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Prostatitis

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

Prostatite

Type

4 forms of prostatitis can be distinguished:

  • acute (bacterium);
  • chronic bacterial;
  • chronic non -bacterium;
  • Asymptomatic chronic.

Acute prostatitis is very rare due to the rapid course of the inflammatory process and the immediate transition to the chronic stage (false improvement).

Chronic non -bacterial prostatitis, otherwise chronic pelvic pain, can be inflammatory (presence in urine and ejaculation of high content of leukocytes) and is not inflammatory.

Reasons

Acute and chronic bacterial prostatitis is caused by pathogenic microorganisms (viruses, bacteria, fungi).Most often the source of inflammation:

  • E. coli;
  • Streptococci;
  • Staphylococci;
  • Proteus;
  • Klebsiella;
  • Pseudomonal stick;
  • Pathogens of sexually transmitted diseases (chlamydia, mycoplasmas, gonococci, trichomonas, cytomegalovirus and others).

Most of the microorganisms are located in the intestine, on the skin, but entering the prostate tissue causes an inflammatory procedure.As a general rule, the cause of the disease is not a pathogen, but an association of several types of microbes.

The development of chronic prostatitis can provoke the following factors:

  • Simultaneous disease of the urinary system (cystitis, pyelonephritis);
  • sedentary lifestyle ("sitting" work);
  • tendency to constipation;
  • weakening of the body's defense;
  • injuries;
  • hormonal imbalance;
  • alcohol consumption and smoking;
  • random sexual relationship;
  • irregular sex life (long -term abstinence);
  • interrupted sexual intercourse;
  • irregular emptying of the bladder;
  • dissatisfied sexual desire;
  • chronic stress;
  • hypothermia;
  • Carious teeth and other sources of chronic infection (such as chronic mandate inflammation).

Symptoms of prostatitis

Acute prostatitis is a very misleading disease.It is quite difficult to "catch" it, because on the one hand the process becomes chronic very quickly, and secondly, most patients prefer manifestations of the acute prostatitis of the house.Patients with prostate inflammation are often referred to to the doctor in advanced cases with erection disorders and other consequences.

The acute form of the disease involves 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, the inguinal region and the scrotum.

Painful and rapid urination is also typical.Occasionally, you can notice the whitish, purulent discharge in your urine.

In addition, the patient may pay attention to the lack of night and morning erections, poor quality erection during intimacy and sharp shortening of sexual intercourse.

Typical symptoms of urinary disorders occur: weak urine flow and frequent urge, although the urine itself is slightly prominent.

In the future, in the absence of treatment, chronic prostatitis will reach apogei: sexual function disorders will appear.For example:

  • not sufficient erection or lack of it;
  • a painful erection that causes the patient to avoid sexual intercourse;
  • Deleted orgasm;
  • short intercourse;
  • The ejaculation is pain.

Chronic abacterial prostatitis is 95%, primarily about 30 -year -olds, among all prostatitis.This is characterized by constant or periodic pain in the pelvis, prostate, while laboratory analyzes have no signs of inflammation.The causes of the disease are definitely not determined.

Diagnosis

In addition to complaints, anaminesis and patient examination, the following methods are used in the diagnosis of acute and chronic prostatitis:

  • General blood and urine testing;
  • Microscopic examination of the prostate secret and nutrient media to detect the pathogen (the secret is obtained after the finger massage of the prostate gland);
  • Cytological examination of urine;
  • Ultrasound of prostate and pelvic organs;
  • Computer tomography and nuclear magnetic resonance (MRI);
  • Smear from the urethra on the microflora.

The purpose of differential diagnosis is to distinguish prostatitis, prostate adenoma, prostate cancer, and prostate stones.

A complete list of diagnostic procedures and drugs for treating prostatitis in the 2012 Federal Support Standard.

Treatment of prostatitis

The same symptoms may be signs of various diseases and the disease cannot occur according to the textbook.Don't try to treat your doctor for yourself.The surgeon-uroologist leads to prostatitis.

The aim of the ethiotropic treatment to eliminate the cause of prostatitis is to eliminate the pathogen.Depending on the cause identified, antibiotics, antiviral or antifungal drugs are prescribed.The duration of acute prostatitis is 7-10 days, chronic process-4-8 weeks.

They are used to treat bacterial infection:

  • antibiotics (ciprofloxacin, levofloxacin, moxifloxacin);
  • macrolides (erythromycin, clarithromycin);
  • doxycycline;
  • Antibacterial drugs.

Antifungal (diflucan, fluconazole) is prescribed oral and rectum candles.

In addition, other types of therapy are used:

  • anti -allergic (suprastin, claritin, dimedrol);
  • anti -inflammatory (indomethacin, diclofenak);
  • Anesthetic (No-shpa, analgin, Baralgin).

They also appoint:

  • physiotherapy;
  • medical gymnastics;
  • Prostate massage.

The full process of treatment takes 3-4 months.

Prevention

In order to prevent the disease, the following conditions should be observed:

  • Regular sex life;
  • rejection of bad habits;
  • maintaining a healthy lifestyle (sports, walking in the fresh air);
  • adherence to diet;
  • Regular visit to the urologist.