Prostate inflammation, or prostatitis can occur in acute and chronic form.Most often, organ damage causes a specific or not specific infection, sometimes pathological changes develop due to congestive phenomena in the pelvis.The main symptoms are urination disorders and a decrease in power.Treatment should be complex and include the use of medicines and normalize blood circulation in the pelvic organs in men.
The classification and characteristics of the prostate
Prostate inflammation in men is a pathology that significantly reduces the quality of life of patients and provokes a number of severe complications from both the urinary and the genitals.
Within the prostate course is acute and chronic.The latter can occur independently (this happens 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.
- Third, or chronic abacterial prostatitis (chronic pelvic syndrome).It is divided into 3a - inflammatory and 3V - not - inflammatory.
- The fourth is asymptomatic inflammation of the prostate gland.
The first and second categories are determined by patients with a positive bacteriological examination.The difference is that the first is diagnosed with the duration of symptoms for no more than 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 complaint of patients is the pain for at least 3 months.In the discharge study (ejaculation, 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 tests, inflammatory prostatitis (category 3a) is established, with their normal - non -inflammatory content.
Most men identify one of the above categories, as patients seek help due to the presence of some symptoms of pathology.
Recently, doctors have identified the fourth subtype of the disease - asymptomatic prostatitis.It is randomly diagnosed in a medical examination or when a person undergoes an examination for other diseases of the genitourinary system.The risk of this form lies in the fact that pathological changes in the prostate gland are available, but the disease gives no subjective signs.This condition often leads to the development of infertility.
Why is it burning in the urethra to men
Reason
Acute prostate inflammation in men occurs in 70% of cases due to E. coli infection.In other situations, the pathology is caused by enterobacteria such as pseudo -monad, klebsiella, proteus.Stafe and streptococci are much less likely to be the reason.
Of specific infections, acute prostatitis may be Gonorrea Nasera (Neisseria gonorheae), Trichomonas vaginalis trichomonas.
The predisposing factors are:
- Performing various surgical interventions in a man's genitourinary organs.
- Narrowing of the urethra as a result of chronic and acute inflammatory processes in the urethra.
- Performance of diagnostic manipulations - cystoscopy, ureteroscopy, etc.
- Violation of urination as a result of benign hyperplasia of the prostate gland.
- Activation of pathogenic microflora (enterobacterium) in pathogens under the influence of reduced immunity and other diseases of the body.
- Irregular sex life, which leads to stagnation of secrecy in the prostate gland.
Chronic inflammation
If chronic prostatitis appears as a continuation of an acute process, then its cause will be the same.In the event of this form of the disease, the main predisposing factors become ::
- Tuberculosis mycobacteria.
- Clostria.
- Gonorrhea and trichomonas (can immediately cause a chronic form without an acute period).
- Salmonella.
- Different types of fungi.
In the mechanism of the occurrence of pathology, an important role is played by a phenomenon such as intrapro -pottical reflux - urine casting through the output channels in the prostate gland.As a result of this process, the infection can easily penetrate the organ, multiply and cause inflammation.I amplified reflux:
- fimosis (foreskin narrowing);
- lowering of the urethra lumen;
- Balanopostitis (foreskin inflammation);
- Construction of the urethra with a concrete for urolithiasis.
Empire and irregular sex life increase stagnant processes in the prostate, which leads to active reproduction of microorganisms, strengthening and spreading inflammationAs a result, fibrosis areas (replacing normal tissue with dense non -functional connectors) and the form of prosthetic calculation.All this enhances the pathological process and leads to serious consequences.
Chronic abacterial prostatitis
Chronic pelvic pain syndrome (KTRB) is a synonym for this disease and occurs without the presence of any microorganism in discovered by standard microbiological methods.
There are several theories of the occurrence of pathology:
- infectious;
- chemical inflammation;
- immune.
Confirmation of infectious theory is that when you perform a polymerase chain reaction (PCR) in the Confront glamor, DNA of pathogens is detected.However, other microbiological methods themselves have not been detected.
