Chronic prostatitis is an inflammatory disease of the prostate gland, which is prolonged and is difficult to treat.Unlike acute prostatitis, the cause of chronic inflammation of prostate is not only infectious agents, but also various disorders of the nervous and endocrine system of a man.
What is a prostate and what are its functions
Anatomically, the prostate gland is placed under the bladder and is surrounded by the urinary channel on all sides.Two main functions of the prostate can be distinguished:
- The urinary person is a prostate is a transit organ through which the urinary tract passes;
- Sept -Information - identifies a secret in the light of the ureter, which provides the mobility and survival of sperm.
Chronic prostatitis is a slow inflammation of the prostate gland.Most often, the disease occurs after acute prostatitis due to ineffective treatment.
In the event of damage to the prostate gland, the secretion of a prostate secretion is raped and one of the most difficult consequences of the inflammatory process in the infertility of the prostate gland.
The prostate functions are controlled by a complex cascade of hormonal interactions (androgens, estrogens, pituitary hormones), because of which violations of the hormonal waterfall lead to lesions of the prostate gland.
The causes of chronic prostatitis
The main cause of chronic prostatitis is unbearable acute prostatitis.Inadequate antibiotic therapy, concomitant infections that weaken the body's immune system and non-compliance with the doctor's prescriptions are the main causes of transition from acute prostatitis to a chronic form.This form of chronic prostatitis is called primary.
Between this, chronic prostatitis is distinguished, which begins independently.This form of chronic inflammation of the prostatic gland is called secondary.
The main factors that affect the development of secondary chronic prostatitis:
- Blood supply violation to the prostate gland.
- Weakened immune system.
- Alcohol abuse.
- Spicy food abuse.
- Men's sexual disorders (too active sex life or too rare sexual contacts).
- Hypothermia or overheating.
- Frequent intestinal functions (constipation).
- Sitting lifestyle.
In almost all cases of chronic prostatitis, the main cause of the occurrence of the disease is bacterial infections.Due to the above factors, the capacity to infect in bacteria significantly increases and the violation of immunity and blood supply to the organ leads to the absence of an adequate reaction of the body to infection.This is why chronic prostatitis takes place soft, long and is difficult to treat.
Chronic prostatitis symptoms
The course of chronic prostatitis is characterized by alternating periods of long periods and in the short term exacerbation.
During periods of calm, the disease may not manifest itself to all symptoms and not disturb the patient.These periods can last for months or even years.During the exacerbation periods of chronic prostatitis, rapid urination, pain and unpleasant sensations in the perineum can be observed.Sometimes pain can give in to testicles and groin.The pain intensifies with a prolonged seat and decreases after motor activity.A lively symptom of the disease is the urination of a slow stream due to an altered permeability of the prostatic part of the urethra.After urination, the SO -appeal prostatera is often observed - the discharge of the muddy secret of the prostate gland.Since prostate is the center of ejaculation in men, in chronic prostatitis, sexual disorders are observed.They manifest themselves by an erectile dysfunction of the penis and the absence of orgasm.These symptoms are attached to the incapacity of prostate in sufficient quantities to synthesize prostatic fluid, which leads to infertility.
A separate disease with similar symptoms is prostatinia.It differs from chronic prostatitis in the absence of infection in the gland of the prostate, because the main cause of prostatinia is the neuroendocrine disorders of the body.
Diagnosis of chronic prostatitis
It is quite difficult to diagnose chronic prostatitis, because the inflammatory process is slow, and it is quite difficult to prove the presence of a bacterial infection.
- At the first stage of the diagnosis, a rectal examination of the fingers is carried out.This type of diagnosis is based on an examination of the rectum's finger, through which you can break the prostate gland and assess changes in the structure of the prostate (flask, painful and paste).
- The second stage of the diagnosis is the analysis of the liquid of the prostate.For this, a prostate massage is carried out to stimulate the release of liquid, after which the material is examined under a microscope and bacteriological.The presence of bacteria, lecithin grains and leukocytes in the liquid indicates prostatitis.
- Sometimes, for a precise formulation of the diagnosis of these diagnostic techniques is not enough.In such cases, instrumental exam methods are carried out.They belong to an ultrasound of the gland of the prostate (increase or sclerosis of the gland, the residual urine in the bladder) and the computed tomography.In complex clinical cases, when it is difficult to distinguish chronic prostatitis from adenoma, a biopsy of the prostate gland is carried out - the excision of the gland's tissue for histological examination.
How to treat chronic prostatitis
The treatment of chronic prostatitis must be complex and made up of antibacterial therapy, strengthening of treatment and local exposure to the gland.
The main link in chronic prostatitis treatment is antibiotic therapy.Before prescribing antibiotics, the sensitivity of the pathogen must be determined.The choice of a group of antibiotics depends on the results of this test.Most often, antibiotics of cephalosporin, macrolides, tetracycline antibiotics, uroïseptics give a good effect.For the absorption of infiltrates that occur in prostate during chronic inflammation, hyaluronidase is prescribed.The course of therapy lasts on average 15 days.Sometimes, for greater efficiency of antibiotic therapy, you must first worsen the slow inflammatory process in the gland by introducing immunomodulator.
Medicine therapy must be accompanied by local physiotherapeutic therapy:
- Prostate massage.
- Hot oxles with chamomile infusion.
- Rectal dimettrade.
- Rectal mud.
- Hot sitting baths.
- Reflexotherapy (acupuncture, laser acupuncture).
- UHF-therapy.
The evolution of treatment must be combined with an active lifestyle and be sure to exclude the use of alcohol and spicy foods.
Chronic prostatitis forecasts
Chronic prostatitis refers to ill -treated diseases.In about 25% of cases, it is only possible to stop the exacerbation of the disease, but not to cure it.The forms of chronic prostatitis are particularly difficult to treat, which are complicated by the obstruction (narrowing) (narrowing) of the urinary channel.