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Prostatitis

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

prostatitis

Type

Share 4 forms of prostatitis:

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

Acute prostatitis is rare, because of the rapid course of the inflammatory process and the immediate transition to the chronic stage (pseudo improvement).

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

Reasons

Cause of acute and chronic bacterial prostatitis are pathogenic micro-organisms (viruses, bacteria, fungi). The most common source of inflammation are:

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

Most micro-organisms, which are located in the gut, on the skin, but getting into the prostate tissue, they cause inflammation. As a rule, the cause of the disease is not a single pathogen, and the association of several types of microbes.

The development of chronic prostate inflammation can be triggered by the following factors:

  • other diseases of the urinary tract (cystitis, pyelonephritis);
  • lack of exercise (sedentary work);
  • prone to constipation;
  • the weakening of the protective forces of the organism;
  • injury;
  • hormonal imbalance;
  • alcohol abuse and Smoking;
  • free;
  • irregular sexual life (long abstinence);
  • coitus interruptus;
  • irregular emptying of the bladder;
  • dissatisfied with the sexual desire;
  • chronic stress;
  • hypothermia;
  • the presence of carious teeth and other sources of chronic infection (eg, chronic tonsillitis).

The symptoms of prostatitis

Acute prostatitis is a very insidious disease. "Catch" it quite difficult, because, first of all, the process quickly becomes chronic, and secondly, most patients want to "wait out" the symptoms of acute prostatitis at home. Medical patients who have inflammation of the prostate often turn to already have developed cases of disorders of an erection and other consequences.

The acute form of the disease occurs in the background:

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

Inflammation of the prostate gland accompanied by pain in the perineum, the groin and the scrotum.

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

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

Signs of chronic bacterial prostatitis may not be available or appear during periods of exacerbation. This stage is characterized by pain in the groin and lower abdomen, often radiating to the sacrum, lower back and scrotum.

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

Further, since the treatment of chronic prostatitis reaches its peak: here are the disorders of the sexual function. For example:

  • insufficient erection or its absence;
  • painful erection, in which the patient to avoid sexual intercourse;
  • effacement orgasm;
  • short of sexual intercourse;
  • tenderness ejaculation.

Poor Common men: he gets tired quickly, constantly irritated, trouble sleeping.

Chronic abacterial prostatitis is 95% of all prostatitis, hurt them, mostly men of about 30 years. It is characterized by constant or intermittent pain in the pelvic area, prostate, scrotum, although laboratory experiments no signs of inflammation. The cause of the disease is uncertain.

Diagnosis

Diagnosis of acute and chronic prostatitis in addition, to collect complaints, anamnesis and examination of the patient using the following methods:

  • The general analysis of blood and urine;
  • microscopic examination of prostate secretion and planting it nutritional platform to identify the pathogen (the secret is obtained after the finger massaging the prostate through the rectum);
  • cytological study of urine;
  • Ultrasound of the prostate and the pelvic organs;
  • computed tomography and magnetic resonance imaging (MRI);
  • a smear from the urethra of flora.

Differential diagnosis the purpose is limited to prostatitis, BPH, prostate cancer, signs of stones in the prostate gland.

A complete list of the diagnostic methods and medicines for the treatment of prostatitis of the Federal standards of care 2012.

Treatment of prostatitis

The same symptoms can be signs of various diseases, and the disease can occur, not a textbook. Do not try to treat yourself — contact your doctor.

Treatment of prostatitis lead to the surgeon-urologist.

The purpose of etiotropic treatment aimed at removing the causes of prostatitis, is to remove the pathogen. Depending on the identified cause antibiotics, antiviral or antifungal medications. Duration of treatment acute prostatitis is 7-10 days, chronic process is 4-8 weeks.

For the treatment of bacterial infections is used for:

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

The antifungal is administered orally and rectal candles.

In addition, there are other kinds of treatment:

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

Appointed:

  • physical therapy;
  • therapeutic exercises;
  • massage of the prostate gland.

Throughout the course of treatment is 3-4 months.

Complications

Not cured of prostatitis dangerous complications of the following:

  • blockage of the bladder subsequent acute urinary retention;
  • infertility;
  • repeated inflammation of the bladder;
  • abscess of the prostate;
  • depression;
  • impotence;
  • BPH;
  • calculous prostatitis (stone is such a debilitating pain);

Forecast

The prognosis of acute prostatitis favorable, timely treatment leads to full recovery. The frequency of exacerbations of chronic prostatitis to achieve 50% and above, but with proper maintenance, the treatment can be to achieve long-term remission.

Prevention

The prevention of disease must meet the following conditions:

  • a regular sex life with a constant companion;
  • avoiding harmful habits;
  • maintain a healthy lifestyle (exercise, fresh air);
  • diet;
  • regular visits to the urologist.