The diagnosis of "chronic prostatitis" (CP) there is a presence of latent inflammation of the prostate tissue, which lasts for 3 months or longer. Under the influence of the contributing factors, remission, periodic exacerbations replaced by. A disease occurs, the the five people. The patients, 30% of this diagnosis at the age from 20 to 50 years. Completely cure the chronic prostatitis is almost impossible, but in most cases it is possible to achieve stable remission, provided that the recommendations of doctor (Dr. a treatment, prostate).
A type of chronic inflammation of the prostate
The universal, the classification with several types of chronic prostatitis:
- Acute bacterial (relapse).
- Chronic bacterial.
- Chronic aseptic (abacterial) prostatitis, which is divided into 2 subtypes: chronic pelvic pain syndrome, inflammatory or noninflammatory bought nature (prostatodynia).
- Flow asymptomatic (latent) chronic prostatitis.
The symptoms of chronic prostatitis men always not in the order they appear. A measure of the severity depends on the characteristics of an organization.
Chronic bacterial prostatitis
The bacteria cause inflammation of the prostate a 6-10% of cases. A bacterial form of chronic prostatitis caused by usually non-specific infections (Escherichia coli, Staphylococcus aureus, Streptococcus hemolytic), penetrating a prostate a other body, or to an external environment. Inflammation caused by a type of bacteria develops slowly to clear the symptoms, so the chronic infectious prostatitis is often acute, when he was running. Sometimes, inflammation manifested by mild itching, burning, and even pain, in the urethra, sickness, urination. The active infection in the formation of evidence, abdominal pain, fever. This is the first signs that the beginning of a defeat, another to the pelvic organs. A formation of abscesses.
Look
Usually non-specific infections to penetrate into the prostate may damage the mucous membranes of the genital organs due to inflammation, injury, foreign bodies, instrumental urological procedures. The surface of the skin, a dam is always a certain amount of intestinal bacteria, therefore, it is important for hygiene before sexual intercourse. If an area of the anus, groin, scrotum or excess moisture, and irritation, the pathogens begin to have one-on-one to penetrate the thick skin. Non-specific pathogens a chronic inflammation of the prostate fall into the prostate tissue on the urethra during oral sex, because the throat is often found Streptococcus, some gram-negative bacteria. Often, the infection to turn your hands through your words. Most of the words chronic bacterial prostatitis, belongs to an age group 20 to 40 years, whereas this period is the peak of the sexual activity. Ignoring the barrier contraception leads to frequent infections specific pathogens inflammation of the prostate. The most dangerous among them are the following:
- Mycoplasma;
- Ureaplasma;
- Trichomonas;
- Chlamydia.
Erectile dysfunction against the background of a chronic bacterial prostatitis often leads to sexual neurosis, in consequence of which the people do not become irritable, aggressive.
Treatment
Modern methods of treatment of a bacterial prostatitis in antibiotics, active against detected during the diagnosis of the pathogen. As the subsidiary: prescribed preparations, analgesics class Nsaids diuretics. Anti-bacterial first-second line drug-line antibiotics – macrolides. A system is, the sulfonamides. Quickly cure the chronic prostatitis it is impossible. Depending on whether a received nature, is an inflammation of treatment is from 2 to 12 weeks. If within 2 weeks of a positive dynamic is missing, a drug changes. Unsatisfactory results of antibiotic treatment of chronic prostatitis, the next I look for:
- Short course;
- Low concentration of the active substance;
- Education is a Lumina with the use of, as well as the acini of the prostate (protruding pouches, to the gland a prostate) colonies of a resistant bacteria.
Antibiotics may be in question, I just don't, but intrapro static ally, and endolymphatic (injection regulation, or lymph nodes).
Fungal prostatitis
Fungal (mycotics) prostate specific sub-type is a chronic form of the disease. A fungus enters as the unprotected sexual contact, and limfatica a other organs. The symptoms of a prostate tissue are often oiled, so the inflammation passes to a chronic form. Normal immune system fungal colonies reproduce no more than the safe limits. The risk of developing candida from prostate increased in patients with diabetes, men with a positive HIV status, as well as those who have a systemic disease.
Abacterial prostatitis
Chronic pelvic pain, exciting the coccyx, and perineum, a sign of abacterial prostatitis (the prevalence is 80-90%, including prostatodynia 20-30%). Other manifestations may not be. The diagnosis of pathogenic micro-organisms not found in juice of a prostate or a or urine in ejaculate. Inflammatory nature of pelvic pain in the above-mentioned biological fluid increases the number of white blood cells. In addition, pain, chronic abacterial prostatitis will periodically the symptoms, for example, as the blood in the ejaculate, discomfort during ejaculation, and bowel movements, difficulty urinating. There are men who have significantly reduced libido, erectile function deteriorated, general weakness, muscle pain.
Look treatment
A possible look chronic non-bacterial prostatitis:
- Systemic diseases.
- Vascular pathology of blood circulation.
- Autoimmune diseases.
- Stagnant processes.
The exact cause of the development of the chronic non-infectious (non-specific) inflammation of the prostate always it is not possible to identify, therefore, medical treatment is often unsuccessful. A drainage of purulent prostate, the bladder catheterization. The ineffectiveness of medication, surgery, or in the form of a fine-needle transurethral the ablation of the prostate (minimally invasive destruction of overgrown tissue).
