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Prostatitis

Prostatitis in men

Prostatitis is an inflammation of the prostate tissue in men, which is manifested in pain in the lower abdomen and engine disorders. The disease continues in acute and chronic forms, develops under the influence of infectious and nonfective causes. Prostatitis is included in the five most common problems that men turn to urologists.

The prostatural gland is the body of a male reproductive system that produces a liquid secret that is part of sperm and improves sperm mobility. The prostate has a shape of chestnut, dimensions 2x3x3, 5 cm, is located in the middle of the pelvic cavity. The neck of the bladder and the initial department of the urethra pass through the center of the gland.

Acute prostatitis is quite rare (5-10% of cases), but continues difficult and serious danger to male health. Mostly young men are ill with an acute form of inflammation. Chronic prostatitis is developing in men most often between the ages of 60-70. The disease continues with moderately pronounced symptoms, but over time leads to the formation of erectile dysfunction and impaired urination.

Causes and factors of prostatitis risk in men

All causes of prostatitis in men can be divided into two large groups - infectious and ineffective.

Acute inflammation of prostate glandsMost commonly contained origin, this form of disease is especially common among men under 40 years. In a large majority of cases, bacterial flora was caused:

  • Enterococci;
  • E. coli;
  • Klebsiella and Proteas;
  • Gonococci;
  • pale treponema;
  • chlamydia;
  • Micobacteria tuberculosis.

However, the genitourinary or intestinal infection itself leads to the inflammation of the prostate in 100% of cases. For the development of bacterial prostatitis, predisposition factors are needed, of which the main systematic microtraw is glands. This happens with prostate biopsy, cystoscopes or pelvic operations. Other risk factors Infectious prostatitis include:

  • Immunodeficiency (HIV infection, congenital pathology of the immune system);
  • Random sex life;
  • Homosexual contacts;
  • chronic diarrhea or prison;
  • obesity;
  • Sedentary lifestyle.

Pathogenic microorganisms penetrate the prostate gland from the urethra or rectum. The weakening of immunological protection and prostate microtrows contributes to the development of acute inflammation. Against this background, the tone of smooth muscle prostate is growing, which leads to compression of urethra and urination disorders.

Chronic prostatitisIt has a non-financial origin and more complex development mechanism. Inflammation is formed gradually, and the correct cause of its phenomenon was not determined. Chronic non-decacterial prostatitis risk factors:

  • Increased pressure in the spent gland (with benign hyperplasia or aden);
  • increased pressure in the pelvic cavity;
  • Chronic pelvic pain;
  • Autoimune diseases;
  • Rare sexual contacts;
  • severe physical activity;
  • Chronic stress.

The pathogenesis of chronic prostatitis is based on stagnation of the secret gland, deteriorating its blood supply, leading to permanent inflammation.

In approximately 6% of cases, chronic bacterial prostatitis develops in men. The reason for this is insufficient or incomplete treatment of the acute form of disease.

Types of prostatitis

Depending on the cause and mechanism of development, four clinicalForms of prostatitis:

  • Acute bacterial;
  • Chronic bacterial;
  • Chronic non-pointing (chronic pelvic pain syndrome);
  • Asymptomatic inflammation.

The National American Institute of Health differs 4 types of prostatitis, dependingFrom the Development and Clinic phase:

  • And enroll - acute bacterial inflammation with general and local manifestations;
  • II type - chronic bacterial inflammation with remittance and deterioration periods;
  • IIIA type - Chronic non-paychiels (pathogenic microorganisms have not been detected) inflammation confirmed by the presence of leukocytes in prostate or ejaculation secrecy;
  • IIV type - non-coating prostatitis, in which there are no pathogenic microorganisms and leukocytes in the secrecy of the gland;
  • IV type - asymptomatic inflammation, which can only be confirmed histologically.

DependentFrom the nature of the pathological processIn the prostate glend differ:

  • Katarhal Prostatitis - acute uncomplicated inflammation;
  • Stagning or congested prostatitis - chronic inflammation associated with the obstruction of the channel gland and the accumulation of the prostatic secret in them;
  • Calculation of prostatitis - complications of chronic form of disease, accompanied by formation of stones in channels of the gland;
  • Granumatose prostatitis is an extremely rare form, which is accompanied by the thickening of the mucosal of the membrane channels.

Prostatitis symptoms in men

The clinical picture of prostatitis in men consists of signs of inflammation prostate, discovery door compression and urethra, as well as general disease manifestations. The weight and combination of symptoms differ depending on the forms and phase of prostatitis development.

Usual manifestationsDiseases, regardless of the form, serve:

  • pain in the lower abdomen, lower part, dutch and cross;
  • Violation of urination in the form of rapid urges, discomfort and ignition, occasional stream;
  • Violation of potency and ejaculation.

The acute form of prostatitis begins suddenly, income from symptoms expressed, is often accompanied by different complications. Chronic inflammation is developed gradually, characterized by exigh times and modification periods. With bacterial prostatitis, the first symptoms are the signs of general intoxication (fever, nausea), and with the non-effective form of disease, local prostate inflammation is of the main importance.

Signs of acute prostatitis

With acute bacterial inflammation prostate, the following symptoms appear in men:

  • General Malase;
  • More than 38 ° C fever;
  • Nausea and vomiting;
  • Strong pain in the lower abdomen with radiation in the rectum;
  • Frequent, but at the same time difficult urination;
  • Itching and ignition in urea;
  • Darkness of urine, the appearance of blood or fertilizer in it.

In the future, the background of the treatment arises, or the chronic form of bacterial prostatitis with different consequences is developed.

