Cystitis in men: symptoms, diagnosis and treatment

Cystitis today is a fairly common disease, is an inflammation of the bladder caused by the penetration of infection. The myth that men do not have cystitis takes the legs out that mocheprovodyaschy canal in women is much wider and shorter than men and thus getting an infection can occur more likely, however, is a disease in men, the cause is: unprotected sexual relations, the use of common things about intimate skin, decreased immunity.

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We have compiled most effective remedies for male cystitis, many of them suitable to the female gender, after all basically boils down to the treatment to destroy harmful bacteria in the bladder and raise immunity. Encouraged by the fact that today there are many treatments, from traditional medicine to homeopathic remedies. In order to properly establish the diagnosis, it is necessary to see a doctor, then you can begin treatment.

Do men transferred cystitis?

The disease is not transmitted through everyday, such as sharing towels, linen.

As regards the transfer of cystitis man sexually, it should be said that the disease itself is not passed through sexual contact, but can be transmitted infection that will eventually lead to inflammation of the bladder bubble. Therefore, the treatment of the disease, doctors strongly recommend to exclude sex.

Causes of cystitis in men

Young men do not get sick very easily cystitis, while sufficient to observe good personal hygiene. But the main cause of cystitis in women, especially with age, a urolithiasis, chronic genital infections, strictures and urtery a weakened immune system (for example, the administration of hormones, cytostatics, receiving radiation therapy, HIV infection, etc.). In women, cystitis occurs most often due to ascending infection of the urethra, anus, vagina, and the men of the prostate, urethra, epididymis, seminal bubbles.

• If a man there any urological problems, accompanied by a narrowing of the urethra, and as a consequence of the stagnation of urine, it is a trigger for the start of cystitis.
• This may be mechanical barrier, such as a foreign body, stones, departing from the bladder, and more serious diseases, such as prostate adenoma, malignant tumors, diverticula and so forth.
• Cystitis in men is rarely an isolated process, since the elongated, narrow urethra prevents the penetration of any infection in the bladder.
• Therefore, most infectious cystitis is associated with prostatitis, urethritis, vesiculitis. As well as women's primary pathogen in this case E. coli, Staphylococcus aureus, Pseudomonas aeruginosa, Candida fungi.

Male cystitis can be caused by latent infections, sexually transmitted diseases - gonorrhea, trichomoniasis, chlamydia in men, mycoplasma. Very rarely cystitis accompanies diseases such as purpura, actinomycosis and schistosomiasis.

If the infection occurs in the downstream penetration mechanism, it is most often due to pyelonephritis, renal tuberculosis.

We should pay attention to

We should also pay attention to the tuberculous etiology of cystitis, as is sometimes the tubercular process of the urogenital area in men is erased, chronic, manifests itself only subfebrile temperature, malaise, symptoms and small periodic features, cystitis, chronic prostatitis, Pyelonephritis, urethritis and so on. Today in the country there is an epidemic of tuberculosis, the population is reduced immunity, and infection with Mycobacterium tuberculosis in adults is 90%.

Under favorable conditions for tuberculosis - stress, overwork, poor diet, alcohol abuse - it is easy to out of latency and affects not only all the usual light, but also other bodies - the prostate, testes, kidney, including including. Moreover, deceit extrapulmonary forms of tuberculosis that are disguised as banal infectious processes and crops to identify the Koch bacillus in chronic often false negative, particularly during treatment fluoroquinolones.

Flu, sinusitis, chronic tonsillitis and other infectious and viral diseases, localized seemingly remote from bladder respiratory organs may hematogenous route (via the blood) and pathogenic bacteria enter the urinary bubble. Therefore it is not a rare complication of all infectious processes in the body can become inflamed bladder.

• It is also possible infection during the most cystoscopy, bladder catheterization.
• abdominal trauma, spine, diabetes in men, a constant hypothermia, chronic stress and lack of sleep, all of which reduces the body's defenses, also contribute to the development of cystitis in men.
• Symptoms of cystitis may also occur after surgical interventions in the peritoneal cavity, operations transurethral bladder, prostate resection of malignant neoplasms of the urethra and prostate.

Why men suffer from cystitis is rare?

In men, cystitis is relatively rare due to the special structure of the lower divisions of the urinary system: they have a long and crimped urethra, which in most cases prevents penetration of infection directly in uric bubble.

Under normal circumstances, even if the infection is and enters the urethra, it is partially washed out stream of urine out, and the remaining cells of the immune system is destroyed before the infection reaches the bladder bubble.

In men, cystitis, in most cases, occurs when the immune system is reduced, there are congestion in the bladder or infectious agents to penetrate into it in huge quantities.

Which doctor to go?

For accurate diagnosis is necessary to visit a urologist, who will conduct a comprehensive examination, including inspection and palpation of the genitals, scrotum, pubis.

The following tests may be appointed to determine the causative agent of the disease:

• Bacteriological urine culture.
• Urethral smear.
• Urinalysis (determination of erythrocytes, leukocytes, mucus epithelium).
• Cystoscopy.
• Study passage of urine.
• Urinalysis for nechyporenko.
• Urodynamic examination.
• Uroflowmetry.
• Ultrasound prostate and kidney.
• Cystography.

Symptoms of the disease

The first signs of cystitis in men can be found on their own for this disease is characterized by:

• pain in the abdomen;
• frequent urination;
• burning during urinary excretion;
• in urine mucus, pus and blood;
• frequent urge;
• general weakness in the body, fever (37 ° C).

