Prostatitis is inflammation of the prostate gland.
It occurs more often in men aged 25-50 years and older.The pain and false urination, as well as the general sense of malaise, are the main symptoms.Often the disease is accompanied by fever and chills.
Depending on the cause of the occurrence, the bacterial and abacterial form of the disease is released.Abacterial prostatitis with a share of 90% is the most common inflammation of the prostate.According to estimates, about 50% of all men are faced with this problem, at least once in a life.
The main reasons for development:
- E. coli;
- sexually transmitted infections, including gonorrhea, chlamydia;
- disorder of the nervous system;
- Reducing the protective functions of the body.
Presumably, the risk of developing the disease increases with chronic intoxications of the body with alcohol, morphine and nicotine.Studies conducted in the field of modern andrology argue that among predisposing factors there are crotch injuries, for example, cyclists and motorcyclists.The listed circumstances contribute to the exacerbation of latent inflammation in the tissues of the organ.
The decisive importance in the development of pathology is assigned to stagnant phenomena in the tissues.In case of violation of capillary blood flow, swelling and exudation of tissues occur, which is fraught with the creation of acceptable conditions for the occurrence of an infectious process.
The structure and functions of the prostate gland
The prostate is the male genital organ, which is located below the bladder.The protruding gland the size of a chestnut weighs 20 grams and surrounds the urethra and two ejaculation canals.They direct the secret of testicles, appendages and seed bubbles in the urethra during ejaculation.
The protruding gland produces the so -called secret, which is also part of the seed fluid (ejaculate).It stands out in the urethra when sperm effort and supports its transportation.About 70% of ejaculated fluid during orgasm is produced by a prostate.The liquid is an alkaline secretion that mixes and also protects sperm from the acidic vaginal medium, increases their mobility and facilitates their flow into the egg.Due to the anatomical location of the prostate, the disease often causes symptoms such as painful urination.
Types of prostatitis
With a bacterial lesion of the prostate, two forms of current are distinguished:
- Sharp.Inflammation is caused by bacteria that rise through the urethra and colonize the prostate.These are Escherichia coli bacteria that live in the intestines.Other pathogens include enterobacteria and mycobacteria.Inflammation provoked by bacteria is about 10% of cases.
- Chronic.A non -cured bacterial infection can develop into a chronic one.This is the case when complaints last more than 3 months.
Chronic prostatitis is diagnosed mainly in the elderly.In the absence of timely therapy, infertility develops in approximately 40% of cases.This is due to the fact that the body no longer develops a sufficient amount of secret, which provides sperm mobility.
Table - types and symptoms of prostatitis in men
| Name | Peculiarities | Symptoms |
| Abacterial | The basis of the emptying is based.Urina enters the ducts, as a result of which metabolic products (uric acid, purine and pyrimidin bases) are deposited in its tissue, which leads to inflammation and formation of stones. |
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| Catarrhal | Inflammation is localized in separate fractions of the gland, which leads to a change in the structure of the submucosal layer and mucous membrane of the introductory ducts.In follicles, stagnant phenomena arise, which is fraught with further progression of the disease. |
|
| Folicular | It is accompanied by moderate hyperthermia or typical subfebrilet.Focal suppuration of all damaged areas occurs. |
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| Parenchymal | Multiple lesions are present.Most of the parenchyma, interstitial tissue are involved in the pathological process.With the accumulation of multiple abscesses, an abscess is formed. |
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Inflammation can also occur without symptoms.It is found within the framework of a preventive examination in the content of an increased number of leukocytes in sperm.
Features of the current
Prostatitis has several stages of development, each of which is characterized by certain symptoms:
- Stage I.It is characterized by the appearance of the inflammatory process and the enhanced functioning of the prostate.The general condition remains normal, with the exception of the appearance of the clinical picture of the disease.The first stage lasts for 1-3 years.At this stage, a complete cure is possible with the help of medicines.
- Stage II.Symptoms subside.After some time, a violation of erection and irritability arises.In sexual intercourse, there may be no ejaculation.There is weakness and pain in the perineum.It is accompanied by a violation of the structure of the organ, which is fraught with impaired blood supply.Therapy is carried out using antibiotics, immunomodulators and physiotherapy.
- Stage III.The last stage in the development of the disease, which is accompanied by necrosis of tissues.Scars appear on it, which begin to press on the internal organs.The iron is wrinkled and deformed, which is fraught with dysfunctions of the genitourinary system.There is acute pain during urination and signs of radiculitis are enhanced.The patient should be under constant medical control.
In advanced cases, the disease is completely removed.Therefore, do not launch diseases.It is better to consult a doctor when the first symptoms appear, which can be adjusted to medication.
