Chronic prostatitis is a long -term inflammation of the prostate gland, while the symptoms are often missing, which is why the majority of the male population of the disease is not aware.
The development of a chronic form of prostatitis is a result of an acute process, although this is quite rare in practice.As a rule, inflammatory chronic prostatitis gradually begins without unpleasant symptoms and sensations, often the course of the disease to be found when examining an ultrasound in the patient.
Both young men and people in medium and older people are exposed to chronic form.Prostatitis also threatens those who lead an inactive lifestyle through the family of their activities, feel excessive physical exertion on the step and observe sexual abstinence.It is usually caused by a bacterial infection and can be easily diagnosed by typical signs.Acute bacterial prostatitis can occur at any age.Symptoms include painful urination, the inability to completely empty the bladder, pain in the lower abdomen, in the back or in the pelvic area.There can be a fever accompanied by chills.
Nach der modernen Klassifizierung der Prostatitis, die 1995 entwickelt wurde, werden verschiedene Kategorien der Krankheit unterschieden:
- Akute bakterielle Prostatitis (OBP) ist die häufigste Art von Prostatitis. Es wird normalerweise durch eine bakterielle Infektion verursacht und kann durch typische Anzeichen leicht diagnostiziert werden. Eine akute bakterielle Prostatitis kann in jedem Alter auftreten. Zu den Symptomen zählen ein schmerzhaftes Wasserlassen, die Unfähigkeit, die Blase vollständig zu leeren, Schmerzen im Unterbauch, im Rücken oder im Beckenbereich. Es kann ein Fieber geben, das von Schüttelfrost begleitet wird.
- Chronic bacterial prostatitis is a disease with typical symptoms of chronic inflammation and an increased amount of bacteria and leukocytes in the urine and the secret of the prostate according to its massage.
- Chronic prostatitis (CP) is the most common form of prostatitis.In most cases, it is a result of acute bacterial prostatitis (not treated or treated poorly).If there are symptoms, they occur in the form of pain in the genitals or in the pelvic area, difficulties in urination or painful urination and ejaculation.
- Asymptomatic inflammatory prostatitis - the classic symptoms of prostatitis is missing, and the disease itself is found by chance if they contact the clinic for another reason.
In the presence of an infectious componentto bacterial (infectious) chronic prostatitis;In the absence of microbial pathogens -about non -bacterial (non -infectious) prostatitis.It is believed that in 90-95% of all cases there is non-bacterial chronic prostatitis and only 10-5% bacteria.
Reasons
The occurrence of chronic prostatitis can contribute to a number of factors.First of all, this is:
- Ipp: chlamydia, urea, mycoplasma, herpes virus, cytomegalovirus, trichomonaden, gonococcus, genu ado, E. coli (Escherichia coli) can influence the urethra and evidence in the tissue;Prostate leads to its inflammation);
- settled lifestyle (driver, office worker, civil servants);
- longer sexual abstinence through sexual intercourse or artificial extension of sex;
- regular hypothermia (lovers of extreme relaxation: diving, surfing and skiing);
- Stress: intellectual and physical overload.The activity of pathogens of microorganisms is not so important, since the condition of the pelvis and the blood circulation in them, the presence of simultaneous diseases and the degree of protective mechanisms.
- Symptoms of chronic prostatitis
Mostly, with the development of a chronic form of prostatitis, symptoms practically without disturbing a man.In this case, all the signs of acute prostatitis will not manifest or show to much less.
The most common symptoms of chronic prostatitis in men are:
Periodic pain and unpleasant sensations in the perine;
Unpleasant sensations in defecting and urination;
- radiation in anus, thighs, testicles;The course of the disease, not very bright, can be so insignificant that patients with chronic prostatitis do not pay much attention to them.
- Tightening of chronic prostatitis
- The worsening of the disease usually accompanies the following symptoms:
- Pain and burn in the urethra;
Verschärfung der chronischen Prostatitis
Die Verschlimmerung der Krankheit begleitet in der Regel die folgenden Symptome:
- Schmerz und Brennen in der Harnröhre;
- Frequent urge to urinate;
- Pain in the lower abdomen, perineum and rectum;
- signs of acceptance of men of sexual activities;
- pain during bowel movements.
In the opinion of some doctors, the psychological symptoms of chronic prostatitis can also be distinguished, including increased irritability, fear, tiredness, temperature, sleep disorder, obsession and depression.Determine because a man usually only manifests 2-3 signs of the disease.For example, the most common is an impaired erection and pain in the lower abdomen.
