Chronic prostatitis

Chronic prostatitis is an inflammation that occurs due to infection or accompanied pathologies in the prostate gland.

Chronic prostatitis is diagnosed in men of all ages.According to statistics, this disease is the most common reason for a urologist in patients under the age of 50.In a chronic form, a bacteriological examination reveals the pathogen in 5-10% of patients.In most cases, other factors are considered the cause of the disease.It is known that the presence of an infection is not a condition for the occurrence of the disease.The chronic inflammation of the prostate is a polyethiological pathology, which is the result of the actions of many causes and provocate factors.90-95% of patients are limited effectiveness of antibacterial therapy or usually not required.

Classification of chronic prostatitis

The classification of ethically chronic prostatitis distinguishes two main forms of the disease: chronic bacterial (infectious) non-chronic prostatitis / chronic pelvic pain (KTS).

The etiological classification of chronic prostatitis includes:

1. Chronic bacterial prostatitis.
2. Chronic non-exacterial (aseptic) prostatitis / CTB ("Prostate" or "Painful Prostate Diaper" is an obsolete term used to determine the pathology).
3. Chronic (Aseptic) prostatitis / CTB, a inflamed component, increased significantly in the secret of the prostate, sperm, the first part of the urine).
4. Without a non-chronic component of (aseptic) an inflammatory component (aseptic) Prostatitis / CTB (the secrecy of the secrecy of the prostate is not sufficient for the concentration of white blood cells in the first part of the urine).
5. Ashmptomic chronic prostatitis (has been found in laboratory research, not clinically indicates itself).

Chronic bacterial prostatitis is a rare pathology as seen from the above statistics.In one of the ten patients, the infection is the cause of chronic repetitive inflammation of the prostate.The pathology is often associated with other infectious diseases of genidourinary bodies.The most reasons, its reason is an uneven infection, however, the stSpp, the glory of the gland can lead to chronic inflammation, or other special microorganisms.

Chronic non-excacterial (aseptic) prostatitis or chronic pain syndrome is a long-term repetitive disease that occurs as a result of an artistic inflammation of the prostate.This is a little pathological.Tests in the presence of symptoms of the disease, in the initial part of the urinine, in the seed fluid, the white blood cells in the diaper's secret, but the results of the bacteriological examination are negative.In other cases, there are no signs of infection, nor the bright symptoms pronounce leukocytosis.

There is also a chronic prostatitis in a sharp phase and chronic prostatitis in a separate stage.A cyclical course is characteristic of both the prostate gland and inadequate inflammation of both bacterial.The exacerbation of chronic prostatitis is increased in both cases.

Patanatomic (pathomorphological) chronic prostatitis is limited to patients and clinic doctors.

Causes of chronic prostatitis

Causes of chronic bacterial inflammation of the prostate gland

Chronic infectious prostatitis occurs due to the infection of the prostate gland tissue.The reason for the most inflammation E. coli or e.Coli.Enterococci's less carving germs, klebsell, proteus, pseudomonas.

Like some other germs, Biofilms, E. Coli, bacterial fees, are tightly adjacent to thin, fine and mucous membranes of channels.This explains why this is not possible to treat a chronic prostatio.Believes that the infection is spreading as a way through the urethra.However, it is also possible to spread the infection lymphogen and hematogenic.

The factors inclined to the formation of chronic infectious prostatitis are as follows:

• sexually active age;
• prostate adenoma or bad prostate hyperplasia;
• the narrowing of the urethra;
• Open the extreme flesh of the penis;
• Hypertrophy of the bladder;
• Medical procedures (pouch Catheterization, Cystoscopy);
• Genetic and anatomical features of the disease.

Causes of inflammation of the prostate gland without chronic non-extract

The causes of chronic non-toastatitis are not clear.Perhaps the disease stems from the virus or bacteria that are not identified in the bacterial secretion of the prostate gland.However, the majority of scientists and doctors, chronic non-tbracterial (aseptic) prostatitis / CTB is a polyethiological disease that occurs as a result of a combination of several negative factors, ie:

• cycling;
• When urine enters its channels, irritation of the prostate gland tissues;
• Irritation of the prostate gland as a result of any products or drinks (especially food allergies or celiacia);
• Functional disorders of the nervous innervation of pelvic bodies;
• Atrophy of the muscles of the pelvic floor;
• Stress, psychoemiconal loads;
• Pathology in the prostate gland after long-term prostatitis for a long time;
• Hormonal disorders;
• bladder diseases;
• Cold climate.

Because the exact causes of the disease are known, the treatment of chronic prostatitis can be difficult.

Symptoms of chronic prostatitis

Chronic bacterial (infectious) prostatitis is characterized by a cyclic course.The screenBation phase is replaced by the remission phase.There are no practical symptoms between farancations.Among other diseases of geniterrosal bodies - Urethritis, epididimmets, have an open connection between other diseases of the cystitis.The reason for these pathologies is a rule, the same pathogenous pathogenous causing chronic prostate.Symptoms during the screen are represented by dysuric events (often urine, rubber and burning pains) and perineum, scrotum, sacrum, with pains with various intensity with the irradiation of the penis.

