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PROSTATITIS

Prostatitis, or inflammation of the prostate well-a sign of a strong half of mankind. According to the official statistics of the disease, about 16% of adult men suffer from it. Practitioners, doctors, the urologist calls to other numbers: not less than 35% of the male population of the country. The difference between the official Services and the actual morbidity is easily explicable: the number of potential patients do not hesitate to see a doctor because of embarrassment, duress, time pressure, misunderstanding of the importance of the problem.

Inflammation of the prostate is today a leader in the group of male disease, which mainly sexually transmitted diseases. Its complications threaten infertility, decreased Libido, impotence.

The symptoms of Prostatitis are pain, urination, inflammation of the spermatic cord. The most dangerous consequence of the ongoing inflammation can lead to cancer degeneration of the prostate. Then, as a timely diagnosis of pathological process just docked.

The causes of the inflammation

The risk of an inflammation of the prostate increases due to the fault of the various pre-disposing moments kidney disease:

  • Under cooling, unique or associated with the character of the work outdoor.
  • Lack of exercise, leading to disruption in the functioning of the digestive system.
  • Chronic somatic diseases (Diabetes, hypertension).
  • Lesions of focal, perifocal infections (Rhinitis, tonsillitis, Stomatitis, Gastritis).
  • That persistent UGI (chlamydia, Trichomoniasis, Herpes Virus).
  • Stress, insomnia, chronic fatigue.
  • Lowering of immunity in connection with recovering from illness, surgery, emotional Stress.
  • Bad habits, leading to the development of intoxication: alcohol, Smoking, strong coffee.
  • Professional injuries of the perineum, drivers, sportsmen, workers of harmful work.
  • Disorderly sexual life, coitus interruptus, without sensuality, sexual intercourse with incomplete ejaculation, the longer the absence of the proximity (low demand in the semen leads to a Stagnation in the gland).
  • Sexually transmitted disease.

Despite the relatively large number of provocative moments, the essence of the Prostatitis consists in the formation of the Stagnation within an institution on the background of disturbed blood circulation and lymph drainage.

Prostatit-u-muzhchin

Classification

In the modern urology there are no uniform classification of the disease. But practitioners prefer this Option, classification of inflammation in the prostate:

  1. According to the course of the disease:
    • Acute Prostatitis. More than 50% of cases of the disease in humans, which is not older than 30-35 years.
    • Chronic Variant. As nevozmozhnoe category. Long not, the impetus for the development of a cold, infection.
  2. On reason is causing the pathology:
    • Bacterial inflammation of the prostate gland, is more prevalent in men until 40 years of age, occurs against the backdrop of UGI, on the borders of the institution.
    • Non-bacterial pathological changes in the gland, usually chronic course.
    • Viral inflammation of the prostate gland characterized by acute course, all the sexual sphere.
  3. By the nature of the structural changes in the prostate:
    • Fibrous Prostatitis differs fast and irreversible growth of the gland and is in need of a thorough intervention. Clinically, the adenoma of the prostate is similar to.
    • Calculösen inflammation of the prostate gland occurs due to the formation of stones in the interior of the prostate. Is considered to be a precursor of cancer.
    • Congestive Prostatitis, the result of lack of exercise, diagnosed in every second Patient.

Signs of the disease

If a man finds himself at least two of the following symptoms of Prostatitis should immediately contact a professional:

  • Urination disorders with the occurrence of intermittent, weak urinary stream, an unusually short range, call Splatter, difficulties, and pain prior to urination. Frequent urge to urinate mostly at night.
  • Pain localized in the lower abdomen, radiating to the scrotum, perineum, rectum.
  • Sexual Dysfunction.
  • Problems with ejaculation, the change in the sperm (consistency, amount).

Acute Prostatitis

The disease begins with a sharp rise in temperature (to 40 degrees), painful headaches, fever. The appearing symptoms are accompanied by pain syndrome in the groin, perineum, back pain, discharge from the urethra, frequent urination, and constant urge to urinate to him.

The emptying of the bladder is performed with a time delay, a sense of burning. Even the urine is turbid, it may be the admixture of blood. Irritability, Fatigue Occurs.

The result of an acute Prostatitis can be the full resolution of the process (the time to treatment). Since the changes occur in many organs of the small pelvis and may not be neglected, otherwise it is the corresponding complications:

  • Vesiculitis – inflammation of the seminal vesicles, the cause of pus in semen that not only the quality of the ejaculate, however, leads to a loss of reproductive function.
  • Colliculi – inflammatory changes in the seed hump to be a reason for the development of the strongest pain during Sex, Interrupt orgasm, impotence is psychological in nature.
  • Abscess formation in the body of the prostate, its gap, purulent lesion of the rectum leads to an exacerbation of the symptoms of strong poisoning of the organism, to the death.
  • Stagnation in the prostate tissue leads to a change in its structure, disturbance of the Innervation, blood supply, such as the glands and organs located in the vicinity, in violation of their functions. Erections insufficient for full sexual intercourse, can be observed premature ejaculation, long sex without orgasm.
  • Cicatricial changes in the gland, the seeds of cord lead to infertility, reduction in the qualitative composition of semen, sperm motility. The narrowing of the urethra hampers the normal process of water, obstruction of the urinary bladder retention can cause acute urinary retention, requires surgical emergency help.

Chronic Prostatitis

The main feature of the disease is the uncertainty of the clinical symptoms with prolonged, persistent course of the process. The chronic Form occurs more frequently self-employed as a primary pathology against the background of Stagnation of the blood in the vessels (prostatosis), abacterial Prostatitis.

