Prostatitis is an inflammation of the prostate gland.
It is more common in men aged 25-50 years and more.Pain and false urination, as well as the overall feeling of malaise, are the main symptoms.Often the disease is accompanied by fever and chills.
Depending on the cause of the onset, the bacterial and abacus form of the disease is released.Abacterial prostatitis with 90% is the most frequent inflammation of the prostate.According to estimates, about 50% of all men face this problem, at least once in life.
The main reasons for development:
- E. cars;
- sexually transmitted infections, including gonorrhea, chlamydia;
- nervous system disorder;
- Reducing the body's protective functions.
Probably, the risk of developing the disease is increased with chronic intoxics of the body with alcohol, morphine and nicotine.Studies conducted in the field of modern andrology claim that among the predisposing factors are injuries to the cat, such as cyclists and motorcyclists.The circumstances listed contribute to the exacerbation of latent inflammation in the tissues of the organ.
The crucial importance in the development of the pathology has been assigned to stagnant phenomena in the tissues.In the event of a disruption of the flow of capillary blood, swelling and exudation of the tissues occur, which is fraught with the creation of acceptable conditions for the occurrence of an infectious process.
The structure and functions of the prostate gland
The prostate is the male genital organ that is located under the bladder.The chest -dimensions of the chestnut weigh 20 grams and surrounds the urethra and two channels of ejaculation.They direct the secret of the testes, appendages and seed bubbles in the urethra during ejaculation.
The protruding gland produces the so -called secret, which is also part of the seminal fluid (ejaculate).It stands out in the urethra when sperm and support its transport.About 70% of ejaculated fluid during orgasm is produced by prostate.The fluid is an alkaline secretion that is mixed and also protects the sperm from the acid vaginal environment, increases their mobility and facilitates their flow in the egg.Due to the anatomical location of the prostate, the disease often causes symptoms such as painful urination.
Types of prostatitis
With a bacterial prostate lesion, two forms of current are distinguished:
- Sharp.Inflammation is caused by bacteria that rise through the urethra and colonize the prostate.These are bacteria Escherichia coli that live in the intestine.Other pathogens include Enterobacteria and Mycobacteria.The inflammation provoked by bacteria is about 10% of cases.
- Chronic.Bacterial infection with non -valuable can develop in chronic.This is the case where complaints last more than 3 months.
Chronic prostatitis is mainly diagnosed 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 enough secret, which provides sperm mobility.
Table - types and symptoms of prostatitis in men
| Name | Peculiarities | Symptoms |
| Abacus | The basis of emptying is based.Urine enters the channels, resulting in metabolic products (uric acid, purine and pyrimidine base) is deposited in its tissue, leading to inflammation and formation of stones. |
|
| Catarhal | The inflammation is localized in separate fractions of the gland, leading to a change in the structure of the submucosal layer and the mucosa of the introductory ducts.There are stagnant phenomena in the follicles, which are filled with more progression of the disease. |
|
| Foil | It is accompanied by moderate hyperthermia or a typical sub -fever.Focus maintenance of all damaged areas arises. |
|
| Parenchymal | There are numerous lesions.The greater part 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 study in the content of an increased number of leukocytes in the sperm.
Current characteristics
Prostatitis has several stages of development, each characterized by certain symptoms:
- Stage I. It is characterized by the appearance of the inflammatory process and the increased functioning of the prostate.The general condition remains normal, except for the onset of the clinical picture of the disease.The first stage lasts 1-3 years.At this stage, full treatment is possible with the help of medicines.
- Stage II.Symptoms disappear.After a while, there is a violation of erection and irritability.There may be no ejaculation in intercourse.There is weakness and pain in the perineum.It is accompanied by a violation of the structure of the organ, which is filled with impaired blood supply.Therapy is performed with the help of antibiotics, immunomodulators and physiotherapy.
- Stage III.The last stage in the development of the disease, which is accompanied by tissue necrosis.The scars appear on it, which begin to press the internal organs.The iron is wrinkled and deformed, which is filled with dysfunctions of the genius system.There is acute pain during urination and signs of radiculitis are enhanced.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 that can be adapted to medication.
Symptoms of prostatitis
The manifestations are the same for all types of diseases, except for fever, which is only present of bacterial origin.The signs of prostatitis are conditionally divided into 2 groups:
- From the species vegetable apparatus - painful and frequent urination, pain in the lower abdomen, feeling of incomplete emptying;
- On the part of sexual function - loss of orgasm, premature ejaculation, poor erection, pain in the rectum.
