Chronic prostatitis is an inflammatory disease of the prostate gland, which has a prolonged character and is difficult to treat.Unlike acute prostatitis, the cause of the chronic inflammation of the prostate is not only infectious agents, but also several disorders of the nervous and endocrine system of a man.
What is a prostate and what are its functions?
Anatomically, the prostate gland is placed under the bladder and is surrounded by the urinary channel from all sides.Two main functions of the prostate can be distinguished:
- The urinary person is a prostate is a transit organ through which the urinary tract passes;
- Seven formation: identifies a secret in the ureter light, which provides mobility and survival of sperm.
Chronic prostatitis is a slow inflammation of the prostate gland.Most of the time, the disease occurs after acute prostatitis due to ineffective treatment.
In the case of damage to the prostate gland, the secretion of a prostate secretion is violated, and one of the most difficult consequences of the inflammatory process in the prostate gland: infertility.
The functions of the prostate are controlled by a complex waterfall of hormonal interactions (androgens, estrogens, pituitary hormones), due to which hormonal waterfall rapes lead to injuries to the prostate gland.
The causes of chronic prostatitis
The main cause of chronic prostatitis is unbearable acute prostatitis.Inappropriate antibiotics therapy, concomitant infections that weaken the body's immune system and the non -complement with the doctor's recipes are the main causes of the transition from acute prostatitis to a chronic form.This form of chronic prostatitis is called primary.
Among this, chronic prostatitis is distinguished, which begins independently.This form of chronic inflammation of the prostate gland is called secondary.
The main factors that affect the development of secondary chronic prostatitis:
- Blood supply violation to the prostate gland.
- Weakened immune system.
- Alcohol abuse
- Spicy food abuse.
- Sexual disorders of men (sex too active or sexual contacts too rare).
- Hypothermia or overheating.
- Frequent disorders of intestinal functions (constipation).
- Sitting lifestyle.
In almost all cases of chronic prostatitis, the main cause of the appearance of the disease is bacterial infections.Due to the above factors, the ability to infect bacteria increases significantly, and the violation of immunity and blood supply to the organ leads to the lack of an adequate reaction of the body to infection.That is why chronic prostatitis proceeds slowly, long and is difficult to treat.
Chronic prostatitis symptoms
The course of chronic prostatitis is characterized by long periods of calm and short -term exacerbation periods.
During periods of calm, the disease may not manifest itself in all symptoms and not disturb the patient.Such periods can last months or even years.During periods of exacerbation of chronic prostatitis, fast urination, pain and unpleasant sensations in the perineum can be observed.Sometimes, pain can yield to the testicles and groin.The pain intensifies with a prolonged seat and decreases after motor activity.A vivid symptom of the disease is the urine of a slow current due to the deteriorated permeability of the prostate part of the urethra.After the urine, the prostatera called SO is often observed: the download of the muddy secret of the prostate gland.Since the prostate is the ejaculation center in men, in chronic prostatitis, sexual disorders are observed.They are manifested by erectile penis dysfunction and the absence of orgasm.These symptoms are attached to the inability of the prostate in sufficient amounts to synthesize the prostate fluid, which leads to infertility.
A separate disease with similar symptoms is prostatinia.It differs from chronic prostatitis in the absence of infection in the prostate gland, since the main cause of prostatinia is neuroendocrine disorders in the body.
Diagnosis of chronic prostatitis
It is quite difficult to diagnose chronic prostatitis, since the inflammatory process is slow, and it is quite difficult to demonstrate the presence of a bacterial infection.
- In the first stage of the diagnosis, a rectal examination of the fingers is carried out.This type of diagnosis is based on an examination of the rectum fingers, through which the prostate gland can break and evaluate changes in the structure of the prostate (flaccid, painful and mass).
- The second stage of the diagnosis is the analysis of the prostate fluid.For this, the prostate massage is carried out to stimulate the release of fluid, after which the material is examined microscopically and bacteriologically.The presence of bacteria, leukocyte grains in the liquid indicates prostatitis.
- Sometimes, for a precise formulation of the diagnosis of these diagnostic techniques is not enough.In such cases, instrumental exam 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 computed tomography.In complex clinical cases, when it is difficult to distinguish chronic adenoma prostatitis, a biopsy of the prostate gland is performed: the split of the tissue of the gland for the histological exam.
How to treat chronic prostatitis
The treatment of chronic prostatitis must be complex and consist of antibacterial therapy, generally strengthening 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.Very often, cephalosporin antibiotics, macrolides, tetracycline antibiotics, roiseptics give a good effect.For the resorption of infiltrates that occur in the prostate during chronic inflammation, hyaluronidase is prescribed.The therapy course lasts an average of 15 days.Sometimes, for the greater effectiveness of antibiotic therapy, the slow inflammatory process in the gland must first aggravate the immunomodulator.
Medicine therapy must be accompanied by local physiotherapeutic therapy:
- Prostate massage.
- Hot enemas with chamomile infusion.
- Rectal diather.
- Rectal mud.
- Bathrooms to sit hot.
- Reflexotherapy (acupuncture, laser acupuncture).
- UHF-therapy.
The treatment course must be combined with an active way of life and ensure to exclude the use of alcohol and spicy food.
The prognosis of chronic prostatitis
Chronic prostatitis refers to diseases that are poorly treated.In approximately 25% of cases, it is only possible to stop the exacerbation of the disease, but not cure it.Chronic prostatitis forms are especially difficult to treat, which are complicated by the obstruction of the inferior folly (narrowing) of the urinary channel.