Prostatitis, or inflammation of the prostate gland are aware of the strong half of mankind. According to the official statistics, the disease affects approximately 16% of the adult male. Doctors urologists are called, and the other given not less than 35% of the male population in the country. The gap between the formal services and the real presence is easily explained: the presence of the potential patients simply do not seek help from doctors because of feelings of awkwardness, embarrassment, lack of time, misunderstanding of the importance of the issue.
An inflammation of the prostate gland, today it is a leader in the group of men, a disease that is transmitted primarily through sexual contact. Its complications are threatened by infertility, reduction of libido, impotence.
The symptoms of prostatitis, and not just the pain, urinary disorders, inflammation of the spermatic cord. The most dangerous consequence of inflammation running can become cancerous degeneration of the prostate gland. Because of the diagnosis of a pathological process, it is easy to established.
The cause of the infection
The risk of developing inflammation of the prostate gland increases the guilt of a variety of predisposing to the disease points to remember:
- Hypothermia, by itself or associated with the nature of the work in the open air.
- A sedentary lifestyle, which lead to disruption in the functioning of the digestive system.
- Chronic physical illness (diabetes, hypertension).
- Lesions are focal, perifocal infections (rhinitis, tonsillitis, stomatitis, gastritis).
- Persistent UGI (chlamydia, trichomoniasis, herpes simplex virus).
- The stress, the insomnia, the syndrome of chronic fatigue.
- The lowered immunity in respect of the transferred illness, surgery, emotional stress.
- A bad habit that will lead to the development of a national poison control: alcohol, Smoking, strong coffee.
- Occupational injuries of the perineum car drivers, athletes, people working in hazardous industries.
- Promiscuous coitus interruptus, without any of the sensuality of the relationship with incomplete ejaculation, the long-standing lack of intimacy (the low demand in seeds, which leads to a stagnation of the the).
- Sexually transmitted diseases.
In spite of quite a large number of, many times, the essence of the prostatitis is the occurrence of stagnation in the body, on the basis of the impaired circulation and lymph drainage.
The classification of the
In modern-day urology is no single classification of diseases of the. However, the physicians prefer this version of the classification of the inflammatory process in the prostate gland:
- At the time of the disease:
- Of acute prostatitis. This represents a more than 50% of the people who is over the age of 30-35 years of age.
- A chronic setting. Considered nevozmozhnoe category. For a long period of time, the sun shows itself, the impetus for the development of a cold, an infection of the.
- The causes for the pathology:
- Bacterial inflammation of the prostate gland, common in men up to 40 years of age, appears in the background of the PLAY, does not go beyond the limits of the body.
- The non-bacterial pathological changes in the glands, particularly of the chronic.
- A viral inflammation of the prostate gland characterized by an acute course, the impact on all gender issues.
- The nature of the structural changes in the prostate:
- Fibrous prostatitis is characterized by a rapid irreversible, the growth of the cancer and needs radical surgery. Clinically reminiscent of benign prostatic hyperplasia.
- Calculous inflammation of the prostate gland that occurs due to the formation of stones in the prostate gland. That looks like a precursor to cancer.
- Congestive prostatitis, the result of a sedentary way of life and are diagnosed in about every second patient.
The signs of the disease
If a man finds in himself, at least two of the following symptoms of prostatitis, you should immediately contact a qualified technician:
- Urination disorders, with the occurrence of intermittent, low flow of urine, unusual for a short-range, eye-catching splashes, problems, and pain prior to urination. A frequent urge to empty the bladder occurs primarily during the night.
- The pain is localized in the lower part of the abdomen, radiating into the scrotum, the perineum, the rectum.
- A sexual dysfunction.
- Problems with ejaculation, changes in sperm production (for consistency, amount).
Acute prostatitis
The disease begins with a sudden rise in temperature (to 40 degrees), a sore, a headache, a fever. The appearing symptoms are accompanied by pains in the groin, the perineum, the back, the discharge from the urethra, frequent urination, and constant urge to guide him.
Emptying of the bladder and delayed burning sensation. The urine itself becomes cloudy, it may receive the blood. There it is, the soreness, the fatigue.
The result of the acute prostatitis will be in charge of the resolution process, if the time of the start of treatment). As there is a change in the number of organs of small pelvis, that it is not possible to leave the site, or of important complications:
- Vesiculitis – an inflammation of the seminal vesicles, the cause of pus in the semen, which not only reduces the quality of the ejaculate, but leads to a loss of reproductive function.
- Colliculi – inflammatory changes in the seminal colliculus are the reason for the development of a severe pain syndrome, while having sex, stop an orgasm, impotence psychological nature.
- The formation of an abscess in the body, the prostate gland has ruptured, purulent lesion of the rectum, leading to a deterioration of the symptoms of a strong poisoning, and even death.
- The stagnation in the prostate gland leads to a change in its structure, disorders of the innervation, blood supply, glands, and organs, which are located in the vicinity of, the breach of their duties. An erection becomes enough to complete sexual intercourse, premature ejaculation, prolonged sexual intercourse without an orgasm.
- Cicatricial changes in the glands, spermatic cord, leading to infertility and reduction in the quality of sperm, mobility of sperm. A narrowing of the urethra hampers the normal process of urination, obstruction of the bladder may cause acute retention of urine, requiring urgent surgical treatment.
Chronic prostatitis
The main feature of the disease is the lack of clinical symptoms during the long, difficult process. The most chronic form, it appears to stand alone as the primary pathology, on the basis of the stagnation of the blood in the veins (prostatosis), abacterial prostatitis.
