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Prostatitis

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

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4 forms of prostatitis are distinguished:

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

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

Chronic non -bacterial prostatitis, otherwise it is called chronic pelvic pain syndrome, can have inflammatory (with the presence in the urine and ejaculate of the high content of leukocytes) and not of an inflammatory nature.

Reasons

The cause of acute and chronic bacterial prostatitis is pathogenic microorganisms (viruses, bacteria, fungi).Most often, the source of inflammation is:

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

Most microorganisms are in the intestines, on the skin, but, entering the fabric of the prostate, they cause an inflammatory process.As a rule, the cause of the disease is not a pathogen, but an association of several types of microbes.

The development of chronic prostatitis can cause the following factors:

  • Concomitant diseases of the urinary system (cystitis, pyelonephritis);
  • Sedentary lifestyle ("sedentary" work);
  • tendency to constipation;
  • weaken body defenses;
  • injuries;
  • hormonal imbalance;
  • alcohol abuse and smoking;
  • random sex;
  • irregular sex life (long -term abstinence);
  • interrupted sex;
  • irregular emptying of the bladder;
  • dissatisfied sexual desire;
  • chronic stress;
  • hypothermia;
  • The presence of carriers and other sources of chronic infection (for example, chronic amygdalite).

Prostatitis symptoms

Acute prostatitis is a very insidious disease.It is quite difficult to "grasp" it because, first of all, the process very quickly becomes chronic, and secondly, most patients prefer to "flow" the manifestations of the acute prostatitis of the house.Patients with prostate inflammation are often addressed to the doctor in advanced cases with erection disorders and other consequences.

The acute form of the disease takes place in the context:

  • fever;
  • chills;
  • Other signs of poisoning (weakness, lethargy, loss of appetite, etc.).

The inflammation of the prostate gland is accompanied by pain in the perineum, in the inguinal region and in the scrotum.

A painful and fast urination is also characteristic.Sometimes, in the urine, you can notice a whitish purulent discharge.

In addition, the patient can pay attention to the lack of nocturnal and morning erections, a poor quality erection during intimacy and a net shortening of sexual intercourse.

The typical symptoms of urination disorders appear: a low urine flow and a frequent desire, although the urine itself stands out a little.

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

  • insufficient erection or its absence;
  • painful erections, due to which the patient escapes sex;
  • Erased orgasm;
  • short sex;
  • Ejaculation pain.

Chronic abacterial prostatitis is 95% among all prostatitis, they suffer mainly from men of around 30 years.It is characterized by constant or periodic pain in the basin, prostate, in scrotum, while in laboratory analyzes, there is no sign of inflammation.The causes of the disease are certainly not established.

Diagnosis

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

  • Test of blood and general urine;
  • Microscopic examination of the secret of the prostate and sow it on a nutritive environment to detect the pathogen (the secret is obtained after massage of the prostate gland through the rectum);
  • Cytological study of urine;
  • Ultrasound of prostate and pelvic organs;
  • Tomodensitometry and nuclear magnetic resonance (MRI);
  • A smear of the urethra on the microflora.

The differential diagnosis aims to distinguish prostatitis, prostate adenoma, prostate cancer, stones in the prostate gland.

A complete list of diagnostic procedures and drugs for the treatment of prostatitis in the 2012 federal assistance standard.

Prostatitic treatment

The same symptoms can be signs of various diseases and the disease may not occur depending on the manual.Do not try to be treated yourself, against a doctor.A surgeon-assurologist leads to prostatitis.

The purpose of etiotropic treatment aimed at eliminating the cause of prostatitis is to eliminate the pathogen.Depending on the cause identified, antibiotics, antiviral or antifungal drugs are prescribed.The duration of treatment for acute prostatitis is 7 to 10 days, in the chronic process-4-8 weeks.

For the treatment of a bacterial infection, they are used:

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

Antifungal (diflucan, fluconazole) are prescribed orally and in rectal candles.

In addition, other types of therapy are used:

  • Anti-allergic (suprastin, claritin, dimdrol);
  • Anti-inflammatory (Indomethacin, Diclofenac);
  • Anesthetic (No-SHPA, Analgin, Baralgin).

They are also named:

  • physiotherapy;
  • Medical gymnastics;
  • Prostate massage.

The entire treatment takes 3 to 4 months.

Prevention

For the prevention of the disease, the following conditions must be observed:

  • regular sex life;
  • rejection of bad habits;
  • Maintain a healthy lifestyle (playing sports, walking in fresh air);
  • Food for diet;
  • Regular visit to the urologist.