Prostatitis is a urological disease of the prostate gland, which is inflammatory.Medium and elderly men are most affected by its appearance.
Prostatitis is acute and chronic, but the chronic form of the disease is the wider widespread.
Chronic prostatitis
Chronic prostatitis is a prolonged inflammatory disease of the prostate gland, which leads to malfunctions in the functioning of the male genital system.
The disease develops gradually for several years (without causing much concern), so that men see a doctor only during exacerbation, accompanied by a significant deterioration in the general condition.
Chronic prostatitis is divided into two forms: infectious and non -infectious.
The infectious form occurs as a result of the introduction of infectious pathogens into the body.
Non -infectious form occurs with a disorder of blood circulation in the pelvic organs and stagnation of the secret in the prostate, which contributes to the inflammatory process.
Reasons
There are various factors that can cause chronic prostatitis.
The most significant of these is:
- Disruption of the rhythm of sexual activity.
- Interruption and tightening of sexual intercourse.
- Incorrect and untimely treatment of prostatitis.
- The presence of pathology of the pelvic organs.
- Infection of transmitted sexually transmitted pathogens.
- Inflammatory diseases of the internal organs.
- Body hypothermia.
- An inactive lifestyle.
- Alcohol and smoking abuse.
- Nervous fatigue.
- Excessive exercise (including lifting weights)
- Wearing tight linen.
- Weakening body protection.
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 urination process (honor impulse, sluggish or periodic flow of urine)
- Reducing the quality of a man's sexual function (weak erection, lack of sexual urge, premature orgasm, etc.))
- Acute pain in the lower abdomen.
- Unpleasant feelings after ejaculation.
By its characteristics, chronic prostatitis is similar to other diseases of the genius system.A thorough examination is required in order to determine the presence of a disease.
The consequences of the disease
Chronic prostatitis can lead to serious complications that lead to the development of new diseases.
With untimely or unfinished treatment can happen:
- Cystitis and pyelonephritis-inflammatory and infectious processes in the urinary system.
- Vesiculitis - inflammation of the seeds bubbles (which leads to infertility and inflammation of the urogenital tract)
- Orchoepididymitis - inflammation of the testes and their appendages.
- Prostate abscess - the accumulation of pus in the tissues of the prostate gland (can lead to the formation of fistulas and obstruction of the faeces of the genital))))
- Prostate sclerosis - the replacement of the glandular tissue of the prostate clutch, which leads to a decrease in prostate size and to complete discontinuation of its function (the only way to treat surgery)
- Cysts and stones that appear in the prostate due to long -term chronic inflammation (removed surgically);
- Disorder of sexual function (to infertility).
Diagnostic measures
The diagnosis is made using the following methods:
- Visual examination of the patient (testing of genitals in order to identify skin rashes and discharge from the urethra);
- Rectal examination (to determine the structure, sequence, pain and obtaining the secret of the prostate);
- Bacteriological examination of the urethra;
- Laboratory examination of blood and urine tests.
- In some cases, an ultrasound (ultrasound or ultrasound) is prescribed to obtain a more accurate diagnosis.
According to the change in the echogenicity of the individual places, the degree of inflammatory process is evaluated, the echobilus of chronic prostatitis is determined: increase in prostate size, diffuse changes in its structure, the presence of pathological formations in the tissues.
The most pronounced ultrasound characteristics are present during transrectal ultrasound.It is considered more information and reliable than transabdominal.
Signs of chronic prostatitis of ultrasound:
- Increasing prostate volume above 20 cm3.
- Changing the structure of the tissue (it becomes heterogeneous)
- The presence of prostate puffiness.
- The presence of fibrosis and calcifiers in the prostate.
Treatment of chronic prostatitis
Treatment for this disease is a time that can be felt and long and should be done strictly under the supervision of a doctor.
It is performed by complex methods using medicines:
- Antibiotics of different groups, depending on the indications of the diagnosis.Take for 10-14 days (depending on the severity of the disease).
- Anti -inflammatory tablets, injections and rectal suppositories that reduce pain, reducing the inflammatory process;
- Immunomodulators to increase the body's defenses and the positive effect on cell function.
- Alpha-blockers that promote the leakage of urine, eliminating the spasm and tension of the bladder and urethra muscles.
In addition, prostate massage is recommended (to improve blood circulation and normalize the functioning of the prostate gland), the use of physiotherapy procedures (electrophoresis, laser and magnetic therapy).
With proper treatment, the patient should have complete remission (lack of symptoms of the disease for a long period).
Preventive measures
Prevention of prostate disease includes:
- Compliance with the diet and drinking regimen.
- Maintain normal body weight.
- Regular physical education and sports.
- Increasing immunity.
- Strengthening the nervous system.
- Exclusion from the use of harmful food.
- Restricting alcohol consumption and smoking failure.
- Introducing regular sexual activity;.
- Timely treatment of inflammatory and infectious diseases;
- Excluding wearing narrow underwear.
- Avoiding hypothermia.
- Annual preventive examinations with a urologist.
It should be remembered that chronic prostatitis is easier to prevent (complying with some rules) than for many years to suffer from an unpleasant illness.