The diagnosis of chronic prostatitis" (R) is brought down when you slow down the inflammation of the tissues of the prostate gland, which has a duration of 3 months or more. Under the influence of the factors stimulating reference changing seasonal conditions. The disease occurs in one out of every five men. 30% of patients with this diagnosis, the age of 20 and 50 years of age or older. To completely cure the chronic form of prostatitis is virtually impossible, but in the majority of cases, it is possible to achieve a stable remission, subject to the recommendations of the physician, that the physician deals with the treatment of a prostatitis).
Types of chronic prostatitis
The Universal is considered to be a sort of agreement, which outlines the various types of chronic prostatitis:
- In acute bacterial (or in the case of a relapse).
- A chronic infection.
- Chronic aseptic (abacterial) prostatitis, which is divided into 2 sub-types: the syndrome of chronic pelvic pain, inflammatory or noninflammatory type (prostatodynia).
- Asymptomatic flows (latent) chronic prostatitis.
The symptoms of chronic prostatitis in men, which may not always appear in strict order. The degree of their manifestation depends on the body.
Prostatitis, Chronic bacterial
The bacteria that are the cause of the inflammation of the prostate gland in a 6 to 10% of the time. A form of chronic prostatitis is usually fired in a non-specific infection (e. coli, staphylococcus aureus syndrome (gas), seeping into the prostate gland to other organs or to the outside environment. The inflammation is caused by the type of bacteria, there is increased slowly off the symptoms, and therefore, prostatitis an infectious, chronic, and often exacerbated, as they are being carried out. Occasionally, the inflammation becomes manifest, weak, itchy, burning, and pain in the urethra, disruption of the urine. The development of active infection and suggests a tummy ache and a fever. These are the first signs that it is beginning to lose some of the other pelvic organs. Perhaps the formation of abscesses.
Causes of
Infection, non-specific, usually they penetrate into the prostate gland, damage of the mucous membranes of the sexual organs, due to inflammation, damage, foreign objects, tools, urological manipulation. On the surface of the skin of the perineum is always a certain amount of intestinal bacteria, hence the importance of hygiene in the proceedings before the sexual intercourse. In the area of the anus, the groin, the scrotum, are present in the unnecessary and moist, and irritated, and then, the microbes are beginning to be implemented in the thickness of the skin. Non-specific cause of chronic prostatitis fall into the breast tissue of the ureter when the oral sexual encounter, as in the neck, they are frequently found in streptococci, a few gram-negative bacteria. Often, the infection occurs via the hands of the man himself. The majority of men suffering from chronic prostatitis by bacteria, which belong to the age group of 20 to 40 years of age, since this period is a peak for sexual activity. To ignore the tools as a barrier to birth control leads to frequent infection to specific pathogens, inflammation of the prostate gland. The most serious are the following:
- Mycoplasma;
- Ureaplasma;
- Trichomonas;
- The bacterial infection.
The erectile dysfunction (ed) is in the midst of a chronic of prostatitis-bacterial, it is often lead to sexual neurosis and, as a result, the man becomes irritable, aggressive.
Treatment
Modern techniques for the treatment of prostatitis-bacterial, suggest to the reception of the antibiotics, active against that is detected in the diagnosis of the causative agent. As a tool they are written, antispasmodics, analgesics class NSAIDS, water pills (diuretics). Anti-microbial drugs first-line: second-line antibiotic – macrolide. The scheme may also be included sulfa drugs. To quickly cure the chronic prostatitis is not possible. Depending on the nature of the inflammation of therapy, it takes from 2 to 12 weeks. If, within the time limits of 2 weeks, the trend is positive in the absence, then, of the drug changes. Results of the therapy is anti-bacterial in chronic prostatitis due to the following reasons:
- The course of the short-term;
- The low concentration of the active ingredient;
- Education in any of the gaps in the ducts, acini of the prostate gland (botryoidal pockets that make up the glandular tissues of the prostate gland) colonies of bacteria-resistant.
The antibiotics that are introduced, not only orally, but also, intraprostatically, and dropsy (for working in tax and / or lymph node).
