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Prostatitis

Prostatitis is a prostate gland disease (prostate), which develops as a result of inflammatory changes in it.According to statistics, the prevalence of the disease reaches 35-50% and is detected in men aged 20 to 40 years.

Prostatit

Types

4 forms of prostatitis are distinguished:

  • Acute (bacterial);
  • chronic bacterial;
  • NO -CHRONIC BACTERIAL;
  • Asymptomatic chronic.

Acute prostatitis is very rare due to the rapid course of the inflammatory process and an immediate transition to the chronic stage (false improvement).

Chronic non -bacterial prostatitis, otherwise it is called chronic pelvic pain syndrome, may have inflammatory (with presence in the urine and ejacular of the high leukocyte content) and not by inflammatory nature.

Reasons

The cause of acute and chronic bacterial prostatitis is pathogenic microorganisms (viruses, bacteria, fungi).Most of the time, the source of inflammation is:

  • E. coli;
  • streptococci;
  • staph;
  • Proteus;
  • Klebsiella;
  • Pseudomonal baton;
  • Pathogens of sexually transmitted diseases (chlamydia, mycoplasms, gonococci, trichomonas, cytomegalovirus and others).

Most microorganisms are in the gut, the skin, but, entering the prostate tissue, they cause an inflammatory process.As a rule, the cause of the disease is not a pathogen, but an association of various types of microbes.

The development of chronic prostatitis can cause the following factors:

  • concomitant diseases of the urinary system (cystitis, pyelonephritis);
  • Sedentary lifestyle (sedentary work ”);
  • tendency to constipation;
  • weakening of body defenses;
  • injuries;
  • hormonal imbalance;
  • Alcohol and smoking abuse;
  • Random sexual relations;
  • Irregular sex life (long -term abstinence);
  • interrupted sexual interruptions;
  • Irregular emptying of the bladder;
  • Dissatisfied sexual desire;
  • chronic tensions;
  • hypothermia;
  • The presence of carious teeth and other sources of chronic infection (eg chronic tonsillitis).

Prostatitis symptoms

Acute prostatitis is a very insidious disease.It is quite difficult to "get it", since the process first becomes very quickly chronic and, secondly, most patients prefer to "sink" manifestations of acute house prostatitis.Patients with prostate inflammation are often addressed to the doctor in advanced cases with erection disorders and other consequences.

The acute form of the disease continues against the bottom:

  • fever;
  • chills;
  • Other signs of intoxication (weakness, lethargy, loss of appetite, etc.).

The inflammation of the prostate gland is accompanied by pain in the perineum, the inguinal region and the scrotum.

Painful and fast urination is also characteristic.Sometimes in the urine you may notice whitish purulent discharge.

In addition, the patient can pay attention to the lack of night and morning erections, a low quality erection during intimacy and an accentuated sexual intercourse.

Typical symptoms of urination disorders appear: a weak urine flow and frequent desire, although the urine itself stands out a little.

In the future, in the absence of treatment, chronic prostatitis reaches apogei: disorders of sexual function appear.For example:

  • insufficient erection or its absence;
  • painful erections, due to which the patient avoids sexual intercourse;
  • Deleted orgasm;
  • enjoy relationships;
  • Ejaculation's donation.

Chronic abactry prostatitis is 95% among all prostatitis, they suffer mainly from men about 30 years old.It is characterized by constant or periodic pain in the prostate pelvis, in the scrotum, while in laboratory analysis there are no signs of inflammation.The causes of the disease are definitely not established.

Diagnosis

In the diagnosis of acute and chronic prostatitis, in addition to collecting complaints, anamnesis and patient examination, the following methods are used:

  • General Blood and Urine Test;
  • Microscopic examination of prostate secret and sow it in a nutrient medium to detect the pathogen (the secret is obtained after the finger massage of the prostate gland through the rectum);
  • Cytological study of urine;
  • Prostate and pelvic organs ultrasound;
  • Computed tomography and nuclear magnetic resonance imaging (RM);
  • A stain of the urethra in the microflora.

Differential diagnosis aims to distinguish between prostatitis, prostate adenoma, prostate cancer, stone signs in the prostate gland.

A complete list of procedures and drugs for diagnosis for the treatment of prostatitis in the federal standard of assistance from 2012.

Prostatitis Treatment

The same symptoms may be signs of various diseases, and the disease may not occur according to the book.Do not try to treat a doctor.A ruler-driven leads to prostatitis.

The goal of ethyotropic treatment designed to eliminate the cause of prostatitis is to eliminate the pathogen.Depending on the identified cause, antibiotics, antiviral or antifungal drugs are prescribed.The duration of acute prostatitis therapy is 7 to 10 days in the chronic process of 4-8 weeks.

For the treatment of a bacterial infection, they are used:

  • antibiotics (ciprofloxacin, levofloxacin, moxifloxacin);
  • macropolides (erythromycin, clarithromycin);
  • Doxicicycline;
  • Antibacterial medications.

Antifungal (Diflucan, fluconazole) is prescribed orally and in rectal candles.

In addition, other types of therapy are used:

  • anti -allergic (suprastin, clarinitis, dimall);
  • Anti -inflammatory (indomethacin, diclofenac);
  • Anesthetic (non-SHPA, Analgin, Baralgin).

They are also named:

  • physiotherapy;
  • Medical gymnastics;
  • Prostate massage.

The entire course of treatment takes 3 to 4 months.

Prevention

For disease prevention, the following conditions should be observed:

  • regular sex life;
  • rejection of bad habits;
  • Maintain a healthy lifestyle (playing sports, walking in fresh air);
  • compliance with the diet;
  • Regular visit to the urologist.