Chronic prostatitis

Chronic prostatitis is a prolonged inflammation that occurs due to infection or pathology simultaneously in the prostate gland.

Chronic prostatitis is diagnosed with men of any age.According to statistics, this disease is the most common reason for visiting the urinary doctor in patients under the age of 50.In chronic form, bacterial examination shows that pathogens are only 5-10% of patients.In most cases, other factors are considered the cause of the disease.It is known that the presence of infection is not a prerequisite for the occurrence of the disease.The chronic inflammation of the prostate is a general disease, which is the result of the actions of some causes and stimulus factors.In 90-95% of patients, antibacterial therapy is effective or unnecessary.

Chronic prostatitis classification

The classification of chronic prostatitis according to the characteristics of the distinction between the two main forms of the disease: chronic prostatitis (infectious) and non -biological prostatitis (sterile) chronic pelvic pain (KTS).

Classification of the cause of chronic prostatitis includes:

1. Chronic bacterial prostatitis.
2. Prostatitis is not a chronic prostatitis/CTB (aseptic) (prostate, or the painful prostate gland is an outdated term used to identify pathology).
3. Prostatitis/chronic chronic CTB (sterile) with inflammatory ingredients (leukemia increases significantly in the secret of prostate, sperm, the first part of urine).
4. Chronic prostatitis/CTB has no inflammation (concentration of white blood cells in the secret of prostate, sperm, the first part of the urine is not enough for inflammation).
5. Ashmptomic chronic prostatitis (discovered in laboratory studies, not clinically shown).

Chronic bacterial prostatitis is a rare pathology, as it can be seen from the above statistics.Infections are the cause of chronic recurrent inflammation of prostate in one of the ten patients.The pathology is often associated with other infectious diseases of the genital organs.Typically, its cause is infection, however, with the presence of STSPP, the chronic inflammation of the gland can be caused by Chlamydia, Ureplasmosis, Mycoplasmosis or other specific microorganisms.

Chronic (sterile) prostatitis (sterile), or chronic pain syndrome, is a long -lasting recurrence of aseptic prostatitis.This is a small disease.With the presence of symptoms of the disease, tests identify white blood cells in the secret of the gland, in granular fluid, in the original part of the urine, but the results of bacterial testing are negative.In other cases, there are no signs of infection, as well as leukemia pronounced with light symptoms.

There is also chronic prostatitis in severe phase and chronic prostatitis during the remission stage.A cycle course is characteristic of both bacterial inflammation and no prostate infection.To worsen chronic prostatitis leading to an increase in symptoms in both cases.

Classification of pathanatomical (pathology) of chronic prostatitis is concerned about limited patients and clinicians.

Causes of chronic prostatitis

Causes of chronic bacterial inflammation of prostate

Chronic infectious prostatitis occurs due to infections of prostate tissues.Usually, the cause of inflammation is E. coli, or e.Coli.The less carved bacteria of genus Enterococci, Klebsell, Proteus, Pseudomonas.

Like some other bacteria, E. Coli has the ability to form a biological, thin, including bacteria and adjacent to the mucous membranes of the pipes.This explains why it is not always possible to cure chronic prostatitis.It is believed that the infection spreads as an increasing way through the urethra.However, the spread of infection and hematology can also occur.

Factors affecting the appearance of chronic infectious prostatitis as follows:

• Sexual activity;
• Adenoma prostate, or hygienic prostate hyperplasia;
• narrowing the urethra;
• Remove the extreme meat of the penis;
• Hypertrophy of the neck of the bladder;
• Medical procedures (placing bladder catheter, bladder endoscopy);
• Genetic and surgical characteristics tend to get sick.

Causes of non -chronic surgical inflammation of the prostate gland

The causes of prostatitis are not chronic are unknown.Perhaps the disease is caused by viruses or bacteria, not determined during the excretion of the prostate bacteria.However, most scientists and doctors believe that prostatitis is not non -air conditioning (sterile)/CTB is a general disease that occurs due to a combination of a number of adverse factors, namely:

• cycling;
• Stimulate the tissue of the prostate when the urine enters its pipe;
• Stimulating the prostate gland due to the use of any product or drink (especially with food allergies or Celiacia);
• dysfunction of nerve conservation of pelvic organs;
• Muscle atrophy of pelvic floor;
• stress, psychological load;
• The disease in the prostate gland, the rest after the long -term prostatitis;
• hormonal disorders;
• bladder disease;
• Cold climate.

Because of the exact causes of the disease, the treatment of chronic prostatitis may be difficult.

Symptoms of chronic prostatitis

Chronic prostatitis (infectious) is characterized by a circulatory process.The serious phase is replaced by a relieved phase.In fact, there are no symptoms between serious.There is a clear relationship between other diseases of genital organs - urethritis, epididymis, cystitis.The cause of these pathologies, as a rule, is the same pathogen that causes chronic prostatitis.Symptoms in severe process are manifested by difficult -to -treat phenomena (frequent urination, rubber and pain during urination) and pain with different intensity in the perineum, scrotum, sacrum, with irradiation in the penis.

