About 40 - 60% of the urinary patients of the clinic are patients with chronic prostatitis.Symptoms of prostatitis in men are often the cause of depression and psychological changes.
The disease that every third man suffer from over 25-30 years old is not life-threatening, but its difficulties in diagnosis and treatment determine a long chronic course and often leads to defects.
The idea of the functions of the prostate, the mechanisms and the causes of the development of inflammation allows us to understand exactly the symptoms and timely treatment needs.
Functional value of the prostate
Its main function is the excretion of a specific liquid (secret) 40 - 50 glands forming the entire tissue of the agency.The 90 - 95% secret includes water and main trace elements, phospholipids, sperm amino acids, giving sperm a specific smell, enzyme, protein, citric acid and fructose.All components have their own purpose and are strictly balanced.
The secret of the prostate provided:
- The formation and maintenance of a neutral or alkaline environment in the urethra and sperm.This environment provides sperm for sperm life.
- Sperm, essential to prevent sperm connection with each other and ensure their promotion.During intercourse, sperm mixes with prostate juice.
- Sperm survival: The substances in secret are a nutritional environment for germ cells, thanks to them can be placed for a few days in female genitalia until the fertilization of the egg.
- Protect the genital system from zinc, sperm, polyamine and immunoglobulin A. zinc concentration in the prostate gland 100 times higher than other organs.It has a clear antibacterial activity, accumulating in iron in the form of protein complex and sperm in a free state;Sperm and polyamin are also highly anti -bacterial activity, and immune globulin related to the immune protection of prostate and urethra.
Prostate iron also participated:
- In the process of hormonal metabolism through the change of testosterone comes from blood, into dihydrotestosterone works;Later adjust the excretion activities of the route;This process is conducted with the participation of the same zinc;
- In urination by using smooth muscle fibers contained in the gland capsule;
- In the process of ejaculation, along with the muscles of the pelvic bottom and part of the urethra passes through the prostate gland;
- in the formation of orgasm due to the distortation of the pipes along the side of the seed;It contains transmission receptors to the brain during ejaculation.
Therefore, the prostate gland, along with the participation of a man's general hormone and ensures its fertility, protects the genital organs from the aggression of pathogenic and pathogenic microorganisms.
Causes and contribution factors
The main cause of prostatitis is to enter it causing disease and conditional bacteria.In 60%, this is an E. coli.In recent studies, the role of participation of gonococcal and trichomonna infections in inflammation is confirmed.In case of violation of the gland protection barrier and reducing local immune protection, the penetration of an infection such as yeast, Mycoplasma and Ureaplasma, Herpes and Cytomegalinirus virus, microorganisms that cause diseases.
For diseases of tuberculosis, the dissemination of mycobacteria through the blood into the prostate is possible.The isolation cases of prostatitis are found, but rarely.
How to penetrate infection into the gland:
- Hematogenous - with blood from other infection groups;This happens through the veins of the prostate, communicating with the veins of the penis, testes, rectum, bladder and kidney (including tuberculosis lesions)
- Lymphogenous - Through lymphas
- urethra - through the urethra
Contribution factors:
- Violation of hormones, especially, reduces testosterone levels, as a result of reduced antibacterial prostate fence.
- Varicocele (expanding the veins of the seeds), hemorrhoids, varicose veins of the lower limbs.These diseases are the result of genetic defects in venous valves, leading to blood circulation disorders in organs in the pelvis, increasing local temperature, reducing normal (compared to total body temperature) and creating favorable conditions for important microorganisms.
- Osteochondrosis, lumbar hernia and other conservation disorders, a sedentary lifestyle.They can lead to prolonged (narrowed) spasms of the prostate circuits or vice versa, to expand their long -term.The first time leads to weakened blood supply, second - for stagnant blood phenomena.
- The poisoning is alcohol, leading to paralysis of small and nicotine vessels, contributing to their prolonged spasms.
- Different infectious diseases, diabetes, negative and regular mental effects, stressful state, sleep disorders - all this helps reduce general immunity.
