Prostatitis: Chronic and acute - causes, events, how to be treated, prevention

Prostatitis is the most common urological pathology in people of reproductive age. According to polls, each third of them at least once in his life experienced symptoms that can be interpreted as inflammation of the prostate gland. Despite such a high appearance of pathology, prostatitis remains a poorly studied disease.To date, there is no consensus that it becomes an initial inflammation factor, as it is possible to distinguish the pathogenic SPI from the patient's genitourinary tract in just 10% of cases.

The lack of clear diagnostic criteria and characteristic signs of the disease complicate the accounting of patients. The symptoms of prostatitis are so nespeaks that each doctor interprets them with a large proportion of subjectivity and can attribute it to a completely different pathology. Accordingly, access treatment also varies and often patients wander from one hospital cabinet to another without any positive dynamics for years. Prostatitis deprives a person's trust in his sexual force, he hung his thoughts on a problem and brought him so much physical as psycho -emotional suffering.

What is prostate and why is it necessary?

Prostate gland (prostate) is a small gland organ of a man who is around the urethra under the bladder. Firmly wrapped in the urethra, forming one of his sphincvers - a muscle socket designed to hold urine. In its shape and size prostat, it reminds of chestnut nut, which often compared to the anatomas. Part of the urethra, which passes into the gland is called prostatic. Its rear convex part of the prostate is in contact with the rectum, so it can be easily felt by a rectal finger exam. The front surface of the gland is located near the pubic joint and is associated with moving connective ligaments, and the venous plexus lies between them.

The prostative gland consists of lobules, each of which makes Alveoli - small bags lined with the secretary epithelle. Alveoli are interconnected by the output channels in the shape of the pipe, which connect each other, increase and ultimately fall into the simplet part of the urethra. Within the secretary bags, prostatic juice is synthesized and accumulated, which includes nutrients for spermatoso. It allows male sex cells to maintain their activity in the women's body for up to 5 days, which significantly increases the chances of fertilization.

The gland enlightenment occurs at the moment of ejaculation. Prostatic juice is mixed with secret testicles and accounts for 10 to 30% of the final sperm volume. So,The prostative gland performs 2 main functions in human body:

• He participates in the urination process - holding urine when muscular fibers are reduced and freely passed by when they are relaxed;
• Provides sperm sustainability, distinguishing nutrient prostatic juice into ejaculation.

What develops a disease?

Prostatitis are inflammatory changes in the spending gland and should be understood that they appear not only influenced by bacterial microflora.The causes of inflammation can be any factors that lead to the damage to the tissue of the gland and the destruction of its cells.

As in any other tissues, the inflammatory process in prostate revenues from certain phases:

1. Modification - Damage to the prostate cells.Squirrels of cytoplasm, fragments of cellular core and membrane remains are coming out of destroyed cells in intercellular space - all are distressed signal for the immune system. Immunity stations are starting to actively strive for a lesion, penetration from blood vessels and connective tissues. They throw biologically active substances in the place of damage, under the influence that comes and amplifies blood vessels wider and cell reinforcement.
2. Incumentation - the release of the liquid part of the blood from the vessel.Under the influence of immunological cells, walls of different vessels become permeable for plasma and rushes into lesions of harm. If it is located on the surface of a hollow organ or channel of the gland, then the liquid part of the blood is released into its lumens, if the tissue inflammation is, and then swelling is formed. Such a measure is needed to limit the focus of damage and prevent further expansion of pathogen.
3. Expand is to replace damaged cells with similar or connective tissue.The spread mechanism was launched a little later than the events described above and its course directly depends on the depth of damage. Small foci of the destruction of the prostate tissue is replaced by the same functional cells, and the body returns its work in full. Deep disorders are allowed through the scar - replacement of dead tissue with connective tissue elements. Chronic prostatitis can ultimately lead to a complete prostate atrophy and changes in its secretory tissue on Cicatričić.

For the proposed reason, prostatitis is divided into:

• Acute bacterial- The pathogenic microflora causes serious damage to the prostatic tissues with a pronounced inflammatory reaction. It is most often developed with infection with gonoscole and other pathogens.
• Chronic bacterial-Association of pathogenic or conditionally pathogenic bacteria causes contentious inflammation, of which the activity remains longer than 2 months. As a rule, they are pathogens streptococks, Stafilokoki, E. Coli, Klebsiella, Mycoplasma, ureplapma, chlamydia, herpesvirus and a mushroom in the form of yeast candidates.
• Chronic abection- In the presence of the inflammatory process in the prostate, it is not possible to detect the causal microflor. A similar form of the disease is developed when the urine is thrown in prostate channels, stagnation of venous blood in the pelvis, violating its discharge (rare or overchool ejaculation). In the latter case, the disease is called stagnite prostatitis.

How is the disease manifest?

