Defeat prostate prostatitis an acute infectious and inflammatory foci accompanied by edema formation in the tissues of the prostate and septic. Symptoms depend on the stage of acute prostatitis (blue tongue, follicular, parenhimatoznoe determination, abscessed) and may contain dysurie disorder, groin pain, fever, poisoning. Based on the diagnostic data of the prostate palpation, ultrasonography and Doppler Stadium, prostate, secretions of the prostate the urethra, the discharge research. Acute prostatitis includes the appointment of antimicrobial therapy, NSAIDS, antispasmodics, analgesics, immunomodulators, physiotherapy.
The most common acute and chronic diseases of male of prostatitis and socially meaningful. Clinical urology diagnose prostatitis 30-58% of males in the reproductive and working age (30-50 years). Along disorders accompanied by acute prostatitis, sexual function and fertility disorders, emotional status and social disadaptation.
Acute prostatitis causes
Motion often lead to acute prostatitis nonspecific infectious agents prostate tissue penetrate gram - negative bacilli (Escherichia coli, Klebsiella, proteus) or gram-positive staphylococci, enterococci, streptococci)
Usually acute prostatitis urogenital infections that are caused by pathogens that can be called:
- Chlamydia trachomatis,
- trichomoniasis,
- ureaplasmosis,
- gonorrhea,
- mycoplasmosis,
- candida and others.
Microbial agents most often occurs in prostate tissue through penetration transkanalikuler – through ductless glands, the pop-up on the rear wall of the urethra. Therefore, any urethritis acute prostatitis is very often complex genesis. Takes less microbial flora, prostate, bladder, and acute cystitis. Promotional gland is high in pathogens greatly facilitated when the intraurethral pressure (representa the stones urethra), the transport endometrial manipulation (urethral bougienage, catheterization, bladder., cystoscopy, etc.).
In addition, penetration may be the result of hematogenous acute prostatitis, infection, arterial and venous anastomosis with favourable conditions the prostate blood flow to a system widely developed. Drift away during a hematogenous septic germs enter the prostate tissue foci tonsillitis, sinusitis, caries, cholecystitis, bronchitis, formula, etc. Maybe lymphonodus infection, prostate anal fissures during bowel, Crohn's, colitis.
This non-communicable factors that contribute to their development, including acute prostatitis, persistent stagnation in the veins of your pelvis and broken drainage of prostate pain. Stagnant sex life and sexual disorders can be called disritmia – practice interrupted intercourse, lack of or irregular sexual life, excessive sexual activity, etc. To celebrate, a pathological accumulation of venous blood in the line of the pelvic a sedentary lifestyle, frequent constipation, excessive cooling, chronic (especially alcohol), poisoning, varicose veins, and pelvis.
Acute prostatitis Form
Stages in the development of acute prostatitis at the same time are features such as the following form:
- infected,
- follicular,
- parenchymal,
- abscesses.
Kataral starts with acute prostatitis is an inflammation of the submucosal gland mucus changes and floor drain channels of the individual cloves. Then, contribute to prostate inflammation purulent secretion, swelling of the follicles and walls of the channels mucho recession of pus that can develop due to the progression of a localized clove – acute follicular prostatitis. Suddenly a purulent inflammatory process acute prostatitis prostate tissue and interstitial involvement and diffuse parenhimatoznoe cloves defeat determination passes to the next stage – parenchymal. In this case, the abscess opened one of the small ulcers that merge a large stove which Prostate the urethra, perineum, rectum, or bladder.
Acute prostatitis symptoms
Acute prostatitis clinical findings of the corresponding stages of the process. Findings General Service pain, voiding disorders and poisoning.
Acute prostatitis bluetongue weight and I get pain that is felt during the phase. Dysurie disorder that is characterized by pain, increased urination, especially at night. Body temperature is maintained within normal limits may be slightly higher; intoxication don't. At a palpation, the doctor will usually not changed or slightly increased, slightly bitter. The research detects an increase in white blood cells, prostate, hidden, mucho congestion in purulent thread. Urine leukocyte ductless visible draining your pain. Massage, prostate massage, as a rule, it is not possible because of pain. Once treatment begins, during the healing phase 7-10 days acute prostatitis causes blue tongue.
