If a man is going to make an important step - to see a doctor for help, it is always interested in how to pass diagnosis of prostatitis. It includes several stages. First, the doctor examines the patient, and then determines what tests you need to pass and what research is required to pass.

How to identify prostatitis: survey

Before the start of the examination the doctor to find out what was bothering the man. Also, the doctor needs to know how long symptoms have appeared and how they changed over time.

Inspection involves examination of the abdomen, pelvis, and digital rectal examination. The latter method is very simple but reliable.

To conduct this study, a man lies on its side (usually on the right) and pulls his legs to his chest or take Bozeman's position. The doctor puts on a glove on a hand, using any medicine as a lubricant and slowly introduces the index finger into the rectum of the patient. Then, experts estimated the shape, size, texture and tenderness.

In acute prostatitis Acute prostatitis - the culprit bacteria   the prostate gland is enlarged, swollen and painful on palpation, so its investigation should be carried out very carefully. In the chronic form of the disease prostate flabby and it has a non-uniform consistency.

What are the tests for prostate rent

A blood test for prostate at an acute course of the disease reveals the increase in the number of white blood cells and increased ESR. These figures indicate the presence of an active inflammatory process in the body. Urine tests for prostate, which is held only once, can not reveal any changes. But repeated studies often can not detect an increased content of white blood cells and bacteria. It carries out studies of prostate secretion.

In order to find out exactly how to antibiotic-sensitive bacteria caused prostatitis, perform urine cultures and prostatic secretions in the culture media. Then determine the sensitivity of cultures of these microorganisms to various drugs.

Chetyrehstakannaya urine sample - is a fairly accurate test for prostate cancer. A study to determine the localization of the source of infection in the urogenital tract. The patient produces a sterile tube first urine (first test), and then continues to urinate in a separate container and then fills the second tube. The doctor performs a prostate massage Prostate massage - a shameful procedure? And the resulting secret is the third portion. The fourth portion - the remnants of urine released after the massage. The diagnosis of bacterial prostatitis Bacterial prostatitis - can be acute or chronic   confirm that if under a microscope prostate secretion and urine show the last portion of the bacteria.

If the microscopic examination of these same materials exhibit more than ten leucocytes in sight, this is evidence of inflammatory disease. In those cases where in prostatic secretions increased leukocyte count, but there is no growth of bacteria, conducting research and other Chlamydia infections for which the main transmission path - sex.

In the study of discharge from the urethra determine the amount of the epithelium, mucus, white blood cells, as well as trichomonas, gonococci and nonspecific microorganisms. Polymerase chain reaction in the study of mucosal scrapings from the urethra can not identify microorganisms that are sexually transmitted.

Prostatitis can cause a rise in the level of prostate specific antigen (PSA) - a special marker, to determine the level of which is carried out for the diagnosis of cancer and BPH. With a significant increase in the concentration of PSA in the blood serum is used a number of additional diagnostic tests to rule out cancer. It is important to know that the blood samples to determine the PSA should be performed at least ten days after a digital rectal examination.

Instrumental methods of diagnosis

Diagnosis of prostatitis also includes the use of instrumental methods. Ultrasound of the prostate - the most accessible and the most common ones in the diagnosis of acute prostatitis. It can help you determine the amount of prostate and its density. Also, the method allows to find out whether an extension of the venous plexus of the body, and detect signs of an emerging body of an abscess. Endouretralnye endoscopic methods of investigation, such as cystoscopy and ureteroscopy, with acute prostatitis are contraindicated.

Ultrasound in chronic prostatitis Chronic prostatitis - every man should know his signs   It allows to determine the size and volume of the prostate, the presence of cysts and abscesses stones. With this method also can determine the expansion ratio, the density and homogeneity of the seminal vesicles.

Definition of urethral pressure profile and myography (registration of contractile activity) pelvic floor provides additional information in the presence of neurogenic bladder disorders. CT and MRI performed for suspected prostate cancer or non-inflammatory form of abacterial prostatitis (to avoid diseases of the spine and pelvic organs).

