Inflammation of prostate or prostatitis can occur in acute and chronic form.Most often, organ damage causes a specific or non -specific infection, sometimes pathological changes develop due to congestive phenomena in the basin.The main symptoms are urination disorders and a decrease in power.Treatment should be complex and include the use of drugs and standardization of blood circulation in pelvic organs in men.
Classification and characteristics of prostatitis
Inflammation of prostate in men is a pathology that considerably reduces the quality of life of patients and causes a number of serious complications in the urinary and genital area.
In the flow of prostatitis, is acute and chronic.The latter can occur independently (this occurs more often) or is a consequence of an untreated acute process.
Classify the inflammation of the prostate gland as follows::
- The first category, or acute bacterial prostatitis.
- The second is chronic bacterial inflammation.
- The third chronic abacterial prostatitis (chronic pelvic pain syndrome).It is divided into 3A - inflammatory and 3V - non -inflammatory.
- The fourth is the asymptomatic inflammation of the prostate gland.
The first and second category is established by patients with a positive bacteriological examination.The difference is that the first is diagnosed with the duration of the symptoms for 3 months.With a longer presence of clinical manifestations, chronic bacterial prostatitis is diagnosed.
The third category is also called chronic pelvic pain syndrome, as the main patient complaint is pain for at least 3 months.In the study of the discharge (ejaculate, urine, the secret of the gland after its massage), the pathological microflora is not detected.In the case of an increase in the number of leukocytes in these analyzes, inflammatory prostatitis (category 3A) is established, with their normal - non -inflammatory content.
Most men identify one of the above categories because patients are looking for help due to the presence of certain symptoms of pathology.
Recently, doctors have identified the fourth subtype of the disease - asymptomatic prostatitis.It is diagnosed by accident during a medical examination or when a man undergoes an examination for other diseases of the genitorerinary system.The danger of this form lies in the fact that pathological changes in the prostate gland are available, but the disease gives no subjective sign.This condition often leads to the development of infertility.
Why is he burning in the urethra in men
Reasons
Acute prostate inflammation in men occurs in 70% of cases due to E infection.Coli.In other situations, pathology is caused by enterobacteria such as Pseudo -Monad, Klebsiella, Proteus.Staphyseo and streptococci are much less often less likely to be the reason.
Among specific infections, acute prostatitis can be gonorrhea Naseria (Neisseria gonorrheae), trichomonas vaginalis trichomonas.
Predisposing factors are:
- Conduct various surgical interventions on the genitorerinary organs of a man.
- The narrowing of the urethra following chronic and acute inflammatory processes in the urethra.
- Performance of diagnostic manipulations - cystoscopy, ureteroscopy, etc.
- Violation of urination following the benign hyperplasia of the prostatic gland.
- Activation of the conditionally pathogenic microflora (Enterobacterium) in pathogen under the influence of reduced immunity and other diseases of the body.
- Non -regular sex life, which leads to the stagnation of secrecy in the prostate gland.
Chronic inflammation
If chronic prostatitis appears to be a continuation of an acute process, its cause will be the same.In the event of the form of the disease, the main predisposing factors become ::
- Mycobacteria of tuberculosis.
- Clostria.
- Gonorrhea and trichomonas (can immediately cause a chronic form without acute period).
- Salmonella.
- Various types of mushrooms.
In the mechanism of the emergence of pathology, an important role is played by a phenomenon such as intraposthetic reflux - urine flowing through the exit conduits in the gland of the prostate gland.Following this process, infection can easily penetrate the organ, multiply and cause inflammation.I approach a reflux:
- phimosis (narrowing of the foreskin);
- reducing the light of the urethra;
- Balanopostitis (inflammation of the foreskin);
- Construction of the urethra with concrete for urolithiasis.
Reflux and irregular sexual life increase stagnant processes in prostate, which leads to active reproduction of microorganisms, strengthening and propagation of inflammationFollowing this, the fibrosis areas (replacing normal tissues with a dense non -functional connection) and prosthetic calculations.All this improves the pathological process and leads to serious consequences.
Chronic Abacterial Prostatitis
Chronic pelvic pain syndrome (KTRB) is a synonym of this disease and occurs without the presence of microorganisms in the output detected by standard microbiological methods.
There are several theories of the appearance of pathology:
- infectious;
- chemical inflammation;
- immune.
