The pathology of the prostate gland, which develops due to inflammatory processes in it, is called prostatitis disease.
The development of pathology
More often than others, an infectious form of prostatitis occurs. The infection capable of impressing the prostate by penetrating from the urethral hole or other organs and glands of the genital.
The high probability of organ infection is due to the adjacent localization of the anus and urethral canal.
With this probability, statistics detect inflammatory inflammation of the prostate in men, which is related to the fitness of the organ to infected neighbors.
Even the presence of prostate infection does not guarantee the development of inflammation.
Prostate inflammation occurs with the joint action of pathogenic microorganisms and provocative factors.
The causes of prostatitis
Any person taken from surprise or understanding the inevitability of the disease due to exacerbation of provocative factors can guess the course of prostatitis.
The prostate gland is a place for the transit of the urethral canal, therefore the inflammatory process in a diseased organ, which leads to an increase in its structures, leading to impaired emptying of the bladder.
A binary nomenclature is used to diagnose various forms of inflammation of the prostate gland:
- Chronic non -infectious
- Chronic infectious
- Acute infectious
- Acute no -infectious
Prostatitis varieties are due to a complex of provocative factors in certain circumstances.
The first factor that is statistically prevalent in men of young and age before overlapping - infections transmitted by the sexual partner.
Venus diseases, especially at the stage of symptomatic remission, are able to leave behind an infection in a hidden state or prostate lesions that have progressed even after the elimination of an infectious agent.
The infection can supplement the infection, systematic overeating, the nutrition of acute, too greasy, calorie carbohydrates.
This is how non -infectious prostatitis occurs and the course of non -infectious variety is increased.
Provocation factors are hypothermia and age -related changes in the prostate.
Signs of prostatitis in men
It is difficult to diagnose an infectious or non -infectious form of prostate inflammation based solely on the similarity of the symptoms.
If the following signs of prostatitis are detected, it is necessary to carry out a complete diagnosis of methods for detecting the disease:
- During the emptying of the bladder, pain and intensity are experienced, after the end of urination the patient experiences a burning sensation in the urethra;
- body temperature exceeds normal;
- The feeling of incomplete emptying of the bladder after the end of urination does not leave the sick person for some time;
- The pain in the period between urination is felt in the perineum, the inguinal and abdominal areas reflected in the legs, butt, pelvis and sacrum;
- Lethargy and malaise.
A person can form suspicion of prostatitis if at least two of them become noticeable from the whole list and symptoms.
A specific sign of the inflammatory process in the prostate is the temperature difference measured in different parts of the body.
The model of temperature changes is related to the location of the focus of inflammation: the closer to it, the higher the temperature.
When measuring the temperature in the oral cavity, no deviations from the norm are observed, in the armpits - the temperature of the subfbril, in the rectum the value of the parameters exceeds the norm greater than a degree.
The symptom of pain develops with an increase in intensity as inflammation increases in the prostate.
The typical onset of pain is characteristic of the process of emptying the bladder, during the day the pain extends to the rectum and the entire area of the perineum.
The intensity of the pain increases by little to unbearable.
Purder and Malaise can be accompanied by dizziness and headache, small attacks of nausea, drowsiness.
If such symptoms are detected, a slowdown of urine is suspected, resulting in the general intoxication of the body develops products of protein breakdown.
The deviation in urination is related to the sluggishness of the jet, the long release of the urine, and not the forthcoming formation of the jet and calls for the emptying of the bladder in the absence of release of urine.
Possible complications
Complications after prostatitis occur in the absence of medical intervention in the course of the disease or incorrect formation of treatment regimen.
Medical practice shows the most frequent distribution after prostatitis:
- lack of erection and ejaculation;
- the spread of the inflammatory process of the nearby organs of the genius system;
- cytological disorders leading to the inability of sperm to fertilize eggs;
- reduction of libido;
- Psychoneurotic conditions that reduce the quality of life and human health as a whole.
After prostatitis, the penis sharply reduces the ability to harden and perform with blood. Possible sexual intercourse ends quickly compared to the recent full sex life. Not all sexual contact ends with ejaculation.
If such deviations are detected, a comprehensive diagnostic test is required.
With the spread of the inflammatory process to the urethra and bladder, cystitis and urethritis develop.
With the development of the latter, acute pain occurs, the process of impaired urine outflow (its delay or incontinence) threatens to move to the chronic level. The performance of a person in this state is doubtful.
Erectile dysfunction leaves a number of psychological and therapeutic problems that need a competent medical correction.
The inability of the cavernous bodies to be filled with blood is explained by the edematous state of the prostate and the associated genuine organs.
The blood supply to the penis needed for an upright condition becomes problematic.
Psychologically, the third part of men who are developed by consequences after prostatitis suffers in severe form.
A person's condition can only normalize during long -term psychological work with the patient against the background of drug therapy. The failures in sex life impede the more desire to continue sex life.
Prostatitis can cause a violation of the acid-basic composition of sperm reflected on the fertilization of sperm.
The result of pathology is infertility in a first -degree person. It is important in this condition to eliminate the cause of infertility in a timely manner due to the lack of the ability to cure second -degree infertility with a medicine method. Proper treatment can be prescribed by an andrologist or urologist. Therefore, men should not neglect the signs of prostatitis.
Diagnostics
The diagnostic examination scheme is directly dependent on the complaints and signs with which the patient turns to the urologist or andrologist.
