Chronic prostatitis is an inflammatory disease prostate, which has a long-term character and is difficult to treat.Unlike acute prostatitis, the cause of chronic prostate inflammation is not just an infectious agent, but also various disorders of the nerve and endocrine system of man.
What is prostate and what are his functions
Anatomical, prostative gland is placed under the bladder and is surrounded by a urethra from all sides.Two main functions of prostate can be distinguished:
- The urinary person is a prostate transit authority through which urinary tract urinary trips passes;
- Seven -Firts - identifies a secret in Lumen in the ureter, which provides mobility and survival of sperm.
Chronic prostatitis is slowly ignition of prostate.The most commonly disease occurs after acute prostatitis due to inefficient treatment.
In the event of a prostate damage, the excretion of prostatic secretion was violated, and one of the most difficult consequences of the inflammatory process in the prostative gland - infertility.
Prostate functions control the complex cascade of hormonal interactions (androgen, estrogen, pituitary), which violations of the hormonal cascade lead to the prostate lesion.
Causes of chronic prostatitis
The main cause of chronic prostatitis is unbearable is acute prostatitis.Inadequate antibiotic therapy, simultaneous infection that rely the immune system of the body and non-compliance with medical recipes are mainly causes of transition of acute prostatitis on a chronic form.This form of chronic prostatitis is called basic.
Between, chronic prostatitis is different, which begins on its own.This form of chronic inflammation prostate gland is called secondary.
Main factors that affect the development of secondary chronic prostatitis:
- Breach of blood supply in prostate gland.
- Impaired immune system.
- Alcohol abuse.
- Abuse of spicy foods.
- Male sexual disorders (too active sex life or too few sexual contacts).
- Hypothermia or overheating.
- Frequent disorders of intestinal functions (prison).
- Sitting lifestyle.
In almost all cases of chronic prostatitis, the main cause of the disease appearing are bacterial infections.Due to the above factors, the ability to infect bacteria significantly increases, and the violation of immunity and blood supply of the organ leads to a lack of adequate reaction of the body to infection.That is why chronic prostatitis continues slowly, long and difficult to treat.
Symptoms of chronic prostatitis
The course of chronic prostatitis is characterized by alternately long periods of dormant and short-term deterioration periods.
During the period of peace, the disease cannot be manifested on all symptoms and do not disturb the patient.Such periods may last monthly or even years.During the deterioration period, fast urination, pain and unpleasant sensation in the Perina may be observed.Sometimes pain can give testicles and groin.The pain is amplified by a long-term seat and decreases after the engine activity.The symptom of the disease symptom is the urination of the slow stream due to the weakened patent of the prostatic part of the urethra.After urinating, such a - corded prostate often perceived - the discharge of the muddy prostate gland.Since the prostate is the center of ejaculation in men, in chronic prostatitis, sexual disorders have been observed.They are manifested by erectile dysfunction of penis and the absence of orgasm.These symptoms are the attached incapacity of prostate in sufficient quantities to synthesize the prostatic liquid, which leads to infertility.
A separate disease with similar symptoms is more probable.It differs from chronic prostatitis in the absence of infection in the spending gland, because the main cause is a prostatial neuronzokrina disorders in the body.
Diagnosis of chronic prostatitis
It is quite difficult to diagnose chronic prostatitis, because the inflammatory process is slow, and it is quite difficult to prove the presence of bacterial infection.
- In the first phase of the diagnosis, a rectal finger view is performed.This type of diagnosis is based on the exam of the rectum, through which you can break a prostate gland and assess changes in the prostate structure (flabby, painful and dough).
- The second phase of diagnosis is the analysis of the prostate fluid.The massage of the prostate is carried out for the encouragement of liquid release, after which the material is inspected microscopically and bacteriologically.The presence of bacteria, lecetine cereals and leukocytes in the liquid indicates prostatitis.
- Sometimes for the correct diagnosis of these diagnostic techniques, it is not enough for the diagnostic techniques.In such cases, the methods of instrumental tests are performed.They belong to the ultrasound of prostate (increase or sclerosis gland, the remaining urine in the bladder) and calculated tomography.In complex clinical cases, when it is difficult to distinguish chronic prostatitis from Adenoma, the prostate gland biopsy - the experimation of the tissue glands for histological examination.
How to treat chronic prostatitis
The treatment of chronic prostatitis should be complex and consisting of antibacterial therapy, generally strengthening therapy and local exposure glands.
The main connection of chronic therapy prostatitis is antibiotic therapy.Prior to the prescribed antibiotics, the sensitivity of pathogen must be determined.The selection of the antibiotic group depends on the results of this test.The most common antibiotics of cephalosporin, macrolid, antibiotics of tetracyclines, uroiseptics give good effect.For the resorption of infiltrates that appear in the prostate during chronic inflammation, hyaluronidase is prescribed.The course of therapy lasts an average of 15 days.Sometimes, for greater efficiency of antibiotic therapy, you must first worsen the disputed inflammatory process in the gland by introducing immunomodulators.
Medicine therapy should accompany local physiotherapy therapy:
- Prostate massage.
- Hot kids with chamomile infusion.
- Rectal diagrams.
- Rectal mud.
- Bath for hot seating.
- Reflexology (acupuncture, laser acupuncture).
- UHF therapy.
The course of treatment should be combined with active lifestyle and be sure to exclude the use of alcohol and spicy food.
Forecast of chronic prostatitis
Chronic prostatitis refers to diseases that are poorly treated.In approximately 25% of cases, it is possible to stop the deterioration of the disease, but do not cure.Forms of chronic prostatitis are particularly difficult to treat, which are complicated with lower obstructions (narrowing) of the urethra.