Prostate or prostatitis inflammation can occur in acute and chronic form.Most often, organ damage causes a specific or non -specific infection, sometimes pathological changes occur due to stagnant phenomena in the pelvis.The main symptoms are disorders of urination and reduction of potency.Treatment should be complicated and involve the use of drugs and normalize blood circulation in the pelvic organs in men.
Classification and characteristics of prostatitis
Prostate inflammation in men is a pathology that significantly reduces the quality of life of patients and provokes a number of severe complications from both urine and genital area.
Within the flow of prostatitis is acute and chronicSThe latter may occur independently (this happens more often) or is a consequence of an untreated acute process.
Classify prostate inflammation as follows:
- The first category or acute bacterial prostatitis.
- The second is chronic bacterial inflammation.
- The third or chronic abacus prostatitis (chronic pelvic pain syndrome).It is divided into 3A - inflammatory and 3V - non -inflammatory.
- The fourth is asymptomatic inflammation of the prostate gland.
The first and second categories are detected by patients with a positive bacteriological examination.The difference is that the former is diagnosed with the duration of symptoms for no more than 3 months.With a longer 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.No pathological microflora is detected in the examination of disposal (ejaculate, urine, the secret of the gland after its massage).In the event of an increase in the number of leukocytes in these analyzes, inflammatory prostatitis (category 3A) is found, with their normal content - non -inflammatory.
Most men identify one of the above categories as patients seek help due to the presence of certain symptoms of pathology.
Doctors have recently identified the fourth subtype of the disease - asymptomatic prostatitis.He is diagnosed by a medical examination or when a man is examined for other diseases of the genital system.The danger of this form lies in the fact that pathological changes in the prostate gland are available, but the disease does not give any subjective signs.This condition often leads to the development of infertility.
Why does it burn 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 the cause.
From specific infections, acute prostatitis can be gonorrhea naseria (Neisseria gonorreae), Trichomonas vaginalis trichomonas.
The predisposing factors are:
- Conducting various surgical interventions on a man's genital organs.
- Narrowing of the urethra as a result of chronic and acute inflammatory processes in the urethra.
- Productivity of diagnostic manipulations - cystoscopy, ureteroscopy, etc.
- Disruption of urination as a result of benign hyperplasia of the prostate gland.
- Activation of conditionally pathogenic microflora (Enterobacterium) in pathogenic under the influence of decreased immunity and other diseases of the body.
- An irregular sex life that leads to a stagnation of the secrecy in the prostate gland.
Chronic inflammation
If chronic prostatitis occurs as an extension of an acute process, then its cause will be the same.In the case of this form of disease, the main predisposing factors become ::
- Tuberculosis mycobacteria.
- Clostria.
- Gonorrhea and trichomones (can immediately cause a chronic form without acute period).
- Salmonella.
- Different types of fungi.
In the mechanism of the onset of pathology, an important role is played by such a phenomenon as an intraprothetic reflux - ejection of urine through the output in the prostate glandSAs a result of this process, the infection can easily penetrate the organ, multiply and cause inflammation.I was intensifying reflux:
- Phimosis (narrowing of the foreskin);
- reduction of lumen of the urethra;
- Balanoposthitis (inflammation of the foreskin);
- Construction of urethra with urolithiasis.
Reflux and uneven sex life increase stagnant processes in the prostate, leading to the active reproduction of microorganisms, strengthening and spreading inflammationAs a result, areas of fibrosis (replacement of normal tissue with a thick dysfunctional connector) and the shape of prosthetic calculas.All this increases the pathological process and has serious consequences.
Abacus chronic prostatitis
Chronic pelvic pain syndrome (KTRB) is synonymous with this disease and is found without the presence of any microorganisms at discharge, detected by standard microbiological methods.
There are several theories about the emergence of pathology:
- infectious;
- chemical inflammation;
- Immune.
Confirmation of infectious theory is that, when conducting a chain reaction of polymerase (PCR), a chamber of the chamber reveals the DNA of pathogens.However, other microbiological methods are not detected.
Generally, the genetic material of the following bacteria is located with STB:
- Ureaplasma ureplasma uraylyticum).
