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PROSTATITIS

Prostatitis or inflammation of the prostate gland familiar by way of a strong humanity. According to official statistics, the disease affects approximately 16% of adult men. Doctors urologists call other numbers: at least 35% of the male population of the country. The difference between the official data of the services and the real impact is easily explicable: the potential patient enough to not ask for help to the doctors in order not to feel embarrassed, ashamed, lack of time, problems of communication, the importance of the problem.

The inflammation of the prostate is now the leader in a group of men with transmitted diseases, mainly sexual. Its complications threaten to infertility, decreased libido, and impotence.

The symptoms of prostatitis are not simply the sensation of pain, disorders of urination, inflammation of the spermatic cord. The consequence most feared running the inflammation can become malignant degeneration of the prostate. Then, as diagnosed in time, a pathological process easily hooked.

The causes of inflammation

The risk of inflammation of the prostate increases because of several predisposing to the disease moments:

  • Hypothermia, single or associated with the character of outdoor work.
  • A sedentary lifestyle, leading to disorders in the functioning of the digestive system.
  • Somatic diseases are chronic (diabetes, hypertension).
  • Outbreaks of focal, perifocal infection (rhinitis, tonsillitis, stomatitis, gastritis).
  • Persistent UGI (chlamydia, trichomoniasis, herpes virus).
  • The stress, the insomnia, the chronic fatigue syndrome.
  • Downgrade of immunity in connection with the transferred illness, surgery, emotional stress.
  • The bad habits that lead to the development of intoxication: alcohol, smoking, strong coffee.
  • Professional injuries of the perineum of the drivers of the vehicles of athletes, workers in hazardous industries.
  • Disorderly sexual life, coitus interruptus, devoid of sensuality coitus incomplete ejaculation, absence of prolonged proximity (low requirement in a seed leads to the stagnation in the iron).
  • Sexually transmitted diseases.

Despite the large number of challenging moments, the essence of prostatitis is in the case of stagnation in the organ in the background interrupted the circulation of the blood and lymph.

Prostatit-u-muzhchin

Classification

In the modern urology does not exist a classification of the disease. However, practitioners doctors prefer this option of classification of the inflammatory process of the prostate:

  1. Downstream of the disease:
    • Acute prostatitis. It represents more than 50% of the cases of illness in people up to the age of 30-35 years.
    • Chronic option. Considered nevozmozhnoe category. Long does not manifest itself, the impetus for the development serves a cold, an infection.
  2. For the reason that has caused the malocclusion:
    • Inflammation bacterial of the prostate gland, prevalent in men up to 40 years, stands in the background of UGI, does not extend beyond the boundaries of the organ.
    • Non-bacterial pathological iron, predominantly chronic course.
    • Viral inflammation of the prostate is characterized by peak current, affect the whole sexual sphere.
  3. For the nature of the structural changes of the prostate gland:
    • Fibrous and prostatitis offers fast and irreversible growth of the breast and needs a radical intervention. Clinically reminiscent of the hypertrophy of the prostate.
    • Calculous inflammation of the prostate occurs because of the formation of stones within the prostate. It is considered as a precursor to cancer.
    • Stagnant of prostatitis, the result is the sedentary life-style, are diagnosed each second of the patient.

Signs of the disease

If a man finds, at least two of the following symptoms of prostatitis, you should immediately consult qualified professionals:

  • Dysuria with the appearance of intermittent, weak jet of urine, unusually short radius, called splatter, difficulties and pain prior to urination. Frequently the stimulus for bladder emptying occur, especially at night.
  • The pain, which is localized in the lower abdomen, radiates to the scrotum, the horse, the rectum.
  • The sexual dysfunction.
  • Problems with premature ejaculation, the change of the sperm (consistency, amount).

The acute prostatitis

The disease begins with a sharp increase in the temperature (up to 40 degrees), stabbing headache, fever. Some of the symptoms are accompanied by pain syndrome in the groin, the groin, the back, the secretions from the urethra, frequent urination, and constant stimuli to it.

Bladder emptying occurs with a delay, a sense of burning. The same urine turbid, it may appear the admixture of blood. Occurs irritability, fatigue.

The result for acute prostatitis may be the process of authorisation (if timely started treatment). From the time that the changes occur in many of the pelvic organs, they do not want to wait, otherwise you experience significant complications:

  • Vesiculitis – inflammation of the seminal vesicles, the cause of the appearance of pus in the semen, which not only reduces the quality of the seminal fluid, but leads to loss of reproductive function.
  • Colliculi – the inflammatory changes of the seeds of the tubercle become the occasion for the development of a strong pain during sex, the break of the orgasm, impotence psychological nature.
  • The formation of an abscess in the body of the prostate, the rupture, purulent defeat of the rectum leads to the aggravation of the symptoms, the potent intoxication of the organism, until the death.
  • The stagnation in the prostate tissue leads to a change of their structure, violation of the innervation, vascularization, such as the breast and nearby organs, in violation of their functions. The erection becomes insufficient for sexual intercourse, it is observed premature ejaculation long sexual act, without the onset of orgasm.
  • Cicatricial changes in the iron, the seeds of the cable leading to sterility, loss of quality of the composition of the sperm, the motility of the sperm. Narrowing of the urethra prevents the normal process of urination, bladder obstruction can cause acute urinary retention, requires relief and surgical assistance.

Chronic prostatitis

The main feature of the disease is the blurring of the clinical symptoms is prolonged, resistant during the process. This chronic form occurs alone, as the primary of malocclusion in the background of a stagnation of blood in the blood vessels (prostatosis), abacterial prostatitis.

