Many doctors jokes the prostatitis of male menopause.Such a disease is diagnosed in 20% of cases in men after forty years, in 70% - after sixty years and in 90% of cases after the age of seventy.The disease can occur in two forms: acute and chronic prostatitis.This disease must be treated, especially since it lends itself well to therapy.But many men ignore the unpleasant symptoms, which leads to the development of many complications that become more difficult to heal.
Development reasons
Acute prostatitis is a pathology of acute prostate, which develops following the inflammatory infectious process in the organ due to the penetration of pathogens in its tissues.The disease is characterized by the appearance of swelling of the gland, purulent content in its tissues.This leads to the appearance of many unpleasant symptoms, an impairment of the functionalities of the genitarine system.
There are many causes of acute prostatitis.In most cases, this causesTreatment microbes.Some microbes may exist in the body of a healthy person in a passive form on the skin or in the intestines.Under the influence of certain factors, they are activated, enter the tissues of the gland and actively multiply.Often, the disease appears due to the STDs, for example,chlamydia, uablasmosis, gonorrheaetc.
The acute form of prostatitis also occurs as a complicationurethritis.The microbes fall through the conduits that open in the urethra.In addition, the cause of prostatitis is often the propagation of bacteria of other organs of the Genito-Urinary System.Often iron can be affectedDuring surgical manipulations, catheterization, diagnostic measures.
Since there is a large amount of blood vessels in the prostate gland, infection here can obtain with blood circulation in the presence of chronic pathologies in the body, for example,Amygdalite, bronchitis etc.Ifanal cracksPerhaps the penetration of prostate microbes with a lymphatic current.
But infections do not always lead to the development of the disease.Stagnant phenomena in the vessels of the pelvic region that developwith prolonged abstinence of sexual contacts or a large number.
Stagnant phenomena are associated withLack of physical activity, constant constipation, alcoholism, varicose veins in the pelvic region, hypothermia of the body.
Classification
In urology, several forms of pathology are distinguished, which are its stages of development:
- CatarrhaleIt is characterized by the appearance of inflammation in the organ, a change in its mucous epithelium.Over time, swelling of the gland occurs, a secret of a mucous membrane gathers, contributing to the progression of the disease.
- Then focal suppuration appears.The disease enters the second step (form) -Folicular shape.The narrow or obstructing urinary channels, the secret ceases to stand out normally from the organ.Pus can be released in the urinary channel, forming purulent foci.The gland cells change, the prostate continues to swell and increase in size.
- Parenchymal formIt develops when the organ is completely ignited, a purulent infection develops there.In the absence of therapy, small purulent foci merge into a huge, an abscess develops, which often opens onto the urethra, the intestines and the bladder.In some cases, it is possible to immediately develop this form of pathology when the infection enters the interstitial fabric of the organ with a blood or lymphatic flow.
Symptoms
Symptoms are pronounced from prostatitis.How many signs will be visible and perceptible will depend on the form (step) of the disease.The general signs of the disease include the following elements:
- Pain syndrome when eliminating urine;
- intoxication symptoms;
- pain in the genital region;
- Frequent in the toilet, especially at night;
- The expansions of the urethra are possible.
As prostatitis progresses in a man, pain syndrome will spread to other areas.This is due to the transmission of impulses by nerve endings.The excretion of urine becomes very painful.Often at this stage, its net delay is developing, which is considered a dangerous state, as it can lead to the rupture of the bladder.
Symptoms of acute prostatitis continue to increase.Intense pain in defecation appears, body temperature increases.The prostate becomes increased, dense and painful.The urine will be muddy due to the content of the pus and the mucus.
At the last stage, the disease manifests strongly.
Body temperature increases considerably, fever and chills, loss of appetite, high weakness, exhaustion of the body as a whole.Using urination can stop completely, when you try to go to the toilet, a man will feel acute intense pain.This condition is painful, pain syndrome begins to spread throughout the pelvic area.A man cannot find a place for himself, he is forced to lie with compressed members.If inflammation spreads to the rectum, the mucus will come out of the anus.A yellow-green mucus with a mixture of blood is released from the urinary channel.
This condition can causeSepticemia, cystitis, pyelonephritis, chronic prostatitis, abscess.In this case, urgent hospitalization of the patient and emergency treatment are necessary.
Diagnosis
Since the symptoms of acute prostatitis in men appear quite strongly, the doctor can immediately suspect the pathology.But he must perform an in -depth examination.The rectal examination in this case is strictly contraindicated.
The urologist must determine the stage (form) of the disease using laboratory and instrumental techniques.The doctor takesProstate's secretfor research.It will increase the concentration of leukocytes, which indicates acute inflammation.
