prostate or prostatic juice is a mandatory and necessary component of sperm, it contains vitamins, trace elements, zinc ions, biologically active molecules, and nutrients that are necessary for activating sperm and maintaining their motor activity. In other words, the secret of the gland in terms of ensuring the possibility of conception is no less important than the sperm cells themselves.
Regulatory function of the prostate
To understand the possible variants of prostate pathology, it is necessary to understand that the gland is involved in the regulation of sexual activity.
Not being an endocrine organ and not releasing hormones, however, by the type of feedback, the prostate affects the neuroendocrine regulatory centers in the Central nervous system.
In other words, it adapts to the quality and intensity of a man's sexual life and helps to adapt to these conditions of the Central nervous system and higher centers. On the one hand, this is the importance of a regular sexual life, and on the other – a positive effect on stimulation techniques.
Main risk factors for prostate pathology
In each specific case, each individual patient has not one, but most often several reasons that acting together, cause the beginning of the pathological process in the organ.
They also significantly affect the dynamics of the disease, the formation of the clinical picture, the susceptibility to successful treatment and the overall prognosis.
Of this variety, the greatest negative degree is proven for the following reasons:
- Age features;
- The factor of hereditary predisposition;
- Formed rhythm of sexual activity – long breaks;
- Local hypothermia;
- Low level of physical activity and mostly sedentary lifestyle;
- Infection of the genitourinary system;
- Frequent changes of sexual partners;
- Adverse living or working conditions;
- Side effects of some groups of long-term medications.
Variants of changes and diseases of the prostate gland
Like any other organ, and the body as a whole – the prostate changes over time, which is a physiological natural process. In addition, there are a number of painful processes that also lead to certain changes in the tissues.
Inflammatory changes in the prostate gland
Most often caused by bacterial pathogens, less often occurs for other reasons, including autoimmune. The type of course may be in the form of an acute reaction or chronic changes.
Acute inflammation is characterized by the brightness and severity of clinical manifestations, as well as their reversibility with proper therapy.
The common name for such changes is prostatitis with further clarifications of the type and nature, as well as the stage of the disease.
Non inflammatory changes with increased volume
In this case, we are talking about BPH or benign prostatic hypertrophy, in other words-about prostate adenoma.
The essence of the changes is that the volume of the organ increases due to hypertrophy of glandular tissue, and since the covering capsule is inelastic, hypertrophy very quickly leads to a gradual overlap of the urethra with characteristic clinical manifestations.
Despite the fact that some of the manifestations are similar to inflammatory ones – this is not an inflammation of the prostate gland and the prognostic and therapeutic approaches are completely different.
Oncological changes are associated with cancer cell degeneration and fairly rapid growth.
Histologically, the prostate itself is very rarely a source of cancer, and cancer begins to develop from the paraurethral glands, but due to the high malignancy, it quickly involves the gland itself in the process.
The special importance of these changes is in the ability to detect the condition as early and accurately as possible and to develop treatment at the earliest stages, when success is maximum.
At the first appearance of changes or doubts about the well-being of your own prostate, you should immediately contact a specialist. Wait-and-see tactics, self-diagnosis, and self-treatment are dangerous, since you can skip a serious pathology or bring the disease to a stage where full recovery is physically impossible.
The main options for diagnosing the prostate condition
In order to establish an accurate diagnosis when various changes are suspected, the following directions are used in modern urology:
- A detailed General and biochemical blood tests;
- General urine analysis (three-pack sample);
- Physical data during finger examination of the prostate;
- A complete study of the prostatic secret;
- Examination of the ejaculate – the semen analysis;
- Bacteriological study of obtained biological fluids;
- Antibacterial sensitivity of sown pathogens;
- Immunological examination (PSA) - prostate-specific antigen;
- Transrectal ultrasound;
- MRI, CT scan of the pelvic organs if necessary.
The decision on the need to use certain types of examination in the diagnostic search is made by a urologist, based on industry recommendations of diagnostics.
Delusion and reality with regards to prostate massage
If the term prostate massage is used for any indirect mechanical effect on the prostate gland, then the following variants can be distinguished:
- Simple intimate stimulation. It is used by sexual partners as an additional source of sexual arousal, getting more vivid erotic emotions and impressions. It is carried out using the fingers of the hands – manually, or with the help of special devices. It can be considered a sign of a high level of intimate trust. Technically, it consists in mechanical action on the posterior surface of the gland and stimulation of the anal ring and the rectal ampoule. The main risk is that due to the lack of skills and knowledge, there is a possibility of injury to the organ or causing pain. At its core, massage is not.
- Diagnostic prostate massage. It is one of the main and mandatory methods of a full-fledged urological examination. Always carried out by a specialist in compliance with standard, generally accepted techniques. The goal is to obtain a prostatic secret – a special fluid that is then subjected to a number of instrumental and laboratory tests and tests. It is important to note that it is not performed in acute forms of pathology, as well as when there are direct contraindications.
- Therapeutic prostate massage. It is a medical manipulation performed by a specialist. It has a certain recognized implementation algorithm. As a treatment method, it is prescribed according to indications, outside the acute phase of the disease. The duration and multiplicity are also determined by the specialist in each case. In chronic pathology, this procedure is preventive in nature, as it provides conditions for initially a higher level of organ functioning, and also reduces the frequency and ease of occurrence of an exacerbation of the disease.
Any mechanical impact on the prostate tissue is potentially extremely dangerous, risky and impossible in the following conditions, regardless of whether the doctor, the partner or the man himself performs the impact:
- Febrile temperature. In General, any temperature reaction, if its exact cause is unknown;
- Acute bacterial prostatitis, or clinical exacerbation of the chronic form;
- Urolithiasis with a condition after " leaving stones or sand»;
- Hemorrhoids, especially with significant volumes of nodes. Indication of hemorrhoidal bleeding that occurred;
- Rectal cracks, inflammatory local reactions, bleeding from existing cracks;
- Cysts and stones in prostate tissues of any localization and Genesis;
- Urogenital infections in the acute phase, with unstable remission, with remission on the background of antibiotic therapy;
- Malignant neoplasms or suspected ones, established benign tumors due to the risk of malignancy.
The problem with the prostate as one of the factors of men's health, the basics for a comfortable intimate life and ability to conceive and maintain and improve overall quality of life is very important and for this reason, at the first suspicion or signs of distress you should always consult a specialist. This is what can guarantee the fastest and most complete solution to all existing problems.
By: Dr. John Provet