Basically, the genetic material of the following bacteria is found with STB:
- Ureaplasma ureplasma urealyticum).
- Mycoplasma hominis (Mycoplasma hominis).
- Chlamydia trrahomatis (chlamidia trachomatis).
- Trichomonade vaginalis (trichomonas vaginalis).
The theory of chemical inflammation explains CTB with 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, pathology arises as a result of autoimmune processes or as a result of an immune response to a foreign antigen that enters the body.
In most cases, the cause of STB is not one, but their complex impact.
The provocative factor of asymptomatic prostatitis may be anyone who can cause the above categories, the difference lies only during this form of the disease.
Symptoms
Acute bacterial inflammation of the prostate gland is characterized by the appearance of general and local symptoms.
In the first place, pain in the suprapubic region and claws, as well as a violation of urination until completely stopped.Of the general symptoms of patients, it hurts in the body, sweating, chills, fever, weakness.
Sometimes pain syndrome occurs only during defecation or in a sedentary position.In some atypical cases, fever is the only sign of the disease.
With a pronounced prostate edema, an acute urine delay occurs.This is due to the fact that the body transmits the urethra and forms a mechanical barrier to the outflow of the bladder content with its increased dimensions.At the same time, the patient's general condition worsens significantly: signs of intoxication increase by every hour, and in severe cases a violation of consciousness and even a coma can occur.
With premature diagnosis, complications such as prostate abscess (suppression) can occur with a further pus progression in the urethra or rectum.As a result, fistulas that require surgical intervention and reconstruction operations are formed.
Manifestations of chronic bacterial inflammation of the prostate gland
Manifestations of this form of the disease are varied and differ from complete lack of symptoms in a sharp irritation of the process.
In most cases, patients are concerned about various pain with intensity in the perineum and rectum, which can spread to the scrotum, sacrum, penis and thighs.Sometimes the pain syndrome acquires a paroxysmal character that remembers neuralgia.
There is also discomfort in the urethra and frequent urination.Sometimes discharge from the urethra is determined.They intensify during the day after walking, physical activity, defecation or massage of the prostate gland.
There is a sense of severity, pressure, flow to the rectum and 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, urethritis, pyelonephritis.
Symptoms of abacterial prostatitis
CTB is characterized by a clinical appearance of chronic bacterial prostate inflammation.
Patients are concerned about pelvic and perineal pain for more than 3 months, while the results of bacteriological examination are negative.Different types of urination disorders are characteristic:
- Frequent urine selection;
- difficulty in urination (slow current, necessity in additional effort);
- Pain for isolated urine.
Sometimes there is violation of sexual function - a decrease in sexual desire, powerlessness.Often there are general symptoms in the form of weakness, headache.
Treatment with medication
The basis of therapy is the antibiotic recipe.In the chronic process, medicines from the group of fluoroquinolons are shown.In acute prostatitis, beta-lactam antibiotics and aminoglycosides are prescribed.Treatment is performed in 2 stages:
- In the first, empirical therapy is determined (before you get the crops).To do this, use third -generation cephalosporins or fluoroquinolones.
- In the second stage, treatment is performed according to the resulting bacteriological data and the results for sensitivity to antibacterial agents.
These groups of antibiotics are chosen because they penetrate the hematoprostatic barrier and create a high concentration of active substance in the prostate gland.This allows you to eliminate the focus of the infection.With abacterial prostatitis, antimicrobial therapy is also prescribed, which is needed for 2 reasons:
- Antibiotics significantly relieve patients from patients.
- There is a high probability of the presence in prostate that are difficult to determine by laboratory methods of microorganisms in discharge.
The antibiotic treatment regimen in chronic pelvic syndrome is as follows:
- A drug is prescribed by a group of fluoroquinolons or doxycycline for 2 weeks.
- A repeated study of the secretion of the prostate gland is performed and with a decrease in symptoms, they continue to receive funding for up to 4 weeks.
Treat patients with asymptomic prostate according to the following indications:
- infertility;
- before surgery in the prostate gland as prevention;
- when defining pathogenic microorganisms in discharge;
- With an increased level of antiprostatic antibodies in the blood and positive analysis of microbiological examination.
