Prostatitis or inflammation of the prostate well as the sign of a strong half of humanity. According to the official statistics of the disease affects approximately 16% of the adult males. Doctors urologists call other figures: not less than 35% of the male population of the country. The difference between the official data of the services and the actual impact is easily explicable: the prospective patients just do not go to doctors due to feelings of shame, of oppression, of the lack of time, lack of communication of the importance of the problem.
The inflammation of the prostate is nowadays the leader in the group of men with sexually transmitted diseases, mainly through sexual contact. Its complications threaten the infertility, decreased libido, impotence.
The symptoms of prostatitis are not only sensations of pain, disorders of urination, swelling of the seeds of the cord umbilical cord umbilical cord. The most dangerous result of the execution of the inflammation can be the rebirth of prostate cancer. While that detected in time, the process of the facility docked.
The causes of the inflammation
The risk of development of inflammation of the prostate increases due to the different disease-predisposing points:
- The subcool, isolated or associated with the nature of the work in the open air.
- The sedentary life, which leads to a breakdown in the functioning of the digestive system.
- Chronic somatic disease (diabetes mellitus, hypertensive disease).
- The foci of the focal, peri-coordinator of the infection (rhinitis, a tonsillitis, the stomatitis, gastritis).
- Persistent ugi (chlamydia, trichomoniasis, herpes virus).
- The stress, the insomnia, the chronic fatigue syndrome.
- The decrease of the immunity in relation with the surrender to the disease, intervention, emotional stress.
- The bad habits that lead to the development of intoxication: alcohol, tobacco, strong coffee.
- Professionals of the injury to the crotch of car drivers, athletes, workers unhealthy.
- Disorderly sexual life, interruption of the sexual act, without the sensuality of the sexual intercourse incomplete ejaculation, absence of prolonged near (the low need of semen leads to the stagnation of the thyroid).
- Sexually transmitted diseases.
Despite a large number of provocative moments, the essence of the prostatitis is that occurs a stagnation in the inside of the authority in the background of the violation of the blood and lymphatic circulation.
Classification
In the urology modern there is no single classification of diseases. However, the physicians prefer this option of classification of the inflammatory process in the prostate:
- By the power of the disease:
- Acute prostatitis. Represents more than 50% of cases of the disease in people under the age of 30-35 years.
- Chronicle of an option. It is considered nevozmozhnoe category. A long time ago that is not expressed, the impulse of the development is a cold, an infection.
- For the reason that caused the pathology is:
- Bacterial inflammation of the prostate, predominantly in men under the age of 40 years, occurs in the bottom of the igu, not out of the limits of the authority.
- Non-bacterial pathological changes in the iron, primarily, a chronicle of the current.
- The Viral is characterized by the inflammation of the prostate acute, affecting all the sexual activity and the area.
- By the nature of the structural changes in the prostate:
- Fibrous prostatitis is different fast and irreversible growth of the gland and need radical intervention. Clinically reminiscent of adenoma of prostate.
- Calculous inflammation of the prostate gland occurs due to the formation of konkrementov the interior of the prostate. It is considered as the precursor of cancer.
- Have stopped prostatitis, the result of sedentary life, it is diagnosed in every second patient.
Signs of the disease
If a man discovers himself, at least two of the following symptoms of prostatitis, you should consult immediately a qualified professional:
- Disorder of urination, with the appearance of intermittent, weak urine stream unusually short range, call splash, the difficulty and pain before urinating. The frequent urge to emptying of the bladder occurring predominantly during the night.
- The pain, which is localized in the lower part of the abdomen, radiates to the scrotum, perineum, the rectum.
- Sexual dysfunction.
- Problems with ejaculation, the change of the sperm (consistency, amount).
Acute prostatitis
The disease begins with the drastic elevation of the temperature up to 40 degrees), the unbearable headache, fever. He is introduced to the symptoms are accompanied by an armbar syndrome of the groin, the crotch, the back, the secretions of the urethra, frequent urination, and permanent impulses to him.
The emptying of the bladder occurs with a lag, the burning sensation. The own urine gets cloudy, it can get the impurity of the blood. It produces irritability, fatigue.
The exodus of acute prostatitis may be the full resolution of the process (in a timely manner the start of the treatment). Due to the changes to occur in many organs of the pelvis, cannot be left to chance, otherwise, will have problems:
- Vesiculitis – inflammation of the seed of bubbles, the cause of the appearance of pus in the semen, which not only decreases the quality of ejaculation, but also leads to the loss of reproductive function.
- Colliculus – inflammatory changes in the seed tuber is converted into a reason for the development of a strong syndrome of pain during sexual relations, the interruption of orgasm, impotence psychological nature.
- The formation of abscesses in the body of the prostate, and your rest, purulent defeat of the rectum leads to the exacerbation of symptoms, powerful than the intoxication of the organism, until the death.
- The stagnation in the tissues of the prostate causes a change in its structure, the violation of the innervation, vascularization, such as the breast, as well as organs located side by side, with abuse of their functions. The erection becomes insufficient to enjoy sexual intercourse, you can observe the ejaculation, long-term, the sexual act without which it will reach the orgasm.
- Rubtsovie the changes in the gland, the seed, the cable leading to the infertility, decrease of the qualitative composition of sperm, mobility of sperm. The narrowing of the urethra, prevents the normal process of evacuation urinary, obstruction of the bladder can be the cause of acute urinary retention require emergent surgical intervention.
Chronic prostatitis
The main feature of the disease is the blurring of the clinical symptoms to the long, diligent during the process. More often the chronic form occurs by itself, as a primary pathology is in the background of stagnation of the blood in the vessels (prostatosis), nonbacterial prostatitis.
