The prostate gland synthesizes
Immunoglobulins regulate sperm consistency with the help of a specific secretion, control the process of urination and ejaculation. The entry of pathogens into the cavity of this organ provokes prostatitis - an inflammation that occurs in an acute or chronic form.
Causes of the disease and the mechanism of its development
Prostatitis begins with the penetration and proliferation of pathogens into the body cavity. These are extracellular pathogens from the skin surface or mucous membrane or their own microflora:
- colibacillus;
- Proteus;
- enterococci;
- staphylococcus;
- enterobacteriaceae;
- Pneumococcus.
In the presence of STDs or infectious diseases of the internal organs, the following may penetrate the lumen of the prostate gland:
- pale treponema;
- ureaplasma;
- Trichomonas;
- Pseudomonas aeruginosa;
- Koch bacillusu.
In the prostate, pathogenic flora is brought up from the urethra. Less - with blood flow or lymph flow from an infected organ. A number of provocative factors affect the rate of disease progression and the intensity of symptoms:
- anomalies in the structure of the bladder neck;
- narrowing of the urethra;
- results of postoperative catheterization;
- chronic and systemic diseases, hypothermia, physical overload, decreased immunity against the background of hard work;
- impaired blood and lymph flow in the pelvic region;
- lewd or irregular sex life.
An active blood supply and a moist, closed environment in the prostate cavity promote the unimpeded proliferation of pathogens. The secretion created by the pancreas thickens, the flow is disrupted. The infiltration gradually accumulates in the lumen, and the inflammation progresses.
The course of acute prostatitis
The underlying inflammation is usually acute. On average, the patient feels clinical signs 5-7 days after infection. The symptoms are alive, it is impossible not to see them:
- intense persistent pain in the scrotum, penis, anus in the perineal region;
- Diuresis disorders: frequent, painful urination, false desires, slow, intermittent cloudy urine flow:
- serous or purulent discharge from the urethra with a sharp unpleasant odor;
- general intoxication: chills, a sharp rise in body temperature, physical weakness, weakness.
The majority of patients with acute prostatitis have sexual dysfunction. Awakening is either completely absent or does not lead to a normal erection and the ability to communicate. The seeds may contain pus or blood.
Symptoms of bacterial prostatitis depend on the morphological changes and stages of the disease:
- Catarrhal inflammation, which initially develops, affects the ducts of the body and causes deep dull pain. There is no fever at all, the health condition is generally satisfactory.
- The inflammatory process affects one or both parts of the gland - the follicular prostatitis progresses. Tissues swell, the amount of infiltrate in the lumen increases. The pain is constant, increasing with movement. Has difficulty urinating.
- The parenchymal stage occurs when the whole body of the prostate is affected. The bladder and rectum are difficult to develop because they are strongly compressed by the inflamed, swollen walls of the gland. The pain in the perineum is unbearable. Purulent and bloody impurities appear in the urine, the body temperature rises to 39 ° C and higher.
Delay in treatment leads to chronic disease. Complications are possible: obstruction of the urethral canal, fistulas, abscesses, pyelonephritis, sepsis.
Chronic prostatitis
It develops from an untreated acute, but occurs as a more independent disease. Slow inflammation is caused by the penetration of infection, a small number of pathogenic microorganisms, or an inadequate immune response to the aseptic nature of the disease. In the latter case, it is provoked by pathology, stagnation of secretions, disturbances in the structure of prostate tissue, openness of the ducts.
Symptoms of intoxication and severe pain in chronic bacterial prostatitis occur only with exacerbations. During the delay period, the disease manifests itself with periodic urination and physical discomfort. The urge to use the toilet is more common after a cold night. Diuresis is sometimes accompanied by a slight burning sensation. Erectile dysfunction is common.
Chronic prostatitis can sometimes last for years with inflammation. Prolonged travel leads to the formation of fibrous areas in the parenchyma, impotence, infertility and the development of oncological tumors.
Diagnosis and treatment of prostatitis
If you suspect the development of prostatitis, you should contact a urologist. The probable diagnosis is confirmed by bacterial culture of glandular secretions. If it is not possible to obtain, a mixture of urine, urine sample, semen is examined. In addition to bacterial cultures, blood and urine tests are performed, and an ultrasound examination of the prostate is performed.
Treatment of acute infectious prostatitis is carried out in the clinical setting in the Department of Urology.
- The main focus is on suffocating the pathogen, eliminating inflammation and preventing complications. The patient is prescribed a course of antibiotics. Injections of drugs from the tetracyclines, cephalosporins, fluoroquinolones or penicillins are used for infections that cause disease. Duration of therapy: from a few days to 2-4 weeks.
- Muscle relaxants, anti-inflammatory painkillers and antispasmodics are prescribed to restore urinary function and relieve acute symptoms.
- Special therapy is supplemented with vitamin and mineral preparations, immunomodulators.
In the early stages, uncomplicated inflammation heals completely.
Chronic prostatitis does not require hospitalization. The patient undergoes a course of antibiotic therapy at home, following the necessary restrictions.
In parallel, it is necessary to undergo a course of treatment against possible diseases: bronchitis, pyelonephritis, cholecystitis, urogenital infections.
The main treatment without exacerbation is supplemented by physiotherapeutic methods: ultrasound procedures, magnetotherapy, laser effects.
Alcohol, hot spices, marinades, pickles, fatty, canned and smoked foods should be excluded during therapy. It is recommended to include fresh herbs, vegetables, nuts, fish, lean meat in the diet.
The success of treatment of the chronic form in each case depends on the duration of the disease, the existing organ tissue damage, joint disorders of the kidneys and bladder.