Prostatitis is an inflammatory disease of the male gland located just below the bladder and is a secondary part of the genitals.Every 7 men over 35 years of age suffer from prostatitis and with any bare risk of developing an inflammatory process in the prostate increases under the influence of external and internal factors.Reasons
Inflammation of the prostate gland can be developed for a variety of reasons, doctors distinguish their master:Violation of blood microcirculation in pelvic organs - this leads to stagnant processes and helps increase prostate size. The stagnant processes are facilitated by the obesity and behavior of a living living living way.The entry of bacteria, viruses or protozogs into the tissue in the background of an acute or chronic inflammatory process in other organs flowing into the body - diseases such as angina, gonorrhea, urethritis, cystitis, influenza. The causative agents of the infection can enter the prostate with blood flow and lymph node if there is infection in remote areas and organs.Injuries and bruises of the soft tissue of the abdominal, perineal and external genitalia - this leads to edema and reduced blood circulation in the damage zone.Hypothema of the body.Chronic constipation.Hormonal disorders.Stormy or, on the other hand, the absence of sex life is harmful, so frequent sex (more than 1 hour a day), as well as rare familiar relationships (less often once a week), as this leads to exhaustion of sexual glands or stagnation in the prostate.
Prostatitis symptoms
Distinguishes between acute and chronic form of the disease.Acute prostatitis is characterized by a sudden principle in the context of general prosperity, which is clinically accompanied by the following symptoms:chills and weakness.General hardship;Increased irritability and nervousness.Increase body temperature (not higher than 37, 5 degrees).pulling or cutting pain in the lower abdomen and in the perineum.Frequent thrust for urination while maintaining a sense of poor bladder discharge.The pain and difficulties of the river with bowel movements.
In the absence of diagnosis and timely treatment, acute prostatitis can complicate a purulent process and release the pus from the urethra during urination.Signs of chronic prostatitisWhen transitioning the disease in a chronic form of the course, the clinical signs of prostatitis recede and the patient appears to be a recovery. The characteristics of the chronic inflammatory process in the prostate gland are burned along the urethra with radiation in the crotch, which can be strengthened during urination and abstraction. Gradually, the disease progresses and causes incompetence. Chronic prostatitis implies periods of recession and deterioration, but even in times of frenzy, the symptoms will be erased, not as severe as in acute form. The following symptoms appear clinically:Erection difficulties.the inability to complete sexual intercourse with ejaculation.Reduce sexual movement.Compression from the mucus of the urethra by mixing white flakes.A feeling of inadequate bladder evacuation.pulling pain in the lower back, pubis and groin.A weak stream of urine - this is observed as a result of the reduction of the urethra lumen in the context of compression of an enlarged prostate.
Chronic hypotonic inflammatory process in the urethra irritates the nerve endings of the basin and causes constant urination, especially at night. Many men are embarrassed to see a doctor with such a delicate problem, which increases the risk of developing such serious complications as complete erectile dysfunction, infertility and even prostate cancer.In addition, from the focus of a chronic infection in a protector with blood flow and lymph nodes, the pathogens enter the kidneys, causing acute inflammation, urine retention and increasing the risk of renal failure.The constant accumulation of urine in the bladder and urethra creates favorable conditions for the formation of crystals and then stones - very often prostatitis in men proceeds with urolithiasis.Diagnostic methods
The diagnosis, treatment and prevention of prostatitis is made by a urologist. To diagnose, determine the shape and cause of the inflammatory process in the prostate gland, some exams are prescribed:Prostate palpation - is done through the rectum and allows you to detect an increase in size, pain, release of the pus or mucus after palpation.Little urethra disposal - the resulting material is sent to study in the laboratory.Urine analysis is general, etc.?Ultrasound of the pelvic organs and the prostate.
If the pathological procedure is suspected of spreading the pathological process in the patient, the patient is also performed by cystoscopy - examination of the bladder walls using a flexible device equipped with an optic system at the end.In the diagnosis of prostatitis, it is very important to differentiate the pathological process from prostate adenoma and other urological diseases with a similar clinical course.Treatment
The treatment of acute and chronic form of prostatitis differs, so that patients are strongly recommended that they are not self -pharmaceutical.The acute non -bacterial form of prostatitis is extensively treated using herbal preparations and anti -inflammatory drugs.Treatment of acute bacterial prostatitisThe principles of treatment for the acute form of bacterial prostatitis depend directly on how severe the symptoms of the disease are.A characteristic feature of bacterial prostatitis is the acute principle and the rapidly increasing signs of body poisoning - nausea, vomiting, headache, high body temperature. The bladder evacuation process is accompanied by cutting pain in the lower abdomen and perineum, which are given on the lower back. Very often the purulent process unites and the abscess develops.The treatment of acute bacterial prostatitis is performed in a hospital, as the patient's condition may be extremely severe. Treatment consists of the complex approach:The patient should observe the bed rest.Antibiotics are prescribed - macrolides, fluoride, cephalosporins. Preparations are selected that improve blood microcirculation in the pelvic organs. They provide the outflow of lymph nodes and venous blood, which reduces the severity of edema and the inflammatory process to the prostate.Inside the mouth, drugs are presented by a group of non -synaptic anti -inflammatory drugs. These drugs not only reduce the inflammatory process, but also eliminate pain syndrome.Analgesics - you can take tablets in or insert the rectal candles into the rectum.To eliminate body toxicity, a normal glucose sodium solution is intravenous prescription.
