general informationProstatitis - Inflammation of the seed gland (prostate) - prostate. It is the most common disease of the genitorerinary system in men. Most often, this affects patients aged 25 to 50. In accordance with various data, prostatitis suffers from 30 to 85% of men over 30 years of age. Perhaps abscess of the prostate gland, inflammation of testicles and appendages, which threatens infertility. The ascent of the infection leads to inflammation of the upper parts of the genito-cross system (cystitis, pyelonephritis).Pathology develops when an infectious agent has entered, which enters the fabric of the prostate from the organs of the genitorerinary system (uretra, bladder) or distant inflammatory orientation (with pneumonia, flu, amygdalite, furunculose).The causes of prostatitisA Staphylococcus aureus Doré (Enterococcus), Enterobacter (Enterobacter), Pseudomonas (Pseudomonas), Proteus (Proteus) and Klebcelllah and Klebcellah can act as an infectious agent in an acute process. (Klebsiella) and E. coli (E. coli). Most microorganisms belong to the conditionally pathogenic flora and cause prostatitis if there are other predisposing factors. Chronic inflammation is generally caused by Paul with microbial associations.The risk of developing the disease increases during hypothermia, the presence of infections and specific conditions in the history of congestion in prostate tissues. The following predisposing factors are distinguished: General hypothermia (single or permanent, linked to working conditions).A sedentary lifestyle, a specialty forcing a person to be in a sitting position for a long time (computer operator, driver, etc. ).Constant constipation.Violations of the normal rhythm of sexual activity (excessive sexual activity, prolonged abstinence, incomplete ejaculation during the deprivation of the emotional coloring of "usual" sexual intercourse).The presence of chronic diseases (cholecystitis, bronchitis) or chronic infectious foci in the body (chronic osteomyelitis, absurd cavities, tonsilitis, etc. ).Transferred urological diseases (urethritis, cystitis, etc. ) and sexually transmitted diseases (trichomoniase, gonorrhea).States which cause the inhibition of the immune system (chronic stress, irregular and lower nutrition, regular lack of sleep, state of overestimation in athletes).It is assumed that the risk of developing a pathology increases with chronic poisoning (alcohol, nicotine, morphine). Some studies in the field of modern Andrology prove that the provocative factor is a chronic crotch injury (vibration, concussion) in motorists, motorcyclists and cyclists. However, the overwhelming number of experts believes that not all the circumstances listed are real causes of the disease, but only contribute to the exacerbation of the latent inflammatory process in prostate tissues.The decisive role in the occurrence of prostatitis is played by stagnation in prostate tissues. The violation of the hair blood flow causes an increase in lipid peroxidation, edema, exudation of prostate tissues and forms conditions for the development of the infectious process. 
Prostatitis symptomsAcute prostatitisThere are three stages of acute prostatitis, which are characterized by the presence of a certain clinical image and morphological changes:Pointed catarrhale. Patients complain of rapid, often painful urination, pain in the sacrum and perineum.Follicular Sharp. The pain becomes more intense, sometimes radiates from the anus, intensifies during defecation. The urinity is difficult, the urine flows with a thin flow. In some cases, a delay in urine is noted. Subfectant or moderate hyperthermia is typical.Acute parenchymatic. Pronounced general poisoning, hyperthermia up to 38-40 ° C, chills. Dizuric disorders, often a sharp delay in urination. Vive and pulsating pain in the perineum. Difficulty defecating.Chronic prostatitisIn rare cases, chronic prostatitis becomes the result of an acute process, however, as a rule, a primary chronic course is observed. The temperature sometimes rises to small values. The patient notes low pain in the perineum, discomfort during the act of urination and defecation. The most characteristic symptom is the rare discharge of the urethra during the act of defecation. The main chronic form of the disease develops over a significant period of time. It is preceded by the stagnation of the blood in the capillaries, gradually transforming into abacactory prostatitis.Chronic prostatitis is often a complication of the inflammatory process caused by the causal agent of a specific infection (Chlamydia, Ureaplasma, Gonococcus). The symptoms of a specific inflammatory process in many cases mask the manifestations of the prostate lesion. There is a slight increase in pain during urination, low pain in the perineum, a rare discharge of the urethra during defecation. A slight change in the clinical image often goes unnoticed by the patient. Chronic inflammation of the prostate gland can manifest itself by a burning sensation in the urethra and perineum, dysuria, sexual disorders, increased general fatigue. The consequence of power violations (or fear of these violations) often becomes mental depression, anxiety and irritability. The clinical picture does not always include all groups of listed symptoms, differs in different patients and changes over time. There are three main syndromes characteristics of chronic prostatitis: pain, violations when you go to the toilet, sexual disorders.There are no pain receptors in the fabric of the prostate. The cause of pain in chronic prostatitis becomes almost inevitable due to the abundant innervation of the implication of pelvic organs in the inflammatory process of the nerve pathways. Patients complain about pain of various intensities - weak, painful to intense, violating sleep. There is a change in the nature of pain (improvement or weakening) with ejaculation, excessive sexual activity or sexual abstinence. The pain radiates in scrotum, sacrum, crotch, sometimes in the lumbar region.
