Prostatitis is an inflammatory disease of prostate. It is shown by regular campaigns in toilets, pain in the penis, scrotum, rectum, sexual disorders (erection, premature ejaculation, etc. ), sometimes delayed urine and blood insurance in urine. The diagnosis of prostatitis is set by a urinary doctor or other expert in a typical clinical picture, the result of a rectal study. In addition, an ultrasound of the prostate gland, the bacteria of the prostate and urine excretion are performed. Conservation treatment - antibacterial therapy, immunotherapy, prostate massage, lifestyle adjustment.
General informationProstatitis - Prostate inflammation (prostate). This is the most common disease of the genital system in men. Usually it affects patients from 25-50 years old. According to various data, prostatitis is 30-85% of men over 30 years old. Perhaps it is necessary to ignore the prostate, testicular inflammation and appendix, threatening infertility. The rise of infection leads to inflammation of the upper part of the genital system (cystitis, python inflammation).
The pathology develops when an infectious agent is introduced, entering the prostate cloth from the organs of the genital system (urethra, bladder) or from the center of the remote inflammation (with pneumonia, influenza, tonsillitis, furunculosis).
Causes of prostatitisA staphylococcus aureus gold (Enterococcus), entoobacter (enterobacter), Pseudomonas (Pseudomonas), Proteus (Proteus) and Klebcens and Klebccah can act as an infectious agent in the acute process. (Klebsiella) and E. Coli (E. Coli). Most microorganisms of the pathogenic flora are conditional and only cause prostatitis only if there are other influential factors. Chronic inflammation is often caused by Paul with microbiological associations.
The risk of disease development increases in the process of hypothermia, the presence of infections and specific conditions in the congestion history in the tissues of the prostate. The following influencing factors are distinguished:
Lower body heat in general (single or permanent, related to working conditions).
A sedentary lifestyle, a specialty forcing a person to be in a sitting position for a long time (operators of computers, drivers, etc. ).
Constipation unchanged.
Violating the normal rhythm of sexual activity (excessive sexual activity, prolonged abstinence, ejaculation not entirely in the process of depriving the emotional color of common sex of Muslims).
The presence of chronic diseases (cholecystitis, bronchitis) or chronic infectious focal points in the body (chronic osteomyelitis, absurd tooth decay, tonsillitis, etc. ).
Urinary diseases are transferred (urethritis, cystitis, etc. ) and sexually transmitted diseases (Trichomoni, gonorrhea).
The states cause inhibition of the immune system (chronic stress, irregular and inferior nutrition, lack of sleep often, overexertion at athletes).
It is thought that the risk of pathological development increases as chronic poisoning (alcohol, nicotine, morphine). A number of studies in the field of modern Androgy prove that the stimulating factor is a chronic crotch injury (vibration, shock) in the driver, motorcyclist and bicycle riders. However, the number of overwhelming experts believes that all cases listed are not the real cause of the disease, but only contributing to worsening the potential inflammatory process in prostate tissues.
The decisive role in the appearance of prostatitis is played by the stagnation in the tissues of the prostate. Violation of capillary blood flow causes an increase in lipid peroxid, edema, excretion of prostate tissues and formal conditions for development of infectious processes.
Symptoms of prostatitisAcute prostatitisThere are three stages of acute prostatitis, characterized by the presence of a clinical picture and a certain morphological change:
CatVrhal sharp. Patients complain about fast, often painful urination, pain in sacrum and perineum.
Sharp hair follicles. The pain becomes more intense, sometimes radiating the anus, strengthening during defecation. Urinating is difficult, urine with a thin stream. In some cases, the urine delay is recorded. Subfebrilite or moderate increase in body temperature is typical.
Acute parenchyma. Pronunciation is general poisoning, increasing body temperature up to 38-40 ° C, chills. Classification disorders, usually an acute delay in urination. Pain, pain in the perineum. Difficult to defecate.
Chronic prostatitisIn rare cases, chronic prostatitis becomes the result of an acute process, as prescribed, a chronic course is observed. Temperature sometimes increases small values. Patients note the pain in the perineum, uncomfortable during urination and defecation. The most typical symptoms are the scarcity from the urethra in defecation. The main chronic form of the disease develops in a significant time. She was ahead of the bloody stagnation in the capillary, gradually turned into prostatitis.
Chronic prostatitis is often a complication of the inflammatory process caused by pathogens of a specific infection (Chlamydia, Ureaplasma, Gonococcus). Symptoms of a specific inflammatory process in many cases hide the manifestations of prostate lesions. It could be a slight increase in pain during urination, weak pain in the perineum, scarcity from the urethra during defecation. A small change in the clinical picture is usually not noticed by the patient.
The chronic inflammation of the prostate can be manifested by a burning sensation in the urethra and perineum, disorders, sexual disorders, increasing fatigue in general. The consequences of potential violations (or fear of these violations) often become mental depression, anxiety and discomfort. The clinical picture does not always include all symptom groups listed, different in different patients and changes over time. There are three main characteristics of chronic prostatitis: pain, violations when going to the toilet, sexual disorders.
