About 40-60% of urology patients in the clinic are chronic prostatitis.Symptoms of prostatitis in men are usually the cause of depression and psychological changes.
Each third person has a disease over 25-30 years of age and is not life-threatening, but its difficulty in diagnosis and treatment determines the long-term chronic course and often leads to disability.
The idea of prostate function, mechanisms and causes of inflammation enables us to correctly understand the symptoms and the need for timely treatment.
Functional values of the prostate
Its main function is the secretion of specific fluids (secrets) 40-50 glands, which form the entire gland tissue of the organ.90-95% of the secret consists of water and the main trace elements, phospholipids, sperm amino acids, which give sperm specific odors, enzymes, proteins, citric acid and fructose.All components have their own purposes and are strictly balanced.
Prostate tips provide:
- Formation and maintenance of neutral or slightly alkaline environments in the urethra and sperm.This environment provides sperm for the life of sperm.
- Sperm is sparse to prevent sperm from adhering to each other and ensure their promotion is necessary.During sexual intercourse, sperm is mixed with prostate juice.
- Sperm viability: The substance contained in the secret is nutrient medium for germ cells, thanks to their ability to stay in the female reproductive organs for several days until the eggs are fertilized.
- Protecting the urogenital system using zinc, sperm, polyprotein and immunoglobulin A.The concentration of zinc in the prostate is 100 times higher than that of other organs.It has obvious antibacterial activity, accumulates in the form of a protein complex in iron and is in the free state of sperm.Sperm and polyamines also have high antibacterial activity, and immunoglobulins are involved in immune protection of the prostate and urethra.
Prostate iron is also involved:
- In hormone metabolism, it is converted into active dihydrotestosterone by converting testosterone from the blood; the latter regulates the secretory activity of the glands; this process proceeds with the involvement of the same zinc.
- In the effect of urination, smooth muscle fibers in gland capsules are used;
- During ejaculation, as well as part of the muscles at the base of the pelvic floor and part of the urethra pass through the prostate;
- The ducts that pass along the sides of the seed nodules cause the formation of orgasm; it contains receptors that propagate impulses to the brain during ejaculation.
Therefore, the prostate and the general hormone status of a person and the possibility of ensuring their reproduction can protect the urogenital organs from conditional pathogenic and pathogenic microorganisms.
Causes and contributors
The main cause of prostatitis is the entry of IT pathogens and conditional pathogenic microorganisms.In 60%, this is an E. coli.In recent studies, the role of gonococci and trichomonna infections in inflammation was confirmed.If the protective barrier of the gland and the reduction of local immune defense is violated, the penetration of infections such as yeast-like, mycoplasma and uric acid membranes, herpes viruses and megalopathy, causes respiratory diseases, and causes respiratory diseases (with oral hereditary diseases) (consequential methods), without fipertical interactional contersical microfforlora.
For tuberculosis diseases, mycobacterium can be transmitted through blood to the prostate.Isolated cases of tuberculosis prostatitis were found, but few were found.
How to penetrate the infection into the glands:
- Hematoma - blood from other infection focus; this occurs through venous angiovascular in the prostate, communicating with veins in the penis, testicles, rectum, bladder and kidneys (including tuberculosis lesions)
- Lymph - Through the lymphatic vessels
- Urethral generation - through the urethra
Contributing factors:
- In particular, the hormonal background was violated, and the testosterone levels were reduced, resulting in lowering the antibacterial prostate barrier.
- Varicocele (swelling of seed veins), hemorrhoids, varicocele in the lower limbs.These diseases are the result of genetic defects in the venous valve, which leads to blood microcirculation diseases in organs in the pelvis, with local temperatures rising, normal temperatures lowered (compared to the overall temperature), and creates favorable conditions for important microbial activities.
- Osteochondrosis, hernia in the lumbar spine and other neurological diseases, a sedentary lifestyle.They can cause prolonged spasm (stenosis) of prostate blood vessels or conversely long-term dilation.The first one causes damage to blood supply, while the second one causes blood phenomenon to stagnate.
- Drunk is alcohol that causes paralysis of small blood vessels and nicotine, causing its prolonged spasm.
- Various infectious diseases, diabetes, frequent and long-term negative psychological effects, stress status, sleep disorders - all of which help reduce general immunity.
