The prostate gland pathology, which develops due to inflammatory processes in it, is called the disease - prostatitis.
The development of pathology
More often than others, there is an infectious form of prostatitis. The infection capable of impressing the prostate penetrating the urethral hole or other organs and glands of the genitourinary system.
The high probability of organ infection is due to the adjacent location of the anus and the urethral canal.
With this probability, statistics detect inflammatory inflammation of the prostate in men, which is associated with the organ's aptitude to infected neighbors.
Even the presence of prostate infection does not guarantee the development of inflammation.
Prostate inflammation occurs with the joint action of pathogenic microorganisms and provocative factors.
The causes of prostatitis
Every man, I get surprised 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 traffic of the urethral channel; Therefore, the inflammatory process in a sick organ, leading to an increase in its structures, leads to a violation of bladder emptying.
By establishing a diagnosis for different forms of inflammation of the prostate gland, binary nomenclature is used:
- No -chronic infectious
- Chronic infectious
- Acute infectious
- No -acute infected
Prostatitis varieties are due to a complex of provocative factors under certain circumstances.
The first factor that prevails statistically in young and pre -reactive men - infections transmitted by the sexual partner.
Venus diseases, especially at the stage of symptomatic remission, are able to leave behind an infection in a hidden state or prostate injuries, which progressive even after the elimination of an infectious agent.
Infection can supplement infection, super eating systematic, nutrition of acute, excessively oily and calorie carbohydrates.
This is how non -infectious prostatitis occurs and the course of a non -infectious variety is improved.
Provocative factors are hypothermia and age -related changes 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, a comprehensive diagnosis of methods to detect the disease is required:
- During bladder emptying, pain and intensity are experienced after the end of urination, the patient feels a burning sensation in the urethra;
- Body temperature exceeding normal;
- The feeling of incomplete emptying of the bladder after the end of urination does not leave the sick man for a while;
- The pain in the period between urination is felt in the peineum, inguinal and abdominal areas, reflected in the legs, buttocks, pelvis and sacred;
- Lethargy and evil -esty.
A man may form suspicion of prostatitis if at least two of them become visible from the entire list and symptoms.
A specific sign of the inflammatory process in the prostate is the temperature difference measured in different parts of the body.
The temperature change pattern is associated with the location of the inflammation focus: the closer, the higher the temperature.
When measuring the temperature in the oral cavity, there are no deviations from the standard, in the armpits - a subphebbil temperature, in the rectum, the value of the parameter exceeds the norm greater than by a degree.
The symptom of pain develops with an increase in intensity as inflammation increases in the prostate.
The typical occurrence of pain is characteristic of the process of emptying the bladder, during the day the pain extends to the rectum and throughout the perineum area.
The intensity of pain increases with a small to unbearable.
SURE AND MAL -Estar can be accompanied by dizziness and headaches, minor nausea attacks, drowsiness.
If such symptoms are detected, it is suspected of a delay in the urine, as a result of which the general body poisoning develops protein decay products.
The deviations in urination are associated with the slow jet, a long release of urine, not the imminent formation of a jet and flame to empty the bladder in the absence of urine release.
Possible complications
Complications after prostatitis occur in the absence of medical intervention in the course of the disease or inadequate compiling a treatment regime.
Medical practice shows the most frequent distribution after prostatitis:
- Lack of erection and ejaculation;
- the propagation of the inflammatory process for the organs close to the genitourinary system;
- cytological disorders that lead to the inability of the sperm of fertilizing eggs;
- decreased libido;
- Psychoneurotic states that reduce the quality of life and health of a man as a whole.
After prostatitis, the penis sharply reduces the ability to harden and be filled with blood. Possible sexual contacts end rapidly compared to the recent complete sex life. Not every sexual contact ends with ejaculation.
If these deviations are detected, a comprehensive diagnostic test is required.
With the propagation of the inflammatory process for the urethra and the bladder, cystitis and urethritis develop.
With the development of the latter, the pain of a clear nature appears, the process of leaving urine (its delay or incontinence) threatens to change to a chronic level. The performance of a man in this state is doubtful.
Erectile dysfunction leaves several psychological and therapeutic problems that need competent medical correction.
The impossibility of the cavernous bodies being filled with blood is explained by the prostate edematious state and the associated genitourinary organs.
The blood supply for the penis, necessary for an erect state, becomes problematic.
Psychologically, the third part of men who were developed for consequences after prostatitis suffers severely.
The state of a man can normalize only during the long psychological work with the patient against the background of drug therapy. Failures in sex life prevent the desire to continue sex life more.
Prostatitis may cause a violation of sperm acid-base composition, reflected in the fertilization capacity of sperm.
The result of pathology is infertility in a man of the first degree. It is important in this state to be in due course the cause of infertility due to the lack of the opportunity to cure second degree infertility with a medicine method. Proper treatment may be prescribed by andrologist or urologist. This is why men should not ignore the signs of prostatitis.
Diagnosis
The diagnostic examination scheme depends directly on the complaints and signs with which the patient addresses the urologist or andrologist.
