Infectious Prostatitis - is inflammation of the prostate gland that develops after the introduction of its tissue of infectious agents of bacterial, viral or fungal nature. It is often a complication of infectious prostatitis infections, sexually transmitted diseases.

Why and how to develop infectious prostatitis

Infectious prostatitis - an inflammation of the prostate (prostate) infectious nature can develop in different ways. The most common complication is inflammation of the prostate and not transferred dolechennoy (or no treatment), genital infections - gonorrhea, trichomoniasis, chlamydia, ureaplasma, mycoplasma, genital herpes, and so on. In this case, the inflammatory process is often very beginning with a chronic - disease is seamlessly with minimal symptoms.

It may be another mechanism of infectious prostatitis. The disease may start after a strong hypothermia due to lower immunity. In this case, the cause of prostatitis Causes of prostatitis: it can lead to disease   usually a private opportunistic and pathogenic microflora living on the walls of the urethra - E. coli, Staphylococcus, Proteus and so on. Infectious agents in this case can be transferred to the blood or lymph from distant foci of infection. Prostatitis thus most often occurs in the form of an acute inflammatory process.

Stagnation of blood and lymph in the body leads to disruption of supply of tissues, cell metabolism and reduced local immunity. The stagnation in the prostate is usually the result of sedentary lifestyle, poor nutrition, constipation, age-related hormonal changes, prolonged sexual abstinence, and so on.

By the nature of the disease infectious prostatitis is divided into acute and chronic. And the nature of the changes in the prostate - by catarrhal (affecting prostate ducts), follicular (affecting the glandular tissue of the prostate) and parenchymatous (purulent inflammation of the prostate).

Symptoms of acute infectious prostatitis

Disease begins acutely, with a sharp rise in temperature, malaise, weakness, headache, pains in muscles and joints. At the same time a man, pain in the lumbosacral region, perineum and genitals. After some time there urination disorders associated with swelling of the prostate, which is in the way urine in the urethra (urethritis). Become frequent urination, urine is released a little while, there is a sense of overcrowding in the bladder. The urine is cloudy, it is often possible to see the blood of impurities.

Complications of acute prostatitis is a prostate abscess formation. This dramatically increases the temperature amplified perineal pain due to swelling of the prostate urination and defecation become impossible. Such a patient requires emergency medical care.

Symptoms of chronic infectious prostatitis

Chronic infectious prostatitis may be a consequence of untreated acute process, but can also develop initially. In the beginning of the disease for several months in urine and prostate juice can detect infectious agents, and then, in most cases, the process becomes not bacterial.

Initially, the disease is wiped out, almost imperceptibly. But gradually, as the increase in the volume of the prostate gland, symptoms of urination (urinary retention, persistent and painful urination), pain in the urethra and rectum, violations of the genital organs (pain during ejaculation, premature ejaculation, erectile dysfunction, lack of orgasm and so on).

Treatment of infectious prostatitis

Treatment of acute prostatitis Acute prostatitis - the culprit bacteria   start immediately, without waiting for the results of the survey. The patient is recommended bed rest, drink plenty of liquids. Assign usually broad-spectrum antibiotics Broad-spectrum antibiotics - not only treat but also cripple , Which show sensitivity to the majority of agents of urinary tract infection. Such antibiotics include tetracyclines (e.g., doxycycline) and fluoroquinolones (ciprofloxacin, ofloxacin). The course of treatment lasts for at least 10-14 days.

At the same time appointed antihistamines, diuretics (swelling of the prostate is removed), non-steroidal anti-inflammatory drugs (for example, diclofenac - well snizhet temperature, relieves pain).

Treatment of chronic prostatitis is carried out strictly according to the survey. Appointed by antibiotics, which showed sensitivity to infectious agents. If pathogens have been identified, then antibiotics are not always prescribed. But recently, as a result of clinical studies have shown that antibiotics have a positive effect even in the absence of an infectious agent.

Treatment of chronic prostatitis Chronic prostatitis - every man should know his signs   It should be comprehensive, so patients received drugs according to current treatment regimens of prostatitis.

