Chronic prostatitis is the most common disease of the male reproductive system and is one of the most common diseases in men in general. According to various estimates, up to 50% of men suffer from some form of prostatitis, so that the disease takes on social significance.
Prostate - unpaired glandular-muscular body, functionally dependent on the level of male sex hormones (androgens), weighing about 25 grams, size 3.0 x4, 0x2, 5 cm, cone-shaped, located between the bladder and the urogenital diaphragm pelvis.
Iron is finally formed at puberty in males and regresses elderly. Decreasing androgen levels in blood functional activity of prostatic cancer is also reduced.
The secret of the prostate is up to 35% of the contents of sperm, increasing its volume, is involved in its dilution, has a stabilizing effect on the enzymatic and ejaculate in general and activates the movement of sperm. So the normal functioning of a healthy prostate gland - an important condition fulfilling sex life of men. Problems arise when the prostate gland dysfunction occurs long before the time appointed by nature. Very often, these problems are connected with the occurrence of a disease, as prostatitis.
Prostatitis - is infectious and inflammatory disease of the prostate gland, often manifested only mild symptoms and therefore it is difficult to diagnose, which in turn can cause late-treatment the patient to the doctor.
There are acute and chronic prostatitis, the latter may arise as a result of acute prostatitis or develop their own.
Recently there has been an increased incidence of prostatitis. In areas with low seasonal temperatures, with significant differences of its high moisture content and it is particularly high, reaching 70%. Striking men relatively young age (20-50 years), prostatitis can lead to functional impairment of sexual intercourse (premature ejaculation, the weakening of adequate erection, orgasm and effacement, etc.), and is often a cause of male infertility.
Acute prostatitis occurs with clinical symptoms (pain in the perineum, suprapubic, at the root of the penis, in the sacrum and in the urethra, fever, disorders of urination, etc.), whereas the clinical manifestations of chronic prostatitis can vary from minor, for patients who do not pay attention to the very pronounced symptoms, exhausting his constancy.
Often the long-term course of prostatitis complicated by inflammation of the seminal vesicles, testis and epididymis, sclerosis of the bladder neck and prostate, which, in turn, exacerbate the patient's condition.
The cause of infectious prostatitis may be a variety of bacteria, viruses, chlamydia, ureaplasma, mycoplasma, fungi, trichomonas, and other microorganisms, and the role of infections, sexually transmitted infections in the occurrence of prostatitis recently increased significantly.
The main sources of infection of the prostate are: bacterial vaginosis in women, infection of other foci of infection in the body (tonsillitis, sinusitis, sinusitis, peridontity, pneumonia, cholecystitis and cholangitis, proctitis, purulent skin diseases, etc.), hospital infection microflora. Sometimes stubborn for prostatitis is associated with allergic and autoimmune processes.
The most common microbes that are responsible for the occurrence of prostatitis is the so-called - Gram-positive microbial flora (Staphylococcus epidermidis, Enterococcus faecalis, Streptococcus), although often the cause of prostatitis can be gram-negative bacteria (Escherichia coli and Pseudomonas aeruginosa, Proteus, etc.).
Many doctors believe that prostatitis is closely related to the stagnation in the prostate gland, leading eventually to the overflow of blood and blood prostate swelling. They even emit an independent form of prostatitis associated with stagnation in the prostate, called congestive (stagnant), prostatitis, when for all the clinical symptoms of the disease and no inflammatory changes in prostatic infection.
However, the underlying non-infectious prostatitis congestion in the pelvis and in the prostate gland itself are a good backdrop for the accession of the particular disease. At the same predisposing factors for infection are joining the cold factor, vascular, trophic and morphological changes in the pelvic organs, immune deficiency.
Venous stasis in the pelvis contribute to the structural features of its venous plexus and the most near prostatic space. By the stagnation in the pelvis can cause diseases of the rectum and surrounding tissue (abscess), hemorrhoids, anal fissures, as well as alcohol consumption, intake of spicy food, etc.
Prostatitis, Which Might Not Be
It should be noted adverse effect on the functional state of the prostate sedentary lifestyles and occupations associated with exposure to vibration (drivers of vehicles, etc.). It is believed that non-infectious prostatitis does not happen, and they are next due to microorganisms, united under the name of "opportunistic infections" that are difficult to diagnose because of the lack of appropriate laboratory facilities.
There are also a number of habits that increase the probability of hit men at risk of prostatitis: oral-genital or anal intercourse, sexual perversions and excesses dysrhythmia sex life, interrupted and deliberately tightened sexual acts, sexual frustration. It should point out the harm of excessive masturbation sessions.
Treatment of chronic prostatitis can be a serious problem for doctors, urologists, and should, as a rule, be comprehensive, including drug therapy against the background of local and sometimes the overall impact of physical therapy, which is often chosen individually according to the clinical manifestations of the disease, the characteristics of the patient.
Recently, with the commercialization of medicine, treatment success depends on the financial capacity of the patient, as the cost of treatment is highly effective drugs and methods considerably exceeds the average statistical level of wages in the country.
Prevention of prostatitis can be divided into primary and secondary. By means of primary prevention activities to the inadmissibility of this disease, and a secondary - prevention of relapse after successful treatment.
Primary prevention of chronic prostatitis is a leading healthy, active lifestyle, full and varied diet, with no excess acute, irritating foods, limiting alcohol use, occupation bracing gymnast or if required (sedentary work, for example) special physical therapy aimed at improving the microcirculation (blood flow) in the pelvic organs and the strengthening of his muscles (squats, mahi and cycling leg movements, muscle tension crotch with retraction of the anus, etc.), prevention, prompt and adequate treatment of infectious (septic), diseases of other organs, preventing stagnation in the small pelvis (elimination of constipation, etc.) and diseases of the rectum.
Youths useful to engage in sports such as athletics, swimming, skiing, skating, badminton, etc.
For men, an ordering of sexual relations, the exclusion of casual sex, which can be fraught with numerous infections, sexually transmitted infections and underlying most of prostatitis.
Secondary prevention of prostatitis is aimed at preventing the recurrence of the disease, their timely diagnosis and treatment, especially not clinically manifested forms of the disease. To this end, shows the dynamic observation of the patient by a doctor, a urologist at the background of events for primary prevention.
Additional therapeutic effects identified during follow-up visits the doctor-urologist after treatment. Such inspections are recommended every month for the first three months after completion of treatment, the subsequent one every 3 months during the year, and further 1 every 6 months for 3 years, after which in the case of absence of recurrence of prostatitis patient can be removed from the register. When you visit a doctor without fail the analysis of prostate secretion, and after the treatment of infectious forms of the disease is desirable and bacteriological examination, persons older than 40 years shows an ultrasonic examination of the prostate, the definition of prostate-specific antigen (PSA) is not less than 1 time per year.
Important role in the timely recognition of prostatitis dispensary has a doctor's visit a urologist healthy men over 40 years old and out of high-risk groups.
In conclusion, we can summarize what today has become more urgent prevention of prostatitis, so how to prevent it much easier and cheaper than then years engaged in treatment with no guaranteed result. In other words, the concept of health gains significance of the material, allowing citizens to save substantial material resources spent on the treatment of diseases which could have been avoided.
