ProstEro The official website
Share this

Prostatitis

Prostatitis is a disease of the prostate gland (prostate), which in consequence of the inflammatory changes in it. According to the statistics, the prevalence of the disease reaches 35-50%, and showed, in men aged 20-40 years.

Prostatitis

Types

Allocate 4 forms of Prostatitis:

  • acute (bacterial);
  • chronic bacterial;
  • chronic non-bacterial;
  • asimptomaticheskiy the chronic.

Acute Prostatitis is improve very rarely due to the rapid flow of the inflammatory process and the instant of transition into the chronic Phase (Pseudo -).

Chronic non-bacterial Prostatitis, different call-pain syndrome chronic pelvic, can be an inflammatory (with the presence in the urine and ejaculate high content of white blood cells) and non-inflammatory in nature.

Causes

Cause of acute and chronic bacterial Prostatitis pathogens (viruses, bacteria, fungi) are. Often a source of inflammation are:

  • Escherichia coli;
  • Streptococci;
  • Staph;
  • Proteus;
  • Klebsiella;
  • Pseudomonas aeruginosa;
  • Pathogens, sexually transmitted infections (chlamydia, Mycoplasma, gonococcus, Trichomonas, cytomegalovirus, and others).

The largest part of the micro-organisms located in the gut, on the skin layers, but the entry into the tissue of the prostate, they cause an inflammatory process. In General, the cause of the disease is not the only pathogen, and the Association of several types of germs.

The development of chronic Prostatitis, the following factors can trigger:

  • concomitant diseases of the urinary tract (cystitis, Pyelonephritis);
  • Lack of exercise ("sedentary" work);
  • a tendency to constipation;
  • the weakening of the body's defenses;
  • Injuries;
  • Hormonal disorders;
  • Alcohol abuse and Smoking;
  • Promiscuity;
  • irregular sexual life (long abstinence);
  • Coitus interruptus;
  • irregular emptying of the bladder;
  • unsatisfied sexual desire;
  • chronic Stress;
  • Under cooling;
  • the presence of carious teeth, and other sources of chronic infection (e.g. chronic tonsillitis).

The symptoms of Prostatitis

Acute Prostatitis is a very insidious disease. "Catch," it is hard enough as it is, because, first, the process is very quickly becomes chronic, and secondly, most of the patients prefer the "leather" symptoms of acute Prostatitis at home. To the doctor patients with inflammation of the prostate often already in advanced cases with disorders of erection, and others to follow.

The acute Form of the disease is on the background:

  • an elevated temperature;
  • oznoba;
  • other signs of intoxication (weakness, lethargy, loss of appetite, etc.).

Inflammation of the prostate gland, accompanied by pain in the Perineum, in the inguinal area into the scrotum.

Also typical is a painful and frequent urination. Sometimes in the urine purulent discharge noted to be whitish.

In addition, the Patient may.attention to the lack of nocturnal and morning erections, poor erections during intimacy and a drastic reduction in sexual intercourse

Signs of chronic bacterial Prostatitis may be missing or appear in periods of exacerbation. This Phase is characterized by pain in the groin and in the abdomen, they are often.radiating to the sacrum, the lower back and scrotum

The typical symptoms of the disorders in the water appear: weak urinary stream and frequent urge to urinate, although the secreted a little bit of urine.

In the future, if untreated, chronic Prostatitis reaches the climax: the disorders of the sexual function. For Example:

  • lack of erection or their absence;
  • painful erections, due to which the Patient deviates from sexual actions;
  • Wear Orgasm;
  • a short sexual intercourse;
  • Tenderness Ejaculation.

Leaves much to be desired, and the General condition of the man: he gets tired quickly, constantly annoyed, sleeps poorly.

Chronic abakterialniy Prostatitis is 95% of all prostate cancer are diagnosed mainly in men about 30 years old. It is characterized by constant or periodic pain in the area of the small pelvis, the prostate, the scrotum, the analyses in the laboratory, no signs of inflammation. The causes of the disease are less well known.

Diagnosis

In the diagnosis of acute and chronic Prostatitis, in addition to the collection of complaints, anamnesis and examination of the patient is based on the following techniques:

  • the General analysis of blood and urine;
  • to identify the microscopic research of a secret of a prostate and seed the breeding ground for pathogens (the secret of after paltsevogo massaging the prostate through the rectum);
  • cytological examination of the urine;
  • Uzi of the prostate and the organs of the small pelvis;
  • Computed tomography and nuclear magnetic resonance (MRI);
  • Smear from the urethra at the microbial flora.

Differential diagnosis aims at the delimitation of the Prostatitis, the adenoma of the prostate, prostate cancer, symptoms of stones in the prostate.

Full list of diagnostic procedures and drugs for the treatment of Prostatitis for Federal assistance standard from 2012.

The treatment of Prostatitis

The same symptoms may be signs of various diseases, and the disease may not go according to the textbook. Try not to be self-treated — talk to your doctor.

The treatment of Prostatitis, the surgeon-urologist performs.

Purpose etiotropic treatment aimed at eliminating the cause of the Prostatitis, is the elimination of the pathogen. Depending on the identified causes, antibiotics, antiviral or antifungal medications. The duration of therapy in the acute Prostatitis is 7-10 days, in the case of chronic process - 4-8 weeks.

For the treatment of bacterial infections:

  • Antibiotics fluorine-hinolonovogo series (ciprofloxacin, Levofloxacin, Moxifloxacin);
  • Macrolides (erythromycin, Clarithromycin);
  • Doxycycline;
  • Anti-infectives.

Antifungal agents appointed oral and rectal suppositories.

In addition, other forms of therapy are:

  • Anti-allergic;
  • anti-inflammatory;
  • analgesic.

To be appointed:

  • Physiotherapy;
  • Remedial gymnastics;
  • the Massage of the prostate.

The entire course of treatment lasts 3-4 months.

Complications

Not Prostatitis cured dangerous for the following complications:

  • Obstruction of the urinary bladder with subsequent acute urinary retention;
  • Infertility;
  • recurrent inflammation of the urinary bladder;
  • an abscess of the prostate;
  • Depression;
  • Impotence;
  • Adenoma of the prostate;
  • calculous Prostatitis (stone with similar debilitating pain);

Prediction

The prognosis in acute Prostatitis-effective, timely treatment leads to a full recovery. The frequency of exacerbations in chronic Prostatitis reaches 50% and higher, but with the appropriate support of the treatment, possible, a stable Remission.

Prevention

For the prevention of diseases, the following conditions must be met:

  • a regular sexual life with a fixed number of partners;
  • The avoidance of harmful habits;
  • Maintaining a healthy way of life (sports, walks in the fresh air);
  • compliance with the diet;
  • the regular visit to the urologist.