Chronic prostatitis is an inflammatory disease of the prostate gland that has a protracted nature and is difficult to treat.Unlike acute prostatitis, chronic inflammation of the prostate is not only a disorders of infectious agents, but also various disorders of the nerve and endocrine system of human.
What is the prostate and what functions
From anatomically, the prostate can be placed under the bladder and is surrounded by the urethra from all sides.The two main functions of the prostate can be distinguished:
- The urinary tract is a prostate a transit organ through which the urinary tract passes;
- Seven Informations - identifies the secret in the urethra lumen, which ensures mobility and survival of spermatosoids.
Chronic prostatitis is a slow inflammation of the prostate gland.Most often, the disease occurs after acute prostatitis due to ineffective treatment.
In the case of prostate glandular 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 regulated by the complex cascade of hormonal interactions (androgens, estrogens, pituitary hormones) because the hormonal cascade violation leads to the lesions of the prostate gland.
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 -implementation of doctor's prescriptions are the main causes of the transition of acute prostatitis into a chronic form.This form of chronic prostatitis is called primary.
Chronic prostatitis can be distinguished, which begins on its own.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 the blood supply to the prostate miros.
- Weakened immune system.
- Alcohol consumption.
- Abuse of spicy food.
- Men's sexual disorders (too active sex life or too rare sexual relationships).
- Hypothermia or overheating.
- Frequent disorders of intestinal functions (constipation).
- Sitting lifestyle.
In almost all chronic prostatitis, the main cause of the disease is bacterial infections.Due to the above factors, the ability to infect in bacteria is significantly increased, and violation of immunity and blood vessel for the organ leads to a lack of proper body reaction.This is the reason why chronic prostatitis is slow, long and difficult to treat.
Symptoms of chronic prostatitis
The course of chronic prostatitis is alternated with long -term and short -term aggravation periods.
At the time of tranquility, the disease may not manifest itself in all symptoms and does not interfere with the patient.Such periods can last for months or even years.During the worsening of chronic prostatitis, rapid urination, pain and discomfort can be observed in the perineum.Sometimes pain can add to the testicles and groin.The pain increases with a longer seat and decreases after motor activity.A vibrant symptom of the disease is the urine of slow stream due to impaired patent of the urethra prostate.After urination, the so -called prostatera - the muddy secret of the prostate gland can be observed.Because the prostate is the center of ejaculation in men, in chronic prostatitis, sexual disorders are observed.These are manifested by erectile dysfunction of penis and lack of orgasm.These symptoms are attached to the inability of the prostate to synthesize the prostate fluid, which leads to infertility.
Separate disease with similar symptoms, prostatinia.This differs from chronic prostatitis in the absence of infection in the prostate gland, as the main cause of prostatinia is the body neuroendocrine disorders.
Diagnosis of chronic prostatitis
It is quite difficult to diagnose chronic prostatitis as the inflammatory process is slow and is quite difficult to prove the presence of bacterial infection.
- In the first phase of the diagnosis, a finger rectal test is performed.This type of diagnosis is based on the rectal finger examination, through which you can interrupt the prostate gland and evaluate the changes in the prostate structure (fluffy, painful and dough).
- The second phase of the diagnosis is the analysis of the prostate fluid.To do this, a prostate massage is performed to stimulate the release of the fluid, and the substance is examined microscopically and bacteriological.The presence of bacteria, lecithin particles and leukocytes in the fluid indicates prostatitis.
- Occasionally, it is not enough to formulate the diagnostic techniques accurately.In such cases, instrumental test methods are carried out.These belong to the ultrasound of the prostate gland (growth or sclerosis of the gland, the remaining urine in the bladder) and the computer tomography.In complex clinical cases, when it is difficult to distinguish chronic prostatitis from adenoma, the biopsy of the prostate gland is performed - cutting the glandular tissue for histological examination.
How to treat chronic prostatitis
Treatment of chronic prostatitis should be complex and should consist of antibacterial therapy, usually strengthening therapy and local exposure to the gland.
The main relationship between chronic prostatitis treatment is antibiotic therapy.Before prescribing antibiotics, the sensitivity of the pathogen should be determined.Choosing a group of antibiotics depends on the results of the test.Most often, antibiotics of cephalosporin, macrolides, tetracycline antibiotics, uroiseptics have a good effect.During chronic inflammation, hyaluronidase is prescribed for the resorption of infiltrations in prostate.The therapy process lasts for an average of 15 days.Occasionally, for greater efficiency of antibiotic treatment, the slow inflammatory processes of the gland should be exacerbated by introducing the immunomodulator.
Medication therapy should be accompanied by local physiotherapy therapy:
- Prostate massage.
- Hot enemas with chamomile infusion.
- Rectal diahermia.
- Rectum mud.
- Hot sitting baths.
- Reflexotherapy (acupuncture, laser acupuncture).
- UHF therapy.
The treatment process should be combined with an active lifestyle and be sure to rule out the use of alcohol and spicy foods.
Forecast for chronic prostatitis
Chronic prostatitis refers to diseases that treat it poorly.The cases are approx.In 25%, only the worsening of the disease can be stopped, but cannot cure it.The forms of chronic prostatitis are particularly difficult to handle, which the lower urethra structure (narrowing) of the urethral channel is complicated.