The main symptoms of chronic prostatitis are:
- fever;
- the pain occurs in scrotum, perineum, anus, the back,
- violation of urination;
- mucous or muco-purulent discharge from the rectum, the urethra, in the absence of urination or bowel movement;
- violations of erectile function, painful ejaculation, coitus interruptus, long-term sexual relationship without a feeling of satisfaction.
- Male infertility is caused by chronic inflammation of the spermatic cord, vesicles, testicles, and their appendages.
- Cystitis, pyelonephritis, other diseases of the musculoskeletal system and connective tissue) is a mechanical consequence of the hematogenous spread of microbes.
- Sepsis.
- The persistent immunosuppression.
- Treat prostatitis to 35 – 40% of the cases, it may lead to cancer.
The diagnosis of
The clinical picture of the disease is characterized by diagnosis is not a problem. This raises the urologist, on the basis of the medical history, examination of the patient, the laboratory, the minimum use of the most advanced medical equipment:
- Rectal examination of the gland, the secret of the study (October to the definition of sensitivity to antibiotics).
- KLA, OAM, a bacterial urine culture.
- Take a swab for a sexually transmitted disease, PLAY-course of study.
- Daily monitoring of urination rhythm, the measurement of the speed of urination (uroflowmetry).
- The differential diagnosis is carried out such as an ultrasound or a CONSCIENCE.
- If you want to exclude a cancer, take a biopsy, perform urography, one of the PSA – prostate-specific antigen.
- For the diagnosis of infertility shall be allocated to the semen analysis the semen analysis for the assessment of male fertility.
On the basis of the results of the examination of the patient individual scheme of complex treatment of prostatitis. When prescribing take into account the form of the disease, the presence of comorbidities. The decision on the location for the implementation of the treatment (inpatient or outpatient) provided by your doctor. Treat it with the care of laboratory control over the results.
One of the most modern centers for the treatment of prostatitis are the GK clinic "Mother and Child". Because of the problem of infertility is closely associated with the inflammatory urological diseases, health care workers need to be given to this issue a lot of attention.
In the clinic, "Mother and child" every patient shall have the opportunity to complete a full cycle of special examinations, to obtain psychological support, to be treated with the medicines of the latest generation, which is used in the field, learn about new methods of treatment of inflammatory conditions of the prostate. Not in the last place in the treatment of a prostatitis it is also effective in rehabilitation of the patients, the clinical control, prevention.
Treatment for acute prostatitis
Acute prostatitis requires bed rest in a salt-free diet, the sex of the peace.
The methods of the course of treatment:
- The most effective in the treatment of prostatitis is an etiotropic therapy. If the basis of the prostate – an infection, as a priority, while an anti-microbial medications, which reduce inflammation.
- The pain syndrome was cut off analgesics, antispasmodics, rectal candle, micro-climate, with warm solutions of the anesthetic drugs. Perhaps the use of nonsteroidal anti-inflammatory drugs.
- They have demonstrated the effectiveness of Immunostimulants, immunomodulators, enzymes, vitamin complexes, a combination of micronutrients.
- Physiotherapy is a far as possible, in the subacute phase of the disease. To improve the microcirculation, enhance immunity: UHF, UHF, electrophoresis, laser and magnetotherapy.
- Massage – another effective method of influence on the prostate gland. Open water normalizes the blood circulation of the scrotum and pelvis.
- Sharp, immediately to the filtrate of the kidney can be corrected by catheterization, traganou cystostomy.
- The purulent process involves the surgical.
- Advice.
The treatment of chronic prostatitis
In the long term (at least months, the effect on the prostate gland, the 100% guarantee does not cure it. The advantage of herbal remedies, immunocorrection, changing the household habits:
- Herbal preparations (for example, Likoprofit) are widely distributed in the urological practice. They are able to do so, it shall be liable in place of most of the active pathological process, to protect the cells from the oxidation, remove free radicals, inhibit the growth of the prostate tissue.
- Antibiotic therapy selected for an individual based on the sensitivity of the microbe to the drug.
- Drugs that increase the resistance, not only help to deal with prostatitis, they are not always correct for the negative effects of antibiotics, which interfere with the function of the immune system.
- Pain syndrome relieved by the appointment alpha-blockers, muscle relaxants.
- Massage of the Prostate gland allows mechanical to remove the "extra" the secret of the prostate gland through the urethra, to improve blood circulation, to reduce traffic congestion.
- Physiotherapy: laser, magnet, ultrasound, iontophoresis, sessile warm bath, or microclysters with herbs.
- In severe cases, intravenous fluids with diuretics. It promotes an abundance of urine, profilaktirujut the symptoms of intoxication, the development of the ascending cystitis and pyelonephritis.
- The practice of closing the laxatives of vegetable origin.
- Urologist, a psychologist, together with the patient to develop a specific long-term program, a routine, and needed to rest, diet, dosed physical exertion, and sexual activity.
- In the case of the resistance as a chronic therapy, blocking the flow of urine, are prescribed by the surgery is remove all of the tissue (transurethral resection of the prostate), or total removal of the prostate gland to the surrounding tissues (prostatectomy). In exceptional cases, is fraught with impotence, urinary incontinence. A group of young people do not carry out the requested operation, since it can lead to infertility.
The prevention of
In order to prevent unpleasant men's disease, it is important to eliminate the triggers, and then follow the simple rules:
- For an active and healthy lifestyle, give up bad habits.
- Do Not SuperCool.
- Drink at least 1.5-2 litres of water a day.
- To strengthen the body's immune system, a lot of walking, temper.
- Physical activity and sports, visit fitness clubs.
- In order to avoid a stressful situation.
- Practice regular sex with a steady partner.
- Regular visits to the urologist.