Prostatitis is a urological disease of the prostate gland, which is inflammatory.Middle and elderly men are more affected by his occurrence.
Prostatitis is acute and chronic, but the chronic form of the disease is widespread.
Chronic prostatitis
Chronic prostatitis is a prolonged inflammatory disease of the prostate gland, which leads to malfunctions in the work of the male parental system.
The disease gradually develops for several years (without making a lot of concern), therefore men see a doctor only during an exacerbation, accompanied by a significant deterioration of the general conditions.
Chronic prostatitis is divided into two forms: infectious and non -infectious.
The infectious form was born following 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 various 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.
- Wrong and premature treatment of prostatitis.
- The presence of the pathology of the pelvic organs.
- Infection of pathogens transmitted to sexual transmission.
- Inflammatory diseases of the internal organs.
- Hypothermia of the body.
- Inactive lifestyle.
- Alcohol and smoke abuse.
- Nervous overload.
- Excessive physical effort (including weight lifting)
- Wear a narrow flax.
- Weakening of the body's defenses.
Clinical events
During the period of exacerbation of chronic prostatitis, the presence of these symptoms is possible:
- The appearance of a sense of discomfort and pain in the perineum, lumbosacral department, scrotum.
- Violation of the urination process (slow or intermittent urine flow)
- Reduce the quality of the sexual function of a man (weak erection, lack of sexual desire, premature orgasm, etc.)
- Acute pain in the lower abdomen.
- Unpleasant feelings after ejaculation.
For its characteristics, chronic prostatitis is similar to other diseases of the parental parent system.To accurately determine the presence of a disease, an in -depth examination is necessary.
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 can occur:
- Cystitis and pyelonefritite-inflammatory and infectious processes in the urinary system.
- Vesiculite - Inflammation of the seed bubbles (which leads to the infertility and inflammation of the urogenital trait)
- Orchoepididimite - 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 the slogan of the feces of the parental parent)
- Prostatic sclerosis - The replacement of the glandular tissue of the prostate connective tissue, which leads to a decrease in the size of the prostate and the complete cessation of its operation (the only way to treat surgery)
- Cysts and stones that appear in the prostate due to chronic long -term inflammation (surgically removed);
- Sexual function disorder (up to infertility).
Diagnostic measures
The diagnosis is carried out using the following methods:
- Visual examination of the patient (examination of the genitals in order to identify rashes and download from the urethra);
- Rectal examination (to determine the structure, consistency, pain and obtaining the secret of the prostate);
- Bacteriological examination strips from urethra;
- Blood test and urine test laboratory.
- In some cases, an ultrasound examination (ultrasound or ultrasound) is prescribed to obtain a more accurate diagnosis.
According to the change in the echogenicity of individual sites, the degree of inflammatory process is assessed, the eco -friend of chronic prostatitis is determined: an increase in the size of the prostate and the changes spread in its structure, the presence of pathological formations in the tissues.
The most clearly pronounced ultrasound characteristics are present during the transrettal ultrasound.It is considered more informative and reliable than the cross.
Signs of chronic prostatitis on ultrasound:
- An increase in the volume of the prostate greater than 20 cm3.
- Change the structure of the fabric (becomes heterogeneous)
- The presence of prostate swelling.
- The presence of fibrosis and calculations in the prostate.
Treatment of chronic prostatitis
The treatment of this disease is a process that consumes time and prolonged and should take place strictly under the supervision of a doctor.
It is performed with complex methods using drugs:
- Antibiotics of various groups, depending on the testimony of the diagnosis.Take 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 the protective forces of the body and the positive effect on cellular functioning.
- Alpha-blockers who promote the outflow of urine, removing the spasm and tension of the muscles of the bladder and urethra.
In addition, it is recommended that prostate massage (to improve blood circulation and normalize the functioning of the prostate gland), the use of physiotherapy procedures (electrophoresis, laser and magnetic therapy).
With adequate treatment, the patient should have a complete remission (lack of disease symptoms for a long period).
Preventive measures
The prevention of the prostate gland disease includes:
- Compliance with diet and consumption mode.
- Maintain normal body weight.
- Regular physical education and sport.
- Increase immunity.
- Strengthen the nervous system.
- Exclusion from the use of harmful food.
- Limitation of the consumption of alcohol and refusal of smoking.
- Introduction of regular sexual activities;.
- Timely treatment of inflammatory and infectious diseases;
- Exclusion of wearing 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 from unpleasant disorder.