Calculous prostatitis is formed, as a rule, against a background of stagnant prostatic secretion in its excretory ducts. Moreover, the stones in the prostate may be a consequence of the prostatic urethra, reflux - throwing urine from the urethra into the prostate gland.
Why and how to develop calculous prostatitis
Calculous prostatitis - an inflammation and the formation of stones in the prostate gland. At the same time inflammation may wear, as a purely stagnant and stagnant-infectious character.
Stones can form in the prostate gland itself as a result of stagnation of its secret (true or endogenous stones - in violation of patency of the ducts of the prostate, they contain salt form stones) or by throwing stones and urine of urinary tract infections (false or exogenous stones). The latter mechanism is called the urethra-prostate reflux. Stones which are thus formed in the prostate gland, like kidney stones
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and urinary tract. This reflux is often formed after prostate surgery, but sometimes the cause of its occurrence can not figure out.
Calculous prostatitis develops slowly over the years. This is a fairly rare type of prostate for the treatment of which has not yet developed effective techniques.
Symptoms of prostatitis calculouse
Calculous prostatitis symptoms are:
- paroxysmal (but sometimes permanent, aching) pain in the groin, perineum, sacrum, which is given in the testicles, inner thighs, penis and scrotum; pain worse on the background or after sexual intercourse, defecation, urination, prolonged walking, sitting or standing, exercise, shaking;
- voiding a frequent urge, strong aching pain occurring at the end of urination;
- blood in semen as a result of tissue injury gland stones;
- sexual dysfunction - is gradually reduced libido, erectile broken processes
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and ejaculation, orgasm becomes painful and the patient does not satisfy;
- declining quality of sperm and its fertilizing capacity; with prolonged duration calculous prostatitis comes complete sterility;
- long-term course of the disease, with frequent exacerbations.
Diagnosis calculous prostatitis
A presumptive diagnosis can be made on the basis of medical examination and digital examination of the prostate. On palpation of the prostate through the rectum with your finger, you can feel its rough surface, seal, attacks of pain on palpation of sensitive places. The secret of the prostate can see the fresh blood.
The preliminary diagnosis was confirmed by ultrasound. If you want to spend, and X-ray examinations and computed tomography.
Laboratory diagnostic methods detect signs of inflammation in the blood (blood count) and urine (urinalysis). If calculous prostatitis is an infectious character, urine culture, and prostate secretion in the culture media identify the infectious agent and its sensitivity to various drugs.
Treatment
Treatment of calculous prostatitis should be long. In addition to conventional drugs included in the integrated medication, antibiotics
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by prescription, anti-inflammatory agents, antispasmodics, muscle relaxants, drugs, reducing blood circulation and so on prescribed physiotherapy, contribute to reducing congestion in the prostate gland. Sometimes using a special physical therapy equipment held aspiration (suction) of prostate secretion.
If conservative treatment fails, the patient concerned and severe pain, surgery is carried out - the removal of stones from the prostate gland; as a rule, it is little traumatic operations that are carried out using endoscopic equipment:
- transurethral surgery (with access through the urethra) is conducted at the location of stones in the middle of the prostate;
- through the bladder
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operations are carried out in the case when the stones are in the sides of the prostate gland.
You can carry out prostate surgery and conventional surgically through the abdominal wall - this operation is called a laparotomy.
Calculous prostatitis - it is a rare disease, but it requires careful examination and treatment under medical supervision and diagnostics (including ultrasound and laboratory) studies.
Galina Romanenko
