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PROSTATITIS

Prostatitis, or inflammation of the prostate gland familiar strong half of mankind. Official disease affects according to statistics, about 16% of adult men. Professionals, urologists are called, and other figures: at least 35% of the male population of the country. The difference between the official services and the true prevalence is easily explained: the possible patients simply do not seek help from doctors because of feelings of awkwardness, embarrassment, lack of time, misunderstanding the importance of the problem.

Inflammation of the prostate today is the leading group of male diseases are transmitted primarily through sexual contact. Its complications threaten infertility, decreased libido, impotence.

The symptoms of prostatitis are not in vain pain, urinary tract disorders, inflammation of the spermatic cord. The most dangerous consequence of inflammation running cancer can become a degeneration of the prostate. When diagnosed in the pathological process is easily docked.

The cause of the inflammation

Table of developing prostate inflammation increases the fault eri exposed to a disease which:

  • Hypothermia, or one of the nature of the work related to the outdoors.
  • Lack of physical activity, which leads to disruption of the functioning of the digestive system.
  • Chronic somatic diseases (diabetes, hypertension).
  • Lesions are focal, perifocal infection (rhinitis, tonsillitis, stomatitis, gastritis).
  • Continue to UGI (chlamydia, trichomoniasis, herpes simplex virus).
  • Stress, insomnia, chronic fatigue syndrome.
  • The lowered immunity in the context is transferred to illness, surgery, emotional stress.
  • Bad habits that lead to the development of intoxication: alcohol, Smoking, strong coffee.
  • Accidents to the perineum of the car drivers, athletes, dangerous industry employees.
  • Promiscuous coitus interruptus, devoid of sensuality sexual intercourse with incomplete ejaculation, prolonged lack of intimacy (low demand of semen leading to stagnation of glands).
  • Sexually transmitted diseases.

Despite the fairly large number of provocative moments, the essence of prostatitis is the occurrence of stagnation in the body in the background and impaired blood circulation lymph drainage.

Prostat you-u-muzhchin

Classification

Modern urology classification is not a uniform disease. However, doctors prefer this to the gp classification of the inflammatory process in the prostate:

  1. During the course of the disease:
    • Acute prostate inflammation. Its share is more than 50% of the cases, people, no more than 30-35 years.
    • Chronic option. Keep nevozmozhnoe category. Not a Long time to occur, the impetus for the development of a cold, infection.
  2. The causes for the pathology:
    • Bacterial inflammation of the prostate gland, common in men up to 40 years, pay background of the IGO, do not go outside the limits of authority.
    • Non-bacterial pathological changes in the glands, mainly chronic.
    • Viral inflammation of the prostate is characterized by an acute course affects all sexual matters.
  3. The nature of structural changes in the prostate gland:
    • Fiber prostatitis is characterized by the rapid growth of the irreversible cancer and needs radical surgery. Clinically reminiscent of benign prostatic hyperplasia.
    • Calculous inflammation of the prostate gland occurs due to the formation of stones within the prostate. Seen Is cancer than the predecessor.
    • Congestive prostatitis, the result of a sedentary lifestyle, diagnosed in about every second patient.

Signs of the disease

If a man found himself, at least two of the following symptoms of prostatitis, men should immediately contact a qualified technician:

  • Urination disorder of the occurrence of intermittent, weak flow of urine, unusually short-range, attractive splashes, difficulty pain and before urination. Often the desire to empty the bladder is paid mainly at night.
  • The pain, which is localized in the lower abdomen, radiating to the scrotum, the perineum, the rectum.
  • Sexual dysfunction.
  • Problems with ejaculation, changes in sperm (unity, number).

Acute prostatitis

Disease begins with sudden temperature rise (40°), painful headache, fever. Occur symptoms are accompanied by pain in the groin, perineum, back, discharge from the urethra, frequent urination and a constant desire for him.

Bladder emptying is delayed, burning sensation. The urine itself becomes cloudy, it can receive blood. There is irritability, fatigue.

Result acute prostatitis can be a full resolution process (if time begun treatment). Because changes occur in many organs, small pelvis, they may not be the fingers, or in the case of complications:

  • Vesiculitis – inflammation of the seminal vesicles, the cause of pus in semen, which not only reduce the quality of the ejaculate, but lead to the loss of reproductive functions.
  • Colliculi – inflammatory changes are the seminal colliculus, the reason for the development of severe pain syndrome during sex, loss of orgasm, impotence psychological nature.
  • The formation of an abscess in the body of the prostate gland, it ruptured, purulent lesions of the rectum lead to an exacerbation of symptoms, severe poisoning, even death.
  • Stagnation in the prostate leads to a change in their structure, disturbances of innervation, blood supply, glands organs are located near and, violation of their functions. Erection insufficient will full sexual intercourse, is premature ejaculation, prolonged sexual intercourse orgasm on the spot.
  • Cicatricial changes in the glands, spermatic cord cause infertility and reduce the quality of sperm, motility of sperm. Narrowing of the urethra interferes with the normal urination, blockage of the bladder can cause acute urinary retention, requiring urgent surgical treatment.

Chronic prostatitis

The main feature of the disease is the vagueness of the clinical symptoms during the long and difficult process. Most of the chronic form of paid independently, because the primary pathology on the background of stagnation of blood in the vessels (prostatosis), abacterial prostatitis.