The easiest diagnosis of acute prostatitis,which continues with the signs of intoxication and expressed inflammation. In man, the temperature is growing strongly at 38-39 degrees C, the pain in the Perine is pronounced, in the area of the rectum. They can give in the groin, in the testicle, on the penis and be so unbearable that the daily activity of man is sharply disturbed. In some cases, the body temperature measured in the axillary cavity does not exceed normal indicators, but the rectal in any case will be 1-2 degrees per normal. Signs of prostatitis are also becoming a violation of the urination: severe urination instincts, after which it is impossible to restrain or acute delay in urine due to strong edema glands. Sometimes defecation becomes painful, because prostates increases in the size of intrusions in Lumen Rectup.

Chronic prostatitisIn their manifestations it is so diverse that it can be easily confused with another pathology. In the efficient cases, prostatis symptoms were presented:

1. Pain in crotch, pelvis.The patient is difficult to determine a certain place where it is localized, often pain spreads in the groin, scrotum, head and stern penis, Sacrum. Its seriousness can be different: from barely distinction on an intense stupid or withdrawal. Often pain is associated with urination or ejaculation, it occurs at the end or at the beginning of the proceedings.
2. Breach of urination- The patient has frequent calls to empty the bladder, he must rise repeatedly at night for urination. However, the nozzle pressure is normal, the urine retention is being developed rarely.
3. Sexual disorders- Against the background of constant discomfort in the cropping man, the erection wors and the self-confidence disappears. Violations are exacerbated if pain is associated with the moment of ejaculation: the patient cannot be completely relaxed because he expects unpleasant sensations.

As a rule, with chronic prostatitis, the general welfare of man is not upset, the body temperature is preserved normal throughout the disease.

How is the disease diagnosed?

Diagnosis establishes a doctor urologist or AndrologistAfter testing the patient, collecting anamnesis and study of symptoms. The doctor must find out the patient contraception method, the presence of SPI in a sexual partner, the possibility of anal contact without condom. These data facilitate the diagnosis and direct the doctor's thoughts in the right direction. The regulations on the symptoms of the disease or discomfort in the perineum allows us to judge the prostatitis exchange rate and its weight. Urologist necessarily examines the patient's genital organs and conducts a rective prostate overview. To do this, he inserts one finger in the patient's back passage and threats a protruding prostate on the front wall of the rectum. Bollyness and its size indicate the intensity of the inflammatory process.

Furthermore, the doctor provides a number of instrumental, microscopic, bacteriological and immune studies in order to clarify the cause of the disease. The most common diagnostic method is 4 or 3-glass pattern urine. The first method is more time -konsuming and it is difficult to exercise in practice, because it needs a patient several times to consciously interrupt urination. The second amendment is simpler: the patient is continuously urinated in three different containers in equal portions. The first part talks about the state of the urethra, the second on the pathology of bladder and the kidneys, from the third, the prostate status information was obtained. All collected material is studied under a microscope. With prostatitis in the third part of urine, leukocytes and sometimes there are bacteria.

Access to study prostate and massages when collecting secrets

The secret prostate gland is also taken for a microscopy.To do this, the doctor states the massage of prostate through the rectal wall for a while so that it is emptied in the urethra. Samops are made from the collected material in the laboratory, colored and studying under a high increase. The sign of inflammation is leukocytes, bacterial etiology of disease - bacteria in the smear. In order to determine the type of pathogen, the prostatic secret is sown on nutrients. If there are pathogenic microorganisms in it, then they form microbial colonies, which can then be studied by the bacteriological method allows you to receive microflore sensitivity data in antibiotics.

Instrumental diagnostic methods : :

• Kidney ultrasound;
• Trusting prostate with diplenography - The ultrasonic sensor is inserted in the rectum for the best visualization of the prostate, blood flow is additionally estimated;
• The growth of ugly, it is necessary with a stubborn recurrent prostatitis exchange rate. The X -Ray contract was introduced in the urethra, after which a certain number of consecutive images are performed.

Starting chronic prostatitis treatment, you should adjust to long fight, as it is not always possible to cure it in a few weeks or even a month. It is recommended to combine different methods and tools for therapy, it is useful to improve the therapy of medicinal households. With stall prostatitis, regular sex is required, interrupt sexual acts are unacceptable. Psycho-immemorial patient's background is important: depression, depression, personal life problems and sexual sphere can deny all the efforts of the doctor.

How to prevent?

Prostatitis prevention includes:

• Use of contraception barrier (condom) methods, especially when it comes to anal sex;
• Timely treatment of STRI;
• Regular sex life, bringing the relationship to full ejaculation;
• Preventing injuries by interrogated transmission, when classes, traumatic sports should be used by all possible protection methods;
• Compliance with personal hygiene;
• Ensuring sufficient physical activity.

Despite the fact that today prostatitis is not associated with the risk of developing adenoma or prostate cancer, the disease brings a lot of suffering to their owner. The man is exhausted with chronic pain, feeling his sexual weakness, tired of extended treatment, are noticeably changing from the outside and experienced doctors at first glance define such patients. To avoid such fate, you should be careful on your health, carefully protected with all the new partner and treat sexually transmitted diseases in time. Prostatitis is not fully treated in all cases, but an experienced urologist can significantly improve the patient's condition and the quality of his life.