Due to the inflammation of chronic prostatitis, the volume of the prostate underpins the urethra increases. The light of the ureter decreases. The patient has frequent urination, a feeling of incomplete emptying of the bladder. As a rule, dysurical phenomena are expressed in the early stages. Then, the compensatory hypertrophy of the muscle layer of the bladder and the ureters develops. The symptoms of dysuria during this period weaken, then increase again when decompensation of adaptive mechanisms. In the early stages, power violations can develop, which manifest themselves differently in different patients. Patients can complain about frequent night erections, erased orgasm or deterioration of an erection. Accelerated ejaculation is associated with a decrease in the level of excitation threshold of the center, which is responsible for obtaining an orgasm. The pain for ejaculation can cause refusal of sexual activity. In the future, sexual disorders become more pronounced. At an advanced stage, helplessness is developing.The degree of sexual disorder is determined by many factors, including the patient's sexual constitution and psychological mood. Power and dysuria violations can be due to both changes in the prostate gland and the ease with which the patient can inspire anything. If he has chronic prostatitis, he expects an inevitable development of sexual disorders and urination disorders. Especially often psychogenic disorders in the power and the problems of going to the toilet develop in suggestible and alarming patients.ComplicationsIn the absence of a timely treatment of acute prostatitis, there is a significant risk of developing the abscess of the prostate gland. When the purulent focus is formed, the patient's body temperature goes to 39-40 ° C and can acquire an eventful character. Heat periods alternate with pronounced chills. Acute pain in the perineum complicates urination and makes defecation impossible.The growth of edema edema leads to a delay in acute urination. In rare cases, the abscess spontaneously opens onto the urethra or rectum. When opening in the urethra, purulent muddy urine appears with an unpleasant spicy smell, when opening in the rectum, the excrement contains pus and mucus. For chronic prostatitis, a wave type course with prolonged periods of remission is characteristic, during which the inflammation of the prostate takes place latent or manifests itself in extremely lean symptoms. Patients, which nothing is disturbing, often stop treatment and only convert with the development of complications.The most common complication of the chronic process is the inflammation of the testicles and the appendices of the testicles and the inflammation of the seed bubbles. The result of these diseases often becomes infertility.Diagnosis
A characteristic clinical picture simplifies the diagnostic process in acute and chronic prostatitis. Mandatory is made:Rectal prostate studyThe closing of the secretion of the prostate gland to determine the sensitivity of the microflora (sowing the secret of the prostate and sementing urine to bacteria).A prostate ultrasound to identify structural changes (tumors, cysts, adenoma) and the differentiation of the prostatitis of other diseases is carried outA spermogram to exclude or confirm the development of infertility.Prostatitic treatmentAcute prostatitis treatmentPatients with an acute process without complications undergo a treatment cure with a waiting urologist. With severe poisoning, suspicion of a purulent process, hospitalization is indicated. Antibacterial therapy is carried out. Medicines are selected taking into account the sensitivity of an infectious agent. Antibiotics are widely used which can penetrate well into prostate tissues (ciprofloxacin, etc. ). With the development of a delay in acute urination, in the context of prostatitis, they use the installation of a special tube, not to a urethral catheter, because there is a danger of formation of an abscesses of the prostate. With the development of the abscess, a transrectal or urethral endoscopic opening of the abscess is carried out.Treatment of chronic prostatitisThe treatment of chronic prostatitis should be complex, in particular etiotropic treatment, physiotherapy, correction of immunity:Antibiotic therapy. The patient is prescribed long -term antibacterial courses (within 4 to 8 weeks). The selection of the type and the dosage of antibacterial drugs, as well as the determination of the duration of the treatment price are carried out individually. The drug is chosen according to the sensitivity of microflora according to the results of the sowing of the urine and the secret of the prostate.Prostate massage. The gland massage has a complete effect on the affected organ. During massage, the inflammatory secret accumulated in the prostate gland is tight in the conduits, then enters the urethra and eliminates the body. The procedure improves blood circulation in the prostate, which makes it possible to minimize stagnation and offers the best penetration of antibacterial drugs in the fabric of the affected organ.Physiotherapy. To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used. If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed hot medicinal microclilisms. In a long -term chronic inflammation, a consultation of an immunologist is indicated for the choice of immunocorrogative therapy tactics. The patient receives recommendations for a lifestyle change. The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure. The patient is recommended to normalize sleep and awakening, to establish a diet and carry out moderate physical activity.
Forecasts and PreventionAcute prostatitis is a disease that has a pronounced tendency to the chronicle. Even with adequate treatment in a timely manner, more than half of patients, chronic prostatitis becomes a result. Recovery is far from always possible, however, with correct sequential therapy and compliance with the doctor's recommendations, it is possible to eliminate unpleasant symptoms and obtaining a long persistent remission in the chronic process.Prevention consists in eliminating risk factors. It is necessary to avoid hypothermia, alternated sedentary work and with periods of physical activity, and to eat regularly and entirely. With constipation, laxatives should be used. One of the preventive measures is the normalization of sexual life, because excessive sexual activity and sexual abstinence are risk factors in the development of prostatitis. If the symptoms of an urological or sexually transmitted disease appear, you should consult a doctor in a timely manner.
