About 40 - 60% of clinical urology patients are patients with chronic prostatitis.Symptoms of prostatitis in men often cause depression and changes in the soul.
Diseases that each third suffered for more than 25-30 years of life-threatening, but the difficulty of diagnosis and treatment determines a long chronic course and often causes defects.
The idea of prostate function, mechanisms and causes of development of inflammation allows us to understand the symptoms correctly and the need for timely treatment.
The functional value of the prostate gland
Its main function is a specific fluid secretion (secret) 40 - 50 glands that form the entire organ of the organ gland.The 90 - 95% secret is made up of water and the main trace elements, phospholipids, sperm amino acids, which give sperm smells, enzymes, proteins, citric acid and fructose.All components have their own purpose and are very balanced.
Prostate secret provides:
- Formation and maintenance of neutral or slight alkaline environment in the urethra and sperm.This environment provides sperm for sperm life.
- Sperm thinning, it is necessary to avoid sperm bonding from each other and to ensure their promotion.In the process of intercourse, the sperm is mixed with prostate juice.
- Spermatozoa Resilience: The ingredients contained in the secret are nutrients for germ cells, thanks that can be placed for several days in the female genital organs until the fertilization of the egg.
- Protection of genitourinary systems from infections using zinc, sperm, polyamine and immunoglobulin A. The concentration of zinc in the prostate is 100 times higher than other organs.It has the specified antimicrobial activity, accumulated in iron in the form of a protein complex and is in the sperm in a free state;Sperm and polyamine also have high anti -bacterial activity, and immunoglobulin is involved in prostate and urethra immune protection.
The prostate iron also participates:
- in hormone metabolism through testosterone transformation that comes from blood, into active dihydrotestosterone;The latter controls the gland spray activity;This process continues the same zinc participation;
- In the act of using the smooth muscle fibers contained in the gland capsule;
- In the process of joint ejaculation -as the muscles -The bottom of the pelvis and the urethra through the prostate;
- In the formation of orgasm sensation due to the vasation of the channel passing along the surface of the tubercle seed;It contains receptors that send impulses to the brain during ejaculation.
Therefore, the prostate, together with participation in a man's general hormone status and ensures its possibility of reproduction, protects the urogenital organs from the invasion of pathogenic and pathogenic microorganisms.
Causes and contributing factors
The main cause of prostate inflammation is to get into pathogenic microbes and pathogenic conditions.In 60%, this is E. coli.In recent studies, the role of participation of gonococcal infections and trichomonna in inflammation is confirmed.In the event of violating gland protective barriers and a decrease in local immune defense, the penetration of infections such as yeast, mycoplasma and upring, herpes virus and cytomegalinirus, micro
For tuberculosis disease, the spread of mycobacteria through the bloodstream into the prostate is possible.The isolated cases of prostatitis tuberculosis are found, but rarely.
How to penetrate the infection into the gland:
- hematogen - with blood from other focus of infection;This occurs through the prostate vessel, communicating with the penis, testis, rectum, bladder and kidneys (including tuberculosis lesions)
- Lymphogenous - via lymph vessels
- uretrogenic - through the urethra
Factors contribute:
- Hormone background violations, in particular, decreased testosterone levels, resulting in reduced antimicrobial prostate obstruction.
- Varicocele (seed vein development), hemorrhoids, varicose veins from the lower leg.These diseases are the result of genetic defects in the vein, leading to blood circulation disorders in the pelvis, local temperature increases, reduced in normal (compared to the number of body temperature), and the creation of favorable conditions for important activities of microorganisms.
- Osteochondrosis, lumbar spinal hernia and other conservation disorders, inactive lifestyle.They can lead to prolonged spasms (narrowing) the vessels of the prostate or, rather, for their long development.The first leads to affected blood supply, the second - to stagnant blood phenomena.
- Drunkenness is alcohol, which leads to paralysis of small vessels, and nicotine, contributes to their prolonged cramps.
- Various infectious diseases, diabetes mellitus, frequent and long mental effects, stress conditions, sleep disorders - all of which help reduce general immunity.
