Chronic prostatitis often occurs as an outcome of acute prostatitis in inadequate treatment. However, it is possible to develop a primary chronic prostatitis against the background of stagnant phenomena in the gland. Chronic prostatitis is a symptom in the histological picture has the following: the formation of wide cavities in the follicular system, which arose due to blockage of the gland ducts and stasis of secretion. This process is characterized by a sluggish inflammatory process leading to sclerosis and scarring of the prostate.
How is chronic prostatitis manifested?
The symptom most characteristic for prostatitis is unpleasant sensations and a burning sensation in the urethra with the act of urination, usually in the morning. After defecation, discharge may appear from the urethra. The first symptoms of prostatitis in men can be accompanied by pain in the perineum and the rectum region, radiating into the scrotum. After a long stay in the sitting position, the pain intensifies, this symptom is explained by the fullness of the vessels of the pelvic organs, including the prostate. Such pains decrease after walking. Exacerbation of chronic prostatitis, the symptoms of which are typical for acute prostatitis, manifests a more pronounced clinic with the addition of signs of intoxication. Timely diagnosis suggests more intensive antibacterial and anti-inflammatory therapy.
Sexual function and prostatitis
Symptom associated with a violation of sexual function, manifested by insufficient erection, accelerated ejaculation. Violation of the erection leads to the appearance of neurasthenia, insomnia, decreased efficiency. In digital research through the rectum, an enlargement of the prostate gland in dimensions with compaction sites painful on palpation can be detected.
The most important diagnostic value is finger examination, in which a moderate soreness, an inhomogeneous dense consistency is revealed. No less important is the study of the secretion 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. With ultrasound examination of the prostate, the heterogeneity of the gland tissue is revealed, and the organ size decreases with sclerosis. When examining the bladder, residual urine is found. Differentiate the combination of "prostate adenoma and prostatitis," the symptoms of which are very similar to tuberculosis and cancer of the gland, is very difficult. In this case, the data obtained in the determination of oncologic markers, biopsy of the prostate gland are important.
Therapy of prostatitis is directed to a systemic antibacterial action and a local effect on the gland tissue. Macrolides, cephalosporins, aminoglycosides, uroseptics ("Nitroxolin", "furazidine", "Nalidixic acid") are prescribed for antibacterial purposes. To eliminate sclerotic phenomena, hyaluronidase is used. Locally apply prostate massage, sedentary baths, microclysters, mud treatment. In modern medicine with great success, reflexotherapy is used. With regard to recovery, the forecast is unfavorable. The disease is characterized by a long wave-like course.