The chronic prostate calculous
Chronic calculous form of the prostate in the abacterial. Stones (practical) of the prostate are formed due to stagnation of phlegm. Ezek the products of an inflammatory reaction, salts, necrotic masses. Pathology usually develops on the background of a congestive (congestive) chronic prostatitis, urolithiasis (stones migrate renal, bladder), metabolic disorder, adenoma.
Signs of chronic prostatitis with calcification:
- Violation of urination.
- Groin pain, tail bone.
- Blood in the semen.
- A deterioration of the erection.
The stones on the termination of the prostate used special drugs to produce the rectal massage. If the conservative methods do not work, then resort to surgery. The activated form of chronic calculous prostatitis can lead to a or an abscess gland atrophy of an organ.
Asymptomatic prostate
When latent chronic prostatitis signs of the missing. The only thing that if detection in the diagnosis of white blood cells in the prostatic secretion, and the expected in increase in the PSA level. Asymptomatic prostatitis is detected accidentally on routine examination or during treatment for another time.
A effects of chronic prostatitis.
The chronic prostate a man's life is not dangerous. Threatening a consequence if the time is not seek medical help. Complications often develop in a younger patients. The chronic inflammation of the prostate, a function, a protection gland disorder, decreased the amount of zinc, lysozyme required for a normal operation. As a result, a body becomes a source of constant infection. Pathogens frequently migrate to the testicles, the rectum, which, epididymitis, abscess. When moving infection by increasing way may develop pyelonephritis, renal failure. Since the prostate is actively involved in the formation of the ejaculate, constant inflammation can cause infertility. Often a woman can't get pregnant, not because of a bad quality of the partner's sperm, and defective sperm. Try to imagine, of course, not for a long time to meet (more on the effect on the prostate is a concept, a child). Serious complication of scarring of the bladder wall, prostate, urethra. Long-term inflammation of deformation of a tissue, with a frown, will not work. Also, the probability of a development of benign prostatic hyperplasia (BPH), which catalyzes the cancer process.
Diagnosis is a chronic inflammation of the prostate
During the consultation the doctor will explain in detail the history of the patient, it is especially important to write down a disturbances in your intimate life. Various complaints, the men in the chronic prostatitis may be longer: a sexual dysfunction, anxiety. ¼ Of All patients don't note, the symptoms, the abnormality is detected, by the way. Importance of that history. Typical precursors of the different types of chronic prostatitis: an infectious bacterial or gonorrhea from urethritis infectious diseases − hemorrhoids, varicocele, varicose veins lose veins in the legs. Of paramount importance in the diagnosis of chronic prostatitis is a palpation of a gland, analysis of a secret (more on the sowing prostate secretion). During acute prostate size increases slightly, as well as a remission, it comes back to normal, just a slight swelling. A secret won rectal a prostate massage. If inflammation is a process focal a buy nature, the consistency of uneven alternating sections of greece to vitolini, razmagcheniu. In such cases, the prostatic juice is obtained separately for each part. Changes in glandular secretion, which is indicators that a chronic prostate inflammation:
- The switch to a acidity towards alkalinity;
- Increased lysozyme activity;
- The reduction of an acid phosphatase.
High informativity of different fluorescent-Smear, a prostate-juice, and a test, a crystallization. Healthy men juice kristallizuetsya in the form of a fern leaf. The infringement, the geometry, the number indicates endocrine abnormalities because of what is lacking in androgens. In some cases, the diagnosis of an infectious chronic prostatitis used dietary provocation – the patient deliberately consume it food or alcohol, which aktiviziruyutsya the causative agents of gonorrhea, Trichomonas and. Slow inflammatory processes manifested by the introduction of pyrogenal or prednisolone. Among the laboratory studies held an informative test, the so-called trehstakannoy sample. The patient, a first wet glass, and then a second, then a prostate massage. Remaining a bladder, urine is collected in a third Cup. He, as well as the ejaculate is subjected to a bacteriological research. A number required the tests to the sample of the urethra, the presence of Sexually transmitted diseases. Not all conditional pathogens that grew in the cultures, it will automatically be considered who have a chronic prostatitis. A microbiocenosis of the presence of the normal version. Important growth titer (concentration). If this ratio is higher than 10 4 degrees, determine the diagnosis significant. Otherwise, the patient shows dynamic observation and treatment. Informative method for the diagnosis TRUST or transabdominal ultrasound examination. The ultrasound signals, to determine the duration of the test, as well as severe inflammation. A main exeprince is a chronic inflammation of the prostate:
- The volume of a breast increased to 20 cm3 or more;
- Sclerotic, and fibrous transformation of the tissues;
- Stones;
- Swelling.
The urine flow rate, and the presence of obstructive changes in the ureter allows you to track uroflowmetry. The differentiation of a chronic prostate cancer and enlarged, if necessary, performed a biopsy of the prostate. The PSA-level is a chronic inflammation of the prostate asymptomatic normal or slightly elevated. The background of an active inflammatory process may rise to 8-10 ng/ml. the Diagnosis of non-bacterial chronic prostatitis is more complicated. Conduct a number of tests to rule out bacterial forms of inflammation, abnormalities of other pelvic organs. Microscopic examination of urine and the ejaculate shows that a excess levels in the blood, but ultrasound, cystoscopy, CT scan part is not revealed.
General methods a treatment for chronic prostatitis
In addition to the specific treatments for different chronic prostatitis, there are always common used type of inflammation. An effective way a healing effect on the prostate massage. It has a direct effect on the prostate tissue, improving the blood circulation, lymph flow removes the products of an inflammatory reaction. A worsening of prostate massage is not carried out.