Chronic prostatitis often occurs as an outcome of acute prostatitis with inadequate treatment. However, it is possible to develop primary chronic prostatitis against the background of congestion in the gland. Chronic prostatitis symptom in the histological picture has the following: the formation of wide cavities in the follicular system, resulting from blockage of the ducts of the gland and stagnation of the secret. This process is characterized by a sluggish inflammatory process leading to sclerosis and scarring of the prostate.
How does chronic prostatitis manifest itself?
The symptom most characteristic of prostatitis is discomfort and burning sensation in the urethra during urination, more often in the morning. After a bowel movement, discharge may appear from the urethra. The first symptoms of prostatitis in men may be accompanied by pain in the perineum and rectum, radiating to the scrotum. After a long stay in a sitting position, the pain intensifies, this symptom is explained by the plethora of the vessels of the pelvic organs, including the prostate. Such pains are relieved by walking. Exacerbation of chronic prostatitis, the symptoms of which are also characteristic of acute prostatitis, is manifested by a more pronounced clinic with the addition of signsintoxication. Timely diagnosis implies more intensive antibacterial and anti-inflammatory therapy.
Sexual function and prostatitis
Symptom associated with sexual dysfunction, manifested by insufficient erection, accelerated ejaculation. Erectile dysfunction leads to the appearance of neurasthenia, insomnia, decreased performance. A digital examination through the rectum can reveal an increase in the size of the prostate gland with areas of compaction that are painful on palpation.
Diagnosis of prostatitis
The greatest diagnostic value has a digital examination, which reveals moderate pain, heterogeneous dense consistency. Equally important is the study of the secret secreted by the prostate. Chronic prostatitis is characterized by an increase in the number of leukocytes and a decrease in lecithin grains, the presence of bacteria. It is important to use a three-cup test, which allows you to clarify the localization of inflammation. An ultrasound examination of the prostate reveals heterogeneity of the gland tissue, a decrease in the size of the organ in sclerosis. Examination of the bladder reveals residual urine. It is very difficult to differentiate the combination of "prostate adenoma and prostatitis", the symptoms of which are very similar to tuberculosis and prostate cancer. In this case, the data obtained during the determination of oncological markers, prostate biopsy are important.
Treatment
Therapy of prostatitis is aimed at systemic antibacterial effects and local action on the gland tissue. For antibacterial purposes, macrolides, cephalosporins, aminoglycosides, uroseptics (Nitroxoline, Furazidin, Nalidixic acid) are prescribed. Hyaluronidase is used to eliminate sclerotic phenomena. Locally used prostate massage, sitz baths, microclysters, mud therapy. In modern medicine, reflexology is used with great success. With regard to recovery, the prognosis is unfavorable. The disease is characterized by a long undulating course.