The general situation is generally satisfactory.There are no signs of the organization, there is no increase in body temperature.During the research of the rectum (per rated), the prostate gland may be normal or slightly swollen without a sharp pain of a sharp prostatitis.

It is characterized by the pain of various degree violence, which is not a chronic (aseptic) prostatitis / KTB, pelvis, perineum, sacrum and disease "Visit Card".The signs of the prostate gland are expressly expressed poorly and are observed in 50% of the cases.In other patients, they may disappear.

Blood existence in sperm, painful discharge, defecting, disouric events is possible.The severity of symptoms may change.Pain, rectum, rectum, are given to a person, it complicates to find a person in a sit.It is also possible to fatigue, unfounded fatigue, articular and muscle pain.Some patients complained of sexual driving, erectile dysfunction (impossibility).

Asymptomatic chronic prostatitis do not have symptoms of this disease, so its name.Leukocytosis is determined during the laboratory of the prostate's secret, a certain prostatic antigen level is possible.There are no other signs of the disease.

Diagnosis of chronic prostatitis

The main methods for the diagnosis of chronic infectious prostatitis are topical tests that allow laboratory tests and the source of leukocytes within urine and sperm.

The triangular urine test helps to determine inflammation.To do this, the patient is three cases for analysis.The prostate massage between the second and third containers causes the stimulation of gland secretion.As a result, in the third container, urine will be discharged during the prostate gland (leukocytes, red blood cells, bacteria).No need to massage the prostate and examine the pure secret of the cloth.

From the third container, urine can be sent from bacteriological examination by planting in a nutrient.With the participation of bacterial growth, a test is carried out to the sensitivity of pathogenic antibiotics.The method helps to behave more accurately and more effective.The prostatic secret is a significant part of sperm, microscopy and unloading bacteria, allows you to properly diagnose.

Chronic bacterial (infectious) prostatitis is accompanied by a slight increase in the PSA.After a successful treatment, its level decreases.Ultrasound and other instrumental research have no significant diagnostic value.

Chronic non-effective (aseptic) prostatitis / CTB diagnosis can be difficult.Often the diagnosis is made, except for other pathologies of geninky roads and bacterial prostatitis.To do this, instrumental and laboratory methods are used: urine microscopy (three-meter puncto tests are also used after prostate massage), planting and prostate secrets, sperm or prostate secrets are used.The list of research includes analyzes for PSA (Cancer and the differential diagnosis of inflammatory diseases of the prostate).

The microscopy shows the existence of seed fluid in the urine, which is negative consequences of leukocytes in the urine, prostate, prostate treatments.Instrumental research methods (ultrasound, cystoscopy, MHI, CT), do not reveal the signs of the church pathology.

Treatment of chronic prostatitis

Chronic infectious prostatitis needs a rational and targeted antibacterial therapy for the successful treatment.Preparations for selection are fluororoquinolones that create large concentrations of medicine in the company's tissues.Treatment takes the course between six and 12 weeks.Such a term of antibacterial therapy is needed to completely eliminate the infection and relapse.Second - Drugs.

Bacterial chronic prostatitis can be treated with consistent and adequate therapy.Sometimes patients with relapse need to check the status of the immune system.HIV infection, which is often due to the less effectiveness of antibacterial therapy, can be excluded to exclude HIV infection.In such patients, it is possible to set an antibiotics in a dose to suppress bacterial growth.

The treatment of chronic non-trostatitis / KTS is difficult because the infection is not a cause of chronic pain in the pelvis or abacterial chronic prostatitis.The problem is to be seriously approaching and how to treat a disease, the reason is not exactly known.

The absence of a certain etiology explains that the therapy of pathology often fails.

The treatment of chronic aseptic prostatitis contains the methods:

1. Antibacterial therapy with fluoroquinolones (carried out by all patients).It is possible to have an uncovered infection during bacteriological examination.
2. Alpha-blockers.They contribute to the improvement of the blood circulation in the tissues of the prostate.Efficiency is less.
3. NSAIDs and other anti-inflammatory drugs have severe effectiveness, relieve pain and develop symptoms.However, the treatment is pathogenetic, it is possible to renew the disease after the abolition.
4. Physiotherapy and physiotherapy exercises (yoga, sports, active lifestyle) help to improve blood circulation and strengthen venous stagnation, hypoxia, pelvis muscles and eliminate venous stagnation.The method helps patients with relevant disorders.
5. Antidepressants and anticonvulsants (effectiveness is not proven).
6. Surgical treatment: Prostate gland a laser or thin resort (not effective).

Predict

In most patients, the forecast of chronic infectious prostatitis is affordable.Consistent and adequate antibacterial therapy allows you to succeed in more than 80% of situations.

Chronic non-efferial (aseptic) prostatitis / KTB has the worst forecast.Treatment only helps some patients.Others continue to suffer from chronic pain syndrome, although using all existing treatment methods.The disease has a pronunciation of the psycho -emootal area and sex.