Chronic prostatitis is an inflammatory disease of the prostate gland, which has a prolonged character and is difficult to treat.Unlike acute prostatitis, the cause of chronic prostate inflammation 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 positioned under the bladder and is surrounded by the urinary channel by 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;
- Seven -formation: identifies a secret in the lumen of the ureter, which provides mobility and survival of spermatozoa.
Chronic prostatitis is a slow inflammation of the prostate gland.Very often, the disease occurs after acute prostatitis due to ineffective treatment.
In case of damage to the prostate gland, the secretion of a prostate secretion is violated and one of the most difficult consequences of the inflammatory process in the prostate gland - infertility.
The functions of the prostate are controlled by a complex waterfall of hormonal interactions (androgenic, estrogen, pituitary hormones), due to 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 an 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 the transition of acute prostatitis in 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 prostate gland is called secondary.
The main factors that influence the development of chronic secondary prostatitis:
- Violation of the blood supply to the prostate gland.
- Weakened immune system.
- Alcohol abuse.
- Abuse of spicy foods.
- Male sexual disorders (too active sex life or too rare sexual contacts).
- Hypothermia or overheating.
- Frequent intestinal functions disorders (constipation).
- Sitting lifestyle.
In almost all cases of chronic prostatitis, the main cause of the occurrence of the disease are bacterial infections.Because of the aforementioned factors, the ability to infect in bacteria increases significantly and the violation of immunity and the flow of blood to the organ leads to the lack of an adequate reaction of the body to the infection.That's why chronic prostatitis proceeds slow, long and is difficult to treat.
Symptoms of chronic prostatitis
The course of chronic prostatitis is characterized by long periods of pause and short periods of exacerbation.
During periods of calm, the disease may not occur to all symptoms and not disturb the patient.These periods can last months or even years.During periods of exacerbation of chronic prostatitis, rapid urination, pains 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 vivid symptom of the disease is the urination of a slow flow due to the compromised patency of the prostate part of the urethra.After urination, the prostatera thus called 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 are manifested by erectile penis dysfunction and absence of orgasm.These symptoms are attached to the inability of the prostate in sufficient quantities to synthesize the prostate 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 prostate gland, since the main cause of prostatin are neuroendocrine disorders in the body.
Diagnosis of chronic prostatitis
It is quite difficult to diagnose chronic prostatitis, since the inflammatory process is slow and it is quite difficult to demonstrate the presence of a bacterial infection.
- In the first phase of the diagnosis, an examination of the rectal of the fingers is carried out.This type of diagnosis is based on an examination of the rectum finger, through which it is possible to break the prostate gland and evaluate the changes in the prostate structure (flaccid, painful and dough).
- The second phase of the diagnosis is the analysis of the prostate fluid.For this, prostate massage is performed to stimulate the release of fluid, after which the material is examined microscopically and bacteriologically.The presence of bacteria, lecithin beans and liquid leukocytes indicates prostatitis.
- Sometimes for an accurate formulation of the diagnosis of these diagnostic techniques it is not enough.In such cases, instrumental examination methods are performed.They belong to an ultrasound of the prostate gland (increase or sclerosis of the gland, residual urine in the bladder) and computerized tomography.In complex clinical cases, when it is difficult to distinguish chronic prostatitis from adenoma, a biopsy of the prostate gland is performed: the excision of the gland tissue for the histological examination.
How to treat chronic prostatitis
The treatment of chronic prostatitis should be complex and consist of antibacterial therapy, generally strengthening the therapy and local exposure to the gland.
The main link of chronic prostatitis therapy 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.Very often, cephalosporin antibiotics, macrolids, tetracycline antibiotics, Uroisettici give a good effect.For the reabsorption of infiltrated that occur in the prostate during chronic inflammation, hyaluronidase is prescribed.The course of therapy lasts on average 15 days.Sometimes, for the greater effectiveness of antibiotic therapy, you must first aggravate the read inflammatory process in gland by introducing the immunomodator.
Medicine therapy must be accompanied by local physiotherapy therapy:
- Prostate massage.
- Hot clins with chamomile infusion.
- Rectal diathermia.
- Rectal mud.
- Hot baths sitting.
- Reflextotherapy (acupuncture, laser acupuncture).
- Uhf-therapy.
The course of treatment should be combined with an active lifestyle and make sure to exclude the use of alcohol and spicy foods.
The forecast of chronic prostatitis
Chronic prostatitis refers to diseases that are scarcely treated.In about 25% of cases, it is only possible to stop the exacerbation of the disease, but do not take care of it.The forms of chronic prostatitis are particularly difficult to treat, which are complicated by the obstruction of the lower eaten (narrowing) of the urinary channel.