Prostatitis is a disease of the prostate (prostate) gland, which develops as a result of inflammatory changes in it.According to statistics, the prevalence of the disease reaches 35-50% and is detected in men from 20 to 40 years.
Guys
4 forms of prostatitis are distinguished:
- acute (bacterial);
- chronic bacterial;
- non -chronic bacterial;
- Chronic asymptomatic.
Acute prostatitis is very rare due to the rapid course of the inflammatory process and an immediate transition to the chronic stage (false improvement).
Chronic non -bacterial prostatitis, otherwise, is called chronic pelvic pain syndrome, can have inflammation (with the presence in urine and ejaculate 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).Very often, the source of inflammation is:
- E. coli;
- streptococci;
- staphylococci;
- Proteus;
- Klebsiella;
- Pseudomonal stick;
- Pathogens of sexually transmitted diseases (clamidia, mycoplasmas, gonococci, trichomonas, cytomegalovirus and others).
Most of the microorganisms are in the intestines, in the skin, but, when entering the prostate tissue, they cause an inflammatory process.As a general rule, the cause of the disease is not a pathogen, but an association of various 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");
- Trend to constipation;
- weakening of body defenses;
- wounds;
- hormonal imbalance;
- alcohol and smoking abuse;
- random sex;
- irregular sex life (long -term abstinence);
- interrupted sex;
- irregular empty of the bladder;
- dissatisfied sexual desire;
- chronic tension;
- hypothermia;
- The presence of carious teeth and other sources of chronic infection (for example, chronic tonsillitis).
Prostatitis symptoms
Acute prostatitis is a very insidious disease.It is quite difficult to "catch it", since, in the first place, the process becomes chronic and, secondly, most patients prefer to "sink" manifestations of acute house prostatitis.Patients with inflammation of the prostate often go to the doctor in advanced cases with erection disorders and other consequences.
The acute form of the disease proceeds in the background:
- fever;
- shivers;
- 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.
Painful and fast urine is also characteristic.Sometimes, in urine, you can notice the whitish purulent discharge.
In addition, the patient can pay attention to the lack of night and morning erections, an erection of poor quality during intimacy and acute shortening of sexual relations.
The typical symptoms of urinal disorders appear: a weak current of urine and frequent urgency, although urine itself stands out a bit.
In the future, in the absence of treatment, chronic prostatitis reaches the apogei: sexual function disorders appear.For example:
- insufficient erection or its absence;
- Painful erections, due to which the patient evades sexual relations;
- Erased orgasm;
- brief sexual relations;
- Ejaculation pain.
Chronic abacerial prostatitis is 95% among all prostatitis, they mainly suffer from men in about 30 years.It is characterized by constant or newspaper pains in the pelvis, the prostate, in the scrotum, while in laboratory analysis there are no signs of inflammation.The causes of the disease are definitely 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:
- General blood and urine test;
- Microscopic examination of the prostate secret and sowing it in a nutrient to detect the pathogen (the secret is obtained after the fingers of the prostate gland through the rectum);
- cytological urine study;
- Prostate ultrasound and pelvic organs;
- Computed tomography and nuclear magnetic resonance (MRI);
- A smear of the urethra in the microflora.
The differential diagnosis aims to distinguish between prostatitis, prostate adenoma, prostate cancer, signs of stones in the prostate gland.
A complete list of diagnostic procedures and medications for the treatment of prostatitis in the Federal Assistance Standard of 2012.
Prostatitis treatment
The same symptoms can be signs of various diseases, and the disease may not occur according to the textbook.Do not try to be treated with a consultant doctor.A surgeon-urologist leads to prostatitis.
The purpose of ethiotropic treatment aimed at eliminating the cause of prostatitis is to eliminate pathogen.Depending on the identified cause, antibiotics, antiviral or antimicotic drugs are prescribed.The duration of acute prostatitis therapy is 7-10 days, in the chronic process-4-8 weeks.
For the treatment of a bacterial infection, they are used:
- antibiotics (cyprophloxacin, levofloxacin, moxifloxacin);
- macrolides (erythromycin, clarithromycin);
- doxycycline;
- Antibacterial medications.
Antifungal (difflucan, fluconazole) are prescribed orally and in rectal candles.
In addition, other types of therapy are used:
- anti -allergic (suprastin, claritin, Dimedrol);
- anti -inflammatory (indomethacin, diclofenac);
- Anesthetic (without shpa, analgin, Baralgin).
They are also named:
- physiotherapy;
- Medical Gymnastics;
- Prostate massage.
The entire treatment course has been 3-4 months.
Prevention
For disease prevention, the following conditions must be observed:
- regular sex life;
- rejection of bad habits;
- maintain a healthy lifestyle (practice sports, walk in fresh air);
- diet compliance;
- Regular visit to the urologist.