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Prostatitis

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

prostatitis

The types of

The allocation of the 4 forms of prostatitis:

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

The acute prostatitis is very rare, because of the rapid course of the inflammatory process, and the immediate transition into the chronic phase of a (pseudo-enhancement).

Chronic non-bacterial prostatitis, otherwise, it is called chronic pelvic pain syndrome may be inflammatory (the presence in the urine and the ejaculate of a high content of white blood cells), and it is not inflammatory in nature.

For the reasons

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

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

The majority of the micro-organisms that are present in the intestines, on the skin, but to get into the prostate tissue, which can lead to inflammation of the joint. As a general rule, the cause of the disease is not a single pathogen, and the Association of several types of microbes.

The development of a chronic prostatitis can be triggered by the following factors:

  • the concomitant diseases of the urinary system (cystitis, pyelonephritis);
  • a sedentary lifestyle (sedentary work);
  • a tendency to constipation;
  • the weakening of the protective forces of the organism;
  • of the injury;
  • the hormonal imbalance;
  • the abuse of alcohol and Smoking;
  • promiscuity;
  • irregular sexual life, (long time of abstinence);
  • coitus interruptus;
  • improper emptying of the bladder;
  • unsatisfied sexual desire;
  • as chronic stress.
  • hypothermia;
  • the presence of a carious tooth, and from other sources of chronic infection (such as chronic tonsillitis).

The symptoms of prostatitis

Acute prostatitis is a very insidious disease. "So" is rather difficult, because, for the first time, the process can quickly become chronic, and in the second place, the majority of patients prefer to "wait out" the symptoms of acute prostatitis in the home. To the doctor patients with inflammation of the prostate gland is often, however, it is already in the more extreme cases of the disturbance of an erection, and other effects.

The acute form of the disease occurs in the background:

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

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

Characterized by painful and frequent urination. Sometimes, the urine, you may notice a whitish purulent discharge.

In addition to this, the patient can draw attention to the lack of night and morning erections, poor erections during sex and a sharp reduction of sexual intercourse.

Signs of chronic bacterial prostatitis may not be available or may emerge in the period of exacerbation. This phase is characterized by pain in the groin and in the lower part of the abdomen, often radiating to the sacrum, lower back, and testicles.

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

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

  • lack of erection, or, in his absence;
  • painful erection which the patient, in sexual activity;
  • effacement it;
  • short of having sex;
  • the pain of the shower.

The poor condition of the men, he gets tired quickly, we are constantly distracted, difficulty with going to sleep.

Chronic abacterial prostatitis, 95% of all prostatitis, it hurts them, mostly men of about 30 years of age. It is characterized by constant or periodic pain in the pelvic area, the prostate, the testes, whereas in the laboratory tests there are no signs of an infection. The cause of the disease is not known.

The diagnosis of

The diagnosis of both acute and chronic prostatitis, in addition to the collection of complaints, anamnesis and examination of the patient by the use of the following methods:

  • The general analysis of blood and urine;
  • microscopic examination of prostate secretion and the plant in the nutrient medium for the detection of a pathogen (the secret was obtained by finger massage of the prostate through the rectum);
  • cytological examination of the urine;
  • An ultrasound of the prostate gland and the pelvic organs;
  • computer tomography and nuclear-magnetic-resonance (MRI);
  • smear from a urethra on flora.

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

A full list of diagnostic procedures and drugs for the treatment of prostatitis in the standard of care within the year of 2012.

The treatment of prostatitis

The same symptoms can be signs of a variety of disorders and diseases may be encountered, not a textbook. Don't try to be a present for yourself — you should consult with your health care provider.

The treatment of prostatitis leads of the surgeon-urologist.

The purpose of etiotropic therapy for the eradication of the causes of prostatitis, is the elimination of the pathogen. Depending on the identified cause of antibiotic, antiviral, or antifungal medications. The duration of treatment in acute prostatitis is 7-10 days, and a chronic process, there is a 4-to 8-week period.

For the treatment of bacterial infections, which are

  • fluoride antibiotics hinolonovogo series (ciprofloxacin, levofloxacin, moxifloxacin);
  • macrolides (erythromycin, clarithromycin);
  • doxycycline;
  • anti-bacterial drugs.

Antifungal, are assigned to an oral, and rectal candles.

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

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

Called:

  • physiotherapy;
  • therapeutic exercises;
  • massage of the prostate gland.

The full course of treatment is 3-4 months old.

Complications

Does cure prostatitis dangerous complications of the following:

  • obstruction of the bladder with subsequent acute retention of the urine;
  • male infertility;
  • a recurring inflammation of the bladder;
  • an abscess of the prostate;
  • depression;
  • impotence;
  • BPH;
  • calculous prostatitis (a stone that is so debilitating the pain);

The announcement

The prognosis of acute prostatitis affordable, timely treatment leading to full recovery. The frequency of the exacerbations of chronic prostatitis reaches 50% or more, but with proper maintenance, one can achieve a durable remission.

The prevention of

For the prevention of the disease, they must comply with the following terms and conditions:

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