Chronic (bacterial) prostatitis is characterized by constant or recurrent symptoms of confirmed bacterial infection in the prostate.
Prostatitis in this category is rare, with approximately 10% of cases of prostatitis.A question is discussed - whether atypical pathogens can, such as urea superbone urea) cause inflammation of the prostate.They may be present in men's bodies without any signs of inflammation or complaining.
Causes of chronic prostatitis
The causes of chronic prostatitis are mainly similar to the causes of the development of acute bacterial prostatitis.In most cases, microorganisms enter the prostate because urine is cast into the tubes of the prostate.
Chronic bacterial prostatitis occurs due to insufficient treatment or short-term treatment of acute bacterial prostatitis.
symptom
- Discomfort or Pain - During ejaculation, groin, scrotum, lower abdomen in the penis, lower abdomen
- Changes in Urination - Difficulty in urination, small urination is very small, and incomplete emptying of the bladder.
Patients can complain about multiple symptoms and any symptoms, respectively.Body temperature rises are atypical (or slightly).
Important:
Many men associate erectile dysfunction with prostatitis.Often, this is facilitated by unprofessional publications and suspicious drug advertising in the media.Even if the prostate is completely removed (due to the presence of malignant organ tumors), an erection can be maintained, indicating that it itself does not play a role in maintaining an erection.
According to many authoritative urologists, erectile dysfunction in patients with chronic prostatitis is due to psychological and neurotic problems.
diagnosis
For the primary assessment, use a questionnaire - an index of symptoms of chronic prostatitis.On the above, you can objectify the patient’s complaints.
The standard method for diagnosing prostatitis is the performance of the sample.This is a microscopic and bacteriological study of urine samples and prostate secretion obtained from different parts of the urogenital tract.However, the test method is very laborious and currently, samples are often used.A possible alternative is ejaculation (sperm) for microscopic and bacteriological examinations, because partial ejaculation (at least 1/3) consists of secretion of the prostate.For patients, this approach is more comfortable, especially if they absolutely refuse rectal examinations or have a diagnostic prostate massage to get a prostate secret.However, the surrender of ejaculation is less informative and reliable than failure.
Ejaculation of ejaculation is used in bacteriological examinations, including diagnostic algorithms for male reproductive organ infections, as well as diagnostic algorithms for examining men regarding infertility.
In the case of chronic prostatitis, the results of laboratory tests (general urine analysis, general blood tests, biochemical blood tests, sperm charts and other general clinical tests) are non-diseases.These tests are most likely to show "specialization".
During a change in rectal examination, the inflammatory process of prostatitis was shown, which was far from observed in patients with chronic prostatitis.That is to say, it is impossible to rely on the results of rectal studies to diagnose chronic prostatitis.
The same is true for UZ diagnosers: it is incorrect to diagnose chronic prostatitis focusing only on ultrasound data.It is not recommended that the European and American Urologists Association perform ultrasound examinations to diagnose prostatitis.In this case, the type of execution through the anterior abdominal wall - the lower abdomen or trust - does not matter through the rectum.In the conclusion of ultrasound study of "chronic prostatitis", "ultrasound signs of chronic prostatitis", it is written that "signs of prostatitis" are wrong.The privilege of installing the diagnostic is only one urologist to determine it based on complaints, anatomy, laboratory tests, and only after ultrasound.
The most common ultrasound symptoms of chronic prostatitis are established - diffuse changes in the prostate gland or other changes in the prostate parenchyma associated with the inflammatory process of metastasis.This is a fiber process, replacing the normal substance of the prostate with scar fabric.However, the number of fiber changes in the prostate has no correlation with the presence of complaints.As we age, the chances of such "scars" appearing in the organ are increasing, but one can live a lifetime without feeling uncomfortable in the cort bones or public areas.However, once these changes are found on ultrasound, some "experts" diagnose prostatitis.And some men will feel that they are really serious and start listening to their voices and feeling all the symptoms described on the Internet.
For many men over the age of 30, ultrasound can show diffuse changes in the prostate.However, the fiber process does not indicate the presence of prostatitis.
The diagnosis of chronic prostatitis is established based on the exclusion of other diseases of the urogenital system (mainly urethritis, prostate hyperplasia, urethral stenosis, neurogenital diseases of urination, prostate cancer and Bladder cancer).
According to the results of routine tests, there is no specific condition for chronic prostatitis.
Treatment of chronic prostatitis
Thioketone antibiotics are the best antibacterial drugs used to treat chronic bacterial prostatitis.The recommended antibacterial treatment process is 4 to 6 weeks.Scientific data suggests that the possibility of a disease recurrence is justified.
If sexually transmitted infection (STIS) (such as chlamydia) is the antibiotic group of the large peanut group.
There are data on the sagging neck of the bladder in patients with chronic prostatitis, which can cause the urine to reflux the ducts in the urine and cause inflammation of prostate and painful tissue.Such patients are recommended by appointing alpha blockers.
When treating chronic prostatitis, patients are advised to avoid tempting sentences using herbs.One characteristic of dietary supplements and plant additives is the instability of plant ingredients in a portion of the substance, and they may vary even in the same manufacturer's medicine.Furthermore, from an evidence-based medicine perspective, the benefits of herbal medicine cannot bear criticism.
Prostate massage was used as the basis for treatment in the mid-20th century and today it remains an important tool for diagnosing prostatitis, but not its treatment due to new scientific methods and classifications.You do not need to use prostate massage as a treatment procedure (unproven effect).It is hypothesized that frequent ejaculation in its nature is similar to the course of therapeutic prostate massage.
For other methods that prove their effectiveness in just one or more studies or other methods that are still being studied: Related:
- Pill Bottom Muscle Training – Some data suggest that the effectiveness of special exercise is to reduce symptoms of chronic prostatitis and chronic pelvic pain syndrome;
- Acupuncture - A small number of studies have shown that the advantages of acupuncture compared to placebo are in patients with chronic prostatitis.
- Based on the effect of significant amplitude on acoustic pulses of connective and bone tissue, the effectiveness of in vitro shock wave therapy is widely used in the treatment of diseases of the musculoskeletal system recently used in urology;
- Behavioral Therapy and Psychological Support – Because chronic prostatitis is associated with the development of low quality of life and depression, these approaches can improve the patient’s psychological state and help relieve some symptoms of the disease.
Also worth mentioningAsymptomatic (asymptomatic) chronic prostatitis.Diagnosis is most often established based on the results of histological conclusions - after a biopsy or prostate surgery on the prostate.The frequency of inflammation detection in prostate tissues ranges from 44% (prostate biopsy) to 98-100% (after prostate surgery).Scientists suggest that the inflammatory changes revealed in this way are nothing more than age-related physiological characteristics.No one specifically diagnoses this category of prostatitis, which is a random discovery.It does not require treatment, it does not require any further action from the doctor and the patient.