The diagnosis of prostatitis in men can be held at home and in a medical institution.
The initial diagnostic stage is data collection for anamnesis. The doctor performs an external inspection of the genitals and listens to the patient's complaints.
Based on the initial data, an additional diagnostic study scheme of a sick man is defined.
During the collection of an anamnesis, the doctor discovers the duration of symptoms that appeared, the presence of prostatitis previously shown, a list of patient diseases, risk factors for the development of the disease, a possible list of sexually transmitted diseases, the development of the disease, the presence of sexual partners and sex.
In the current phase of medicine development, the list of questions is published in the questionnaire, which the patient fulfills before visiting the doctor's office. Thus, the patient's time and the doctor is saved.
The first compulsory stage of examination of the patient with signs of prostatitis is the study of the prostate gland of the rectum.
The doctor determines the degree of increase of the inflamed organ, its 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 may be different and its location is felt in the groin, straight, peineum and sacred. In this case, it is against it in various procedures, for example, cystography.
For a microscopic examination of prostate gland secretion, the patient is performed by prostate massage through the rectum.
With the desire to urinate until the end of prostate massage, this cannot be done until a drop of urethral opening prostate secretion is taken for analysis.
The procedure ends in conducting the glass of the microscope object along the urethra hole, after which the stain is painted and microscopic analysis according to the following parameters:
- the presence of leukocytes and the calculation of their quantity;
- amount of lecithin;
- The activity of pathogenic microorganisms and their presence.
Detection of bacteria in the smear field vision field indicates the infectious type of prostatitis.
The number of leukocytes in the field of vision 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 competence the medicine with competence.
The above tests are mandatory, additional examinations are prescribed by the doctor selectively, depending on the doctor's suspicions about the nature of inflammation.
The analysis of the urethra secret is performed by a tool similar to a catheter. At the top of the metal coating, cotton is injured.
Before passing on the analysis, urination is deleted for 2-3 hours. Otherwise, microflora is washed in the outer environment.
The doctor presents a cotton swab of approximately 4 cm inside the penis hole and makes rotational movements. A stain of the urethra is investigated for the presence of DNA residues and bacteria.
Urine analysis is a means of detecting blood cells: red blood cells and leukocytes, proteins (usually absent or present in vestigial quantities).
By making errors in the analysis of the urethra stain and the symptoms of prostatitis, urine sowing for bacteriological analysis is prescribed.
The disadvantage of the method is the long -term expectation of a pathogenic microorganism colony (up to 1 week).
Sowing is performed by a comparative method after about three portions of the urine (beginning, medium and end of bladder emptying).
A larger number of pathogenic microorganisms in one of the samples provides the basis for supposing the location focus of the infection.
Detection in the first part of bacteria urine does not provide a reason to confirm inflammation.
The second and third part of the urine, above the number of microorganisms detected, give the basis to clarify the location of inflammation (in the urethra and bladder - respectively).
The degree of deviation from the sexual function of the norm is verified by sperm analysis of viscosity and other physicochemical indicators of the environment, the activity and viability of male gametes, and a sperm is rarely prescribed.
The Urofloometric Method is not often organized. If the possibility and addition of the image of the changes that are occurring, a urodynamic examination of the urinary tract is performed.
An ultrasound examination specifies the density of the sick organ and other parameters obtained after an examination of the prostate fingers through the rectum.
The prostate gland is visible in two ways: transrectal ultrasound and ultrasound through the abdominal cavity.
In case of suspected adenoma and prostate cancer, the doctor may prescribe an additional cytoscopic examination of the blood, the dog test.
The fence is made of a vein, a blood test establishes (excludes) the presence of RSA protein, which appears with malignant tumors.
At home, the patient may suspect prostatitis, focusing on urine color and turbidity, symptoms of the disease.
How to treat at home
SUPPLY OF PHARMACEUTICAL PRODUCTS
If signs of prostatitis appear, men should not self -afford, medications should only be prescribed by a doctor.
The preparations proposed for the healing of prostatitis are distinguished by a variety of pharmaceutical forms and properties. More often than others are prescribed candles for rectal use.
The logic for the choice of doctors is associated with the proximity of the effects of the components of rectal suppositories and the prostate gland.
The condition for the effective effect of the active substance of candles on the organ's tissue is the patient's peace in a position lying for 30 minutes after the administration of the rectal medicine. Candles inactivate pathogenic microflora and have an analgesic effect.
Intramuscular and intravenous injections contribute to the faster effect on the sick organ through the bloodstream.
Immediately after urination, instillations are prescribed to penetrate medicinal substances in the prostate through the urethral orifice. The maximum amount of administration is 5 ml.
Table forms for prostatitis are better known as antibiotics divided into 3 groups and successfully deal with the possible variety of spectrum of types of pathogenic microflora:
- Tetracyclines
- Fluoroquinolones
- Penicilins
Hot microclisms with introduced substances are performed at night.
The main condition for using the enema is the inadmissibility of the gland tension and the temperature regime compliance. It refers to folkloric methods of treatment of prostatitis.