Treatment of cystitis with antibiotics is not necessary to postpone, as it is fraught with consequences and may give complications in the form inflammation of the tissue around the bladder cause a decrease in the size of the bladder and urinary incontinence pyelonephritis.

A characteristic feature of cystitis in men is chronic, greased for. Pronounced clinical picture is not as common as in women and shows far come, the process inveterate.

At the same time there is a whole set of symptoms characteristic of cystitis:

• • Pain in the suprapubic region and lower abdomen. Often aching, nagging. When the urge to urinate pain intensified, burning sensation. According to the intensity of discomfort, as a rule, are not pronounced.
• • False urination. Business Card cystitis. It is among the first symptoms of cystitis in men. Urges strong, often mandatory (when it is impossible to oppose him and to endure). However, the amount of urine is negligible. False desires to be distinguished with the frequent urge polyuria (increase in daily diuresis) when urine is allocated a lot.
• • Burning sensation when urinating. Nonspecific symptom, as well as typical for sexually transmitted infections.
• • The phenomena of intoxication, including: headache, fever up to 37.5-39 degrees, weakness. They are associated with an active inflammatory process.
• • Mucus in the urine.

In chronic process, especially if it runs for a long time, the first symptoms of cystitis in men can be lubricated, as already it has been told.

It is important to keep in mind. Many serious diseases can masquerade as cystitis. One of these pathologies - a cancer of the bladder. In the initial stages of its symptoms are similar to symptoms of cystitis. Of great importance is the differential diagnosis of directed differentiation in these two diseases. It must carry out only a doctor, so when the first manifestations of anxiety is not necessary to delay the visit to the hospital.

types of cystitis

Acute and chronic

By the nature of the disease cystitis it is:

• sharp,
• chronic.

Acute cystitis is divided into:

• first arose,
• are rare (1 per year or less)
• occurs frequently (annually by 2 times or more).

After recovery from acute cystitis all laboratory parameters and data obtained by the instrumental, not different from the norm.

Chronic cystitis, in turn, is of the following types:

1. Asymptomatic (latent) which has:

• stable asymptomatic (such cystitis can identify solely on the basis of these studies endoscopic)
• rare periods of exacerbation,
• exacerbation of 2 or more times a year.

Latent period of acute flow resembles a picture of acute or subacute cystitis.

1. Persistent cystitis. Usually acute 2-3 times a year, received laboratory and instrumental survey data indicate the presence of inflammation.
2. Interstitial cystitis. The most severe form of chronic cystitis flow, characterized by frequent exacerbations, almost constant pain in the area of ​​the bladder, progressive changes in its walls.

Interestingly, when it comes to acute or chronic cystitis, its appearance longer determines the nature of the identified changes in the bladder mucosa than the frequency of exacerbations during the year.

Primary and secondary cystitis

By the nature of occurrence of cystitis can be:

• primary,
• secondary.

Primary cystitis occurs by itself and is not associated with any other disease. Among the primary cystitis in turn the following types:

• acute cystitis (infectious, chemical, medicinal, toxic, thermal, neurogenic, nutritional);
• chronic cystitis (infectious incrusting, radiation, ulcerative neurotrophic, post-traumatic, involutional et al.);
• parasitic.

Secondary inflammation develops because of some other disease. Secondary cystitis are:

• cystic origin (e.g., stones, foreign bodies, traumatic injury, tumor, abnormal development, operational interference bladder);
• extracystic origin (adenoma of prostate, spinal injury and disease, prostatitis, and urethral strictures m. p.).

Cervical and diffuse cystitis

Depending on what part of the bladder is inflamed, the following types of cystitis:

• cystauchenitis (only inflamed bladder neck)
• trigonitis (inflamed urocystic triangle bounded by the mouth opening of the ureter and urethra)
• diffuse cystitis (bladder wall is involved in the inflammation process).

When cystauchenitis inflamed bladder sphincter, which is manifested painful urination and urinary incontinence. Among other symptoms - frequent urination.

When Trigon inflammation affects not only the sphincter of the bladder, but the mouth of the ureter, which is fraught with the appearance of such complications as vesicoureteral reflux (urine is thrown back into the ureter and can reach the kidneys, causing the development of pyelonephritis and stagnation). For trigonita characterized by disorders of urination, presence of blood and pus in the urine.

Diffuse cystitis is characterized by inflammation of the mucosa and a total typical symptoms, which will be discussed below.

Catarrhal and ulcerative

Depending on how the mucosa and deeply lying structure, the following types of inflammation cystitis:

• catarrhal - hyperemic mucosa simply,
• hemorrhagic - bleeding observed,
• cystic - inflammation accompanied by the appearance of cysts,
• ulcer - mucosal ulcers appear,
• phlegmonous - with the presence of large amounts of pus,
• gangrenous - there is necrosis of the bladder,
• Other types (eg, encrusted, interstitial, granulomatous).

View inflammation cystitis depends on the pathogen characteristics and state of the body's defenses. When catarrhal cystitis mucosal changes are minimal compared to other forms. Determine one or another type of inflammation can only endoscopically (e.g., cystoscopy) with subsequent biopsy.

