Gonorrheal prostatitis

In connection with the treatment of gonorrhea antibiotic gonorrhea prostatitis currently are rare. The process develops in the form of acute prostatitis. There are three forms of the disease: catarrhal, follicular and parenchymatous. Catarrhal prostatitis can proceed without the expressed clinical symptoms observed usually increases urination at night. Purulent discharge from the urethra small or non-existent; the urine may be cloudy or clear all of the portions with the admixture of yarns and cereals. Prostate palpation not changed.
Follicular prostatitis cause patients sensation of heat in the perineum, anus, frequent, painful at the end of the act of urination. When emptying the developing follicles prostate pseudoobscura sick notes subjective relief. With the last drops of purulent urine large amount of pus. Pseudoaccacia can be multiple and to develop consistently. The prostate gland is normal or increased in size; palpation palpation with pressure sensitive areas softening (pseudoaccacia follicles) and scar retraction after oporozhnenija of pseudoobscura.
Parenchymatous prostatitis is more difficult. Symptoms caused by localization of foci of inflammation in the prostate. If the inflammation is located near the urethra, dominated by the symptoms of back urethritis. The defeat of the middle part of the prostate causes the mechanical obstruction to the flow of urine up to its full delays. When the location of the lesion near the rectum dysuric phenomena are not available. Pain when urinating, foreign body sensation in the rectum, and constipation. The urine may be cloudy in both portions, or completely transparent from squeeze infiltration of duct cancer. The prostate gland is usually increased by the same proportion, or entire hard, dense, smooth, hot to the touch, painful.
In the formation of an abscess is determined fluctuation. While the patient's condition worsens, the temperature rises, there are fever, General weakness, headache, thirst, sometimes nausea and vomiting, partial or complete urine retention. After opening of abscess all these symptoms disappear.
Chronic gonorrhea, prostate occurs more frequently in the preceding acute inflammation of the prostate. Typical symptoms include discharge, itching and burning sensation in the urethra, threads, flakes in the urine, the emergence after walking and physical stress purulent drops from the urethra, pain in the perineum, smack in the sacrum and the lower back, the feeling of fullness and pressure in the anus and perineum, due to venous stagnation in the rectum, frequent night urination, imperative need to urinate, prostateria.
Hypofunction of the prostate can lead to disturbance of metabolism, phosphaturia, the violation of the General conditions, dizziness, fatigue, neuralgia. For chronic prostatitis is characterized by the appearance populations of threads in the second portion transparent urine. The prostate gland is usually increased, asymmetric; in soft-elastic fabrics gland palpation dense areas, zapadenia nodes. When pressed on the prostate from the external opening of the urethra is allocated purulent secret that contains white blood cells, located clusters, sometimes with a fat-like inclusions; lipoid grains little or none. Gonorrhea is found rarely, as they quickly die.
For gonorrhea, prostate benign. The process can recur under the influence of methods of alcohol, repeated sexual acts, horse riding, Cycling and motorbike tours.
Diagnosis is based on history, symptoms, palpation of the prostate, microscopic examination gland secretion and urethrography allowing to detect cavities in glandular tissue. Treatment - see Gonorrhea.