Prostatitis is the inflammation of the prostate gland.
It occurs more often in men from 25 to 50 years or more.Pain and false urination, as well as the general sense of discomfort, are the main symptoms.Often, the disease is accompanied by fever and chills.
Depending on the cause of the occurrence, the bacterial and abacterial form of the disease is released.Abacterial prostatitis with a 90% participation is the most common inflammation of the prostate.According to estimates, approximately 50% of all men face this problem, at least once in a life.
The main reasons for development:
- E. coli;
- Sexually transmitted infections, including gonorrhea, chlamydia;
- nervous system disorder;
- Reducing the protective functions of the body.
Presumably, the risk of developing the disease increases with chronic body poisoning with alcohol, morphine and nicotine.Studies in the field of modern Andrology argue that among the predisposing factors there are injuries in the crotch, for example, cyclists and motorcyclists.The circumstances listed contribute to the exacerbation of latent inflammation in the organs of the organ.
The decisive importance in the development of the pathology is assigned to stagnant phenomena in the tissues.In case of violation of capillary blood flow, swelling and tissue exudation occur, which is loaded with the creation of acceptable conditions for the appearance of an infectious process.
The structure and functions of the prostate gland
The prostate is the male genital organ, which is found under the bladder.The outstanding gland the size of a chestnut weighs 20 grams and surrounds the urethra and two ejaculation channels.They direct the secret of the testicles, the appendices and the seed bubbles in the urethra during the ejaculation.
The outstanding gland produces the secret called So, which is also part of the seed fluid (ejaculate).It stands out in the urethra when sperm strives and supports its transport.About 70% of the liquid ejaculate during orgasm is produced by a prostate.The liquid is an alkaline secretion that mixes and also protects the sperm from the acidic vaginal environment, increases its mobility and facilitates its flow to the egg.Due to the anatomical location of the prostate, the disease often causes symptoms such as painful urine.
Types of prostatitis
With a bacterial lesion of the prostate, two current forms are distinguished:
- Sharp.Inflammation is caused by bacteria that increase through the urethra and colonize the prostate.These are Escherichia coli bacteria that live in the intestines.Other pathogens include enterobacteria and mycobacteria.The inflammation caused by bacteria is approximately 10% of cases.
- Chronic.A non -quoted bacterial infection can become a chronicle.This is the case when complaints last more than 3 months.
Chronic prostatitis is diagnosed mainly in the elderly.In the absence of timely therapy, infertility develops in approximately 40% of cases.This is due to the fact that the body no longer develops a sufficient amount of secret, which provides sperm mobility.
Table: Types and symptoms of prostatitis in men
| Name | Peculiarities | Symptoms |
| Abacterial | The emptying base is based.Urina enters the ducts, as a result of which metabolic products (uric acid bases, purine and pyrimidine) are deposited in their tissue, which leads to inflammation and the formation of stones. |
|
| Cold | Inflammation is located in separate fractions of the gland, which leads to a change in the structure of the submucose layer and the mucous membrane of the introductory ducts.In follicles, stagnant phenomena arise, which is full of greater disease progression. |
|
| Folic | It is accompanied by moderate hyperthermia or typical subfebrilet.Focal suppuration of all damaged areas occurs. |
|
| Parenchyma | Multiple injuries are present.The majority of the parenchyma, the interstitial tissue is involved in the pathological process.With the accumulation of multiple abscesses, an abscess is formed. |
|
Inflammation can also occur without symptoms.It is located within the framework of a preventive examination in the content of a greater number of sperm leukocytes.
Current characteristics
Prostatitis has several stages of development, each of which is characterized by certain symptoms:
- Stage I. is characterized by the appearance of the inflammatory process and the improved functioning of the prostate.The general condition remains normal, with the exception of the appearance of the clinical image of the disease.The first stage lasts 1-3 years.At this stage, a complete cure is possible with the help of medicines.
- Stage II.Symptoms decrease.After a while, a violation of erection and irritability arises.In sexual relations, there may be no ejaculation.There is weakness and pain in the perineum.It is accompanied by a violation of the organ structure, which is full of deteriorated blood supplies.Therapy is carried out using antibiotics, immunomodulators and physiotherapy.
- Stage III.The last stage in the development of the disease, which is accompanied by tissue necrosis.The scars appear in it, which begin to press the internal organs.Iron is wrinkled and deformed, which is full of genitourinary system dysfunctions.There is acute pain during urination and the signs of radiculitis are improved.The patient should be under constant medical control.
In advanced cases, the disease is completely eliminated.Therefore, do not start diseases.It is better to consult a doctor when the first symptoms appear, which can adjust to medications.