The causes of prostatitisA Staphylococcus aureus Doré (Enterococcus), Enterobacter (Enterobacter), Pseudomonas (Pseudomonas), Proteus (Proteus) and Klebcelllah and Klebcellah can act as an infectious agent in an acute process. (Klebsiella) and E. coli (E. coli). Most microorganisms belong to the conditionally pathogenic flora and cause prostatitis if there are other predisposing factors. Chronic inflammation is generally caused by Paul with microbial associations.The risk of developing the disease increases during hypothermia, the presence of infections and specific conditions in the history of congestion in prostate tissues. The following predisposing factors are distinguished: General hypothermia (single or permanent, linked to working conditions).A sedentary lifestyle, a specialty forcing a person to be in a sitting position for a long time (computer operator, driver, etc. ).Constant constipation.Violations of the normal rhythm of sexual activity (excessive sexual activity, prolonged abstinence, incomplete ejaculation during the deprivation of the emotional coloring of "usual" sexual intercourse).The presence of chronic diseases (cholecystitis, bronchitis) or chronic infectious foci in the body (chronic osteomyelitis, absurd cavities, tonsilitis, etc. ).Transferred urological diseases (urethritis, cystitis, etc. ) and sexually transmitted diseases (trichomoniase, gonorrhea).States which cause the inhibition of the immune system (chronic stress, irregular and lower nutrition, regular lack of sleep, state of overestimation in athletes).It is assumed that the risk of developing a pathology increases with chronic poisoning (alcohol, nicotine, morphine). Some studies in the field of modern Andrology prove that the provocative factor is a chronic crotch injury (vibration, concussion) in motorists, motorcyclists and cyclists. However, the overwhelming number of experts believes that not all the circumstances listed are real causes of the disease, but only contribute to the exacerbation of the latent inflammatory process in prostate tissues.The decisive role in the occurrence of prostatitis is played by stagnation in prostate tissues. The violation of the hair blood flow causes an increase in lipid peroxidation, edema, exudation of prostate tissues and forms conditions for the development of the infectious process. Prostatitis symptomsAcute prostatitisThere are three stages of acute prostatitis, which are characterized by the presence of a certain clinical image and morphological changes:Pointed catarrhale. Patients complain of rapid, often painful urination, pain in the sacrum and perineum.Follicular Sharp. The pain becomes more intense, sometimes radiates from the anus, intensifies during defecation. The urinity is difficult, the urine flows with a thin flow. In some cases, a delay in urine is noted. Subfectant or moderate hyperthermia is typical.Acute parenchymatic. Pronounced general poisoning, hyperthermia up to 38-40 ° C, chills. Dizuric disorders, often a sharp delay in urination. Vive and pulsating pain in the perineum. Difficulty defecating.Chronic prostatitisIn rare cases, chronic prostatitis becomes the result of an acute process, however, as a rule, a primary chronic course is observed. The temperature sometimes rises to small values. The patient notes low pain in the perineum, discomfort during the act of urination and defecation. The most characteristic symptom is the rare discharge of the urethra during the act of defecation. The main chronic form of the disease develops over a significant period of time. It is preceded by the stagnation of the blood in the capillaries, gradually transforming into abacactory prostatitis.Chronic prostatitis is often a complication of the inflammatory process caused by the causal agent of a specific infection (Chlamydia, Ureaplasma, Gonococcus). The symptoms of a specific inflammatory process in many cases mask the manifestations of the prostate lesion. There is a slight increase in pain during urination, low pain in the perineum, a rare discharge of the urethra during defecation. A slight change in the clinical image often goes unnoticed by the patient. Chronic inflammation of the prostate gland can manifest itself by a burning sensation in the urethra and perineum, dysuria, sexual disorders, increased general fatigue. The consequence of power violations (or fear of these violations) often becomes mental depression, anxiety and irritability. The clinical picture does not always include all groups of listed symptoms, differs in different patients and changes over time. There are three main syndromes characteristics of chronic prostatitis: pain, violations when you go to the toilet, sexual disorders.There are no pain receptors in the fabric of the prostate. The cause of pain in chronic prostatitis becomes almost inevitable due to the abundant innervation of the implication of pelvic organs in the inflammatory process of the nerve pathways. Patients complain about pain of various intensities - weak, painful to intense, violating sleep. There is a change in the nature of pain (improvement or weakening) with ejaculation, excessive sexual activity or sexual abstinence. The pain radiates in scrotum, sacrum, crotch, sometimes in the lumbar region.Due to the inflammation of chronic prostatitis, the volume of the prostate underpins the urethra increases. The light of the ureter decreases. The patient has frequent urination, a feeling of incomplete emptying of the bladder. As a rule, dysurical phenomena are expressed in the early stages. Then, the compensatory hypertrophy of the muscle layer of the bladder and the ureters develops. The symptoms of dysuria during this period weaken, then increase again when decompensation of adaptive mechanisms. In the early stages, power violations can develop, which manifest themselves differently in different patients. Patients can complain about frequent night erections, erased orgasm or deterioration of an erection. Accelerated ejaculation is associated with a decrease in the level of excitation threshold of the center, which is responsible for obtaining an orgasm. The pain for ejaculation can cause refusal of sexual activity. In the future, sexual disorders become more pronounced. At an advanced stage, helplessness is developing.The degree of sexual disorder is determined by many factors, including the patient's sexual constitution and psychological mood. Power and dysuria violations can be due to both changes in the prostate gland and the ease with which the patient can inspire anything. If he has chronic prostatitis, he expects an inevitable development of sexual disorders and urination disorders. Especially often psychogenic disorders in the power and the problems of going to the toilet develop in suggestible and alarming patients.ComplicationsIn the absence of a timely treatment of acute prostatitis, there is a significant risk of developing the abscess of the prostate gland. When the purulent focus is formed, the patient's body temperature goes to 39-40 ° C and can acquire an eventful character. Heat periods alternate with pronounced chills. Acute pain in the perineum