Prostatitis is an inflammatory process that affects prostate tissue.This is one of the most common diseases in the practice of urology.The disease is diagnosed mainly in men aged 25-30, but by older years the risk of pathology increases significantly.
The form differs acute and chronic prostatitis.In the latter case, the inflammation is characterized by a debt course with periodic relapses.This condition is much more often than acute.
Causes of prostatitis
Many prostate diseases, for example, benign hyperplasia or onkopathology, the problems are older age groups.However, prostatitis does not belong to this category.Its symptoms, mostly appear in men in 30-50 years.The most common cause is an infectious lesion due to the penetration of pathogenic flora from the urogenital channel or gland of the genitourin system.This explains the proximity of the area of the urethra and anus.
Among the most common pathogens of bacterial (infectious) prostatitis should be noted - a gram-Negative organisms: Pseudo -monads, intestinal stick, office, entertainer and professional.Often the inflammatory process develops against the background of IPP infection: chlamydia, gonoscoli, trichomon, herpes virus, etc., as a rule, such forms of illness are diagnosed in men under 35 years.Cases of treatment of pathology against background mycobacteria from tuberculosis are extremely rare.
Non-bacterial prostatitis varieties also differ.Among its main reasons:
- Increased pressure in the spent gland;
- Autoimmune disorders (destroying antibodial prostate);
- muscle pain syndrome in the pelvic region;
- Psychoemotic disorders;
- lack of motor activity;
- Excessive physical stress.
Primary prostatis signs

The disease monitors the violation complex, which affects the work of the entire urinary system.Among the main symptoms:
- uncontrolled urination;
- discomfort, pain in bladder guidance;
- Potential disorder in the men of reproductive age;
- Pain in the Perine with a long stay in a seated position;
- Frequent and strong urination;
- Difficulties in the devastation of the bladder;
- Libid reduction and the occurrence of erection problems;
- Breach of reproductive function (infertility);
- a sense of incomplete bladder devastation after going to the toilet;
- Inability to achieve high quality and persistent erection even with strong excitement.
Signs of acute prostatitis
Symptoms of disease in acute form and general clinical image differ depending on the phase of the pathological process:
- Catarhal.The patient complains of rapid urge, pain during urination, pain in the perineum and hide.
- Fulicular.Cheese hurts becomes intense, can give in an anus and intensify in the defection process.The urine is released by a thin stream.In some cases, delays occur.There is an increase in body temperature up to 38 degrees for a long time (subfEBRIT) or moderate hyperthemia.
- Parenhim.Man starts the general inexpension of the body with cold and temperatures up to 38-40 ° C. The pain syndrome in the perineum becomes sharp and pulsating.The act of defecation is difficult, and normal bladder emptying is impossible, as a result, acute delay in urination (desserija).
Symptoms of chronic prostatitis
The chronic form of prostate inflammation may be due to absence or premature treatment of acute phase.However, in many men, it develops immediately and characterized by "lubricated" symptoms.Among the main features have been observed:
- Subferable temperature temperature (occasionally);
- Weak pain in the perineum;
- discomfort during urination;
- Scaring discharge from the urogenital channel during defecation.
Generally, the clinical picture changes over time, it differs in intensity in different patients and can enter the hidden form when self-enacting attempts.Symptoms of chronic disorder can be burning sensation in urea, pressure in the perineum, desser, weakened sexual function and increased general fatigue.Based on the background of problems with the potent, the mintal depression arises, irritability and anxiety.Fear of impotence leads to the development of the complex, but at the same time most men prone to delay complaints to urology because of the feeling of shame.
The primary chronic prostatitis is developing a longer period.The stagnation of blood in capillaries (prostatosis) causes the initial phase of non-efficial inflammation, which leads to the occurrence of the disease.