Symptoms of prostatitis
Manifestations are the same for all types of disease, with the exception of fever, which is present only with bacterial origin. The signs of prostatitis are conditionally divided into 2 groups:
- from the uric vegetable apparatus - painful and frequent urination, pain in the lower abdomen, a sense of incomplete emptying;
- On the part of sexual function - loss of orgasm, premature ejaculation, weak erection, pain in the rectum.
There is also increased nervousness and anxiety caused by concentration of attention on its state.This may be accompanied by a change in character, grudge and irritability.
Possible complications
The absence of timely diagnosis and treatment leads to the following complications:
- Urine delay.The patient is not able to independently empty the bladder, which is accompanied by intense pain.There are cases of gap.In order to avoid complications, urine is excreted through a catheter.
- Abscess.Pus accumulates, which is accompanied by high body temperature, chills and severe pain in the perineum.Antibiotics with a high dose and surgical intervention are needed.
- Blood infection (Urosepsis).Bacteria penetrate the bloodstream and spread throughout the body.
If the disease proceeds chronically and without adequate drug correction, a man can become fruitless.Only effective therapy helps to get rid of such complications.
Diagnosis
If the first signs and symptoms of prostatitis appear, you must consult a doctor who will establish a diagnosis and prescribe an appropriate therapy scheme.
The main stages of diagnosis:
- history of anamnesis (studies of symptoms);
- palpation of inguinal lymph nodes;
- Urethra smear;
- transrectal ultrasound;
- laboratory blood test;
- A samples of sperm and urine samples to identify the possible type of pathogenic microorganisms.
Based on the results obtained, therapy is prescribed.In advanced cases, surgical intervention can not do without.Among the main indications for surgical intervention, an abscess, paraproctitis and an acute delay in urine should be distinguished.
Treatment of prostatitis
The conservative therapy scheme is prescribed only after determining the pathogen.Self -medication in this case is unacceptable, because it can lead to irreversible health consequences.
The most effective drugs for prostatitis:
- No. 1 - Creeping palm fruit extract.
The phytopreparation is prescribed for the lesion of the prostate.Designed on the basis of the freedom fruits extract.It does not cause hormonal imbalance and does not affect the hypothalamic-pituitary system.
- No. 2 - AminodiDihroftalazindion sodium.
The anti-inflammatory, immunomodulating drug regulates the functional-metabolic activity of the cellular structures of adaptive and congenital immunity.Suppositories are prescribed in complex therapy for adults and children from 12 years old and older.Effectively copes with the manifestations of the inflammatory process, reducing the symptoms of the disease.
- No. 3 - Prostate.
The drug is widely used in urological diseases.This is the most effective treatment for chronic prostatitis.Moderately reduces the size of the prostate gland, improving the processes of urine.Available in the form of tablets and rectal suppositories.
- No. 4 - Passage prostate the form of suppositories and intramuscular injections.
Designed to stop signs of prostatitis and treatment of the disease in men.The drug of animal origin relieves swelling of the gland, restores secretory functions, stimulating muscle tone.
- No. 5 - nitrofurantin.
Antibacterial tablets have an antimicrobial effect.Quickly eliminates inflammation, eliminating genitourinary infections.
- No. 6 - Tsiprofloxacin.
Belongs to the group of fluoroquinolons.Effectively copes with complicated and uncomplicated forms of the disease.Helps to eliminate existing violations.
- No. 7 - Azoximer Bromide.
Immunostimulating agent based on the Azoximer Bromide.Relieves inflammation and has an antioxidant and detoxifying effect.Increases the body's resistance to various kinds of infections.Available in the form of a solution for injection.
- No. 8 –cephym.
It has a wide spectrum of action, inhibiting the cell membrane of the pathogen.Contains the character.Used in complex therapy.
- No. 9– Josamycin.
A macroline antibiotic based on the propionate josamycin.It has a bacteriostatic effect by inhibiting the synthesis of protein bacteria.It is produced in the form of granules for the preparation of a suspension and tablets.
- No. 10– doxycycline.
The antibiotic of the macrolide group has high activity in relation to intracellular microorganisms.It is prescribed for mixed infections of the genitals and urinary tract.
To increase the effectiveness of drugs, gland massage is indicated.The procedure has a comprehensive action - squeezes out the accumulated secret into the ducts to remove from the body.
Prevention of prostatitis
To exclude the development of the disease, it is recommended to avoid hypothermia, observe a diet and conduct regular sex life.It is also important to exclude sexually transmitted diseases.
A favorable forecast depends on several factors:
- timely diagnosis;
- trigger factor;
- form of the disease;
- age;
- The general condition of the patient.
With timely detection and adequate treatment, the prognosis is always positive.Otherwise, consequences such as chronic inflammation and other complications may occur.You should visit the urologist at least once a year.With relapse of prostatitis, preventive visits to the doctor are recommended every 6 months.