Chronic prostatitis is a long -term inflammation of the prostate gland, while symptoms are often absent, which is why most of the male population is not aware of the disease.
The development of a chronic form of prostatitis is a consequence of an acute process, although in practice this is quite rare.As a rule, inflammatory chronic prostatitis begins gradually, without any unpleasant symptoms and sensations, often the course of the disease is found in the patient by chance, when examining an ultrasound.
Chronic form, both young men and middle-aged and elderly.Prostatitis also threatens those who, by the family of their activities, leads an inactive lifestyle, feels excessive physical exertion on the crotch, observe sexual abstinence.
Classification
According to the modern classification of prostatitis developed in 1995, several categories of the disease are distinguished:
- acute bacterial prostatitis (OBP) is the most common type of prostatitis.It is usually caused by a bacterial infection and is easily diagnosed due to typical signs.Acute bacterial prostatitis can occur at any age.Symptoms include painful urination, the inability to completely empty the bladder, pain in the lower abdomen, back or pelvic area.There may be a fever accompanied by chills.
- Chronic bacterial prostatitis is a disease with typical symptoms of chronic inflammation and an increased amount of bacteria and leukocytes in the urine and the secret of prostate after its massage.
- Chronic prostatitis (CP) is the most common form of prostatitis.In most cases, it is a consequence of acute bacterial prostatitis (not treated or poorly treated).If there are symptoms, then they proceed in the form of pain in the genitals or the pelvic area, difficulties when urinating or painful urination and ejaculation.
- Asymptomatic inflammatory prostatitis - with this form of the disease, classic symptoms of prostatitis are absent, and the disease itself is detected by chance, when converted to another reason.bacterial (infectious) chronic prostatitis;In the absence of microbial pathogens - about non -bacterial (non -infectious) prostatitis.It is believed that in 90-95% of all cases there is non-bacterial chronic prostatitis and only in 10-5%-bacterial.
The causes of chronic prostatitis can contribute to a number of factors.First of all, it is:
IPPP: chlamydia, ureaplasma, mycoplasma, herpes virus, cytomegalovirus, trichomonads, gonococcus, genuenic fungus, intestinal wand (Escherichia coli) can affect the urethra and detect in prostate tissues;
- circulatory in the pelvic organs (stagnant phenomena in the stroke are led to its stroke.inflammation);
- Inactive lifestyle (drivers, office employees, officials);
- Long -term sexual abstinence, interrupted sexual intercourse or artificial lengthening of sexual intercourse;
- regular hypothermia (lovers of extreme rest: diving, surfing and skiing);
- stress: mental and physical overload.
- For the development of chronic prostatitis, it is not so important not so muchThe presence and activity of pathogens, how much the condition of the pelvic organs and blood circulation in them, the presence of concomitant diseases, the level of protective mechanisms.
Symptoms of chronic prostatitis
Most often with the development of a chronic form of prostatite, symptoms practically without bothering a man.In this case, all the signs of acute prostatitis will not manifest themselves or manifest themselves to a much lesser extent.
The most common symptoms of chronic prostatitis in men are:
periodic pains and discomfort in the perineum;
- Unpleasant sensations during defecation and urination;
- irradiation in the anus, thigh, eggs;
- discharge from the urethra.The course of the disease, already not very bright, can be so insignificant that patients with chronic prostatitis do not pay much attention to them.
- Exacerbation of chronic prostatitis
Exacerbation of the disease, as a rule, accompanies the following symptoms:
pain and burning in the urethra;
Cornet's urging to the urinary process;
- учащенные позывы к процессу мочевыделения;
- pain in the lower abdomen, perineum and rectum;
- signs of decrease in men of sexual activity;
- pain during the act of defecation.
According to some doctors, we can also distinguish the psychological symptoms of chronic prostatitis, which include increased irritability, anxiety, quick fatigue, interruption, impulse and suppression.
Determine all symptoms at once.The patient is almost impossible, since a man usually manifest only 2-3 signs of the disease.For example, the most common are an erection and pain in the lower abdomen.
Why can prostatitis cause infertility?
The fact is that the prostate iron produces a special secret that provides the viability of spermatozoa.With inflammation, the secretory function of the prostate gland worsens, which inevitably affects the quality of sperm.
In addition, the prostate gland is actively involved in the regulation of the production of testosterone and the erection process.That is why chronic prostatitis causes a decrease in erectile function, up to impotence.However, these scenarios for the development of the disease can be avoided if timely and competent treatment.
Diagnostics
The following procedures are necessary that will help to establish/refute the diagnosis: rectal examination;
- Microscopy of the prostate secretion;
- Sowing the secret of the prostate to antibiotic sensitivity;
- Analysis on the disease is transcontal ultrasound;
- transrectal ultrasUrodynamic studies.
- How to treat chronic prostatitis
If a man has chronic prostatitis, treatment is always prolonged and difficult.Its duration directly depends on the stage of the disease at which the patient turned to a specialist.Therapy involves an integrated approach, that is, a combination of several methods simultaneously:
antibacterial therapy;
prostate massage;
- physiotherapeutic procedures;
- correction of diet and lifestyle;
- use of folk remedies;
- surgical treatment.
- хирургическое лечение.
Additionally, anti -inflammatory and antispasmodic drugs are used in the treatment of the chronic form of the disease.
Drug treatment
The choice of drugs depends on the cause and symptoms of the disease.In order to cure chronic prostatitis of infectious etiology, antibacterial drugs are used:
- fluoroquinolons;
- macrolides;
- tetracycline.
Analgesic anti -inflammatory drugs are used to eliminate inflammatory phenomena and pain.
In recent years, treatment of chronic prostatitis is also used using drugs that have not been used for this purpose: not used for this purpose: not used:Alfa1-adreno-sobs, 5-A-reducket inhibitors, cytokine inhibitors, immunosuppressors, drugs affecting the exchange of urates and citrate.
Physiotherapy
Prostate tissues and acceleration trophic and certain physiotherapeutic procedures, such as laser therapy, electrophoresis, transrectal microwave hyperthermia, ultrasonic phonophorem and others, also with chronic prostatitis, miracle warm baths, and special enemls.glands
improves the drainage of the prostate secretion and microcirculation at the level of this organ, which in turn contributes to the speedy recovery of the patient.
Prostate massage cannot be carried out with acute prostatitis, hemorrhoids, and cracks of the rectum.Prostate massage is usually combined with antibiotic therapy.Numerous clinical studies have shown the high effectiveness of such treatment.
Operation
Perhaps surgical intervention in order to remove prostate areas affected by bacteria.Transurethral resection is an operation that is performed under Epidural or intravenous Barbiturate anesthesia.The postoperative recovery period lasts no more than a week.
The methods that involve the treatment of chronic prostatitis are determined by the urologist based on diagnostic information and his practical experience.To carry out independent therapy at home based on reviews on the Internet is fraught with consequences.
Способы, которые предполагает лечение хронического простатита, определяет врач-уролог на основании диагностической информации и своего практического опыта. Проводить самостоятельную терапию в домашних условиях основываясь на отзывах в интернете чревато последствиями.