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Prostatitis

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

prostatitis

The types of

Distinguished 4 forms of prostatitis:

  • the cutting edge (bacterial);
  • chronic bacterial;
  • chronic non-bacterial;
  • asymptomatic chronic.

Acute prostatitis is very rare because of the rapid flow of the inflammatory process and the immediate transfer in the chronic phase (fake improvement).

Chronic prostatitis non-bacterial, otherwise the call syndrome of chronic pelvic pain can be inflammatory (with the presence in the urine and the seminal fluid with high content of white blood cells) and non-inflammatory in nature.

Causes

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

  • and. coli;
  • streptococci;
  • staphylococci;
  • proteus;
  • klebsiella;
  • pseudomonas aeruginosa;
  • the causative agents of sexually transmitted diseases (chlamydia, mycoplasma, gonorrhea, trichomonas, cytomegalovirus, and others).

Most of the microorganisms found in the gut, on the skin in the beings, but to enter the prostate tissue, initiating an inflammatory process. Usually, the cause of the disease is not a pathogen, and the association of more types of microbes.

The development of chronic prostatitis can cause the following factors:

  • concomitant diseases of the urinary system (cystitis, pyelonephritis);
  • sedentary life-style ("sit-in" work);
  • the tendency to constipation;
  • weaken the body's defenses;
  • injury;
  • hormonal imbalance;
  • the abuse of alcohol and smoking;
  • promiscuity;
  • transient sex life (long abstinence);
  • coitus interruptus;
  • irregular emptying of the bladder;
  • unsatisfied sexual desire;
  • chronic stress;
  • hypothermia;
  • the presence of caries of the teeth and other sources of chronic infection (eg, chronic tonsillitis).

The symptoms of prostatitis

Acute prostatitis - a very insidious disease. "Capture" its quite difficult, as, in the first place, the process is very fast it becomes chronic, and in the second place, the majority of patients prefer to "feel" the manifestation of acute prostatitis the house. To the doctor patients with inflammation of the prostate often turn already running cases with disorders of erection and other consequences.

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

  • an increase of the temperature;
  • 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 groin area and the scrotum.

Characteristic also painful and frequent urination. Sometimes in the urine, you may notice a whitish purulent secretion.

In addition, the patient can draw attention to the lack of local and erections, morning, poor quality of erection during the intimacy, and a drastic shortening of sexual intercourse.

Signs of chronic bacterial prostatitis may fail ever to appear in the periods of exacerbation. For this phase characterized by pain in the groin and the lower abdomen, often radiating in the sacrum, lower back and scrotum.

Appear the symptoms of disorders of urination: weak urine stream and frequent stimuli, even if urine stands for a while.

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

  • the lack of erection or its absence;
  • painful erection, which the patient avoids sexual acts;
  • effacement orgasm;
  • short of the sexual act;
  • the pain of the ejaculation.

Leaves much to be desired, and the general condition of a man: he gets tired quickly, constantly annoyed, she sleeps badly.

Chronic abacterial prostatitis is 95% among all prostatitis, suffer mostly men of about 30 years. It is characterized by persistent or recurrent pain in the pelvic area, prostate, scrotum, while in the analysis laboratory shows no signs of inflammation. The causes of the disease is not exactly appropriate.

Diagnostics

When the diagnosis of acute and chronic prostatitis, as well as collecting complaints, anamnesis and examination of the patient using the following methods:

  • common analysis of blood and urine;
  • the microscopic examination is the secret of the prostate and sowing on fertile ground to identify the causative agent (secret obtained after the finger massaging the prostate through the rectum);
  • cytological examination of the urine;
  • ULTRASOUND of the prostate and pelvic;
  • computerized tomography and nuclear magnetic resonance (RM);
  • urethral swab on the microflora.

Differential diagnosis aims to the delineation of a prostatitis, prostate adenoma, prostate cancer, signs of stones in the prostate gland.

The full list of diagnostic procedures and drugs for the treatment of prostatitis the Federal rule, help from 2012.

The treatment of prostatitis

The same symptoms can be signs of different diseases, and the disease may flow not from the manual. Do not try to heal yourself — see your doctor.

The treatment of prostatitis leads surgeon-urologist.

The goal of causal treatment, aimed to eliminate the causes of prostatitis, is the elimination of the pathogen. Depending on the identified causes are assigned to antibiotics, antiviral or anti-fungal medications. The duration of treatment acute prostatitis is of 7-10 days, in the chronic process - 4-8 weeks.

For the treatment of bacterial infections are used:

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

Anti-fungal are awarded for oral and rectal candlelight.

In addition to this, they are used other types of therapy:

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

Also awarded:

  • physiotherapy;
  • gymnastics therapeutic;
  • massage to the prostate.

The whole treatment cycle lasts 3-4 months.

Complications

Untreated prostatitis dangerous following complications:

  • bladder outlet obstruction resulting in acute urinary retention;
  • infertility;
  • recurrent inflammation of the bladder;
  • abscess of the prostate;
  • depression;
  • impotence;
  • adenoma of the prostate;
  • calculous prostatitis (stone similar with debilitating pain);

Forecast

Forecast acute prostatitis favorable, early treatment leads to complete healing. The frequency of exacerbations in the case of chronic prostatitis, and up to 50% and beyond, but with a corresponding support treatment, it is possible to obtain the support of remission.

Prevention

For the prevention of the disease, it is necessary to respect the following conditions:

  • regular sexual life with the partner's usual;
  • abandon the bad habits;
  • to maintain a healthy life style (sports activities, walks in the open air);
  • respect of a diet;
  • a regular visit to the urologist.