Inflammation of the prostate or prostatitis can occur in acute and chronic form.In most cases, damage to the organ causes a specific or non -specific infection, sometimes pathological changes develop due to pelvis phenomena.The main symptoms are urine disorders and a decrease in potency.The treatment should be complex and the use of medicines and the normalization of blood circulation in the pelvic organs in men.
Classification and characteristics of prostatitis
The inflammation of the prostate in men is a pathology that significantly reduces the quality of life of patients and causes a number of serious complications from both urinary and genital area.
In the flow of prostatitis is acute and chronic.The latter can occur independently of one another (this happens more often) or is a result of an untreated acute process.
Classify the inflammation of the prostate as follows:
- The first category or acute bacterial prostatitis.
- The second is chronic bacterial inflammation.
- The third or chronic abacterial prostatitis (chronic pelvic pain syndrome).It is not divided into 3A - inflammatory and 3V - inflammatory.
- The fourth is an asymptomatic inflammation of the prostate.
The first and second category is determined by patients with a positive bacteriological examination.The difference is that the first diagnosed symptoms do not diagnose for more than 3 months.In the event of a longer presence of clinical manifestations, chronic bacterial prostatitis is diagnosed.
The third category is also referred to as chronic pelvic pain syndrome, since the main complaint in patients is at least 3 months pain.When examining the discharge (ejaculate, urine, the secret of the gland after their massage), no pathological microflora is demonstrated.In the event of an increase in the number of leukocytes in these analyzes, inflammatory prostatitis (3A category) with its normal content - is not anti -inflammatory.
Most men identify one of the categories mentioned above because patients seek help due to the presence of certain symptoms of pathology.
Doctors have recently identified the fourth subtype of the disease - asymptomatic prostatitis.It is diagnosed by an accident during a medical examination or if a man examines an examination for other diseases of the genitarian system.The danger of this form lies in the fact that pathological changes are available in the prostate, but the disease does not contain any subjective signs.This state often leads to the development of infertility.
Why is it burning in the urethra in men?
Reasons
Acute prostate inflammation in men occurs in 70% of cases due to an infection of E. coli.In other situations, pathology is caused by enterobacteria such as pseudo monad, Klebsiella, Proteus.Staphyso and streptococci are much less likely that it is the reason.
Acute prostatitis gonorrhoe -Naseria (Neisseria Gonorrheae), Trichomonas vaginalis trichomonas can be of specific infections.
The predisposing factors are:
- Implementation of various surgical interventions on the genitarian organs of a man.
- The narrowing of the urethra as a result of chronic and acute inflammatory processes in the urethra.
- Performance of diagnostic manipulations - cystoscopy, ureteroscopy, etc.
- Violation of urination as a result of a benign hyperplasia of the prostate.
- Activation of the conditionally pathogenic microflora (enterobacterium) in pathogenic under the influence of reduced immunity and other boden diseases.
- Unregular sex life that leads to stagnation of the secret in the prostate.
Chronic inflammation
When chronic prostatitis is a continuation of an acute process, its cause is the same.In the event of this form of the disease, the primary predisposing factors will be :: ::
- Mycobacteria of tuberculosis.
- Clostria.
- Gonorrhea and Trichomonas (can immediately cause a chronic form without an acute period).
- Salmonella.
- Different types of mushrooms.
In the mechanism of the development of pathology, an important role in such a phenomenon as intraprosthetic reflux uringast is played through the exhaust channels in the prostate.As a result of this process, the infection can easily penetrate the organ, multiply and cause inflammation.I have strengthened reflux:
- Phimosis (narrowing of the foreskin);
- Reduction of urethra lumen;
- Balanopostitis (inflammation of the foreskin);
- Construction of the urethra with a concrete for urolithiasis.
Reflux and irregular sexual levels increase stagnant processes in the prostate, which leads to the active reproduction of microorganisms, reinforcement and spread of inflammationAs a result, fibrosis areas (replacing normal tissue with density, non -functional binding time) and prosthetic calculation form.All of this improves the pathological process and leads to serious consequences.
Equal chronic prostatitis
The chronic pelvic pain syndrome (KTRB) is a synonym for this disease and occurs without the presence of microorganisms in the discharge, which are detected by microbiological methods.
There are several theories about the appearance of the pathology:
- infectious;
- chemical inflammation;
- immune.