The main symptoms of chronic prostatitis are:
- fever;
- the pain occurs in the scrotum and the perineum, the anus, the back;
- violation of urination;
- of the mucous membranes or of the situation-purulent from the rectum, the urethra, even in the absence of urination or bowel movement;
- the violation of erectile function, painful ejaculation, interrupted sexual intercourse, long intercourse without feelings of satisfaction.
- The infertility is the result of the chronic inflammation in the seed cable, tubes, testes, his epididymis.
- Cystitis, pyelonephritis (other diseases of the urinary system) – the result of hematogenous mechanical and the spread of germs.
- Sepsis.
- Sharp decline of immunity.
- Without treatment prostatitis in the 35 – 40% of cases can be the cause of oncology.
The diagnosis
The clinical picture of the disease is very frequent, so that the diagnosis does not cause difficulties. He puts the urologist on the basis of the clinical history, examination of the patient, laboratory minimum with the most modern medical equipment:
- The rectal examination breast, the decision of secrecy in the study (from the sowing to the determination of sensitivity to antibiotics).
- Oak, OAM, planting bacterial in the urine.
- To Test for sexually transmitted diseases, ugi-study.
- Daily monitoring of rhythm urinary tract, the measure of the speed of urination (uroflowmetry).
- For the differential diagnosis performed by ultrasound or TRUS.
- The need to exclude the cancer take biopsies, spend the ivp, determine the DOG of prostate-specific antigen.
- For the diagnosis of infertility is assigned a sperm analysis – analysis of the ejaculation for the realization of the fertility in men.
On the basis of the results of the survey is made up of an individual patient outline integrated treatment of prostatitis. When prescribing take into account the shape of the pathology is, the presence of comorbidities. The decision on where to spend the therapy (in hospital or outpatient) is made by the doctor. The course of treatment involves careful laboratory control of the results.
One of the most modern centres of treatment of prostatitis are of accounting of the clinic "Mother and Child". Given that the problem of infertility is closely related to inflammatory urological diseases, medical professionals pay great attention to this problem.
In the clinics, "Mother and child" each patient has the possibility of finishing the full course of the special survey, receive psychological support, to be treated with medicines of the latest generation used in this sector, learn about new techniques for the treatment of inflammation of the prostate. Not in last place in therapy of prostatitis, occupy and the question of the effective rehabilitation of patients, clinic surveillance, prevention.
The treatment of acute prostatitis
Acute prostatitis requires of bedding and in a special way, without salt in the diet, the peace.
Methods of treatment:
- The most effective in the treatment of prostatitis is causative of the therapy. If on the basis of the prostatitis is an infection of the priority course of antimicrobials in the media, which relieves the manifestations of the inflammation.
- Pain syndrome cropped analgesics, antispasmodics, rectal candles, microclimate with warm tones of the solutions of the drugs for the pain. Perhaps the use of nsaids.
- Have proven to be Immunostimulatory, the immunomodulators, enzymes, vitamin complex, the combination of micronutrients.
- Physiotherapy methods are possible only in the subacute phase of the disease. Improve the microcirculation, enhance immunity: uhf, microwave, electrophoresis, laser, magnetotherapy.
- Massage is another efficient method to and impact on the prostate. He opens the ducts, normalizes the blood circulation to the organs of the scrotum, of the pelvis.
- Acute delay of filtering the kidneys can adjust the catheterization, traganou cystostomy.
- Purulent process involves the surgical intervention.
- The consultation of a psychologist.
The treatment of chronic prostatitis
When long-term, ongoing (no less than a month) impacts on prostate 100% guarantee of a cure. The priority by phyto-medicines, the immunocorrection, the change of habits at home:
- Phyto medicines (for example, Likoprofit) are common in the practice of urological. They are able to accumulate in the most active pathological process, protect cells from oxidation, neutralize free radicals, prevent the overgrowth of breast tissue.
- Therapy anti-bacterial individually, on the basis of the sensitivity of the germs to the drugs.
- Medications that increase the immunity, not only help to deal with prostatitis, correcting the adverse effects of antibiotics, which violates the function of the immune system.
- Pain syndrome, coupled with the appointment of alpha-blockers, a muscle relaxant.
- Prostate massage allows you to mechanically remove "excess" the secret of breast through the urethra, improving circulation, reducing to a minimum the fenmenos stuck.
- Physiotherapy: laser, magnet, ultrasound, iontophoresis, sitting in hot baths or microclysters with herbs.
- In severe cases shown by intravenous fluids with diuretics. This stimulates abundant urine, profilaktirujut the symptoms of the poisoning, the upward development of cystitis, pyelonephritis.
- For the constipation you practice laxatives to herbal.
- By the urologist, psychologist, along with the individual patient develops a long-term program so day, need rest, diet, as measured by the exercise of a physical, sexual activity.
- In the case of resistance to chronic in the process of the therapy, blocking the flow of urine is prescribed the surgery: removal of all tissue (transurethral resection of the prostate) or the total removal of the breast with the adjacent tissue (prostatectomy). It is practiced in exceptional cases, full of impotence, incontinence of urine. Young people who do not perform are the operation, as this may cause infertility.
The prevention of the
To avoid the bad smell of the men from the disease have to eliminate the triggers and to comply with simple rules:
- Lead a healthy lifestyle, give up bad habits.
- Not SuperCool.
- Drink at least 1.5-2 litres of water a day.
- To Strengthen immunity, to walk a lot on foot, mild.
- Participate in physical activities and sports, attend fitness clubs.
- Avoid stressful situations.
- Practice in a sexual relationship with a permanent mate.
- Regularly experience with the urologist.