The pathology of the prostate gland, which develops due to inflammatory processes in it, is called prostatitis of the disease.
The development of pathology
More often than others, an infectious form of prostatitis occurs. The infection capable of impressing the prostate by penetrating the urethral hole or other organs and glands of the parental parent system.
The high probability of organ infection is due to the adjacent location of the anus and the urethral channel.
With this probability, the statistics detect an inflammatory inflammation of the prostate in men, which is associated with the eighteenth of the organ with infected neighbors.
Even the presence of infection in the prostate does not guarantee the development of inflammation.
The inflammation of the prostate occurs with the joint action of pathogenic microorganisms and provocative factors.
The causes of prostatitis
Every man, caught by surprise or understanding the inevitability of the disease due to the 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 sick organ, leading to an increase in its structures, leads to a violation of the emptying of the bladder.
When establishing a diagnosis for different forms of inflammation of the prostate gland, binary nomenclature is used:
- Chronic non -infectious
- Chronic infectious
- Acute infectious
- Acute non -infectious
The varieties of prostatitis are due to a complex of provocative factors in certain circumstances.
The first statistically prevalent factor in men of young and pre -cura - infections transmitted by the sexual partner.
The diseases of Venus, especially in the symptomatic remission phase, are able to leave an infection in a hidden state or prostate injuries, which progressive even after the elimination of an infectious agent.
The infection can integrate the infection, the excess of systematic excess, the nutrition of acute, excessively fat and caloric foods.
This is how non -infectious prostatitis occurs and the course of a non -infectious variety has improved.
The provocation factors are the changes related to hypothermia and age in the prostate.
Signs of prostatitis in men
It is difficult to diagnose an infectious or non -infectious form of prostate inflammation, based only on the similarity of symptoms.
If the following signs of prostatitis are detected, it is necessary to conduct a complete diagnosis of methods to detect the disease:
- During the emptying of the bladder, pain and intensity occur, after the end of urination, the patient feels a burning feeling in the urethra;
- body temperature that exceeds normal;
- The feeling of incomplete emptying of the bladder after the end of urination does not leave the patient for some time;
- The pain in the period between urination is felt in the areas of Perineum, inguinal and abdominal, reflected in the legs, in the buttocks, in the pelvis and in the sacred;
- Letargia and malaise.
A man can form suspicion of prostatitis if at least two of them become evident from the entire list and symptoms.
A specific sign of the inflammatory process in the prostate is the difference in temperature measured in different parts of the body.
The model of temperature variations is associated with the location of the inflammation focus: the closer to it, the greater the temperature.
When they measure the temperature in the oral cavity, deviations are not observed from the norm, in the armpits: a subfebral temperature, in the rectum the value of the parameter exceeds the greater rule than a degree.
The symptom of pain develops with an increase in intensity as the inflammation of the prostate increases.
The typical occurrence 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 with a small to unbearable.
More and malaise can be accompanied by dizziness and headache, small attacks of nausea, sleepiness.
If these symptoms are detected, a delay in the urine is suspected, due to which the general intoxication of the body develops protein decay products.
The deviations in urination are associated with the slowness of the jet, a long release of urine, not imminent of a jet and calls to empty the bladder in the absence of release of urine.
Possible complications
The complications after prostatitis occur in the absence of medical intervention during the disease or improper compilation of a treatment regime.
Medical practice shows the most frequent distribution after prostatitis:
- lack of erection and ejaculation;
- the spread of the inflammatory process to the neighboring organs of the parental parent system;
- cytological disorders that lead to the inability of the sperm to fertilize eggs;
- decrease in libido;
- Psychoneurotic states that reduce the quality of life and health of a man as a whole.
After prostatitis, the penis abruptly reduces the ability to harden and be filled with blood. Possible sexual contacts end quickly compared to recent full sex life. Not all sexual contact ends with ejaculation.
If these deviations are detected, a complete diagnostic test is required.
With the spread of the inflammatory process to the urethra and bladder, cystitis and ureritis develop.
With the development of the latter, acute pain appears, the process of outflowing altered urine (its delay or incontinence) threatens to switch to a chronic level. A man's performance in this state is doubtful.
Erectile dysfunction leaves a series of psychological and therapeutic problems that require competent medical correction.
The impossibility of the cavernous bodies of being filled with blood is explained by the edematous state of the prostate and the associated parental organs.
The flow of blood to the penis, necessary for an erect state, becomes problematic.
Psychologically, the third part of the men who was developed for consequences after prostatitis suffers in serious form.
The state of a man can only normalize during long -term psychological work with the patient against the background of drug therapy. Bankruptcy in sexual life prevent further desire from continuing sex life.
Prostatitis can cause a violation of the acid-sperm composition, reflected on the ability to fertilize the sperm.
The result of the pathology is infertility in a first degree man. It is important in this state to promptly eliminate the cause of infertility due to the lack of the opportunity to treat the infertility of the second degree with a drug method. The appropriate treatment can be prescribed by the andrologist or urologist. That's why men should not ignore the signs of prostatitis.
Diagnostics
The diagnostic examination scheme depends directly on these complaints and signs with which the patient turns to the urologist or andrologists.
The diagnosis of prostatitis in men can be performed both at home and in a medical institution.