A prostatitis
The (mycotic) prostatitis is a sub-species of the chronic form of the disease. The microbes will penetrate as unsafe by sexual contact, and the limfatica to other organs. The symptoms of a lesion in the tissue of the prostate gland, is often blurred, and therefore, the inflammation becomes chronic. Under normal conditions, you can increase the immunity of the fungus in the colony do not reproduce more secure in normal conditions. The risk of development of Candida prostatitis up-to-date in people with diabetes, men with an HIV-positive status, as well as to those who are suffering from systemic diseases.
Abacterial prostatitis
Chronic pelvic pain, gripping the tailbone, and the groin area, it is a sign of abacterial prostatitis (prevalence of 80% to 90%, including prostatodynia (20 to 30%). Other events that may not be it at all. When the diagnosis of the pathogens is not present in the juice of the prostate gland or in the urine or in the ejaculate. When the inflammatory character of the pain is of the pelvis in the above-mentioned fluids to increase the number of white blood cells. In addition to the aches and pains of the head, and in the chronic abacterial prostatitis are regularly observed for symptoms such as blood in the ejaculate, discomfort, when to buy, and bowel movements, difficulty in passing urine. Some of the men, it decreases libido, impairment of erectile function, there is a general weakness, and muscle aches and pains.
The causes and treatment of
The causes of chronic non-bacterial prostatitis:
- Systemic disorders.
- The pathology of the vessels, the circulation of the blood.
- Autoimmune diseases such a violation.
- Locked the processes.
The exact cause of the development of chronic non-communicable diseases (non-specific) prostatitis is not always possible to identify, and therefore, medical therapy is often unsuccessful. For the release of the festering tear in the prostate gland, is performed a cardiac catheterization of the urinary bladder. When a failure of the medical treatment, if you apply to surgery in the form of a transurethral fine-needle or a laser ablation of the prostate in a minimally invasive methods for destruction of overgrown tissue).
Chronic calculous prostatitis
Chronic calculous form of the prostatitis also is abacterial. On the rocks (practical) in the prostate gland, are formed due to the stagnation of the secret. They are the compounds in the products of the inflammatory reactions, the salts of the necrotic mass. The pathology usually develops in a context of stagnation (chf) chronic prostatitis, renal stones (stones can migrate from the kidneys and the urinary bladder), is violated for the exchange-of-substances-of a needed.
The symptoms of chronic prostatitis with calcification:
- The violation of urination.
- The pain in the groin, under the tail bone.
- Blood in the semen.
- The deterioration of an erection.
For dissolving the stones in the prostate gland to enter the medications and special, and produce a rectal massage. If the conservative methods do not work, then resort to surgery. In the implementation, in the form of chronic calculous prostatitis, can cause abscess of the breast, or shrinking of the body.
Asymptomatic prostatitis
In the chronic, latent prostatitis no signs of failure. The only thing that's detected when the diagnosis is leukocytosis, secretions from the prostate gland and is likely to increase in the PSA level. Detected asymptomatic prostatitis is, by the way: when you planned the inspection of, or access to one for another time.
The consequences of chronic prostatitis
By itself, chronic prostatitis in the life of a man is not dangerous. Life-threatening, may be its effect, if it is not to ask for medically assisted. The complications are more often than not tend to develop in younger patients. In chronic prostatitis the protective function, the breast is broken, it is reduced by the amount of zinc and lysozyme, which are required for normal operation. As a result, the authority becomes a permanent source of infection. Pathogens often they migrate in the testicles, the rectum, causing epididymitis, abscess. When you move to the infection is of the ascending pathways, where appropriate, the development of pyelonephritis, or kidney disease. As the prostate gland, to take an active part in the formation of the ejaculate, so the ongoing inflammation can lead to infertility. Many times, a woman can not get pregnant is not due to the poor quality of the sperm, for the partner, but due to the defect of oxygen in the seminal fluid. Trying to conceive a natural child by the time they end in failure (which you can read more about the impact of prostatitis on the conception of a child). A serious complication is scarring of the wall of the urinary bladder, the prostate gland, the urethra. Long-inflammatories warp of the fabric, they are grumpy, they become non-functional. Also, there is a great likelihood of developing an enlarged prostate (BPH), which can be a catalyst for cancer of the procedure.
