About 40 - 60% of urological patients clinic are patients with chronic prostatitis.Symptoms of prostatitis in men are often the cause of depressive conditions and changes in the psyche.
The disease that every third man suffers more than 25-30 years of age, but the difficulty of his diagnosis and treatment determine a long chronic course and often lead to disability.
The idea of prostate functions, mechanisms and causes of inflammation enables us to properly understand the symptoms and need for timely treatment.
Functional value of the prostate gland
Its main function is to excrete a specific liquid (secret) 40 - 50 glands that make up the entire grinder organ of the organ.The Secret 90 - 95% consists of water and main elements in traces, phospholipids, sperm amino acids, which provide a sperm specific smell, enzymes, proteins, citric acid and fructose.All components have their own purpose and are strictly balanced.
The secret prostate provides:
- Formation and maintenance of neutral or slight alkaline environment in urea and sperm.This environment provides cum for sperm.
- The state of sperm, necessary to prevent sperm binding with each other and ensuring their promotion.In the process of intercourse, sperm mixed with prostate juice.
- Spermatozo's freaks: The substances contained in secrecy are nutrients, thanks to which several days can be found in female genital organs to egg fertilization.
- Protection of the genitourinary system from the infection by zinc, sperm, polyamine and immunoglobulin A. The zinc concentration in the prostate is 100 times higher than in other bodies.It has a pronounced antimicrobial activity, accumulates in iron in the form of a protein complex and is in the sperm in the free state;Spermine and polyamines also have high anticcal activity, and immunoglobulins are included in the immune protection of prostate and urethra.
Iron prostate also participates:
- in hormonal metabolism through the transformation of testosterone coming from the blood, in active dihydrotestosterone;The latter regulates the secretary activity of the gland;This process continues to participate in the same zinc;
- In the act of urinating the use of smooth muscle fibers contained in the capsule of glands;
- In the ejaculation process together with the muscles of the bottom of the pelvis and part of the urethra passing through the prostate;
- in the formation of orgasm sensation due to the coils of channels that pass with the lateral surface of the seed tuberklay;It contains receptors that transmit impulses into the brain during ejaculation.
Thus, prostate, together with participation in the general hormonal status of man and ensuring his possibility of reproduction, protects urogenital bodies from aggression of conditionally pathogenic and pathogenic microorganisms.
Causes and factors of contributions
The main cause of the prostate inflammation is entry into pathogens and conditional pathogens microbes.In 60%, this is E. Coli.Recent studies are confirmed by the role of participating gonososcary and trichomon infections in inflammation.In the event of a violation of the protective barrier and the decline in local immunological defense, mycoplasm and mycoplasm, herpes and ureaplasm, herpes and cytomegalinirus, microorganisms that cause respiratory diseases (with the intestinal microflora (in cases of anal sex).
Tuberculosis diseases is possible to spread micobacteria through the bloodstream in the prostate.Insulated cases of prostatitis tuberculosis were found, but rarely.
Ways to penetrate the infection in the gland:
- Hematogenic - with blood from other foci infections;This occurs through the venous prostate vessels, communicating with the veins of penis, testicles, rectum, bladder and kidney (including lesion tuberculosis)
- Lymphogenic - through lymphatic containers
- Urectrogen - through the urethra
Contribution factors:
- Breach of hormonal background, especially, reduction of testosterone levels, as a result that reduced antimicrobial prostatic barriers.
- Varicocele (extension of vein seeds), hemorrhoids, varicose veins of lower extremities.These diseases are the result of genetic damage in the valves, leading to the disorder of blood microcirculation in pelvis, increasing the local temperature, compared to the overall body temperature) and creation of favorable conditions for vital microorganisms.
- Osteochondrosis, hernia lumbar spine and other inhalation disorders, sitting lifestyle.They can lead to prolonged spasm (narrowing) of the prostate vessel or, vice versa, on their long expansion.He leads to a weakened blood supply, another - for a sample of the phenomenon of blood.
- Intoxication is alcohol, leading to paralysis of small vessels and nicotine, contributing to their extended savings.
- Various infectious diseases, diabetes Melitus, frequent and long negative mental effects, stress conditions, sleep disorders - all this helps to reduce general immunity.