With infectious etiology, the cause of the disease is a chronic inflammatory process against the background infection with trichone, ureplasma, chlamydia or gonosome.The primary mask for the infection of prostatitis signs, and its treatment does not remove the inflammation of the prostate.Often accessing the simultaneous problem remains inconspicuous for a man.
Consider the three main symptoms of chronic prostatitis:
- Moranity disorder (Disseria).Inflammation increases the volume of the prostate that leads to the compression of the ureter.With the reduction in its lumens, frequent urge to urinate and feel not entirely devastated bladder appear.The dizuric disorders in many men occur in the early stages of prostatitis.The compensatory mechanism is manifested in the hypertrophy of the bladder and ureter muscle hypertrophy, which reduces the symptoms of the diesision, but with the development of inflammation grow again.
- The syndrome of pain.No pain receptor in prostate fabrics.Pain occurs when the inflammatory process is expanded to other pelvic organs and their nervous trails.Sensations differ from weak and painful for very intense, which interfere with night rest.Strengthening discomfort occurs during ejaculation, sexual abstinence or excessive sexual activity.The pain is given to crotch, cross, scrotum, and sometimes to the lumbar zone.
- A breach of potency.Lack of treatment in early stages of prostatitis can lead to a dispute, when a man has frequent night erections, deteriorating the quality of orgasm and accelerated ejaculation.In different patients these signs appear different intensity.Premature ejaculation arises due to the reduction of the threshold of the excitement of the Organic Center.At the same time, the patient recorded pain, leading to the development of pain expectations and gradually rejection of sexual activity.In the absence of a comprehensive treatment with the study of the mental factor of disorder, sexual disorders are increasingly aggravated.Ignoring the need to seek medical assistance in prostatitis often ends with powerlessness.
The degree of sexual disorder varies depending on individual factors.Some people are so afraid of erectile dysfunction that their violations occur quite due to proposals, not objective physiological factors.In particular, the psychogenic display notes precisely increased anxiety and obsessive complexes.Very thought of the possible disorders of male health is difficult to tolerate such patients.This is extremely reflected in their character and communications with others.Anger, hypochondria, bruge and depressing state appear.
Complications with prostatitis
The absence of adequate treatment inflammation prostate leads to related diseases.The fact is that the prostatical gland is closely related to other bodies of a male genitourinary system.It is located around the tail of the bladder and the urethra.Therefore, with the increase in prostate, the urethra is grip and violating the normal outflow of urine.Given the characteristics of physiology, with a premature treatment of acute or chronic prostatitis, there is a number of serious pathologies and complications.
Related issues:
- Formation of cysts, prostate stones;
- Reduction in the number of male hormones produced;
- Reduction of sexual operation (libido);
- Erection disorders (erectile dysfunction);
- infertility (in 40% of patients with chronic prostatitis form);
- Adenim Prostate (Benign Tumor);
- Prostate cancer.
Some consequences of prostate inflammation that did not receive timely and complex treatment represent a threat not only for health, but also for patient's life (especially cancer pathology can develop).Therefore, in the first symptoms of prostatitis, you must seek consultation with urologist.It should also be remembered regular prevention examinations after 40 years, when the risk of pathological processes in the prostate is largely increased.
Diagnosis of prostatitis
Many urological problems have similar signs, so that the specialist works separately with each clinical case and uses all available diagnostic tools.Urologist counseling always begins with a survey for symptoms, collecting anamnesis and general inspection.Then the doctor prescribes numerous studies, the results were diagnosed and adequate treatment.As a rule, the survey complex includes:
- Rectal pristate fingerprint for determining the size, prostate structure and the level of urethra compression;
- Ultrasound of the urinary system (prostate, bladder, kidneys);
- Laboratory urine analysis, prostate secret, ejaculation;
- Test for urogenital infections;
- Urodynamic study.