Confirmation of the infectious theory is that when the reaction of a polymerase chain reaction (PCR) in the glamar confronted, the DNA of pathogens is revealed.However, other microbiological methods themselves are not detected.
Basically, the genetic material of the following bacteria is located with STB:
- Ureaplasma ureplasma urealyticum).
- Mycoplasma Hominis (Hominis mycoplasma).
- Chlamydia TRAHOMATIS (Chlamidia trachomatis).
- Vaginalis Trichomonade (Vaginalis Trichomonas).
The theory of chemical inflammation explains the CTB by intrapostatic reflux, but in this case, the cause is not bacteria, but the urine itself.Once in the prostate, it causes damage to cellular structures and an inflammatory reaction.
According to immune theory, the pathology results from autoimmune processes or due to a response from immunity to an extraterrestrial antigen entering the organ.
In most cases, the cause of STB is not one, but their complex influence.
The provocative factor of asymptomatic prostatitis can be anyone who can cause the above categories, the difference only resides during this form of the disease.
Symptoms
The acute bacterial inflammation of the prostatic gland is characterized by the appearance of general and local symptoms.
First of all, there is a pronounced pain in the suprapubic region and in the crotch, as well as a violation of the urination until it is completely stopped.General symptoms of patients, ailments in the body, perspiration, chills, fever, weakness.
Sometimes pain syndrome only occurs during defecation or sitting.In some atypical cases, fever is the only sign of the disease.
With pronounced prostate edema, a delay in acute urine occurs.This is due to the fact that the body transmits the urethra and forms a mechanical obstacle to the flow of the contents of the bladder with its increased dimensions.At the same time, the general condition of the patient is considerably aggravated: signs of poisoning increase at every hour, and in serious cases, a violation of consciousness and even a coma can occur.
With a premature diagnosis, complications such as the abscess (suppuration) of the prostate with a new breakthrough of pus in the urethra or the rectum can occur.Consequently, fistulas are formed which require surgery and reconstructive operations.
Manifestations of chronic bacterial inflammation of the prostate gland
The manifestations of this form of the disease are diverse and vary from the complete absence of symptoms to a strong exacerbation of the process.
In most cases, patients are concerned with various intensity pain in the perineum and rectum, which can spread to scrotum, sacrum, penis and thigh.Sometimes pain syndrome acquires a paroxysmal character, recalling neuralgia.
There is also discomfort in the urethra and frequent urination.Sometimes the release of the urethra is determined.They are intensifying the day after walking, physical activity, defecation or massage of the prostate gland.
There is a feeling of severity, pressure, overflow in the rectum and the perineum.These symptoms intensify after a long sitting position.This form of the disease is characterized by the appearance of inflammatory processes in the urinary system caused by the same microflora - cystitis, uretrite, pyelonephritis.
Abacterial prostatitis symptoms
The CTB is characterized by a clinical image of chronic bacterial inflammation of the prostate.
Patients are concerned with pelvic and perineal pain for more than 3 months, while the results of the bacteriological examination are negative.Different types of urination disorders are characteristic:
- Frequent selection of urine;
- difficulty of urination (slow stream, necessity in additional efforts);
- Pain for isolated urine.
Sometimes there are violations of sexual function - a decrease in libido, helplessness.Often there are general symptoms in the form of weakness, headache.
Treatment with drugs
The basis of therapy is the prescription of antibiotics.In the chronic process, drugs from the fluoroquinolons group are indicated.In acute prostatitis, beta-lactam antibiotics and aminoglycosides are prescribed.The treatment is carried out in 2 steps::
- At first, empirical therapy is prescribed (before receiving cultures).To do this, use third -generation cephalosporins or fluoroquinolones.
- In the second stage, the processing is carried out according to resulting bacteriological data and the results of sensitivity to antibacterial agents.
These antibiotic groups are chosen for the reason they penetrate through the hematoprostatic barrier and create a high concentration of the active substance in the prostate gland.This allows you to eliminate the infection home.With abacterial prostatitis, antimicrobial therapy is also prescribed, which is necessary for 2 reasons::
- Antibiotics significantly relieve patient patients.
- There is a high probability of presence in the prostate which is difficult to determine by the laboratory methods of microorganisms in the discharge.
The treatment regime with antibiotics in chronic pelvic pain syndrome is as follows:
- A drug from a group of fluoroquinolons or doxycycline for 2 weeks is prescribed.
- A repeated study of the secretion of the prostate gland is carried out and with a decrease in symptoms, they continue to receive funds up to 4 weeks.