Types of prostatitis
Basically, the first symptoms of prostatitis are explained by the decline of blood supply to the glands caused by inflammation or vascular spasms leading to lack of oxygen, reducing metabolic processes with the formation of decline decomposition products.They cause strong irritation of a large number of nerve receptors related to the ends of the nerves of the testes, bladder, rectum, penis, muscle of the pelvis.
According to the classification proposed by the National Health Institute (depending on the process of the inflammatory process), the prostatitis is distinguished, very rare (about 5% of all cases) and chronic prostatitis.The latter can grow after acute, but in 90% - 98% of cases are the main.It is thought that he leads to sexual disorders and infertility.
Chronic form is divided into:
- Bacteria.
- Temporary people, or chronic pelvic pain (in the absence of bacteria in studies).In turn, it is divided into inflammation and no inflammation.
- Inflammation has no symptoms (in the absence of clear symptoms).
Clinical manifestations
Acute prostatitis
The acute course is agitated by any microorganisms and is characterized by almost simultaneous damage to all glands.The most common cause is Gonococcus.The inflammatory process may be in the form of abscess or non -inflammatory diffusion.The most typical symptoms of acute prostatitis are as follows:
- High chills and body temperature (up to 38.5O and above).
- Serious poisoning - weakness, joint pain, headache, increased frequency of pulse, lack of appetite, etc.
- Pain in the perineum, in the groin and waist area.
- Disorders of urination - often and mistakes, aches and pains in urination, keeping acute urine.
- Belovoy or discharged transparent from the urethra.
Checking the prostate's finger through the rectum is impossible due to intense pain.Moreover, it is contraindicated due to the common ability (spreading) infection in the blood and the development of septic state.
Chronic prostatitis
Classification is proposed to reflect the fact that the signs of chronic prostatitis in men are very diverse, and doctors' views on the causes and developmental mechanisms of the disease are largely different.Diagnosis is based on patient complaints, clinical examination of the finger test of the gland through the rectum (rectum) and ultrasound examination.At the same time, the level of pain, size and volume, border, uniformity of consistency and presence of softening or sealing areas are evaluated.
Part of the function of the organ and most importantly the presence or absence of inflammatory processes, as well as the form of the disease, allows you to evaluate research on prostate excretion.It is obtained as a result of the prostate's finger massage with the next bacterial analysis of the material (secret), conducting a PCR (the polymerase chain reaction) to detect conditional microorganisms and the pathogens of sexual infections and sperm analysis.
Common symptoms of different types of chronic prostatitis:
- Uncomfortable or/and moderate pain in the form of aches and severity in the perineum, occurring or increasing after drinking alcoholic beverages, physical activity, sexual contact.Sometimes they are crossing a Paroxysmal in nature.
- A sense of discomfort and crusia in the urethra while urinating or having sex, discharged from the small Serous hospital from the urethra (mainly after delay in urine).
- Suddenly often urinating (sometimes up to 3 times within 1 hour) and the feeling of not enough bladder drum, explained due to violations of the prostate, muscle and bladder nerve regulations.
- Reducing fertilization, this is caused by an increase in the acidity of secret, reducing or absent of the mobility of sperm, their convergence (paste) with the head.
- Pain for orgasm or elimination of orgasms, ejaculation disorders, are manifested in early or vice versa, during excessive sex.These phenomena are associated with inflammation in the field of semen tubercle or its scars are the result of inflammation.
The presented information allows us to understand the need and the importance of timely appeal to an eligible expert in the event that there are certain symptoms and abandon self -analysis methods without different conditions.Treatment is only prescribed after complete and thorough examination to establish the cause and form of the disease.
Distinguish diagnosis
Diagnosis of acute prostatitis and special signs of chronic prostatitis in men are reflected in the table:
| Prostatitis form | Main symptoms | Laboratory data |
| Acute bacteria |
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| Chronic bacteria |
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| Chronic Homerial (chronic pelvic pain syndrome): |
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| inflammation |
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| No inflammation, or stagnation (40% of patients with prostatitis) |
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| Inflammation prostatitis has no symptoms |
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