Then performBlood and urine laboratory tests.Urine is sent for bacteriological sowing for the study, as well as the determination of the pathogen of infection and its sensitivity to antibacterial drugs.It is also possible:
- PCR to determine the MST;
- Urofloometry to identify the severity of violations in the organ;
- An ultrasound of the prostate in order to determine the shape and size of the organ, the changes, the stages of the course of the disease;
- Dopplerometry helps to distinguish acute prostatitis from other pathologies;
- MRI of the pelvic organs is often prescribed during surgical intervention planning;
- Analysis of the concentration of spa in the blood;
- Study of strokes of the urethra;
- Puncture of the body sections with suspicion of purulent infection and abscesses.
Treatment
How to treat acute prostatitis, an urologist will say it in detail.The main component of therapy is the antibacterial drug, which is selected in accordance with the results of the Bakposev.For two or three days, the antibiotic begins to help, a person feels much better, the pain begins to calm down.But with this form of the disease, such drugs should be taken for a month, even if the symptoms have completely disappeared.
This is also necessary for the disease not to turn into a chronic form, which is observed quite often.
When choosing the medication, the doctor takes into account other factors:
- Some products penetrate badly into the gland fabric;
- Other funds are accumulated in large quantity tissues.
The treatment of acute prostatitis in men should be based on the use of powerful drugs, as in other cases that threaten human life.As a rule, doctors are prescribed fluoroquinolones.When using macrolides, the dosage should be important.This is particularly true in patients with immunosuppression.
As a rule, antibiotics are administered using intravenous injections.At the initial stage, the disease can be treated at home or at ambulatory.In this case, bed rest is prescribed, because any energy load can cause the propagation of infection and the development of sepsis.
In combination with antibiotics, the following drugs are also prescribed:
- analgesics;
- antipyretic drugs;
- NSAIDs;
- With intense pain, an opiate can be prescribed;
- diuretics to reduce the intoxication of the body;
- laxatives to facilitate defecation;
- antispasmodic drugs to facilitate the excretion of urine;
- Alpha blockers.
If a man has a strong delay in the urine, urea catheterization is carried out.Often antiandrogens are used to reduce swelling and inflammation in the organ, improve the flow of secretion, normalize blood flow in the gland and reduce the risk of infection in the body.
Hormones can be used, for example, cold enements and estrogens to eliminate edema and pain.Massage and thermal procedures in this form of the disease are strictly prohibited.They can only be used during the recovery period.
Surgery
In the absence of pain, the doctor can suspect the development of the abscess.In this case, surgery is carried out to eliminate the areas on which it occurs.Often use the drainage of puncture of the abscess.In serious and extreme cases, the organ is removed.
The operation is prescribed in the presence of an abscess, a acute delay in urine, a strong pain syndrome, which is not eliminated by any medication, the appearance of stones and neoplasms, as well as by the ineffectiveness of drug treatment, frequent infections of the genitotona-cross system, of the paraprotitis.
The surgeon can use one of the following methods:
- Corpse (transureral resection)This implies withdrawn from the interior of the organ.Used most often;
- Prostatectomyimplies a partial or complete elimination of the organ by an incision at the bottom of the abdomen;
- Laser operation.In this case, the affected areas of the body are removed using a laser;
- Abscess drainageIt is carried out through the rectum.Drainage is introduced into the incision by which the pus is pumped;
- To facilitate the excretion of urine, is carried outTransuretal incisionin the organ.
When the structure of the gland fabric is restored, its functions are standardized, the secret of the prostate normalizes its composition, the pathogen will be completely eliminated from the body, we can speak of prostatitic healing.
Forecast
During treatment, the prognosis for the disease will be good.Sometimes the negative consequences of acute prostatitis develop.The disease can enter a chronic form, then it will be more difficult to eliminate.The dangerous consequences of untreated disease are the abscess of the organ, sepsis and acute urinary retention.In some cases, due to the appearance of complications, a death may occur.But generally, men do not allow such consequences to the development of such consequences, as they come to the doctor and start the course of therapy.
Prevention
In order to prevent prevention, it is necessary to prevent the appearance of predisposing factors.This requires to treat all the body infections in a timely manner so that they do not transform in chronic form and do not become potential infection households, which will spread to the prostate gland.
When carrying out surgical manipulations, the doctor must pay attention to the use of antiseptics.Otherwise, the risk of microbes enters the patient's body.It is important that the man and his sexual partner treat MSTs in a timely manner, and it is better to prevent their appearance.Sex life should take place with a permanent partner, it should be regular.
It is necessary to conduct a mobile lifestyle, play sports or perform physical exercises, observe the rules of intimate hygiene.
Men generally turn to doctors in extreme cases.But when negative signs appear, it is best to contact them right away.This will help avoid many health problems and even in some cases to save life.