There is no pain receptor in the prostate cloth. The cause of pain in chronic prostatitis becomes almost inevitable due to the abundant conservation of pelvic organs related to the inflammatory process of nerve paths. Patients complain about pain with different intensity - from weakness, severe pain, sleep violations. There is a change in the nature of pain (strengthening or weakening) with ejaculation, excessive sexual activity or sexual abstinence. The pain radiates a scrotum, sacrum, groin, sometimes entering the waist area.
Due to inflammation in chronic prostatitis, the mass of prostate gland increases the urethra. The heart of the ureter decreases. The patient often urinates, the feeling of making the bladder is not complete. As a rule, the phenomenon of difficult to read is shown in the early stages. After that, the enlargement of the muscle layer of the bladder and the ureter developed. Symptoms of energy disorders during this period are weakening, and then once again increased during the loss of adaptive mechanisms.
In the early stages, violations of potentials may develop, different manifestations in different patients. Patients may complain about regular night erections, eliminated orgasms or impaired erections. Accelerated ejaculation is associated with reducing the level of stimulation of the center, taking responsibility for orgasm. Pain for ejaculation may cause a rejection of sexual activity. In the future, sexual disorders become more pronounced. In the advanced stage, the inability to develop.
The level of sexual disorders is determined by many factors, including the patient's sexual constitution and psychological constitution. Violating potentials and difficult to read may be due to both changes in the prostate, and the patient can inspire anything easily. If he has chronic prostatitis, it hopes the inevitable development of sexual disorders and urinating disorders. Especially psychological disorders in potential and problems when going to the toilet to develop in suggested and alarming patients.
ComplicationIn the absence of timely treatment of acute prostatitis, there is a significant risk in the development of the abscess of the prostate. When the focal point has pus is formed, the patient's body temperature increases to 39-40 ° C and may have a busy characteristic. The time period of heat is alternating with chills. Pain in the perineum complicates urinating and makes defecation cannot be.
The development of edema is suitable for acute urination delay. In rare cases, natural abscess opened into the urethra or rectum. When opened into the urethra, pus mud urine appears with an unpleasant smell, when opening the rectum, the feces of pus and mucus.
For chronic prostatitis, a wave process with prolonged remission periods is characteristic, in which inflammation in the prostate gland conducted potential or manifested in extremely small symptoms. Patients, nothing uncomfortable, often stop treatment and only switch with the development of complications.
The most frequent complication of the chronic process is the condition of testicular inflammation and the appendage of the testes and the inflammation of the bubbles. The results of these diseases often become infertility.
DiagnoseA clinical picture that simplifies the diagnostic process in acute and chronic prostatitis. Mandatory implementation:
Rectal research of the prostate
The fence of the prostate excretion is to determine the sensitivity of the microorganisms (sowing the secret of the prostate and the urine with bacteria).
The prostate ultrasound to determine structural changes (tumors, cysts, adenoma) and the difference of prostatitis with other diseases is done.
A sperm to eliminate or confirm the growth of infertility.
Treatment of prostatitisTreatment of acute prostatitisThe patient has an acute process without complexity through the treatment with the urinary doctor instructions. With serious poisoning, suspicion of a pus, the hospitalization is indicated. Antibacterial therapy is done. The selected drugs take into account the sensitivity of an infectious agent. The widely used antibiotic can penetrate well into the prostate tissue (Ciprofloxacin, etc. ).
With the development of acute urination, based on the platform of prostatitis, they use the installation of a special tube, and not the urethral catheter, because there is a risk of prostate abscess formation. With the development of the abscess, the opening of the laparoscopic or urethra of the abscess is done.
Treatment of chronic prostatitisTreatment of chronic prostatitis should be complicated, including cause therapy, physiotherapy, immunity adjustment:
Antibiotic therapy. Patients are prescribed long-term antibacterial courses (within 4-8 weeks). The selection of the type and dosage of antibacterial drugs, as well as determine the time for treatment is done individually. The drug is chosen based on the sensitivity of the microbiological system based on the results of urine and the secret of the prostate.
Prostate massage. The massage of the gland has a comprehensive effect on the affected organs. During the massage, the secret inflammatory secret in the prostate is pressed into the pipes, then goes into the urethra and removes the body. Procedures for improving blood circulation in the prostate, allowing to minimize stagnation and provide the best penetration of antibacterial drugs into the tissue of the affected agency.
Physiotherapy. To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibration are used. If the physical therapy is not possible, the patient is prescribed the warm medical microscopic.
In chronic and long -term inflammation, a consultation of an immune doctor is designated for the selection of tactics of immune treatment therapy. Patients are recommended for a change in lifestyle. The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both treatment and a preventive measure. Patients are recommended to normalize sleep and alertness, set up a diet and conduct moderate physical activity.
Forecast and preventAcute prostatitis is a distinct disease that is chronic. Even when treated at the right time, more than half of the patients, chronic prostatitis becomes a result. However, recovery is always possible with accurate sequential therapy and compliance with the doctor's recommendations, can eliminate unpleasant symptoms and achieve long -term remission during chronic process.
Prevention includes removal of risk factors. It is necessary to avoid lowering the body, the work is less sedentary and has a physical activity time, and eats regularly and fully. With constipation, laxative should be used. One of the prevention measures is to normalize sex life, because both excessive sexual activity and sexual abstinence are risk factors in the development of prostatitis. If the symptoms of urinary or sexually transmitted infections appear, you need to consult your doctor in a timely manner.
