Chronic prostatitis is a disease of inflammation of the prostate gland, which has persistent and difficult to treat.Unlike acute prostatitis, the cause of chronic inflammation of the prostate is not only an infectious agent, but also a variety of disorders of a man's nervous system and endocrine.
What is the prostate and what is the function
Anatomically, the prostate gland is placed under the bladder and surrounded by urinary tract from all sides.The two main functions of the prostate can be distinguished:
- The urine is a prostate is a transit organ in which the urinary tract passes;
- Seven -Formation - Identify secrets in the lumen of the ureter, which provides mobility and survivability of spermatozoa.
Chronic prostatitis is a slow inflammation of the prostate gland.Often, the disease occurs after acute prostatitis due to ineffective treatment.
In the event of damage to the prostate gland, the secretion of the prostate secretion is violated, and one of the most difficult consequences of the inflammatory process in the prostate gland - infertility.
Prostate function is controlled by complex circuits of hormone interactions (androgen, estrogen, pituitary hormones), in which hormone circuits lead to prostate gland lesions.
The cause of chronic prostatitis
The main cause of chronic prostatitis is acute prostatitis that cannot be borne.Insufficient antibiotic therapy, equivalent infection that weakens the body's immune system and non -compliance with a doctor's prescription is the main cause of the transition of acute prostatitis to a chronic form.This form of chronic prostatitis is called the main.
Among these, chronic prostatitis is distinguished, which begins independently.The chronic form of inflammation of the prostate gland is called secondary.
The main factors affecting the development of secondary chronic prostatitis:
- Violation of blood supply to the prostate gland.
- Weak immune system.
- Alcohol abuse.
- Spicy food abuse.
- Men's sexual harassment (overly active sex life or too rare sexual contact).
- Hypothermia or too hot.
- Frequent disruption of intestinal function (constipation).
- Sitting in a lifestyle.
In almost all cases of chronic prostatitis, the main cause of the disease is bacterial infection.Due to the above factors, the ability to infect bacteria increases significantly, and infringement of immunity and blood supply to the organs leads to a lack of adequate reaction to infection.That is why chronic prostatitis is slow, long and difficult to treat.
Symptoms of chronic prostatitis
Chronic prostatitis courses are characterized by long and short term long periods.
During the quiet period, the disease may not be obvious to all symptoms and does not interfere with the patient.Such a period can last a month or even year.During the duration of chronic prostatitis suppression, urination, pain and unpleasant sensations in the perineum can be observed.Sometimes pain can give to the penis and thighs.Pain is increasing with prolonged chairs, and decreases after motor activity.The obvious symptom of the disease is the slow removal of the flow due to the impaired patency of the urethra prostate.After urinating, the prostate is often observed - the secret release of the prostate gland.Because prostate is the center of ejaculation in men, in chronic prostatitis, sexual disorders are observed.They are characterized by penis erection dysfunction and the absence of orgasm.These symptoms are attached to prostate inability in sufficient quantities to synthesize prostatic fluid, leading to infertility.
Separate diseases with the same symptoms are prostatinia.It is different from chronic prostatitis in the absence of infection in the prostate gland, as the main cause of prostatinia is neuroendocrine disorders in the body.
Diagnosis of chronic prostatitis
It is quite difficult to diagnose chronic prostatitis, as the inflammation process is damp, and it is difficult to prove the presence of bacterial infections.
- In the first stage of the diagnosis, the rectal examination of the finger is performed.This type of diagnosis is based on rectal finger examination, where you can break the prostate gland and evaluate changes in the prostate structure (flabby, painful and dough).
- The second stage of diagnosis is the analysis of prostate fluid.For this, the prostate massage is performed to stimulate fluid release, after which the material is microscopic and bacteriological.The presence of bacteria, lecithin cereals and leukocytes in fluid indicates prostatitis.
- Sometimes for the right formulation of the diagnostic diagnosis of this diagnostic technique.In such cases, the instrumental examination method is performed.They belong to the ultrasound of the prostate gland (an increase or sclerosis of the gland, the urine in the bladder) and the computed tomography.In complex clinical cases, when it is difficult to distinguish chronic prostatitis from adenoma, prostate gland biopsy is performed - the isolation of gland tissue for histological examination.
How to treat chronic prostatitis
Chronic prostatitis treatment should be complex and consists of antibacterial therapy, generally reinforcing local therapy and exposure to the gland.
The main link of chronic prostatitis therapy is antibiotic therapy.Before prescribing antibiotics, pathogen sensitivity must be determined.The choice of a group of antibiotics depends on the results of this test.Often, cephalosporin antibiotics, macrolides, tetracycline antibiotics, uroiseptic have a good effect.For the absorption of infiltrate that occurs in the prostate during chronic inflammation, hyaluronidase is prescribed.The therapy course lasts an average of 15 days.Occasionally, for the effectiveness of larger antibiotic therapy, you must first aggravate the slow inflammation process in the gland by introducing immunomodulators.
Drug therapy should be accompanied by local physiotherapy therapy:
- Prostate massage.
- Hot enema with chamomile infusion.
- Rectal dialmia.
- Rectal mud.
- Bath sitting hot.
- Reflexotherapy (acupuncture, laser acupuncture).
- UHF-FREE.
The course of treatment should be combined with an active lifestyle and be sure to exclude the use of alcohol and spicy foods.
Chronic prostatitis prediction
Chronic prostatitis refers to untreated diseases.In about 25% of cases, it is only possible to stop hunting the disease, but does not cure it.Chronic forms of prostatitis are extremely difficult to treat, complicated by the lower (narrowing) of the urinary tract.