The main chronic prostatitis symptoms are:

  • fever;
  • pain occurs in scrotum, perineum, anus, back;
  • violation of urination;
  • mucous or Muco-purulent discharge from the rectum, the urethra, even without urination or bowel movement;
  • violation of an erection, painful ejaculation, coitus interruptus, prolonged sexual intercourse without a sense of satisfaction.

  • Infertility is the result of chronic inflammation of the spermatic cord, vesicles, testicles and their appendages.
  • Cystitis, pyelonephritis (other diseases of the genitourinary system) is a mechanical result of the called hematogenous spread of microbes.
  • Sepsis.
  • Continuous immunosuppression.
  • Untreated prostatitis 35 – 40% of cases can cause cancer.

Diagnosis

The clinical picture of the disease is typical, so not to cause difficulties in diagnosis. It that the urologist on the basis of anamnesis, patient examination, laboratory, at least using the most advanced medical equipment:

  • Rectal examination of the gland, taking the secret of the study (sowing with the definition of sensitivity to antibiotics).
  • KLA, OAM, bacterial urine culture.
  • The swab sexually transmitted diseases, IGO-research.
  • Daily control of urination rhythm, measuring the speed of urination (uroflowmetry).
  • For the differential diagnosis carried ultrasound, or TRUS.
  • If you want to close the poi's cancer, take a biopsy, perform urography, single PSA – prostate specific antigen.
  • The diagnosis of infertility is defined semen analysis – a semen analysis to determine fertility in men.

Based on the results of the individual patient treatment of prostatitis program complex. When prescribing take into account the form of the disease, the English disease. The decision about what behavior therapy (inpatient or outpatient) is taken by a doctor. The treatment is careful laboratory control results.

One of the most modern centers for the treatment of prostatitis are the GK clinic "Mother and the address of the current sources". Because the problem of infertility is closely linked to the inflammatory urological diseases, the medical professionals have given this issue much attention.

In the clinic, "Mother and address the current sources of" every patient has the opportunity to perform a full round of special inspections, obtain psychological support, in order to deal with the drugs of the last generation, used in this ball, get the new explore method of treatment of inflammation of the prostate. Not the last place in treatment of prostatitis is also an effective rehabilitation, job control, prevention.

Treatment of acute prostatitis

Acute prostatitis requires rest, particularly, salt-free diet, sexual peace.

Methods of treatment:

  • The most effective treatment for prostatitis is etiotropic treatment. If, on the basis of the prostate – infection, a priority course of antimicrobials, which relieves inflammation.
  • Pain syndrome limited to analgesics, antispasmodics, rectal candles, micro-climate with warm solutions of anesthetic drugs. Perhaps the use of anti-inflammatory drugs.
  • Has been proven effectiveness of Immunostimulants, immunomodulators, enzymes, vitamin complexes, a combination of micronutrients.
  • Occupational therapy is a possible unnecessary subacute stage of the disease. They improve microcirculation, improve immunity: UHF, UHF, electrophoresis, laser, magneto therapy.
  • Massage – another effective method of influence on the prostate. It opens channels, normalizes blood circulation in the scrotum and pelvis.
  • Sharp delay of the filtrate of the kidney can be repaired with catheterization, tragano is cystostomy.
  • Purulent process requires surgical intervention.
  • Advice.

Chronic prostatitis

Long-term (at least months) effect on prostate 100% guarantee of cure. Priority herbal medicines, immunocorrection, changing household habits:

  • Herbal remedies (for example, Likoprofit) are widely distributed in urological practice. They are able to accumulate in a place the most active pathological process, to protect the cells from oxidation, remove free radicals, inhibit the growth of the prostate tissue.
  • Antibiotic treatment is individually selected, based on the sensitivity of microbes to drugs.
  • Drugs that increase immunity, it is unnecessary to help cope with prostatitis, they are still to fix negative antibiotics effects, which hinder the activity of the immune system.
  • Pain syndrome relieved by the appointment alpha-blockers, muscle relaxants.
  • Massage Prostate mechanical can help you remove "extra" the secret of the prostate through the urethra, improves blood circulation, reduces congestion.
  • Occupational therapy: laser -, magnetic -, ultrasound, iontophoresis, sessile warm bath, microclysters with or herbs.
  • In severe cases, intravenous fluids with diuretics. It stimulates profuse urine, profilaktirujut symptoms of poisoning, the rising and development of cystitis pyelonephritis.
  • In practice, for constipation, laxatives herbal.
  • The urologist, a psychologist with the patient together to develop individual long-term routine, it is necessary to rest, diet, dosed physical exertion, sexual activity.
  • If the resistance of chronic care, to prevent the flow of urine, volume of surgical intervention: remove all the diseased tissue (transurethral resection of the prostate) the perfect or removal of the prostate gland to the surrounding tissues (prostatectomy). In exceptional cases, is fraught with impotence, incontinence. Young people do not operation to perform, because it can cause infertility.

Prevention

In order to prevent unpleasant men's disease, it is necessary to and remove triggers follow simple rules:

  • Live a healthy lifestyle, give up bad habits.
  • Not Super Cool.
  • Drink at least 1.5-2 liters of water a day.
  • Strengthens the immune system, a lot of walking, temper.
  • Physical education and sports, visit fitness clubs.
  • To avoid stressful situations.
  • In practice, a regular sex life with permanent partner.
  • Regular visits to the urologist.