Prostatitis is a disease of the prostate gland (prostate), which develops through inflammatory changes in IT.According to statistics, the prevalence of the disease reaches 35-50% and is detected in men between the ages of 20 and 40.
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4 forms of prostatitis are differentiated:
- acute (bacterial);
- Chronic bacteria;
- Chronic not -bacterial;
- Asymptomatic chronic.
Acute prostatitis is very rare due to the rapid course of the inflammatory process and an immediate transition to the chronic stage (incorrect improvement).
Chronic non -bacterial prostatitis, otherwise it is referred to as chronic pelvic pain syndrome, can be inflammatory (with the presence of the urine and ejaculate of the high content of leukocytes) and not inflammatory nature.
Reasons
The cause of acute and chronic bacterial prostatitis is pathogenic microorganisms (viruses, bacteria, fungi).Most of the time is the source of inflammation:
- E. coli;
- Streptococci;
- Staphylococci;
- Proteus;
- Klebsiella;
- Pseudomonal stick;
- Disease pathogens sexually transmitted diseases (chlamydia, mycoplasms, gonococci, trichomonas, cytomegalovirus and others).
Most microorganisms are in the intestine, on the skin, but involve the tissue of the prostate, cause an inflammatory process.As a rule, the cause of the disease is not a pathogen, but an association of different types of microbes.
The development of chronic prostatitis can cause the following factors:
- Accompanying diseases of the urinary system (cystitis, pyelonephritis);
- sedentary lifestyle ("seated" work);
- Tendency towards constipation;
- Weakening of the defense of the body;
- Injuries;
- hormonal imbalance;
- Alcohol abuse and smoking;
- accidental sexual intercourse;
- irregular sex life (long -term abstinence);
- interrupted sexual intercourse;
- irregular emptying of the bladder;
- Dissatisfied sexual desire;
- Chronic loads;
- Settlement;
- The presence of carious teeth and other sources of chronic infections (e.g. chronic tonsillitis).
Symptoms of prostatitis
Acute prostatitis is a very insidious disease.It is quite difficult to "catch" it because the process initially becomes chronic very quickly, and secondly, most patients prefer manifestations of an acute prostatitis of the house.In advanced cases, patients with inflammation of the prostate are often addressed to the doctor with erectile dysfunction and other consequences.
The acute form of the disease is against the background:
- 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 groin area and in the scrotum.
Painful and fast urination is also characteristic.Sometimes you can notice the whitish drain in urine.
In addition, the patient can pay attention to the lack of night and morning erections, poor erection during intimacy and a sharp shortening of sexual intercourse.
Typical symptoms of urine disorders occur: a weak urine current and a frequent urge, although the urine itself stands out a little.
In the future, chronic prostatitis will reach Apogei in the absence of treatment: disorders of sexual function appear.For example:
- Inadequate erection or absence;
- Painful erection that the patient deprives sexual intercourse;
- Erlator orgasm;
- short traffic;
- Ejaculation pain.
Chronic abacterial prostatitis is 95%in all prostatitis, they mainly suffer from men who are about 30 years old.It is characterized by constant or periodic pain in the pelvis, prostate, in the scrotum, while there are no signs of inflammation in laboratory analyzes.The causes of the disease are definitely not determined.
Diagnosis
In the diagnosis of acute and chronic prostatitis, the following methods are used in addition to collecting symptoms, anamnesis and examination of the patient:
- General blood and urine test;
- Microscopic examination of the secret of the prostate and sowing on a nutrient medium to detect the pathogen (the secret is preserved through the rectum after the finger massage of the prostate gland);
- Cytological examination of urine;
- Ultrasound of the prostate and the pelvic organs;
- Computer tomography and nuclear magnetic resonance (MRI);
- A smear from the urethra on the microflora.
The differential diagnosis aims to distinguish between prostatitis, prostate -adenom, prostate cancer, signs of stones in the prostate gland.
A complete list of diagnostic procedures and medication for the treatment of prostatitis in the 2012 federal standard.
Treatment of prostatitis
The same symptoms can be signs of different diseases, and the disease cannot occur according to the textbook.Don't try to be treated as a doctor.A surgeon urologist leads to prostatitis.
The purpose of the etiotropic treatment that aims to remove the cause of prostatitis is to eliminate the pathogen.Depending on the identified cause, antibiotics, antiviral or antifungal medicines are prescribed.The duration of therapy for prostatitis is 7-10 days in the chronic process-4-8 weeks.
They are used to treat bacterial infection:
- Antibiotics (ciprofloxacin, levofloxacin, moxifloxacin);
- Macrolide (erythromycin, clarithromycin);
- Doxycycline;
- Antibacterial medication.
Antimycotic (diflucan, 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 (no-shpa, analgin, baralgin).
You are also appointed:
- Physiotherapy;
- Medical gymnastics;
- Prostate massage.
The entire course of treatment takes 3-4 months.
prevention
To prevent the disease, the following diseases must be observed:
- Regular sex life;
- Rejection of bad habits;
- Maintaining a healthy lifestyle (do sports, go in the fresh air);
- Compliance with the diet;
- Regular visit to the urologist.