complicates urination and makes defecation impossible.The growth of edema edema leads to a delay in acute urination. In rare cases, the abscess spontaneously opens onto the urethra or rectum. When opening in the urethra, purulent muddy urine appears with an unpleasant spicy smell, when opening in the rectum, the excrement contains pus and mucus. For chronic prostatitis, a wave type course with prolonged periods of remission is characteristic, during which the inflammation of the prostate takes place latent or manifests itself in extremely lean symptoms. Patients, which nothing is disturbing, often stop treatment and only convert with the development of complications.The most common complication of the chronic process is the inflammation of the testicles and the appendices of the testicles and the inflammation of the seed bubbles. The result of these diseases often becomes infertility.DiagnosisA characteristic clinical picture simplifies the diagnostic process in acute and chronic prostatitis. Mandatory is made:Rectal prostate studyThe closing of the secretion of the prostate gland to determine the sensitivity of the microflora (sowing the secret of the prostate and sementing urine to bacteria).A prostate ultrasound to identify structural changes (tumors, cysts, adenoma) and the differentiation of the prostatitis of other diseases is carried outA spermogram to exclude or confirm the development of infertility.Prostatitic treatmentAcute prostatitis treatmentPatients with an acute process without complications undergo a treatment cure with a waiting urologist. With severe poisoning, suspicion of a purulent process, hospitalization is indicated. Antibacterial therapy is carried out. Medicines are selected taking into account the sensitivity of an infectious agent. Antibiotics are widely used which can penetrate well into prostate tissues (ciprofloxacin, etc. ). With the development of a delay in acute urination, in the context of prostatitis, they use the installation of a special tube, not to a urethral catheter, because there is a danger of formation of an abscesses of the prostate. With the development of the abscess, a transrectal or urethral endoscopic opening of the abscess is carried out.Treatment of chronic prostatitisThe treatment of chronic prostatitis should be complex, in particular etiotropic treatment, physiotherapy, correction of immunity:Antibiotic therapy. The patient is prescribed long -term antibacterial courses (within 4 to 8 weeks). The selection of the type and the dosage of antibacterial drugs, as well as the determination of the duration of the treatment price are carried out individually. The drug is chosen according to the sensitivity of microflora according to the results of the sowing of the urine and the secret of the prostate.Prostate massage. The gland massage has a complete effect on the affected organ. During massage, the inflammatory secret accumulated in the prostate gland is tight in the conduits, then enters the urethra and eliminates the body. The procedure improves blood circulation in the prostate, which makes it possible to minimize stagnation and offers the best penetration of antibacterial drugs in the fabric of the affected organ.Physiotherapy. To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used. If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed hot medicinal microclilisms. In a long -term chronic inflammation, a consultation of an immunologist is indicated for the choice of immunocorrogative therapy tactics. The patient receives recommendations for a lifestyle change. The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure. The patient is recommended to normalize sleep and awakening, to establish a diet and carry out moderate physical activity.Forecasts and PreventionAcute prostatitis is a disease that has a pronounced tendency to the chronicle. Even with adequate treatment in a timely manner, more than half of patients, chronic prostatitis becomes a result. Recovery is far from always possible, however, with correct sequential therapy and compliance with the doctor's recommendations, it is possible to eliminate unpleasant symptoms and obtaining a long persistent remission in the chronic process.Prevention consists in eliminating risk factors. It is necessary to avoid hypothermia, alternated sedentary work and with periods of physical activity, and to eat regularly and entirely. With constipation, laxatives should be used. One of the preventive measures is the normalization of sexual life, because excessive sexual activity and sexual abstinence are risk factors in the development of prostatitis. If the symptoms of an urological or sexually transmitted disease appear, you should consult a doctor in a timely manner.
Prostatitis symptomsAcute prostatitisThere are three stages of acute prostatitis, which are characterized by the presence of a certain clinical image and morphological changes:Pointed catarrhale. Patients complain of rapid, often painful urination, pain in the sacrum and perineum.Follicular Sharp. The pain becomes more intense, sometimes radiates from the anus, intensifies during defecation. The urinity is difficult, the urine flows with a thin flow. In some cases, a delay in urine is noted. Subfectant or moderate hyperthermia is typical.Acute parenchymatic. Pronounced general poisoning, hyperthermia up to 38-40 ° C, chills. Dizuric disorders, often a sharp delay in urination. Vive and pulsating pain in the perineum. Difficulty defecating.Chronic prostatitisIn rare cases, chronic prostatitis becomes the result of an acute process, however, as a rule, a primary chronic course is observed. The temperature sometimes rises to small values. The patient notes low pain in the perineum, discomfort during the act of urination and defecation. The most characteristic symptom is the rare discharge of the urethra during the act of defecation. The main chronic form of the disease develops over a significant period of time. It is preceded by the stagnation of the blood in the capillaries, gradually transforming into abacactory prostatitis.Chronic prostatitis is often a complication of the inflammatory process caused by the causal agent of a specific infection (Chlamydia, Ureaplasma, Gonococcus). The symptoms of a specific inflammatory process in many cases mask the manifestations of the prostate lesion. There is a slight increase in pain during urination, low pain in the perineum, a rare discharge of the urethra during defecation. A slight change in the clinical image often goes unnoticed by the patient. Chronic inflammation of the prostate gland can manifest itself by a burning sensation in the urethra and perineum, dysuria, sexual disorders, increased general fatigue. The consequence of power violations (or fear of these violations) often becomes mental depression, anxiety and irritability. The clinical picture does not always include all groups of listed symptoms, differs in different patients and changes over time. There are three main syndromes characteristics of chronic prostatitis: pain, violations when you go to the toilet, sexual disorders.There are no pain receptors in the