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Prostatitis

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

Prostatite

Type

4 Forms of prostatitis are distinguished:

  • acute (bacteria);
  • chronic bacteria;
  • chronic non -bacterial;
  • Chronic with no symptoms.

Acute prostatitis is extremely rare due to the rapid process of inflammation and immediate transition to the chronic (false improvement).

Non -chronic prostatitis, otherwise, is called chronic pelvic pain syndrome, may have inflammation (with the presence of urine and ejaculation of high leukocyte content) and not inflammation.

Cause

Causes of acute and chronic bacterial prostatitis are pathogenic microorganisms (viruses, bacteria, fungi).Often, the source of inflammation is:

  • E. coli;
  • Streptococci;
  • Staphylococci;
  • Proteus;
  • Klebsiella;
  • Pseudomonal sticks;
  • Pathogens of sexually transmitted diseases (chlamydia, mycoplasmas, gonococci, trichomonas, cytomegalovirus and others).

Most microorganisms are in the intestines, on the skin, but, into the prostate tissue, they cause inflammation.As a rule, the cause of the disease is not a pathogen, but a association of several types of microbes.

The development of chronic prostatitis can trigger the following factors:

  • disease of the urinary system (cystitis, pyelonephritis);
  • Sedentary lifestyle ("inactive" work);
  • constipation tendency;
  • weakness of body defense;
  • injury;
  • hormone imbalance;
  • alcohol abuse and smoking;
  • random sex;
  • Irregular sex life (long abstinence);
  • disturbed sexual relations;
  • irregular bladder emptying;
  • unhappy sexual desire;
  • chronic stress;
  • hypothermia;
  • The presence of curly teeth and other sources of chronic infection (for example, chronic tonsillitis).

Symptoms of prostatitis

Acute prostatitis is a very dangerous disease.It is quite difficult to "catch", because, first, the process is very quickly becoming chronic, and second, most patients prefer to "sink" the manifestation of acute prostatitis.Patients with prostate inflammation are often addressed to doctors in cases of advanced with erection and other consequences.

The acute form of the disease against the background:

  • fever;
  • chills;
  • Other signs of intoxication (weakness, fatigue, loss of appetite, and others).

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

Separating and urinating painful as well as features.Sometimes in the urine you can see the release of white purulent.

In addition, patients can pay attention to the lack of night and morning erection, poor quality erections during intimacy and shortening of sharp sexual relations.

Symptoms -common symptoms of urinary tract disorders: poor urine flow and frequent impulse, although the urine itself stands out slightly.

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

  • insufficient erection or absence;
  • painful erections, as patients avoid sex;
  • Orgasm is deleted;
  • short intercourse;
  • Pain of ejaculation.

Chronic abacterial prostatitis is 95% in all prostatitis, they suffer from men about 30 years old.It is characterized by persistent or regular pain in the pelvis, prostate, in the scrotum, while in laboratory analysis there are no signs of inflammation.The cause of the disease is certainly not established.

Diagnostics

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 tests;
  • Microscopic examination of the prostate secret and plant it on the nutrient medium to detect pathogens (secrets obtained after the prostate gland finger massage through the rectum);
  • Urine cytology studies;
  • Prostate ultrasound and pelvic organs;
  • computed tomography and nuclear magnetic resonance (MRI);
  • Smear from the urethra on the microflora.

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

A complete list of procedures and diagnostic drugs for the treatment of prostatitis in the Federal Assistance Standard from 2012.

Treatment of prostatitis

The same symptoms can be a sign of various diseases, and the disease may not occur according to the textbook.Don't try to treat your own doctor.A surgeon-surgeon leads to prostatitis.

The purpose of etiotropic treatment aimed at eliminating the cause of prostatitis is to eliminate pathogens.Depending on the cause, antibiotics, antiviral or antifungal drugs are prescribed.The duration of therapy for acute prostatitis is 7-10 days, in a chronic-4-8 week process.

For the treatment of bacterial infections, it is used:

  • antibiotics (Ciprofloxacin, Levofloxacin, Moxifloxacin);
  • Macrolides (erythromycin, clarithromycin);
  • doxycycline;
  • Antibacterial drugs.

The antifungal (Diflucan, Fluconazole) is prescribed orally and in rectal candles.

In addition, other types of therapy are used:

  • anti -lergic (suprastin, claritin, dimedrol);
  • anti -inflammation (indomethacin, diclofenac);
  • Anesthetics (No-Shpa, Analgin, Baralgin).

They are also appointed:

  • physiotherapy;
  • medical gymnastics;
  • Prostate massage.

The whole treatment takes 3-4 months.

Prevention

For the prevention of the disease, the following conditions must be noted:

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