Chronic prostatitis is an inflammatory disease of the prostate gland that is prolonged and difficult to treat.Unlike acute prostatitis, the cause of chronic prostate inflammation is not only infectious agents, but also various disorders of a person's nervous and endocrine system.
What is the simple and what are its functions
Anatomically, the prostate gland is placed under the bladder and is surrounded by the urinary canal on all sides.Two basic prostate functions can be distinguished:
- The face of the urine is the prostate is a transit organ through which the urinary tract passes;
- Seven formations - identifies a secret in the lumen of the ureter, which provides mobility and survival of sperm.
Chronic prostatitis is a sluggish inflammation of the prostate gland.Most often, the disease occurs after acute prostatitis due to ineffective treatment.
In the case of prostate damage, the secretion of prostate secretion is impaired and one of the most difficult consequences of the inflammatory process in the prostate gland - infertility.
Prostate functions are controlled by a complex cascade of hormonal interactions (androgens, estrogens, pituitary hormones), which causes disorders of the hormonal cascade to lead to prostate lesions.
The causes of chronic prostatitis
The main cause of chronic prostatitis is an unbearable acute prostatitis.Inadequate antibiotic therapy, concomitant infections that weaken the body's immune system and discrepancy with the doctor's recipes are the main causes of acute prostatitis transition to chronic form.This form of chronic prostatitis is called primary.
Between this distinguishes the chronic prostatitis, 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:
- Disruption of the blood supply to the prostate gland.
- Weakened immune system.
- Alcohol abuse.
- Abuse of spicy foods.
- Men's sexual disorders (too active sex life or too rare sexual intercourse).
- Hypothermia or overheating.
- Frequent disorders of intestinal functions (constipation).
- A seated lifestyle.
In almost all cases of chronic prostatitis, the main cause of the disease is bacterial infections.Due to the above factors, the ability to infect bacteria increases significantly, and impaired immunity and blood supply to the organ leads to a lack of adequate reaction of the body to infection.Therefore, chronic prostatitis is slow, long and difficult to treat.
Symptoms of chronic prostatitis
The course of chronic prostatitis is characterized by alternating long periods of lull and short -term periods of exacerbation.
During periods of calm, the disease may not manifest in all symptoms and may not disrupt the patient.Such periods can last for months or even years.During periods of exacerbation of chronic prostatitis, rapid urination, pain and unpleasant sensations in the perineum can be observed.Sometimes the pain can give testicles and groin.The pain is exacerbated by a prolonged seat and decreases after motor activity.The bright symptom of the disease is the urination of sluggish flow due to impaired patency of the prostatic part of the urethra.After urination, the so -called prostatera is often observed - the ejection of the muddy secrecy of the prostate gland.Because the prostate is the center of ejaculation in men, sexual disorders are observed in chronic prostatitis.They are manifested by erectile penis dysfunction and the absence of orgasm.These symptoms are attached to the inability of the prostate in sufficient quantities to synthesize the prostatic fluid, leading 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 prostatia 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 prove the presence of bacterial infection.
- In the first stage of the diagnosis, an examination of the rectal of the finger is performed.This type of diagnosis is based on an examination of the rectum finger, through which you can break the prostate gland and evaluate changes in the structure of the prostate (relaxed, painful and dough).
- The second stage of diagnosis is the analysis of prostate fluid.For this, prostate massage is performed to stimulate the release of fluid, after which the material is examined microscopically and bacteriological.The presence of bacteria, lecithine grains and leukocytes in the fluid shows prostatitis.
- Sometimes for accurate formulation of the diagnosis of these diagnostic techniques is not enough.In such cases, instrumental examination methods are carried out.They belong to the ultrasound of the prostate gland (enlargement or sclerosis of the gland, residual urine in the bladder) and computed tomography.In complex clinical cases, when it is difficult to distinguish chronic prostatitis from the adenoma, a biopsy of the prostate gland is performed - excision of the tissue of the gland for histological examination.
How to treat chronic prostatitis
Treatment for chronic prostatitis should be complicated and consist of antibacterial therapy, in general enhancement of therapy and topical exposure to the gland.
The main link of chronic prostatitis therapy is antibiotic therapy.Before prescribing antibiotics, the sensitivity of the pathogen must be determined.Choosing a group of antibiotics depends on the results of this test.Most often, antibiotics of cephalosporin, macrolides, tetracycline antibiotics, uroseptics have good effect.Hyaluronidase is prescribed for absorption of infiltrates that occur in the prostate during chronic inflammation.The course of therapy lasts an average of 15 days.Sometimes, for the greater efficacy of antibiotic therapy, you must first worsen the sluggish inflammatory process in the gland by entering the immunomodulator.
Medicine Therapy should be accompanied by local physiotherapy therapy:
- Prostate massage.
- Hot enemas with chamomile infusion.
- Rectal diateria.
- Rectal mud.
- Hot baths for sitting.
- Reflexology (acupuncture, laser acupuncture).
- UHF-therapy.
The course of treatment should be combined with an active lifestyle and be sure to exclude the use of alcohol and spicy foods.
The prognosis for 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 to cure it.The forms of chronic prostatitis are especially difficult to treat, which are complicated by the clogging of a lower -left (narrowing) of the urethra.