Prostatitis is a urological disease of the prostate gland, which is inflammatory.Middle and elderly men are more affected by its appearance.
Prostatitis is acute and chronic, but the chronic form of the disease is more widespread.
Chronic prostatitis
Chronic prostatitis is a prolonged inflammatory disease of the prostate gland, leading to malfunctions in the work of the men's genitourinary system.
The disease develops gradually for several years (without bringing too much concern), so men see a doctor only during an irritation, accompanied by a significant deterioration in the general state.
Chronic prostatitis is divided into two forms: infectious and non -infectious.
The infectious form arises as a result of 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 the secret in the prostate, which contributes to the inflammatory process.
Causes
There are various factors that can provoke the appearance of chronic prostate.
The most important of them is:
- Violation of the pace of sexual activity.
- Termination and tightening of sexual intercourse.
- Incorrect and premature treatment of prostatitis.
- The presence of pelvic organs pathology.
- Infection of sexually transmitted transmitted pathogens.
- Inflammatory diseases of the internal organs.
- Hypothermia of the body.
- Inactive life of living.
- Alcohol abuse and smoking.
- Excessive nervous work.
- Excessive physical exercise (including weight lifting)
- Dressed in close linen.
- Weakening of the body's defenses.
Clinical manifestations
During the period of chronic prostate irritation, the presence of such symptoms is possible:
- The emergence of a feeling of disturbance and pain in the perineum, lumbosakral department, scrotum.
- Violation of the urination process (frequent stimulus, slow or permanent urine current)
- Reducing the quality of a man's sexual function (poor lift, lack of sex machine, premature orgasm, etc.)
- Sharp pain in the lower abdomen.
- Uncomfortable feelings after spilling.
According to its characteristics, chronic prostatitis is similar to other diseases of the genitourinary system.To accurately determine the presence of a disease, a thorough examination is necessary.
The consequences of the disease
Chronic prostatitis can lead to serious complications that lead to the development of new diseases.
With a premature or unfinished treatment, it can happen:
- Cystitis and pyelonephritis-inflammatory and infectious processes in the urinary system.
- Vesiculite - inflammation of the seed bubbles (leading to infertility and inflammation of the urogenital tract)
- Orchoepididimitis - inflammation of the testicles and their supplements.
- Prostate abscess - accumulation of pus in the prostate gland tissue (can lead to fistula formation and blockage of genitourinary tract feces)
- Prostate sclerosis - replacement of the glandular tissue of the prostate connector, which leads to a decrease in prostate size and complete interruption of its function (the only way to treat surgical intervention)
- Cysts and stones that appear in the prostate due to prolonged chronic inflammation (surgical removal);
- Sexual function disorder (up to infertility).
Diagnostic measures
Diagnosis is performed using the following methods:
- Visual examination of the patient (examination of the genitals to identify skin rashes and discharge from the urethra);
- Rectal examination (to determine structure, consistency, pain and prostate secretion);
- Bacteriological examination stains from the urethra;
- Laboratory examination of blood and urine tests.
- In some cases, an ultrasound examination (ultrasound or ecryography) is described to make a more accurate diagnosis.
According to the change of ecocogeneity of individual countries, the degree of inflammatory process is evaluated, the echocobillus of chronic prostatitis is determined: an increase in prostate size, diffuse changes in its structure, the presence of pathological formations in the tissues.
The most pronounced echographic characteristics are present during transchectal ultrasound.Is considered more informative and reliable than transabdominal.
Signs of chronic prostatitis in ultrasound:
- An increase in the volume of the prostate over 20 cm3.
- Change of fabric structure (becomes heterogeneous)
- The presence of prostate puffiness.
- The presence of fibrosis and calcificigators in the prostate.
Treatment of chronic prostatitis
Treating this disease is a time -consuming and prolonged process and should be strictly under the supervision of a physician.
It is performed by complex methods using medication:
- Antibiotics of different groups, depending on the evidence of the diagnosis.Take for 10-14 days (depending on the severity of the disease).
- Anti -inflammatory tablets, injections and rectal suppositories that reduce pain, reducing the inflammatory process;
- Immunomodulators to enhance the body's protective forces and the positive effect on cell function.
- Alpha-blockers that promote urine flow, removing spasm and tension of the bladder and urethra muscles.
Moreover, it is recommended that the prostate massage (improve blood circulation and normalize the functioning of the prostate gland), the use of physiotherapeutic procedures (electrophoresis, laser and magnetic therapy).
With proper treatment, the patient should have a complete pardon (lack of symptoms of the disease for a long period).
Preventive
Prevention of prostate gland disease includes:
- Compliance with the diet and the way of drinking.
- Maintaining normal body weight.
- Regular physical education and sports.
- Increasing immunity.
- Strengthening of the nervous system.
- Exemption from the use of harmful food.
- Limiting alcohol consumption and refusal of smoking.
- Presentation of regular sexual activity;
- Timely treatment of inflammatory and infectious diseases;
- Excluding coating of tight underwear.
- Avoiding hypothermia.
- Annual preventive exams with a urologist.
It should not be forgotten that chronic prostatitis is easier to prevent (observing some rules) than for many years to suffer from an unpleasant disease.