The initial diagnostic phase is the collection of data for an anamnesis. The doctor performs an external inspection of the genitals and listens to the patient complaints.
On the basis of the initial data, a scheme of further diagnostic study of a sick man is set.
During the collection of an anamnesis, the doctor discovers the duration of the symptoms that have appeared, the presence of prostatitis previously shown, a list of diseases by the patient, risk factors for the development of the disease, a possible list of diseases transmitted to sexual transmission, the development of the signs of the disease, the presence of sexual partners and sexual relationships.
In the current phase of the development of medicine, the list of applications is published in the questionnaire, that the patient fills out before the visit to the doctor's office. Therefore, the time of the patient and doctor is saved.
The first mandatory stage of examination of the patient with signs on prostatitis is the study of the prostate gland from the rectum.
The doctor determines the degree of increase in the inflamed organ, his density, the uniformity of the consistency or the presence of nodes or seals, the degree of pain during palpation.
Before palpation, the intestinal cavity is performed.
In the absence of an inflammatory process in the prostate, there is no pain, with prostatitis, the intensity of pain can be different and their location is felt in groin, rectum, perineum and sacrum. In this case, it is contraindicated in a series of procedures, for example cystography.
For a microscopic examination of the secretion of the prostate gland, the patient is performed by means of prostate massage through the rectum.
With the desire to urinate until the end of the prostate massage, this cannot be done until a drop of the secretion of the prostate from the urethral opening is taken.
The procedure ends to conduct the glass of the subject of the microscope along the hole of the urethra, after which the strip is painted and microscopic analysis according to the following parameters:
- the presence of leukocytes and the calculation of their quantity;
- quantity of lecithin;
- The activity of pathogenic microorganisms and their presence.
The detection of bacteria in the visual field of the strip indicates 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 correctly take a fence for analysis and compete with the drug.
The above tests are mandatory, further exams are prescribed by the doctor selectively, depending on the suspicions of the doctor on the nature of the inflammation.
The analysis of the secret of the urethra is carried out by an instrument similar to a catheter. At the top of the metal coating, cotton wool is wounded.
Before passing the analysis, urination is excluded for 2-3 hours. Otherwise, the microflora is washed in the external environment.
The doctor introduces a cotton swab about 4 cm inside the penis hole and makes rotational movements. A strip of the urethra is studied due to the presence of DNA residues and bacteria.
Urine analysis is a means of detecting blood cells: red blood cells and leukocytes, protein (normally absent or present in traces).
When making errors in the analysis of the symptoms of grappling urethra and prostatitis, the sowing of the urine for bacteriological analysis is prescribed.
The disadvantage of the method is the long -term expectation of a colony of pathogenic microorganisms (up to 1 week).
Sowing is performed with a comparative method after the fence of three portions of urine (beginning, media and end of the emptying of the bladder).
A greater number of pathogenic microorganisms in one of the samples provides the base for taking the localizing focus of the infection.
The detection in the first part of the urine of bacteria gives no reason to confirm inflammation.
The second and third part of the urine, beyond the number of microorganisms detected, give the basis to clarify the location of the inflammation (respectively in the urethra and bladder).
The degree of deviation of the sexual function from the standard is verified by the analysis of sperm for the viscosity and other physical-chemical indicators of the environment, the activity and vitality of male gametes and a spermogram is rarely prescribed.
The urofloometric method is not often arranged. If the possibility and the addition of the framework of the changes is carried out, a urodynamic examination of the urinary tract is carried out.
A ultrasound examination specifies the density of the sick body and other parameters obtained after an examination of the fingers of the prostate through the rectum.
The prostate gland is visible in two ways: transrettal and ultrasound ultrasound through the abdominal cavity.
In case of suspicion of adenoma and prostate cancer, the doctor may prescribe a further cytoscopic examination of the blood, the dog's test so called.
The fence is made by a vein, a blood test establishes (excludes) the presence of RSA protein, which appears with malignant tumors.
At home, the patient can suspect prostatitis, focusing on the color and turbidity of the urine, on the symptoms of the disease.
How to treat at home
Supply of pharmaceutical products
If signs of prostatitis appear, men should not cars -medici, drugs should be prescribed only by a doctor.
The preparations proposed for healing prostatitis are distinguished by a variety of pharmaceutical forms and properties. More often than others are candles prescribed for rectal use.
The logic for the choice of doctors is associated with the proximity of the effects of the components of the rectal suppositories and the prostate gland.
The condition for the effect of the effect of the active substance of candles on the tissue of the organs is the patient's peace in a liar position for 30 minutes after the administration of the rectal drug. The candles inactivate the pathogenic microflora and have an analgesic effect.
Intamuscular and intravenous injections contribute to the fastest effect on the sick body through spread through blood flow.
Immediately after urination, instillations aimed at penetrating medicinal substances in the prostate through the urethral hole are prescribed. The maximum amount of administration is 5 ml.
The shapes of the prostatitis table are better known as antibiotics divided into 3 groups and successfully deal with the possible variety of spectrum of types of pathogenic microflora:
- Tetracycline
- Fluorochinoloni
- Penicillins
The hot microclisms with substances introduced are performed in the evening.
The main condition for the use of enema is the inadmissibility of the voltage of the glands and compliance with the temperature regime. It refers to folk methods for the treatment of prostatitis.