Prostatitis is a urological disease of the prostate gland, which is inflammatory.The middle and older men are more affected by their occurrence.
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, which leads to a malfunction in the work of the male genitourinary system.
The disease gradually develops for several years (without bringing much concern), so men see a doctor only during an exacerbation, accompanied by significant deterioration in the general condition.
Chronic prostatitis is divided into two ways: infectious and non -infectious.
The infectious form arises as a result of the introduction of infectious pathogens in 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 several factors that can cause chronic prostatitis.
The most significant of them is:
- Violation of the rhythm of sexual activity.
- Interruption and adjustment of sexual relations.
- Incorrect and inopportune treatment of prostatitis.
- The presence of the pathology of the pelvic organs.
- Infection of sexually transmitted pathogens transmitted.
- Inflammatory diseases of internal organs.
- Body hypothermia.
- Inactive lifestyle.
- Alcohol and smoking abuse.
- Nervous Overnovorial.
- Excessive physical effort (including weightlifting)
- Using tight linen.
- Weakening of body defenses.
Clinical manifestations
During the period of exacerbation of chronic prostatitis, the presence of such symptoms is possible:
- The appearance of a feeling of discomfort and pain in the perineum, lumbosacral department, scrotum.
- Violation of the urine process (frequent urgency, slow or intermittent urine current)
- Reduction of the quality of the sexual function of a man (weak erection, lack of sexual desire, premature orgasm, etc.)
- Acute pain at the bottom of the abdomen.
- Unpleasant feelings after ejaculation.
Because of its characteristics, chronic prostatitis is similar to other diseases of the genitourinary system.To accurately determine the presence of a disease, an exhaustive examination is necessary.
The consequences of the disease
Chronic prostatitis can lead to serious complications that lead to the development of new diseases.
With unaffected or unfinished treatment, it can occur:
- Cystitis and pyelonephritis inflammatory and infectious processes in the urinary system.
- Vesiculite: inflammation of seed bubbles (which leads to the inflammation of the urogenital tract)
- Orcoepididimitis: inflammation of the testicles and their appendices.
- Prostate abscess: the accumulation of pus in the tissues of the prostate gland (it can lead to the formation of fistulas and obstruction of the feces of the genitourinary tract)
- Prostate sclerosis: the replacement of the glandular tissue of the prostate connective, which leads to a decrease in the size of the prostate and the complete cessation of its operation (the only way to treat surgical intervention)
- Cysts and calculations that appear in the prostate due to long -term chronic inflammation (surgically eliminated);
- Sexual function disorder (even infertility).
Diagnostic measures
The diagnosis is carried out using the following methods:
- Visual examination of the patient (examination of the genitals to identify cutaneous eruptions and discharge of the urethra);
- Rectal examination (to determine the structure, consistency, pain and obtaining the secret of the prostate);
- Bacteriological examination of the urethra;
- Blood and urine test laboratory exam.
- In some cases, an ultrasound exam (ultrasound or ultrasound) is prescribed to obtain a more precise diagnosis.
According to the change in the ecogenicity of the individual sites, the degree of inflammatory process is evaluated, the ecochillus of chronic prostatitis is determined: an increase in the size of the prostate, diffuse changes in its structure, the presence of pathological formations in the tissues.
The most clearly pronounced ultrasound characteristics are present during transrectal ultrasound.It is considered more informative and reliable than transabdominal.
Signs of chronic ultrasound prostatitis:
- An increase in the volume of the prostate of more than 20 cm3.
- Change the fabric structure (it becomes heterogeneous)
- The presence of swelling of the prostate.
- The presence of fibrosis and calcifiers in the prostate.
Treatment of chronic prostatitis
The treatment of this disease is a process of time and prolonged over time and must take place strictly under the supervision of a doctor.
It is carried out by complex methods that use drugs:
- Antibiotics of several groups, depending on the testimony of the diagnosis.Let's take for 10-14 days (depending on the severity of the disease).
- Anti -inflammatory tablets, injections and rectal suppositories reducing pain, reducing the inflammatory process;
- Immunomodulators to increase body protective forces and the positive effect on cellular functioning.
- Alpha blockers that promote the urine output, eliminating the spasm and tension of the bladder and urethra muscles.
In addition, it is recommended that the prostate massage (to improve blood circulation and normalize the operation of the prostate gland), the use of physiotherapeutic procedures (electrophoresis, laser and magnetic therapy).
With the proper treatment, the patient must have a complete remission (lack of symptoms of the disease for a long period).
Preventive measures
The prevention of the disease of the prostate gland includes:
- Compliance with diet mode and drink.
- Maintaining normal body weight.
- Physical education and regular sports.
- Increased immunity.
- Strengthen the nervous system.
- Exclusion of the use of harmful foods.
- Restriction of alcohol consumption and the negative of smoking.
- Introduction of regular sexual activity;.
- Timely treatment of inflammatory and infectious diseases;
- Exclusion to wear tight underwear.
- Avoiding hypothermia.
- Annual preventive exams with a urologist.
It should not be forgotten that chronic prostatitis is easier to prevent (observe some rules) than for many years to suffer unpleasant ailment.