Prostatitis is an urological disease of the prostate gland, which is inflammatory.Middle and older men are the most affected by its occurrence.
Prostatitis is acute and chronic, but the chronic form of the disease is the most widespread.
Chronic prostatitis
Chronic prostatitis is an prolonged inflammatory disease of the prostate gland, causing dysfunctions in the work of the genitarine system of men.
The disease is developing gradually for several years (without expressing a lot of concern), so that men only see a doctor during an exacerbation, accompanied by significant deterioration in the general state.
Chronic prostatitis is divided into two forms: infectious and non -infectious.
The infectious form results from the introduction of infectious pathogens into the body.
The non -infectious form occurs with a violation of blood circulation in the pelvic organs and the stagnation of secrecy in prostate, which contributes to the inflammatory process.
Causes
There are various factors that can cause the appearance of chronic prostatitis.
The most important of them is:
- Violation of the rhythm of sexual activity.
- Interruption and tightening of sex.
- Incorrect and premature treatment of prostatitis.
- The presence of the pathology of pelvic organs.
- Infection of transmitted pathogens sexually transmitted.
- Inflammatory diseases of internal organs.
- Body hypothermia.
- Inactive lifestyle.
- Alcohol abuse and smoking.
- Nervous overwork.
- Excessive physical effort (including weight lifting)
- Wearing tight linen.
- Weakening the body's defenses.
Clinical manifestations
During the exacerbation period of chronic prostatitis, the presence of such symptoms is possible:
- The appearance of a feeling of discomfort and pain in the perineum, Lombo-Sacred department, scrotum.
- Violation of the urination process (frequent envy, slow or the flow of slow or intermittent urine)
- Reduce the quality of a man's sexual function (weak erection, lack of libido, premature orgasm, etc.)
- Net pain in the bottom of the abdomen.
- Unpleasant feelings after ejaculation.
Depending on its characteristics, chronic prostatitis is similar to other diseases of the genitorerinary system.To precisely determine the presence of an illness, an in -depth examination is necessary.
The consequences of the disease
Chronic prostatitis can lead to serious complications that lead to the development of new diseases.
With premature or unfinished treatment, it can occur:
- Cystitis and pyelonephritis-inflammatory and infectious process in the urinary system.
- Vésiculitis - Inflammation of seed bubbles (leading to infertility and inflammation of urogenital tracks)
- Orrchoepididimitis - Inflammation of the testicles and their appendages.
- Prostate abscess - the accumulation of pus in the fabrics of the prostatic gland (can lead to the formation of fistulas and the clogging of the excrement of the genitarinarine routes)
- Prostate sclerosis - The replacement of the glandular fabric of the prostate check, which leads to a decrease in the prostate size and the complete cessation of its operation (the only way to treat surgical intervention)
- Cysts and stones that appear in the prostate due to prolonged chronic inflammation (surgically removed);
- Sexual function disorder (up to infertility).
Diagnostic measures
The diagnosis is made using the following methods:
- Visual examination of the patient (examination of the genitals to identify the rashes and discharges of the urethra);
- Rectal examination (to determine the structure, consistency, pain and obtaining prostate secrecy);
- Bacteriological examination beyond the urethra;
- Laboratory examination of blood and urine tests.
- In some cases, an ultrasound examination (ultrasound or ultrasound) is prescribed to obtain a more precise diagnosis.
Depending on the change in the echogenicity of individual sites, the degree of inflammatory processes is evaluated, the echobile of chronic prostatitis is determined: an increase in the size of the diffuse prostate changes in its structure, the presence of pathological formations in the tissues.
The most clearly pronounced ultrasound characteristics are present during transrectal ultrasound.It is considered more informative and reliable than transabdominal.
Signs of chronic prostatitis on ultrasound:
- An increase in the volume of the prostate over 20 cm3.
- Change the structure of the fabric (it becomes heterogeneous)
- The presence of prostate pockets.
- The presence of fibrosis and calcifiating in the prostate.
Treatment of chronic prostatitis
The treatment of this disease is a process that takes time and prolonged and should take place strictly under the supervision of a doctor.
It is carried out by complex methods using drugs:
- Antibiotics of various groups, according to the testimony of the diagnosis.Take 10 to 14 days (depending on the severity of the disease).
- Anti-inflammatory tablets, rectal injections and suppositories reducing pain, reducing the inflammatory process;
- Immunomodulators to increase body protection forces and the positive effect on the functioning of cells.
- Alpha-blockers promoting the flow of urine, eliminating the spasms and tension of the bladder and urethra muscles.
In addition, it is recommended that prostate massage (to improve blood circulation and normalize the functioning of the prostate gland), the use of physiotherapeutic procedures (electrophoresis, laser and magnetic therapy).
With appropriate treatment, the patient must have complete remission (lack of symptoms of the disease for a long time).
Preventive measures
Prevention of prostate gland disease includes:
- Compliance with diet and alcohol consumption.
- Maintain normal body weight.
- Regular physical education and sports.
- Increased immunity.
- Reinforce the nervous system.
- Exclusion of the use of harmful dishes.
- Restriction on alcohol consumption and refusal of smoking.
- Introduction of regular sexual activity;
- Timely treatment of inflammatory and infectious diseases;
- Exclusion to wear tight underwear.
- Avoid hypothermia.
- Annual preventive exams with an urologist.
It should not be forgotten that chronic prostatitis is easier to prevent (observing certain rules) than for many years to suffer from an unpleasant disease.