Rare form of cystitis

By rarely seen forms of cystitis include:

• cystitis urogenital schistosomiasis (bilharzia)
• Lumpy (loss of bladder corresponding fungus)
• malakoplakiyu - occurrence plurality plaque growths and in the mucosa of the bladder (and other organs), accompanied by inflammatory reactions,
• cystitis that occurs when purpura.

symptoms

• In acute cystitis main symptom - a frequent urge to urinate, the one-time amount of urine can be only 10-15 ml, it may sometimes be incontinence.
• Pain and difficulty urinating - are also symptoms of cystitis in women, they have to make an effort to begin the process of emptying the bladder. Especially painful sensations accompanies the beginning and the end of urination. The pain is described by patients as burning, cutting in the urethra (causes pain, a burning sensation during urination). Sometimes pains are very intense, sometimes tolerable. In periods between emptying men disturb pain in the penis, groin, in the pubic region.
• Acute cystitis in men occurs with symptoms of intoxication with a high temperature, sweating, headache, chills, general weakness and so forth. In such cases, the patient's hospitalization.
• In difficult situations, when developing gangrenous, hemorrhagic form of cystitis in men's urine becomes turbid color, contains blood, mucus can be putrid smell and the amount of urine may become not more than 400 ml. in a day.
• As for chronic cystitis in women, symptoms it is more restrained, the pain can be minor frequency urges also high in the urine often only mucous character, without particles of blood. However, as any chronic cystitis process also occurs in waves, with periods of remission and relapse.

Depending on whether an acute exacerbation or chronic cystitis, the disease may be mild, moderate or severe.

acute cystitis

The most characteristic symptoms of acute cystitis:

1. Urination:

• painful,
• difficulties
• with frequent and false desires,
• observed at night.

2. Urine:

• of blood (terminal hematuria)
• with pus (leucocyturia)
• cloudy,
• sometimes - with an unpleasant odor.

3. Other symptoms:

• temperature increase,
• general weakness,
• decreased performance,
• pain in the suprapubic region, as well as in the penis, groin, scrotum,
• incontinence (at the neck form and trine)
• burning sensation in the urethra,
• pain in muscles, joints, caused by high temperature.

chronic cystitis

Chronic cystitis occurs less rapidly than acute, and is generally characterized by:

• less painful,
• less voiding,
• better overall health.

The latent chronic cystitis generally can occur unnoticed by the patient and diagnosed only on changes in urine and data cystoscopy. But interstitial cystitis leads to frequent urination (practically every hour), the appearance of persistent and persistent suprapubic pain and associated irritability, depression, anxiety and diminished quality of life.

Typically, patients with interstitial cystitis, are not the only one unsuccessful antibiotic treatment as long as they do not establish an accurate diagnosis.

Diagnostics

In order to understand how to treat cystitis in women, it is worth to diagnose correctly. In this case, held:

1. Analysis of urine by the method nechyporenko.
2. Urine culture on pathogen germs to determine their sensitivity to antibiotics.
3. Uroflowmetry - a study of the process of passage of urine through the urethra and its speed.
4. Cystoscopy - an internal examination of the bladder with an endoscope.

The success of the treatment of cystitis depends on the diagnosis and determine the cause of its development.

In general, the diagnostic strategy is the same as in the detection of cystitis in women, and in the determination of the disease in women. The first thing to do - to see a urologist. This person deals with problems of human excretory system.

• In the primary reception the doctor will conduct a survey of the patient (anamnesis), learns about complaints, their nature. This is called the medical history. The next phase - development of diagnostic strategies.
• In the case of diagnosis of cystitis is used two research groups: laboratory and instrumental.
• Among the most informative laboratory examinations has urinalysis. With it, a physician can identify the presence of the inflammatory process (the protein, leukocytes in the urine), and and identify potential problems more complex nature (cancer of the blood in the presence of kidney disease urine).
• Important diagnostic value have bacteriological tests like urine culture, swab for STIs.

Complete blood analysis also nominated for determination of the inflammatory process.

Instrumental investigations include:

• • pelvic ultrasound. Appointed to exclude neoplastic (cancerous) processes in the bladder. In general, this study in its pure form is not informative.
• • renal ultrasound. Much more informative study because in many cases of cystitis in men starts due to problems with the kidneys (pyelonephritis, nephritis, urolithiasis).
• • Ureteroscopy. It refers to a minimally invasive endoscopic examination. In view of the complexity of the structure of the male urethra is performed under general anesthesia.

Appointed not so often, but in its information content is superior to all of the above diagnostic methods. It allows the doctor to visually assess the state of the bladder mucosa.

inspection urologist

The preliminary diagnosis is based on patient complaints, and data of urological examination, including inspection and palpation of external genitalia and digital prostate through the wall of the study rectum. Already at this stage it becomes clear whether cystitis due to the presence of adenoma, prostatitis, orchiepididymitis or not.

After that, the doctor will prescribe additional laboratory and instrumental examination, which allows to identify and clarify the nature of the causative agent of inflammation.

Laboratory research

1. General urine analysis. For cystitis is characterized by the following changes in the urine:

• increase of leukocytes (leucocyturia)
• presence of blood (hematuria)
• in some cases - mucus, exfoliated skin cells, bacteria, protozoa.

2. General blood analysis. Blood picture will reflect the severity of cystitis and some of its features (e.g., increase of eosinophils in allergic cystitis, increase of ESR, leucocytosis in the case of fever).

3. Bacteriological sowings contents of the urethra and urine. With this study revealed cystitis pathogen and is determined by its sensitivity to antibiotics.

4. PCR—study. Appointed in cases of suspected sexual infections. With the same purpose and is scraping.

More complex and may include in-depth study immunnogrammu, biochemical blood (urea, creatinine, electrolyte composition), the level of prostate-specific antigen and m. P.

instrumental studies

To clarify the cause of the cystitis, men are appointed:

• uroflowmetry,
• complex urodynamic examination
• cystoscopy,
• Ultrasound prostate, kidney,
• cystography.