The diagnosis of chronic prostatitis
In the consultation, the physician will review in detail the history of the disease in the patient, which is especially important to describe any infringement of another's inner life. The Range of the claims of men with chronic prostatitis can be extremely powerful: the loss of sexual desire before that of the neuroses. A quarter Of all their patients, generally we are not seeing any symptoms of pathology are detected by accident. Is important to the story. The characteristic of a line of the different types of prostatitis chronic infection is a bacterial or gonorrheal urethritis, non-communicable diseases − hemorrhoids, varicocele, varicose veins lose veins in the legs. Of the utmost importance in the diagnosis of chronic prostatitis has the palpation of a breast, the examination of her secret (which you can read more about the first stage of the secretions of the prostate gland). During the flare, the size of the prostate gland enlarges only slightly, and in periods of remission in around you, it is only possible to have a small face. The key is, obtained by rectal massage of the breast. If the inflammatory process that leads to the focal nature, that is, the coherence of an organ is the same: alternate between sections of Zapadni, VitaScene, razmagcheniu. In such a case, the e-juice prostate are given separately for each part. The change of the secrecy of the breast, which are the indicators of chronic prostatitis:
- The change in taste on the side of the alkalization of the;
- The increase in the activity of the lysozyme;
- Reducing the amount of acid phosphatase.
High, only a different fluorescent cytology tests-sharepoint-juice, as well as a test of their crystallization. In men, healthy, juice, crystallized in the form of a leaf of a fern. The violation of the geometry, the drawing shows the pathologies of the endocrine, due to the fact that it occurs in the absence of androgens. In some cases, such as in the diagnosis of infection of a chronic prostatitis apply in the food-the provocation – the patient will deliberately use to spicy food or alcohol, due to the fact that they are turned on the cause of gonorrhea, and trichomonas. The slow inflammation become manifest when the introduction of the pirogenala, or prednisone. Among the studies of the laboratory report is considered to be one the test, called the trehstakannoy the break up. The patient urinates first into one glass, then the second, then I carried out the massage of the prostate gland. The rest of the bladder, the urine is collected in a third cup. She, along with the ejaculate exposed to bacteriological research. Among the mandatory exams is also taken a swab of the urethra for the presence of a sexually transmitted disease. Not all of them are conditional pathogen, which increased as the crop, they are automatically considered to be pathogens of chronic prostatitis. In the microbiocenosis is an option, as usual. It is important that the sub-title of the growth of concentration (no. If the ratio is greater than 10 in 4 degrees, it is considered to be of a diagnostic significance. If not, the patient demonstrates tracking dynamic, and not as a treatment. Only the method of diagnosis, is it TRUS or transabdominal ultrasound-a feasibility study. For the sonographic outline, it is possible to determine both the duration and the severity of the inflammation. The main exeprince in chronic prostatitis:
- The amount of the breast grows to be 20 cm3 or less, and
- Sclerosis, and fibrous transformation of the tissues;
- All the stones;
- In the face.
The rate of flow of urine, and the presence of obstructive changes in the ureter lets you keep track of uroflowmetry. For the differentiation of chronic prostatitis from cancer, and benign prostatic hypertrophy of the prostate gland and, if necessary, a biopsy of the breast. The level of PSA in the of chronic prostatitis, in the period of remission is normal or only slightly increased. In the midst of an active inflammatory process which may go up to 8 to 10 ng/ml). Diagnosis of non-bacterial prostatitis, chronic in is a little more complicated. We need to carry out a series of examinations in order to delete a form from the inflammation, and disorders of the other pelvic organs. The analysis of the urine, and ejaculates, shows an excessive level of white blood cells, but an ultrasound scan, cystoscopy, ct scan of co-morbidities did not show.
Treatment of chronic prostatitis
In addition to the specific methods for the treatment of various types of chronic prostatitis, there are generally used on all kinds of inflammations. A very effective way of curing an impact on the prostate is by a massage. It has a direct impact on the breast tissue, it improves blood circulation and the lymphatic system, presents the products of the inflammatory reactions. When the deterioration of the prostate massage is not carried out.