Increased urination

To pathologies of the reproductive system that cause frequent urination, include prostatitis, prostate adenoma, prostate stones, malignant tumors. In this case, frequent urination is one of the manifestations of these diseases (most often prostate adenoma), but they can also serve as a source of ascending infection, especially with ascending urethritis, orchitis, epididymitis. The normal size of the prostate is 2.5-3.5 by 2.5-3.0 cm, its contours are distinct, the intersalose furrow is expressed, the shares symmetrical (although the right may be slightly larger), the consistency, the glands are elastic, the uniform, the palpation is painless , the shell of the rectum above it is mobile, painless. Prostate juice normally contains in the field of view: leukocytes up to 6-8, erythrocytes - 2-4, lecithin grains - 20-40, Tussauds-Lelemans bodies - 6-8, there may be a small amount of mucus and depleted epithelium.

[1], [2], [3]

Prostate adenoma

Adenoma of the prostate gland develops more than half of men, with prostatitis, frequent urination appears after 35 years, but the main age is 50-60 years. The majority of men with sedentary lifestyle get sick. The basis is a gradual increase in the size of the gland, sometimes 3-4 times, it has a testic consistency, symmetrical, painless. In the clinical course, several stages of development are distinguished:

The 1st stage (preclinical) has such symptoms as: periodic and insignificant frequent urination, unpleasant sensations in the perineum and rectum, in the lower abdomen. The early signs include: impotence, premature ejaculation and hemospermia (with the latter - onkonorazhennost).

The second stage (dysuria and dystonia) is characterized by the fact that frequent urination occurs at night, usually closer to the morning, and later in the day. And there is a frequent symptom of "imperative pozyva", pronounced, accompanied by urinary incontinence, but unlike prostatitis and cystitis is not accompanied by pain. The urine stream weakens, more in the beginning, the thin stream falls vertically, "on the shoes", even when straining. There is no residual urine.

The third stage (the period of residual urine). The clinic is the same as in the second stage, but there is a double process (with the first one - there is no satisfaction, and after 20-30 minutes a repeated urge followed with the release of the remains of urine). The ultrasound of the prostate and bladder is confirmed with the determination of the amount of residual urine (sometimes it can reach 1.5-2 liters). This stage already affects the overlying organs of urination.

4-th stage (paradoxical ishurii - "retention of urine with incontinence"). Sphincters; the bladder can not withstand a large amount of residual urine, and it starts to separate with drops, develops frequent urination with urinary incontinence in disturbed urination. The upper parts of the urinary tract suffer significantly, up to the development of uremia.

Stones of prostate

Formed more often against the background of prostate adenoma and chronic prostatitis, but in practice are rare. There is no typical clinic, it proceeds like prostatitis or prostate adenoma: pain in the perineum, painful and frequent urination, sometimes hematuria and hemospermia are detected. Identify ultrasound of the prostate and an overview radiography of the lower part of the pelvis.

Prostatitis occurs quite often and is the main cause of an ascending infection with damage to the bladder, ureters and kidneys, in addition, during the period of exacerbation due to edema themselves can cause frequent urination. In all cases of chronic prostatitis, it is necessary to examine the patient for a specific infection.