Neurogenic complications of chronic prostatitis. Psychology and psychosomatics of prostatitis The mechanism of prostatitis due to nerves
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Traditionally, emotionality is attributed to women - they are unbalanced and take everything to heart. However, as practice shows, men also take some things to heart - for example, sexual dysfunction.
In medicine there is such a thing as a “vicious circle”. For example, a man suffered from prostatitis, treatment turned out to be ineffective, and the disease became chronic. Many people begin to get nervous, worry, and fear for the future - this increases psycho-emotional stress.
The latter affects the diseased organ due to changes in nervous regulation and worsening blood circulation. The functional state of the diseased organ worsens, erectile ability and libido decrease, which causes even greater psycho-emotional stress and concentration on all sensations associated with the organ. The circle is closed. The more you think about the disease, the worse it becomes, which makes you think about the disease even more.
It has been noted that psychopathological burden (anxiety, a tendency to worry and fear for one’s health) is observed in 75% of patients with chronic prostatitis. In 60.2% of patients, stress precedes sexual disorders, that is, we are talking about the psychological cause of erectile dysfunction.
With chronic prostatitis, in 40% of cases there is a decrease in libido, in 15% there is a decrease in the frequency and strength of spontaneous erections, and in 30% there is a weakening of adequate erections. From these facts it follows that it would be a good idea to include potency-improving products in your recovery program.
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Prostatitis is an inflammation of the prostate gland, an exclusively male disease, since this organ is found only in men. How dangerous is prostatitis and what are the consequences of the disease?
List of possible complications
There are acute and chronic inflammation of the prostate gland.
Acute prostatitis with untimely and insufficient treatment causes the following consequences:
- pathological processes of the urinary system (inflammation of the kidneys, bladder, urethra);
- diseases of the reproductive system (testicles and their appendages, seminal vesicles);
- purulent focal inflammation in the prostate (abscess development).
Over time, acute prostatitis turns into a chronic form, the consequences of which for men are dire:
- sclerosis of prostate tissue;
- erectile dysfunction (impotence);
- formation of stones in the kidneys and urinary tract;
- renal failure;
- adenoma;
- malignant tumor;
- infertility.
In addition, external signs of prostatitis appear: nervousness, aggressiveness, irritability. As a result of a decrease in sexual desire, psychological problems arise, men's self-esteem decreases, and relationships with the opposite sex are disrupted.
Urinary system
One of the functions of the prostate is to prevent the reflux of seminal fluid into the bladder, since the gland separates the process of ejaculation from urination. In addition, it prevents urinary incontinence, holds it for a certain time and ensures outflow at the right time.
The bladder and urethra are the organs that are primarily affected by prostatitis. The following consequences arise:
- stagnation or incontinence of urine;
- frequent urge to urinate;
- feeling of heaviness in the lower abdomen;
- sharp severe pain when urinating;
- narrowing of the urethra.
Through a chain reaction, these pathological conditions cause renal failure and the formation of kidney stones.
Reproductive system
Bacteria that cause prostatitis provoke infection of the pelvic organs of men. First of all, this threatens with inflammation of the testicles, their appendages and seminal vesicles. These complications immediately affect the quality of sexual life. Sexual desire decreases or disappears altogether, erection weakens or is absent, ejaculation is premature and painful.
With untreated prostatitis, the infection spreads throughout the body and affects other organs. Often causes vaginal inflammation of the sexual partner.
Inflammatory processes in the reproductive system cause a man to lack an erection, which means he is unable to conceive.
In addition, with prostatitis, the secretion of prostatic juice decreases. Prostate juice is a nutrient medium for male gametes, giving them the opportunity to “live” in the uterus for up to 8 days. It liquefies sperm and ensures sperm motility. The higher their mobility, the higher the likelihood that they will reach the female egg and fertilize it. Viscous, thick sperm in a man and sedentary male cells are a guarantee that a woman will not be able to get pregnant with such a sexual partner.
Nervous system
Inflammation of the prostate gland also has harmful consequences for the nervous system of men. Urologists distinguish two groups of reasons for the negative impact of prostatitis on the nervous system:
- psychological nature;
- physiological.
A man who does not have a normal erection experiences premature ejaculation, decreased libido, and feels inferior. This causes self-doubt, a feeling of constant anxiety, anger, irritability, and depression. Aggression towards the partner often manifests itself. Personal life collapses, relationships with a girl deteriorate, often irrevocably.
Inflammatory processes in the tissues of the prostate gland disrupt its functions, it stops producing certain sex hormones. A decrease in hormonal levels threatens serious nervous disorders in men.
Conclusion
Why is prostatitis dangerous for men? Inflammation of the genitourinary system, cancer, infertility, nervous disorders. These serious consequences do not occur with timely and correct treatment of prostate inflammation.