- Mycoplasma hominis (mycoplasma hominis).
- Chlamydia trahomatis (Chlamidia trachomatis).
- Trichomonade vaginalis (Trichomonas vaginalis).
The theory of chemical inflammation explains CTB through intraprostatic reflux, but in this case the cause is not the bacterium but the urine itself.Once in the prostate, it causes damage to cellular structures and an inflammatory reaction.
According to immune theory, the pathology arises as a consequence of autoimmune processes or as a result of response to immunity to an extraterrestrial antigen entering the organ.
In most cases, the cause of STB is not such, but their complex influence.
The provocative factor of asymptomatic prostatitis can be anyone who can cause the above categories, the difference is hidden only during this form of the disease.
Symptoms
Acute bacterial inflammation of the prostate gland is characterized by the appearance of common and local symptoms.
First, there is pain in the supanpubic region and in the crotch, as well as a violation of urination until it is completely stopped.Of the general symptoms of patients, body pain, sweating, chills, fever, weakness.
Sometimes pain syndrome occurs only during bowel movements or sitting.In some atypical cases, fever is the only sign of the disease.
With prostate edema pronounced, urine delay occursSThis is due to the fact that the body transmits the urethra and forms a mechanical obstacle to the leakage of the contents of the bladder with its increased dimensions.At the same time, the general condition of the patient is significantly impaired: the signs of intoxication increase with every hour and in severe cases a violation of consciousness and even coma may occur.
With untimely diagnostics, complications such as abscesses (maintenance) of the prostate with a larger breakthrough of pus in the urethra or rectum may occur.As a result, fistulas are formed, which require surgery and reconstructive operations.
Manifestations of chronic bacterial inflammation of the prostate gland
The manifestations of this form of the disease are varied and range from the complete absence of symptoms to a sharp exacerbation of the process.
In most cases, patients are concerned about various pain in the intensity in the perineum and rectum that can spread in the scrotum, sacrum, penis and thighSSometimes the pain syndrome becomes paroxysmal, reminiscent of neuralgia.
There is also discomfort in the urethra and frequent urinationSOccasionally, disposal from the urethra is determined.They are enhanced during the day after walking, physical activity, bowel movements or massage of the prostate gland.
There is a feeling of heaviness, pressure, overflow in the rectum and perineumSThese 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.
Symptoms of abacus prostatitis
CTB is characterized by a clinical picture of chronic bacterial inflammation of the prostate.
Patients are concerned about the pelvic and perineal pain for more than 3 months, while the results of the bacteriological examination are negative.Different types of urinary disorders are characteristic:
- frequent choice of urine;
- Difficulty in urination (slow flow, need for additional effort);
- Pain for isolated urine.
Sometimes there are disorders of sexual function - reducing libido, impotence.There are often common symptoms in the form of weakness, headache.
Medication
The basis of therapy is the prescription of antibioticsSIn the chronic process, drugs from the group of fluoroquinolones are shown.In acute prostatitis, beta-lactam antibiotics and aminoglycosides are prescribed.Treatment is performed in 2 stages:
- The first is prescribed empirical therapy (before obtaining crops).To do this, use third -generation cephalosporins or fluoroquinolones.
- In the second stage, the treatment is carried out according to the bacteriological data obtained and the results for sensitivity to antibacterial agents.
These groups of antibiotics are chosen for the reason that they penetrate the hematopostatic barrier and create a high concentration of the active substance in the prostate gland.This allows you to eliminate the focus of the infection.With abacus prostatitis, antimicrobial therapy is also prescribed for 2 reasons:
- Antibiotics significantly relieve patients of patients.
- There is a high probability of the presence in the prostate, which are difficult to determine by laboratory methods of microorganisms when spelling.
Antibiotic treatment regimen for chronic pelvic pain syndrome is as follows:
- A drug from a group of fluoroquinolones or doxycycline has been prescribed for 2 weeks.
- A repeated study of prostate secretion is performed and with the reduction of symptoms they continue to receive remedies for up to 4 weeks.
