What is prostate?It is the most common urological disease in men against the background of inflammation of the prostate gland, caused by pathogenic (certainly causing the disease) and pathogenic infection provided.
In most cases, in young men, active sexuals, it is a complication of IST with symptomatic or asymptomatic.The cause of prostate development can be: trichomonas, gonococci (causing gonorrhea), chlamydia, ureaplasma, mycoplasma.Among organisms not related to IST, E. coli, fecal enterococcus, etc. are of great importance.
According to modern classification there are:
- Acute prostatitis.
- Chronic bacterial prostatitis.
- Chronic prostatitis (chronic pelvic pain syndrome) with signs of inflammation.
- Chronic prostatitis (chronic pelvic pain syndrome) without signs of inflammation.
- Asymptomatic (asymptomatic) chronic prostatitis.
Currently, in most cases, we have to deal with the latest category of prostatitis in men, as in recent years trichomoniasis, chlamydia, ureaplasmosis and mycoplasmosis have gained a key role in the structure of IST, which initially, in most cases, have no manifestation, ie.Do not disturb a person in any way.And only after a long time do they manifest as a complication - prostate.
It should be said that asymptomatic prostatitis is detected in most patients who come simply for IST examination, women's sexual partners with IST, as well as in patients with infertility.
The causes of prostate
As a rule, prostatitis is diagnosed when:
- decreased physical activity (sedentary lifestyle);
- Dysrhythmias of sex life (prolonged sexual abstentions, often replaced by hyperactive sex life);
- alcohol abuse;
- chronic constipation;
- As a result of infection with a prostatitis Ist -urerogenic, ie that occurs when infections enter the prostate from the urethra;
- due to the penetration of pathogens from chronic infection seals (chronic tonsils, sinusitis, kidney disease, etc.);
- For rectum diseases (hemorrhoids, anal cracks, paraproctitis) - endogenous prostatitis.This explains the discovery of E. coli in most cases of chronic prostate.
Symptoms of prostatitis in men
Begins with an increase in temperature to 39-40 ° C with fever and chills, difficulty in urinating, pain and burning during urination;In severe cases, due to swelling of the glandular tissue, acute urine retention occurs - a condition that requires surgical intervention.
Continues without manifestations.It is mainly detected in patients seeking examination for IST after random sexual intercourse.It is also detected in patients who came to examine as women's sexual partners with IST or in patients with sperm pathology.
Manifested:
- Discomfort and pain in the lower abdomen, perineum, sometimes patients notice that the pain radiates to the head of the penis or in the urethra.
- Urinary disorders.Frequent, painful urination, a feeling of unfinished urination (often with hypothermia), urinating one to several times at night, difficulty in urinating and weakening urine flow.
- Disorder of sexual function.Pain and discomfort during spilling, pain in the urethra and rectum, weakening or loss of feeling of orgasm, etc.
- Changes in sperm fertilization ability.
- As a result, the increase in the patient's anxiety and irritability, which is caused by hyper-disorder of attention in his condition.
Complications of prostate
In the absence or inadequate treatment of prostatitis, the following complications may occur:
- The passage of acute prostate to chronic.
- Acute urine retention (the patient cannot urinate for a long time) may require surgical intervention.
- Development of male infertility.
- Formation of wounds and climbs in the urethra with subsequent narrowing.
- Development of bladder inflammation (cystitis).
- Inflammatory kidney disease (pyelonephritis, etc.).
- The appearance of purulent prostate inflammation in men (prostate abscess), which requires surgical intervention.
- Sepsis (penetration of infection into the bloodstream with subsequent damage to the organs and systems of the whole body) is a frightening, life -threatening complication.It develops most often in patients with decreased immune system function, in patients with diabetes mellitus, patients with chronic renal failure, in patients with AIDS, etc.
Diagnosis of prostatitis
Diagnosis of prostatitis is performed in patients with characteristic complaints, as well as in patients with IST identified and identified infertility.
Diagnosis includes:
- Digital prostate examination (through the rectum) with the collection and examination of prostate secretion (fluid) when the presence of inflammation in the glands is detected.
- Urine examinations: general analysis, 2 or 4 cups of urine, bacteriological examination (detection of prostatitis pathogens), cytological examination (detection of cancer).
- Uroflowmetry: Assessment of urine flow characteristics, its quantity, flow rate, duration of urination.
- Ultrasound examinations to detect remaining urine, organic prostate lesions, official signs of prostate.
Sometimes, to diagnose prostatitis and exclude cancer, below are also described:
- Sperm studies.
- Prostate biopsy.
- PSA blood test (to detect cancer).
- Calculated tomography of the pelvic organs.
- Examination of the nuclear magnetic resonance of the pelvic organs, etc.
Treatment of prostatitis
Treatment of bacterial prostatitis caused by an IST is not an easy task.Adequate therapy and in time leads to the complete treatment of this category of prostatitis after the complete elimination (disappearance) of IST pathogens in most patients.It is worth noting that complete prostate cure caused by a vulgar infection (not an ist) occurs in only 30% of cases, despite the achievements of modern medicine.In these cases, the goal is to achieve a stable forgiveness of the disease.
Modern prostatitis treatment includes:
- Antibacterial therapy for at least 2 weeks, sometimes up to 1-2 months or more.
- Treatment of pain syndrome (anti-inflammatory drugs in the form of suppositories, injections, tablets).
- Treatment of urinary disorders (blocking α-1, 5-α-reductase blocker).
- Physiotherapeutic methods of treatment (magnetic therapy, laser therapy, etc.).
- Prostate massage.
Patients are also recommended to make lifestyle changes, namely:
- Regular sex life without sex surplus;
- renunciation of alcohol and a sedentary lifestyle;
- mandatory use of obstructive contraception;
- Treatment of digestive tract diseases that cause stool keeping, etc.