Sometimes men at the onset of the disease do not show or have mild symptoms of prostatitis. In this case, many prefer a wait-and-see approach, which is a big mistake. The disease progresses every day, and the sooner the doctor stops it, the better. Therefore, at the first alarming symptoms, you should seek advice from a urologist; it is advisable to undergo an appropriate examination annually.
In contrast to previous ideas about the infectious nature of chronic prostatitis, the role of the pathology of the autonomic and central nervous systems in the development of this disease, which bears the main impact of external factors, has now been established. Difficult, nervous work, family conditions, trips in crowded transport during rush hour, unsuccessful website promotion, trips to the store - a stress factor in relationships with other people leads to disruption of the central nervous system, and, as a result, other organs and systems. In almost any case of chronic prostate pathology, therefore, one should look for the root cause arising from aggressive external factors. Of course, not every case of chronic prostatitis is a direct consequence of stress, but its further development is almost always facilitated by an unfavorable stressful environment. In a city, such an environment is constant, therefore, among urban residents, the percentage of chronic prostate pathology is significantly higher than that among residents of rural areas.
Abundant symptomatic innervation of the prostate gland ensures timely release of secretions into the urethra. An increase in prostate tone, which is a consequence of vegetative-vascular dystonia or constant overload of the central nervous system with stress, in turn, disrupts the motor functions of the prostate gland and contributes to the development of its pathology. Neurotransmitters secreted by nerve endings (vasopeptide, somatostatin, enkephalins, etc.) must be in strict interaction with each other, otherwise an imbalance between them can also lead to the development of chronic prostate dysfunction. Further, the emergence and development of a pathological condition in itself can be a strong psycho-emotional stress in men, which significantly aggravates the development of the disease. It has been established that about 75% of all patients suffer from psychopathological burden, including those with long-term ineffective treatment of the disease. The vicious circle created by fear for the condition of the affected organ, which affects the function of the prostate, which further aggravates the patient’s condition, is characteristic of most patients. And then the slightest unpleasant sensation in the genital area provokes another attack of the disease. Despite the fact that chronic prostatitis has already been recognized as a disease with the so-called psychosomatic pathogenesis, issues of correcting the state of the central and autonomic nervous system remain relevant to this day. Timely correction of a psychopathological condition will help avoid a vicious circle - the category of corrective measures includes psychotherapeutic conversations and physiotherapeutic procedures that have a strong psychotropic effect on the patient. Therefore, to completely cure the disease, it is necessary to use complex therapy, including both medications and psychophysiological measures.
Emotional disturbances are of great importance in the emergence of various disorders. Their role in the occurrence of many ailments has been irrefutably proven. First of all, when listing diseases that arise “from nerves,” we should recall peptic ulcers of the stomach and duodenum. In its development, stressful situations occupy almost a leading position.
In one of the studies conducted on the influence of emotions on the formation of ulcers, it was even revealed that its occurrence in one or another part of the digestive tract depends on the quality of the emotions experienced. It is believed that anger and irritation contribute to the appearance of stomach ulcers, and fear, melancholy, and anxiety contribute to duodenal ulcers intestines. Whatever organ is affected as a result of psychological disorders, the mechanism is approximately the same: during emotional stress, the transmission of impulses from cells to the brain is disrupted. It is not yet possible to fully explain the intricacies of the occurrence of neurogenic organ disorders, because the brain still hides many mysteries. Its structure has been studied thoroughly, but many functions remain unknown. So, today there is not even an unambiguous theory that reveals the mechanisms of sleep and memory. We can only guess about a lot, but we can say with confidence that bad emotions have an adverse effect on the functioning of organs and increase the risk of developing many ailments, including prostate diseases.
Decreased mood frequent stress and the lack of adequate rest in mild cases (fortunately, these are the majority) lead to reversible, functional disorders of sexual activity and prostatitis, that is, there are no organic disorders in the body that would forever make intimate life impossible. However, the danger of all these conditions is that often a person does not perceive the psychological changes that have occurred as something unusual, as a painful condition. Fatigue at work, constant hassle - all this is regarded as a familiar, normal phenomenon, and the development of sexual disorders sometimes becomes an unpleasant surprise for a man. Of course, such a sudden and seemingly causeless problem becomes a kind of trauma for a person. Subsequently, the man, reflecting on his condition, begins to fear a repetition of the situation, is afraid of sexual intercourse and, not suspecting that he just needs to rest and put his emotions in order, makes himself impotent.
Psychological disorders contribute to the inhibition of the functioning of brain formations that are responsible for the sexual reflex and desire. Excitation processes predominate in those areas of the cortex that are focused on the subject of experience. Thus, the gonads stop working in their usual rhythm, and the man’s potency is significantly reduced. Lack of sexual intercourse leads to congestion in the prostate gland, and this does not contribute to sexual longevity.