Ultrasound of the bladder during the exacerbation of chronic or acute cystitis is not carried out due to the inability of the maximum filling body of urine during this period.

Cystitis Treatment in men

Most forms of cystitis are treated conservatively. For surgery in men resorted to in the following cases:

1. Gangrenous cystitis. During the operation, the bladder is released from necrotic tissue, ensures an adequate flow of urine, becomes plastic when necessary.
2. Chronic cystitis caused by adenoma of prostate. According to testimony carried excision of the entire prostate gland, or part of it, resulting in a normal flow of urine and disappears inflammation.

Acute

recommended:

• bed rest in the first few days,
• drink plenty (2-3 liters per day)
• an exception to the daily diet of spices, condiments, alcohol, coffee, spicy food,
• failure during treatment of smoking,
• spasmolytics (e.g., no-spa, papaverine),
• decoctions of herbs that have antiseptic and anti-inflammatory action,
• antibacterials (furagin, blacks, oxacillin, tetracycline, and oletetrin t. q.) for 1-1.5 weeks.

can be used to reduce pain on prescription heat to the lower abdomen (except for hemorrhagic cystitis and tuberculosis), warm baths, warm microclysters 2% novocaine.

Chronic

For successful treatment of chronic cystitis is necessary to identify and eliminate the causes that trigger and maintain inflammation. For example, eliminate stagnant urine stones are removed, treated with prostatitis.

Antibiotics are appointed after the detection of the pathogen and determine its sensitivity to the drug.

• Local treatment is reduced to the destination bladder washings furatsilina solutions, silver nitrate within 2 weeks. Instilliruut (administered into the bladder), sea buckthorn oil, emulsions antibacterial agents.
• Of physiotherapy in the treatment of chronic cystitis using UHF, iontophoresis, mud applications, inductothermy.

Features of the treatment of some forms of cystitis

1. Tuberculous cystitis. In addition to anti-TB drugs prescribed instillation of sterile fish oil salyuzid, PASK.
2. Radiation cystitis. Local treatment is complemented by instillation of agents that stimulate healing. If it struck large areas of mucosa - conduct plastic surgery.
3. Interstitial cystitis. Above all, the treatment is complemented by the appointment instillation of hormones, antibiotics and analgesics. Inside can be administered anti-inflammatory drugs and anti-allergic series.

Phytotherapy

For the treatment of cystitis commonly used charges, which may include the following plants: sweet flag root, St. John's wort, lemon balm, kidney tea, knotweed, bearberry, fennel, nettle, chamomile, rosemary, horsetail, corn silk, birch buds, flax, oregano, eucalyptus and some others.

The course of treatment of chronic cystitis is up to 1.5 years, alternating between a fitosbory every 2 months.

When the above symptoms should contact the man to a urologist. Any treatment the doctor prescribes only after carefully collected the patient's history, a thorough diagnosis in all directions:

• Bacterial urine culture, revealing the pathogen and its susceptibility to antimicrobial agents.
• Urogenital smear on the latent infections - STI
• Urinalysis - it is informative in the case of high values ​​of leukocytes, red blood cells, mucus. The basis for the suspicion of tuberculosis is the acid reaction of urine.
• Ultrasound of the bladder is not generally carried out because the patient is not possible to accumulate a sufficient amount of urine informative survey, but renal ultrasound and prostate - are required, because they can help identify the cause occurrence of cystitis.
• In chronic cystitis is a cystoscopy, identify foreign bodies, stones, tumors, and biopsies performed during this procedure. Cystoscopy may appoint and persistent course of acute cystitis and it is designed to determine the type and location of the cystitis, that is mainly visually assess the state of the mucous membrane, although foreign bodies and stones too can have a place.
• Sometimes you need to hold cystourethrography, uroflowmetry, to confirm or exclude organic obstruction, which often happens in cystitis in men.

When delay counter urine

Treatment of acute cystitis in urinary retention and persistent severe pain are not docked painkillers - is carried out in a hospital environment, after thorough diagnosis, detection of the pathogen or concomitant diseases of the genitourinary system. How to treat cystitis in men? General recommendations for the therapy of this disease are as follows:

• bed rest in acute diseases, withdrawal temperature antipyretics, excessive drinking and 2.5 liters per day, diet without salt, sharp, acidic foods.
• antibiotics cystitis in men. After identifying the originator, determine its sensitivity to antibiotics requires the use of antimicrobial agents: usually fluoroquinolones (nolitsin cystitis, Normaks, TSifran, Tsiprolet A), nitrofurans (furadonin), cephalosporins, during the week, only for the purpose doctor.
• Phytotherapy. Required cystitis in men treatment should include vegetable diuretic, anti-inflammatory agents such as herbal teas - tea bearberry, cowberry leaf, horsetail. Provided that the person does not have allergic reactions to herbs, medications to help good plant-based, which have auxiliary action, relieve symptoms of inflammation - Kanefron, when Cystone cystitis, Phytolysinum. You can also use the beneficial properties of the cranberry - or drink cranberry juice, cranberry cystitis, or take pills Monurel with cranberry extract. Since herbal reduces the concentration of the antibiotic are used only after the antibiotic treatment is completed.
• Painkillers. For pain relief suitable antispasmodics - No-Spa, papaverine, and non-steroidal anti-inflammatory drugs - Diclofenac, Nimesil.
• STI. For the treatment of sexually transmitted diseases, there are certain treatment schemes which appoints physician, in the case of such infections by PCR, as they can also be pathogens cystitis in men.
• The symptoms and treatment of cystitis are dependent on comorbiditiesWhich are often - a prostatitis, pyelonephritis, BPH, Urolithiasis, prostatectomy. Therefore, in such cases, treatment is cystitis therapy of these diseases.
• Vesicoclysis. Sometimes the doctor may have been manipulated by washing the bladder with antiseptics or novocaine blockade.
• Physiotherapy. After the acute period of inflammation, for sucking and speedy recovery is carried UHF, ultrasound, magnetic-.
• sanatoriums. During periods of remission is very effective to treat various specialized sanatoriums - Krasnodar and Stavropol Territory.

