SURGICAL DISEASES, TRAUMATOLOGY, ORTHOPEDICS, UROLOGY : The PROSTATITIS. INFLAMMATION OF THE PROSTATE GLAND (PROSTATITIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Acute prostatitis is often a complication of purulent urethritis. With the defeat of the posterior urethra gonorrhea fall into the gland through the excretory ducts. Acute prostatitis can be caused by other bacteria (Streptococcus, Staphylococcus, E. coli), penetrating into the prostate hematogenous route from another hearth.
Chronic prostatitis can develop from acute or result from excesses in sexual life, sometimes with prolonged abstinence (aseptic prostatitis) - due to the delay of prostate secretion and processes of its decomposition. In the gland are phenomena congestive hyperemia, the delay of the secret in a separate cavities, small-cell infiltration in the interstitial tissue. In the future the death of individual glandular elements and their replacement by connective tissue.
Symptoms. Difficulty and frequent urination with pain at the end of the act and cloudy urine..Acute prostatitis may be terminated by resolution of infiltration with formation of connective tissue in a separate lobules or transition in chronic inflammation or abscess formation in one or both lobes. Ulcers often formed when negonoreiny inflammation of the prostate. In the latter case, the patient's condition is rapidly deteriorating. The temperature becomes high, purulent type, chills and pain in the area of the prostate and rectum. Urination sharply at a loss, up to the complete retention of urine. An abscess can be opened through the urethra, rectum or perineum. The last way is the most unfavourable, because it can cause sepsis.
Clinically, the picture of chronic prostatitis is not typical. Complaints of patients are unpleasant sensations in the field of urethra, perineum and rectum, a small discharge from the urethra in the morning, sometimes to the frequent urination.
Recognition of acute prostatitis based on the above, determined by palpation increasing share of the prostate, tension and pain. In the formation of abscess fluctuation.
Recognition of chronic prostatitis is based on history, these symptoms and changes in the prostate that are installed on palpation. Confirmation of the diagnosis is the analysis of a secret of a prostate obtained by massage which are leukocytes and microorganisms. In urine macroscopically visible filaments in the form of a comma.
Treatment of acute prostatitis. Rest, warmth in the crotch, micro (up to 50º, 1 Cup) 3 to 4 times a day, sulfonamides, penicillin. At the break of abscess in fiber - surgical intervention.
Treatment of chronic prostatitis. Penicillin, sulfonamides. Local micro, diathermy, massage of the prostate (daily or every other day).