Chronic bacterial prostatitis
Chronic bacterial prostatitis is an inflammation of the prostate gland in duration at least 3 months. This disease is most common in young men aged 20-40 years. It is one of the most common diseases of the reproductive system in men. It is presented in 5-15% of cases.
What causes chronic bacterial prostatitis?
The most frequent cause of chronic bacterial prostatitis are gram-negative bacteria of the group Enterobacteriaceae (Esherichia colli, Klebsiella spp., Enterobacter spp., Proteus spp.) In about 65-80% of cases at research isolate Esherichia colli. Along with them are found other causes: Chlamidia trachomatis, Ureaplasma urealyticum, Mycoplasma genitalium. There etc. specific infection of the prostate gland caused by Neisseria gonorrhoeae, and Mycobacterium tuberculosis.
What are the factors that favor the disease?
Predisposing factors for the occurrence of infection are: urinary tract infection; reflux of urine from the urethra into the ducts of the prostate gland; foreign bodies and interference in the urinary tract; phimosis; acute epididymitis; anomalies and irregularities in the function of the lower urinary tract; practicing anal sex.
It is important to know that the bacterial prostatitis caused by infection is not contagious, and is not dangerous to the surroundings.
Risk factor for the occurrence of the disease and disturbances in local defense mechanisms of prostate cancer, immune system disorders including autoimmune disorders.
What are the ways of spreading the infection?
Pathways of infection in the prostate gland include: urethra and ducts that connect the prostate gland; lymph vessels, which are in connection with the wall of the rectum; blood from other sources of infection in the body.
How is it diagnosed?
Diagnosis of the disease is placed after a thorough medical examination including palpation of the prostate through the rectal examination, ultrasound of the kidneys, bladder, prostate gland and seminal vesicles, functional study of bladder or urofloumetriya, electromyography of the muscles of the pelvic floor and laboratory studies.
The presence or absence of infection in the urinary tract is established by microscopic and bacteriological examination of urine. In patients older than 45 years is examined and prostate-specific antigen (PSA) for early diagnosis of prostate cancer. In chronic bacterial prostatitis, it must be negative. In microscopic examination of secretions and urine to detect the presence or absence of excessive (more than tenfold) leukocytes. Bacteriological testing will show the type of infection and the sensitivity to different antibiotics.
What is the clinical picture?
The most characteristic symptom of this type of prostatitis is a pain or discomfort in the pelvic floor (between the anus and testicles) lapse of about 3 months. Symptoms flare periodically and then weaken.
Specific symptom is pain after ejaculation, which differentiates prostatitis from BPH. Very rarely have symptoms such as frequent urination and a burning pain and difficulty urinating.
Sexual function is stored, but in some men may be observed psychogenic erectile dysfunction (weakness, psychological sex, without any damage to the body). Secretion from the urethra or discharge from the prostate gland (prostatoreya) especially after defecation is a rare symptom.
The duration of complaints and physical discomfort lead to mental disorders characterized by anxiety, trouble sleeping, increased irritability.
How can confuse non-bacterial prostatitis, chronic?
Diseases that have similar symptoms are: prostatitis, including benign prostatic hyperplasia (adenoma of the prostate gland) and prostate cancer.
What is the treatment?
In the presence of an infectious agent is mandatory application of prolonged antibiotic treatment. Contemporary opinion regarding the antibacterial therapy of chronic prostatitis is that best results can be expected from the use of preparations of the group of fluoroquinolones, tetracyclines, macrolides and trimethoprim / sulfamethoxazole.
In recent application is the use of Alpha1-adrenergic blocking agents that affect pain symptoms and improve urination. Treatment with these agents should be continued for no less than 3 months.
Combining antibiotic treatment with physical methods of treatment, diet, change in lifestyle, phytotherapy and appropriate supplements increases healing results.