Prostatitis is a prostate gland disease (prostate), which develops following inflammatory changes in it.According to statistics, the prevalence of the disease reaches 35-50% and is detected in men aged between 20 and 40.
Types
4 forms of prostatitis are distinguished:
- acute (bacterial);
- chronic bacterial;
- chronic non -gat;
- Chronic asymptomatic.
Acute prostatitis is very rare due to the rapid course of the inflammatory process and an immediate transition to the chronic stadium (false improvement).
Non -kiss chronic prostatitis, otherwise it is called chronic pelvic pain syndrome, can have inflammatory (with the presence in the urine and ejaculating the high content of leukocytes) and not of an inflammatory nature.
Reasons
The cause of acute and chronic bacterial prostatitis is pathogenic microorganisms (viruses, bacteria, mushrooms).Very often, the source of inflammation is:
- E. coli;
- Streptococci;
- staphylococci;
- Proteo;
- Klebsiella;
- Pseudomonal stick;
- Pathogens of sexual transmission diseases (Chlamydia, Micoplasma, Gonococci, Trichomonas, Cytomegalovirus and others).
Most of the microorganisms are in the intestine, on the skin, but, entering the fabric of the prostate, cause an inflammatory process.As a rule, the cause of the disease is not a pathogen, but an association of different types of microbes.
The development of chronic prostatitis can cause the following factors:
- Concomitant diseases of the urinary system (cystitis, pyelonefrite);
- sedentary lifestyle ("sedentary" work);
- tendency to constipation;
- weakening of the body's defenses;
- injuries;
- hormonal imbalance;
- Alcohol and smoking abuse;
- random sexual intercourse;
- irregular sex life (long -term abstinence);
- interrupted sexual intercourse;
- irregular emptying of the bladder;
- dissatisfied sexual desire;
- chronic stress;
- hypothermia;
- The presence of dear teeth and other sources of chronic infection (for example chronic tonsillitis).
Symptoms of prostatitis
Acute prostatitis is a very insidious disease.It is quite difficult to "capture it", since, first, the process becomes very quickly chronic and, secondly, most patients prefer to "sink" acute prostatitis manifestations.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 proceeds in the background:
- 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, in the inguinal region and in the scrotum.
Even the painful and rapid urination is characteristic.Sometimes in the urine you can notice whitish purulent drain.
In addition, the patient can pay attention to the lack of night and morning erections, an erection of poor quality during intimacy and a strong shortening of sexual intercourse.
Symptoms typical of urination disorders appear: a weak flow of urine and frequent urgency, although the urine itself distinguishes a little.
In the future, in the absence of treatment, chronic prostatitis reaches apogeei: sexual function disorders appear.For example:
- insufficient erection or its absence;
- painful erections, due to which the patient escapes sexual intercourse;
- Canceled orgasm;
- short relationship;
- Pain of ejaculation.
Chronic abacteric prostatitis is 95% among the whole prostatitis, they mainly suffer from men aged 30.It is characterized by constant or periodic pains in the pelvis, in the prostate, in the scrotum, while in the laboratory analyzes there are no signs of inflammation.The causes of the disease are certainly not established.
Diagnostics
In the diagnosis of acute and chronic prostatitis, in addition to collecting complaints, aamnesis and patient examination, the following methods are used:
- General blood and urine test;
- Microscopic examination of the secret of the prostate and sow it on a nourishing medium to detect the pathogen (the secret is obtained after the massage of the fingers of the prostate gland through the rectum);
- cytological study of the urine;
- Ultrasound of the prostate and pelvic organs;
- Computerized tomography and nuclear magnetic resonance imaging (MRI);
- A strip from the urethra on the microflora.
The differential diagnosis aims to distinguish between prostatitis, prostate adenoma, prostate carcinoma, signs of stones in the prostate gland.
A complete list of diagnostic procedures and drugs for the treatment of prostatitis in the federal assistance standard since 2012.
Treatment of prostatitis
The same symptoms can be signs of various diseases and the disease may not occur according to the textbook.Don't try to be treated by yourself consulting a doctor.A surgeon-urologist leads to prostatitis.
The purpose of the ethitropic treatment aimed at eliminating 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 7-10 days, in the chronic-4-8 weeks process.
For the treatment of a bacterial infection, they are used:
- antibiotics (ciprofloxacin, levofloxacin, moxifloxacin);
- macrolids (erythromycin, clarithromycin);
- Doxicicline;
- Antibacterial drugs.
The antifungals (Diflucan, Fluconazole) are prescribed orally and in rectal candles.
In addition, other types of therapy are used:
- Anti -Allergic (above, Chiaritin, Dimedrol);
- anti -inflammatory (indometacin, diclofenac);
- Anesthetic (no-sha, analgin, shalgin).
They are also appointed:
- physiotherapy;
- medical gymnastics;
- Prostate massage.
The entire course of the treatment lasts 3-4 months.
Prevention
For the prevention of the disease, the following conditions must be observed:
- regular sex life;
- refusal of bad habits;
- maintain a healthy lifestyle (practice sports, walk in the fresh air);
- compliance with the diet;
- Regular visit to the urologist.