Types of prostatitis
Basically, the first symptom of prostatitis is to explain the deterioration of gland blood supply through the results of inflammation or vasospasm, leading to hypoxia deficiency, impaired metabolic processes, and forming underestimated attenuation products.They cause a large number of nerve receptors associated with the ends of the testicular nerves, the bladder, rectum, penis, and muscles at the base of the pelvic floor.
Acute bacterial prostatitis is distinguished, which is rare (5% of all cases) and chronic prostatitis, according to the classification proposed by the National Institutes of Health (according to the process of inflammation).The latter can develop after acute, but is predominant in 90%-98% of the cases.It is assumed that he causes sexual disorders and infertility.
Chronic forms are divided into:
- bacteria.
- Fatigue or chronic pelvic pain (in the absence of bacteria in the study).In turn, it is divided into inflammatory and non-inflammatory.
- Asymptomatic inflammation (in the absence of obvious symptoms).
Clinical manifestations
Acute prostatitis
Any microorganism causes an acute course of treatment, characterized by damage to all gland lobes almost simultaneously.The most common cause is gonococci.The inflammatory process can be in the form of an abscess or in the form of diffuse rather than inflammation.The most characteristic symptoms of acute prostatitis are as follows:
- Cold and high body temperature (up to 38.5o and above).
- Severe poisoning - weakness, joint pain, headache, increased pulse frequency, insufficient appetite, etc.
- Severe pain in the perineum, groin and waist area.
- Urination disorders - frequent and false impulses, soreness and difficulty of urination, acute urination retention.
- From the urethra or emit transparently.
Due to severe pain, finger examination of the prostate is not possible.Furthermore, it is contraindicated because of the possible transmission (transmission) of infection and development of septic states in the blood.
Chronic prostatitis
The recommended classification reflects the fact that the signs of chronic prostatitis in men are very diverse, and doctors have a very different view of the causes and mechanisms of the disease.The diagnosis is based on the patient's complaints, clinical examination of glandular examinations through rectal (rectal) and ultrasound examinations.At the same time, the extent to which pain, size and volume, profile, consistency uniformity and the presence of softened or sealed areas were evaluated.
Partly, the functional capacity of the organ, and most importantly, the presence or absence of the inflammatory process and the form of the disease, allows you to evaluate studies of prostate secretion.It was obtained due to finger massage of the prostate, followed by bacteriological analysis of the material (secret), and PCR (polymerase chain reaction) (polymerase chain reaction) to conditionally detect pathogenic microorganisms and pathogens and sperm map analysis of infectious infections.
General symptoms of various forms of chronic prostatitis:
- Discomfort or/and/and/and/and/and/and/and moderate pain, in the form of “pain” and severity, occurs or exacerbates after drinking, physical exercise, sexual contact.Sometimes, they are essentially paroxysmal.
- During urination or sexual contact, discomfort and crusia sensation in the urethra, serous particles from the urethra are discharged in small amounts (mainly after prolonged urine delay).
- Sudden frequent urge to urinate (sometimes up to 3 times in 1 hour) and the feeling of insufficient bladder emptying is explained by violations of the prostate, its muscle fibers and the neuromodulation of the bladder.
- The ability to fertilize is reduced due to the secret increase in acidity, the decrease or lack of sperm mobility, which aggregate (bonding) with the head.
- The pain of orgasm orgasm, the pain of ejaculation disorders, is expressed in its premature birth or the opposite duration of intercourse.These phenomena are related to the inflammatory process in the inflammatory field of inflammation.
The information presented allows us to understand the needs and importance of attracting qualified experts in a timely manner and to give up self-medical approaches that occur in certain symptoms and abandon various non-traditional methods.Prescribe treatment is only prescribed after a complete and thorough examination to determine the cause and form of the disease.
Differential diagnosis
Shows differential diagnosis of acute prostatitis and unique signs of chronic prostatitis in men.
| Form of prostatitis | Main symptoms | Laboratory data |
| Acute bacteria |
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| Chronic bacteria |
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| Chronic abortion (chronic pelvic pain syndrome): |
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| Inflammation |
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| Non-inflammatory or stagnant (40% of patients with prostatitis) |
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| Asymptomatic inflammatory prostatitis |
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