Synthetic prostate
immunoglobulin, which regulates the consistency of semen with the help of a specific secretion, controls the process of urination and ejaculation. The entry of pathogens into the cavity of this organ causes prostatitis - an inflammation that occurs in an acute or chronic form.
Causes and mechanism of development of the disease
Prostatitis begins with the entry and reproduction of pathogens in the visceral cavity. These are extracellular pathogens or their own microflora from the surface of the skin or mucous membranes:
- colibacillus;
- Proteus;
- cocci;
- staphylococci;
- intestinal bacteria;
- Pneumococcal.
With sexually transmitted diseases or infectious diseases of internal organs, the following substances can enter the lumen of the prostate gland:
- pale treponema;
- ureaplasma;
- Trichomonas;
- Pseudomonas aeruginosa;
- Koch's bacillus.
In the prostate gland, pathogenic flora is taken up from the urethra. Less often - via the bloodstream or by the outflow of lymph from the infected organ. Several provoking factors influence the rate of development of the disease and the intensity of symptoms:
- abnormalities in the structure of the bladder neck;
- tightness of the urethra;
- consequences of postoperative catheterization;
- reduced immunity against the background of chronic and systemic diseases, hypothermia, physical overload, hard work;
- violation of the outflow of blood and lymph in the pelvic area;
- promiscuous or irregular sex life.
An active blood supply and a moist, enclosed environment in the prostate cavity promote unhindered reproduction of pathogens. The bile secreted by the gland is thickened and the secretions out are disturbed. Infiltrates gradually accumulate in the lumen, inflammation progresses.
The course of acute prostatitis
Primary inflammation often develops acutely. On average, patients feel its clinical signs 5-7 days after infection. Its symptoms are so vivid, it is impossible not to notice them:
- constant severe pain in the perineum area, spreading to the scrotum, penis, anus;
- Diuretic disorders: frequent urination, pain, false desire, cloudy urine stream, slowness, interruptions:
- serous or purulent discharge from the urethra with an unpleasant pungent odor;
- General intoxication: chills, sharp rise in body temperature, weakness, weakness.
Most people with acute prostatitis have impaired sexual function. Arousal is either completely absent, or does not lead to normal erection and the ability to perform intercourse. Semen may contain pus or blood.
Symptoms of bacterial prostatitis depend on the morphological changes and the stage of the disease:
- Catarrhal inflammation, which develops in the first place, affects the ducts of the organ and leads to the appearance of deep dull pains. Usually no fever, generally good health.
- The inflammatory process captures one or both lobes of the gland - progressive follicular prostatitis. The tissues swell, the amount of fluid infiltrating the vessel increases. Severe, constant pain that increases with movement. Difficulty urinating.
- The parenchymal phase occurs when the entire body of the prostate is affected. Bladder and rectum function is difficult due to strong compression by the inflamed, swollen walls of the gland. Pain in the perineum becomes unbearable. Purulent impurities and blood appear in the urine, the body temperature rises to 39 ° C or more.
Delays in treatment cause chronic disease. Possible complications: urethral obstruction, fistula, abscess, pyelonephritis, sepsis.
Chronic prostatitis
It develops from an untreated acute episode, but often forms as an independent disease. Smoldering inflammation is caused by an inadequate immune response to the entry of an infection, a small number of pathogenic microorganisms, or the sterile nature of the disease. In the second case, the pathology is caused by stagnation of secretions, structural disorders of the tissues of the prostate gland, the patency of its ducts.
Signs of intoxication and severe pain in chronic bacterial prostatitis occur only in the presence of an exacerbation. In the latent period, the disease manifests itself in cyclical disorders of urination and physical discomfort. Wanting to go to the bathroom more often at night, after it's cold. Bedwetting is sometimes accompanied by a mild burning sensation. Erectile dysfunction is common.
Chronic prostatitis can last for years with occasional flare-ups. The long process leads to the formation of fibrous zones in the parenchyma, which stimulates the development of impotence, infertility and cancerous tumors.
How to diagnose and treat prostatitis?
If you suspect the development of prostatitis, you should contact a urologist. The presumptive diagnosis is confirmed by bacterial culture of the secretory gland. If this cannot be obtained, test for urethral smear, urine, and semen samples. In addition to a bacterial culture, blood and urine tests, an ultrasound of the prostate is done.
Treatment of acute infectious prostatitis is performed clinically in the Department of Urology.
- The main focus is on stopping pathogens, reducing inflammation, and preventing complications. The patient was prescribed a course of antibiotics. Injections of drugs from the tetracycline, cephalosporin, fluoroquinolones, or penicillin groups are used, depending on which infection is causing the illness. Duration of treatment: from a few days to 2-4 weeks.
- To restore urinary function and relieve acute symptoms, comprehensively prescribed muscle relaxants, analgesics, anti-inflammatory and antispasmodics.
- Specific therapy is supplemented with vitamin and mineral preparations, immunomodulatory drugs.
In the early stages, the uncomplicated inflammation will heal completely.
Chronic prostatitis does not require hospitalization. The patient underwent antibiotic treatment at home, observing the necessary restrictions.
At the same time, it is necessary to undergo a course of treatment for diseases that can cause: bronchitis, pyelonephritis, cholecystitis, genital infections.
The main method of treatment without exacerbations is supplemented by physiotherapeutic methods: ultrasound procedures, magnetic therapy, laser irradiation.
During the period of treatment, alcohol, hot spices, sauces, pickles, fatty, canned and smoked foods must be excluded. It is recommended to include in the diet fresh herbs, vegetables, nuts, fish, lean meat.
The success of the treatment of the chronic form in each case depends on the duration of the disease, the existing organic tissue damage, and concomitant disturbances in the functioning of the kidneys and bladder.