Urology / / August 12, 2017
Prostatitis - an inflammation of the glandular and interstitial prostate tissue can occur in acute and chronically (the most common variant of the flow).Currently there is more primary chronic, i.e.without acute onset.
medical importance and prevalence
Prostatitis is one of the most important health challenges, no less important than prostate cancer and benign prostatic hyperplasia.Chronic prostatitis, according to most researchers poorly understood disease, and as a consequence - low efficiency of treatment.About 50% of men of reproductive age had clinical symptoms of chronic prostatitis, at least once in their lifetime.More than 60% of visits to the urologist in the ambulatory practice associated with the clinical manifestations of chronic prostatitis.For example, in the early 90s in the US prostate led to 2 million hits in outpatient centers.It noted a significant reduction in the quality of life of patients with this pathology comparable to myocardial infarction, Crohn's disease.The disease is
in the literature is an ongoing debate about the possible infectious agents that cause chronic bacterial prostatitis.In the category of uropathogenic bacteria are the causative factor, you can include E. Colli other the Enterobacteriaceae, since Klebsiella, Enterobacter, Serratia, Proteus, and Pseudomonas aeruginosa.Enterococcus faecalis is also referred to as uropathogenic microorganisms play a role in the occurrence of bacterial chronic prostatitis.These microorganisms are responsible Koch's postulates and requirements of evidence-based medicine.
revealed a statistically significant association with chronic prostatitis STD.The older man and the higher duration of STIs, the greater the likelihood of his chronic prostatitis.It is also a correlation with a view of the pathogen most often chronic prostatitis is found in mixed infections (84%), chlamydia (80%), ureaplasmosis (63%), mycoplasmosis (65%), trichomoniasis more rarely in 29% of cases.
for the development of bacterial prostatitis is associated with pathogenic microflora, must meet the following conditions - is the presence of secondary or primary immunodeficiency.In this regard, I would like to commend the work of AR GuskovGorlin NKand Soave.in which patients with chronic bacterial prostatitis conditionally divided into three groups:
1. A group of patients who have symptoms of chronic prostatitis to the clinic, there were clinical signs of immunodeficiency states (xp sore throats, bronchitis, fungal infections, and the like.)
2. Group of patientsin which the initial phase of developing the disease was acute prostatitis.
- Prostatitis.Acute bacterial prostatitis.Chronic prostatitis
- Causes of prostatitis
- Benign prostatic hyperplasia (BPH): causes, symptoms, treatment, complications
- Herbs Applicability impotence, urethritis, prostatitis and prostate adenoma
- Treatment of prostatitis leeches
3. The group of patients with chronic bacterial prostatitis without clinical manifestations of immunodeficiency.
noteworthy distinction prevalent microorganisms isolated from the prostate gland secretion.The first group is dominated by various species of Staphylococcus (about 48%).In the second group predominates Chlamidia tr.(About 60%).Also well known is the fact that the duration of the disease current chronic infection, secondary immunodeficiency develops.Which in turn will lead to a deterioration of the disease.
As can be seen from the topography of the prostate, it is bordered to the bladder, rectum, and urethra.In chronic prostatitis nature of clinical symptoms depend on the localization of foci of inflammation in the prostate.
When locating them in the part of the gland located around the urethra, the fore-back urethritis symptoms of frequent urge to urinate, especially at night, frequent and painful erections.There may be a difficulty in urination, rapid ejaculation.
With the defeat of the gland, located in the part of the prostate, which borders the rectum, there is a feeling of fullness in the rectum, pain during bowel movements and constipation.
With involvement in the inflammatory process of the seminal vesicles appear soreness in the lower abdomen irradiation of pain in the scrotum and testicles.
can develop a violation of potency and sterility In the long process.
Treatment of prostatitis
1.Spetsificheskaya antibiotic therapy - depending on the results of bacteriological analysis of prostatic secretions.
2.Immunomoduliruyuschaya therapy - depending on the blood test results on the immune status.
3.Fizioterapiya depending on the stage of chronic prostatitis and disease duration (laser therapy, therapy UST, phonophoresis).
5.Lechenie concomitant STIs.
6.Mestnaya anti-inflammatory and specific therapy.
7.Vosstanovlenie bowel microbiocenosis if necessary.
8.Desensibiliziruyuschaya therapy if necessary