Why can prostatitis cause infertility?With inflammation, the secretory function of the prostate gland, which inevitably affects the quality of the sperm.
In addition, the prostate gland is actively involved in regulating testosterone production and the erection process.Therefore, chronic prostatitis leads to a decrease in erectile function up to impotence.However, these scenarios for the development of the disease can be avoided by timely and competent treatment.
Tatsache ist, dass die Prostata ein spezielles Geheimnis erzeugt, das die Lebensfähigkeit von Spermatozoen gewährleistet. Mit Entzündung verschlechtert sich die sekretorische Funktion der Prostata -Drüse, die die Qualität der Spermien unweigerlich beeinflusst.
Darüber hinaus ist die Prostata -Drüse aktiv an der Regulierung der Testosteronproduktion und des Erektionsprozesses beteiligt. Deshalb führt die chronische Prostatitis zu einer Abnahme der erektilen Funktion bis hin zu Impotenz. Diese Szenarien zur Entwicklung der Krankheit können jedoch durch rechtzeitige und kompetente Behandlung vermieden werden.
Diagnostics
The following methods are necessary to determine/to refute the diagnosis:
- Rectal study;
- Microscopy of the secret of the prostate;
- The secret of the prostate for sensitivity to antibiotics against antibiotics;
- sexually transmitted diseases;
- Transrectal ultrasound.
Sometimes endoscopic and urodynamic studies are also carried out.
Man has chronic prostatitis, treatment is always long and difficult.Its duration depends directly on the stage of the disease in which the patient turned to a specialist.Therapy includes an integrated approach, i.e. a combination of several methods at the same time:
antibacterial therapy;
- prostate massage;
- Physiotherapeutic procedure;
- correction of nutrition and lifestyle;
- The use of folk remedies;
- surgical treatment.
- Chirurgische Behandlung.
Zusätzlich werden entzündungshemmende und antispasmodische Mittel zur Behandlung der chronischen Form der Krankheit eingesetzt.
Drug treatment
The choice of medicinal products depends on the cause and symptoms of the disease.In order to heal chronic prostatitis of infectious etiology, antibacterial drugs are used:
- fluorchinolone;
- macrolids;
- tetracycline.Use of medication that have not yet been used for this purpose: Alpha1 blockers, 5-Red inhibitors, cytokin inhibitors, immunosuppressors, medicines that influence the exchange of urates and citrate.
Physiotherapy
Certain physiotherapeutic methods such as laser therapy, electrophoresis, transrectal microwave hyperthermia, ultrasound phonophora and others also help to improve the trophic tissue of the prostate and to accelerate the healing tissue.-Massage
It improves the drainage of the secret of the prostate and the microcirculation at the level of this organ, which in turn contributes to the quick restoration of the patient.
Prostate massage cannot be carried out with acute prostatitis, hemorrhoids and cracks in the rectum.The prostate massage is usually combined with antibiotic therapy.Numerous clinical studies have shown the high effectiveness of such treatment.
Operation
Surgical intervention is possible to remove prostate areas affected by bacteria.The transurethral resection is an operation that is carried out under epidural or intravenous barbiturat anesthesia.The postoperative recovery phase does not take longer than a week.
The methods that contain the treatment of chronic prostatitis are determined by urologists based on diagnostic information and practical experience.The independent therapy at home based on reviews on the Internet is affected.
Prostata -Massage kann nicht mit akuter Prostatitis, Hämorrhoiden und Rissen im Rektum durchgeführt werden. Die Prostata -Massage wird normalerweise mit einer Antibiotikatherapie kombiniert. Zahlreiche klinische Studien haben die hohe Wirksamkeit einer solchen Behandlung gezeigt.
Betrieb
Eine chirurgische Intervention ist möglich, um von Bakterien betroffene Prostatabereiche zu entfernen. Die transurethrale Resektion ist eine Operation, die unter epiduraler oder intravenöser Barbituratanästhesie durchgeführt wird. Die postoperative Erholungsphase dauert nicht länger als eine Woche.
Die Methoden, die die Behandlung chronischer Prostatitis beinhalten, werden vom Urologen auf der Grundlage diagnostischer Informationen und seiner praktischen Erfahrung bestimmt. Die unabhängige Therapie zu Hause auf der Grundlage von Bewertungen im Internet ist mit Konsequenzen behaftet.