Flows form the follicular acute prostatitis, brighter, dull aching pain, fall, spoon, irradiating the penis, anus, or the sacrum. In this context, the development of painful and difficult urination until acute urinary retention. Defecation is the act of acute follicular prostatitis interfere with expression of pain. Due to increased body temperature 38°C, general condition deteriorates. On Thu increasing rectum palpation is determined, tight, tense, asymmetrical prostate, a sharp pain, Paltseva separate areas of study. Collected urine after palpation of the gland contains a large amount of muddy sediment, forming purulent leukocyte and yarn. Prostate massage is contraindicated in acute prostatitis is the secret to get a holding stage follicles. A powerful treatment that may be indicative of acute follicular advocated positive; otherwise these horses next, parenchymal scene.
Developing developing clinical acute parenchymatous organ. A typical expression of hyperthermia (39-39,5°C and above) with chills, general malaise, cruelty, appetite, thirst. The first urine significantly and hard learning, then you can stop really. Initiatives, accompanied by intense pain urination or bowel. Developing painful difficulty in urination, constipation, gas. The pain spreads, rectum, vibrating air makes wears it is essential to get sick – twisted lie began. During Development, Reactive inflammation of the rectum, the anus secrete mucus.
On palpation determined enlarged diffuse, fuzzy contour, iron is extremely painful to the slightest touch. Parenhimatoznoe acute prostatitis prostate massage is absolutely contraindicated during the phase determination. Sudden rectal pain, sometimes fiber pararectal edema and failed to pass the examination. Urine – expression largely Chella album sanguinem, pyuria. The result is acute parenchymatous organ diseases Service resolution, abscess formation, prostatitis or chronic prostate.
Acute prostatitis diagnosis
Acute prostatitis and complex urology held during the recognition stage based on physical examination, laboratory and instrumental survey. In a study, the prostate through the rectum to determine size, consistency, homogeneity, symmetry, cancer; painful reaction to the destruction of the pockets, the symptoms purulent melting texture. Acute prostatitis is gland palpation of brute push and without the process of careful massaging movements. Secret of the prostate detected in received an increase in the number of white blood cells and a reduction in the number of cells amyloid lecithin.
Increasing urine and urine collected after acute prostatitis pyuria celebrated the third portion of the prostate on palpation. Warning must be made to highlight the culture of acute prostatitis, urine with antibiotics and there is no urethral discharge, PCR-scraping research, October sanguinem blood cultura. Acute prostatitis is evaluated with weather dysurie uroflowmetre disorders and violence.
Transrectal ULTRASOUND prostate moderate pain syndrome can be made; in this case the response is expressed that pain – transabdominal. Anastasially evaluated the shape, the size, the cancer, the presence of focal or diffuse changes in a charged stage of acute prostatitis. Use Doppler to evaluate vascularization the prostate provides detailed and different stadium.
When you plan surgical tactics in terms of destructive forms of acute prostatitis recommended Holding SA scan or MRI, pelvic.
Acute prostatitis
Antiviral therapy in the treatment of acute prostatitis belong in the lead. Antimicrobial appointment as early as possible, you need () antibacterial, antiviral, anti-Trichomonas, antimycotic drugs to suppress the reproductive gland and urethra of microorganisms in the tissue. Prescription analgesics to reduce pain and spasm, urination, antispazmodik, rectal candles with belladonna or Anaesthesinum by the thermal allot of microclusters. Acute prostatitis adjuvant therapy used NSAIDS, enzymes, immunomodulators, vitamins, infusion solutions.
Physical therapy after acute symptoms acute prostatitis is held is weakening. With the aim of anti-inflammatory, nasal decongestant, painkillers action, implemented the development of a local immune micro and rectal electrophoresis, UHF-therapy, microwave therapy, prostate massage. Adapt bed rest in acute prostatitis shown protective diet, sexual rest.
Are delayed, avoid holding urine bladder catheterization, trocar cystostomy, giving priority on the background of acute prostatitis. The need arises an abscess of prostate surgical benefits - autopsy and drainage cavity abscesses.
Gland acute prostatitis treatment trial recovery about the structure and functions of tissues, normalization of inflammation caused by pathogens screening prostate juice composition, biological fluid.
Prognosis and Prevention
Usually, symptoms of acute prostatitis treatment results of cupping on time and a reasonable causality. Sync prostate is an inflammation or abscess formation in advanced cases.
Good hygiene should include prevention, acute prostatitis, infection in the body foci of endocervical and endometrial, and the new bearing in accordance with the standards of aseptic as a sexually transmitted disease and timely treatment, urethritis, normalization of sexual life, and physical activity.