The confirmation of the infectious theory is that when carrying out a polymerase chain reaction (PCR) in the confronted Glamar, the DNA is revealed by pathogenes.However, other microbiological methods themselves are not determined.
Basically, the genetic material of the following bacteria is found with STB:
- Uraplasma ureplasma ureayyticum).
- Mycoplasma hominis (mycoplasma hominis).
- Chlamydia trahomatis (chlamidia trachomatis).
- Trichomonade vaginalis (Trichomonas vaginalis).
The theory of chemical inflammation explains the CTB by intraprostatic reflux, but in this case the cause is not bacteria, but the urine itself. Once in the prostate, it causes damage to cell structures and an inflammatory reaction.
According to immune theory, pathology arises as a result of autoimmune processes or as a result of a reaction of immunity to an extraterrestrial antigen that enters the organ.
In most cases, the cause of StB is not one, but its complex influence.
The provocative factor of asymptomatic prostatitis can be anyone who can cause the categories mentioned above.The difference is only during this form of the disease.
Symptoms
Acute bacterial inflammation of the prostate gland is characterized by the occurrence of general and local symptoms.
First, in the suprapubic area and in the crotch there are a pronounced pain and a violation of urination until it is completely stopped.Of the general symptoms of patients pain in the body, sweating, chills, fever, weakness.
Sometimes pain syndrome only occurs during bowel movements or in a seated position.In some atypical cases, fever is the only sign of the disease.
In the case of a pronounced edema of the prostate, an acute urine delay occurs.This is due to the fact that the body transmits the urethra and forms a mechanical obstacle for the drainage of the content of the bladder with its increased dimensions.At the same time, the patient's general condition deteriorates significantly: the signs of poisoning increase every hour, and in severe cases, a violation of consciousness and even a coma can occur.
With early diagnosis, complications such as abscessing (vibration) of the prostate can occur with another pus breakthrough in the urethra or rectum.As a result, fistulas are formed that require surgical intervention and reconstructive operations.
Manifestations of chronic bacterial inflammation of the prostate gland
The manifestations of this form of the disease are diverse and vary from the complete absence of symptoms to a strong tightening of the process.
In most cases, patients are concerned about various intensity pain in the perineum and rectum, which can spread to the scrotum, sac, penis and thighs.Sometimes pain syndrome acquires a paroxysmal character that is reminiscent of neuralgia.
There are also discomfort in the urethra and the frequent urination.Sometimes the discharge is determined from the urethra.They worsen during the day after walking, physical activity, defecation or massage of the prostate.
There is a feeling of severity, pressure, overflow in the rectum and perineum.These symptoms worsen after a long seating position.This form of the disease is characterized by the occurrence of inflammatory processes in the urine system caused by the same microflora flower inflammation, urethritis, pyelonephritis.
Symptoms of abacterial prostatitis
CTB is characterized by a clinical picture of chronic bacterial inflammation of the prostate.
The patients are worried about pelvic and perineal pain for more than 3 months, while the results of the bacteriological examination are negative.Different types of urine disorders are characteristic:
- Frequent urine selection;
- Difficulties in urinating (sluggish electricity, necessity for additional efforts);
- Pain is isolated against urine.
Sometimes there are violations of sexual function - a decrease in libido, impotence.There are often general symptoms in the form of weakness, headache.
Treatment with medication
The basis of the therapy is the prescription of antibiotics.In the chronic process, medication from the group of fluorchinolons are displayed.In acute prostatitis, beta-lactam antibiotics and aminoglycosides are prescribed.The treatment is carried out in 2 stages:
- Empirical therapy is prescribed in the first (before he receives plants).To do this, use the third generation of cephalosporins or fluorchinolone.
- In the second stage, the treatment is carried out according to the resulting bacteriological data and the results for sensitivity to antibacterial agents.
For the reason, these groups of antibiotics are selected that they penetrate the hematoprostatic barrier and create a high concentration of the active substance in the prostate gland.In this way you can eliminate the focus of the infection.In the case of abacterial prostatitis, antimicrobial therapy is also prescribed, which is required for 2 reasons:
- Antibiotics significantly relieve patients patients.
- There is a high probability that the presence of the prostate with laboratory methods of the microorganisms is difficult to determine when unloading.
The treatment scheme with antibiotics in chronic pelvic pain syndrome is as follows:
- A drug of a group of fluorchinolons or doxycycline for 2 weeks is prescribed.
