Prostatitis is a disease of the prostate gland (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 20-40 years.
The types
4 forms of prostatitis are distinguished:
- acute (bacterial);
- chronic bacterial;
- chronic non -bacterial;
- Asymptomatic chronic.
Acute prostate is very rare due to the rapid flow of the inflammatory process and an immediate transition to the chronic phase (false improvement).
Chronic non -bacterial prostatitis, otherwise called chronic pelvic syndrome, may have inflammatory (with presence in the urine and ejaculation of high leukocyte content) rather than inflammatory nature.
Reason
The cause of acute and chronic bacterial prostatitis is pathogenic microorganisms (viruses, bacteria, fungi).Most often, the source of inflammation is:
- E. coli;
- streptococci;
- staphylococci;
- Proteus;
- Klebsiella;
- Pseudomonal stick;
- Pathogens of sexually transmitted diseases (chlamydia, mycoplasmas, gonokocci, trichomonas, cytomegalovirus and others).
Most microorganisms are in the intestine, on the skin, but, inserting into the prostate tissue, they cause an inflammatory process.As a rule, the cause of the disease is not a pathogen, but an association of some types of germs.
The development of chronic prostatitis can provoke the following factors:
- Concomitant diseases of the urinary system (cystitis, pyelonephritis);
- Sedentary lifestyle ("sitting" work);
- tendency for constipation;
- weakening body protection;
- injuries;
- hormonal imbalance;
- alcohol abuse and smoking;
- random sexual intercourse;
- Irregular sex life (long -term abstentions);
- Interrupted sexual intercourse;
- irregular bladder emptying;
- unhappy sexual desire;
- chronic stresses;
- hypothermia;
- The presence of cariosis teeth and other sources of chronic infection (for example, chronic tonsils).
Symptoms of prostatitis
Acute prostatitis is a very secret disease.It is quite difficult to "catch" it, as, first, the process quickly becomes chronic, and second, most patients prefer to "dive" the manifestations of acute home prostate.Patients with prostate inflammation are often addressed to the doctor in advanced cases with elevation disorders and other consequences.
The acute form of the disease persists in the background:
- fever;
- chills;
- Other signs of intoxication (weakness, lethargy, loss of appetite, etc.).
Inflammation of the prostate gland is associated with pain in the perineum, the inguinal region and in the scrotum.
Painful and rapid urination is also characteristic.Sometimes in the urine you can notice purulent white discharge.
In addition, the patient can pay attention to the lack of night and breakfast erections, a poor quality raising during intimacy and a sharp abbreviation of sexual intercourse.
Typical symptoms of urination disorders appear: a poor urine and frequent urine flow, although urine itself differs slightly.
In the future, in the absence of treatment, chronic prostatitis reaches apogei: sexual function disorders appear.For example:
- insufficient rise or absence of it;
- painful erections, due to which the patient avoids sexual intercourse;
- Deleted orgasm;
- short relationships;
- Grief of ejaculation.
Chronic abacterial prostatitis is 95% among all prostatitis, they mainly suffer from men about 30 years old.It is characterized by persistent or periodic pain in the pelvis, prostate, in scrotum, while in laboratory tests there are no signs of inflammation.The causes of the disease are not eventually set.
Troubleshooting
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 the prostate secret and planting it in a nourishing medium to detect the pathogen (the secret is taken after the finger massage of the prostate gland through the rectum);
- Urine cytological study;
- Prostate ultrasound and pelvic organs;
- calculated tomography and nuclear magnetic resonance (MRI);
- A stain from the urethra in the microflora.
Differential diagnosis is intended to distinguish between prostate, prostate adenoma, prostate cancer, stone signs in the prostate gland.
A complete list of diagnostic procedures and medicines for the treatment of prostate in the federal standard of aid from 2012.
Treatment of prostatitis
The same symptoms can be signs of various diseases, and the disease may not occur according to the textbook.Do not try to treat a doctor self-consulate.A surgeon-urologist leads to the prostate.
The purpose of ethotropic treatment that aims at eliminating the cause of prostate is the elimination of the pathogen.Depending on the identified cause, antibiotics, antiviral or antifungal drugs are prescribed.The duration of acute prostate therapy is 7-10 days, in the chronic process-4-8 weeks.
For the treatment of a bacterial infection, they are used:
- antibiotics (ciprofloxacin, levofloxacin, moxifloxacin);
- macrolides (erythromycin, clarithromycin);
- Doxycycline;
- Antibacterial drugs.
Antifungal (diplucan, fluconazole) are described orally and in rectal candles.
In addition, other types of therapy are used:
- Anti -allergic (suprastin, clarin, dimedrol);
- anti -inflammatory (indomethacin, diclofenac);
- Anesthetic (no-Shpa, analgin, Baralgin).
They are also named:
- physiotherapy;
- Medical gymnastics;
- Prostate massage.
The entire course of treatment lasts 3-4 months.
PREVENTION
The following conditions should be observed to prevent the disease:
- regular sex life;
- rejection of bad habits;
- maintaining a healthy lifestyle (playing sport, walking in the fresh air);
- compliance with diet;
- Regular visit to the urologist.