Type of prostatitis
Basically, the first symptoms of prostatitis are explained by the deterioration of blood supply to the gland due to inflammation or vascular cramps leading to oxygen deficiency, the metabolic process is affected by the formation of low -term decay products.They cause strong irritation of a large number of nerve receptors associated with the ends of the penis, bladder, rectum, penis, lower pelvic muscles.
In accordance with the classification proposed by the National Institute of Health (depending on the process of inflammation), acute bacterial prostatitis is distinguished, which is rare (about 5% of all cases) and chronic prostatitis.The latter can develop after acute, but in 90% - 98% of cases are key.It is assumed that he leads to sexual harassment and infertility.
Chronic forms are divided into:
- Bacteria.
- Abakteral pelvic pain, or chronic (without bacteria in the study).It is subsequently divided into inflammation and not -inflammation.
- Asymptomatic inflammation (without obvious symptoms).
Clinical manifestations
Acute prostatitis
Acute courses are provoked by any microorganism and characterized by almost simultaneous damage to all gland lobules.The most common cause is gonococcus.The process of inflammation can be in the form of abscesses or absorbs instead of inflammation.The most characteristic symptoms of acute prostatitis are as follows:
- Chills and high body temperature (up to 38.5O and above).
- Severe intoxication - weakness, joint pain, headache, increased pulse frequency, lack of appetite, etc.
- Severe pain in the perineum, in the inguinal and lumbar areas.
- Urination disorders - frequent and false impulse, pain and difficulty in urinating, acute urinary retention.
- Belovoy or transparent release from the urethra.
Prostate finger examination through the rectum is impossible due to severe pain.In addition, it is contraindicated due to the possibility of spreading (spreading) blood infection and the development of septic conditions.
Chronic prostatitis
The recommended classification reflects the fact that the signs of chronic prostatitis in men are very diverse, and doctors' views on the causes and mechanisms of the development of the disease are largely different.Diagnosis is based on patient complaints, clinical examination of glands through the rectum (rectum) and ultrasound examination.At the same time, the level of pain, size and volume, contour, uniformity of consistency and presence of softening or sealing area is evaluated.
Part of the functioning ability of the organs and, most importantly, the presence or absence of inflammation, as well as the form of the disease, allows you to evaluate the prostatic secretion study.It is derived from the prostate finger sequence with subsequent bacteriological analysis of the material (secret), PCR behavior (polymerase chain reaction) to detect pathogenic microorganisms and pathogenic infections and sperm analysis.
General symptoms of various forms of chronic prostatitis:
- Discomfort or/and moderate pain in the form of "pain" and severity in the perineum, which occurs or intensively after drinking alcoholic beverages, physical activity, sexual relations.Sometimes they pass through the paroxysmal properties.
- Feeling discomfort and crisia in the urethra during urine or sexual relations, small serous release of the urethra (especially after long -term delay in the urine).
- Frequent impulse -The urge to urinate (sometimes up to 3 times within 1 hour) and insufficient feelings of bladder emptying, explained by infringement of prostate nerve regulation, muscle fiber and bladder.
- Reduces the ability to nourish, caused by increased secretion, decrease or absence of sperm mobility, their aglutification (gluing) with the head.
- Pain for orgasm or orgasm sensation, ejaculation disorders, expressed in premature or, rather, during excessive sexual intercourse.This phenomenon is associated with the inflammation process in the seminal tubercle or scars due to inflammation.
The information presented allows us to understand the needs and importance of timely appeals to qualified experts in the event of certain symptoms and abandon various non -self -medical methods.Treatment is prescribed only after complete and comprehensive examination to create the cause and form of the disease.
Differential diagnosis
The diagnosis of acute prostatitis differentiation and the distinctive signs of chronic prostatitis in men are reflected in the table:
| A form of prostatitis | The main symptoms | Lab data |
| Acute bacteria |
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| Chronic bacteria |
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| Chronic abacteria (chronic pelvic pain syndrome): |
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| inflammation |
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| non -inflammatory, or stagnant (40% of patients with prostatitis) |
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| Asymptomatic inflammation prostatitis |
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