Prostatitis is a urological disease of the prostate gland, which is inflammatory.Medium 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, leading to malfunction in the work of the male genitourinary system.
The disease gradually develops for several years (without much concern), so men consult a doctor only during exacerbation, accompanied by significant deterioration in the general condition.
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 secrecy in the prostate, which contributes to the inflammatory process.
Causes
There are several factors that can cause the appearance of chronic prostatitis.
The most significant of them is:
- Violation of the rhythm of sexual activity.
- Interruption and tightening of sexual intercourse.
- Incorrect and premature treatment of prostatitis.
- The presence of the pathology of the pelvic organs.
- Sexually transmitted pathogens infection transmitted.
- Inflammatory diseases of internal organs.
- Hypothermia of the body.
- Inactive lifestyle.
- Alcohol and smoke abuse.
- Overload nervous.
- Excessive physical exertion (including weight lifting)
- Wearing tight linen.
- Weakening of body defenses.
Clinical manifestations
During the period of chronic prostatitis exacerbation, such symptoms are possible:
- The appearance of a sense of discomfort and pain in the department of Perineum, Lombsacral, Scrotum.
- Violation of the urination process (frequent desire, slow or intermittent urine flow)
- Reducing the quality of a man's sexual function (weak erection, lack of sexual desire, premature orgasm, etc.)
- Acute pain in the lower abdomen.
- Unpleasant feelings after ejaculation.
Due to its characteristics, chronic prostatitis is similar to other diseases of the genitourinary system.To accurately determine the presence of a disease, a complete examination is required.
The consequences of the disease
Chronic prostatitis can lead to serious complications that lead to the development of new diseases.
With premature or unfinished treatment, it may occur:
- Cystitis and inforic and infectious processes in the urinary system.
- Vesiculite - inflammation of seed bubbles (leading to infertility and inflammation of the urogenital tract)
- Orchoepidymitis - inflammation of the testicles and their appendices.
- Prostate abscess - pus accumulation in prostate gland tissues (can lead to the formation of fistulas and clogging of the genitourinary tract feces)
- Prostate Sclerosis - The replacement of prostate connective glandular tissue, which leads to a decrease in prostate size and complete cessation of its operation (the only way to treat surgical intervention))
- Cysts and stones that appear in the prostate due to prolonged chronic inflammation (surgically removed);
- Sexual function disorder (even infertility).
Diagnostic measures
The diagnosis is made using the following methods:
- Visual examination of the patient (examination of the genitals to identify rashes and urethra discharge);
- Rectal examination (to determine the structure, consistency, pain and obtaining of prostate secret);
- Bacteriological examination staining the urethra;
- Laboratory examination of blood and urine tests.
- In some cases, an ultrasound exam (ultrasound or ultrasound) is prescribed to obtain a more accurate diagnosis.
According to the change in the ecogenicity of individual places, the degree of inflammatory process is evaluated, the ecobillus of chronic prostatitis is determined: an increase in prostate size, diffuse changes in its structure, the presence of pathological formations in tissues.
The most clearly pronounced ultrasound characteristics are present during the transtreta ultrasound.It is considered more informative and reliable than transabdominal.
Signs of chronic prostatitis on ultrasound:
- An increase in prostate volume above 20 cm3.
- Changing the structure of the tissue (becomes heterogeneous)
- The presence of prostate swelling.
- The presence of fibrosis and calcifiers in the prostate.
Treatment of chronic prostatitis
The treatment of this disease is a process that consumes time and prolonged and should occur strictly under the supervision of a doctor.
It is performed by complex methods using medicines:
- Antibiotics of various groups, depending on the testimony of the diagnosis.Take for 10 to 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 urine output, removing spasm and tension from the bladder and urethra muscles.
In addition, it is recommended that prostate massage (to 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 remission (lack of symptoms of the disease for a long period).
Preventive measures
The prevention of prostate gland disease includes:
- Compliance with diet and drinking way.
- Maintain normal body weight.
- Regular Physical Education and Sports.
- Increased immunity.
- Strengthening the nervous system.
- Exclusion of the use of harmful foods.
- Restriction of alcohol consumption and smoking refusal.
- Introduction of regular sexual activity;
- Timely treatment of inflammatory and infectious diseases;
- Exclusion of wearing tight underwear.
- Avoiding hypothermia.
- Annual preventive tests with a urologist.
It should not be forgotten that chronic prostatitis is easier to prevent (observe some rules) than for many years suffer from an unpleasant disease.