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Prostatitis - A male disease in which a representative of the stronger sex occurs inflammation prostate Provoking the emergence of a number of unpleasant symptoms.
The prostate gland is an exclusively male body. Quite often, the prostate patient diagnosed as urethritis . vesiculitis . If the patient is older, then it can take place in parallel and adenoma prostate. Maybe acute and chronic course of the disease. The appearance of acute prostatitis is the most common trigger gram-negative bacteria. This form of disease is relatively easy to diagnose and treat by receiving antibiotics . At the same time, men very often there are cases chronic non-bacterial prostatitis Which is more difficult to diagnose and has no connection with the defeat of certain infectious nature. Consequently, in the case of chronic prostatitis antibiotics can not give the desired effect. According to statistics, chronic prostatitis affects about 35% of men over the age of fifty.
Causes of prostatitis
Development prostatitis promotes a number of specific reasons. Very often the symptoms of prostatitis occur in men who lead irregular sexual life, are often subjected to hypothermia or injury. In addition, the prostate can develop as a result of low immunity, worsening of blood and lymph circulation in the pelvic organs male, as a result of hormonal failure, which causes a certain level of failure androgynous. A factor contributing to the appearance of prostatitis, is also considered a number of infections that are sexually transmitted. Consequently, the prostate often appears in men after unprotected intercourse.
Furthermore, symptoms of prostatitis occurs frequently in the presence of obstacles in certain of the patient leaving the bladder (stones, tumors, etc.).
The development of bacterial prostatitis in about 80% of cases provokes Escherichia coli In other cases, the causative agent are other bacteria. An additional factor contributing to the disease, is the fact that, as a medium for their development bacteria use prostatic juice. Ingress of bacteria into the prostate occurs through blood and of infected urethra they can get into the prostate gland through lymph . This phenomenon occurs due to the special structure of the prostate and its blood supply. The prostate gland is not their own blood the great vessels, and its blood supply passes through several small vessels. It is because of poor blood flow in the tissues of the prostate frequently occurring stagnation and develop an infection.
Therefore, any factors directly affecting the prostate (too intense or, conversely, a rare sexual life, catheterization, etc.), can be a starting point in the development of prostatitis.
Symptoms of prostatitis
Symptoms of prostatitis acute form manifested by a sharp increase in temperature . The patient suffers from fever, had a sore lower back, manifest pain in muscles and joints . The crotch man feels some discomfort and a feeling uncharacteristic heat . There may be formed swelling, prostate increases in size . Frequent urge to urinate, and the urine of the patient cloudy . Over time, when you touch to the perineum causes pain, which becomes more intense with a strong pressure on the prostate . Later common symptoms of acute prostatitis added pain in the lower back and genital area . Sometimes the pain can spread to other parts of the body . The patient complains of a marked acceleration of nighttime urination while urinating in his torments burning sensation . In acute prostatitis, signs of general intoxication . In some cases, due to the development of local inflammation in the prostate gland in the patient begins sepsis . In such cases, the person needs immediate hospitalization and emergency treatment.
Chronic prostatitis, having a bacterial nature, often completely asymptomatic, but it can cause the appearance of a man signs of urinary tract infections that occur as a complication of the disease. In addition, in this case, you may experience the following symptoms of prostatitis: pain during ejaculation, the presence of blood in semen , The continuous development discharge from the urethra . Perhaps the manifestation of pain in the area between the anus and the scrotum. Later, a man can suffer from sexual dysfunction, which is caused by the described symptoms.
Complications of prostatitis
As a complication of both acute and chronic prostatitis, a number of serious diseases and conditions. So, a man who suffered from prostatitis, can significantly reduce the amount of male hormones, which causes lowering of libido. As a result, a person appear permanent erection problems. In addition, difficulties with potency in men with prostatitis may occur as a result of a number of psychological problems.
Another serious complication of chronic prostatitis - infertility Which occurs in about 40% of patients suffering from the chronic form of the disease.
Sometimes the formation is marked prostatitis complications stones and cysts Prostate. Even more threatening complication is sclerosis Prostate : A condition where the iron is reduced and becomes fully operational. In this irreversible condition of the patient is doomed to constant pain, urinary problems, sexual disorders.
BPH Which is benign, as it often develops as a result of prostatitis. When adenoma surgery is inevitable.
The most serious complication of prostatitis in men - prostate cancer That is fraught with the most serious consequences.
All of these complications, and chronic prostatitis disease directly worsens the life of man. That is why timely treatment of prostatitis competent imperative.
Diagnosis of prostatitis
For a correct diagnosis is important to come to a comprehensive diagnosis of prostatitis. First of all, an expert conducts the survey and examination of the patient. The doctor performs a digital rectal examination, in which defines some of the symptoms of prostatitis - pain and swelling of the prostate gland.
