Prostatitis

Prostatitis, acute or chronic inflammation of the prostate gland. Prostatitis is caused by the introduction of infections, most of gonococci, Escherichia coli, Staphylococcus aureus, and Mycobacterium tuberculosis, etc. Often prostatitis is caused by Trichomonas. Pathogens penetrate in the prostate, urethral or hematogenous (for example, angina, furunculosis, flu). To detect infection with careful and repeated research of discharge from the urethra and urine.
There are the following forms and symptoms of acute prostatitis.
1. Catarrhal prostatitis - inflammation of the glandular tissue of the prostate and its excretory ducts. Manifested by frequent urination and admixture of pus in the urine. When finger study through the rectum prostate evenly enlarged, painful.
2. Follicular prostatitis - inflammation of the individual segments with limited education pustules, the size of a pea. Palpation of the prostate gland enlarged, uneven. The symptoms are the same as in catarrhal prostatitis.
3. Parenchymatous-interstitial prostatitis with the involvement of the parenchyma of the prostate. Manifested dysuria, feeling of heaviness in the field crotch, pain when urinating, sometimes a delay of urine. When rectal examination is determined increased, tight painful iron or one of its shares. The outcome of acute lung prostatitis can be paraproctitis cellulitis education fluktuiruyushchimi swelling, fever and chills. Formed an abscess is opened or in the urethra, or rectum. Often requires surgery - opening the abscess.
Chronic prostatitis is a consequence of the acute and chronic, poorly treated urethritis, narrowing of the urethra. Manifested periodic mucopurulent discharge in the morning from the urethra, disorders of sexual function. By rectal examination is defined by increased snow uneven prostate gland.

prostate massage photo
Massage of the prostate gland (prostate) and the seminal vesicles: obtaining secret.

Diagnosis of prostatitis is established on the basis of symptoms, fingering / research of the prostate gland through the rectum and research secret obtained in the massage glands (Fig), which in chronic prostatitis contains a large number of leukocytes. Acute prostatitis obtaining secret prostate massage is unacceptable.
Treatment of prostatitis. In acute cases shown bed rest, antibiotics, painkillers (warm up to 40 microclysters with antipyrine 0.5 g per 100 ml of water, candles with the extract of belladonna 0.015 g), warm sitting baths. Massage therapy for acute form is contraindicated. In chronic prostatitis appoint massage of the prostate, washing urethra, mud rectal tampons, diathermy.

Inflammation of the prostate (prostatitis)