Great! Prostate massage is strictly forbidden, as the risk of septicemia is high.Surgical treatmentSurgical intervention for prostatitis is only required if the patient develops severe urine delay and there is no way to empty the bladder. You cannot do without surgery in the event of prostate abscess.The course of prostatitis treatment lasts 14 days, after which the patient again conducts a comprehensive test to evaluate the effectiveness of the treatment. If necessary, the course of treatment is expanded and regulated.Chronic treatment
Treatment of chronic prostatitis varies and largely depends on the course of the course is the pathological process. In the event of deterioration of the inflammatory process, the treatment is similarly performed, as in acute prostatitis.The treatment of chronic prostatitis during recession is as follows:The intake of a non -hypotheized anti -inflammatory drug. Show medication 2 times a day at least 3 days, sometimes up to 5 days.Preparations that help improve venous and lymphatic outflow. Immunomakers.Antidepressants and sedatives help normalize sleep, eliminate irritability.Multivitamin complexes rich in zinc, selenium, group Vitamins.
In the recession phase of the inflammatory prostate process, the patient occurs physiotherapeutic treatment:Prostate massage.ultrasound;Electrophoresis?Magnet therapy?Microwave hyperthermia.
Surgical treatment of chronic prostatitisWith neglected chronic prostatitis, the patient sometimes needs surgery. Can be carried out in two ways:Transurethral resection.prostatectomy.
Permeable resection
This method of surgical treatment refers to minimally invasive interventions, although performed under general anesthesia. During the procedure, a repository is inserted under the urethra, through which the power pulses are provided. These electrical impulses act at the beginning of an electric noise and partially remove the tissue of the prostate gland. A huge advantage of this method of intervention is the lack of blood loss, since electric waves not only remove the modified prostate tissues, but also immediately treat blood vessels, preventing bleeding.Post -articular resection greatly facilitates the patient's condition - after surgery, urination is restored, man no longer burns on the crotch, does not jump into the toilet at night. Erectile function and normal ejaculation are also restored. The whole operation process is checked by a doctor on the screen screen, so the risk of complications during the work or immediately afterwards is minimal. Prostatectomy
Prostatectomy is a severe abdominal function and is always associated with risks to the patient. During operation, the doctor completely removes the prostate gland or most of it. The recovery period is 4-6 weeks, there is a high risk of developing postoperative complications, but sometimes this method of surgery is the only way to relieve the patient's condition and eliminate the consequences of the severe course of prostatitis.Other methods of treatment of chronic prostatitisOther methods of treatment of a chronic form of prostatitis include:Hirudotherapy - or leeches treatment. The medical leeches are installed in the inflammation zone, which in the process of their actions is released with saliva substance that puts blood in order, which eliminates stagnant phenomena and quickly relieves the inflammatory process. Le leeches are used only specially, medically, individually for each patient. After the procedure, the doctor puts the used leech to a teacher in whom he dies. It is optimal to pass at least 5 Hirudotherapy lessons.Cryodestruction - wet nitrogen is used. This method of treatment is shown in patients who have not been poorly given pharmaceutical treatment and the function is contraindicated for some reason.Microwave treatment in a special way - electromagnetic waves affect the prostate gland. After 1 procedure, tissue edema decreases, blood circulation is normalized and stagnation is eliminated. After conducting the course of electromagnetic treatment, the patient completely restores urination and erectile function. Treatment with ultrasound waves - allows you to quickly stop the inflammatory procedure that occurs in the recession phase and ultrasound treatment is not performed during worsening. To enhance the therapeutic effect, the drugs can be used in addition, which, under the influence of ultrasound, penetrate directly into the prostate tissue.The stenting urethra - the essence of the process is to install a specific urethra stent, which extends the urethral lumen and promotes the normal urine outflow. Despite the efficacy of the process, the urethra stent eliminates only the clinical symptoms of prostatitis, but does not save the patient from the chronic inflammatory procedure.
Consequences and complications
In the absence of special treatment, prostatitis progresses quickly, goes to the chronic form of current and threatens a person's health with its serious complications, including:Urolithia.Pyelonephritis.Development of abscesses;The spread of the inflammatory process to testicles and seed ropes, which lead to infertility.erectile dysfunction and impotence.Necrotic changes in prostate tissues.
Sometimes for a long time prostatitis and chronic stagnant processes give a boost to the degeneration of the disease to the adenoma and then to prostate cancer.