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antibiotics

The main medical drug - an antibiotic, because in most cases, cystitis is caused by bacterial flora. group of antibiotics that penetrate through the mucous membrane of the bladder - is the fluoroquinolones and cephalosporins.

Fluoroquinolone antibiotics:

• lomefloksatsin;
• gatifloxacin;
• ofloxacin;
• ciprofloxacin.

Drugs of plant origin:

• kanefron;
• tsiston;
• Phytolysinum;
• uronefron.

It is also important to follow a diet that will prevent the aggressive environment of urine.

What are the means to take?

Key components of effective treatment of cystitis in men - is:

• Compliance with bed rest.
• Compliance with special diets.
• Medication.

In the treatment of cystitis in male doctor must prescribe antibiotics. For the right choice of antibiotics shall analyze the sensitivity of pathogens to the active substance of the drug. Doctors usually prescribe these types of drugs:

• Monural. Suitable for acute cystitis caused by bacteria. Not used to treat chronic forms of the disease. Price: 310-370 rubles.
• Nolitsin. The preparation of broad-spectrum has anti-microbial properties. Analogs - Normaks, Norbaktin, Ofloxacin. Price: 100-130 rubles.
• Nitroksolin. Used to treat cystitis, urethritis, pyelonephritis. Price: 40-70 rubles.
• Palin. It has antimicrobial activity, suitable for treatment of infections that are sensitive to pipemidic acid. Price: 170-220 rubles.
• Furadonin. It is used for treatment of bacterial cystitis character. Price: 30-60 rubles.
• Nevigramon. Antebakterialnymi possesses properties. Price: 1850-2010 rubles.
• Rulid. Broad-spectrum antibiotic exposure. Price: 700-850 rubles.

Furthermore antibiotics administered to patients anti-inflammatory agents that relieve symptoms of inflammation; vegetable preparations, for removal of pain and spasms (kanefron, Urolesan); vitamins and mineral supplements that enhance the protective functions of the body, improve immunity and overall resistance to infections; antipyretics (to lower temperatures); antispasmodic (No-Spa, papaverine).

To speed up the healing process to effectively carry out physiotherapy activities: mud therapy, UHF, ultrasound therapy, electrophoresis, magnetic and laser therapy.

In rare cases, the doctor prescribes patients procaine blockade of bladder lavage or antiseptic.

homeopathic remedies

Homeopathic remedies for the treatment of cystitis are used quite often. They reduce painful symptoms and speed up recovery. They are prescribed in combination. The development of these complexes is produced individually for each patient. Well established tools such as the Mercurius, Kantaris, solubilis, Sepia, Ignatius, Silicea, Kapisitsum, Berberis. Treatment with homeopathic remedies contraindicated for obvious symptoms of intoxication: fever, chills, pain in the kidneys.

Traditional medicine also has a fairly large arsenal of means of treatment and prevention of cystitis. Moreover, in this case a combination of drugs with treatment herbs encouraged. Herbal infusions increase the body's immunity, reduce pain, reduce inflammation, have diuretic properties, assist in fighting infection.

Some recipes for the treatment of male cystitis.

1. Infusion Echinacea. 1 h. l. Echinacea pour 1 cup boiling water. Infuse 3 h. Take half a cup of morning and evening.
2. The infusion of flaxseed. 1st. l. in a glass of cold water. Boil for 5 minutes. Take 1 glass 3 times a day before meals.
3. Infusion of the mixture of sage leaves, and a succession of black currant. The ratio of components 1h2h2. 2 tbsp. l. Pour boiling water (1.5 L). Infuse in a thermos 1 - 2 hr. Strain. Drink 3 times a day for half a cup.
4. Vodka infusion aspen kidneys. The ratio of components 10x1. Infuse for 10 days. Take 25 -30 drops 3 times a day.
5. Infusion of millet. The washed wheat add water at a ratio of 1x3. Infuse overnight, drain. Take 3 times a day for half a cup.
6. 1 tbsp. l. cranberry leaves pour a glass of water. Boil for 15 minutes. Allow to cool, strain. Daily norm of reception - 1 cup.
7. 1 tbsp. l. bearberry pour a glass of water. Add a little baking soda. Boil for 5 minutes. Allow to cool, strain. Take 1 cup per day.
8. 1 cup oats pour 2 cups of water. Boil in a water bath to reduce the volume of liquid in half. Add 1 tbsp. l. honey. Take half a glass before a meal.
9. Pumpkin seeds. Eat a glass a day.
10. Diluted cranberry juice and honey.

Treatment of traditional medicine should be agreed with your doctor. This is especially true recipes containing alcohol.
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We treat acute and chronic posture

When the signs of inflammation, patients should consult a physician. Medications for the treatment of cystitis in men are appointed only after a medical history and conduct a comprehensive diagnosis.