There is also increased nervousness and anxiety caused by a concentration of attention on his condition.This can be accompanied by a change in character, insult and irritability.
Possible complications
The lack of timely diagnosis and treatment leads to the following complications:
- Slowing urine.The patient is not able to independently empty the bladder, which is accompanied by severe pain.There are cases of precipice.To avoid complications, urine is excreted by a catheter.
- Abscess.Pus accumulates, which is accompanied by high body temperature, chills and severe pain in the perineum.High dose antibiotics are needed and surgery.
- Blood infection (urosepsis).The bacteria penetrate the bloodstream and spread throughout the body.
If the disease is chronic and without adequate drug correction, the man may become infertile.Only effective therapy helps to get rid of such complications.
Diagnosis
If the first signs and symptoms of prostatitis occur, you should consult a doctor who will make a diagnosis and prescribe a suitable therapeutic regimen.
The main stages of the diagnosis:
- History of history (symptom studies);
- palpation of inguinal lymph nodes;
- Urethra spreading;
- Transrectal ultrasound;
- Laboratory blood test;
- Samples of sperm and urine samples to identify the possible type of pathogenic microorganisms.
Based on the results obtained, therapy is prescribed.In advanced cases, surgery cannot do without.Among the main indications for surgery should distinguish abscess, paraproctitis and acute slowdown in urine.
Prostatitis
The conservative therapy scheme is only prescribed after the pathogen is determined.Suicide in this case is unacceptable because it can have irreversible health effects.
The most effective prostatitis drugs:
- No. 1 - creeping palm extract.
The phytopreparation is prescribed for the prostate lesion.Designed on the basis of free fruit extract.It does not cause hormonal imbalance and does not affect the hypothalamic-pituitary system.
- No. 2 - sodium of sodium of aminodichroftelazind.
The anti -inflammatory, immunomodulatory drug regulates the functional metabolic activity of the cellular structures of adaptive and congenital immunity.The suppositories are prescribed in complex therapy for adults and children of 12 years and more.It effectively copes with 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 of chronic prostatitis.Moderately reduces the size of the prostate gland, improving the processes of urine.It is available as tablets and rectal suppositories.
- No. 4 - Pass prostate the form of suppositories and intramuscular injections.
Designed to stop the signs of prostatitis and treat the disease in men.The drug of animal origin relieves glandular swelling, restores secretory functions, stimulating muscle tone.
- No. 5 - Nitrofurantine.
Antibacterial tablets have an antimicrobial effect.It quickly eliminates inflammation, eliminating genius infections.
- No. 6 - Ciprofloxacin.
It belongs to the group fluoroquinolones.It effectively copes with complex and uncomplicated forms of the disease.Helps to eliminate existing violations.
- No. 7 - Asoximer Bromid.
A deficiency based on acepime bromide.It relieves inflammation and has an antioxidant and detoxifying effect.Increases the body's resistance to various types of infections.It is available as an injection solution.
- No. 8 -CEPHYM.
It has a wide range of action, inhibits the cell membrane of the pathogen.Contains character.It is used in complex therapy.
- No. 9 - Yosamicin.
Macroline antibiotic based on propionate Yosamicin.It has a bacteriostatic effect by inhibiting the synthesis of protein bacteria.It is produced in the form of granules for the preparation of suspension and tablets.
- No. 10 - Doxycycline.
The antibiotic of the macrolide group has high activity related to intracellular microorganisms.It is prescribed for mixed infections of the genitals and urinary tract.
In order to increase the effectiveness of the drugs, the gland massage is indicated.The procedure has a complete effect - it pulls the accumulated secret in the channels to remove it from the body.
Prevention of prostatitis
In order to exclude the development of the disease, it is recommended to avoid hypothermia, to observe a diet and to lead a regular sex life.It is also important to exclude sexually transmitted diseases.
The favorable forecast depends on several factors:
- timely diagnosis;
- trigger factor;
- form of the disease;
- age;
- The general condition of the patient.
With timely detection and adequate treatment, the prognosis is always positive.Otherwise, consequences such as chronic inflammation and other complications may occur.You should visit the urologist at least once a year.Prostatitis relapse is recommended for preventive visits to the doctor every 6 months.