The main symptoms of chronic prostatitis are:

  • fever;
  • the pain will occur in the scrotum, the perineum, the anus, the back;
  • violation of urination;
  • of mucus or of muco-pus from the rectum, the urethra, even in the absence of urination, or defecation;
  • violation of erectile function, painful ejaculation, coitus interruptus, long-coitus without a sense of satisfaction.

  • Infertility – the result of chronic inflammation of the seeds of the wire, bubbles, eggs, and their appendices.
  • Cystitis, pyelonephritis (other diseases of the genitourinary system) – consequence of hematogenous and mechanical the spread of germs.
  • Sepsis.
  • The strong reduction of the immunity.
  • Untreated prostatitis 35 – 40% of cases may be a cause of cancer.

Diagnostics

The clinical picture of the disease is typical, therefore, the diagnosis is not cause of difficulties. Puts the urologist on the basis of medical history, the examination of the patient, laboratory a minimum by using the most modern medical devices:

  • Rectal examination breast, jack secret, research (sowing the determination of the sensitivity to antibiotics).
  • KLA, OAM, and bacterial urine culture.
  • Smear for sexually transmitted diseases, UGI-search.
  • The daily monitoring of the pace of urination, the measurement of the speed of urination (uroflowmetry).
  • For the differential diagnosis perform ULTRASOUND or transrectal ultrasound.
  • If necessary, delete the oncology to take a biopsy, they pass the ivu, determine the PSA specific antigen prostate.
  • For the diagnosis of infertility is given cum – analysis of the seminal fluid for the declaration of male fertility.

On the basis of the results of the investigation of the patient's pupil in an integrated circuit of treatment of prostatitis. With the appointment of drugs consider it a form of malocclusion, the presence of concomitant diseases. The decision on where to perform the treatment (inpatient or outpatient) adopts the doctor. The treatment takes place with a careful laboratory control of results.

One of the most modern centres for treatment of prostatitis are clinical GC "Mother and Son". Because the problem of infertility is closely linked with inflammatory urological diseases, medical professionals have this huge problem the attention.

In the clinics, "Mother and son" every patient has the opportunity to make a complete cycle, a special investigation, to obtain psychological support, to treat in a room, drugs of the latest generation, used in this sector, to get acquainted with the new methods of treatment of inflammation of the prostate. Not the last place in therapy of prostatitis and the effective application of rehabilitation of patients, regular check-ups, prevention.

The treatment of prostatitis

Acute prostatitis requires bed rest, a special diet without salt, and of peace.

Methods of a course of treatment:

  • The most effective in the treatment of prostatitis is causal therapy. If you have prostatitis – an infection, a priority over antimicrobials, which relieves the symptoms of inflammation.
  • The pain syndrome cropped analgesics, antispasmodics, rectal candles, microclimate with warm solutions of pain medications. Perhaps the use of NSAIDS.
  • It has proven its effectiveness, immunostimulants, immunomodulators, enzymes, vitamins, a combination of micronutrients.
  • Physiotherapy techniques are possible only in the subacute phase of the disease. Improve microcirculation, enhance immunity: UHF, SHF, electrophoresis, laser, magnetotherapy.
  • Massage – another effective method is the impact on the prostate. Opens the ducts, and normalize the circulation of blood to the organs of the scrotum, pelvic.
  • Serious delay of the filtrate to the renal is able to adjust the catheterization, traganou cystostomy.
  • The process involves the surgery.
  • Advice of a psychologist.

The treatment of chronic prostatitis

With prolonged, exchange (not less than one month) effects on the prostate 100% guarantee of care no. The priority for phyto-medicines, the immunocorrection, the change of daily habits:

  • Phyto medicines (for example, Likoprofit) are widely distributed within urology. They are able to accumulate in a place the most active of the pathological process, protect cells from oxidation, see free radicals and hinder the growth of breast tissue.
  • Antibiotic therapy is chosen individually, depending on the sensitivity of the microbes.
  • Medications that increase the immunity, not only help to cope with prostatitis, are still adjusting the negative action of antibiotics, which violates the function of the immune system.
  • The pain syndrome is amputated the appointment alpha-blockers, muscle relaxants.
  • Prostate massage allows you to mechanically remove the "extra" the secret of the breast through the urethra, improve circulation, minimize congestion.
  • Physiotherapy: laser, magnet, ultrasound, iontophoresis, sessile warm bath or double rooms with aromatic herbs.
  • In more serious cases-showed that the intravenous administration of fluid with diuretics. This stimulates copious secretion of urine, profilaktirujut symptoms of intoxication, the growing development of cystitis, pyelonephritis.
  • Constipation practice laxatives of vegetable origin.
  • Urologist, psychologist together with the patient is developed by the individual in the long term the programme of the day, the need of rest, diet, measured physical exercise, and sexual activity.
  • In the case of resistance of a chronic process treatment, block the flow of urine is prescribed the surgery: removal of all the tissue (transurethral resection of the prostate) or the complete removal of the breast with surrounding tissue (prostatectomy). Practiced in exceptional cases, fraught with impotence, urinary incontinence. Young has not carried out the operation, as this can be a cause of infertility.

Prevention

To prevent the occurrence of unpleasant for men of the disease is necessary to eliminate the factors triggering and respect simple rules:

  • Leading a healthy lifestyle, give up bad habits.
  • Not supercool.
  • Drink at least 1.5-2 litres of water a day.
  • Strengthen the immune system, a lot of walking, and moderate.
  • Engage in physical activity and sport, gym, club.
  • Avoid situations of stress.
  • Enjoy a regular sex life with your usual partner.
  • Regularly, the intervention of a urologist.