- A repeated examination of the secretion of the prostate gland is carried out and with a decrease in symptoms, funds will continue to receive up to 4 weeks.
Treat patients with asymptomical prostatitis according to the following indications:
- Infertility;
- Before surgery of the prostate as prevention;
- When determining pathogenic microorganisms in the discharge;
- With an increased level of anti -prostatic antibodies in the blood and positive analyzes of the microbiological examination.
Other means
In prostatitis, medication from the alpha blocker group is prescribed.These products increase the maximum and average speed of the urine flow, reduce the sound in the urethrau wall and eliminate the incomplete opening of the neck of the bladder when emptying.Thanks to these effects, phenomena are eliminated as:
- frequent and painful urination;
- Acceptance of the stream stream;
- The need for an additional exhaust to deduct urine.
Characteristic representatives are alfuzosin, tamsulosin and doxazin, they are particularly relevant for chronic forms of the disease.The treatment of these medication is at least 3 months.
Non -steroidal anti -inflammatory drugs are prescribed as symptomatic therapy.They reduce inflammatory phenomena, edema, pain.Use medication such as Diclofenac, Ibuprofen, Nimesulides and others.Treatment of treatment with these medication should not exceed 4 weeks.Taking these medication is strictly carried out after eating because they have an irritating effect on the gastric wall.
In addition to tablets, local treatment is also used.For this purpose, patients in candles such as vitaprost, prostacle, uroprost etc. are prescribed medication.They are also shown with prostate adenoma.
Phytotherapy
In traditional medicine, dwarf palm fruits is often used.Active substances reduce inflammatory phenomena, edema and have a vasoprotective effect (strengthen the wall of blood vessels).
The bark of the African plum has similar effects.
Natural origin has a drug like prostacle.It consists of the prostate gland of cattle.It has an anti -inflammatory effect and reduces the phenomena of the prostateada.
Folk remedy
You can treat prostatitis with folk remedies.First, in terms of effectiveness - the use of oil seeds.You can buy this tool in pharmacies.Accept it for 1 tablespoon.l.The course of treatment is 3-4 months 3 times a day.To prevent prostate diseases, all men can be consumed once a day by 30 pumpkin seeds before meals.They have to be taken in raw form because after the gravy is lost.
For treatment, you can use pumpkin seeds that have been made according to the following recipe:
- 0.5 kg of peeled seeds are crushed on a meat grinder or a mixer.
- You add 200 g of honey to you and mix everything up to a homogeneous mass.
- Form balls 2-3 cm in size.
They are kept in the refrigerator and take a bit 30 minutes before meals.This tool should chew and absorb for 2-3 minutes and not swallow.The course of treatment is 6 months.
The healing effect in prostatitis has an infusion of leaves or a decoction of hazelnut brown.To prepare the first product, you have to take 1 tablespoon.l.Dry leaves and brew in a glass of boiling water.You have to exist for 30 minutes and take 1/4 of the resulting solution 4 times a day.For a decoction of bark 1 tablespoon.l.Punched raw materials pour 200 ml of water and cook for 30 minutes in a water bath.After that, the medication should be taken 1/4 cup 4 times a day.
The therapeutic effect in prostatitis has parsley green.It has an anti -inflammatory effect and enables you to restore sexual activities.In this case, parsley juice is used.For this purpose, the greens are crushed into the condition of the porridge and expresses the liquid through gauze, 3-4 times folded.Accept it for 1 tablespoon.l.3 times a day.
Treat prostatitis at home and medical herbs.One of them is Wormwood.It enables them to alleviate inflammation and save the body from the pathogen.It is taken in dry form in the first 3 days - it is absorbed into the mouth every 2-3 hours.The next four days reduce the number of techniques to 5. Every day at night, microclisms are made from the grass.
To do this, prepare an infusion: 1 tablespoon.l.It is necessary to take 1 liter of water.Cook the composition and let it cool up to +40 degrees.After that, the solution must be filtered.It is necessary to make injections in the anus (100 ml) and in the urethra (50 ml).Procedure must be carried out within a week.They are shown in the chronic process.The pus is possible when carrying out showers and microclemism - this is a normal phenomenon that shows the effectiveness of the treatment.
Diploma
In combination with the main methods for the treatment of the disease, physiotherapy, prostate approval and acupuncture of the organ are used.
Life with chronic prostatitis means regularly undergoing a comprehensive examination and therapy, since there is a high probability of the loss of reproductive function.