fabric of the prostate. The cause of pain in chronic prostatitis becomes almost inevitable due to the abundant innervation of the implication of pelvic organs in the inflammatory process of the nerve pathways. Patients complain about pain of various intensities - weak, painful to intense, violating sleep. There is a change in the nature of pain (improvement or weakening) with ejaculation, excessive sexual activity or sexual abstinence. The pain radiates in scrotum, sacrum, crotch, sometimes in the lumbar region.Due to the inflammation of chronic prostatitis, the volume of the prostate underpins the urethra increases. The light of the ureter decreases. The patient has frequent urination, a feeling of incomplete emptying of the bladder. As a rule, dysurical phenomena are expressed in the early stages. Then, the compensatory hypertrophy of the muscle layer of the bladder and the ureters develops. The symptoms of dysuria during this period weaken, then increase again when decompensation of adaptive mechanisms. In the early stages, power violations can develop, which manifest themselves differently in different patients. Patients can complain about frequent night erections, erased orgasm or deterioration of an erection. Accelerated ejaculation is associated with a decrease in the level of excitation threshold of the center, which is responsible for obtaining an orgasm. The pain for ejaculation can cause refusal of sexual activity. In the future, sexual disorders become more pronounced. At an advanced stage, helplessness is developing.The degree of sexual disorder is determined by many factors, including the patient's sexual constitution and psychological mood. Power and dysuria violations can be due to both changes in the prostate gland and the ease with which the patient can inspire anything. If he has chronic prostatitis, he expects an inevitable development of sexual disorders and urination disorders. Especially often psychogenic disorders in the power and the problems of going to the toilet develop in suggestible and alarming patients.ComplicationsIn the absence of a timely treatment of acute prostatitis, there is a significant risk of developing the abscess of the prostate gland. When the purulent focus is formed, the patient's body temperature goes to 39-40 ° C and can acquire an eventful character. Heat periods alternate with pronounced chills. Acute pain in the perineum complicates urination and makes defecation impossible.The growth of edema edema leads to a delay in acute urination. In rare cases, the abscess spontaneously opens onto the urethra or rectum. When opening in the urethra, purulent muddy urine appears with an unpleasant spicy smell, when opening in the rectum, the excrement contains pus and mucus. For chronic prostatitis, a wave type course with prolonged periods of remission is characteristic, during which the inflammation of the prostate takes place latent or manifests itself in extremely lean symptoms. Patients, which nothing is disturbing, often stop treatment and only convert with the development of complications.The most common complication of the chronic process is the inflammation of the testicles and the appendices of the testicles and the inflammation of the seed bubbles. The result of these diseases often becomes infertility.DiagnosisA characteristic clinical picture simplifies the diagnostic process in acute and chronic prostatitis. Mandatory is made:Rectal prostate studyThe closing of the secretion of the prostate gland to determine the sensitivity of the microflora (sowing the secret of the prostate and sementing urine to bacteria).A prostate ultrasound to identify structural changes (tumors, cysts, adenoma) and the differentiation of the prostatitis of other diseases is carried outA spermogram to exclude or confirm the development of infertility.Prostatitic treatmentAcute prostatitis treatmentPatients with an acute process without complications undergo a treatment cure with a waiting urologist. With severe poisoning, suspicion of a purulent process, hospitalization is indicated. Antibacterial therapy is carried out. Medicines are selected taking into account the sensitivity of an infectious agent. Antibiotics are widely used which can penetrate well into prostate tissues (ciprofloxacin, etc. ). With the development of a delay in acute urination, in the context of prostatitis, they use the installation of a special tube, not to a urethral catheter, because there is a danger of formation of an abscesses of the prostate. With the development of the abscess, a transrectal or urethral endoscopic opening of the abscess is carried out.Treatment of chronic prostatitisThe treatment of chronic prostatitis should be complex, in particular etiotropic treatment, physiotherapy, correction of immunity:Antibiotic therapy. The patient is prescribed long -term antibacterial courses (within 4 to 8 weeks). The selection of the type and the dosage of antibacterial drugs, as well as the determination of the duration of the treatment price are carried out individually. The drug is chosen according to the sensitivity of microflora according to the results of the sowing of the urine and the secret of the prostate.Prostate massage. The gland massage has a complete effect on the affected organ. During massage, the inflammatory secret accumulated in the prostate gland is tight in the conduits, then enters the urethra and eliminates the body. The procedure improves blood circulation in the prostate, which makes it possible to minimize stagnation and offers the best penetration of antibacterial drugs in the fabric of the affected organ.Physiotherapy. To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used. If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed hot medicinal microclilisms. In a long -term chronic inflammation, a consultation of an immunologist is indicated for the choice of immunocorrogative therapy tactics. The patient receives recommendations for a lifestyle change. The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure. The patient is recommended to normalize sleep and awakening, to establish a diet and carry out moderate physical activity.Forecasts and PreventionAcute prostatitis is a disease that has a pronounced tendency to the chronicle. Even with adequate treatment in a timely manner, more than half of patients, chronic prostatitis becomes a result. Recovery is far from always possible, however, with correct sequential therapy and compliance with the doctor's recommendations, it is possible to eliminate unpleasant symptoms and obtaining a long persistent remission in the chronic process.Prevention consists in eliminating risk factors. It is necessary to avoid hypothermia, alternated sedentary work and with periods of physical activity, and to eat regularly and entirely. With constipation, laxatives should be used. One of the preventive measures is the normalization of sexual life, because excessive sexual activity and sexual abstinence are risk factors in the development of prostatitis. If the symptoms of an urological or sexually transmitted disease appear, you should consult a doctor in a timely manner.
