The diagnosis of "prostatitis chronic (CP) is put in the presence of smoldering inflammation of the prostate tissue, which has a duration of 3 months or more. Under the influence of provoking factors were, remission, periodic exacerbations replaced. The disease occurs in one out of every five homes. The 30% of patients with this diagnosis, at the age of 20 to 50 years. Completely prostatitis cure chronic and almost impossible, but in the majority of cases, a possible to achieve the remission, stable, subject to the recommendations of the doctor (doctor which deals with the treatment of the prostatitis).
The types of prostatitis chronic
The universal classification according to which there are several types of prostatitis chronic:
- Acute bacterial infections (relapse).
- Chronic bacterial.
- Chronic aseptic (abacterial) prostatitis, which is divided into 2 subtypes: chronic pelvic pain syndrome, inflammatory or noninflammatory type (prostatodynia).
- Flowing asymptomatic (latent) prostatitis chronic.
The symptoms of prostatitis, chronic, in households do not always appear in strict order. The degree of their severity depends on the characteristics of the organism.
Prostatitis Chronic bacterial
The bacteria cause inflammation of the prostate in 6-10% of cases. The bacterial form of prostatitis chronic is usually caused by non-specific infections (Escherichia coli, Staphylococcus aureus, Streptococcus hemolytic), penetrating into the prostate to other organs or the external environment. The inflammation caused by a type of bacteria that develops a little a little with the erased symptoms so often prostatitis chronic infectious acute, a, when it was running. Sometimes inflammation manifested by mild itching, burning, and even pain in the urethra, disorder of the urination. On the active development of the infection please of manifested by abdominal pain and fever. This first print that started the submarine of the rest of the organs pelvic. La formacio d abscesses.
Reasons
Nonspecific infections tend to penetrate the prostate can damage the mucous membranes of the genital organs due to inflammation, damage, foreign bodies, instruments for urology procedures. On the surface of the skin of the perineum, and always a certain amount of intestinal bacteria, hence the importance before of the hygiene and of the sexual relationship. If the area of the anus, groin, scrotum are the excess d and the humidity irritation, the pathogen started to penetrate the thickness of the epidermis. Non-specific pathogens prostatitis chronic fall in tissue prostate to the urethra during oral sex, a cause of the throat, are often found Streptococcus, some gram-negative bacteria. Often the infection occurs through the hands of men. Most homes with chronic bacterial prostatitis, belong to the age group of 20 to 40 years, since this period, and the peak for sexual activity. Making contraception ignore barrier gate a frequent infections specific pathogens inflammation of the prostate. The most dangerous among them are the following:
- Mycoplasma;
- Ureaplasma;
- Trichomonas;
- Chlamydia.
Erectile dysfunction in the background of the prostatitis chronic bacterial often lead to sexual neurosis, a result of the man who becomes irritable, aggressive.
Treatment
Modern methods of treatment of bacterial infections prostatitis involve antibiotics, active against detected during the diagnosis of the pathogen. As a subsidiary maybe prescribed antispasmodics such analgesics class Aine, diuretics. Anti-bacterial first-line drugs second-line antibiotics macrolides. The scheme can also involve the sulfa drugs. Quickly cure your chronic prostatitis impossible. Depending on the nature of the inflammation and the therapy of 2 to 12 weeks. If within 2 weeks of the dynamic positive and absent, then the drug changes. Not satisfactory, with the result of the antibiotic therapy in prostatitis chronic due to the following reasons:
- Short course;
- Low concentration of the active substance;
- Education in the Lumina of the ducts and acini of the prostate (outgoing heads bodies that make up the fabric glandular gland of the prostate) colonies of bacteria-resistant.
Antibiotics introduced are not only orally, but I also intraprostatically endolymphatic (injections imposed, or in the lymph node).
Fungal prostatitis
Fungal (mycotic) prostatitis and independent subtype forms of chronic diseases of the disease. The fungus enters as a practice of sexual contact and other limfatica of organs. The symptoms of tissues of the oil prostate often so that the inflammation happens in the form of chronic. In conditions is the immune system fungal colonies do not reproduce or safer than limits. The risk of developing candidal prostatitis elevated in diabetics, housing HIV-positive status, as well as the people who are suffering from systemic diseases.
Abacterial prostatitis
Chronic pelvic pain, exciting the coccyx and the perineum of the un sign of abacterial prostatitis ("the value of 80-90%, including prostatodynia 20-30%). Other manifestations may not be at all. In the diagnosis of pathogenic microorganisms that are not found in juice prostate or of the urine or ca l ca l ejaculate. Inflammatory in the nature of pain in the pelvic aforementioned biological fluids, increases the number of white blood cells. In addition to pain, chronic abacterial prostatitis regularly to show symptoms such as blood in the ejaculate, discomfort during ejaculation and bowel movements, difficulty urinating. Some houses have marked reduction of the libido, the function deteriorates erectile, there is a General weakness and muscle pain.
Causes and treatment
The probable causes of prostatitis chronic non-bacterial:
- Systemic diseases.
- Pathology vascular, circulation.
- The autoimmune disorders.
- Stagnant processes.
The exact cause of development of chronic non-communicable (non-specific) and prostatitis it is not possible to identify always, therefore, medical therapy, often a sense of success. For drainage of purulent of the prostate and bladder catheterization. With the ineffectiveness of treatment of the drug surgical in the form of a fine needle transurethral ablation laser of the prostate (minimally invasive destruction of mala herba tissue).
Chronic calculous prostatitis
Chronic form calculous prostatitis and abacterial well. Auditori Winterthur (functionality) in the prostate are formed due to the stagnation of secretions. These products of reactions inflammatory, salts, necrotic masses. Pathology usually develops on the background of congestive (congestive) prostatitis, chronic, urolithiasis (Auditori Winterthur migrate from the kidneys and the bladder), alters the metabolism, adenoma.