Treat patients with asymptomic prostatitis according to the following indications:
- infertility;
- before the operation on the prostate gland as prevention;
- when determining pathogenic microorganisms in the discharge;
- With an increased level of antipostatic antibodies in the blood and positive analyzes of the microbiological examination.
Other means
With prostatitis, drugs are prescribed from the alpha-blocan group.These products increase the maximum and average speed of the flow of urine, reduce the tone in the wall of the urethra and eliminate the incomplete opening of the bladder neck during its drain.Thanks to these effects, the phenomena are eliminated as:
- Frequent and painful urilation;
- decrease in watercourse flow;
- The need for additional effort to secrete urine.
Characteristic representatives are alfuzosin, tamsulosin and doxazine, they are particularly relevant in the chronic forms of the disease.The treatment of these drugs is at least 3 months.
Non-steroidal anti-inflammatory drugs are prescribed as symptomatic therapy.They reduce inflammatory phenomena, edema, reduce pain.Use drugs such as diclofenac, ibuprofen, nimeulide and others.The duration of treatment with these drugs should not exceed 4 weeks.Taking these drugs is done strictly after eating because they have an irritating effect on the stomach wall.
In addition to tablets, local treatment is also used.To this end, patients are prescribed drugs in candles such as Vitaprost, Prostacle, Urooprost, etc.They are also shown with an adenoma of the prostate.
Phytotherapy
In traditional medicine, extract of dwarf palm fruits is widely used.Active substances reduce inflammatory phenomena, edema and have a vasoprotective effect (strengthen the wall of blood vessels).
African plum bark has similar effects.
Natural origin has a drug such as prostacle.It is made from the cattle prostate gland.It has an anti-inflammatory effect and reduces the phenomena of the adenoma of prostate.
Folk remedies
You can treat prostatitis using folk remedies.First in terms of efficiency - the use of oil seeds.You can buy this tool in pharmacies.Accept it for 1 tablespoon.L.3 times a day, the processing price is 3 to 4 months.As a prevention of prostate diseases, all men can be consumed by 30 pumpkin seeds before meals once a day.They must be taken in raw form because after loss of healing properties.
For treatment, you can use pumpkin seeds prepared according to the following recipe:
- 0.5 kg of peeled seeds is crushed on a meat mill or mixer.
- They add 200 g of honey and mix everything to a homogeneous mass.
- Form 2 to 3 cm balls.
They are stored in the refrigerator, take a room 30 minutes before meals.This tool should be chewed for 2 to 3 minutes and absorbed, and not swallow.The course of treatment is from 6 months.
The healing effect with prostatitis has a leave infusion or a decoction of hazelnut bark.To prepare the first product, you must take 1 tablespoon.L.Leaves dry and infuse in a glass of boiling water.You must insist for 30 minutes and take 1/4 of the resulting solution 4 times a day.For a bark decoction, 1 tablespoon.L.The crushed raw materials pour 200 ml of water and cook in a double boiler for 30 minutes.After that, the drug must be cooled and taken 1/4 cup 4 times a day.
The therapeutic effect with prostatitis has verts of parsley.It has an anti-inflammatory effect and allows you to restore sexual activity.In this case, parsley juice is used.To do this, the Greens are crushed in the state of the porridge and squeezes the liquid of it through the gauze, folded 3-4 times.Accept it for 1 tablespoon.L.3 times a day.
Treat prostatitis at home and medicinal herbs.One of them is Wormwood.It allows you to relieve inflammation and save the body of the pathogen.It is taken in dry form in the first 3 days - every 2 to 3 hours, it is absorbed by the mouth.The next four days reduce the number of techniques to 5 each evening day, microclilisms are made from the grass.
To do this, prepare a infusion: for 1 tablespoon.L.It is necessary to take 1 liter of water.Boil the composition and let it cool to +40 degrees.After that, the solution must be filtered.It is necessary to make injections in the anus (100 ml), as well as in the urethra (50 ml).The procedures must be carried out in a week.They are shown in the chronic process.When driving the shower and microclemism, pus is possible - it is a normal phenomenon which indicates the effectiveness of the treatment.
Conclusion
In combination with the main methods of treatment of the disease, physiotherapy, prostate massage and organ acupuncture are used.
Living with chronic prostatitis means regularly undergoing a complete examination and therapy, as there is a high probability of loss of reproductive function.