The male prostate gland is small - roughly the size of a chestnut. Closely surrounds the ureter urinary bladder - the so-called the urethra. It produces secretion that forms in the sperm during ejaculation. The prostate gland can be affected by various diseases. One of the more frequent and acute diseases is bacterial prostatitis.
Prostatitis (prostate) can develop at any age.
The prostate gland, also known as the prostate or prostate, is located near the bladder. His inflammation usually affects men in the 30-40 age range. The reason is: a sedentary lifestyle, long-term sitting in a car seat, no movement, stress associated with everyday life. In addition, sexual blame in the broad sense of the word is blamed for bacterial inflammation.
There are different types of prostatitis due to its cause:
- Acute bacterial prostatitis;
- Chronic bacterial prostatitis;
- chronic non-bacterial prostatitis; otherwise an inflammatory syndrome of chronic pelvic pain (inflammation of the PBSM)
- chronic non-bacterial inflammation, otherwise a non-inflammatory syndrome of chronic pelvic pain (non-inflammatory ZPBM) - formerly called - prostatodynia.
Many experts believe that inflammatory and non-inflammatory ZPBM are variants of the same disease entity.
BACTERIAL STYLE
Acute bacterial prostatitis.
Bacterial prostatitis, which affects about 20-30% of patients, is most often caused by infection from the urinary tract or (much less frequently) through the bloodstream from distant outbreaks. Acute bacterial prostatitis occurs with fever and chills, and the prostate is enlarged, swollen, soft and painful. Prostatitis can be acute, with high fever, frequent and painful urination, leakage of purulent discharge from the urethra or hematuria. The patient complains about the difficulty in urinating, up to and including total detention.
Chronic bacterial prostatitis.
Sometimes, acute inflammation goes into a chronic condition, with pain over joint, in the crotch and sacral area, burning in the coil and leakage from the urethra. Chronic bacterial prostatitis is rare and is usually a consequence of acute inflammation. The course of chronic inflammation is feverless. The majority of patients report such ailments as: pollakiuria, urgency, pain in the perineum, sacrum, lower abdomen, testes, pain during sperm oozing (ejaculation) and the presence of blood in semen.
Which bacteria infect the prostate?
The infecting agents are bacteria, usually Gram-negative, of the genus Escherichia coli, Proteus, Klebsiella, Enterobacter. In recent years, the importance of microorganisms from the Chlamydia family and the so-called sex mycoplasmas. It is suspected that both Chlamydia and mycoplasma cause symptomatic and asymptomatic urethritis, the most common complication of which is prostatitis. Infection with them usually results from the sexual activity of the patient, since the bacteria are transmitted exclusively by sex.
Bacterial infection of the prostate gland is favored by:
1. Disorders of the urethral patency, and in particular narrowing of the urethra - caused for example by a mild puberty of the senile, which may cause urinary incontinence favoring an inflammatory bacterial infection.
2. The phimosis, which occurs relatively often and consists in the fact that the incorrect foreskin slips off the member's glans - hardly or not at all, and there should be no problem with that.Incorrect foreskin - can exist from birth or be acquired due to numerous - and often unnoticeable - inflammations of the foreskin.
3. Spasm of the external spinal coil.
4 Bacterial infections of the anus; then the prostate infection can be caused by bacteria from the rectum, through the blood vessels and lymph vessels.
UNUSUAL CONTROL LIGHT
Symptoms of non-bacterial prostatitis.
Non-bacterial prostatitis affects more than half of patients who report to the doctor. Has the nature of chronic inflammation. Patients complain of aches and pains in the abdomen. crotch, anus, scrotum, thighs There may be impaired urination: pollakiuria, pain experienced during urination and weakened urine flow. Occasionally, semen ejaculation (ejaculation) occurs - for example, for painful or premature ejaculation. Mucosal secretion from the coil may appear.
Causes of non-bacterial prostatitis.
The causes of non-bacterial prostatitis are thought to include in an autoimmune error. In prostate cultures and secretions, pathogenic microorganisms are not found, and cytological examination of the secretion shows inflammatory changes. Responsible for this type of inflammation may be the flow of urine into the tubules of the prostate, causing the so-called chemical inflammation. The results of urodynamic tests show a reduced urethral flow, an increase in intravesical pressure, systolic (spastic) dysfunction of the bladder neck and prostatic segment of the urethra, an increased value of the coil pressure - which altogether inhibits the outflow of urine.
Prostatodynia - symptoms
The rarest variant of prostatitis is the so-called prostatodynia, which is a form of bacterial inflammation of the gland. The disease mainly affects middle-aged men. Its symptoms are very painful pain localized over the septa, crotch and sacral area, similar to other forms of prostatitis. Symptoms of irritation of the bladder and the coil as well as difficulties in micturition (pollakiuria, weakness of the urinary stream) are strongly marked.
Prostatodynia - course
The disease is characterized by long periods of recovery and sudden, unforeseen exacerbations. The severity and persistence of disease ailments negatively affect the psyche of the patients. They are restless, irritable, depressed and resigned. The disease causes constant stress, which intensifies the ailments - this is how a vicious circle is created ...
ed. Edward Ozga Michalski, MA
Literature:
1. "Prostatitis" article published on the internet. Medyk Foundation 18-09-2003, last update 26-09-2003 12:00
2. Guidelines for the management of prostatitis Paul Walker, Janet Wilson Clinical Practical Medicine online 2003
3. Your Prostata - PZWL - 1994