Chronic prostatitisIn rare cases, chronic prostatitis becomes the result of an acute process, however, as a rule, a primary chronic course is observed. The temperature sometimes rises to small values. The patient notes low pain in the perineum, discomfort during the act of urination and defecation. The most characteristic symptom is the rare discharge of the urethra during the act of defecation. The main chronic form of the disease develops over a significant period of time. It is preceded by the stagnation of the blood in the capillaries, gradually transforming into abacactory prostatitis.Chronic prostatitis is often a complication of the inflammatory process caused by the causal agent of a specific infection (Chlamydia, Ureaplasma, Gonococcus). The symptoms of a specific inflammatory process in many cases mask the manifestations of the prostate lesion. There is a slight increase in pain during urination, low pain in the perineum, a rare discharge of the urethra during defecation. A slight change in the clinical image often goes unnoticed by the patient. Chronic inflammation of the prostate gland can manifest itself by a burning sensation in the urethra and perineum, dysuria, sexual disorders, increased general fatigue. The consequence of power violations (or fear of these violations) often becomes mental depression, anxiety and irritability. The clinical picture does not always include all groups of listed symptoms, differs in different patients and changes over time. There are three main syndromes characteristics of chronic prostatitis: pain, violations when you go to the toilet, sexual disorders.There are no pain receptors in the fabric of the prostate. The cause of pain in chronic prostatitis becomes almost inevitable due to the abundant innervation of the implication of pelvic organs in the inflammatory process of the nerve pathways. Patients complain about pain of various intensities - weak, painful to intense, violating sleep. There is a change in the nature of pain (improvement or weakening) with ejaculation, excessive sexual activity or sexual abstinence. The pain radiates in scrotum, sacrum, crotch, sometimes in the lumbar region.Due to the inflammation of chronic prostatitis, the volume of the prostate underpins the urethra increases. The light of the ureter decreases. The patient has frequent urination, a feeling of incomplete emptying of the bladder. As a rule, dysurical phenomena are expressed in the early stages. Then, the compensatory hypertrophy of the muscle layer of the bladder and the ureters develops. The symptoms of dysuria during this period weaken, then increase again when decompensation of adaptive mechanisms. In the early stages, power violations can develop, which manifest themselves differently in different patients. Patients can complain about frequent night erections, erased orgasm or deterioration of an erection. Accelerated ejaculation is associated with a decrease in the level of excitation threshold of the center, which is responsible for obtaining an orgasm. The pain for ejaculation can cause refusal of sexual activity. In the future, sexual disorders become more pronounced. At an advanced stage, helplessness is developing.The degree of sexual disorder is determined by many factors, including the patient's sexual constitution and psychological mood. Power and dysuria violations can be due to both changes in the prostate gland and the ease with which the patient can inspire anything. If he has chronic prostatitis, he expects an inevitable development of sexual disorders and urination disorders. Especially often psychogenic disorders in the power and the problems of going to the toilet develop in suggestible and alarming patients.ComplicationsIn the absence of a timely treatment of acute prostatitis, there is a significant risk of developing the abscess of the prostate gland. When the purulent focus is formed, the patient's body temperature goes to 39-40 ° C and can acquire an eventful character. Heat periods alternate with pronounced chills. Acute pain in the perineum complicates urination and makes defecation impossible.The growth of edema edema leads to a delay in acute urination. In rare cases, the abscess spontaneously opens onto the urethra or rectum. When opening in the urethra, purulent muddy urine appears with an unpleasant spicy smell, when opening in the rectum, the excrement contains pus and mucus. For chronic prostatitis, a wave type course with prolonged periods of remission is characteristic, during which the inflammation of the prostate takes place latent or manifests itself in extremely lean symptoms. Patients, which nothing is disturbing, often stop treatment and only convert with the development of complications.The most common complication of the chronic process is the inflammation of the testicles and the appendices of the testicles and the inflammation of the seed bubbles. The result of these diseases often becomes infertility.DiagnosisA characteristic clinical picture simplifies the diagnostic process in acute and chronic prostatitis. Mandatory is made:Rectal prostate studyThe closing of the secretion of the prostate gland to determine the sensitivity of the microflora (sowing the secret of the prostate and sementing urine to bacteria).A prostate ultrasound to identify structural changes (tumors, cysts, adenoma) and the differentiation of the prostatitis of other diseases is carried outA spermogram to exclude or confirm the development of infertility.Prostatitic treatmentAcute prostatitis treatmentPatients with an acute process without complications undergo a treatment cure with a waiting urologist. With severe poisoning, suspicion of a purulent process, hospitalization is indicated. Antibacterial therapy is carried out. Medicines are selected taking into account the sensitivity of an infectious agent. Antibiotics are widely used which can penetrate well into prostate tissues (ciprofloxacin, etc. ). With the development of a delay in acute urination, in the context of prostatitis, they use the installation of a special tube, not to a urethral catheter, because there is a danger of formation of an abscesses of the prostate. With the development of the abscess, a transrectal or urethral endoscopic opening of the abscess is carried out.Treatment of chronic prostatitisThe treatment of chronic prostatitis should be complex, in particular etiotropic treatment, physiotherapy, correction of immunity:Antibiotic therapy. The patient is prescribed long -term antibacterial courses (within 4 to 8 weeks). The selection of the type and the dosage of antibacterial drugs, as well as the determination of the duration of the treatment price are carried out individually. The drug is chosen according to the sensitivity of microflora according to the results of the sowing of the urine and the secret of the prostate.Prostate massage. The gland massage has a complete effect on the affected organ. During massage, the inflammatory secret accumulated in the prostate gland is tight in the conduits, then enters the urethra and eliminates the body. The procedure improves blood circulation in the prostate, which makes it possible to minimize stagnation and offers the best penetration of antibacterial drugs in the fabric of the affected organ.Physiotherapy. To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used. If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed hot medicinal microclilisms. In a long -term chronic inflammation, a consultation of an immunologist is indicated for the choice of immunocorrogative therapy tactics. The patient receives recommendations for a lifestyle change. The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure. The patient is recommended to normalize sleep and awakening, to establish a diet and carry out moderate physical activity.Forecasts and PreventionAcute prostatitis is a disease that has a pronounced tendency to the chronicle. Even with adequate treatment in a timely manner, more than half of patients, chronic prostatitis becomes a result. Recovery is far from always possible, however, with correct sequential therapy and compliance with the doctor's recommendations, it is possible to eliminate unpleasant symptoms and obtaining a long persistent remission in the chronic process.Prevention consists in eliminating risk factors. It is necessary to avoid hypothermia, alternated sedentary work and with periods of physical activity, and to eat regularly and entirely. With constipation, laxatives should be used. One of the preventive measures is the normalization of sexual life, because excessive sexual activity and sexual abstinence are risk factors in the development of prostatitis. If the symptoms of an urological or sexually transmitted disease appear, you should consult a doctor in a timely manner.