Treat patients with asymptomatic prostatitis according to the following indications:
- infertility;
- prior to prostate surgery as a prophylaxis;
- in determining pathogenic microorganisms during disposal;
- With increased levels of antiprostatic antibodies in the blood and positive analyzes of microbiological examination.
Other means
In prostatitis, medicines are prescribed by the Alpha-Blocker groupSThese products increase the maximum and average speed of the urine flow, reduce the tone in the wall of the urethra and eliminate the incomplete opening of the bladder neck when emptied.Thanks to these effects, phenomena are eliminated as:
- Frequent and painful urination;
- reduction of flow of flow;
- The need for additional efforts to release urine.
Characteristic representatives are alfusosin, tamsulosin and doxazine, they are especially relevant in chronic forms of the disease.The course of treatment of these drugs is at least 3 months.
Non -breeding anti -inflammatory drugs are prescribed as symptomatic therapySThey reduce inflammatory phenomena, edema, reduce pain.Use medicines such as diclofenac, ibuprofen, nimesulide and othersSThe duration of treatment with these drugs should not exceed 4 weeks.Taking these drugs is done strictly after meals as they have an irritating effect on the wall of the stomach.
In addition to tablets, local treatment is also usedSFor this purpose, patients are prescribed such medicines in candles such as Vitaprost, Prostacle, Uroprost and more.They are also shown with prostate adenoma.
Phytotherapy
In traditional medicine, dwarf palm fruit extract is usedSThe active substances reduce inflammatory phenomena, edema and have a vasoprotective effect (strengthening the wall of the blood vessels).
The bark of African plums has similar effects.
Natural origin has such a medicine as a simple man.It is made of the prostate gland of cattle.It has an anti -inflammatory effect and reduces the phenomena of the prostate adenoma.
Folk remedies
You can treat prostatitis using folk remediesSFirst in terms of efficiency - the use of oil seeds.You can buy this tool at pharmacies.Take it for 1 TBSP.l.3 times a day, the course of treatment is 3-4 months.As a prevention of prostate diseases, all men can be consumed by 30 pumpkin seeds before meals once a daySThey should be taken in raw form, since after the healing properties are lost.
For treatment you can use pumpkin seeds prepared according to the following recipe:
- 0.5 kg of peeled seeds are crushed on a meat mill or blender.
- They add 200 g of honey to them and mix everything to a homogeneous mass.
- Shape balls measuring 2-3 cm.
They are stored in the refrigerator, take one piece 30 minutes before meals.This tool should be chewed for 2-3 minutes and absorbed and not swallowed.The course of treatment is 6 months.
The healing effect with prostatitis has an infusion of leaves or decoction of hazelnut barkSTo prepare the first product, you must take 1 p. L. L.Dry leaves and cook in a glass of boiling water.You should insist it for 30 minutes and take 1/4 of the resulting decision 4 times a day.For the decoction of bark, 1 tbsp.l.Pour 200 ml of raw materials and cook in a water bath for 30 minutes.The medicine should then be cooled and taken 1/4 cup 4 times a day.
The therapeutic effect with prostatitis has green parsleySIt 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 condition of the mess and pull the liquid out of it through a gauze, folded 3-4 times.Take it for 1 TBSP.l.3 times a day.
Treat prostatitis at home and medicinal herbsSOne of them is wormwood.It allows you to relieve inflammation and save the body from the pathogen.It is taken in dry form during the first 3 days - every 2-3 hours is absorbed into the mouth.The next four days reduce the number of techniques to 5. Every day at night microclysms are made from the grass.
To do this, prepare the infusion: for 1 tbsp L. L.You need to take 1 liter of water.Boil the composition and let it cool to +40 degrees.The solution must then be filtered.Injections in the anus (100 ml) as well as in the urethra (50 ml) should be made.The procedures should be performed within a week.They are shown in the chronic process.In the conduct of the soul and microclyism, pus is possible - this is a normal phenomenon that indicates the effectiveness of the treatmentS
Conclusion
In combination with the basic methods of treating the disease, physiotherapy, prostate massage and organ acupuncture are used.
Life with chronic prostatitis means regularly undergoing a comprehensive examination and therapy, as there is a high probability of loss of reproductive function.