Many doctors joke about menopausal menopause in prostatitis.Forty years later, 20% of men are diagnosed with the disease in 20% of cases - sixty years later and 90% of cases after seventy years.The disease can occur in two forms: acute prostatitis and chronic.The disease must be treated, especially because it can be treated well.But many men ignore unpleasant symptoms, which makes the development of many complications more difficult to cure.
Reasons for development
Acute prostatitis is an acute prostate pathology that develops as pathogens penetrate into their tissues and is developed due to the inflammatory process of the organs.The disease is characterized by swelling in the glands and purulent content in its tissues.This leads to many unpleasant symptoms and impaired genital system function.
There are many causes of acute prostatitis.In most cases, it causesPathway microorganisms.Certain microorganisms can exist in the body of healthy people in the passive form of the skin or intestine.Under certain factors, they are activated, penetrate into the tissues of the glands, and actively reproduce there.Often diseases occur due to STDs, e.g.Chlamydia, urea disease, gonorrheaETC.
The acute form of prostatitis is a complicationUrethritis.Microorganisms pass through ducts that open to the urethra.Likewise, prostatitis is often the cause of bacteria spreading from other organs in the genital and reproductive system.It often affects ironIn surgical procedures, catheter insertion, diagnostic measures.
Since there are a large number of blood vessels in the prostate, in the presence of chronic pathology in the body, the infection here can be obtained through blood flow.Tonsillitis, bronchitis ETC.If soAnal fissuresPerhaps infiltrate microorganisms into the prostate with lymphatic currents.
But infection does not always lead to the development of the disease.Stagnation in blood vessels in the pelvic regionLong-term restrained contact or large amounts of.
Stagnation andLack of physical activity, constant constipation, alcoholism, venous veins, hypothermia.
Classification
In urology, there are several forms of pathology that are distinguished, and this is the stage of its development:
- Qatar formIt is characterized by the emergence of inflammation in the organs and changes in its mucus epithelium.Over time, the glands will swell, with mucus-like secrets gathering in them, causing the disease to progress.
- Then there is focalization.The disease enters the second stage (form) -Leaf-like form.The urinary catheter is narrow or blocked, and the secret is no longer standing out from the organs normally.The pus can be released into the urethra, where it forms a purulent focal point.The gland cells change, and the prostate continues to expand and increase.
- Substantive formWhen the organ is completely inflamed, it develops in it.In the absence of treatment, small purulent focals fuse into a huge abscess, which usually opens the urethra, intestine, and bladder.In some cases, this pathological form may develop immediately when the infection penetrates into the blood or lymphatic flow.
symptom
The symptoms are vivid prostatitis.These signs will be visible and noteworthy will depend on the form (stage) of the disease.General signs of the disease include:
- Eliminate pain syndrome when urine;
- Symptoms of poisoning;
- Pain in the reproductive area;
- Frequent impulse to the toilet, especially at night;
- Discharge from the urethra is possible.
As prostatitis develops in men, pain syndrome will spread to other areas.This is due to the nerve ending propagation impulse.The excretion of urine becomes very painful.Often, its sharp delay at this stage can be considered a dangerous state as it can cause bladder rupture.
Symptoms of acute prostatitis continue to increase.Severe defecation pain and body temperature rise.The prostate becomes thicker, denser and painful.The urine can become muddy due to the amount of pus and mucus.
In the final stage, the disease shows strong manifestations.
The body temperature is greatly increased, fever and chills, loss of appetite, strong weaknesses, and fatigue of the whole body.Urination may stop completely, and when trying to use the toilet, a person suffers acute and severe pain.This condition is painful, and pain syndrome begins to spread throughout the pelvic area.A man couldn't find his place and he was forced to lie on his compressed limbs.If the inflammation spreads to the rectum, mucus will come out of the anus.The yellow-green mucus with blood mixture is released from the urinary catheter.
This situation may lead toSepsis, cystitis, pyelonephritis, chronic prostatitis, abscess.In this case, emergency hospitalization and emergency treatment are required for the patient.
diagnosis
Because the symptoms of acute prostatitis in men are excellent, doctors can immediately suspect this pathology.But he needs a thorough inspection.In this case, rectal examination is strictly contraindicated.
Urologists must use laboratory and tool techniques to determine the stage (form) of the disease.Doctor takingThe secret of the prostateConduct research.It will increase the concentration of white blood cells, indicating acute inflammation.