Symptoms of chronic prostatitis

When forming chronic bacterial prostatitis after acute inflammation, man is worried about periodic abdominal pain, urination difficulties, sometimes burning in urea. Pain can also spread to the lower back and cockcapes, on the rectum, penis and scrotum. Symptoms usually occur in the period of deterioration of prostatitis, and during the remission, man's welfare remains normal.

Non-effective prostatitis in men is also called chronic pain in the pelvis, which includes pain and signs of urination and sexual disorders. It is difficult to urinate man, because the stream of urine is slow and intermittent, there is a palic sensation and a sense of pressure in urea. In addition to the extended stream of the disease, potential potentials appears, ejaculation becomes inferior and painful. Finally, human quality of life suffers significantly, psychological problems are developed.

Pain with prostatitis

Cheese pain with prostatitis is a constant and most pronounced symptom, which is present in all forms of disease. The prostatitis pain mechanism was created due to inflammation and edema gland, receptor compression in the bladder neck and the initial unit of the urethra.

The acute form of illness was accompanied by the hardest pain, because inflammation is contagious, leads to a massive edema gland. The pain is localized in the prostate itself, but a man feels him not only in the lower abdomen, but also in the lower back, core, rectum and scrotum.

With chronic inflammation of prostate, painful pain, but they are longer in nature, it may not be gone during the remission period. The chronic pain syndrome in the bowl is accompanied by unpleasant sensations primarily in the prostate itself, as well as in the ribbon, around the anus, in the base of the penis and scrotum. Discomfort daily bothering a man for at least three months.

Than prostate inflammation is dangerous

Complications also develop with acute and chronic forms of prostatitis:

  • Vesiculite (inflammation of seed bubbles);
  • Colliol (inflammation of Tuberkla seeds);
  • Apsces prostate (abscess in capsules);
  • Prostate fibrosis (forming scars in the gland tissue);
  • pure in prostate;
  • Prostate stones;
  • Infertility due to deterioration of sperm quality;
  • erectile dysfunction caused by chronic pelvic pain and psychological disorders;
  • Depression.

Diagnosis of prostate inflammation

When the first prostatitis signs appear, you must contact the urologist. First of all, the doctor talks to the patient to determine the nature of complaints and collect anamnesis. For that doctor sets the following questions:

  • How many disease symptoms have appeared;
  • where the pain is localized, its character and conditions of phenomena;
  • Are there any problems with urination and ejaculation;
  • There are chronic diseases, including genitourinary infections.

To diagnose prostatitis, the doctor uses the following methods:

  • Rectal fingers in prostate;
  • General clinical blood tests;
  • bacteriological examination of ejaculation or prostatic secretion;
  • Ultrasonic overview of the pelvic authorities;
  • Urofloomers;
  • radiography or calculated tomography prostate;
  • In rare cases, the prostate gland biopsy may require, followed by a histological examination.

Prostatitis treatment methods in men

To treat prostatitis in men are used mainly conservative methods, tactics depend on the cause and stage of disease development. With asymptomatic inflammation (type IV), active treatment is not required. In other forms of the disease, a complex treatment indicated, the acute form of prostatitis requires hospital hospital, chronic inflammation can be treated on an outpatient basis.

First of all, the doctor gives recommendations Corrections of lifestyle:

  • rejection of smoking and drinking alcohol;
  • Regular sex life;
  • Exclusion of stress;
  • Adequate physical activity;
  • Balanced diet;
  • Exception of hypothermia and overheating.

A prerequisite for successful treatment of prostatitis is Elimination of related diseases, especially urogenital infections.

Drug therapy  The prostatitis is focused on combating inflammatory process, improving urination and pain relief. The following groups of drugs are used:

  • Antibiotics. He showed acute bacterial inflammation, the doctor prescribes medicines taking into account the results of the microbiological examination of the secret prostate. Medications can be taken orally in the form of tablets or in the form of intramuscular injections. The course of treatment is usually 4-6 weeks with an acute form of disease. In chronic bacterial prostatitis, the duration of therapy is determined individually.
  • Alpha-blockers. Medications are designed to improve urination, because they relax smooth muscles glands and eliminate the compression of urethra spending. In chronic disease form, long, and sometimes for life must be lasted.
  • Musorelax and nonsteroidal anti-inflammatory medications. It is pointed to eliminate pain syndrome caused by inflammation glands and spasms of his muscles.
  • In chronic inflammation, drugs for improving microcirculation, immunomodulators, antidepressants, erecting drugs.

Acute prostate inflammation from ceasing to treat medicines, in most cases, complete recovery occurs within 1, 5-2 months. In chronic form of disease, therapy is made for a long time, several years or for life.

An important way of treating congestive prostatitis is a prostate massage glands through the rectum. The process is performed by urologist, on the clinic. Massage helps remove muscle spasm, stimulates the release of the prostatic secret.

Physiotherapy procedures  It is displayed in the chronic prostatitis flow:

  • Laser therapy;
  • electrophoresis and ultrafonaphoresis;
  • Microwave therapy;
  • Electric stimulation;
  • Acupuncture.

Surgical intervention  It is displayed only by developing complications - an abscess or stones of prostate.

Forecast and prevention

The forecast for recovery in acute bacterial prostatitis is favorable subject to timely and complex treatment. The transition to a chronic shape is observed in 6-10% of cases. Chronic non-macterial prostatitis, as a rule cannot be completely cured. The complex therapy allows you to slow the progression of the disease, preserve the quality of man's life and reduce the risk of complications.

Prostration prevention in men includes the following recommendations:

  • a healthy lifestyle;
  • regulation of operation and vacation regime;
  • Balanced diet and drinking mode;
  • Adequate physical activity;
  • Regular sex life (ejaculation);
  • Prevention of Genitorinal Infections;
  • Limit of invasive manipulations (cystoscopy, catheterization of the urethra, prostate biopsy);
  • Prevention of genital injuries.