ComplicationsIn the absence of a timely treatment of acute prostatitis, there is a significant risk of developing the abscess of the prostate gland. When the purulent focus is formed, the patient's body temperature goes to 39-40 ° C and can acquire an eventful character. Heat periods alternate with pronounced chills. Acute pain in the perineum complicates urination and makes defecation impossible.The growth of edema edema leads to a delay in acute urination. In rare cases, the abscess spontaneously opens onto the urethra or rectum. When opening in the urethra, purulent muddy urine appears with an unpleasant spicy smell, when opening in the rectum, the excrement contains pus and mucus. For chronic prostatitis, a wave type course with prolonged periods of remission is characteristic, during which the inflammation of the prostate takes place latent or manifests itself in extremely lean symptoms. Patients, which nothing is disturbing, often stop treatment and only convert with the development of complications.The most common complication of the chronic process is the inflammation of the testicles and the appendices of the testicles and the inflammation of the seed bubbles. The result of these diseases often becomes infertility.DiagnosisA characteristic clinical picture simplifies the diagnostic process in acute and chronic prostatitis. Mandatory is made:Rectal prostate studyThe closing of the secretion of the prostate gland to determine the sensitivity of the microflora (sowing the secret of the prostate and sementing urine to bacteria).A prostate ultrasound to identify structural changes (tumors, cysts, adenoma) and the differentiation of the prostatitis of other diseases is carried outA spermogram to exclude or confirm the development of infertility.Prostatitic treatmentAcute prostatitis treatmentPatients with an acute process without complications undergo a treatment cure with a waiting urologist. With severe poisoning, suspicion of a purulent process, hospitalization is indicated. Antibacterial therapy is carried out. Medicines are selected taking into account the sensitivity of an infectious agent. Antibiotics are widely used which can penetrate well into prostate tissues (ciprofloxacin, etc. ). With the development of a delay in acute urination, in the context of prostatitis, they use the installation of a special tube, not to a urethral catheter, because there is a danger of formation of an abscesses of the prostate. With the development of the abscess, a transrectal or urethral endoscopic opening of the abscess is carried out.Treatment of chronic prostatitisThe treatment of chronic prostatitis should be complex, in particular etiotropic treatment, physiotherapy, correction of immunity:Antibiotic therapy. The patient is prescribed long -term antibacterial courses (within 4 to 8 weeks). The selection of the type and the dosage of antibacterial drugs, as well as the determination of the duration of the treatment price are carried out individually. The drug is chosen according to the sensitivity of microflora according to the results of the sowing of the urine and the secret of the prostate.Prostate massage. The gland massage has a complete effect on the affected organ. During massage, the inflammatory secret accumulated in the prostate gland is tight in the conduits, then enters the urethra and eliminates the body. The procedure improves blood circulation in the prostate, which makes it possible to minimize stagnation and offers the best penetration of antibacterial drugs in the fabric of the affected organ.Physiotherapy. To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used. If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed hot medicinal microclilisms. In a long -term chronic inflammation, a consultation of an immunologist is indicated for the choice of immunocorrogative therapy tactics. The patient receives recommendations for a lifestyle change. The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure. The patient is recommended to normalize sleep and awakening, to establish a diet and carry out moderate physical activity.Forecasts and PreventionAcute prostatitis is a disease that has a pronounced tendency to the chronicle. Even with adequate treatment in a timely manner, more than half of patients, chronic prostatitis becomes a result. Recovery is far from always possible, however, with correct sequential therapy and compliance with the doctor's recommendations, it is possible to eliminate unpleasant symptoms and obtaining a long persistent remission in the chronic process.Prevention consists in eliminating risk factors. It is necessary to avoid hypothermia, alternated sedentary work and with periods of physical activity, and to eat regularly and entirely. With constipation, laxatives should be used. One of the preventive measures is the normalization of sexual life, because excessive sexual activity and sexual abstinence are risk factors in the development of prostatitis. If the symptoms of an urological or sexually transmitted disease appear, you should consult a doctor in a timely manner.
DiagnosisA characteristic clinical picture simplifies the diagnostic process in acute and chronic prostatitis. Mandatory is made:Rectal prostate studyThe closing of the secretion of the prostate gland to determine the sensitivity of the microflora (sowing the secret of the prostate and sementing urine to bacteria).A prostate ultrasound to identify structural changes (tumors, cysts, adenoma) and the differentiation of the prostatitis of other diseases is carried outA spermogram to exclude or confirm the development of infertility.Prostatitic treatmentAcute prostatitis treatmentPatients with an acute process without complications undergo a treatment cure with a waiting urologist. With severe poisoning, suspicion of a purulent process, hospitalization is indicated. Antibacterial therapy is carried out. Medicines are selected taking into account the sensitivity of an infectious agent. Antibiotics are widely used which can penetrate well into prostate tissues (ciprofloxacin, etc. ). With the development of a delay in acute urination, in the context of prostatitis, they use the installation of a special tube, not to a urethral catheter, because there is a danger of formation of an abscesses of the prostate. With the development of the abscess, a transrectal or urethral endoscopic opening of the abscess is carried out.Treatment of chronic prostatitisThe treatment of chronic prostatitis should be complex, in particular etiotropic treatment, physiotherapy, correction of immunity:Antibiotic therapy. The patient is prescribed long -term antibacterial courses (within 4 to 8 weeks). The selection of the type and the dosage of antibacterial drugs, as well as the determination of the duration of the treatment price are carried out individually. The drug is chosen according to the sensitivity of microflora according to the results of the sowing of the urine and the secret of the prostate.Prostate massage. The gland massage has a complete effect on the affected organ. During massage, the inflammatory secret accumulated in the prostate gland is tight in the conduits, then enters the urethra and eliminates the body. The procedure improves blood circulation in the prostate, which makes it possible to minimize stagnation and offers the best penetration of antibacterial drugs in the fabric of the affected organ.Physiotherapy. To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used. If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed hot medicinal microclilisms. In a long -term chronic inflammation, a consultation of an immunologist is indicated for the choice of immunocorrogative therapy tactics. The patient receives recommendations for a lifestyle change. The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure. The patient is recommended to normalize sleep and awakening, to establish a diet and carry out moderate physical activity.Forecasts and PreventionAcute prostatitis is a disease that has a pronounced tendency to the chronicle. Even with adequate treatment in a timely manner, more than half of patients, chronic prostatitis becomes a result. Recovery is far from always possible, however, with correct sequential therapy and compliance with the doctor's recommendations, it is possible to eliminate unpleasant symptoms and obtaining a long persistent remission in the chronic process.Prevention consists in eliminating risk factors. It is necessary to avoid hypothermia, alternated sedentary work and with periods of physical activity, and to eat regularly and entirely. With constipation, laxatives should be used. One of the preventive measures is the normalization of sexual life, because excessive sexual activity and sexual abstinence are risk factors in the development of prostatitis. If the symptoms of an urological or sexually transmitted disease appear, you should consult a doctor in a timely manner.