Diagnosis and treatment of prostatitis - two interconnected and mandatory stages. Diagnosis of prostatitis is aimed at identifying forms of the disease and clarify the reasons that could contribute to its development. After this treatment the doctor chooses. It typically involves the use of antibiotics in bacterial forms of the disease, nonsteroidal anti-inflammatory drugs, drugs which improves blood flow and improve immunity. The doctor also may prescribe magnetic therapy, laser therapy, electrophoresis, phonophoresis, mud and herbal medicine. If conservative treatment fails, you will need surgery.

Inflammation of the bladder - it's not such a simple disease, because it often develops on the background of already existing disorders in the body. Particular caution should cause cystitis in men Cystitis in men - is always a reason Which practically does not occur by itself, as a complication of the main disease.

How to treat an acute inflammation of the bladder

Acute inflammation of the bladder Inflammation of the bladder - inconvenient and unpleasant   (acute cystitis) is treated mainly therapist, since no local procedure is not performed, and the patient requires bed rest.

First, patients with acute cystitis must observe rest and diet, eliminating all sharp, sour, salty, smoked food, which could contribute to strengthening the inflammation and edema. It should also be possible to use more liquid - with her from the bladder will be displayed infectious agents and products of inflammation.

Antibiotics for acute cystitis is not always appointed. If the symptoms of the disease appeared for the first time, are not too severe and the patient is clearly links the onset of the disease with hypothermia or fatigue, it is possible to allow the body to fight the infection. The mucous membrane of the urinary bladder is able to effectively cope with the infection and inflammation, if the patient's normal immune system. Usually cystitis Cystitis: urgently take action   can go alone for two or three days.

But if severe acute cystitis, with fever, severe pain, blood in urine appointed antibiotics. As a rule, or Monural (given once), or antibiotics from the group of fluoroquinolones (such as ciprofloxacin, given three consecutive days).

To reduce pain appoint Nospanum or papaverine and dry heat to the lower abdomen. You can also do sit-baths with warm antiseptic solution (for example, with a light pink solution of potassium permanganate, or infusion of chamomile, St. John's wort, calendula).

How to treat a chronic inflammation of the bladder

Adequate treatment of chronic inflammation of the bladder may be appointed only after inspection. If during the inspection it was revealed some disease, contributing to the development of cystitis, it is treated. Violations of immunity, which allowed the infection to "capture" the bladder treated with conservative methods, today there are effective drugs to restore all components of immunity.

If you have found an obstacle in the path of the urine, leading to its stagnation in the bladder, then try to eliminate it. For example, a violation of the nervous regulation of the bladder is usually treated conservatively, with medical treatment, physiotherapy and therapeutic exercises.

Sometimes, chronic cystitis Chronic cystitis: a correct diagnosis - the main   developing against reflux - reverse current of urine. The cause of reflux is congenital and acquired defects of the urinary tract. Thus, the cause may be a reflux narrowing of the urethra or urethral develop after inflammation in the area. Treat it first with the help of conservative bougienage, but if that does not work, hold the plastic urethra. Recovery operations are carried out in other sections of the urinary tract.

Along with the elimination of the causes of chronic cystitis, and treat the inflammatory process itself. During exacerbation of the disease in a patient taking the urine analysis, microbiological testing is performed to identify the pathogen and its sensitivity to drugs. The analysis is assigned antibacterial or antifungal drug.

In the treatment of chronic cystitis and actively used local treatment, but with caution and if it is really necessary, since the introduction of the catheter into the bladder may enter additional infection. The bladder is injected drugs, which have antibacterial and anti-inflammatory effect. For instillations used various preparations of silver (collargol, Protargolum, silver nitrate, colloidal silver), dioxidine. Together with the action of drugs in common topical treatment helps to suppress inflammation and infection.

Good relieves inflammation and associated tissue swelling heparin, also can be administered topically, in the bladder for a long period of time several times a week.

To prevent a recurrence of the disease prescribe bracing means, gymnastics, physiotherapy.

Treatment of chronic cystitis should be prolonged. It must be carried out by a urologist with the prior examination of the patient.

Galina Romanenko