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 disturbances of a man's nervous and endocrine system.
What is a prostate and what are its functions
Anatomically, the prostate gland is placed below the bladder and is surrounded by the urinary canal on all sides.Two main functions of the prostate can be distinguished:
- The urinary person is a prostate is a traffic agency through which the urinary tract passes;
- Seven Forms - Identifies a secret in the ureter lumen, which provides sperm mobility and survival.
Chronic prostatitis is a slow inflammation of the prostate gland.Most of the time, the disease occurs after acute prostatitis due to ineffective treatment.
In the case of prostate gland damage, the secretion of prostate secretion is violated and one of the most difficult consequences of the inflammatory process in the prostate gland - infertility.
Prostate functions are controlled by a complex cascade of hormonal interactions (androgens, estrogens, hypophysium hormones), because 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 acute prostatitis transition to a chronic form.This form of chronic prostatitis is called primary.
Among this, chronic prostatitis is distinguished, which begins independently.This form of chronic inflammation of the prostate gland is called secondary.
The main factors that affect the development of secondary chronic prostatitis:
- Violation of blood supply to the prostate gland.
- Weakened immune system.
- Alcohol abuse.
- Abuse of spicy foods.
- Sexual disorders of men (very active sex life or very rare sexual contacts).
- Hypothermia or overheating.
- Frequent disorders of 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 ability to infect in bacteria increases significantly, and violation of immunity and blood supply to the organ leads to the lack of proper body reaction to the infection.This is why chronic prostatitis continues slowly, long and is difficult to treat.
Symptoms of chronic prostatitis
The course of chronic prostatitis is characterized by alternating long interval periods and periods of short -term exacerbation.
During periods of calm, the disease may not manifest in all symptoms and not disturb the patient.These periods can last months or even years.During periods of chronic prostatitis exacerbation, rapid urination, pain and unpleasant perineum sensations 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 impaired permeability of the prostatic part of the urethra.After urination, the prosthera so -called is often observed - the discharge of the muddy secret of the prostate gland.As the prostate is the center of ejaculation in men, in chronic prostatitis, sex disorders are observed.They manifest themselves by the erectile dysfunction of the penis and the absence of orgasm.These symptoms are linked to the inability of the prostate in sufficient quantities to synthesize prostatic liquid, which leads to infertility.
One disease separated with similar symptoms is prostatinia.It differs from chronic prostatitis in the absence of infection in the prostate gland, since the main cause of prostatinia is neuroendocrine disorders in the body.
Chronic prostatitis diagnosis
It is quite difficult to diagnose chronic prostatitis, since the inflammatory process is slow and it is quite difficult to prove the presence of a bacterial infection.
- In the first stage of the diagnosis, a rectal examination of the fingers is performed.This type of diagnosis is based on a straight finger examination, through which you can break the prostate gland and evaluate changes in the prostate structure (flaccid, painful and mass).
- The second stage of the diagnosis is prostate fluid analysis.For this, prostate massage is performed to stimulate fluid release, after which the material is microscopically and bacteriologically examined.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, it is not enough.In such cases, instrumental examination methods are performed.They belong to an ultrasound of the prostate gland (Gland increase or sclerosis, residual urine in the bladder) and computed tomography.In complex clinical cases, when it is difficult to distinguish chronic prostatitis from adenoma, prostate gland biopsy is performed - excision of the gland tissue for histological examination.
How to treat chronic prostatitis
The treatment of chronic prostatitis should be complex and consist of antibacterial therapy, usually strengthening therapy and local exposure to the gland.
The main connection of chronic prostatitis therapy is antibiotic therapy.Before prescribing antibiotics, pathogen sensitivity should be determined.The choice of an antibiotic group depends on the results of this test.Most of the time, cephalosporin, macrolyids, tetracyclines and uroiseptics antibiotics give a good effect.For reabsorption of infiltrates that occur in the prostate during chronic inflammation, hyaluronidase is prescribed.The therapy course lasts an average of 15 days.Sometimes, for greater efficacy of antibiotic therapy, you must first aggravate the slow inflammatory process into the gland, introducing the immunomodulator.
Medicine therapy should be accompanied by local physiotherapy therapy:
- Prostate massage.
- Hot enemas with chamomile infusion.
- Rectal diather.
- Rectal mud.
- Baths that are sitting.
- Reflex therapy (acupuncture, laser acupuncture).
- UHF-therapy.
The course of treatment should be combined with an active way of life and exclude the use of alcohol and spicy foods.
The forecast of chronic prostatitis
Chronic prostatitis refers to poorly treated diseases.In approximately 25% of cases, it is only possible to interrupt the exacerbation of the disease, but does not heal it.The forms of chronic prostatitis are especially difficult to treat, which are complicated by the lower obstruction (narrowing) of the urinary canal.