Signs of prostatitis chronic with calcification:
- Violation of urination.
- Groin pain, coccyx.
- Blood in the semen.
- The deterioration of an erection.
For dissolution of the Auditori Winterthur le in the prostate are administered special drugs and produce rectal massage. If conservative methods do not work, original works of art to resort to surgery. The activated form of chronic calculous prostatitis can lead a un abscess of the gland or atrophy of the organ.
Asymptomatic prostatitis
When latent prostatitis, chronic any sign language of lack. The only thing that when it detects the diagnosis of leukocytosis and prostate secretion and the possible increase in the level of PSA. Asymptomatic prostatitis detected accidentally during routine examination or during the treatment on another occasion.
The effects of the prostatitis chronic
If prostatitis chronic for the homes, the life there is a dangerous. Threatening can be the consequences, if the weather is not seek medical help. Complications often develop in younger patients. Prostatitis, chronic In the protection of the function of the gland is disturbed, it reduces the amount of zinc, lysozyme required for normal operation. As a result, the organ becomes a source of infection permanently. Pathogens often the testicles migrate in the rectum, causing epididymitis, abscess. At the time of the by move infection ascending pyelonephritis paths may develop renal failure. Because it is the prostate actively involved in the formacio of the ejaculate, and constant inflammation can lead to infertility. Often a woman can not get pregnant is not a cause of the poor quality of their partner's sperm, and defective sperm. Try to conceive for a long time to fail (read more about the impact of the prostatitis in the conception of a child). Serious complication and scarring of the wall of the bladder, prostate, urethra. Long-term inflammatory deform the fabric, pursing the loc.cells that become non-functional. Also, the probability of the development of benign prostatic hyperplasia (BPH), which can catalyze cancer the process.
Prostatitis chronic of Diagnosis
On the consultation, the doctor in detail explains the history of the patient, and particularly important to describe any disorders in intimate life. The Range of claims in homes with prostatitis chronic can be very extended: from sexual dysfunction to anxiety. ¼ Of all patients no symptoms are not note, l, an anomaly is detected incidentally. The importance of the story. Precursors Typical of various types of prostatitis chronic: infectious bacterial or gonorrheal following diseases: diseases uretritis non-infectious − hemorrhoids, varicocele, varicose veins lose veins of the legs. Of paramount importance in the diagnosis of chronic prostatitis have a palpation of the gland and analysis of its secret (read more about the seeding of prostate secretion). During acute size of the prostate increases slightly, and in periods of remission, back to normal, only slight swelling. The secret and obtained by rectal massage of the prostate. If the inflammatory process and focal in nature, that the consistency in the unequal, which combines sections of Zapadni, vitolini, razmagcheniu. In these cases, the prostatic juice obtained separately for each part. Changes of gland secretion, and d indicators of prostatitis chronic:
- The change of acidity towards alkalinity;
- Increase of lysozyme activity;
- The decrease of acid phosphatase.
High informativity of different fluorescent-Cytology of prostatic juice, as well as their trial of crystallization. In homes sans juice kristallizuetsya in the form of a leaf of fern. The violation of the geometry of the figure indicates endocrine abnormalities due to the fact that there is a lack of androgens. In some cases, in the diagnosis of infectious diseases, chronic prostatitis food provocation used by the patient intentionally spicy food or consuming alcohol, the resulting aktiviziruyutsya agents in the cause of gonorrhea and Trichomonas. Atony of inflammatory processes that manifest themselves with the introduction of prednisolone or pyrogenal. Among the laboratory studies are considered the most test information, called trehstakannoy sample. The patient urinates primer in a cup, original work of art, the second, then the massage of the prostate. Remaining in the bladder The urine is collected in a third Cup. She, along with the ejaculate is subjected to a bacteriological research. The number of shows is also a sample from the urethra for the presence of You. Not all pathogens conditional that grew in the cultures, are automatically considered agents of chronic prostatitis. Microbiocenosis In the presence of a variant of the normality. Important growth titer (concentration). If the ratio offers a greater than 10 in 4 degrees is considered to be diagnostically significant. Otherwise, the patient shows dynamic observation and treatment. The Informative method of diagnosis and TRUS or ultrasound transabdominal examination. Sonographic sign language Ca, you can determine the duration and the severity of the inflammation. Main exeprince in The prostatitis chronic:
- The volume of the breast, one of the main 20 cm3 or more;
- Sclerotic fibrous transformation of the tissues;
- Auditori Winterthur;
- Swelling.
Urine flow and the presence of obstructive changes in the ureter allows us to monitor the un uroflowmetry. For a differentiation between prostatitis of the chronicle of cancer and hyperplasia, and if necessary, perform a biopsy of the prostate. PSA levels en prostatitis chronic in remission and normal or slightly elevated. In the background of the active inflammatory process may increase from 8 to 10 ng/ml. the Diagnosis of non-bacterial prostatitis chronic, a more complicated. Must carry out a series of tests to exclude bacterial forms of inflammation, the alterations of other organs pelvic. Urine Microscopy d and ejaculation shows the excess level of the blood, but ultrasound, cystoscopy, computed tomography comorbidities did not reveal.
General Methods of therapy of prostatitis chronic
In addition to the specific treatments for the different types of prostatitis chronic, there is Marta I have used in all kinds of inflammations. Effective way in the healing effect prostate is massaged. Is un direct effect en tissue prostate, circulation improving blood and lymph flow, removes the products of the reactions of inflammation. During the exacerbation of prostate massage is not carried out.