Chronic prostatitis is an inflammatory disease of the prostate gland that has a lengthy character and is difficult to treat.In contrast to acute prostatitis, the cause of the chronic inflammation of the prostate is not only infectious active ingredients, but also various diseases of a man's nervous and endocrine system.
What is a prostate and what are its functions?
Anatomically, the prostate is placed under the bladder and surrounded by the urinary channel from all sides.Two main functions of the prostate can be differentiated:
- The urine is a prostate is a transit organ through which the urinary tract runs.
- Seven formation - identifies a secret in the lumen of the ureter that offers mobility and ability to survive spermatozoen.
Chronic prostatitis is a sluggish inflammation of the prostate.Most of the time, the disease occurs after acute prostatitis due to ineffective treatment.
In the case of prostate violation, the secretion of a prostate crowd is violated and one of the most difficult consequences of the inflammatory process in the prostate illuminability.
Prostate functions are checked by a complex cascade of hormonal interactions (androgens, estrogens, pituitary hormones), which violations of the hormonal cascade lead to lesions of the prostate gland.
The causes of chronic prostatitis
The main cause of chronic prostatitis is unbearable acute prostatitis.Inadequate antibiotics therapy, accompanying infections that weaken the body's immune system and the non -compliance with the doctor's recipes are the main causes for the transition of acute prostatitis into a chronic form.This form of chronic prostatitis is described as primary.
A distinction is made between chronic prostatitis between this, which begins independently of one another.This form of chronic inflammation of the prostate is called secondary.
The main factors that influence the development of secondary chronic prostatitis:
- Violation of the blood supply to the prostate.
- Weakened immune system.
- Alcohol abuse.
- Misuse of spicy foods.
- Sexual disorders of men (too active sex life or too rare sexual contacts).
- Settlement or overheating.
- Common diseases of intestinal functions (constipation).
- Sit lifestyle.
In almost all cases of chronic prostatitis, the main cause of the occurrence of the disease is bacterial infections.Due to the factors mentioned above, the ability to infection of bacteria increases significantly, and the violation of immunity and blood supply to the organ leads to the lack of an appropriate reaction of the body to the infection.That is why chronic prostatitis is sluggish, long and is difficult to treat.
Symptoms of chronic prostatitis
The course of chronic prostatitis is characterized by changing longer lull periods and short -term periods of deterioration.
During the rest periods, the disease cannot manifest itself in all symptoms and do not disturb the patient.Such periods can take months or even years.In times of aggravating chronic prostatitis, quick urination, pain and unpleasant sensations in the perineum can be observed.Sometimes pain in the testicles and groin can give.The pain intensifies with a longer seat and decreases after motor activity.A lively symptom of the disease is the urination of sluggish electricity due to an impaired continuousness of the prostatic part of the urethra.After urination, the so -called prostatetera is often observed - the discharge of the muddy secret of the prostate.Since the prostate is the center of ejaculation in men, sexual disorders are observed in chronic prostatitis.They manifest themselves through erectile dysfunction of the penis and the lack of orgasm.These symptoms are bound to the inability of the prostate in sufficient quantities to synthesize the prostate fluid, which leads to infertility.
A separate illness with similar symptoms is prostate.It differs from chronic prostatitis in the absence of an infection in the prostate gland, since the main cause of prostatinia is neuroendocrine diseases in the body.
Diagnosis of chronic prostatitis
It is quite difficult to diagnose chronic prostatitis because the inflammatory process is sluggish and it is quite difficult to prove the presence of a bacterial infection.
- A rectal finger examination is carried out in the first phase of the diagnosis.This type of diagnosis is based on a finger examination of the rectum, through which you can bleed the prostate glands and evaluate changes in the structure of the prostate (limp, painful and dough).
- The second diagnosis level is the analysis of the prostate fluid.For this purpose, the prostate massage is carried out to stimulate the release of liquid, according to which the material is examined microscopically and bacteriologically.The presence of bacteria, lecithic villages and leukocytes in liquid shows prostatitis.
- Sometimes the diagnosis of this diagnostic techniques is not sufficient.In such cases, instrumental examination methods are carried out.They belong to an ultrasound of the prostate gland (increase or sclerosis of the gland, residual urine in the bladder) and computer tomography.In complex clinical cases, a biopsy of the prostate gland is carried out if it is difficult to distinguish chronic prostatitis from adenoma - an excision of the glandular tissue for histological examination.
How to treat chronic prostatitis
The treatment of chronic prostatitis should be complex and an antibacterial therapy should be, which generally strengthens therapy and local exposure to gland.
The main member of chronic prostatitis therapy is antibiotic therapy.Before prescribing antibiotics, the sensitivity of the pathogen must be determined.The choice of a group of antibiotics depends on the results of this test.The antibiotics of cephalosporin, macrolids, tetracycline antibiotics and uroiseptics are most common.Hyaluronidase is prescribed for the absorption of infiltrates that occur during the chronic inflammation in the prostate.The course of therapy takes an average of 15 days.Sometimes you first have to make the spoiled inflammatory process in the glands worse for the stronger effectiveness of antibiotic therapy by inserting the immune modulator.
Medical therapy should be accompanied by local physiotherapy therapy:
- Prostate massage.
- Hot enema with chamomile infusion.
- Rectal diehde.
- Rectal sludge.
- Hot sitting bathrooms.
- Reflexotherapy (acupuncture, laser acupuncture).
- UHF therapy.
The course of treatment should be combined with an active lifestyle and exclude the use of alcohol and spicy foods.
The forecast of chronic prostatitis
Chronic prostatitis refers to diseases that are treated poorly.In about 25% of the cases, it is only possible to stop tightening the disease, but not to heal it.The forms of chronic prostatitis are particularly difficult to treat, which are complicated by the lower obstruction (narrowing) of the urinary canal.