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Prostatitis

Prostatitis is a disease of the prostate gland (the prostate gland), which is being developed as a result of inflammatory changes in it. According to the official statistics, the prevalence of the disease reaches 35-50%, and it is diagnosed in men at the age of around 20-40 years of age.

prostatitis

The types of

Allocate 4 forms of prostatitis:

  • acute (bacterial);
  • chronic bacterial;
  • chronic non-bacterial;
  • asymptomatic chronic.

Acute prostatitis is very rare, because of the rapid course of the inflammatory process, and the immediate transition to the chronic phase (pseudo-enhancement).

Chronic non-bacterial prostatitis, on the contrary, it is referred to as chronic pelvic pain syndrome may be inflammatory, with the presence in the urine and the ejaculate at high levels of white blood cells), and is not inflammatory in nature.

Reasons

The cause of acute and chronic bacterial prostatitis are the pathogenic micro-organisms (viruses, bacteria, fungi). The most common source of inflammation is:

  • Escherichia coli;
  • streptococci;
  • staphylococci;
  • Proteus;
  • Klebsiella;
  • Pseudomonas aeruginosa;
  • the causative agent of the sexually transmitted diseases (chlamydia, Mycoplasma, gonococcus, Trichomonas, cytomegalovirus, and others).

Most of the micro-organisms are found in the intestines, on the skin, but it is in the prostate tissue, they cause inflammation. As a rule, the cause of the disease is not a single pathogen, and the Association of the several species of micro-organisms.

The development of the chronic prostatitis may also cause the following factors:

  • concomitant diseases of the urinary system. (cystitis, pyelonephritis);
  • sedentary lifestyle (sedentary work);
  • prone to constipation;
  • the weakening of the protective forces of the organism;
  • the violation;
  • hormonal imbalance;
  • the abuse of alcohol and Smoking;
  • promiscuity;
  • irregular sexual life (length of abstinence);
  • coitus interruptus;
  • irregular emptying of the bladder;
  • with the sexual desire;
  • chronic stress;
  • hypothermia;
  • the presence of carious teeth, and other sources of chronic infection (eg, chronic tonsillitis).

The signs and symptoms of prostatitis

Acute prostatitis is a very aggressive disease. "The catch" but this is quite difficult, because, first of all, the process rapidly becomes chronic, and, second, the majority of the patients are more likely to "wait-out" the signs and symptoms of acute prostatitis at home. The doctor's patients, the inflammation of the prostate gland is often, in turn, is already in advanced cases, the deterioration of an erection, and other effects.

The acute form of the disease that occurs in the background:

  • elevated temperature;
  • fever;
  • other signs of intoxication (weakness, lethargy, loss of appetite, etc.).

The inflammation of the prostate gland can be accompanied by pain in the perineum, in the groin area and the scrotum.

It is characterized by painful and frequent urination. Sometimes, in the urine, which can be noticed a whitish purulent discharge.

In addition to this, the patient is able to draw attention to the lack of night and morning erections, poor erections during sex, and a drastic reduction in sexual intercourse.

Signs of chronic bacterial prostatitis may or may not be available or appear during periods of exacerbation. This stage is characterized by pain in the groin and in the lower part of the abdomen, often radiating to the sacrum, the lower part of the coat of arms and on the scrotum.

There are the typical symptoms of disorders of urination: a weak urine stream and frequent urination, although the urine itself stands out a little bit.

In addition, in the absence of treatment of chronic prostatitis has reached its peak, there are disturbances in the sexual function. For example:

  • not enough erection or its absence;
  • a painful ejaculation, which the patient avoids sexual intercourse;
  • effacement orgasm;
  • a short relationship;
  • the pain ejaculation.

The General condition of the people: he gets tired quickly, you are constantly annoyed, trouble sleeping.

Chronic abacterial prostatitis is 95% of all prostatitis, a painful, mostly men of about 30 years of age. It is characterized by a persistent or recurring pain in the pelvic area, prostate, scrotum, whilst in the lab tests, there are no signs of inflammation. The cause of the disease is uncertain.

The diagnosis

In the treatment of acute and chronic prostatitis, in addition to the collecting of complaints, anamnesis and examination of the patient with the help of the following methods:

  • The general analysis of blood and urine;
  • microscopic examination of prostate secretion and the planting of a nutrient medium to detect the pathogen (the secret was obtained by finger massage of the prostate through the rectum);
  • cytological examination of the urine;
  • Ultrasound of the prostate gland and the pelvic organs;
  • computed tomography and nuclear-magnetic-resonance imaging (MRI);
  • the test of a urethra on flora.

The differential diagnosis aimed at delineating the prostatitis, BPH, prostate cancer, signs of stones in the prostate gland.

A full list of diagnostic procedures and drugs for the treatment of prostatitis in the Federal standards for the care of the the 2012.

In the treatment of prostatitis

The same symptoms can be signs of various diseases and disorders can happen to you is not a textbook. Don't try to treat it yourself — consult your health care provider.

In the treatment of prostatitis leads to the surgeon-urologist.

The purpose etiotropic treatment aimed at the elimination of the causes of prostatitis is to eliminate the pathogen. Depending on the identified cause antibiotics, antiviral, or antifungal medications. The duration of treatment in acute prostatitis is 7-10 days, the chronic process is 4-8 weeks.

For the treatment of bacterial infections can be used:

  • fluoride antibiotics hinolonovogo series (ciprofloxacin, levofloxacin, moxifloxacin);
  • macrolides (erythromycin, clarithromycin);
  • doxycycline;
  • antibacterial medications.

Antifungal were given oral and rectal candles.

In addition to this, there are also other kinds of therapy:

  • anti-allergic;
  • anti-inflammatory;
  • analgesic.

Name, such as:

  • physiotherapy;
  • a therapeutic exercise;
  • the massage of the prostate gland.

Over the course of treatment is 3-4 months.

Complications

Do not be a cure, prostatitis dangerous complications of the following:

  • obstruction of the urinary bladder with subsequent acute urinary retention;
  • infertility;
  • a recurring inflammation of the urinary bladder;
  • abscess of the prostate gland;
  • depression;
  • impotence;
  • BPH;
  • calculous prostatitis (stone is such a pain, the pain);

Forecast

The prognosis of acute prostatitis affordable, timely treatment, leading to a full recovery. The frequency of exacerbations in chronic prostatitis can reach 50% and above, but with the proper treatment of maintenance, you can achieve lasting results.

To prevent

For the prevention of disease must meet the following criteria:

  • a regular sex life with permanent partner;
  • avoidance of harmful practices;
  • the maintenance of a healthy lifestyle (exercise, fresh air);
  • diet;
  • regular visits to the urologist.