The general condition is usually satisfactory.There is no sign of poisoning, no increase in body temperature.Prostate when checking through the rectum (per rectum) may be normal or slightly swollen, without the painful characteristics of acute prostatitis.

Prostatitis is not bacteria (sterile)/KTB is characterized by different severity pain (from stupid to foolish lungs) in the pelvis, Perineum, sacrum and a visiting card of the disease (sterile prostatitis).Signs of prostatitis are manifested poorly and observed in 50% of cases.In other patients, they may be absent.

The presence of blood in sperm, painful ejaculation, defecation, indigestion is possible.The severity of symptoms may change.Pain is given to groin, rectum, making it difficult to find a person in a sitting position.Fatigue, unreasonable fatigue, joint pain and muscles are also possible.Some patients complain about reducing libido, erectile dysfunction (helpless).

Chronic prostatitis has no symptoms of asymptomatic symptoms of this disease, so its name.In research in the laboratory of the prostate, leukemia is determined, the increase in the level of a specific prostate antigen is possible.There are no other signs of the disease.

Diagnosis of chronic prostatitis

The main methods for diagnosing chronic infectious prostatitis are laboratory and local testing tests that allow you to find white blood cells in urine and sperm.

A Ba Urine test is placed to determine inflammation.To do this, the patient urinates three containers to analyze.The prostate massage between the second and third containers leads to the excretion stimulation of the route.Therefore, the urine in the third container will contain the discharge of the prostate (leukocyte, red blood cells, bacteria), which are determined during the analysis process.There is no need to massage the prostate and discover the pure secrets of the route.

Urine from the third container can be sent to bacterial inspection with sowing in the nutritional environment.With the presence of bacterial growth, a test is performed on the sensitivity of pathogens for antibiotics.This method helps to conduct more accurate and effective treatment.Because prostate secret is an important part of sperm, microscopes and ejaculation bacteria can also make an accurate diagnosis.

Chronic prostatitis (infectious) comes with a slight increase in PSA.Its level decreases after successful treatment.Ultrasound and other tool studies have no significant diagnostic value.

Diagnosis of prostatitis/chronic CTB (sterile)/CTB may be difficult.Usually diagnosis is performed by eliminating other diseases of genital tract and prostatitis.For this, the tools and laboratory methods are used: Urine microscopes (a three -tested test is also used after prostate massage), sperm or secret of the prostate, then sown in the nutritional environment.The list of studies includes analysis for PSA (diagnosis of cancer distinguishing and prostatitis).

The microscope shows the presence of leukemia in the urine, in the secret of prostate, granular liquid with negative results of bacterial treatment.Methods of tool research (ultrasound, bladder endoscopy, MRI, CT) do not disclose the signs of the pathology simultaneously.

Treatment of chronic prostatitis

For successful treatment of chronic infections, reasonable antibacterial therapy and targeted is necessary.The selected preparations are fluoroquinolones that produce large concentrations of the drug in the tissues of the gland.The treatment process takes from six to 12 weeks.A time of such antibacterial therapy is necessary to completely eliminate infections and prevent recurrence.The second drug.

Chronic prostatitis can be cured by appropriate and complete therapy.Patients often relapse should check the immune status.It may also be necessary to eliminate HIV infection, often the cause of the low efficiency of antibacterial therapy.In such patients, antibiotic prescriptions may be prescribed in adequate doses to inhibit bacterial growth.

Treatment of non -chronic prostatitis/KTS is difficult, because infection is not the cause of chronic pain in the pelvis or chronic prostatitis.It is necessary to seriously approach the problem and answer the question of how to treat the disease, the cause that is not known exactly.

The absence of a certain reason explains why these pathological therapeutic efforts are often unsuccessful.

Treatment of chronic aseptic prostatitis contains:

1. Antibacterial treatment with fluoroquinolones (performed by all patients).The infection may not be detected during bacterial testing.
2. Alpha blockers.They contribute to improving blood circulation in the tissues of the prostate.The effect is low.
3. NSAID and other anti -inflammatory drugs are seriously effective, analgesic and improve symptoms.However, treatment is biological, after canceling, the extension of the disease is possible.
4. Physiotherapy and physical therapy exercises (yoga, sports, dynamic lifestyle), help improve blood circulation and eliminate veins, lack of oxygen, enhance the muscles of the pelvis.The method helps patients with appropriate disorders.
5. Antidepressants and anti -convulsions (not proven effective).
6. Surgical treatment: Ablation laser or thin -diginal of the prostate gland (inefficient).

Forecast

In chronic infectious prostatitis in most patients, prognosis is favorable.Consistent and adequate antibacterial therapy allows you to achieve success in more than 80% of cases.

Prostatitis is not bacteria (sterile)/KTB has the worst forecast.Treatment only helps some patients.Others continue to suffer from chronic pain syndrome, although the use of all available treatments.The disease has a significant impact on psychological scope and sex.