Types of prostatitis
Basically, the first prostatis symptoms are explained by deteriorating blood in the clay as a result of inflammation or vascular spasm that lead to lack of oxygen, damaged metabolic processes with formation of undervalued decay products.They cause strong irritation of a large number of nerve receptors associated with the ends of nerves of testicles, bladder, rectum, penis, muscles of the pelvic floor.
In accordance with the classification proposed by the National Institute of Health (depending on the inflammatory process), acute bacterial prostatitis revokes, which is rarely (about 5% of all cases) and chronic prostatitis.The latter can be developed after acute, but in 90% - 98% of cases is primarily.It is assumed that he leads to sexual disorders and infertility.
The chronic shape is divided into:
- Bacterial.
- Acacterial or chronic pelvic pain (in the absence of bacteria in studies).This in turn is divided into inflammatory and non-feaved.
- Asymptomatic inflammatory (in the absence of obvious symptoms).
Clinical manifestations
Acute prostatitis
The acute course causes any microorganisms and is characterized by almost simultaneous damage to all gland lobules.The most common cause is gonococcock.The inflammatory process can be in the form of abscess or diffusion, not inflammation.The fastest characteristic symptoms of acute prostatitis are as follows:
- Chills and high body temperature (up to 38.5About and above).
- Heavy intoxication - weakness, joints in wrists, headaches, increasing the pulse frequency, lack of appetite, etc.
- Strong pain in the Perine, in an inguinal and lumbar surface.
- Disorders in Moranity - Frequent and Fake Porive, Pain and Difficulties in urination, acute urine retention.
- Belovoy or transparent discharge from the urethra.
The prostate finger testing through the rectum is impossible for strong pain.Moreover, it is contraindicated due to the possibility of dissemination (expansion) of the infection in the blood and developing a septic state.
Chronic prostatitis
The recommended classification reflects the fact that the signs of chronic prostatitis in men are very diverse, and the attitudes of doctors on the causes and mechanisms of disease development are largely different.The diagnosis is based on patient complaints, clinical examination on the exam finger glands through the rectum (rectal exam) and ultrasonic examination.At the same time, the degree of pain, size and volume, contour, equity consistency and presence of softening or sealing areas is estimated.
Partial functional ability of the organ and, which is the most important, presence or absence of inflammatory processes, as well as the form of the disease, allows you to assess the prostatic secretion.It is obtained as a result of the prostate finger massage with subsequent bacteriological analysis of materials (secrets), PCR's behavior (chain reaction of polymerase) to detect the conditioning of pathogenic microorganisms and pathogens sexual infections and sperms.
General symptoms of various forms of chronic prostatitis:
- Discomfort or / and moderate pain in the form of "pain" and severity in the Perine, which appear or appear after drinking alcoholic beverages, physical activity, sexual contact.Sometimes paroxysmal is passing in nature.
- Feeling discomfort and crisis in urethra during urination or sexual contact, smaller serous-grace emptying from the urethra (mainly after long-term delay in urine).
- Sudden frequent urination porinet (sometimes up to 3 times within 1 hour) and a sense of insufficient bladder discharge, which explains violation of the nerve regulation of prostate, its muscle fibers and bladders.
- Reducing fertilization capacity, which is caused by increasing acidity secrets, reduction or absence of semen mobility, their agglutination (pasting) with their heads.
- Orgasm pain or deleted sensations of orgasm, ejaculation disorders, expressed in recalculated or, vice versa, in excessive duration of sexual intercourse.These phenomena are associated with the inflammatory process in the field of seminar tuberklock or its scars as a result of inflammation.
The presented information allows us to understand the need and importance of a timely appeal to a qualified expert in the case determined symptoms and abandon various non-traditional self-identification methods.Treatment is prescribed only after full and fundamental tests to determine the cause and form of the disease.
Differential diagnosis
Differential diagnosis of acute prostatitis and characteristic signs of chronic prostatitis in men reflects in the table:
| A form of prostatitis | Main symptoms | Laboratory data |
| Acute bacterial |
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| Chronic bacterial |
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| Chronic abection (chronic pain pain syndrome): |
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| inflammatory |
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| non-coating or stagnant (40% patients with prostatitis) |
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| Asymptomatic inflammatory prostatitis |
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