There are acute and chronic prostatitis.
Acute prostatitis in most cases is a complication back urethritis. Infection of the prostate Department enters the urethra and prostate gland through the excretory ducts last. Acute prostatitis may occur and hematogenous route, for example when General infections, flu, sore throat, fever, or from the hearth of focal infection.
Before applying sulfanilamidami and antibiotics prostatitis was a very common disease. In most cases these were prostatitis gonorrheal origin. Gonorrheal urethritis approximately 40% was complicated by prostatitis.
With modern methods of treatment of prostatitis as a complication gonorrheal urethritis is found in the form of exceptions.
Originator of prostatitis are often Staphylococcus and E. coli.
Postmortem acute prostatitis is divided into catarrhal, follicular and parenchymatous. In catarrhal form in the inflammatory process involving only the excretory ducts glandular segments, opening to the urethra.
Inflammation of the parenchyma of the individual segments or groups called follicular prostatitis. In this form of the disease in the cavity individual follicles are formed of small ulcers. Swelling of the excretory ducts inflamed follicles complicates the outflow of pus, which leads to the extension and increase of their volume.
Lung prostate - diffuse purulent inflammation of all segments of the prostate gland with involvement in the inflammatory process Magdalinovka tissue, formed as her small cell lung infiltrates and small pustules. In this form, inflammatory process often goes on fibrous capsule of the prostate and surrounding tissue (peri-periprostatic). Purulent fusion capsules follicles leading to the merger of small ulcers and the formation of an abscess prostate.
The clinical picture. Catarrhal form of prostatitis, joining the rear urethritis, little is changing clinical picture. Remain burning pain in the perineum, increased urge to urinate, pain at the end of urination. Urine evenly purulent in both portions or the second portion of the urine is more turbid than the first.
With follicular prostatitis in connection with the formation of pustules at the follicles moderate temperature increase. Urination ecasino, especially at night. Acute lung prostate significantly influences the General condition. Temperature is high, up to 39-40°, often accompanied by fever. Sharp pain and a feeling of pain in the perineum, anus. Defecation is problematic because of the pressure of the enlarged prostate on the rectum. Urination not only ecasino and painful, but difficult. There may come and full retention of urine, especially in the formation of an abscess prostate.
The diagnosis. In catarrhal prostatitis the prostate gland palpation is not changed, and because it is often not recognized.
Sharp increases urination at night and the increased turbidity of the second portion of the urine may indicate the follicular development of prostatitis. While prostate palpation changed. Its surface is uneven because the speakers inflamed, painful to palpation, filled purulent exudate individual follicles. The urine is then uniformly cloudy, the second serving more turbid than the first (when emptying follicles).
Severe General condition of the patient, uncontrollable pain in the perineum and the rectum, painful fast and difficult urination, sharply increased in one or both lobes of intense painful prostate ability to detect lung prostatitis. Education abscess prostate gives palpation feeling fluctuations (subline).
The spread of the inflammatory process on the surrounding tissue contours prostate become in this area is unclear, blurry. If the abscess prostate breaks in surrounding tissue, border prostate erased and phase fluctuations without clear boundaries extends along the lateral surface of the rectum or down from prostate towards the crotch.
Treatment. Acute prostatitis is shown in bed. To soothe the pain - candles with injected or pantopoda. Analgesic and at the same time resolving actions have microclysters from 100 ml of warm water (39-40 degrees). A sitting of a warm bath, heating pad on the perineum is also soothe the pain.
Antibacterial treatment: penicillin - when coccal flora, streptomycin - with rod-shaped, syntomycin (chloramphenicol), biomitsin, terramycin - when mixed flora. Acute inflammation are reverse or subside, but prostatitis can turn into a chronic form.
Formed an abscess prostate rarely resorption. Most often it breaks into the urethra, rectum or paraproctitis cellulose, towards the crotch. The best outcome is a breakthrough ulcer in the posterior urethra. Suddenly the urine out a large number of pus, the pain stopped, the temperature drops.
Sometimes ulcer prostate causes melting of the rectal wall and emptied into her crotch. With faeces spent a lot of pus. The favorable outcome.
The most dangerous breakthrough abscess prostate paraproctitis fibre or fibre in the crotch. Pelvic cellulitis fiber accompanied by sepsis and life-threatening. In such cases it is shown immediate opening the abscess through the perineum or, if the fluctuation clearly defined rectal, through the rectum.


Chronic prostatitis is the outcome of untreated or unrecognized acute prostatitis.
Inflammatory changes in chronic prostatitis is expressed less than in the acute form. Sluggish current of inflammatory process leads to the growth of fibrous tissue and scarring. Patients complain of urethral discharge in the morning, pain, feeling of heaviness, itching, or pain in the perineum, pain in the rump, and the groin. Urination ecasino, especially at night, urine flow sluggish. At the end of urination or defecation from the urethra is allocated a few drops of Muco-purulent secretion of the prostate - prostateria. The last is caused by pressure on atopic shrinking the prostate perineum muscles or feces.
The diagnosis is established on the basis of palpation of the prostate and research of her secret. The size of cancer have normal or slightly increased. Consistency is uneven. Along with flabby caught dense areas. Sometimes prostate evenly compacted all over.
Urine is cloudy, especially the second portion. In it, except leukocytes, visible purulent thread, fast settling to the bottom.
Secret of the prostate many leukocytes and little lipoid (lecithin) grains - product of normal function of the gland.
The main types of treatment : antibiotics, heat treatments and massage of the prostate.
Of thermal procedures, in addition to or instead of mikroklizm applies diathermy prostate using a special electrode insertion into the anus, mud tampons per rectum or mud applications on the perineum (the resorts Saki, Essentuki).
Prostate massage should be done 1 time in W-2 days. The duration should not exceed one minute. The squeezing secret should be done with a soft finger and follow the direction of the excretory ducts of the prostate, i.e. from the periphery of each share to the middle line and down, to seed tubercle. After the massage the patient must urinate, to remove from the urethra pathological secret of the prostate (prostate massage should not be carried out with empty the bladder).
The course of treatment is prescribed 10-15 massages within 1-1,5 months. Sometimes you have to repeat the treatment after 1.5-2 months break.
Radical cure of chronic prostatitis is often impossible. If under the influence of treatment subjective disorders disappear, but in secret prostate remain 20-40 leukocytes in sight without a tendency to increase, with enough lecithin granules, this result should be considered as quite favorable, and the patient is practically healthy.