The main symptoms of chronic Prostatitis are:

  • Fever;
  • Pain occurs back into the scrotum, perineum, Anus,;
  • Violation of urination;
  • slimy or Muco-purulent discharge from the rectum, the urethra, even in the absence of urination or bowel movement;
  • Violation of erectile function, painful ejaculation, coitus interruptus, long sexual intercourse without a feeling of satisfaction.

  • Infertility – the result of a chronic inflammation in the seeds of the cord, bladder, testicles, and their fittings.
  • Cystitis, Pyelonephritis (other diseases of the genitourinary system) – a consequence of the hematogenous and the mechanical spread of germs.
  • Sepsis.
  • A persistent decrease in the immunity.
  • Untreated Prostatitis in 35 – 40% of cases can be the cause of Oncology.

Diagnosis

The clinical picture of the disease is typical, so that the diagnosis does not cause difficulties. It is on the basis of urologist medical history, examination of patients, laboratory minimum with the most modern medical equipment:

  • Rectal examination of the prostate secretion to the study (sowing with the determination of sensitivity to antibiotics).
  • Jab, but you did, bacterial urine culture.
  • Smear on sexually transmitted disease, UGI-research.
  • Daily monitoring of the rhythm of urination, measurement of the speed of urination (uroflowmetry).
  • For the differential diagnosis of ultrasound or TRUS is performed.
  • If required, Oncology eliminate take biopsy, excretory urography carried out, but PSA – prostate-specific Antigen.
  • For the diagnosis of infertility, semen analysis analysis of semen is assigned for the determination of the fertility of the man.

On the basis of the results of the patient survey an individual scheme of complex treatment of Prostatitis is. In prescribing the Form of the pathology, the presence of comorbidities into consideration. The decision about where to take a therapy (inpatient or outpatient), the doctor. The treatment with a careful control of the results.

One of the most advanced centers for the treatment of Prostatitis, the clinics of the group of companies "mother and child". Since the Problem of infertility is closely linkedto inflammatory urological diseases, the medical professionals have given this Problem considerable attention.

In the clinics, "mother and child" in each patient, the possibility of the complete cycle of a special investigation, psychological -- get support, prolechitsya drugs of the last Generation, in this area, acquainted with the latest methodologies of treatment of inflammation of the prostate. Not least in the complex therapy of Prostatitis, and takes the question of effective Rehabilitation of patients, dispensary observation, prevention.

The treatment of acute Prostatitis

Acute Prostatitis requires bed rest, special salt-free diet, sexual rest.

Methods of treatment:

  • Most in the treatment of Prostatitis is a causal therapy. If the basis of the Prostatitis – infection, priority, active ingredients, rates of anti-microbial, relieves the symptoms of inflammation.
  • Pain syndrome cropped analgesics, antispasmodics, rectal candle, mikroklizmami with a warm solution of painkillers. The use of NSAIDs is.
  • Stimulants, immune modulators, enzymes, Vitamin complexes, which is a combination of trace elements proven immune.
  • Physiotherapeutic methods are only in the subacute stage of the disease. Improve the microcirculation, improve immunity: UHF, UHF, electrophoresis, Laser, magneto therapy.
  • Massage – another effective method is the impact on the prostate. He opens the bile ducts, normalize the blood circulation in the scrotum, of the small pelvis.
  • Acute delay in the filtrate, the kidney can be corrected by means of catheterization to, traganou cystostomy.
  • Purulent process involves the surgical Intervention.
  • Advice of the psychologist.

The treatment of chronic Prostatitis

In the case of prolonged, kursovom (at least one month) effects on the prostate 100% guarantee no cure. Priority for Phyto-preparations, the immuno-correction, the change of household habits:

  • Phyto-preparations (for example, Likoprofit) widely used in the urological practice. You are able to, in the place of the active disease process, protect the cells from Oxidation, spent free radicals, inhibit tissue dissemination of chest.
  • Antibiotic therapy selected individually, on the basis of the sensitivity of microorganisms against drugs.
  • Drugs that increase immunity, not only to deal with the Prostatitis, which is the negative effect of antibiotics correct, the function of the immune system.
  • Pain syndrome docked appointment of Alpha-blockers, and muscle relaxants.
  • Prostate Massage allows the mechanical to remove "excess" the secret of the glands through the urethra, improve blood circulation, minimizes traffic jams.
  • Physical therapy: Laser, Magnet, ultrasound, iontophoresis, sitting in warm baths or micro-enemas with herbs.
  • In severe cases, intravenous fluids with diuretics is. It is the abundant secretion of urine, profilaktirujut poisoning stimulates phenomena, the development of the rising cystitis, Pyelonephritis.
  • For constipation herbal laxative practice.
  • Urologist, a psychologist, developed together with the patient long-term program, the individual's daily routine, the necessary recovery, diet, dosed physical activity, sexual activity.
  • In the case of resistance to chronic process of the therapy, blocking the flow of urine administered in a surgical procedure to remove all affected tissue (transurethral resection of the prostate) or complete removal of the prostate and the surrounding tissues (prostatectomy). In exceptional cases, practiced, fraught with impotence, urinary incontinence. Young people do not perform surgery, because it can be a cause of infertility.

Prevention

In order to eliminate the occurrence of unpleasant for men of the disease, triggering factors, and follow the simple rules:

  • A healthy lifestyle, give up bad habits.
  • Do not get cold.
  • Drink at least 1,5-2 liters of water per day.
  • In order to strengthen the immune system to go much on foot, be heated and.
  • Engage in physical activity and sports, visit Fitness Clubs.
  • To avoid stressful situations.
  • Practice regular sex life with a steady Partner.
  • Regularly by a doctor to be monitored urologist.