Diagnostic measures include:

• bakposev urine;
• urethral smear;
• general urine;
• ultrasound of the bladder, kidney and prostate;
• cystoscopy, which allows to determine the presence of stones and foreign bodies in the bladder.

Provided resistant urinary retention, expressed pain therapy of acute cystitis is conducted in a hospital.
The complex of therapeutic measures necessary to comply with certain conditions:

• Compliance with hospital treatment in the acute period.
• Compliance with therapeutic nutrition excluding acid, salty and hot products as well as the drink to 2.5 - 3 liters of water per day.
• Phytotherapy includes natural diuretic, anti-inflammatory agents. It helps leaf bearberry, cranberry leaf, field horsetail. It is useful to drink cranberry juice.
• Treatment of diseases related - in particular, sexually transmitted infections ways, prostatitis, pyelonephritis and prostatic adenoma.
• Following subsiding inflammation appointed physiotherapy to accelerate recovery. Among such procedures - electrophoresis, UHF, laser and magnetic therapy, mud therapy.
• In remission shown sanatorium treatment.

chronic cystitis treatment longer. Apply measures to address the underlying disease.

effective drugs

cystitis treatment is impossible without the use of antibiotics and other drugs, accelerating recovery.
After determining pathogen doctor prescribes antibiotics.

Today on the market there are a large number of antimicrobial agents, to understand that can only be a specialist. They can be used to effectively treat cystitis at home.

Showing ftorhinolovogo and antibiotics nitrofuran series and cephalosporins. Prompt treatment of acute cystitis possible using Monural preparation.

It is active against many pathogenic microorganisms. Enough single-use sachet antibiotic.

Effectively reduce inflammation and promote the removal of cystitis symptoms in the acute phase:

• kanefron,
• tsiston,
• Cystenalum,
• Ftolizin.

They are appointed, if there is no allergy to herbal medicines.

To arrest the pain syndrome, appointed analgesics and antispasmodic drugs.

The most common:

• No-spa,
• Papaverine,
• diclofenac,
• Nimesil.

In the presence of hemorrhage treatment of disease only stationary. Needs rest and bed rest. Assigned hemostatic agents (e.g., Dicynonum).

In severe degree of blood loss is assigned infusion therapy.
Well there are some homeopathic medicines - Mercurius, Silicea, Kapisitsum, Sepia and others. These drugs relieve the symptoms and speed up recovery.

People's treatment.

For quick recovery, improve the immunity of the body weakened by disease and relieving unpleasant symptoms effectively combine medication with the national treatment. Very useful to take inside: tincture of echinacea, flaxseed, black currant leaves, succession, sage tincture aspen buds, the infusion of millet, leaves, cranberries, oats, hops. Also possess therapeutic properties cranberry juice, lingonberry juice and swede and ordinary pumpkin seeds.

Food

A crucial role is played by plentiful (about 2-2.5 liters per day), drink.

• The diet in this disease should be gentle and should include a product provider is primarily a diuretic effect - watermelon, melon, pumpkin, cucumber, cranberry and other plant foods.
• It is also allowed to use milk, cheese, unsalted cheese, bran, whole grain breads, cereals.
• It is strictly forbidden during the period of illness alcohol, salty, fatty, spicy, fried food, fast food, and sour fruit and berries (exception - cranberries).simptomy-lechenie.net

special diet

Compliance with special diets with a cystitis - is key to the steepest recovery of the patient. The basic rules of this diet include:

• Drink 2-2.5 liters of clean drinking water per day. In addition to water you need to drink plenty of fruit drinks, tea, jelly, natural fresh juices. From coffee is better to refuse the period of treatment.
• To give preference to products with diuretic: watermelon, pumpkin, melon, cucumbers, cranberries.
• Eat dairy products: yogurt, milk, cottage cheese, low-fat and unsalted cheese.
• Do not drink alcohol.
• Eliminate from your diet foods that irritate the mucous membrane of the bladder, - hot and spicy (mustard, sauces, adjika, ketchup, horseradish, garlic, radish, onion, radish).
• There are millet, buckwheat, ovyanku, dried fruits.
• In cereals and other products to add bran, especially buckwheat, wheat, oat, flax.
• Unsubscribe from white bread, muffins. Bread can be eaten whole grain.
• Renounce salty, fatty, fried foods, fast food and instant food (Mivina, packaged soups).
• Eliminate the sour fruits and berries, except for cranberries. Cranberry juice is very useful for the organism of the patient man.
• Meat can only eat low-fat, such as poultry or beef, veal. Meat boiled or steamed with minimal addition of salt and spices without.
• Prefer seafood - fish, squid and products containing protein (e.g., eggs, cheese).

For correction, clarification diet and a list of allowed foods, you should regularly take a urine test.

Thus, in acidic urine should be excluded from the diet of meat and beans, to give preference to dairy products, sweet fruits and vegetables.

When alkaline urine is useful to use a large amount of seafood, eggs, meat and cereals.

If nalaize urine oxalate identified, it is necessary to exclude from the diet of greens, beans, blackberries, citrus fruits, red grapes, cranberries, strawberries, blueberries and cocoa.

complications

The most serious consequences of cystitis - occurrence of vesicoureteral reflux (when there is a throw urine from the bladder back into the ureters) and pyelonephritis.