Then proceedLaboratory examination of blood and urine.The urine was sent for bacteriological seeding for study and the infection of the pathogen and its sensitivity to antibacterial drugs were determined.It is also possible:
- PCR confirmed STD;
- Urology determines the severity of violations in the organs;
- Ultrasound examination of the prostate to determine the shape and size of the organ, its changes, and the stages of the disease process;
- Doppler assays help distinguish acute prostatitis from other pathologies.
- When planning surgical interventions, MRIs of the pelvic organs are usually prescribed;
- Analyze the concentration of the spa in the blood;
- Study strokes from urethral excretion;
- The sections of the body were punctured with suspicion of suppurative infection and abscess.
treat
The urologist will explain in detail how to treat acute prostatitis.The main ingredient of the treatment is an antibacterial drug, which was selected based on the results of BakposeV.Over two or three days, antibiotics began to help, and a person felt much better and the pain began to fade.However, for this form of the disease, even if the symptoms completely disappear, it is necessary to take such medication for a month.
This is also necessary so that the disease does not become a chronic form, which is often observed.
When choosing a drug, the doctor considers other factors:
- Some products penetrate into the tissues of the glands.
- Other funds accumulate in large amounts of fabrics.
Treatment of acute prostatitis in men should be based on the use of powerful drugs, just as in other situations that threaten human life.Usually, doctors are prescribed fluoroquinolones.When using macrolides, the dose should be large.This is especially true in immunosuppressive patients.
Typically, antibiotics are administered using intravenous injections.In the initial stage, the disease can be treated at home or outpatient.In this case, bed rest is prescribed, as any power load will cause the spread of infection and the development of sepsis.
In combination with antibiotics, the following drugs are also specified:
- painkillers;
- Anti-dose medicine;
- NSAIDS;
- If you have severe pain, you can prescribe opium.
- Diuretics reduce body poisoning;
- Laxatives to promote bowel movements;
- Spreading drugs to promote urine excretion;
- Alpha blocker.
If a person's urine is delayed sharply, a catheterization of urea is performed.It is usually used to reduce swelling and inflammation in the organs, improve secretion outflow, normalize blood flow in the glands, and reduce the risk of infection in the body.
Hormones such as estrogen, cold enema can be used to eliminate edema and pain.Massage and thermal procedures in the form of this disease are strictly prohibited.They can only be used during recovery.
Surgical intervention
In the absence of pain, the doctor can suspect the development of the abscess.In this case, surgical intervention was performed to eliminate the area where it occurred.Abscesses are usually used to drain.In severe and extreme cases, remove the organs.
In the presence of abscess, acute delay in urine, intense pain syndrome, the surgery is stipulated in the presence of any medication, stones and tumors and ineffective medications, frequently infected genital system, symptoms of polyencephalitis.
A surgeon can use one of the following methods:
- Carcass (urethral resection)It involves resection of the inside of the organ.Most commonly used;
- Prostatectomyinvolves partial or complete removal of organs through a lower abdomen incision;
- Laser operation.In this case, lasers are used to remove affected areas of the body.
- Abscess drainageIt is done through the rectum.Drainage is introduced into the incision of the pus;
- To promote urine excretionCross cut mouthIn the organ.
When the structure of the gland tissue is restored, its function is normalized, the secret of the prostate normalizes its composition, and the pathogen will be completely eliminated from the body, and we can talk about preventing prostatitis.
forecast
During treatment, the prognosis of the disease will be good.Sometimes, the negative consequences of acute prostatitis occur.The disease can become a chronic form and then be difficult to eliminate.The dangerous consequences of untreated diseases are organ, sepsis and acute urinary rate abscesses.In some cases, death may occur due to complications.But usually, men do not allow such consequences to develop them because they come to the doctor and start the treatment process.
prevention
In order to prevent prevention, it is necessary to prevent the occurrence of inducing factors.This requires timely treatment of all infections in the body so that they do not become chronic forms and do not become potential focal points of infection that spread to the prostate.
Doctors should pay attention to using preservatives when performing surgery.Otherwise, the risk of microorganisms enters the patient's body.It is important that men and his sexual partner treat the STD in a timely manner, preferably preventing their appearance.Sex should happen with a permanent partner and should be regular.
It is necessary to live a mobile lifestyle, exercise or exercise, and observe intimate hygiene rules.
In extreme cases, men usually turn to doctors.However, when negative signs appear, it is best to contact them immediately.This will help avoid many health problems and even save lives in some cases.