The inflammation of the prostate or prostatitis can occur acutely and chronicly.Most of the time, the damage to the organ causes a specific or non -specific infection, sometimes pathological changes are developed due to congestive phenomena in the pelvis.The main symptoms are urination disorders and a decrease in power.The treatment must be complex and include the use of drugs and the normalization of blood circulation in 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 the patients and causes a series of serious complications of both the urinary and genital area.
Within the flow of prostatitis it is acute and chronic.The latter can happen independently (this happens more frequently) or is a consequence of an acute unrelated process.
Classify inflammation of the prostate gland as follows:
- The first category or acute bacterial prostatitis.
- The second is chronic bacterial inflammation.
- The third chronic abacerial prostatitis (chronic pelvic pain syndrome).It is divided into 3A - inflammatory and 3v - not inflammatory.
- The fourth is the asymptomatic inflammation of the prostate gland.
The first and second category is established by patients with a positive bacteriological examination.The difference is that the first is diagnosed with the duration of symptoms for no more than 3 months.With a greater presence of clinical manifestations, chronic bacterial prostatitis is diagnosed.
The third category is also called chronic pelvic pain syndrome, since the main complaint of patients is pain for at least 3 months.In the study of the discharge (ejaculate, urine, the secret of the gland after its massage), the pathological microflora is not detected.In the case of an increase in the number of leukocytes in these analyzes, inflammatory prostatitis (category 3) is established, with its normal content: non -inflammatory.
Most men identify one of the previous categories, since patients seek help due to the presence of certain pathology symptoms.
Recently, doctors have identified the fourth subtype of the disease: asymptomatic prostatitis.It is diagnosed by accident in a medical examination or when a man undergoes an exam by other diseases of the genitourinary system.The danger in this way lies in the fact that the pathological changes in the prostate gland are available, but the disease does not give subjective signs.This condition 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 E. coli infection.In other situations, the pathology is caused by enterobacteria such as Pseudo -monad, Klebsiella, Proteus.Staphyso and Streptococci are much less likely to be reason.
Of specific infections, acute prostatitis can be Naseria gonorrhea (Neisseria gonorreae), Trichomonas vaginalis trichomonas.
The predisposing factors are:
- Performing several surgical interventions on the genitourinary organs of a man.
- The narrowing of the urethra as a result of chronic and acute inflammatory processes in the urethra.
- Diagnostic manipulations yield: cystoscopy, ureteroscopy, etc.
- Urine violation as a result of benign hyperplasia of the prostate gland.
- Conditionally pathogenically pathogenic microflora (Enterobacterium) on pathogen under the influence of reduced immunity and other body diseases.
- No regular sex life, which leads to stagnation of secret in the prostate gland.
Chronic inflammation
If chronic prostatitis appears as a continuation of an acute process, then its cause will be the same.In the case in this form of the disease, the main predisposing factors become ::
- Tuberculosis mycobacteria.
- Clostria
- Gonorrhea and Trichomonas (they can immediately cause a chronic form without an acute period).
- Salmonella.
- Various types of fungi.
In the mechanism of the appearance of the pathology, a phenomenon is an important role for a phenomenon such as intraprothetic reflux: the release of urine through the output ducts in the prostate gland.As a result of this process, infection can easily penetrate the organ, multiply and cause inflammation.I amplified reflux:
- phimosis (narrowing of the foreskin);
- Reduction in Urethra Lume;
- BalanoPostitis (inflammation of the foreskin);
- Construction of the urethra with a concrete for urolitiasis.
Reflux and irregular sex life increase stagnant processes in the prostate, which leads to active reproduction of microorganisms, strengthening and propagation of inflammationAs a result, fibrosis areas (replacing normal tissue with dense non -functional connective) and the shape of prosthetic calculations.All this improves the pathological process and leads to serious consequences.
Chronic Abacerial Prostatitis
Chronic pelvic pain syndrome (KTRB) is a synonym for this disease and occurs without the presence of microorganisms in the discharge detected by standard microbiological methods.