Severe cystitis (e.g., gangrenous) may give rise to inflammation and fistulas paravesical fiber. Inflammation in the sphincter of the bladder is sometimes accompanied by acute urinary retention.

prevention

Preventive measures aimed at preventing the development of cystitis in men. In fact, no complications prevention of cystitis in men is not. It is enough to follow the recommendations:

• • It is necessary to carefully monitor the intimate personal hygiene.
• • Avoid unprotected sex.
• • At the first manifestations of renal failure should be immediately referred to a nephrologist and urologist. One of the complications of untreated disease - cystitis.
• • Need to quickly sanitize all potential foci of inflammation, including the carious teeth, etc.
• • The toilet need to go every 2-3 hours, avoiding stagnation of urine.

Cystitis in men less than women, but that does not mean that the stronger sex in complete safety. Cystitis occurs in men. Moreover, it is heavier flows and, as a rule, in a greased, chronic form. At the first manifestations of discomfort, frequent urination or reasonable to immediately consult a doctor, a urologist. From this the effectiveness of treatment depends.
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In order to prevent occurrence of cystitis in women, you need to:

• hygiene of sex organs,
• avoid infection sexually transmitted diseases,
• not supercool,
• timely treat adenoma, prostatitis or cancer,
• drink plenty of fluids,
• strengthen the immune system.

How to avoid the disease.

In order to minimize the potential risk of cystitis, you must observe the following rules:

• Observe good personal hygiene.
• Limit the use of sharp, spicy foods, alcoholic beverages.
• Do not allow the emergence of constipation, which you need to eat more fibrous food, fresh fruits and vegetables.
• Warm clothes, do not stay a long time in the cold air to prevent hypothermia.
• Limit salt intake.
• Drinking at least 1.5 liters of pure water per day.
• Bladder voiding every 2 h.
• Undergo a medical examination on schedule, regular urine tests.
• Timely pyelonephritis treated with antibiotics, Genitals disease.
• Urinate after intercourse.

Summing up the results.

Cystitis - a disease that affects not only women but also men. The disease is not transmitted sexually and through everyday, often is an infectious bacterial in nature. In men, cystitis is shown against a background of other diseases, so disease prevention is important to diagnose and treat the inflammatory processes in the body.

• If you ignore the symptoms and do not treat cystitis, there is a risk of dangerous complications and chronic forms of cystitis.
• To quickly and effectively get rid of cystitis, it is necessary to consult a doctor, who, after a complex examination and results of analyzes can assign the appropriate medications, it is obligatory to antibiotics.
• For a speedy recovery should be used not only medication, but also traditional methods and observe the rules of a special diet in cystitis.

If you have any questions, we suggest you contact our specialists (see profiles of doctors). If you are not sure, leave a request. Within 10 minutes, our operator will call you back and tell you which doctor is best to apply in your case.
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conclusion

Despite the fact that cystitis in men is relatively rare, it must be remembered that after 40 years, the situation may change as a result of prostatitis, prostate adenoma or cancer Prostate.

Due to the fact that cystitis can occur for a long time completely asymptomatic, need to undergo regular professional examinations, including pass urinalysis.

Cystitis can be a complication of tuberculosis

Infectious cystitis caused by trichomonads, chlamydia, mycoplasma, gonococcus, Koch sticks called specific. A nonspecific cystitis is a disease caused by opportunistic bacteria permanently in-dwelling organism.

Infrequent cystitis species - those that are called purpura, actinomycosis and schistosomiasis.

The way in which pathogens enter the bladder, may be different. Depending on his cystitis is divided into a top-down, bottom-up, lymphogenous and hematogenous. Ascending option infection (from the urethra) in male patients is quite rare. Cystitis in men is most often downward (in the case of kidney infection), as well as hematogenous and lymphogenous.

There are also cystitis infectious nature. They can be caused by:

• operations or diagnostic procedures on the bladder;
• ray exposure to the body, e.g., with radiation therapy of the prostate;
• injuries bladder foreign bodies, such as stones;
• chemicals outputting the urine and causing irritation of the bladder.

cystitis are also divided into primary and secondary. In the first case, the disease begins in itself, directly into the bladder. In the second - cystitis caused by some other pathological processes in the body.

Secondary cystitis, in turn, are divided into cystitis and intravesical extracystic origin. For example, stones in the bladder and tumors of the body are intravesical causes, and diseases of other organs (prostate adenoma, pyelonephritis) - extracystic.

If the inflammation area is urocystic triangle, then this is called cystitis trigonita. Also, depending on the location of inflammation secrete cervical and diffuse cystitis. When cystauchenitis observed only inflammation in the bladder neck. Diffuse disease is manifested in inflammation throughout the body wall.

Depending on how much the wall struck bladder, cystitis are the following forms:

• Bluetongue,
• hemorrhagic,
• cystic,
• peptic ulcer,
• abscess,
• gangrenous.

The easiest form of affecting only the surface layers of the walls is Bluetongue. When gangrenosum same form pathological process leading to necrosis walls. To determine the extent of the disease with subsequent applied cystoscopy biopsy.

Factors contributing to the occurrence of cystitis in men:

• hypothermia;
• decreased immunity;
• stress;
• conscious urinary retention, bladder emptying rare;
• kidney, prostate disease;
• failure to comply with rules of personal hygiene;
• diseases accompanied by the appearance of foci of infection (tonsillitis, sinusitis, furunculosis, dental diseases, etc.);
• spinal injury;
• diabetes;
• alcohol abuse.

Complications of cystitis may be paratsistit (inflammation of the tissue surrounding the bladder), pyelonephritis, walls sclerosis bladder perforation walls bladder, kidney inflammation (due to vesicoureteral reflux).

Medications for the treatment of male cystitis

Drug therapy can be etiotropic character or symptomatic. Causal treatment is aimed at combating pathogens - pathogens. The aim of symptomatic treatment is the removal of unpleasant symptoms - pain and spasm.