Other means
With prostate, medicines are prescribed by alpha-blocking group.These products increase the maximum and average urine flow speed, reduce the tone on the urethra wall and eliminate incomplete opening of the bladder neck when it is emptied.Thanks to these effects, phenomena are eliminated as:
- frequent and painful urination;
- landing in the flow;
- Need an additional effort to secrete urine.
The characteristic representatives are Alfuzosin, Tamsulosine and Doxazine, they are especially important in chronic forms of the disease.The course of treatment of these medicines is at least 3 months.
Non -inflammatory drugs Non -inflammatory are prescribed as symptomatic therapy.They reduce inflammatory phenomena, edema, reduce pain.Use drugs such as diclofenac, ibuprofen, nimesulide and others.The duration of treatment with these medicines should not exceed 4 weeks.Taking these medicines is performed strictly after eating, as they have an irritating effect on the stomach wall.
In addition to tablets, local treatment is also used.For this purpose, patients are prescribed such medicines in candles as Vitaprost, prostate, urooprost, etc.They are also shown with prostate adenomas.
Phytotherapy
In traditional medicine, dwarf fruit extract is widely used.Active substances reduce inflammatory phenomena, edema and have a vasoprotective effect (strengthen the vascular wall).
African plum bark has similar effects.
Natural origin has a drug such as prostaxis.Made from the cattle prostate gland.It has an anti -inflammatory effect and reduces the phenomena of prostate adenoma.
Folk remedies
You can treat prostatitis using popular remedies.In the first place in terms of effectiveness - the use of oil seeds.You can buy this tool at the pharmacy.Accept it for 1 tbsp.l.3 times a day, the course of treatment is 3-4 months.As a prevention of prostate diseases, all people can be consumed by 30 pumpkin seeds before meals once a day.They should be taken in raw form, as they lose the healing properties.
For treatment, you can use pumpkin seeds prepared according to the following recipe:
- 0.5 kg of peeled seeds is crushed into a meat grinder or blender.
- They add 200 g of honey to them and mix everything to a homogeneous mass.
- Form balls 2-3 cm in size.
They are stored in the refrigerator, take a piece 30 minutes before meals.This tool should be chewed for 2-3 minutes and absorbed, and not swallowed.The course of treatment is from 6 months.
The healing effect with prostatitis has an infusion of leaves or a decoction of hazelnut bark.To prepare the first product, you need to get 1 tbsp.l.Dried leaves and create in a glass of boiling water.You should insist it for 30 minutes and get 1/4 of the resulting solution 4 times a day.For a decoction of the bark, 1 tbsp.l.Ground raw materials pour 200 ml of water and cook in a water bath for 30 minutes.After that, the medicine should be cooled and taken 1/4 cup 4 times a day.
The therapeutic effect with prostatin has parsley greens.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 pressed into the wild state and squeeze the juice from it through the gauze, folded 3-4 times.Accept it for 1 tbsp.l.3 times a day.
Treat prostatitis at home and medicinal plants.One of them is wormwood.This allows you to relieve inflammation and save the body from the pathogen.It is taken in a dry form in the first 3 days - every 2-3 hours it is absorbed into the mouth.The next four days reduce the number of techniques to 5. Everyday at night, microclies are made from grass.
To do this, prepare an infusion: for 1 tbsp.l.It is necessary to get 1 liter of water.Simmer the composition and allow to cool to +40 degrees.After that, the solution must be filtered.It is necessary to make injections into the anus (100 ml) as well as in the urethra (50 ml).Procedures should be performed within a week.They are shown in the chronic process.When performing douching and microclemism, pus is possible - this is a normal phenomenon that indicates the effectiveness of treatment.
cONcluSiON
In combination with the main methods of treatment of the disease, physiotherapy, prostate massage and organ acupuncture are used.
Living with chronic prostate means to regularly undergo comprehensive examination and therapy, as there is a high probability of loss of reproductive function.