There are several theories of the appearance of pathology:
- infectious;
- chemical inflammation;
- immune.
The confirmation of the infectious theory is that when performing a polymerase chain reaction (PCR) in the confrontal glamar, the DNA of the pathogens is revealed.However, other microbiological methods are detected in itself.
Basically, the genetic material of the following bacteria is found with STB:
- UREPLASMA UREPLASMA UREALYTICUM).
- 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 the 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 an immunity response to an alien 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 previous categories, the difference lies only during this form of disease.
Symptoms
Acute bacterial inflammation of the prostate gland is characterized by the appearance of general and local symptoms.
First, pain is pronounced in the suprapubic region and in the crotch, as well as a rape of urine until it stops completely.Of the general symptoms of patients, body pain, sweating, chills, fever, weakness.
Sometimes, pain syndrome occurs only during defecation or in a sitting position.In some atypical cases, fever is the only sign of the disease.
With a pronounced edema of the prostate, there is an acute urine delay.This is due to the fact that the body transmits the urethra and forms a mechanical obstacle for the exit of the bladder content with its increase in dimensions.At the same time, the patient's general condition worsens significantly: poisoning signs increase with every hour and, in severe cases, a violation of consciousness and even a comma can occur.
With a premature diagnosis, complications such as the abscess (suppuration) of the prostate with a new advance of pus in the urethra or rectum may occur.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 exacerbation of the process.
In most cases, patients are concerned about various intensity pain in the perineum and rectum, which can spread to scrotum, sacrum, penis and thigh.Sometimes, pain syndrome acquires a paroxysmal character, reminiscent of neuralgia.
There are also discomfort in the urethra and frequent urination..Sometimes the discharge of the urethra is determined.They intensify during the day after walking, physical activity, defecation or massage of the prostate gland.
There is a feeling of gravity, pressure, overflow in the rectum and perineum..These symptoms intensify after a long sitting position.This form of the disease is characterized by the appearance of inflammatory processes in the urinary system caused by the same microflora - cystitis, urethritis, pyelonephritis.
Abacerial prostatitis symptoms
CTB is characterized by a clinical image of chronic bacterial inflammation of the prostate.
Patients are concerned about pelvic and perineal pain for more than 3 months, while the results of the bacteriological examination are negative.The different types of urination disorders are characteristic:
- Frequent urine selection;
- difficulty in urine (slow current, need in additional efforts);
- Isolated urine pain.
Sometimes there are violations of sexual function: a decrease in libido, impotence.There are often general symptoms in the form of weakness, headache.
Drug treatment
The basis of therapy is the prescription of antibiotics..In the chronic process, drugs of the fluoroquinolones group are indicated.In acute prostatitis, beta-lactam and aminoglycosides are prescribed.The treatment is carried out in 2 stages:
- In the first, empirical therapy is prescribed (before receiving crops).To do this, use third generation cephalosporins or fluoroquinolones.
- In the second stage, the treatment is carried out according to the resulting bacteriological data and the results of the sensitivity to antibacterial agents.
These antibiotic groups are chosen for the reason that they penetrate through the hematoprostatic barrier and create a high concentration of the active substance in the prostate gland.This allows you to eliminate the infection approach.With abacterial prostatitis, antimicrobial therapy is also prescribed, which is necessary for 2 reasons:
- Antibiotics significantly relieve patients in patients.
- There is a high probability of the presence in the prostate that are difficult to determine by means of microorganism laboratory methods in the discharge.
The antibiotic treatment regime in chronic pelvic pain syndrome is as follows:
- A medication of a group of fluoroquinolones or doxycycline is prescribed for 2 weeks.
- A repeated study of the secretion of the prostate gland is carried out and with a decrease in symptoms, they continue to receive funds up to 4 weeks.
Treat patients with asymptomic prostatitis according to the following indications:
- sterility;
- before the operation in the prostate gland as prevention;
- when determining pathogenic microorganisms in the discharge;
- With a higher level of antiprostatic antibodies in the blood and positive analysis of the microbiological examination.