The severity of sexual disorders is directly proportional to the effect of emotional stress on the body. However, even with the same loads, people react to them differently: someone can withstand the hardest work and not experience any problems, while for others the very first stress causes frustration. All this depends on the characteristics of the man’s character, general health and attitude to various tense situations. Very often, sexual function with emotional disorders fades away gradually, without causing strong feelings in a person about this and remaining practically unnoticed. However, every man, regardless of age, must remember that in 80% of cases, sexual weakness is psychogenic in nature, so you need to carefully monitor your state of mental balance.
Psychological problems can cause complications in the form of sexual disorders at any time. Therefore, men who are prone to depression Those who have a stressful or very hard job can be advised to do everything possible to improve their emotional background, because their own health and the well-being of family relationships are at stake.
All diseases are caused by nerves - a stable expression, a saying that everyone knows. To some it may seem like a considerable exaggeration, but still the truth is somewhere nearby. Likewise, cystitis, the disease may well be caused by neurological disorders. Long-term stress is a big risk; it can be a trigger for many ailments.
Cystitis of a neurological nature
Disturbances in the functioning of the brain can cause cystitis. In simple terms: signals enter the brain, and it gives commands to the organs. Including, a signal about bladder fullness also goes to the brain. But it happens that the necessary connections break down. The brain gives an erroneous signal that the bladder is emptying, and the muscles begin to contract.
If the nerve endings or certain parts of the central nervous system are damaged, the bladder will not function properly.
The general name for cystitis of a neurological nature is neurogenic urination disorders. The reasons are varied: from brain injuries, tumors, concussions to excessive stress on the nervous system, severe stress.
How does cystitis develop due to nervous conditions?
Neurogenic inflammation cannot occur out of nowhere; something must precede the disease. But the patient himself does not always realize that his illness was provoked by a neurotic problem. Neurogenic cystitis and infectious cystitis are similar, but have some differences.
The psychogenic nature of the pathology can be assumed:
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Not all patients believe that cystitis from nerves is possible. They explain it simply: all people are worried and worried, everyone is stressed, and nothing. But these are just general words. Each person has their own reaction to stress, their own internal reserves.
Sometimes it is impossible to imagine how much your loved one is worried; from the outside it is difficult to assess the depth of his depressive state. Therefore, it is very rash to judge that it is the machinations of psychologists to “blame” all health problems on stress.
Forms and diagnosis of neurogenic cystitis
Prolonged depression or a similar condition, long-term stress disrupts the body’s healthy, physiological response to the process of urination. Pain appears, and a pathology of urine accumulation and evacuation occurs.
Forms of neurogenic cystitis:
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Who should I contact? First, definitely see a urologist. Describe your problem to him in every detail - sometimes the smallest detail provides a clue for the doctor in making a preliminary diagnosis. Additionally, visit a gynecologist, as you need to exclude a connection between cystitis and some kind of “female” disease.
Take all the tests your doctor prescribes for you. In addition to a standard urine test, this can be an analysis according to Zimnitsky or Nechiporenko. You will probably have to take a blood test - often it also clarifies the picture, reveals the inflammatory process and more.
Read also: Do boys get cystitis and how to deal with it?
The specialist may also refer you for an ultrasound of the kidneys and bladder itself. What the laboratory does not show, innovative visual tools will demonstrate.
In more rare cases, the doctor prescribes endoscopy, cystoscopy and MRI. If after all the examinations no inflammatory disorders or other pathologies are detected, the patient may be sent to a neurologist or therapist.
“Nervous soil” is both herpes and depression
Indeed, in answer to the question whether cystitis can be caused by nerves, a very voluminous answer is in the affirmative. The main provocative factor is the body’s reduced resistance to stressful situations. And stress can be anything.
Tumors and brain injuries are also stress, since the main organ of the human body experiences a severe shock, it has to restructure its work. Herpetic infection is also stress, and this is an insidious and multi-vector ailment, it can “attack” different organs.
With a hernia or osteochondrosis, the nerve endings are physically compressed - and this can also lead to cystitis.
Doctors have proven that illness and the patient’s psycho-emotional state are closely related. There is such a concept as “energy of thought forms”. This is not some esoteric claim to be dismissed as medieval heresy. The depressed state of a person is, one might say, reduced mental immunity. The patient constantly replays negative scenarios for the development of his illness, as if preparing for the worst.
And even progressive improvement does not bring him out of the state of fear. Moreover, even in people who were completely cleared of the diagnosis, tension was often recorded rather than a completely explainable euphoria. People can become so accustomed to a negative way of thinking, and internalize their fears so deeply, that they are always waiting for a relapse. And they can wait - the body does not receive the necessary nutrition.
The symptoms of nervous cystitis are similar to the standard symptoms of bladder inflammation. Moreover, a combination of two problems is very likely: a bacterial attack and a stress factor. Or hypothermia and stress, or the consequences of surgery plus the same stress.