Galina Romanenko

Cystitis - a disease that rarely runs hard, but its symptoms are extremely unpleasant and painful. Everyone who has ever experienced them myself (and that most women and some of the men) would not like a repetition. But that was not repeated cystitis, you need time to seek medical help.

Signs of acute cystitis

Acute cystitis begins abruptly, usually a day after the provocative moment (hypothermia, sex, some toxic effects). Initially, the patient has frequent painful urination and pain in the lower abdomen. During the day and painful urination frequency increases, the end of their blood may appear. Urinary frequency may vary from moderate to incessant imperative urgency. Sometimes the patient is unable to hold urine from constant severe pain.

In some cases, acute cystitis runs hard, with high fever, chills and malaise. All urine in this case is stained with blood - a sign of hemorrhagic cystitis.

Usually all disease symptoms disappear in a few days even if no cure cystitis. If the illness is prolonged, then most likely, it says that it has a reason, usually it is some obstacle to the flow of urine. Most of these are cystitis in men, with increased prostate cancer (she squeezes the urinary tract) or narrowing (stricture) of the urethra (urethritis). Urethral stricture is often the result of self-medication for various genital infections.

Abnormalities in the urinary bladder wall in acute cystitis usually do not go deep on the surface of the mucosa. In severe cases, the affected mucosa and is completely separated from the wall of the bladder, forming a bleeding erosions and ulcers.

Very rarely, the process still affects the entire bladder wall, causing its extinction - the so-called gangrenous cystitis Cystitis: urgently take action .

In the analysis of urine in acute cystitis under a microscope, you can see the accumulation of a large number of white blood cells, red blood cells and fresh bacteria. To confirm the diagnosis of acute cystitis such analysis is sufficient.

Symptoms of chronic cystitis

Chronic cystitis can occur in different ways: with frequent exacerbations, with occasional exacerbations, with a continuous flow and asymptomatic (hidden). By the nature of changes in the bladder wall chronic cystitis divided into catarrhal, ulcerative, hemorrhagic, gangrenous, interstitial.

Exacerbation of chronic cystitis occurs with less severe symptoms than acute cystitis Acute cystitis: Treat treated responsibly . The signs of catarrhal cystitis are frequent painful urination and abdominal pain, hemorrhagic and ulcerative cystitis manifest constant presence of blood in urine, gangrenous - a serious condition and perforation of the bladder. If cystitis takes a long time, the bladder can be reduced in size and lose their function - to collect urine.

But hardest of all proceeds interstitial cystitis Interstitial cystitis - inflammation of the bladder Which is characterized by the formation in the bladder wall of small abscesses, reveals the inside of the bladder. At the site of the ulcer revealed the abscess is formed, which extends deep into the bladder, permeating all of its layers. Over time, the ulcer scars, scars are usually rough, tightening the bladder wall. Once the ulcer healed, in a place appears a new abscess, and then an ulcer. So gradually the bladder shrinks and completely loses its function. If interstitial cystitis, this process is developing quite quickly.

In chronic cystitis the largest exposures are urocystic Triangle - the area of ​​the bladder ureter between the point of entry and exit of the urethra. Cystitis vesical triangle called trigonitom and place out of the bladder to the urethra - antiplaque cystitis.

If you suspect a chronic cystitis Chronic cystitis: a correct diagnosis - the main   It carried out a full examination of the patient: it is necessary to find out why the process has become chronic. The reason most often anatomical changes in the organs of the urinary tract, creating obstacles to the flow of urine. For their detection conduct laboratory (blood count, urinalysis, urine culture on nutrient media), ultrasound and X-ray examinations. But the most reliable method of research is cystoscopy - Inspect the inside surface of the bladder using a cystoscope, which allows you to identify any changes in its wall.

Cystitis can last for years and lead to a complete loss of bladder function, in this case, save only operation. To not bring themselves to such a state, you should promptly contact the urologist.

Galina Romanenko