Prostatitic treatmentAcute prostatitis treatmentPatients with an acute process without complications undergo a treatment cure with a waiting urologist. With severe poisoning, suspicion of a purulent process, hospitalization is indicated. Antibacterial therapy is carried out. Medicines are selected taking into account the sensitivity of an infectious agent. Antibiotics are widely used which can penetrate well into prostate tissues (ciprofloxacin, etc. ). With the development of a delay in acute urination, in the context of prostatitis, they use the installation of a special tube, not to a urethral catheter, because there is a danger of formation of an abscesses of the prostate. With the development of the abscess, a transrectal or urethral endoscopic opening of the abscess is carried out.Treatment of chronic prostatitisThe treatment of chronic prostatitis should be complex, in particular etiotropic treatment, physiotherapy, correction of immunity:Antibiotic therapy. The patient is prescribed long -term antibacterial courses (within 4 to 8 weeks). The selection of the type and the dosage of antibacterial drugs, as well as the determination of the duration of the treatment price are carried out individually. The drug is chosen according to the sensitivity of microflora according to the results of the sowing of the urine and the secret of the prostate.Prostate massage. The gland massage has a complete effect on the affected organ. During massage, the inflammatory secret accumulated in the prostate gland is tight in the conduits, then enters the urethra and eliminates the body. The procedure improves blood circulation in the prostate, which makes it possible to minimize stagnation and offers the best penetration of antibacterial drugs in the fabric of the affected organ.Physiotherapy. To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used. If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed hot medicinal microclilisms. In a long -term chronic inflammation, a consultation of an immunologist is indicated for the choice of immunocorrogative therapy tactics. The patient receives recommendations for a lifestyle change. The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure. The patient is recommended to normalize sleep and awakening, to establish a diet and carry out moderate physical activity.Forecasts and PreventionAcute prostatitis is a disease that has a pronounced tendency to the chronicle. Even with adequate treatment in a timely manner, more than half of patients, chronic prostatitis becomes a result. Recovery is far from always possible, however, with correct sequential therapy and compliance with the doctor's recommendations, it is possible to eliminate unpleasant symptoms and obtaining a long persistent remission in the chronic process.Prevention consists in eliminating risk factors. It is necessary to avoid hypothermia, alternated sedentary work and with periods of physical activity, and to eat regularly and entirely. With constipation, laxatives should be used. One of the preventive measures is the normalization of sexual life, because excessive sexual activity and sexual abstinence are risk factors in the development of prostatitis. If the symptoms of an urological or sexually transmitted disease appear, you should consult a doctor in a timely manner.
Treatment of chronic prostatitisThe treatment of chronic prostatitis should be complex, in particular etiotropic treatment, physiotherapy, correction of immunity:Antibiotic therapy. The patient is prescribed long -term antibacterial courses (within 4 to 8 weeks). The selection of the type and the dosage of antibacterial drugs, as well as the determination of the duration of the treatment price are carried out individually. The drug is chosen according to the sensitivity of microflora according to the results of the sowing of the urine and the secret of the prostate.Prostate massage. The gland massage has a complete effect on the affected organ. During massage, the inflammatory secret accumulated in the prostate gland is tight in the conduits, then enters the urethra and eliminates the body. The procedure improves blood circulation in the prostate, which makes it possible to minimize stagnation and offers the best penetration of antibacterial drugs in the fabric of the affected organ.Physiotherapy. To improve blood circulation, laser exposure, ultrasonic waves and electromagnetic vibrations are used. If it is impossible to carry out physiotherapeutic procedures, the patient is prescribed hot medicinal microclilisms. In a long -term chronic inflammation, a consultation of an immunologist is indicated for the choice of immunocorrogative therapy tactics. The patient receives recommendations for a lifestyle change. The introduction of certain changes to the lifestyle of a patient with chronic prostatitis is both therapeutic and a preventive measure. The patient is recommended to normalize sleep and awakening, to establish a diet and carry out moderate physical activity.Forecasts and PreventionAcute prostatitis is a disease that has a pronounced tendency to the chronicle. Even with adequate treatment in a timely manner, more than half of patients, chronic prostatitis becomes a result. Recovery is far from always possible, however, with correct sequential therapy and compliance with the doctor's recommendations, it is possible to eliminate unpleasant symptoms and obtaining a long persistent remission in the chronic process.Prevention consists in eliminating risk factors. It is necessary to avoid hypothermia, alternated sedentary work and with periods of physical activity, and to eat regularly and entirely. With constipation, laxatives should be used. One of the preventive measures is the normalization of sexual life, because excessive sexual activity and sexual abstinence are risk factors in the development of prostatitis. If the symptoms of an urological or sexually transmitted disease appear, you should consult a doctor in a timely manner.