The diagnosis of prostatitis in men can be made at home and at a medical institution.
The initial diagnostic stage is the collection of history data. The doctor performs an external examination of the genitals and listens to the patient's complaints.
Based on the initial data, a scheme for a more diagnostic examination of a sick person is determined.
During the anamnesis collection, the doctor detects the duration of symptoms, the presence of more prostatitis, a list of diseases of the patient, risk factors for the development of the disease, a possible list of transmitted sexual diseases, the development of signs of the disease, the presence of sexual partners and sexual relations.
At this stage of the development of medicine, the list of questions was published on the questionnaire, which the patient completed before a visit to the doctor's office. Thus, the time of the patient and the doctor is rescued.
The first mandatory stage of the patient's examination with signs of prostatitis is the test of the prostate gland from the rectum.
The doctor determines the degree of increasing the inflammation organ, its density, the uniformity of the consistency, or the presence of nodes or seals, the degree of pain during palpation.
The intestinal cavity is performed before palpation.
In the absence of an inflammatory process in the prostate there is no pain, with prostatitis, the intensity of the pain may be different and their localization is felt in the groin, rectum, perineum and sacrum. In this case, it is contraindicated in a number of procedures, such as cystography.
For a microscopic examination of prostate secretion, the patient is performed by prostate massage through the rectum.
With the desire to urinate until the end of the prostate massage, this cannot be done until the prostate secretion decreases from the opening of the urethral.
The procedure ends with the subject glass of the microscope along the opening of the urethra, after which the spreading is painted and microscopic analysis according to the following parameters:
- The presence of leukocytes and the calculation of their quantity;
- lecitin quantity;
- The activity of pathogenic microorganisms and their presence.
The detection of bacteria in the visual area of the smears shows the infectious type of prostatitis.
The number of leukocytes in the visual field of more than 2 indicates the inflammatory process in the prostate.
For a reliable result of a microscopic examination, it is necessary to properly take a fence for analysis and competent to draw the medicine.
The above tests are mandatory, additional examinations are prescribed by the doctor selectively, depending on the doctor's suspicions about the nature of the inflammation.
The analysis of the secret of the urethra is performed by a catheter -like tool. The top of the metal coating is wounded cotton wool.
Before the analysis passes, urination is off for 2-3 hours. Otherwise, the microflora is washed in the external environment.
The doctor introduces a cotton swab of approximately 4 cm inside the hole of the penis and makes rotating movements. The urethral smear is examined for the presence of DNA residues and bacteria.
Urine analysis is a means of detecting blood cells: red blood cells and leukocytes, protein (usually missing or present in traces of quantities).
When making mistakes in analyzing the symptoms of smearing urethra and prostatitis, urine sowing is prescribed for bacteriological analysis.
The disadvantage of the method is the long -term expectation of a colony of pathogenic microorganisms (up to 1 week).
Sowing is done by a comparative method after a fence of three parts urine (beginning, middle and end of bladder emptying).
A greater number of pathogenic microorganisms in one of the samples give the assumption of the localization focus of the infection.
The detection in the first part of the urine of the bacteria does not cause the inflammation to confirm.
The second and third part of the urine, exceeding the number of detected microorganisms, give a basis for clarifying the location of inflammation (respectively in the urethra and bladder).
The degree of deviation of sexual function from the norm is checked by analyzing the sperm for viscosity and other physico-chemical indicators for the environment, activity and viability of male gametes and sperm is rarely prescribed.
The uroflometric method is not often arranged. If the possibility and adding the picture of the changes occurring, urodynamic examination of the urinary tract is performed.
An ultrasound examination determines the density of the diseased organ and other parameters obtained after viewing the prostate finger through the rectum.
The prostate gland is visible in two ways: Transrectal ultrasound and ultrasound through the abdominal cavity.
In the case of suspicion of adenoma and prostate cancer, the doctor may prescribe an additional cytoscopic examination of the blood, the so -called dog test.
The fence is made of vein, a blood test detects (excludes) the presence of RSA protein that occurs in malignant tumors.
At home, the patient may suspect prostatitis by focusing on the color and turbidity of the urine, the symptoms of the disease.
How to treat at home
Delivery of pharmaceuticals
If signs of prostatitis occur, men should not self -evaluate, medicines should be prescribed only by a doctor.
The preparations suggested for therapeutic prostatitis are distinguished by different forms and pharmaceutical properties. More often than others, candles are prescribed for the use of rectals.
The justification for the choice of doctors is related to the proximity of the effects of the components of the rectal suppositories and the prostate gland.
The condition for the effective effect of the active substance of the candles on the tissue of the organ is the peace of the patient in the lying position for 30 minutes after administration of the rectal drug. Candles inactivate pathogenic microflora and have an analgesic effect.
Intramuscular and intravenous injections contribute to the fastest effect on the diseased organ by spreading through the blood.
Immediately after urination, instilations are prescribed aimed at penetrating the healing substances into the prostate through the urethral hole. The maximum amount of application is 5 ml.
The forms of the prostatitis table are more known as antibiotics, divided into 3 groups and successfully deal with the possible spectrum of variety of types of pathogenic microflora:
- Tetracyclines
- Fluoroquinolones
- Penicillins
Warm microclysms with introduced substances are performed in the evening.
The main condition for the use of the enema is the inadmissibility of the gland tension and the compliance with the temperature regime. Refers to folk methods for the treatment of prostatitis.