Other media
With prostatitis, medications of the alpha-blocker group are prescribed.These products increase the maximum and average speed of urine flow, reduce the tone in the wall of the urethra and eliminate the incomplete opening of the bladder neck when emptying.Thanks to these purposes, phenomena are eliminated as:
- frequent and painful urination;
- decrease in current current;
- The need for additional effort to secrete urine.
Characteristic representatives are alfuzosina, tamsulosin and doxazine, are especially relevant in chronic forms of the disease.The course of treatment of these medications is at least 3 months.
Non -steroidal anti -inflammatory medications are prescribed as symptomatic therapy.They reduce inflammatory phenomena, edema reduce pain.Use drugs such as diclofenac, ibuprofen, nimesulide and others.The duration of treatment with these medications should not exceed 4 weeks.Taking these drugs is carried out strictly after eating, since they have an irritating effect on the stomach wall.
In addition to tablets, local treatment is also used.To this end, patients are prescribed medications in candles such as Vitaprost, Prostacle, Urooprost, etc.They are also shown with prostate adenoma.
Phytotherapy
In traditional medicine, dwarf palm fruit extract is widely used.Active substances reduce inflammatory phenomena, edema and have a glass effect (strengthen the wall of blood vessels).
The African plum bark has similar effects.
The natural origin has a drug like prostation.It is made of the prostate gland of the cattle.It has an anti -inflammatory effect and reduces the phenomena of prostate adenoma.
Popular remedies
You can treat prostatitis using popular remedies.First, in terms of effectiveness: the use of oil seeds.You can buy this tool in pharmacies.Accept it for 1 tablespoon.l.3 times a day, the treatment course is 3-4 months.As prevention of prostate diseases, all men can be consumed by 30 pumpkin seeds before meals once a day.They must be taken raw, since after frying the healing properties they are lost.
For treatment, you can use pumpkin seeds prepared according to the following recipe:
- 0.5 kg of peeled seeds are crushed in a grinder or a meat blender.
- They add 200 g of honey and mix everything to a homogeneous mass.
- Form 2-3 cm balls.
They are stored in the refrigerator, take a piece 30 minutes before meals.This tool must chew for 2-3 minutes and absorb, and not swallow.The treatment course is 6 months.
The healing effect with prostatitis has an infusion of leaves or a decoction of hazelnut bark.To prepare the first product, you must take 1 tablespoon.l.Dry leaves and make a glass of boiling water.You must insist for 30 minutes and take 1/4 of the resulting solution 4 times a day.For a bark decoction, 1 tablespoon.l.Gridas raw materials pour 200 ml of water and cook in a water bath for 30 minutes.After that, the medicine must cool and take 1/4 cup 4 times a day.
The therapeutic effect with prostatitis has parsley.It has an anti -inflammatory effect and allows you to restore sexual activity.In this case, parsley juice is used.To do this, the greens are crushed to the state of suede and squeeze its liquid through gauze, folded 3-4 times.Accept it for 1 tablespoon.l.3 times a day.
Treat prostatitis at home and medicinal herbs.One of them is Wormwood.It allows you to relieve inflammation and save the body of the pathogen.It is taken dry in the first 3 days: every 2-3 hours it is absorbed in the mouth.The next four days reduce the amount of techniques to 5. Every day at night, microclims are made of the grass.
To do this, prepare an infusion: for 1 tablespoon.l.It is necessary to drink 1 liter of water.Boil the composition and let it cool at +40 degrees.After that, the solution must be filtered.It is necessary to make injections in the anus (100 ml), as well as in the urethra (50 ml).The procedures must be carried out within a week.They are shown in the chronic process.When performing showers and microclemism, pus is possible: this is a normal phenomenon that indicates the effectiveness of the treatment.
Conclusion
In combination with the main methods to treat the disease, physiotherapy, prostate massage and body acupuncture are used.
Living with chronic prostatitis means regularly undergoing integral examination and therapy, since there is a high probability of loss of reproductive function.