Guided by the data collected, it takes a decision on the appointment of patient urine culture to determine the cause of infection. To obtain accurate results, a comparison of the three cultures in urine samples. For this purpose an analysis of urine collected at the beginning of urination, from the middle portion, and subjected to separation analysis obtained during massage prostate after urination. If there is a large number of colonies of bacteria, it is confirmed prostatitis.
To avoid errors in the diagnosis of prostatitis, it is essential to exclude certain diseases, which are some of the symptoms are similar to symptoms of prostatitis. It appendicitis . cystitis . prostate cancer . urinary incontinence . benign prostatic hyperplasia . pyelonephritis .
Also, blood test, which resulted in the marked increase in the number of prostate leukocytes and increased sedimentation rate erythrocyte . In addition, if necessary, patients received and additional research methods - ultrasound of the prostate and organs near, computed tomography or magnetic resonance imaging.
Treatment of prostatitis
Conducting a course of treatment of prostatitis include drug and subsequent maintenance therapy. Surgical intervention is made if the effect of the course of medical treatment was not satisfactory.
In the treatment of acute prostatitis is important to conduct an immediate systemic antibiotic treatment. Most often, the treating doctor prescribes a patient receiving trimethoprim-sulfamethoxazole . tetracycline . fluoroquinolones . In the case of prostatitis symptoms as a consequence of sexually transmitted diseases treatment includes reception ceftriaxone . Doxycycline and etc.
Treatment is continued depending on the severity of the disease. It may last from two days to seven days. After the main course of the patient the doctor prescribes a course of maintenance treatment.
During maintenance therapy, it is important to observe the gentle treatment, preferably in bed. Must be present sufficient hydration Comprising at least eight glasses of drinking water every day. The patient may receive analgesics , Funds from the antipyretic effect. Did the periodic use in the treatment of prostatitis sitz baths. In acute bacterial prostatitis after adequate treatment of the patient fully recovers. Rarely possible manifestation of complications: sometimes as a result of the acute form of prostatitis in men may develop abscess or fistula Prostate.
In the treatment of chronic prostatitis practiced Duration of courses receiving antibacterial drugs: they appoint for a period of 4-8 weeks.
If the patient has chronic prostatitis place, should undergo a prostate massage, which greatly facilitates the patient's general condition. When non-bacterial prostatitis symptoms for ease of use anticholinergics agents, and analgesics . To get rid of a constant chronic pain in the prostate, treatment is necessary Alpha-blockers and and muscle relaxants . Introduction of analgesics to the patient to eliminate the practice of spasms of the bladder. Often appointed as physiotherapy techniques that are aimed at stimulation of the nerve endings of the prostate gland and surrounding tissue. As a kind of method of therapy is also recommended for periodic masturbation, which helps protect against the appearance of prostate tissue edema. Moreover, today there are a number of techniques that allow to normalize metabolic processes in the tissues of the prostate, improve blood circulation, stimulate the muscles of the prostate. For this applies electrostimulation . laser therapy . magnetotherapy Other effective methods.
Furthermore, there are folk remedies are used to treat prostatitis. They can be used as concomitant therapy, however, require the coordination of all treatments for diseases with a specialist.
However, even with the right approach to the treatment of prostate disease relapses occur very often. So, according to statistics, the disease is repeated about half the cases.
With the ineffectiveness of all the above methods of treatment, the doctor decides on the need for surgery. In this case, it is a transurethral resection of the prostate. During this operation, all the infected tissue is completely removed. Such an operation is prescribed to elderly patients, because after the conference a person can develop infertility. Sometimes patients also assigned a holding prostatectomy - surgery, during which the prostate and surrounding tissue are removed completely. After such an operation, a person may develop impotence and urinary incontinence .
Prevention of prostate
In order to ensure adequate prevention of prostatitis, man, first of all, must carefully take care of the observance of all norms of personal hygiene. Do not allow long-term exposure. Prevention prostatitis involves changing everyday diets. It is important to minimize the consumption of the food and products, which are developed as a result of regular constipation Which negatively affect the blood flow to the pelvic organs. It is a fatty, sugary foods, as well as fried foods. A man should always ensure that his bladder is emptied regularly and thoroughly. We can not allow delays in urinating.
Equally important for the prevention of prostatitis and regular sex life. At the same time there should be no unprotected sex with casual partners to avoid contracting infections.
If a man every day for a long time is in a sitting position, it is important to exercise breaks in sedentary work, during which produce dynamic workout. Important and physical training, regular exercise.
Prevention prostatitis provides annual preventive check-ups and advice from a urologist. This paragraph should be mandatory to carry out those men who are over thirty years.
Moreover, it should take responsibility for the observance of a healthy lifestyle: quit smoking, avoid alcohol.
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