Prostatitis symptoms
The manifestations are the same for all types of diseases, with the exception of fever, which is present only with bacterial origin.Prostatitis signs are conditionally divided into 2 groups:
- From the uric plant apparatus: painful and frequent urine, pain in the lower abdomen, an incomplete feeling of emptying;
- On the part of the sexual function: loss of orgasm, premature ejaculation, weak erection, pain in the rectum.
There is also an increase in nervousness and anxiety caused by the concentration of attention in its state.This may be accompanied by a change of character, resentment and irritability.
Possible complications
The absence of timely diagnosis and treatment leads to the following complications:
- Urine delay.The patient cannot empty the bladder independently, which is accompanied by intense pain.There are cases of gap.To avoid complications, urine is excreted through a catheter.
- Abscess.Pus accumulates, which is accompanied by high body temperature, chills and severe pain in the perineum.Antibiotics are needed with a high dose and surgical intervention.
- Blood infection (UROSEPSIS).Bacteria penetrate the bloodstream and extend throughout the body.
If the disease proceeds chronically and without adequate drug correction, a man can become unsuccessful.Only effective therapy helps get rid of such complications.
Diagnosis
If the first signs and symptoms of prostatitis appear, you should consult a doctor who will establish a diagnosis and prescribe an appropriate therapy scheme.
The main stages of diagnosis:
- history of anamnesis (studies of symptoms);
- Palpation of inguinal lymph nodes;
- Urethra front;
- transrectal ultrasound;
- laboratory blood analysis;
- A sample of signs of sperm and urine to identify the possible type of pathogenic microorganisms.
According to the results obtained, therapy is prescribed.In advanced cases, surgical intervention cannot do without.Among the main indications for surgical intervention, an abscess, paraprocitis and acute delay in urine must be distinguished.
Prostatitis treatment
The conservative therapy scheme is prescribed only after determining the pathogen.The car -medical in this case is unacceptable, since it can lead to irreversible health consequences.
The most effective medications for prostatitis:
- No. 1 - Palma fruit extract.
Phytopreparación is prescribed for prostate injury.Designed on the basis of the extract of fruit of freedom.It does not cause hormonal imbalance and does not affect the hypothalamic-political system.
- No. 2 - aminodidihrotefthalazindion sodium.
The anti -inflammatory immunomodulatory drug regulates the functional metabolic activity of the cellular and congenital immunity cellular structures.The suppositories are prescribed in complex therapy for adults and children 12 years or more.Effectively facing the manifestations of the inflammatory process, reducing the symptoms of the disease.
- No. 3 - Prostate.
The drug is widely used in urological diseases.This is the most effective treatment for chronic prostatitis.Moderately reduces the size of the prostate gland, improving urine processes.Available in the form of rectal tablets and suppositories.
- No. 4 - Passage prostates the form of intramuscular supplies and injections.
Designed to stop the signs of prostatitis and the treatment of the disease in men.The drug of animal origin relieves the swelling of the gland, restores the secretory functions, stimulating muscle tone.
- No. 5 - nitrofurantina.
Antibacterial tablets have an antimicrobial effect.Quickly eliminates inflammation, eliminating genitourinary infections.
- No. 6 - Tsiprofloxacin.
It belongs to the fluoroquinolones group.Effectively affects complicated and uncomplicated forms of the disease.It helps eliminate existing violations.
- No. 7 - Azoxy bromide.
Immunoestimulant agent based on azoxyr's bromide.It relieves inflammation and has an antioxidant and detoxifying effect.Increase body resistance to various types of infections.Available in a solution for injection.
- No. 8 –Cephym.
It has a wide spectrum of action, inhibiting the cell membrane of the pathogen.Contains the character.Used in complex therapy.
- No. 9– Josamcin.
An antibiotic macrooline based on proposed Josamycin.It has a bacteriostatic effect by inhibiting the synthesis of protein bacteria.It occurs in the form of granules for the preparation of a suspension and tablets.
- No. 10– doxycycline.
The antibiotic of the macrolide group has a high activity in relation to intracellular microorganisms.It is prescribed for mixed infections of the genitals and the urinary tract.
To increase drug effectiveness, the gland massage is indicated.The procedure has a comprehensive action: squeeze the accumulated secret in the ducts to eliminate the body.
Prostatitis prevention
To exclude the development of the disease, it is recommended to avoid hypothermia, observe a diet and carry out regular sexual life.It is also important to exclude sexually transmitted diseases.
A favorable forecast depends on several factors:
- timely diagnosis;
- triggering factor;
- disease form;
- age;
- The general condition of the patient.
With timely detection and proper treatment, the prognosis is always positive.Otherwise, consequences such as chronic inflammation and other complications may occur.You must visit the Urologist at least once a year.With relapse of prostatitis, preventive visits to the doctor are recommended every 6 months.