If the cause of the disease is a bacterial infection that required a course of antibiotics. The most commonly used drugs fluoroquinolones (such as lomefloxacin, ofloxacin, gatifloxacin, ciprofloxacin), nitrofurans, cephalosporins, at least - penicillins. The duration of intake usually week.

Before selecting antibiotic regimens necessary to conduct research on the pathogen type and antibiotic resistance.

also often used drugs with herbal anti-inflammatory and antibacterial components, such as Kanefron, Phytolysinum, Monurel, lessons Urofluks, Urolesan, Cystone, grass bearberry, and a decoction of horsetail St. John's wort.

Another class of drugs used for diseases - spasmolytics (papaverine, drotaverine) that help relieve spasms and pain caused by it. To reduce the symptoms of pain and inflammation is also used NSAIDs. When severe pain applied novocaine blockade. It is also recommended to take vitamins - to increase resistance to infection.

The types of drugs used in cystitis

Type of	appointment	examples
antibiotics	The fight against bacterial infection	ciprofloxacin, amoxicillin / clavulanic acid, tetracycline
herbal preparations	The fight against inflammation, antiseptic effect	Monurel, Kanefron
antispasmodics	reduced pain and spasms	Drotaverinum
NSAIDs	the fight against pain and inflammation	ibuprofen

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Causes of Male cystitis

The most common causes of cystitis in men include:

• urologic diseases, leading to stagnation of urine, bladder outlet obstruction;
• mechanical barriers blocking the free flow of urine (bladder stones, foreign bodies, diverticula, tumors);
• phimosis;
• neurogenic bladder dysfunction.

Infectious male cystitis can occur due to:

• epididymitis;
• orchitis;
• urethritis;
• vezikulita;
• prostatitis.

Pathogens are Klebsiella, St. saprophyticus, Pseudomonas aeruginosa, Proteus, Candida, Trichomonas, E.coli, mycoplasma, gonococcus, Mycobacterium tuberculosis, chlamydia and others.

Infective cystitis can evolve in different ways:

• upward (the causative agent into the bladder from the prostate, urethra, testicles, epididymis);
• lymphogenous;
• downward (occurs when renal tuberculosis, pyonephrosis, pyelonephritis);
• direct (signs of cystitis in men appear after spending endourological manipulation, abscess of the prostate gland);
• hematogenous (instigators purulent diseases are distant foci formed due sinusitis, tonsillitis, furunculosis, pulpitis, etc.).

What are the symptoms of cystitis in men - symptoms

The most common symptoms of acute cystitis in men:

• frequent urination;
• painful / hindered nature of urination;
• clouding of urine;
• terminal hematuria (blood in the last portion of urine);
• urgency (the sudden compelling sends to urinate);
• chills, fever;
• stinging and burning in the urethra during urination;
• pain in the groin, scrotum, suprapubic area, penis;
• urinary incontinence.

In severe forms are possible such features cystitis in men as general intoxication, fever, oliguria (reduction of detachable urine). Then the urine becomes cloudy color, it contains impurities of fibrin, blood, mucous membrane layers.

The symptoms of chronic cystitis in men are not as pronounced. They may be permanent or wear a wave-like nature. It:

• frequent urination;
• leucocyturia;
• mucus presence of impurities in the urine;
• microhematuria;
• proteinuria (high levels of protein in the urine).

If you find yourself in similar symptoms, consult a doctor immediately. It is easier to prevent than to deal with the consequences.

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Diagnosis of cystitis in men

If you notice the above symptoms, you should see a doctor, a urologist, who will appoint in the first place, a comprehensive examination. As part of the survey is to check the genitals, palpation of the prostate through the rectum.

In order to identify the flora caused by the disease, carried out:

• Bacteriological urine culture,
• Urogenital swab for latent infection,
• PCR study on the infection scraping,
• Urinalysis at high values ​​of leukocytes, red blood cells, mucus. Sour reaction of urine is the basis for the suspicion of tuberculosis.
• US kidney and prostate. US bladder is not carried out, since the amount of liquid necessary to save the patient very difficult.
• In rare cases, you must conduct cystourethrography, uroflowmetry to exclude organic obstruction.

Cystitis Treatment in men

The acute form of cystitis requires compliance with bed rest and fluid intake. It is necessary to drink at least two liters of fluid every day. It should exclude alcohol, spicy, salty, acidic foods, as well as to abstain from sexual intercourse during treatment.

In the acute form is required antibiotics welcome. Preparations for the treatment of cystitis, while at home: fluoroquinolones - nolitsin, Normaks, Tsiflan, Tsiprolet A; nitrofurans - furadonin; cephalosporins, penicillins less. The course of treatment is usually 7 days, but can be changed by the attending physician.

For analgesic effect is usually prescribed antispasmodics, tablets and injectable forms of NSAIDs: No-Spa, papaverine, Diclofenac, Nimesil.

The attending physician is required to designate phytotherapy - treatment plant diuretics (bearberry, horsetail, lingonberry leaf). In the absence of allergic reactions will assignment preparations relieving inflammation cystitis: Phytolysinum, Cystone, Kanefron. At home, you can take cranberry juice or juice or drug Monurel that contains cranberries.

When prescribing should take them in strict accordance with the urologist.

If necessary the vesicoclysis antiseptic. The treatment can be supplemented by physical therapy: UHF-therapy, electrophoresis, inductothermy, magnetic therapy, ultrasound, mud. Upon detection of the deformation of the bladder neck is held probing.

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