In order to ensure the correct diagnosis of prostatitis in men and related disorders, you must refrain from urinating within 2-3 hours before it immerse the urologist.Otherwise, the test results may not be fully accurate, because when the bladder empties, there is a pathogenic microflore.In accordance with the characteristics of the clinical image, the ultrasound implementation method was selected: transect or abdominal (through the abdominal wall).After determining the cause and phase of the disease, the development of the therapeutic strategy is carried out.
Prostatitis treatment methods
The main therapy is an intake of antibiotics.The use of modern pharmacological movements gives a high score, although it is impossible to completely remove the risk of relapse.The doctor prescribes antibacterial drugs after bacpic urine and / or secret prostate for the type of pathogen.If acute prostatitis is diagnosed, oral antibiotic therapy lasts about 4-6 weeks.In a chronic or repetitive disease, treatment will last more time (in accordance with the characteristics of the clinical picture).In severe cases (as a rule, acute bacterial prostatitis) are the necessary hospitalization and intravenous antibiotic course.
With the difficulty by urinating, urologist prescribes drugs that mitigate the hyperstinity of the bladder and prostate muscle, which normalizes the outflow of urine and prevents its stagnation.Some patients undergo drug therapy that reduces the level of sex hormones.As a result, there is a reduction in the size of the prostate and accordingly, the feeling of discomfort during urination, defection and ejaculation.With a heavy edema prostate, muscle relaxantents help facilitate the overpaint of the sphincer bladder and neighboring muscles.Anti-anal not -steric medications are effectively struggling with pain syndrome.Also, chronic prostatitis reacts well to ancillary physiotherapy.Efficient methods of such treatment are:
- implanting drugs in the urethra;
- Prostate massage;
- Shock-wave therapy (UVT);
- Magnetic laser therapy (MLT);
- electrophoresis;
- Ozone therapy;
- Intravenous laser blood irradiation (vlok);
- Ultraviolet blood irradiation (UFOK).
The prostate massage is often used urological techniques.The doctor uses the prostate finger stimulation method through the rectum to improve excretion outflow and renewing the patence from the organ channel.Additional effect is to improve blood circulation and accelerated antibiotic penetration into inflamed tissues.In addition to prostate finger massage, hardware methods are possible.The eye scores in the treatment of prostatitis is shown in the therapy of the shock wave.The basis of this medical technology is a short effect of low quality sound waves in the inflamed area.The procedure helps:
- activate local blood circulation and the growth of new vessels;
- Stimulate your regenerative body abilities;
- Destroy fibrous glands and calcifications that cause pain and inflammatory processes.
After the UVT course, prostatitis symptoms and a good preventive effect were observed.The resulting result can only be achieved by integrated approach to the problem.In addition, the patient's response to medical meetings is important.
For their part, the Urologists of the Clinic provide the preparation of the individual treatment scheme, taking into account the cause, form, disease, general health and the presence of simultaneous pathology.
Prostatitis prevention
To reduce the risk of relapse, it is necessary to reduce negative effects on the body.Among the provocative factors are:
- Smoking.The anatomical characteristics of the prostate arrangement lead to continuous oxygen starvation, and the inhalation of tobacco smoke causes vascular spasm that slows down local microcirculation processes even more.All smokers with experience characterizes the problem of increased blood pressure.
- Lack of motor activity."Sedentary" work and sitting lifestyle lead to stagnant phenomena in the pelvic authorities.
- Alcohol abuse.Overrunning daily alcohol norms affects health as a whole and makes the body more vulnerable to various infectious lesions.
- Stress condition.It is necessary to avoid situations leading to anxiety, irritation, depressed disorders to the maximum.If necessary, contact your profile expert.
- Hypothermia.The effect of low temperatures reduces immunity, which makes the body "open" colds and inflammation.
- Excessive work, excessive physical activity.We should not forget about the mode of work and rest, as well as lifting heavy severity.
Preventive measures will assist in preventing the development of acute prostatitis and relapse chronic.You can always contact the Urological Department of our Clinic about the diagnosis and treatment issues of diagnosis and treatment of prostate.