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 system and endocrine 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 canal on all sides.Two main prostate functions 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 ureter lumen, which provides the mobility and survival of the 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 a prostate gland damage, the secretion of a 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 (androgen, estrogen, pituitary hormones), due to which violations of the hormonal cascade lead to prostate gland lesions.
Causes of chronic prostatitis
The main cause of chronic prostatitis is unbearable acute prostatitis.Inadequate antibiotics therapy, associated infections that weaken the body's immune system and non -existence with doctor's prescriptions are the main causes of acute prostatitis passing into 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 affecting the development of chronic secondary prostatitis:
- Violation of blood supply to the prostate gland.
- Weakened immune system.
- Alcohol abuse.
- Abuse of spicy foods.
- Disordishes of men's sexual disorders (very active sex life or very rare sexual contact).
- Hypothermia or overheating.
- Disordishes frequent intestinal functions (constipation).
- Reduce lifestyle.
In almost all cases of chronic prostatitis, the main cause of the onset 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 an adequate body reaction to infection.This is why chronic prostate continues slowly, long and is difficult to treat.
Symptoms of chronic prostatitis
The course of chronic prostatitis is characterized by long alternative periods of periods of sleepy and short -term deterioration.
During periods of calm, the disease may not manifest in all symptoms and not disturb the patient.Such periods can last months or even years.During periods of chronic prostate irritation, rapid urination, pain and unpleasant sensations in the perineum can be observed.Sometimes the pain can give to the testicles and groin.The pain intensifies with an extended location and decreases after engine activity.A vivid symptom of the disease is the urination of a slow stream due to the damaged patent of the prostate part of the urethra.After urination, the so -called prostate is observed - the discharge of the mud secret of the prostate gland.Since the prostate is the center of spilling in men, in chronic prostate, sexual disorders are observed.They are manifested by erectile penis dysfunction and lack of orgasm.These symptoms are attached to the inability of the prostate in sufficient quantities to synthesize the prostate juice, which leads to infertility.
A special disease with similar symptoms is prostate.It differs from chronic prostate in the absence of infection in the prostate gland, as the main cause of prostate is neuroendocrine disorders in the body.
Diagnosis of chronic prostatitis
It is quite difficult to diagnose chronic prostatitis, as the inflammatory process is slow, and it is quite difficult to prove the presence of a bacterial infection.
- In the first phase of the diagnosis, an examination of the finger rectum is performed.This type of diagnosis is based on an examination of the rectum finger, through which you can break the prostate gland and evaluate changes in the prostate structure (flaming, painful and dough).
- The second stage of the diagnosis is the test 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 grains and leukocytes in the juice indicates prostate.
- Sometimes for an accurate formulation of the diagnosis of these diagnostic techniques is not enough.In such cases, instrumental examination methods are performed.They belong to an ultrasound of the prostate gland (growth or sclerosis of the gland, the remaining urine in the bladder) and the calculated tomography.In complex clinical cases, when it is difficult to distinguish chronic prostatitis from adenoma, a biopsy of the prostate gland is performed - removal of the gland tissue for histological examination.
How to treat chronic prostatitis
Chronic prostatitis treatment should be complex and consist of antibacterial therapy, generally strengthening therapy and local exposure to the gland.
The main link of chronic prostatitis therapy is antibiotic therapy.Before describing 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, Uroiseptics give a good effect.For the resorption of the infiltrates that occur in the prostate during chronic inflammation, hyaluronidase is prescribed.The therapy course lasts on average 15 days.Sometimes, for the greatest effectiveness of antibiotic therapy, you must first aggravate the slow inflammatory process in the glands by introducing the immunomodulator.
Medicine therapy should be associated with local physiotherapeutic therapy:
- Prostate massage.
- Hot enemas with chamomile infusion.
- Rectal diaatermia.
- Rectal mud.
- Low hot baths.
- Reflexotherapy (acupuncture, laser acupuncture).
- UHF therapy.
The course of treatment should be combined with an active way of life and be sure to rule out the use of alcohol and spicy food.
Prediction of chronic prostatitis
Chronic prostatitis refers to poorly treated diseases.In approximately 25% of cases, it is only possible to stop deteriorating the disease, but not cure it.Chronic prostate forms are particularly difficult to treat, which are complicated by the lower barriers (narrowing) of the urinary canal.